The journal of climate change and health最新文献

{"title":"Building climate-resilient, low-carbon health systems: A knowledge, attitudes and practices study with the primary healthcare workforce in Lebanon","authors":"Patricia Nayna Schwerdtle ,&nbsp;Adelle Mansour ,&nbsp;Kathryn Bowen ,&nbsp;Farah Jradi ,&nbsp;James Awad ,&nbsp;Myriam Mrad ,&nbsp;Kelly Carpenter ,&nbsp;Sadath Sayeed","doi":"10.1016/j.joclim.2026.100658","DOIUrl":"10.1016/j.joclim.2026.100658","url":null,"abstract":"<div><h3>Background</h3><div>Climate change poses increasing threats to human health and health systems, particularly in low- and middle-income countries where exposure and vulnerability tend to be high and readiness to adapt tends to be low. A climate-smart health workforce - equipped to address climate-related health risks and reduce the environmental footprint of healthcare - is a core pillar of resilient health systems. This study explored the knowledge, attitudes, and practices of Lebanon’s primary healthcare workforce concerning climate change and health, to inform capacity-building efforts.</div></div><div><h3>Methods</h3><div>We conducted a qualitative study using a knowledge, attitudes and practices framework, comprising three focus group discussions (n = 24) with primary healthcare professionals. Data were collected in March 2025, using a semi-structured discussion guide. Thematic analysis was conducted using the Framework Method.</div></div><div><h3>Findings</h3><div>Participants expressed general awareness of climate-related health risks - particularly respiratory illness and waterborne disease - but demonstrated limited understanding of underlying drivers or systemic impacts. While climate change and health issues were often discussed informally in personal settings, they were rarely integrated into professional practice. Existing sustainability efforts varied across facilities. Nearly all participants reported no prior climate change and health training but expressed strong interest in flexible, practice-oriented learning opportunities.</div></div><div><h3>Interpretation</h3><div>Despite growing awareness, Lebanon’s primary healthcare workforce lacks structured education and institutional support to respond effectively to climate-related health challenges. Embedding climate change and health competencies into health workforce development - through locally adapted, scalable training programs – is needed to build climate-resilient and low-carbon health systems in Lebanon and similar settings.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"28 ","pages":"Article 100658"},"PeriodicalIF":3.6,"publicationDate":"2026-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146175451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of climate change on diarrheal diseases: A scoping review","authors":"Shreya M. Doshi ,&nbsp;Matthew C. Phillips ,&nbsp;Regina C. LaRocque ,&nbsp;Ann-Christine Duhaime","doi":"10.1016/j.joclim.2025.100612","DOIUrl":"10.1016/j.joclim.2025.100612","url":null,"abstract":"<div><h3>Introduction</h3><div>Climate change, characterized by long-term shifts in temperatures and weather patterns including extreme weather events, primarily caused by the combustion of fossil fuels, has increasingly been linked to adverse health outcomes caused by infectious diseases. In this manuscript we review available data from the last 10 years assessing the influence of climate change and its proximate causes on enteric (diarrheal) diseases worldwide.</div></div><div><h3>Methods</h3><div>A scoping review following PRISMA guidelines was conducted using search strategies encompassing climate change, extreme weather events exacerbated by climate change, proximate causes of climate change, and the relationship of these factors to incidence and outcomes of enteric diseases. The review included articles published in English that utilized clinical data. Overarching themes were extracted from these studies.</div></div><div><h3>Results</h3><div>The review identified 122 manuscripts with common themes including the effects of climatic variables such as temperature, precipitation, and extreme weather events on diarrheal disease incidence, the interplay between these factors and social determinants of health such as access to Water, Sanitation, and Hygiene (WASH) services, and expected exacerbations with long-term climatic trends.</div></div><div><h3>Conclusion</h3><div>Climate change-associated increases in temperatures and extreme weather events was generally associated with increased incidence of diarrheal diseases in most locations studied. There was a particularly strong intersection of these effects with social determinants of health and WASH. These data will be useful for setting research agendas, planning appropriate adaptation measures, and for reinforcing the urgent need for climate change mitigation globally.