77 Health Organizations Call for Climate Action to Fight Public Health Emergency
So far 77 organizations representing nurses, doctors, hospitals, volunteers and public health professionals have signed on to The Call to Action on Climate, Health and Equity: A Policy Action Agenda, released Monday. The agenda urges government, business and community leaders to take a series of actions designed to promote health and fight climate change.
"We are here today to declare that climate change is a health emergency. Climate change is already harming the health, safety and wellbeing of every American living today and if it is not addressed, will bring untold harm to all our children and grandchildren," former Acting Surgeon General and Retired U.S. Public Health Service Commissioned Corps Rear Admiral Boris Lushniak said in a transcript of a press call emailed to EcoWatch.
On the call, medical professionals shared how climate change was already impacting the health of their patients. Pediatrician and incoming Chair of the American Academy of Pediatrics Council on Environmental Health Dr. Aparna Bole explained how worsening air quality linked to global warming was increasing the risks faced by her patients in a Cleveland, Ohio community where one in five children has asthma.
"In my community, burning fossil fuels contribute to not just asthma exacerbations but also poor birth outcomes like low birth weight and prematurity, both risk factors for infant mortality. Even prenatal exposure leads to neurodevelopmental delays that negatively impact school readiness, which is an important foundation for a child's academic success," Bole said.
"In the aftermath of Hurricane Maria, many emergency medicine physicians throughout the U.S. were forced to ration critical IV fluids after the hurricane damaged a major producer of IV bags in Puerto Rico. This shortage persisted for months and into flu season. Imagine having to tell a worried mother that you couldn't give her child fluids that could help him," Thompson said.
The group outlined six major priorities for policy makers to fight climate change and improve health outcomes.
- Meet and ramp up Paris agreement commitments.
- Transition away from coal, oil and natural gas and towards renewable energy.
- Encourage a shift from driving to biking, walking or public transportation while shifting to zero-carbon transit alternatives.
- Support sustainable agriculture and protect green spaces.
- Make sure all communities have safe and sustainable supplies of drinking water.
- Ensure a "just transition" for workers and communities impacted by climate change.
The group also encouraged health organizations to take climate action by engaging with calls like this one, integrating climate responses into public health plans and assisting vulnerable communities in responding to climate impacts.
Center for Climate Change Communication at George Mason University Director Ed Maibach told the Associated Press that the health organizations' statement could shift some Americans' image of climate change as "primarily as a threat to things in the environment, like polar bears."
"It's incredibly helpful when health professionals point out the actual reality of the situation, point out that this is also a threat to our health and well-being now ... and it's likely to get worse, much worse, if we don't take action to address it," he said.
The call also comes as climate change is emerging as a major issue in the 2020 election, something Lushniak alluded to in introducing it.
"[W]e are well aware that we are initiating this effort at an important moment when our Nation's attention is increasingly focused on the most important issues we face and how we should address them," he said. "Our goal is to influence this national conversation at this critical moment. We are providing our leaders at all levels and with a meaningful path forward."
The call was released the same week that Democratic candidates will engage in their first debate, the Associated Press pointed out. It shares priorities with the climate policy proposed by candidate and former Vice President Joe Biden, the Associated Press concluded, since it urges a transition away from fossil fuels without endorsing an outright ban on fracking.
"The best time to declare a climate emergency was 30 years ago; the second best time is now."@extinctionr @jeremycorbyn @gretathunberg #ExtinctionRebellion#CitizensAssembly#ZeroCarbon2025#TellTheTruth https://t.co/KYDYR4EG2e— EcoWatch (@EcoWatch) May 2, 2019
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By Jacob L. Steenwyk and Antonis Rokas
From the mythical minotaur to the mule, creatures created from merging two or more distinct organisms – hybrids – have played defining roles in human history and culture. However, not all hybrids are as fantastic as the minotaur or as dependable as the mule; in fact, some of them cause human diseases.
When Looking Through a Microscope Isn’t Close Enough.<p>For the last few years, <a href="http://www.rokaslab.org/" target="_blank">our team at Vanderbilt University</a>, <a href="https://www.researchgate.net/lab/Gustavo-Goldman-Lab" target="_blank">Gustavo Goldman's team at São Paulo University in Brazil</a> and many other collaborators around the world have been collecting samples of fungi from patients infected with different species of <em>Aspergillus</em> molds. One of the species we are particularly interested in is <a href="https://doi.org/10.1006/rwgn.2001.0082" target="_blank"><em>Aspergillus nidulans</em>, a relatively common and generally harmless fungus</a>. Clinical laboratories typically identify the species of <em>Aspergillus</em> causing the infection by examining cultures of the fungi under the microscope. The problem with this approach is that very closely related species of <em>Aspergillus</em> tend to look very similar in their broad morphology or physical appearance when viewing them through a microscope.</p><p>Interested in examining the varying abilities of different <em>A. nidulans</em> strains to cause disease, we decided to analyze their total genetic content, or genomes. What we saw came as a total surprise. We had not collected <em>A. nidulans</em> but <em>Aspergillus latus</em>, a close relative of <em>A. nidulans</em> and, as we were to soon find out, <a href="https://doi.org/10.1016/j.cub.2020.04.071" target="_blank">a hybrid species that evolved through the fusion of the genomes</a> of two other <em>Aspergillus</em> species: <em>Aspergillus spinulosporus</em> and an unknown close relative of <em>Aspergillus quadrilineatus</em>. Thus, we realized not only that these patients harbored infections from an entirely different species than we thought they were, but also that this species was the first ever <em>Aspergillus</em> hybrid known to cause human infections.</p>
