Discussion forum: Reflections on a COVID-19 summer

In light of “no more normal”, what are your ideas about what we, as the BCCI Community of Practice could explore in the next several months?

By Vic Neufeld

Here we are in mid-summer, and I think we can all agree that this is been a most unusual summer because of the COVID-19 pandemic and its various impacts. Like many of you, I’ve been involved in discussions, and doing a lot of reading, about what a “post-COVID” world might look like. For some of you, this likely is a very personal question—having to do with the upcoming semester in your chosen university, or a job (or an application for a job), and so on.

I want to share an editorial I read recently, from the well-known international journal, the Lancet. Entitled No more normal , the editorial begins by commenting on two lessons for societies from the pandemic experience. The first is a reminder about role that key workers (including health care workers) play in keeping societies going. The second is the lesson that “society and its systems are much more fragile than many of us appreciated”.

The editorial then goes on to comment on the increasing attention to some kind of recovery, and (learning from the two lessons above), what form the recovery should take. Three priorities for our future are put forward: 

  • equity
  • resilience
  • sustainability

I want to suggest that these priorities in some ways resonate with who we are and could be in our “recovery” – as individuals and as a community—and beyond. I propose that we begin a dialogue about this around this question:

In the light of “no more normal”, what are your ideas about what we, as the BCCI Community of Practice could explore in the next several months—say to the end of 2020?

Please comment on this blog post and/or along your ideas to bcci.community@gmail.com over the next few weeks, before the end of August. Tasha Kara and I will collate your responses and summarize them in the August update, taking your ideas and guidance about actions to be considered.

A tale of two crises

It might be that with this combination of reduced consumption and reduced environmental harm, coupled with societal commitment to ensuring the meeting of basic needs for all, we will find ourselves unintentionally creating the well-being economy we need in the 21st century

By Vic Neufeld & Katrina Plamondon

Undoubtably, the COVID-19 situation is occupying much of your attention in the last few weeks—and so it should. But how shall we, as a community committed to planetary health, think about this new “crisis” in the context of the on-going (and slower moving) climate change crisis. The purpose of this note is two-fold: to highlight some interesting recently published perspectives on the interaction between these two phenomena; and to invite you to share your views on how the COVID-19 story is influencing your thinking.

Illustration by Calvin Dexter

Two perspectives

Earlier this month, Thomas Homer-Dixon (Executive Director of the soon-to-be announced Cascade Institute at the Royal Roads University) wrote an opinion piece in the Toronto Globe and Mail entitled: Coronavirus will change the world. It might also lead to a better future. He makes the point that the COVID-19 situation is a “global tipping event”, characterized by two increasing global phenomena—high connectivity and high uniformity that make us all more susceptible to rapidly cascading change, and at increased risk of “synchronized crises”. He goes on to suggest that the coronavirus pandemic could be viewed as a collective problem that “requires global collective action—just like climate change”.

In his March 22 column in the Victoria Times Colonist, our colleague Trevor Hancock refers to recent observations that dramatic reductions in air pollution and carbon emissions have been noted in China and Italy, and “this will soon become worldwide”. A Stanford University economist has suggested that “reduction in air pollution in China might have already saved more lives than the COVID-19 epidemic had cost”. Trevor concludes his column with this suggestion: “It might be that with this combination of reduced consumption and reduced environmental harm, coupled with societal commitment to ensuring the meeting of basic needs for all, we will find ourselves unintentionally creating the well-being economy we need in the 21st century.”

COVID-19 also presents important opportunities to examine and reconstruct the equity choices that shape our world. Not all countries will experience this pandemic in the same ways. In Canada, healthcare systems are bracing in anticipation of an extreme burden of demand. Our municipal, provincial, and federal public health and political leaders are all working together. They are communicating with their constituents daily. Policies and mechanisms are rapidly being put into place to accommodate for the consequences of a halted economy. And still, we are fearful of our uncertain futures. In contrast, colleagues in the Global South are bracing for complete collapse. Their choices will not be whether or not to stay home, but rather whether or not to risk one’s own life. In settings where healthcare systems are drastically under-resourced, without basic supplies or health professionals, those who become sick enough to need care will likely not get it. Fatality rates from COVID-19 will not be universal. Once this pandemic spreads through Africa, we can anticipate such a dramatic increase in case fatalities that the global average will increase by several percentage points. COVID-19 is a window into global inequities. This is the time to examine our equity choices, and to leverage the opportunities that Hancock and Homer-Dixon point to through an equity lens.

The CCGHR Principles for Global Health Research provide one useful framework for such a lens. Now is an opportune time to look at these principles, bring them into your classrooms and dinner tables, write to your political leaders—spark a dialogue about the world you’d like to see, and collectively, perhaps we can plant seeds for a more equitable one.

We welcome your comments and notes about your thoughts and experiences. In particular, we encourage those of you from home countries other than Canada (such as Nigeria, Uganda, Mexico, Brazil, etc.) to share your stories and leave a reply below about how the COVID-19 situation is affecting your families and friends

Solutions to pollution

Two students from the University of Fraser Valley describe how they took initiative in raising awareness about planetary health through the effective use of social media. Read on to explore how you can adapt this project in your own community.