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"28 ","pages":"Article 100612"},"PeriodicalIF":3.6,"publicationDate":"2026-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146154384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Advancing and integrating climate and health policies in Brazil: Insights from national policy stakeholders","authors":"Maria Daniela de Araújo Vianna,&nbsp;Patrícia Zimermann,&nbsp;António Mauro Saraiva","doi":"10.1016/j.joclim.2026.100661","DOIUrl":"10.1016/j.joclim.2026.100661","url":null,"abstract":"<div><h3>Introduction</h3><div>Climate change poses increasingly severe risks to human health, exacerbating social inequalities and placing additional pressure on the overall resilience of health systems, particularly in Brazil's Unified Health System (SUS). These intersections remain poorly explored in Brazilian national policy agendas. This study presents perspectives from national stakeholders on the current integration of climate and health policies, ideals for integration, barriers to achieving ideals, opportunities, and strategies for overcoming barriers and advancing integration.</div></div><div><h3>Materials and Methods</h3><div>This article synthesizes findings from an investigation of Brazil's climate-health policy landscape based on 33 semi-structured interviews that underwent a qualitative content analysis.</div></div><div><h3>Results</h3><div>Stakeholders perceive a lack of coordination between the climate and health sectors in Brazil, fragmented governance, limited dedicated funding, and a low prioritization of health in climate agendas (and vice versa). Nonetheless, ongoing revisions to national climate plans, the SUS´s national reach, the momentum of COP30, and well-informed civil society pressure create openings for policy integration. Key barriers include silos, political polarization, short-term political cycles, and the absence of systematic data. Promising strategies include improved communication, embedding health co-benefits in sectoral policies, improving funding, and promoting community-based resilience. Participants recognize the need to align policies, but identified multiple barriers, including institutional inertia, vested interests, and a lack of prioritization of these agendas. Strengthening intersectoral governance, advocacy, and social pressure, reducing silos, expanding research, education, and communication on the climate-health nexus, and amplifying risk perception are vital to advancing this agenda.</div></div><div><h3>Conclusion</h3><div>There is a consensus that climate and health policies in Brazil are poorly integrated, forgoing crucial mutual benefits. Promising opportunities and strategies for integration include coordinated governance, evidence-based policymaking, persistent advocacy, and targeted communication efforts.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"28 ","pages":"Article 100661"},"PeriodicalIF":3.6,"publicationDate":"2026-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146154382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"EyeSustain: Pioneering specialty-specific sustainability","authors":"Sruti Rachapudi ,&nbsp;Sarishka Desai ,&nbsp;Amy Song ,&nbsp;Barbara Erny","doi":"10.1016/j.joclim.2025.100631","DOIUrl":"10.1016/j.joclim.2025.100631","url":null,"abstract":"<div><div>Introduction: As physician awareness of our contributions to climate change increases, efforts to implement sustainable practices in ophthalmology are gaining momentum. Healthcare professionals are trusted voices in their communities and are therefore well suited to advocate for the systemic and policy changes necessary to address climate change and protect human health in equitable ways. Purpose: In this case report, we highlight the efforts of one physician to drive change and advocate for more sustainable practices in ophthalmology as well as the creation of EyeSustain, a global organization dedicated to this mission. Case Discussion: EyeSustain is a multisociety-backed, ophthalmology-specific sustainability initiative that centralizes resources, research, and information on sustainable practices in healthcare. The initiative has grown to include over 50 global member societies and is sponsored by major ophthalmology organizations, demonstrating widespread support for reducing waste and improving sustainability in ophthalmic practice. The efforts of one passionate physician, now an EyeSustain Advisory board member, are showcased and expanded upon on the website EyeSustain.org. EyeSustain.org serves as a comprehensive platform, offering tools, recommendations, and resources to help ophthalmologists and support staff reduce waste in operating rooms and clinics, develop sustainable practices, and to provide education about the ocular effects of climate change. As a centralized global resource, EyeSustain builds collaboration and provides clinicians and staff with tools and streamlined avenues for communication to foster a more sustainable healthcare system. Conclusion: The model of EyeSustain provides a blueprint for other medical specialties to follow in addressing health impacts of climate change, medical waste, and healthcare sustainability.