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Taking a Climate and Health History: A One Health-Informed Approach to Primary Care and Services
Firoz Abdoel Wahid1, Maureen Lichtveld1, Samantha Totoni1
1University of Pittsburgh School of Public Health, 130 DeSoto Street, Pittsburgh, PA, USA.
Annals of Global Health
|January 12, 2026
Summary
Climate change is a major health threat, especially in vulnerable communities. Integrating a One Health approach into clinical care can improve awareness and early detection of climate-related illnesses.
Area of Science:
- Environmental Health
- Public Health Policy
- One Health Initiative
Background:
- Climate change presents the most significant global public health challenge.
- Low- and Middle-Income Countries (LMICs) face disproportionate impacts due to vulnerable health systems.
- Clinical practice frequently neglects climate-related health risks, hindering integrated care.
Purpose of the Study:
- To provide practical guidance for integrating climate and health considerations into clinical practice.
- To emphasize the role of healthcare providers and Community Health Workers (CHWs) in addressing climate-health issues.
- To promote a One Health approach within routine clinical encounters.
Main Methods:
- Developing strategies for incorporating climate and health histories, focusing on heat exposure.
- Illustrating the application through a case study of targeted climate and environmental inquiries.
- Highlighting the role of physicians, health providers, and CHWs across the care continuum.
Main Results:
- Routine clinical history-taking can be enhanced with climate and environmental questions.
- This integration aids in diagnosis and patient education for climate-related conditions.
- A case study demonstrates the practical application and benefits of this approach.
Conclusions:
- Embedding the One Health approach in clinical care addresses gaps in recognizing climate-health impacts.
- Early detection of climate-related illnesses is improved through integrated clinical practices.
- Culturally sensitive, holistic health interventions are promoted, particularly in vulnerable populations.
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