By Julie Rhodes & Julia Chalmers

What are your names and research areas?

My name is Julia Chalmers, I am a third-year undergraduate nursing student at the University of the Fraser Valley (UFV). My current area of interest in global health and the connections between planetary health and human health.

My name is Julie Rhodes, I am a third-year undergraduate nursing student at the University of the Fraser Valley. My current area of interest is health promotion and primary health care as it relates to public and global health.

We both attended the study tour to Sierra Leone offered by UFV in Spring of 2019 which is where our passion for global health emerged. As undergraduate students we are not researchers however we hope to explore opportunities as we continue our education and careers. We are also cofounders of the “Student Nurses for Global Citizens” group at UFV.

Please briefly describe the project and its goals. 

This project was inspired by the momentum of the movement “Friday’s for Future”. As students we wanted to contribute and engage our student population in making a difference in climate change action. We wanted to hear the ideas of the student body and to display them on campus. So we hosted a giveaway on our Instagram page asking students to comment their ideas or “solutions to pollution” as we were calling them. Every comment was an entry and we drew a winner for a sustainability starter package after the contest was over. We then compiled the comments into themes and created a visual poster to display at our home campus in Chilliwack BC. We hoped that by spreading the word, we inspired some students to take some accountability towards how our actions impact the health of our local and global communities.

In your opinion, what are some of the most critical planetary health issues?

Beautiful mountains, lush forests, and pristine oceans and rivers are just a few of the things British Columbia is known for. However, in recent years these fundamental ecosystems have been under the threat of climate change. The WHO (2019), recognizes climate change as a significant global health threat. It is evident that planetary health has a profound effect on the health of humans. In British Columbia alone we have seen an influx of drastic weather events such as flash flooding, extreme heat and drought, and ramped wildfire activity. Flooding can displace people from their homes, lead to food and water contamination and result in property damage. Moreover, smoke from wildfires reduces air quality which can exacerbate cardiovascular and respiratory conditions such as asthma and COPD (Government of British Columbia, n.d.a). Additionally, the effects of climate change will impact vulnerable populations most such as those living in rural communities and Indigenous populations. As health care providers we must be prepared to respond to climate change related health issues. Development of emergency protocols, incorporating climate change education in patient teaching and lobbying for sustainable policy are just a few examples of how health care providers can respond to the climate crisis (Government of British Columbia, n.d.b). Globally, low income countries with weak health infrastructure will require significant support to cope with the effects of the climate crisis on human health (WHO, 2019).

What did you find successful about this project?

We had a lot of student engagement which was amazing to see. We had 143 different comments from students presenting their solutions to pollution. Ideas ranged from using reusable coffee cups to advocating and lobbying for more sustainable policies to local government and institutional bodies. It was very encouraging and inspiring to see the ideas of our peers on how individuals can make a practical difference for the health of our local and global communities. One thing that facilitated the success of this project was the timing: the contest took place during the Federal Election as well on the coat tails of Greta Thunberg’s appearance in Vancouver. We approached the community at a time when the discussion around climate change was at an all-time high and therefore received a significant amount of engagement.

What did you find challenging and/or surprising about the roll-out of this project?

We were unsure of the level of engagement we would receive from the UFV community as we had never done a project like this before. Moreover, we had to educate ourselves to ensure we were disseminating accurate information to our peers.

What advice would you give other students or young professionals if they wanted to pursue a similar project?

Know your audience. You can go into a project with as much motivation and initiative as you want but if you don’t know how to engage your audience then you won’t be as successful. An important factor when using social media to promote an initiative is to know what will stand out and how to spark an interest. For example, we kept our contest rules very simple: you just had to 1. Comment an original idea and 2. Be a student at UFV. We knew that a lot of Instagram contests often have multiple rules to gain an entry which can be a deterrent to people, so we wanted to keep ours simple and content focused. We weren’t fixated on gaining followers or likes, rather we wanted to hear the voices of our community and give them a platform to share their ideas.

In what ways was social media an advantage?

It’s very easily accessible for people and relevant to our population of interest: other students. Likewise, Instagram is a visual tool which has been helpful for us in our projects. Social media has the ability to grab people’s attention and expose them to the realities of our world. After this project we reflected back and realized how it really was a form of community brainstorming. In today’s day and age social media can be something that is very negative, and we can often become bogged down by marketing and consumerism. However, this project was a way of using social media to our advantage to spark an interest in our community and raise awareness about the action needed during the climate crisis.  

References

Government of British Columbia. (n.d.a). Addressing climate and health risks in BC: Climate change health risks. Retrieved from: https://www2.gov.bc.ca/assets/gov/environment/climate- change/adaptation/health/final_climate_change_and_health_backgrounder_overview.pdf

Government of British Columbia. (n.d.b) Addressing climate and health risks in BC: Frontline healthcare. Retrieved from: https://www2.gov.bc.ca/assets/gov/environment/climate- change/adaptation/health/final_climate_and_health_backgrounder_frontline_health_care.pdf

World Health Organisation [WHO]. (2018). Climate change and health. Retrieved from:https://www.who.int/news-room/fact-sheets/detail/climate-change-and-health