31. The Arctic Warning: Climate-Related Challenges for Community Health
- Author:
- N. Stuart Harris
- Publication Date:
- 08-2023
- Content Type:
- Policy Brief
- Institution:
- Belfer Center for Science and International Affairs, Harvard University
- Abstract:
- Health is the integrative function of biologic/ecologic systems, civil structures, economic forces, and health care capacity. While interactions are complex, there is a simple (if poorly recognized in policy) biological reality: health is an ecological phenomenon. Health depends on a functioning biosphere. As the biosphere is altered by anthropogenic climate change, the fundamental sources of human health are at risk. Climate change is a healthcare emergency. While this is true globally, the Arctic is warming four times faster than the global average which puts Arctic populations who are already at special risk, at further risk. Climate-related changes are impacting Arctic citizens’ health now. Arctic populations’ health is already negatively impacted by several pre-existing features: Existence of multiple adverse determinants of health (social, economic, educational, infrastructural factors that directly impact individual and population health). Distance from definitive medical care. Provision of care in rural environments faces inherent barriers (roadless areas, wide variations in EMS capacity, distance from urban tertiary care medical and trauma centers) that impact populations. Medical staffing considerations and demands. In communities already medically underserved, the burdens of high expense, frequent staff turnover, extraordinary demands on local providers, lack of training opportunities, and insufficient pipeline-building educational experiences impact health systems and their patients. Imposed economic forces which have had direct impact on subsistence cultures, increasing stressors on already underserved communities causing cultural disruption and increasing risk of negative social determinants of health (including substance use and suicidality). Alaska Native populations have responded to climate-related changes with leadership. Driven by the intimate knowledge of the environment that subsistence living requires, Alaska state and local tribal organizations detected, studied, and documented the impacts of climate change more than 10 years ago -- and yet few policy-based solutions have been enacted.1,2
- Topic:
- Climate Change, Environment, Health, Science and Technology, Natural Resources, and Public Policy
- Political Geography:
- Arctic