Impact of air pollution and climate change on mental health outcomes: an umbrella review of global evidence

World Psychiatry, Journal Year: 2024, Volume and Issue: 23(2), P. 244 - 256

Published: May 10, 2024

The impact of air pollution and climate change on mental health has recently raised strong concerns. However, a comprehensive overview analyzing the existing evidence while addressing relevant biases is lacking. This umbrella review systematically searched PubMed/Medline, Scopus PsycINFO databases (up to June 26, 2023) for any systematic with meta-analysis investigating association or outcomes. We used R metaumbrella package calculate stratify credibility according criteria (i.e., convincing, highly suggestive, weak) that address several biases, complemented by sensitivity analyses. included 32 reviews examined 284 individual studies 237 associations exposures hazards Most (n=195, 82.3%) involved pollution, rest (n=42, 17.7%) regarded (mostly focusing temperature: n=35, 14.8%). Mental outcomes in most (n=185, 78.1%) disorders, followed suicidal behavior (n=29, 12.4%), access care services (n=9, 3.7%), disorders-related symptomatology (n=8, 3.3%), multiple categories together (n=6, 2.5%). Twelve (5.0%) achieved convincing (class I) suggestive II) evidence. Regarding there was between long-term exposure solvents higher incidence dementia cognitive impairment (odds ratio, OR=1.139), some pollutants risk disorders (higher high vs. low levels carbon monoxide, CO: OR=1.587; vascular per 1 μg/m

Language: Английский

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Sustainability in Radiology: Position Paper and Call to Action from ACR, AOSR, ASR, CAR, CIR, ESR, ESRNM, ISR, IS3R, RANZCR, and RSNA

Radiology, Journal Year: 2025, Volume and Issue: 314(3)

Published: Feb. 26, 2025

The urgency for climate action is recognized by international government and healthcare organizations, including the United Nations (UN) World Health Organization (WHO). Climate change, biodiversity loss, pollution negatively impact all life on earth. All populations are impacted but not equally; most vulnerable at highest risk, an inequity further exacerbated differences in access to globally. delivery of exacerbates planetary health crisis through greenhouse gas emissions, largely due combustion fossil fuels medical equipment production operation, creation non-medical waste, contamination water supplies. As representatives radiology societies from across globe who work closely with industry, both governmental non-governmental leaders multiple capacities, we advocate together urgent, impactful, measurable changes way deliver care engaging our members, policymakers, industry partners, patients. Simultaneous challenges global disparities, resource allocation, must inform these efforts. literacy should be increasingly added training programs. More research required understand measure environmental radiological services mitigation, adaptation, monitoring Deeper collaboration partners necessary support innovations supply chain, energy utilization, circular economy. Many solutions have been proposed already available, address barriers implementation current future sustainable innovations. Finally, there a compelling need partner patients ensure that trust excellence clinical maintained during transition radiology. By fostering culture cooperation rapid sharing amongst broader imaging community, can transform practice mitigate its impact, adapt develop resilience threats, simultaneously improve care. This article published Canadian Association Radiologists Journal (DOI 10.1177/08465371241321390), European Radiology 10.1007/s00330-025-11413-7), Medical Imaging Radiation Oncology 10.1111/1754-9485.13842), American College 10.1016/j.jacr.2025.02.009), Korean 10.3348/kjr.2025.0125) 10.1148/radiol.250325). articles identical except minor stylistic spelling keeping each journal’s style. Either DOI used when citing this article. Keywords: Change, Sustainability, Resource Allocation, Radiology, Services Accessibility Published under CC BY 4.0 license. © Author(s) 2025. Editor's Note: RSNA Board Directors has endorsed

Language: Английский

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Sustainability is critical for future proofing the NHS

BMJ, Journal Year: 2024, Volume and Issue: unknown, P. e079259 - e079259

Published: April 11, 2024

Interventions that consider climate change, sustainability, and nature should be integral to health system functioning. Placing sustainability at the core of NHS's future offers opportunities deliver better services, support healthier populations, save costs.