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"28 ","pages":"Article 100631"},"PeriodicalIF":3.6,"publicationDate":"2026-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146154383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perspective: A utilitarian approach to prioritization in climate and health research","authors":"Toby B. Cumming,&nbsp;Michael J. Loftus,&nbsp;Karin Leder","doi":"10.1016/j.joclim.2026.100648","DOIUrl":"10.1016/j.joclim.2026.100648","url":null,"abstract":"<div><div>Rapid global warming is triggering a wide range of changes to the climate, and these changes are compromising many aspects of human health and well-being. As a research community, we lack the time and resources to investigate the efficacy of every possible climate adaptation strategy for protecting health. Thus, we require a logical and ethical framework to inform prioritization of our climate-health research efforts. In this paper, we propose a utilitarian approach: our research focus should be on adaptation strategies that provide the greatest health and well-being for the greatest number. The disability-adjusted life year (DALY) – equal to one year of healthy life lost – allows us to compare across markedly different health outcomes and adaptation approaches. Given the importance of cost-effectiveness in resource-constrained settings, we could prioritize adaptation approaches based on “cost per DALY averted”. Equally, we could base a priority ranking on “cost per quality-adjusted life year (QALY) gained”. A DALY- or QALY-based ranking would not be the end product, but a quantifiable first step to frame prioritization discussions. Adopting a utilitarian approach is useful in extending this frame beyond considering only the health of current-day humans to also consider the health of future humans and the suffering of non-human animals. While the approach does have limits – to ensure an equitable prioritization we need to consider aspects of fairness and justice, moral concepts that utilitarianism has some difficulty incorporating – we argue that it provides a helpful starting point in prioritizing the climate-health adaptation research agenda.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"28 ","pages":"Article 100648"},"PeriodicalIF":3.6,"publicationDate":"2026-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146175452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Engagement with health in the climate reports of top corporations","authors":"Barbara P F Davis ,&nbsp;Paul J Beggs ,&nbsp;Petra L Graham","doi":"10.1016/j.joclim.2025.100643","DOIUrl":"10.1016/j.joclim.2025.100643","url":null,"abstract":"<div><h3>Introduction</h3><div>Climate change threatens health and wellbeing globally, requiring the combined attention of multiple societal actors. To assess corporate participation, this study’s objective was to quantify engagement with health in publicly available corporate climate reports in Australia.</div></div><div><h3>Methods</h3><div>Climate reports from Australia’s top 500 corporations as determined in September 2023 were obtained in September 2023-April 2024 from their websites or replies to email requests. Content analysis was used to locate and quantify health and other words within the reports. The characteristics of corporations with climate reports were compared to those without climate reports in terms of market capitalisation, sector, emissions reduction, and country of incorporation.</div></div><div><h3>Results</h3><div>Among the top 500 corporations, 51 (10.2 %) had standalone climate reports available by April 2024. Climate reports were predominately found for larger corporations and those with the highest emissions per million AUD market capitalisation. The sector with the greatest proportion of climate reports was the utilities sector (62.5 %). Companies without and with climate reports had a non-significant difference in median absolute change in tonnes of CO₂ equivalents emissions per million AUD market capitalisation (-0.2 vs -6.9, <em>p</em> = 0.706) from 2017–2018 to 2022–2023. Fifty (96.2 %) climate reports mentioned a climate change-related health word. Two-thirds (<em>n</em> = 34) of climate reports referred to specific actions to tackle health impacts.</div></div><div><h3>Conclusion</h3><div>While a relatively small percentage of top Australian companies, representing a range of sectors, had standalone climate reports in 2023–2024, health impacts and adaptation to reduce these impacts are acknowledged and discussed in most of these climate reports.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"27 ","pages":"Article 100643"},"PeriodicalIF":3.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145927492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Climate change emotions, perceived mental health impacts, and supports among adolescents in Dhaka, Bangladesh: A cross-sectional mixed methods exploratory study","authors":"Matthew Treble ,&nbsp;Gina Martin ,&nbsp;Violeta Faulkner ,&nbsp;Tooba Nadeem Akhtar ,&nbsp;Alina Cosma ,&nbsp;Tasha Roswell ,&nbsp;Habib Mohammad Ali","doi":"10.1016/j.joclim.2025.100611","DOIUrl":"10.1016/j.joclim.2025.100611","url":null,"abstract":"<div><h3>Introduction</h3><div>Bangladesh faces frequent climate change-related extreme weather events. This study explores Bangladeshi adolescents’ emotional responses to climate change and their perceived impact of climate change on their mental health. The supports they currently use and wish to have for coping with climate change related difficult thoughts and feelings are also explored.