Europe’s Medical Students Being Trained to Consider Climate Impact of Inhalers and “Green Prescribing”

From Legal Insurrection

Meanwhile, Association of American Medical Colleges did a survey and found that 55% of medical schools reported that the health effects of climate change were a required topic in their courses.

Posted by Leslie Eastman

While I don’t suffer from asthma, I know friends with children who do. I have seen direction that the use of inhalers are crucial for managing asthma effectively. They deliver medication directly to the lungs, providing faster relief and better control of symptoms.

Yet, in the quest to eliminate “greenhouse gases” based on climate crisis pseudoscience, they were targeted in a study by Stanford Health Care.

Dr. Jyothi Tirumalasetty, M.D., says research is zeroing in on propellants known as HFCs or hydrofluorocarbons. They push the medicine out of the inhaler in measured doses but can also escape into the atmosphere at alarming levels.

“These HFCs are hydrofluorocarbons and propellants, which now we know trap heat in the atmosphere thousands of times more powerfully than carbon dioxide and increase, you know, worse, global warming,” Tirumalasetty said.

She says some inhalers can emit as much greenhouse gas as the average gasoline-powered car driven for 60 miles.

To better understand those levels, Tirumalasetty and her colleagues used safety data and prescription records for inhalers in the U.S. They found traditional devices, known as metered dose inhalers, release the most HFCs — about 98% of the total — but also vary widely from brand to brand.

In fact, in the United Kingdom, doctors have been told to stop ­prescribing blue asthma ­inhalers under National Health Service (NHS) ­guidance that assert the devices cause ­climate change.

Of course inhalers damage the planet. They keep asthmatics alive thus allowing them to continue having a carbon footprint for decades. Your existence is a problem for the managerial class to solve. pic.twitter.com/ksgTdM5owe

— Peter Hague (@peterrhague) November 27, 2024

Even if this gases did everything the “experts” claim, the solar cycles will remain the most significant influence on the planet’s climate. And, I doubt the impact on temperature will negatively impact quality of life as much as the inability to breath.

However, common sense is not preventing European medical schools from pushing senseless climate change priorities and “green prescribing” on their students.

Future doctors will be expected to take the climate impact of inhalers into account, medical school leaders have said.
They will also have more training on how to recognise and treat heatstroke, while mosquito-borne diseases such as malaria and dengue fever will become a more prominent part of the curriculum at European medical schools.

Insiders stressed that the curriculum is yet to be finalised and advice surrounding inhalers is just one option that could be considered.

The initiative – overseen by the European Network on Climate and Health Education, which is made up of a group of 25 medical schools led by the University of Glasgow – will bring climate lessons into the curriculum of more than 10,000 students.

…Students will be taught “green prescribing”, in which doctors should encourage patients to take up activities such as community gardening and tree planting. This is alongside “active travel”, which includes walking or cycling rather than driving. Both activities offer health benefits to individuals while being positive for the environment.

But, not to worry: The cost of the inhalers will be price-capped by Big Pharma.

The pharmaceutical giant AstraZeneca has agreed to cap out-of-pocket costs for climate friendly asthma inhalers at $35, a move applauded by lawmakers for having potential benefits on the environment and patients.

The news follows an investigation by POLITICO’s E&E News into how developing emissions-free inhalers could help AstraZeneca and another inhaler-maker, GlaxoSmithKline, undermine competition for at least a decade by bringing old medications under new patent protection.

AsrtaZeneca and GSK are currently developing the so-called green inhalers, which don’t rely on hydrofluorocarbons, or HFCs, as propellants to push the medicine into patients’ lungs, like conventional inhalers.

As a reminder, HFCs were originally used as replacement gases for those that were identified as depleting the ozone.

These “climate-friendly inhalers” could work as well as the others, but the choice of medication should be made between the doctor and patient and not based on recommendations from agenda-driven eco-activists. The only calculation that should be made whether the devices deliver the correct amount of medication to the user in a timely fashion at a reasonable cost.

And while the European medical schools are instituting these programs, it must be noted that the Association of American Medical Colleges did a survey and found that 55% of medical schools reported that the health effects of climate change were a required topic in their courses in 2022. That doubled from 27% two years prior.

The trend lines do not look positive for those who prefer to make human health and comfort a priority.

As the Director of Education and Policy at the Center for Climate, Health, and the Global Environment (C-CHANGE) and Assistant Professor at the Harvard T.H. Chan School of Public Health, Basu has led the creation of a new interdisciplinary climate change and planetary health concentration that will launch this fall and be available to every student at the school.

“We see the benefits of having individuals with very diverse disciplinary backgrounds and lived experiences think and learn and create climate solutions together,” he says.

As Assistant Professor of Medicine at Harvard Medical School, Basu has helped insert climate change into every aspect of the four-year curriculum. He describes and evaluates this process in a new paper, published May 29 in PLOS Climate, called “Climate Change, Environment, and Health: The Implementation and Initial Evaluation of a Longitudinal, Integrated Curricular Theme and Novel Competency Framework at Harvard Medical School.”