Language: Английский

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The revised European Definition of General Practice/Family Medicine. A pivotal role of One Health, Planetary Health and Sustainable Development Goals

European Journal of General Practice, Journal Year: 2024, Volume and Issue: 30(1)

Published: Feb. 9, 2024

Language: Английский

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Enhancing Human Health and Wellbeing through Sustainably and Equitably Unlocking a Healthy Ocean’s Potential

Annals of Global Health, Journal Year: 2024, Volume and Issue: 90(1)

Published: Jan. 1, 2024

Annals of Global Health is a peer-reviewed, fully open access, online journal dedicated to publishing high quality articles all aspects global health. The journal's mission advance health, promote research, and foster the prevention treatment disease worldwide. Its goals are improve health well-being people, equity, wise stewardship earth's environment. latest impact factor 2.90. supported by Program for Public Common Good at Boston College. It was founded in 1934 Icahn School Medicine Mount Sinai as Journal Medicine. partner Consortium Universities Health. From time time, publishes Special Collections, series organized around common theme Recent Collections have included "Local evidence strategies addressing NCDs Non-Communicable Diseases Tanzania", "Universal Coverage through Integrated Care", "The Minderoo-Monaco Commission on Plastics Human Health". workers interested developing Collection strongly encouraged contact Managing Editor discuss project.

Language: Английский

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Actions speak louder than words: the case for responsible scientific activism in an era of planetary emergency

Royal Society Open Science, Journal Year: 2024, Volume and Issue: 11(7)

Published: July 1, 2024

The world's understanding of the climate and ecological crises rests on science. However, scientists' conventional methods engagement, such as producing ever more data findings, writing papers giving advice to governments, have not been sufficiently effective at persuading politicians act emergency. To date, governments' decisions (such continuing with vast subsidies for fossil fuels) clearly show that powerful vested interests much influential than amassed scientific knowledge advice. We argue in face this inaction, scientists can maximum amount influence by lending their support social movements pressing action, joining active participants considering civil disobedience. Scientists seeking halt continued environmental destruction also need work through our institutions. Too many organizations, from national academies science learned societies universities, taken practical action climate; example, still partner fuel other compromised interests. therefore outline a vision how reform institutions become agents change.

Language: Английский

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Accuracy of urgency allocation in patients with shortness of breath calling out-of-hours primary care: a cross-sectional study

BMC Primary Care, Journal Year: 2024, Volume and Issue: 25(1)

Published: March 27, 2024

Abstract Background In out-of-hours primary care (OHS-PC), semi-automatic decision support tools are often used during telephone triage. the Netherlands, Netherlands Triage Standard (NTS) is used. The NTS mainly expert-based and evidence on diagnostic accuracy of NTS’ urgency allocation against clinically relevant outcomes for patients calling with shortness breath (SOB) lacking. Methods We included data from adults (≥18 years) who contacted two large Dutch OHS-PC centres SOB between 1 September 2020 31 August 2021 whose follow-up about final diagnosis could be retrieved their own general practitioner (GP). (sensitivity specificity corresponding 95% confidence intervals (CI)) levels (high (U1/U2) versus low (U3/U4/U5) ‘final’ (including overruling by triage nurses or supervising practitioners (GPs)) was determined life-threatening events (LTEs) as reference. LTEs included, amongst others, acute coronary syndrome, pulmonary embolism, heart failure severe pneumonia. Results Out 2012 eligible calls, we include 1833 called OHS-PC, mean age 53.3 (SD 21.5) years, 55.5% female, 16.6% showed to have had a LTE. Most COVID-19 infection (6.0%), (2.6%), COPD exacerbation (2.1%) pneumonia (1.9%). level sensitivity 0.56 (95% CI 0.50–0.61) 0.61 0.58–0.63). Overruling and/or GPs did not impact (0.56 vs. 0.54, p = 0.458) but slightly improved (0.61 0.65, < 0.001). Conclusions tool performs poorly respect safety (sensitivity) efficiency (specificity) in SOB. There room improvement Trial registration Register, number: NL9682 .