</div></div><div><h3>Materials &amp; Methods</h3><div>Adolescents (<em>n</em> = 200; aged 1–18 years old, mean age 17.2 years, SD=1.17) from two English-speaking schools in Dhaka, Bangladesh completed an anonymous survey. Open and close-ended survey measures assessed multiple climate change emotions, climate change worry, perceived mental health impacts of climate change, and current and desired supports. Descriptive analyses were performed, and qualitative responses were examined through thematic analysis. Following a mixed methods convergent parallel design approach, qualitative and quantitative data were integrated together at interpretation.</div></div><div><h3>Results</h3><div>Participants reported that they experienced a wide range of climate emotions, including concern (85 %), sadness (74 %), anger (63 %), guilt (63 %), and fear (63 %). Additionally, 62 % of participants indicated that they perceive their mental health has been impacted by climate change, either a lot or a little. Open-ended responses revealed that adolescents perceive climate change as impacting their mental health in multiple ways, including through negative emotions, physical symptoms, and reduced motivation. The most commonly used supports were self-education (52 %), school-based programs/clubs (51 %), and conversations with others (45 %). Participants expressed wishing they had more access to community-based programs/clubs (58 %) as well as climate action activities they could do independently (52 %).</div></div><div><h3>Conclusion</h3><div>This exploratory study highlights that Bangladeshi adolescents may be experiencing a range of negative emotions and mental health impacts as a result of climate change. These findings are consistent with studies from other regions. While the sample was limited to students in English-speaking schools, the results can inform climate change risk mitigation and adaptation strategies. Future research should prioritize expanding to other settings in Bangladesh.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"27 ","pages":"Article 100611"},"PeriodicalIF":3.6,"publicationDate":"2025-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145842251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Views on climate change, climate action and mental health, in young people with and without existing depression symptoms: A qualitative study","authors":"M. Siyabend Kaya ,&nbsp;Ed Hawkins ,&nbsp;Ciara McCabe","doi":"10.1016/j.joclim.2025.100606","DOIUrl":"10.1016/j.joclim.2025.100606","url":null,"abstract":"<div><h3>Background</h3><div>Youth mental health is in crisis. Climate change has the potential to tip more young people into depression and anxiety. Knowing how young people with and without depression symptoms view climate change could guide interventions to mitigate against climate induced mental health issues.</div></div><div><h3>Materials and Methods</h3><div>We carried out in-depth, semi-structured interviews with (<em>N</em> = 27) young people aged 18–25 (M_age = 20.3 years). Participants were grouped as healthy controls (C, <em>N</em> = 16, &lt; 16 score on Mood and Feelings Questionnaire, MFQ) or had high depression symptoms (HD, <em>N</em> = 11, ≥ 27, MFQ). Using thematic analysis, we explored participants views on climate change, climate action, climate messaging, climate agency and mental health.</div></div><div><h3>Results</h3><div>From the interviews, eight key themes emerged: (1) Negative environmental events – Climate change was understood as ranging from weather changes to natural disasters. (2) Mental health impacts – Most participants reported increased anxiety and depression, with the HD group being more pessimistic about climate change prevention. (3) Benefits of action – Focus on individual efforts. (4) Non-disruptive vs. disruptive actions – Preference for non-disruptive solutions. (5) Hope and Fear in climate messaging – balance is needed. (6) Local and global action – Emphasis on combining both approaches. (7) Leadership – Responsibility placed on politicians, institutions, and environmentalists. (8) Shared responsibility – Families, educators, governments, and celebrities all have a role in climate action.</div></div><div><h3>Conclusion</h3><div>These findings offer valuable insights into the perspectives of young people with and without existing symptoms of depression. Notably, identifying differences—such as varying levels of climate pessimism—based on depression status highlights the importance of climate communication strategies that not only effectively address climate change but also safeguard youth mental health. This is important as those with existing depression symptoms may be more vulnerable to the psychological impacts of climate change.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"27 ","pages":"Article 100606"},"PeriodicalIF":3.6,"publicationDate":"2025-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145842253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing temporal causal effects of climate on dengue incidence in Peninsular Malaysia","authors":"Muhammad Aswad Alias ,&nbsp;Shazelin Alipitchay ,&nbsp;Muhammad Abdul Basit Ahmad Tajudin ,&nbsp;Xerxes Seposo ,&nbsp;Mazrura Sahani ,&nbsp;Hidayatulfathi Othman","doi":"10.1016/j.joclim.2025.100634","DOIUrl":"10.1016/j.joclim.2025.100634","url":null,"abstract":"<div><h3>Background</h3><div>Climatic factors such as temperature, humidity, and rainfall significantly influence dengue transmission. However, their lagged and immediate effects on dengue incidence in Peninsular Malaysia remain poorly understood. This study aimed to analyze these relationships using advanced time-series methods.