Hopefully, we can reverse this trend so people return to being the priority.

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December 27, 2024 10:13 pm

Choose your physician carefully, and at least 60 years of age.

MarkW
December 27, 2024 11:05 pm

If they are capping the price of inhalers, that just means that all other medications have to go up in price to compensate for the loss.

December 27, 2024 11:10 pm

“These HFCs are hydrofluorocarbons and propellants, which now we know trap
heat in the atmosphere thousands of times more powerfully than carbon dioxide”
________________________________________________________________

The Global Warming Potential (GWP) numbers are based on the
concentration of a green house gas, not its absorption spectrum:

CH4 1932  ppb GWP   86
N20 337   ppb GWP   273
CFC   4    ppb GWP ~8000 
SF6 0.007 ppb GWP 17500

Reply to  Steve Case
December 28, 2024 12:44 am

What is the GWP for H2O? 71% of the earth’s surface is covered with H2O, the 800 pound Greenhouse Gas Guerilla.

The concentration of CH4 is currently 1.929 ppmv. The reason for the concentration of CH4 is so low is due to the initiation of its combustion by discharges of lightning. Everyday there are thousand discharges of lightning, especially in the tropics.

CH4 is slightly soluble in cold water. One liter of cold water can contain 35 mls of CH4. That is not very much, but cold polar oceans are very large. In the cold water, the methane slowly diffuse to the ocean floor. There in the cold and under very high pressure, CH4 forms a solid clathrate known as methane ice, which is stable forever.

A light reactive gas, CH4 is readily oxidized by ozone. Jet planes with large engines are flying vacuum cleaners for CH4. ICE’s in cars, trucks, trains, boats, etc burn up CH4 as do wildfires.

We do not have to worry about CH4.

Does lightning destroy any of the greenhouse gases listed above?

How much gas from the inhalers is released in year?

Reply to  Harold Pierce
December 28, 2024 2:40 am

What is the GWP for H2O? 71% of the earth’s surface is covered with H2O, the 800 pound Greenhouse Gas Guerilla.
________________________________________________________________

Oh thank you for asking that question. I sent that exact same question off to a well known scientist and he said he didn’t think that the GWP could be sensibly calculated for water vapor or how a “pulse” of water vapor or its lifetime in the atmosphere could be defined.

Well anyway, my opinion is that if you could calculate it, and given that GWP seems to be more related to concentration than anything else, the GWP of water vapor would be less than one.

Just like Occam’s razor I think there’s a maxim; something to the effect that if you carry a thesis of some kind to a logical limit and you get a ridiculous and wrong answer, it’s probably wrong for all parameters. Maybe I saw that here on WUWT a while back.

Reply to  Steve Case
December 28, 2024 4:14 am

In air with a temperature of 70 deg. F and with a RH of 70%, the concentration of H2O is 14,780 ppmv. One cubic meter of this air contains 11.9 grams of H2O. This why H2O is most always the dominate greenhouse gas.

At MLO in Hawaii. the concentration of CO2 in dry air 422 ppmv. One cubic meter of this air contains 0.83 grams of CO2. The claim by the IPCC that this trace amount of CO2 (i.e., the climate control knob) is a cause of global warming is a lie.

The purpose of this lie is to provide the UN the justification to distribute the donor funds, via the UNFCCC and the UN COP, from the rich counties to the poor countries to help them cope with global warming and climate change. At the recent COP29 conference, the poor came clamoring not for billions but trillions of funds.

Hopefully, Trump will put an end to this green deal scam.

Chasmsteed
Reply to  Harold Pierce
December 28, 2024 4:23 am

There are ±8 million lightning strikes per day (Wikipedia) of which about 11 per second are ground strikes.
This produces 5-10 million tonnes of Nitric acid per year.
But of course natural processes have nothing whatsoever to do with climate change.

Reply to  Chasmsteed
December 28, 2024 11:48 am

Most of the nitric acid will fall into the oceans and be neutralized since the pH is ca 8. The nitrate anion is the source of nitrogen for plant growth.

Chasmsteed
Reply to  Harold Pierce
December 29, 2024 4:22 am

That was actually my point – it’s about equivalent to man’s CO2 “acidification”.
Now run the numbers for SO2 acid rain H2SO4 and man’s CO2 production disappears into nothing more than an insignificance by several orders of magnitude.

Reply to  Steve Case
December 28, 2024 7:22 am

The Global Warming Potential (GWP) numbers are based on the

concentration of a green house gas, not its absorption spectrum

Presumably because it produces some nice scary big numbers. Meanwhile, in the real world the truth is easy to find. For example in the NOAA Annual Greenhouse Gas index (AGGI): https://gml.noaa.gov/aggi/aggi.html which, in table 2, gives values of Radiative Forcing from 1979 to 2023.