Language: Английский

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Sustainability in Radiology: Position Paper and Call to Action From ACR, AOSR, ASR, CAR, CIR, ESR, ESRNM, ISR, IS3R, RANZCR, and RSNA

Journal of Medical Imaging and Radiation Oncology, Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 22, 2025

ABSTRACT The urgency for climate action is recognised by international government and healthcare organisations, including the United Nations (UN) World Health Organisation (WHO). Climate change, biodiversity loss, pollution negatively impact all life on earth. All populations are impacted but not equally; most vulnerable at highest risk, an inequity further exacerbated differences in access to globally. delivery of exacerbates planetary health crisis through greenhouse gas emissions, largely due combustion fossil fuels medical equipment production operation, creation non‐medical waste, contamination water supplies. As representatives radiology societies from across globe who work closely with industry, both governmental non‐governmental leaders multiple capacities, we advocate together urgent, impactful, measurable changes way deliver care engaging our members, policymakers, industry partners, patients. Simultaneous challenges global disparities, resource allocation, must inform these efforts. literacy should be increasingly added training programmes. More research required understand measure environmental radiological services mitigation, adaptation monitoring Deeper collaboration partners necessary support innovations supply chain, energy utilisation, circular economy. Many solutions have been proposed already available, address barriers implementation current future sustainable innovations. Finally, there a compelling need partner patients, ensure that trust excellence clinical maintained during transition radiology. By fostering culture cooperation rapid sharing among broader imaging community, can transform practice mitigate its impact, adapt develop resilience threats, simultaneously improve care.

Language: Английский

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Sustainability in Radiology: Position Paper and Call to Action From ACR, AOSR, ASR, CAR, CIR, ESR, ESRNM, ISR, IS3R, RANZCR, and RSNA

Korean Journal of Radiology, Journal Year: 2025, Volume and Issue: 26(4), P. 294 - 294

Published: Jan. 1, 2025

The urgency for climate action is recognised by international government and healthcare organisations, including the United Nations (UN) World Health Organisation (WHO). Climate change, biodiversity loss, pollution negatively impact all life on earth. All populations are impacted but not equally; most vulnerable at highest risk, an inequity further exacerbated differences in access to globally. delivery of exacerbates planetary health crisis through greenhouse gas emissions, largely due combustion fossil fuels medical equipment production operation, creation non-medical waste, contamination water supplies. As representatives radiology societies from across globe who work closely with industry, both governmental non-governmental leaders multiple capacities, we advocate together urgent, impactful, measurable changes way deliver care engaging our members, policymakers, industry partners, patients. Simultaneous challenges global disparities, resource allocation, must inform these efforts. literacy should be increasingly added training programmes. More research required understand measure environmental radiological services mitigation, adaptation monitoring Deeper collaboration partners necessary support innovations supply chain, energy utilization, circular economy. Many solutions have been proposed already available, address barriers implementation current future sustainable innovations. Finally, there a compelling need partner patients, ensure that trust excellence clinical maintained during transition radiology. By fostering culture cooperation rapid sharing amongst broader imaging community, can transform practice mitigate its impact, adapt develop resilience threats, simultaneously improve care.

Language: Английский

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Sustainability in radiology: position paper and call to action from ACR, AOSR, ASR, CAR, CIR, ESR, ESRNM, ISR, IS3R, RANZCR, and RSNA

European Radiology, Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 26, 2025

Abstract The urgency for climate action is recognized by international government and healthcare organizations, including the United Nations (UN) World Health Organization (WHO). Climate change, biodiversity loss, pollution negatively impact all life on earth. All populations are impacted but not equally; most vulnerable at highest risk, an inequity further exacerbated differences in access to globally. delivery of exacerbates planetary health crisis through greenhouse gas emissions, largely due combustion fossil fuels medical equipment production operation, creation non-medical waste, contamination water supplies. As representatives radiology societies from across globe who work closely with industry, both governmental non-governmental leaders multiple capacities, we advocate together urgent, impactful, measurable changes way deliver care engaging our members, policymakers, industry partners, patients. Simultaneous challenges, global disparities, resource allocation, care, must inform these efforts. literacy should be increasingly added training programs. More research required understand measure environmental radiological services mitigation, adaptation monitoring Deeper collaboration partners necessary support innovations supply chain, energy utilization, circular economy. Many solutions have been proposed already available, address barriers implementation current future sustainable innovations. Finally, there a compelling need partner patients, ensure that trust excellence clinical maintained during transition radiology. By fostering culture cooperation rapid sharing amongst broader imaging community, can transform practice mitigate its impact, adapt develop resilience threats, simultaneously improve care. Key Points Question What actions professional take sustainability radiology? Findings Better understanding usage needed; regional disparities which stand change. Clinical relevance Radiological practice. Research education, as well prioritized while improving Graphical

Language: Английский

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