Equity and clinical integration
Vulnerability to climate-related water and food risk is not evenly distributed, and it is not random. Four practical questions organize the population groups below: Where a person lives. How sensitive a person is to the exposure. How much exposure they actually receive. What capacity do they have to adapt. Who carries the greatest burden? The […]
Food, nutrition, and climate change
Climate change reshapes the food on your patients’ plates in ways that eventually reshape the patients themselves. The connections are rarely obvious at the bedside. No one presents with climate change, but the mechanisms behind malnutrition, micronutrient deficiency, and certain acute illnesses increasingly trace back to a warming planet and a rising atmospheric CO₂ concentration. […]
Case study: Mateo
Tap the arrow to view the case.Mateo is a 4-year-old boy brought to a rural federally qualified health center (FQHC) in eastern Washington State with a 3-day history of profuse, watery diarrhea without blood. He has colicky abdominal cramping and mild vomiting. He has no fever. On examination, he is mildly dehydrated with dry mucous […]
Clinical presentations
Filter by mechanism, then select any disease to see the full clinical picture. Review at least one disease before continuing. All Diseases Excess water Water scarcity Warming waters Cholera Causative agent: Vibrio cholerae. Climate mechanism: Flooding. Learn more about cholera. Typhoid fever Causative agent: Salmonella typhi. Climate mechanism: Flooding. Learn more about typhoid fever. Hepatitis […]
Climate drivers of water-related disease
Climate change disrupts water systems in two opposite directions, and a third mechanism operates across both. Select each pathway below to explore the mechanisms and associated diseases. Pacific Northwest: our practice context Rural Washington state has a high proportion of households reliant on private wells, making flood-driven well contamination a clinically important local risk. Warming […]
Introduction to water- and food-related impacts
Climate change impacts human health through several exposure pathways, including extreme weather, heat, air quality, vector-borne disease, and water and food systems. In this module, we will explore the last two. You learned about the environmental justice lens and the planetary boundaries framework in the Introduction to Planetary Health session. Both apply here. Seven of the […]
Climate change: Impacts on water, food, and health
Sections references Water systems and water-related disease Semenza JC, Ko AI. Waterborne diseases that are sensitive to climate variability and climate change. N Engl J Med. 2023;389(23):2175–2187. doi:10.1056/NEJMra2300794. Checkley W, Epstein LD, Gilman RH, et al. Effects of El Niño and ambient temperature on hospital admissions for diarrheal diseases in Peruvian children. Lancet. 2000;355(9202):442–450. doi:10.1016/S0140-6736(00)82010-3. […]
Pediatrics resources
Resources for just-in-time clinical use, further learning, and exploration: Curated library, professional society, and publicly available web-based resources Traditional texts (in electronic format) Nelson’s Textbook of Pediatrics: This more voluminous and encyclopedic text compared to its “Essentials” counterpart is an excellent reference for deeper dives into topics that may be covered more shallowly, or for rarer […]
ACS International Away junk page
WSU process: choose site funding application WSU site application. will give dates clinical 4th-year elective also: https://globalhealth.med.ubc.ca/resources/ include: choose your site regularly visited sites databases funding WSU process: choose site funding application WSU site application. will give dates must-knows: curricular requirements pre-departure: resources (Joanna to send) packing CDC etc. while in country: managing […]
Bone and joint infections
Learning goals Describe the microbiologic agents of bone and joint infections, including age-specific and risk-factor-related pathogens Describe the pathophysiology of osteomyelitis and septic arthritis in terms of risk factors, routes of infection, and anatomic sites Describe the clinical manifestations and diagnostic approach for the different clinical forms of osteomyelitis (acute, chronic, diabetic foot infection) Describe […]