Environment

Do doctors know enough about the commercial determinants of health?

Private sector activities have a real impact on people's health. We need to promote healthy cross-industry regulation and scrutinize the role that private interests play in the health-policy arena to help safeguard the health of patients.

It’s not all pretty in pink: To prevent breast cancer, let’s stop missing the forest for the trees

Breast cancer rates, even among young people, are on the rise. For this Breast Cancer Awareness month, there's more we could be doing to prevent the disease before it starts.

Will we let the fires of 2023 keep burning?

In our safe country, we “react” to disasters like the forest fires or flooding with exorbitant efforts and resources after the crises. But we also lose track of key commitments to civil society and human progress.

‘Bogus contract’ creating gulf between doctors, patients

There are unhealthy expectations built into the "bogus contract" between doctors and patients that overemphasize the power of medicine. At the same time, we are ignoring the relative importance of the precursors to good health.

Could Australia’s recent radiation scare happen in Canada?

The recent massive search in Western Australia for a highly radioactive ceramic disc that had fallen off a truck drew worldwide attention. Amazingly, the tiny capsule was found. But could a similar incident happen in Canada?

Royal College’s deal with RBC an ethical lapse

The Royal College of Surgeons of Canada has long received large donations from Canada's biggest bank, RBC. But RBC is also the number one world financier of fossil fuels. One plastic surgeon reflects on the ethics of this relationship.

As individuals, we can take steps to reduce the risk for the next pandemic

We don’t just have to be anxious or fearful about the next pandemic. We can push governments for systemic changes. But we can also take small, concrete steps as individuals to make a difference.

Climate change contributing to harmful substance use

Weather-related disasters spurred on by climate change cause not only environmental devastation, but wreak havoc on our mental health and well being. This leads to higher rates of substance misuse.

Our health-care system is a major contributor to climate change. That must stop

The urgency of the climate crisis is only ramping up and our health-care system not only experiences the consequences of climate change but is also a major contributor to the crisis. It's our responsibility to act and make our health-care system a more sustainable one.

Woefully inadequate: Dearth of funding for biomedical health research reflects our environmental racism

Biomedical research policy needs to begin addressing environmental racism and justice and expand funded research for climate change, environmental and planetary health.

Even a child can see collaboration is essential to save the Canadian health-care system

Everything is related; solutions must once again be aligned, locally scaled and human centred. We need a more stable, unified approach in health care. We need more transformative models moving forward. Above all, we need primary care and public health to join forces to prepare us for the next big challenge – climate change.

Fossil fuels are the new tobacco. The health sector must take action

The health sector should treat the fossil-fuel industry as it has treated the tobacco industry – by revealing its health impacts, divesting, severing all financial and commercial links as soon as possible, and urging others to do the same.

Canada flexing its nuclear muscles in medicine, energy production and nuclear waste management

Canada’s nuclear industry is experiencing a renaissance after 15 years of setbacks and stagnation. These developments could prove helpful in medicine. But issues like finding a home for high-level nuclear waste site are not without controversy.

Toxic tradeoff: Disinfectants are ineffective for COVID-19 prevention and create harmful exposures

There are countless benefits to improving indoor air quality, not least of which is reducing the spread of this virus that has altered our lives. But cleaning surfaces with disinfectants could be doing more harm than good.

MDI asthma inhalers come under scrutiny over heavy carbon cost

Small amounts of the propellants used in the familiar blue and orange inhalers can have an “outsized” climate footprint. Now there is a growing call for patients to switch to low-carbon dry powder alternatives.

A plea from a family medicine resident: We must recognize the changing nature of primary care to prevent an exodus of doctors

The pandemic and climate crisis have put extra strain on the already evolving primary care system and worsened the B.C. family-doctor shortage. But the current structure of family medicine has not adapted.

Taking action

Our health-care system is very energy intensive and produces large volumes of solid waste and toxic waste. But this is, in fact, counter to our ethical duty to do no harm, which must include not harming the environment and the health of people and communities.

Health professionals have a role to play in ‘Our Planet, Our Health’

Canadian health professionals have a role to play in protecting and restoring the health of the planet, which is after all the ultimate determinant of the health of the population.

‘Our planet, our health’ – Making peace with nature

The theme for World Health Day reflects a growing global concern with the health impacts of massive and rapid human-driven ecological changes. While climate change is front of mind, having been recognized as “the single biggest health threat facing humanity” by the WHO as far back as 2008, the changes and challenges we face are far greater than that.

The plastic pandemic

Face masks have helped gain the upper hand against COVID-19, but if we continue to consider the needs of today above sustainability for tomorrow, it might not even matter.