Several Different Fungal Hybrids Cause Human Disease.<p>Hybrid fungi that can cause infections in humans are well known to occur in several different lineages of single-celled fungi known as yeasts. Notable examples include multiple different species of <a href="https://doi.org/10.1002/yea.3242" target="_blank">yeast hybrids</a> that cause the human diseases <a href="https://rarediseases.info.nih.gov/diseases/6218/cryptococcosis" target="_blank">cryptococcosis</a> and <a href="https://www.cdc.gov/fungal/diseases/candidiasis/index.html" target="_blank">candidiasis</a>. Although pathogenic yeast hybrids are well known, our discovery that the <em>A. latus</em> pathogen is a hybrid is a first for molds that cause disease in humans.</p>
(Left) Candida yeasts live on parts of the human body. Imbalance of microbes on the body can allow these yeasts, some of which are hybrids, to grow and cause infection. (Right) Cryptococcus yeasts, including ones that are hybrids, can cause life-threatening infections in primarily immunocompromised people. Centers for Disease Control and Prevention<p><a href="https://doi.org/10.1371/journal.ppat.1008315" target="_blank">Why certain <em>Aspergillus</em> species are so deadly</a> while others are harmless remains unknown. This may in part be because <a href="https://doi.org/10.1016/j.fbr.2007.02.007" target="_blank">combinations of traits, rather than individual traits</a>, underlie organisms' ability to cause disease. So why then are hybrids frequently associated with human disease? Hybrids inherit genetic material from both parents, which may result in new combinations of traits. This may make them more similar to one parent in some of their characteristics, reflect both parents in others or may differ from both in the rest. It is precisely this mix and match of traits that hybrids have inherited from their parental species that <a href="https://www.nytimes.com/2010/09/14/science/14creatures.html" target="_blank">facilitates their evolutionary success</a>, including their ability to cause disease.</p>
The Evolutionary Origin of an Aspergillus Hybrid.<p>Multiple evolutionary paths can lead to the emergence of hybrids. One path is through mating, just as the horse and donkey mate to create a mule. Another path is through the merging or fusion of genetic material from cells of different species.</p><p>It is this second path that appears to have been taken by our fungus. <em>A. latus</em> appears to have two of almost everything compared to its parental species: twice the genome size, twice the total number of genes and so on. But unlike other hybrids, which are often sterile like the mule, we found that <em>A. latus</em> is capable of reproducing both asexually and sexually.</p><p>But how distinct were the parents of <em>A. latus</em>? By comparing the parts contributed by each parent in the <em>A. latus</em> genome, we estimate that its parents are approximately 93% genetically similar, which is about as related as we humans are with lemurs. In other words, <em>A. latus</em>, an agent of infectious disease, is the fungal equivalent of a human-lemur hybrid.</p>
How A. Latus Differs From its Parents.<p>Elucidating the identity of closely related fungal pathogens and how they differ from each other in infection-relevant characteristics is a key step toward reducing the burden of fungal disease. For example, we found that <em>A. latus</em> was three times more resistant than <em>A. nidulans</em>, the species it was originally identified as using microscopy-based methods, to one of the most common antifungal drugs, <a href="https://www.drugbank.ca/drugs/DB00520" target="_blank">caspofungin</a>. This result provides a clear example of the potential importance of accurate identification of the <em>Aspergillus</em> pathogen causing an infection.</p><p>We also examined how <em>A. latus</em> and <em>A. nidulans</em> interact with cells from our immune system. We found that immune cells were less efficient at combating <em>A. latus</em> compared to <em>A. nidulans</em>, suggesting the hybrid fungus may be trickier for our immune systems to identify and destroy.</p><p>In the midst of the COVID-19 pandemic, our quest to understand <em>Aspergillus</em> pathogens is becoming more urgent. Growing evidence suggests that <a href="https://doi.org/10.1111/myc.13096" target="_blank">a fraction of COVID-19 patients are also infected with <em>Aspergillus</em>.</a> More worrying is that these <a href="https://doi.org/10.3201/eid2607.201603" target="_blank">secondary <em>Aspergillus</em> infections</a> can worsen the clinical outcomes for those infected with the novel coronavirus. That being said, we stress that little is known about <em>Aspergillus</em> infections in COVID-19 patients due to a lack of systematic testing, and none of the infections identified so far appear to have been caused by hybrids.</p><p>So, when it comes to hybrids, some are fantastic (the minotaur), some are helpful (the mule) and some are dangerous (<em>Aspergillus latus</em>). Understanding more about the biology of <em>Aspergillus latus</em> may help in our understanding of how microbial pathogens arise and how to best prevent and combat their infections.</p>
This Saturday, June 6, marks National Trails Day, an annual celebration of the remarkable recreational, scenic and hiking trails that crisscross parks nationwide. The event, which started in 1993, honors the National Trail System and calls for volunteers to help with trail maintenance in parks across the country.
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The Navajo Nation covers the corners of three different states. Google Maps
Growing Contribution<img lazy-loadable="true" src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yMzM3NDY5Ny9vcmlnaW4ucG5nIiwiZXhwaXJlc19hdCI6MTY0NjM4MTgyM30.IuQTKQs1stvYYKD6vaVTrqAyoBsUG0BhDvlhxsyKwPA/img.png?width=980" id="02a05" class="rm-shortcode" data-rm-shortcode-id="2841f82b1785df5d5ed7bf64d3bb882b" data-rm-shortcode-name="rebelmouse-image" />
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Scuba divers around the world are holding their metaphorical breath to see if a coronavirus infection affects the ability to dive.
DAN medical experts explained the difference between normal lungs, on the left, and "very serious lungs caused by COVID-19," on the right. Matias Nochetto / Divers Alert Network (DAN)
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