The Biggest Opportunity for Global Health

[Applause]

when i started studying medicine six

years ago

i wanted to learn everything about

health i wanted to save lives

so here i am

at the end of my studies

talking about the biggest health

emergency of our time

the climate crisis

emergencies can be overwhelming which is

why in medicine

for every real deal emergency situation

we are equipped with the toolkit

and this is exactly what i brought you

today a climate emergency kit with five

simple tools

five tools

you can use and become part of the

life-saving team

here’s how

in med school i’ve learned

when we have an emergency patient

let’s say

after a really bad road accident

massive bleeding ruptured organs broken

bones blood everywhere

we don’t just stand still

we move

we get the emergency kit we trade

every second counts

what the emergency of the covet pandemic

showed us is that we can move

fast even on a global scale

we closed down whole airports we

mobilized huge amounts of money

and we developed corona concepts

for every single institution

so i said with the question

if we can make huge changes for covet

why are we not willing to make radical

changes for the climate crisis

well i don’t know about you but before

med school i simply didn’t know that the

climate crisis is a health emergency

most of us don’t

which isn’t a surprise because unlike

for kovitch our governments don’t

communicate that climate change is

damaging our health

today

to understand the emergency we need tool

number one

a brain

i hope you all got one with you as well

perf because in the hospital with every

incoming patient we need our brains to

analyze how

urgent the situation is

what’s the heart rate blood pressure the

temperature

so let’s check out our numbers

nine out of ten people living on this

planet breathe in polluted air

this leads to over 8.8 million deaths

every year

big numbers can be confusing

this means that over the past year

more people died due to air pollution

than because of covet

and on top of this number we can count

the deaths

caused by heat waves

storms flooding

and even if you survive those extreme

weather events

seriously impact our mental health

causing post-traumatic traumatic stress

disorder and anxiety

what about the temperature

right now we are on a 1.2 degree hotter

planet compared to pre-industrial levels

our planet has a fever

scientists say that 1.5 degrees is the

maximum for us to continue a healthy

life

take again our emergency patient

our team will do anything to avoid a

fever to keep the body temperature well

below 40 degrees because over 40 degrees

it gets hot and 41 degrees is like

and at 42 degrees

our patient dies

we don’t say

this patient will probably have a high

fever anyways sometime in the future

so isn’t it already too late

why should i even bother

it’s the same for the 1.5 degree goal

of course we can pass it

but it will cost millions of preventable

deaths

every degree

matters

this is why

last month during cop26 health

professionals

including myself and 45 million others

we send a letter to our governments

urging them to protect our health

and do everything they can for the 1.5

degree goal

this is not just any emergency the

climate crisis is the

biggest health emergency of our time

as i said

when our brain realizes that we avoid in

an emergency this can be overwhelming

last year

in the intensive care unit when we had a

patient crashing in front of us

i didn’t feel capable of handling this

situation on my own

i’m not a surgeon what am i supposed to

do

use tool number two

our voice

med school taught me don’t panic

prioritize

i can speak up to point out that there’s

a patient bleeding out in front of us

and asked my team to move

action

is better than anxiety

and this sounds quite simple

but that was a major aha moment for me

when it comes to the climate emergency

learning that this is a health emergency

i realized that anytime anywhere

i can speak up and ask questions

at any meeting at any conference at my

university i can talk with my colleagues

with my politicians with entrepreneurs

ngos

it’s even a good pickup line for a date

hi

how do you feel about having a future

of course this takes courage because it

might be uncomfortable to be the one who

asks questions

i think it’s even more uncomfortable to

have a patient dying in front of you and

