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Ten practical actions for doctors to combat climate change

BMJ 2008; 336 doi: https://doi.org/10.1136/bmj.39617.642720.59 (Published 26 June 2008) Cite this as: BMJ 2008;336:1507

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Ten Commandments

There seems to be a new fashion to compare the consequences of smoking with consequences of climate change-1. Whilst the increase in mortality in smokers can not be challenged-2, we do not have any figures for mortality or morbidity directly(not by proxy) due to climate change-3 (this should not be mistaken for air pollution).

Just compare Doll’s paper with the health section in the latest IPCC report. The former is a concise exercise in clarity and irrefutable evidence, the latter is a verbose and confusing account full of assumptions and predictions with hardly any relevant statistics. AR4 does not explain why the horrors of malaria, heat waves and dengue fever do not apply for example to Florida.

Do Griffiths et al assume that doctors and their patients live in a different world? They just rehash what we have heard many times before, including the usual misconceptions i.e. buy “local” food (perhaps from a heated greenhouse)-4. They somehow seem to suggest that carbon (carbon dioxide) is the most poisonous substance known to man. Let me quote from their article:” a low carbon diet is a healthy diet.” As the lowest proportion of carbon is in fats we are left with either nuts or butter. But nuts are not “local”. So we are left with butter. Cows supply the main ingredient. We have a problem.

1. BMJ 2008;336:1507 (28 June), doi:10.1136/bmj.39617.642720.59
Ten practical actions for doctors to combat climate change
Jenny Griffiths, Alison Hill, Jackie Spiby, Mike Gill, Robin Stott

2. BMJ, doi: 10.1136/bmj.38142.554479.AE, (Published 22 June 2004) Mortality in relation to smoking: 50 years' observations on male British doctors
Richard Doll, Richard Peto, Jillian Boreham, Isabelle Sutherland

3. Fourth Assessment Report (AR4),Section 8 – Human Health pp 391 – 432 Oxford University Press 2007, also available on line

4. Fruit and Vegetables & UK Greenhouse Gas Emissions. Tare Garnett Centre for Environmental Strategy, University of Surrey 2006

Competing interests: None declared

Competing interests: No competing interests

11 July 2008
Ivan P. Hudecek
Consultant Anaesthetist
Manor Hospital,Walsall,WS2 9PS