Over 44 years, RF from CO2 has increased by 1.232 W/m^2. Over the same period, RF from CH4 increased by 0.133, a ratio of 0.108. A more meaningful comparison, taking account of the logarithmic relationship between concentration and forcing and the actual growth in concentration(s) would be:

CH4 0.133W/m^2 0.108 CO2 equivalent
N2O 0.115W/m^2 0.093 CO2 equivalent
HFCs 0.050W/m^2 0.041 CO2 equivalent

Small real world numbers, not welcome in the land of alarmism.

strativarius
December 28, 2024 1:44 am

In the UK we’re going full retard. The medical profession has taken leave of scientific reason. Never mind plastics, do they use any glass?

In April, Labour is introducing a Packaging Extended Producer Responsibility (pEPR) scheme on manufactures, which will add extra cost to heavier packaging such as glass.

this could push consumers away from glass into less recyclable materials, all based on weight
https://www.gbnews.com/news/packaging-tax-uk-glass-industry-price-increases-2025

If you do see a doctor you’ve had to wait quite a while.

Reply to  strativarius
December 28, 2024 4:23 am

“In the UK we’re going full retard. The medical profession has taken leave of scientific reason.”

It sounds like it is the same in the United States.

Assuming CO2 causes the Earth’s climate to change is just not supported by any evidence, yet here are our doctors believing in an unsubstantiated assertion about CO2 and basing their medical treatments on it.

Obviously, some doctors can’t determine the difference between speculation and evidence. They think speculation is real. They are living in a False Reality.

A lot of people are easily misled. Even smart people. Even doctors.

strativarius
Reply to  Tom Abbott
December 28, 2024 5:17 am

Education isn’t what it used to be.

Reply to  strativarius
December 29, 2024 11:40 am

Yep.
The “long march through the [educational] institutions” has been very successful
in brain washing the kids. Years of climate propaganda [+ Critical Theory with its DEI, gender, social justice and “woke-ism”] with never hearing a contrary opinion has corrupted most of the educational system, including medicine.
My neice isin her medical residency now and says things are awful. She can’t object or question any of the “woke” policies, no matter if they contradict basic physiology. It would ruin her career. The medical journals I receive likewise have swallowed the Kool-aid [“birthing person” instead of pregnant woman].
Very sad.

1saveenergy
December 28, 2024 2:14 am

The main health effects of climate change are increased depression & anxiety from the constant diet of 24/7 climate crisis/emergency shit fed to us by governments via the MSM.

Behavioural scientists know that a frightened population is a compliant one,

Scissor
Reply to  1saveenergy
December 28, 2024 6:11 am

A fraction of a lied to population will become angry.

1saveenergy
Reply to  Scissor
December 28, 2024 5:56 pm

And they’ll be canceled or otherwise suppressed.

ScienceABC123
December 28, 2024 7:08 am

I’m waiting for some greenie to claim blowing up balloons with your breath is “carbon capture.”

December 28, 2024 10:10 am

It’s good to know one mustn’t get sick while in Europe.

Martin Green
December 28, 2024 11:22 am

Obviously they will not be able to use scalpels as the steel making process generates so much co2

Reply to  Martin Green
December 28, 2024 11:54 am

They can use scalpels made from obsidian which produces an edge sharper than steel.

1saveenergy
Reply to  Harold Pierce
December 28, 2024 6:01 pm

Some notable application areas include:

  • Plastic Surgery: For delicate procedures requiring precision and minimal scarring, such as facelifts and reconstructive surgeries.
  • Ophthalmic Surgery: Enhancing fine incisions in eye surgeries to improve patient outcomes and vision recovery.
  • Micro-surgery: In procedures where visibility and precision are critical, such as nerve repair and vascular surgery.
December 28, 2024 2:16 pm

If they are to consider the effects of inhalers then they should also consider:

  1. the effect of unused drugs (prescription and non-prescription) being disposed of into the sewer thence on to waterways
  2. plastic and other packaging of the drugs they prescribe
  3. injuries to participants of gyms when patients are told they need to increase their exercise
  4. disposal of over-size clothing following recommended weight loss
  5. et cetera

Why pick on just one supposedly detrimental product. Consider them all or none

No doubt all of the esteemed professors advocating for inhaler reduction are using the benefits of fossil fuels every day.

Bob
December 28, 2024 3:24 pm

This is laughable. Yet another example of government and academic bureaucrats and administrators thinking they know more than the rest of us. They don’t, climate change and covid have proved conclusively that they don’t. There was a time not long ago that I looked upon government leaders, academics and scientists in awe. Not anymore, they have proven they can be as stupid as any drop out if not more so.

John the Econ
December 29, 2024 7:27 am

I have a Progressive relative on an inhaler. I could tell her she’s destroying the climate by using that thing, but I’m not cruel like a lot of these people.