not talking about it

so this is what i did i kept speaking up

asking for climate justice starting from

uni to our national medical association

ending up at the who last year and

here i am today

asking you

how do you feel about

saving lives

i’d say we start with our biggest

patient

planet earth

our planet

is bleeding

now think of the fossil fuels that we’re

extracting from earth

like the blood that our patient is

losing

there’s a maximum amount of blood one

can lose without dying

that’s our carbon budget

if we exceed this budget the patient

crashes

the latest ipcc report from the summer

says that at the current speed

our carbon budget will be finished in

eight years

now we can try to buy ourselves a bit

more time by catching up some blood and

putting it back into the patient or

sticking on pain dates

but this is not sufficient

if we really want to save our patients

lives

we need to prioritize where it bleeds

the most the fossil fuels

and stop the source immediately

so why does it feel that our governments

are moving in slow motion

well for moving faster we need tool

number three

our feet

in the hospital we move fast and we use

all the tools we’ve got we do further

clinical examination a cd scan we run a

blood screen we try we adapt we try

again

fighting the symptoms will help only in

short term but it won’t save our

patients life

and this image of symptoms fighting is

similar to the way our governments do

health and climate politics at the

moment in switzerland

in switzerland we call this

flashlight politik

band-aid politics

we see a problem

we stick a band-aid on

while blood

keeps running

our employees are flying around to meet

with customers

we just carbon offset the flights

to high co2 emissions

we just externalize them

subsidize harmful technologies

carbon capture

business as usual empty promises

blah blah blah

why is all the blood going

oops

this

is why the ipcc report calls for

systems change not climate change

or

as david attenborough puts it we cannot

be radical enough in tackling the

climate crisis

i know this word radical

well what surprised me is that from a

health perspective this makes total

sense

radical comes from the latin word radix

which means root

and this is exactly what we want for our

health we want to address the root of

the problem

back in school i learned that we as

individuals are responsible and need to

reduce our own common footprint

only last year i heard who actually

invented this carbon footprint

calculator

bp

one of the biggest fossil fuel companies

focusing on our own carbon footprint

keeps us busy

busy with band-aids

while missing out on the tiny detail

that only 100 companies

bp being one of them

are responsible for over 70 percent of

all global greenhouse gas emissions

going radical

down to the root of the problem

we find the paradigm of infinite growth

that there are no boundaries

but think about it

infinite growth in the body

in medicine this means cancer

our body has boundaries and so does our

planet with its limited resources

the planetary boundaries

there are nine of them

only within those nine boundaries

humans can live healthfully for

generations to come

and with this new paradigm of planetary

health

we can treat the system

we stop the bleeding we stop the fossil

fuels

job finished

wait a sec

our patient isn’t over the edge we still

have a fever damaged organs broken bones

we need help

and this is where tool number four comes

in

our hands

and complex cases like these in the

hospital we reach out for help we

involve many different experts

and work together with the team and

decide together

for the climate emergency the

catastrophe is

we don’t include the whole team

the ones in power

the politicians and ceos of big

corporates

they take decisions with that including

the people who are affected the most

which is absurd

because the people who are affected the

most are the least responsible for the

pollution

this is why

we call for climate

justice because in a warming world

these health inequities only increase

and there is no

green and healthy future without social

justice

the future

is intersectional

so what does this

mean for me

well

i can ask myself

who’s missing at my table

which voices are yet unheard and then i

use my hands to reach out

across

sectors across generations across

borders across genders and then i invite

