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The climate emergency for rheumatologists: where do we stand?
Prakashini Mruthyunjaya1, Suhas Sondur2, Sakir Ahmed3
1Department of Clinical Immunology and Rheumatology, Kalinga Institute of Medical Sciences, KIIT University, Bhubaneswar, India.
Clinical Rheumatology
|December 22, 2024
Summary
Climate change impacts rheumatic diseases, while healthcare contributes to emissions. This review explores rheumatology
Area of Science:
- Environmental Science
- Rheumatology
- Public Health
Background:
- Healthcare is a significant contributor to greenhouse gas (GHG) emissions (5-7%).
- Environmental pollution and modern lifestyles are linked to increased autoimmune and rheumatic diseases.
- Climate change poses an existential threat to global health.
Purpose of the Study:
- To review the impact of rheumatological practice on climate change.
- To assess the potential effects of climate change on rheumatological diseases.
- To propose mitigation strategies for the healthcare sector and community.
Main Methods:
- Literature review assessing the relationship between rheumatology and climate change.
- Analysis of evidence linking climate change to autoimmune and inflammatory rheumatic diseases (AIRDs).
- Examination of emerging infections as triggers for inflammatory arthritis.
Main Results:
- Preliminary evidence links climate change to the onset or worsening of AIRDs, including rheumatoid arthritis, lupus, and systemic sclerosis.
- Industrialization and pollution contribute to emerging infections (e.g., Dengue, Zika) that trigger inflammatory arthritis.
- Proposed strategies aim to reduce the environmental impact of healthcare and communities.
Conclusions:
- Climate change is associated with an increased prevalence and exacerbation of rheumatic diseases.
- The rheumatology community must address the environmental impact of healthcare and the health consequences of climate change.
- Mitigation strategies are crucial for both the healthcare industry and the wider community.
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