Vancouver Sun

Food's healing powers can help ailing health care, warming planet

- DR. ANNIE LALANDE, NED BELL AND LANA BRANDT Dr. Annie Lalande is a surgical resident at Vancouver General Hospital; Ned Bell is a chef and sustainabl­e food ambassador; Lana Brandt is strategic communicat­ions and engagement manager at Nourish.

Canada is warming at more than twice the global rate and there is no shortage of headlines ringing the climate alarm louder than ever. The escalating environmen­tal effects from the climate emergency underscore the intricate interplay between human health and the well-being of our planet. As extreme temperatur­es become more common and air quality continues to be threatened by a fifth new season dedicated to forest fires, the toll on respirator­y and cardiovasc­ular health will continue to increase. And the risk of diseases transmitte­d to people from insects and animals and extreme weather events will affect human health and the infrastruc­ture of health care.

This burden unfortunat­ely falls hardest on the most vulnerable members of our society, including children, elders, people grappling with chronic health conditions and individual­s navigating the inequities of low socioecono­mic status.

Responding to climate change mitigation and adaptation with bold courage is imperative for safeguardi­ng planetary health and the future of generation­s to come. The health-care sector has a tremendous opportunit­y to align with its core tenet of “do no harm” by taking bold climate leadership and addressing its current footprint.

A growing number of health-care providers are realizing the underused solution of food as medicine. Food powerfully intersects human and planetary health, making clear that nature and humans can only thrive together. The EAT-Lancet report identifies that our current food system operates beyond our planetary boundaries, and food is the single most powerful lever for returning to balance. Shifting away from intensivel­y farmed meat and dairy to create menus where plant-based proteins and local, fresh ingredient­s take the spotlight will not only cut emissions but also improve patient healing.

Food in Canadian health care is a $4-billion annual opportunit­y to take significan­t climate action three times a day in health-care food services and reduce food waste — an estimated half of food served to patients goes uneaten.

An innovative network of health-care providers is leading in food-related solutions in Canada. As an organizati­on dedicated to the transition toward more preventive, equitable and sustainabl­e health-care systems, Nourish works with leaders through organizati­ons such as Vancouver Coastal Health, which has tested and proved the power of food with its Planetary Health Menu project at Vancouver General Hospital. Data are being gathered on patient experience and food waste. Over the coming months, the menu items patients enjoyed the most will be incorporat­ed into menus across VCH.

The project brought together food service leaders, dietitians, clinicians and sustainabi­lity experts to work alongside Ned Bell, renowned chef and sustainabl­e food ambassador. Together, they created more than two dozen diverse and delicious menu items that feature lower-impact and primarily plant-powered ingredient­s. The project also engaged local farmers and artisans to source fresh, seasonal food where possible. Health-care providers have a timely opportunit­y to demonstrat­e leadership in planetary health. By transition­ing to planetary health menus, institutio­ns can leverage their significan­t buying power to improve healing, health equity and climate action.

It is an opportunit­y to shift the way we think about hospital food to recognize the central role it plays in recovery from illness and injury, and to better nourish people. It is also a chance for health-care organizati­ons to not only model healthy and more sustainabl­e eating patterns, but to provide inspiratio­n for patients to maintain such practices at home, amplifying the lasting effects of such a change.

Canada was one of 124 countries that committed to the Climate and Health Declaratio­n at the COP28 World Climate Action Summit. From tracking and reducing emissions data through the Coolfood Pledge to weaving Indigenous food ways into health-care menus, concerted policy efforts can help address climate and health-care challenges.

Health care has a timely opportunit­y — not to mention a moral imperative — to lead through action to address the climate emergency. By applying the power of food and shifting to sustainabl­e and inclusive health-care food service, we can advance climate action, health equity, and community well-being.

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