everyone the whole diverse team to the

decision making table

we joined forces

one of the most astonishing things that

i learned over the past years from

working in hospitals all over the

country and abroad is

you don’t need to become a doctor to

save lives

if you want to save millions millions of

lives

address the climate emergency

it’s a win-win situation

you wouldn’t believe it but

radical climate action has such a good

return on investment that you would

dream of having your bank offering you

such a good rate

for example

if cities decide to build safe cycling

lanes and more people decide to take

their bike instead of the car

we are not only free of pollution but

physically active

which leads to less heart attacks and

increases our mental health

kaching life saved or

if we

stop eating meat every day and move to a

plant-based diet we not only massively

reduce emissions

but also reduce our risk of cancer

and improve our sexual function and who

doesn’t want that

this is why we call it

health co-benefits of climate action

the climate crisis

is not only the biggest threat to our

health

it’s also the biggest opportunity

this is where we come to the fifth and

final tool

what is the thing

the one thing that we’re all really

missing in our everyday lives

time

right

when in your weekly schedule do you take

the time

to really reflect on the emergency we’re

living in

with all its urgency

after the ipcc report was released in

summer

my fellow catalyst

lukina and i

we asked ourselves this exact same

question and wondered

if we keep being busy with our everyday

hustle

it’s getting freaking hot in here

and we don’t want to die of a heart

attack during a heat wave

we need a new

approach something everyone can do no

matter where no other when

so

we took

a break

an emergency break

everyone needs to pause for a coffee or

lunch right and we just dedicated one

break per week

to the climate emergency

it’s like in the hospital when before

rushing into the operating room we do a

quick break to check in with the team

it’s not about pausing to ignore the

emergency

during an emergency break we face how

urgent the situation really is

we

give space to all the emotions that can

come up

we listen to each other with empathy

with an open heart

and we dream we talk about our visions

and let new ideas grow

so

as you can see this is what we’ve been

doing and the idea has been spreading

all over switzerland almost as fast as

the new corona variant

because

everyone can do an emergency break

you can do one

you could start by asking two three

fellow students for lunch break or

colleagues from work

and instead of talking about the stock

market or your brunch plans for sunday

you just talk about the climate

emergency

look around in this room

we’re in one of the best business

schools in the world

many of you

will be future ceos

if you dedicate one break per week

now on december

we’d already have more than a thousand

potential ceos

addressing the emergency by the end of

the year

all i want for christmas

is you

joining the team to save lives

so

dear team

good news

looking at the time we do still have a

small enough opportunity

and no fancy medical tools needed

just

five simple tools

one

our brains to analyze the emergency

two

our voices

to speak up

three

our feet

to go radical

four

our hands to reach out and join forces

and five

a break

a regenerative moment for action

a healthy future

is possible

and it’s only waiting for you

to move

let’s go

[Applause]

[掌声]

当我六年前开始学习医学时,

我想了解所有关于

健康的知识,我想拯救生命,

所以

我在学习结束时

谈到

了我们这个时代最大的卫生紧急情况,

气候危机

紧急情况可能是压倒性的 这就是

为什么在医学上

,我们为每一个真正的紧急

情况配备了工具包

,这正是我今天给你带来

的气候应急包,里面有五个

简单的工具

五个工具

你可以使用并成为

救生团队的一员

这里是

如何 医学院 我学到了

当我们有一个急诊病人

比方说

在一次非常严重的交通事故之后

大量出血 器官破裂 骨头断了

到处都是血

我们不只是站着不

动 我们移动

我们得到急救箱 我们

每秒交换一次

紧急情况有什么意义 令人垂涎的大流行

向我们展示的是,即使在全球范围内,我们也可以快速行动

我们关闭了整个机场 我们

调动了大量资金

并发展了 ed corona

为每一个机构提供概念,

所以我问了一个问题,

如果我们可以为 covet 做出巨大的改变,

为什么我们不愿意为气候危机做出根本性的

改变,

我不了解你,但在

医学院之前我只是没有 不知道

气候危机是

我们大多数人不知道的健康紧急情况,

这并不奇怪,因为

与科维奇不同,我们的政府没有

传达气候变化正在

损害我们今天的健康

以了解我们需要的紧急情况

一号工具 大脑,

我希望你们也有一个,

因为在医院里,每一位

来访的病人都需要我们的大脑来

分析情况有多

紧急

,心率是多少,血压是多少,温度是多少,

所以让我们

看看十个人中有九个人的数字 生活在这个

星球上 呼吸受污染的空气

这导致每年超过 880 万人死亡

大数字可能令人困惑

这意味着在过去一年中有

更多人死于空气污染

除了贪婪之外

,除了这个数字之外,我们还可以计算

由热浪

风暴造成的死亡人数

,即使您幸免于难,那些极端

天气事件也会

严重影响我们的心理健康,

导致创伤后创伤性压力

障碍和焦虑

,温度怎么样?