</div></div><div><h3>Methods</h3><div>Monthly dengue cases (2013–2020) were obtained from the Ministry of Health Malaysia, while climate data were sourced from the Malaysia Meteorological Department. A Vector Autoregressive (VAR) model was used to assess lagged associations, while Granger causality tests explored temporal relationships. Instantaneous causality tests evaluated concurrent interactions.</div></div><div><h3>Results</h3><div>The VAR model revealed that lagged dengue cases significantly influenced current cases (<span><math><mrow><msub><mi>β</mi><mrow><mi>t</mi><mo>−</mo><mn>2</mn></mrow></msub><mo>=</mo><mn>0.3853</mn><mo>,</mo><mspace></mspace><mi>P</mi><mo>=</mo><mn>0.0133</mn><mspace></mspace><mo>:</mo><mspace></mspace><msub><mi>β</mi><mrow><mi>t</mi><mo>−</mo><mn>5</mn></mrow></msub><mo>=</mo><mo>−</mo><mn>0.3538</mn><mo>,</mo><mspace></mspace><mi>P</mi><mo>=</mo><mn>0.0120</mn></mrow></math></span>) while temperature at lag 4 (<span><math><mrow><msub><mi>β</mi><mrow><mi>t</mi><mo>−</mo><mn>4</mn></mrow></msub><mo>=</mo><mo>−</mo><mn>1643</mn><mo>,</mo><mspace></mspace><mi>P</mi><mo>=</mo><mn>0.0119</mn></mrow></math></span>) had a delayed negative impact. Granger causality analysis indicated that temperature significantly predicted dengue incidence (<span><math><mrow><mi>F</mi><mo>=</mo><mn>1.7581</mn><mo>,</mo><mspace></mspace><mi>P</mi><mo>=</mo><mn>0.01342</mn></mrow></math></span>), while humidity and rainfall showed no significant temporal effects. Instantaneous tests revealed strong immediate associations between temperature (<span><math><mrow><msup><mrow><mi>X</mi></mrow><mn>2</mn></msup><mo>=</mo><mn>26.828</mn><mo>,</mo><mspace></mspace><mi>P</mi><mo>=</mo><mspace></mspace><mo>&lt;</mo><mn>0.001</mn></mrow></math></span>), humidity (<span><math><mrow><msup><mrow><mi>X</mi></mrow><mn>2</mn></msup><mo>=</mo><mn>30.099</mn><mo>,</mo><mspace></mspace><mi>P</mi><mo>=</mo><mspace></mspace><mo>&lt;</mo><mn>0.001</mn></mrow></math></span>), and rainfall (<span><math><mrow><msup><mrow><mi>X</mi></mrow><mn>2</mn></msup><mo>=</mo><mn>24.77</mn><mo>,</mo><mspace></mspace><mi>P</mi><mo>=</mo><mspace></mspace><mo>&lt;</mo><mn>0.001</mn></mrow></math></span>) with dengue incidence.</div></div><div><h3>Conclusions</h3><div>Temperature plays a critical role in both lagged and immediate dengue dynamics, while humidity and rainfall exhibit stronger immediate effects. These findings underscore the importance of integrating climate data, particularly, temperature into dengue early warning systems to enhance outbreak prediction accuracy.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"27 ","pages":"Article 100634"},"PeriodicalIF":3.6,"publicationDate":"2025-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145842236","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tracking progress on environmentally sustainable healthcare in the U.S.: survey results from climate-leading hospitals","authors":"Kirsty Jones ,&nbsp;Emily Senay ,&nbsp;Jonathan Slutzman ,&nbsp;Michael Padget","doi":"10.1016/j.joclim.2025.100618","DOIUrl":"10.1016/j.joclim.2025.100618","url":null,"abstract":"<div><h3>Introduction</h3><div>In the absence of uniform regulations, the outsized environmental impacts of the U.S. healthcare sector conflict with its mandate to improve and protect population health. This study sought to assess approaches to environmental sustainability and transparency among early-adopters of sustainable healthcare initiatives, to understand the example they might set for the broader industry.</div></div><div><h3>Methods</h3><div>We identified signatories of the Department of Health and Human Services’ Healthcare Sector Climate Pledge as a likely group of early adopters, to whom we distributed a survey on goals, progress, reporting, and organizational approaches pertaining to various facets of environmental sustainability, in addition to reviewing their public websites.</div></div><div><h3>Results</h3><div>Among the sample population, both progress and transparency were lacking. Survey response rates were poor and demonstrated no consistent pattern in approach to sustainability. Survey respondents showed greater progress on decarbonization as compared with renewable energy, water usage, and waste reduction.</div></div><div><h3>Conclusions</h3><div>Though limited by a poor response rate, the survey findings demonstrated little reason to expect efficient progress in the U.S. health sector across four main areas (carbon emissions, renewable energy usage, water usage, and waste management). Findings demonstrate limited secondary evidence of environmental improvement, including publicly stated goals, transparent sustainability data, and contact information for sustainability staff. The results did not provide sufficient successful examples to create a blueprint for wider efforts. More progress is required to meet the environmental aspirations of the health sector, and protect public and planetary health.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"27 ","pages":"Article 100618"},"PeriodicalIF":3.6,"publicationDate":"2025-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145842217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}