### What you need to know Climate change is arguably the most significant global health threat of the 21st century.1 Despite the increasingly visible impacts of climate change on our lives and health, conversations about climate change seem to have been shut out of the consultation. Where time and resources are under pressure, there may be little room for wider health promotion and conversations about underlying contributors to ill health. For many visits, though, the effects of climate change or fossil fuel pollution are intrinsic to the medical problems of the patient and the reasons for their visit. As trusted advisors, health professionals are in a position to help their patients understand the impact of climate change on their health, and what they can do about it at an individual and societal level. Here we present an overview of the ways that climate change may be incorporated into consultations, the evidence base for the impact this may have, and the barriers to change. We believe that patient counselling around climate sensitive health hazards is an ethical duty of healthcare professionals.2 This duty is multifactorial and builds on bioethical principles of nonmaleficence and social justice: climate change associated exposures pose harm to an individual’s health, climate change worsens existing health inequities, and climate change poses a serious threat to societies and humanity. …

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如何与患者沟通气候变化

### 您需要了解的内容 气候变化可以说是 21 世纪最重大的全球健康威胁。1 尽管气候变化对我们的生活和健康的影响越来越明显，但有关气候变化的讨论似乎已被排除在外。咨询。在时间和资源面临压力的情况下，可能几乎没有空间进行更广泛的健康促进和有关健康不良的潜在因素的对话。然而，对于许多就诊而言，气候变化或化石燃料污染的影响是患者的医疗问题及其就诊原因所固有的。作为值得信赖的顾问，卫生专业人员能够帮助患者了解气候变化对其健康的影响，以及他们在个人和社会层面上可以采取哪些措施。在此，我们概述了将气候变化纳入磋商的方式、气候变化可能产生的影响的证据基础以及变革的障碍。我们认为，围绕气候敏感的健康危害向患者提供咨询是医疗保健专业人员的道德义务。2 这项义务是多因素的，建立在非恶意和社会正义的生物伦理原则之上：与气候变化相关的接触对个人健康造成损害，气候变化使现有健康状况恶化不平等和气候变化对社会和人类构成严重威胁。 ……