现在,

与工业化前的水平相比,

我们所处的地球温度升高了 1.2 度 我们的星球发烧了

科学家说,1.5 度是

我们继续健康生活的最高温度

再次接受我们的急诊病人

我们的团队将采取一切措施避免

发烧 保持体温远

低于 40 度,因为超过 40

度会变热,而 41 度

就像在 42 度时

我们的病人死了

我们不会说

这个病人

在未来的某个时候可能会发高烧,

不是吗 已经太晚了

为什么我还要打扰

它对于1.5度的目标

是一样的当然我们可以通过它

但是它会花费数百万可预防的

死亡

每一度

无光泽 rs

这就是为什么

上个月在 cop26 期间,

包括我自己和其他 4500 万卫生专业人员,

我们致信我们的政府,

敦促他们保护我们的健康

,并尽其所能实现 1.5

度的目标,

这不仅仅是任何紧急情况,

气候危机是

正如我所说

,我们这个时代最大的健康紧急情况,当我们的大脑意识到我们在

紧急情况下避免发生这种情况时,

去年

在重症监护室当我们有一个

病人在我们面前崩溃时,这可能是压倒性的,

我觉得没有能力处理这种

情况 我自己

不是外科医生,我应该做什么

使用第二个工具

我们的语音

医学院教我不要惊慌

优先考虑

我可以大声

指出我们面前有一个病人在流血

并问我 团队

行动比焦虑好

,这听起来很简单,

但这对我来说是一个重要的时刻,

当谈到气候紧急

情况时,我意识到这是一个健康紧急情况

在任何地方

我都可以

在我大学的任何会议上的任何会议上发言并提出问题

我可以与我的同事

与我的政治家与企业家

非政府组织交谈

这甚至是约会的好选择嗨

你对拥有未来的感觉如何

这需要勇气,因为

作为一个提出问题的人可能会不

舒服 从

大学到我们的国家医学协会

,去年在世界卫生组织结束,

今天我在这里

问你,你对

拯救生命有

什么看法我想说我们从我们最大的病人地球开始,

我们的星球

正在流血,

现在想想化石燃料 我们

从地球上提取

的血液就像我们的病人正在

流失的血液一样 一个人

可以在不死的情况下流失的最大血液量

如果我们超过这个预算,这就是我们的碳预算 病人

崩溃 夏季最新的 ipcc 报告

说,按照目前的速度,

我们的碳预算将在八年内完成

痛苦的日期,

如果我们真的想挽救患者的

生命,这还不够,

我们需要优先考虑

化石燃料在哪里流失最多,

并立即停止源头,

所以为什么感觉我们的政府

正在

缓慢行动以加快行动 我们需要三号工具

我们的脚

在医院里 我们行动迅速,我们使用

我们拥有的所有工具 我们进行进一步的

临床检查 cd 扫描 我们运行

血液筛查 我们尝试我们适应 我们再次尝试

与症状作斗争只会有帮助

短期,但它不会挽救我们

患者的生命

,这种症状对抗的形象

类似于我们的政府目前在瑞士进行

健康和气候政治的方式

在瑞士我们 c 所有这些

手电筒

政治 创可贴 政治

我们看到一个问题

我们贴上

创可贴 血液

不断流动

我们的员工飞来飞去与客户会面

我们只是碳抵消了

高二氧化碳排放量的航班

我们只是将它们外部化

补贴有害技术

碳 抓住

一切照旧的空头承诺

等等等等,

为什么所有的血液都在流血,

就是为什么 ipcc 报告呼吁

系统改变而不是气候变化,

或者

正如大卫阿滕伯勒所说,我们

在应对

气候危机方面不够激进

我知道这个词激进

让我感到惊讶的是,从

健康的角度来看,这完全

有道理 作为

个人有责任并需要

减少我们自己的共同足迹,

直到去年我才听说谁真正

发明了这种碳足迹 int

calculator

bp

最大的化石燃料公司之一,

专注于我们自己的碳足迹,

让我们

忙于创可贴,

却错过了一个微小的细节

,即只有 100 家公司

bp 作为其中之一,

对全球 70% 以上的

温室气体负责 气体排放

从根本上

深入到问题的根源

