Health care

In a Zen parable, a man sees a horse and rider galloping by. The man asks the rider where he’s going, and the rider responds, “I don’t know. Ask the horse!” It is easy to feel out of control and helpless in the face of the many problems Americans are now experiencing – unaffordable health care, poverty and climate change, to name a few. These problems are made harder by the ways in which people, including elected representatives, often talk past each other. Most people want a strong economy, social well-being and a healthy environment. These goals are interdependent: A strong economy isn’t possible without a society peaceful enough to support investment and well-functioning markets, or without water and air clean enough to support life and productivity. This understanding – that economic, social and environmental well-being are intertwined – is the premise of sustainable development. In 2015, the United Nations General Assembly u...

Hurricane Helene’s flooding has subsided, but health risks are growing in hard-hit regions of the North Carolina mountains, where many people lost access to power and clean water. More than 180 deaths across the Southeast had been attributed to Hurricane Helene within days of the late September 2024 storm, according to The Associated Press, and hundreds of people remained unaccounted for. In many areas hit by flooding, homes were left isolated by damaged roads and bridges. Phone service was down. And electricity was likely to be out for weeks. As a disaster epidemiologist and a native North Carolinian, I have been hearing stories from the region that are devastating. Contaminated water is one of the leading health risks, but residents also face harm to mental health, stress that exacerbates chronic diseases and several other threats. Water risks: What you can’t see can hurt you Access to clean water is one of the most urgent health concerns after a flood. People ne...

Leer in español There are questions that worry me profoundly as a population- and environmental-health scientist. Will we have enough food for a growing global population? How will we take care of more people in the next pandemic? What will heat do to millions with hypertension? Will countries wage water wars because of increasing droughts? These risks all have three things in common: health, climate change and a growing population that the United Nations determined passed 8 billion people in November 2022 – double the population of just 48 years ago. In my 40-year career, first working in the Amazon rainforest and the Centers for Disease Control and Prevention, and then in academia, I have encountered many public health threats, but none so intransigent and pervasive as climate change. Of the multitude of climate-related adverse health effects, the following four represent the greatest public health concerns for a growing population. Infectious disease...

As Hurricane Milton roared ashore near Sarasota, Florida, tens of thousands of people were in evacuation shelters. Hundreds of thousands more had fled coastal regions ahead of the storm, crowding highways headed north and south as their counties issued evacuation orders. But not everyone left, despite dire warnings about a hurricane that had been one of the strongest on record two days earlier. As Milton’s rain and storm surge flooded neighborhoods late on Oct. 9, 2024, 911 calls poured in. In Tampa’s Hillsborough County, more than 500 people had to be rescued, including residents of an assisted living community and families trapped in a flooding home after a tree crashed though the roof at the height of the storm. In Plant City, 20 miles inland from Tampa, at least 35 people had been rescued by dawn, City Manager Bill McDaniel said. While the storm wasn’t as extreme as feared, McDaniel said his city had flooded in places and to levels he had never seen. Traf...

As Hurricane Milton roared ashore near Sarasota, Florida, tens of thousands of people were in evacuation shelters. Hundreds of thousands more had fled coastal regions ahead of the storm, crowding highways headed north and south as their counties issued evacuation orders. But not everyone left, despite dire warnings about a hurricane that had been one of the strongest on record two days earlier. As Milton’s rain and storm surge flooded neighborhoods late on Oct. 9, 2024, 911 calls poured in. In Tampa’s Hillsborough County, more than 500 people had to be rescued, including residents of an assisted living community and families trapped in a flooding home after a tree crashed though the roof at the height of the storm. In Plant City, 20 miles inland from Tampa, at least 35 people had been rescued by dawn, City Manager Bill McDaniel said. While the storm wasn’t as extreme as feared, McDaniel said his city had flooded in places and to levels he had never seen. Traf...