China Daily (Hong Kong)

Climate change is also a serious health crisis

- Maria Neira

The climate crisis is also a health crisis. The same emissions that cause global warming are also largely responsibl­e for polluting the air we breathe, causing heart diseases, stroke, lung cancer, and infections, and affecting every organ in the human body. Air pollution is the new tobacco, causing as many deaths as cigarettes do. And although it threatens us all, children, the elderly, pregnant women, and adults with weakened immune systems are the most at risk.

It is now common knowledge that smoking causes severe harm to you and those around you. That is why the tobacco industry’s lobbying and advertisin­g campaigns have been strictly regulated around the world. Globally, we have taken steps to safeguard existing health policies, and to force these companies to tell the truth: that their products kill.

Yet our reaction is very different when we learn that air pollution and fossil-fueldriven climate change are just as deadly. Where are the policies to prevent the fossil fuel industry from lobbying government­s, or to end the $370 billion in subsidies lavished on coal, oil, and gas companies every year? Why are we still paying for a product that is killing us?

As with the world’s strong response to tobacco, ending harmful fossil fuel use will require scaling up current policy interventi­ons and social mobilizati­on efforts. Fortunatel­y, some multilater­al financial organizati­ons have already recognized the opportunit­y that such a change represents. For example, the European Investment Bank recently announced that it would end all of its funding for unabated fossil fuel projects, and use its position to funnel public and private capital toward renewable energy.

The choice between phasing out fossil fuels and continuing on the current path is black and white — it is a matter of life or death. We either will decide to prevent 7 million premature deaths per year by cleaning up our air and providing people with clean energy sources, or we won’t. We either will decide to prevent 4 million childhood asthma cases per year from traffic fumes, or we won’t. In any case, the lifetime health of a child born today will be profoundly affected by the decisions we make about climate change now and in the years to come. That is why the World Health Organizati­on has made climate change a top institutio­nal priority.

Climate change should be a priority for all businesses, government­s and multilater­al organizati­ons, too. Keeping the issue high on the agenda provides the necessary motivation to make difficult choices. By taking action now to reduce carbon dioxide emissions and limit global warming to no more than 1.5 degrees Celsius relative to the pre-industrial level, we would not only ensure that our planet remains hospitable for future generation­s; we could also save at least 1 million lives per year, according to WHO’s estimates.

Moreover, in countries such as the United States and the United Kingdom, eliminatin­g air pollution would save the economy 4 percent of GDP per year in averted healthcare costs. In China and India, reducing emissions enough to limit global warming to 1.5 C would more than pay for itself when accounting for the attendant health benefits. Likewise, transformi­ng our food and transporta­tion systems would save still more lives, by providing healthier diets and encouragin­g more physical activity — all while cleaning the air and stabilizin­g the climate.

The human right to a healthy life and a sustainabl­e future is increasing­ly being enforced through legal systems, and officials that fail to uphold these rights are being held accountabl­e. In France, for instance, a court found that the government had failed to do enough to limit air pollution around Paris; similarly, Jakarta residents took legal action against the Indonesian government because of air pollution.

At this year’s United Nations General Assembly, many government­s answered WHO’s call to achieve “air quality that is safe for citizens, and to align climate change and air pollution policies by 2030.” Which represents an encouragin­g first step. Now, many of the countries with the heaviest health burden from air pollution need to phase out their highest-pollution energy sources.

At WHO, we will continue to push for action on these issues, while collaborat­ing with others who are doing the same. On Dec 7, during the UN Climate Change Conference in Madrid, WHO and the Global Climate and Health Alliance will convene a one-day meeting on climate and health, allowing representa­tives from civil society, the health sector, and all other stakeholde­rs to shine a spotlight on this critical issue.

Like the pollution that causes it, climate change does not observe national borders; it does not save its effects just for those who pollute. On the contrary, inequality is a key feature of the climate crisis: those least responsibl­e for the problem — children, disadvanta­ged communitie­s, and the Global South — must bear a disproport­ionate share of the health burden. WHO’s new global survey, to be launched at the Madrid climate change conference, shows that many countries are highly exposed, vulnerable and unsupporte­d in dealing with health risks from climate change and air pollution. It is clear that we need an internatio­nal and appropriat­e response to this increasing strain on public health. Future efforts must reflect the real costs of our fossil fuel-based economy and aid those most affected.

To achieve this, we will need all signatorie­s to the Paris climate accord to strengthen their national climate plans by 2020. Beyond that, we need to establish new, robust mechanisms for protecting the most vulnerable and helping communitie­s adapt to the realities of climate change. Health must be at the heart of our Paris commitment­s. The pollution that is choking our air and warming our planet has been accumulati­ng for generation­s. We cannot afford to take that long to fix the problem.

The author is director of the Department of Public Health, Environmen­tal and Social Determinan­ts of Health at the World Health Organizati­on. Project Syndicate

The views don’t necessaril­y represent those of China Daily.

 ?? SONG CHEN / CHINA DAILY ??
SONG CHEN / CHINA DAILY

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