我们发现无限增长的范式

,没有界限,

但想想它

在医学上身体的无限增长这意味着癌症

我们的身体有界限,我们的

星球也有有限的资源

行星边界

有九个

只有在这九个边界内

人类才能健康地生活

在未来的几代人中

,通过这种新的行星健康范式,

我们可以治疗系统

我们停止流血我们停止化石

燃料

工作完成

等一下

我们的病人 还没到边缘 我们

还在发烧 器官受损 骨折

我们需要帮助

,这就是第四号工具的用武之地

我们的手中

和医院中的此类复杂病例中,

我们寻求帮助我们

让许多不同的专家

参与并与团队一起工作,

共同决定

应对气候紧急情况

灾难是

我们没有将整个团队包括在内

当权者 政治家和大公司的首席执行官,

他们做出的决定包括

受影响最大的人,

这是荒谬的,

因为受影响

最大的人对污染的责任最小,

这就是为什么

我们呼吁气候

正义,因为在一个变暖的世界

这些健康不平等只会增加

,没有社会正义就没有

绿色和健康的未来

未来

是交叉的

所以这

对我意味着什么

我可以问自己

谁在我的餐桌上失踪了

哪些声音还没有被听到然后

我用手去接触 跨

性别跨代

跨行业,然后我邀请

整个多元化团队的每个人参与

决策 king table

我们联手

在过去的几年里,我从

全国和国外的医院工作中学到的最令人惊讶的事情之一是,

如果你想拯救数百万人的

生命,你不需要成为一名医生来拯救生命

解决气候紧急情况

这是一个双赢的局面,

你不会相信,但

激进的气候行动有如此好的

投资回报,你会

梦想让你的银行为你提供

如此好的利率

,例如,

如果城市决定建立安全的自行车

车道和越来越多的人

决定骑自行车而不是汽车

我们不仅没有污染,而且

锻炼身体

,从而减少心脏病发作并

增加我们的心理健康,

从而挽救生命,或者

如果我们

停止每天吃肉并搬到

工厂 以饮食为基础的饮食 我们不仅可以大量

减少排放

,还可以降低患癌症的风险

并改善我们的性功能,谁

不希望

这就是为什么我们称之为

健康协同效益 气候

行动 气候

危机不仅是对我们健康的最大威胁

它也是最大的机会

这是我们来到第五个也是

最后一个工具的地方

什么是

我们在日常生活中真正缺少的一件事

在您每周的日程安排中,您是否花

时间真正反思我们

在夏季发布 ipcc 报告后所

面临的紧急情况

如果我们继续忙于日常的

忙碌

,这里会变得很热

,我们不想

在热浪中死于心脏病发作,

我们需要一种新的

方法,每个人都可以做,

无论在哪里都没有,

所以

我们采取

每个人都需要停下来喝杯咖啡或

吃午餐

g 房间 我们会

快速休息一下以与团队联系

这不是要

在紧急休息期间停下来忽略紧急情况 我们面临

的情况到底有多紧急 我们

为可能出现的所有情绪留出空间

我们互相倾听

以开放的心态同情

,我们梦想我们谈论我们的愿景

,让新想法成长,

这样你就可以看到这就是我们一直在

做的事情,这个想法

几乎

与新的电晕变体一样快地在瑞士传播,

因为

每个人 可以做一个紧急休息

你可以做一个

你可以先请两个三个

同学午休或

同事下班

,而不是谈论

股市或你周日的早午餐计划,

你只谈论气候

紧急情况

看看这里

我们在世界上最好的商

学院之一,如果你在 12 月每周休息一次

,你们中的许多人

将成为未来的 CEO

我们已经有超过一千个

潜在的 CEO os

在今年

年底前解决紧急情况,我圣诞节想要的

只是你

加入团队拯救生命,

所以

亲爱的团队

好消息,

看看时间我们仍然有

足够小的机会

,不需要花哨的医疗工具只需要

五个简单的工具

我们的大脑分析紧急情况

我们的声音

要大声说

我们的脚

要激进

我们的手伸出并联合力量

五休息

一个再生的行动

的时刻一个健康的未来

是可能

的,它只等着

你移动

走吧

[鼓掌]