Climate change is a major public health crisis. NEJM and NEJM Group are committed to raising awareness of the effects of climate change on health conditions and medical care systems. A growing collection of articles and other resources is freely available to support physicians and other health care professionals.
New Series — Fossil-Fuel Pollution and Climate Change
NEJM Group publications — NEJM, NEJM Evidence, and NEJM Catalyst — present a new series on fossil fuel–driven health harms and strategies to reduce risk.
Climate Change, Fossil-Fuel Pollution, and Children’s Health
F. Perera and K. Nadeau
Climate change and air pollution, largely caused by the burning of fossil fuels, pose serious harms to children’s health. Children from communities of color and low-income communities are disproportionately harmed.Jun 16
- Review Article Climate Change, Fossil-Fuel Pollution, and Children’s Health F. Perera and K. Nadeau
Communicating Statistics on Climate Change
E. Peters and R.N. Salas
Some foundational behavioral-science principles can enable health professionals to use statistics about the health effects of climate change in ways that inform and promote action.Jul 21
Fossil-Fuel Pollution and Climate Change
C.G. Solomon and Others
The editors announce a new NEJM Group series on climate change and the increasingly urgent health and care delivery challenges we face. Articles will appear in the Journal, in NEJM Evidence, and in NEJM Catalyst Innovations in Care Delivery.Jun 16
- Perspective Communicating Statistics on Climate Change E. Peters and R.N. Salas
Methods for Quantifying, Projecting, and Managing the Health Risks of Climate Change
Health and Clinical Impacts of Air Pollution and Linkages with Climate Change
A. Keswani, H. Akselrod, and S.C. Anenberg
NEJM Resident 360 Discussion: Incorporating Climate Change into the Medical Education CurriculumHealth harms driven by climate change have led to a call for medical schools and residency programs to incorporate climate change into their curricula. Read the thought-provoking comments from students, residents, and educators on how they have been working with their own institutions and learn what you can do to address the challenges of climate crisis.
Listen to some of the discussion panelists talk about their experiences in a Curbside Consults podcast, Climate Change, Health, and Education.
Interactive Perspective: The Climate Crisis — Health and Care Delivery
The consequences of climate change directly affect human health, the practice of medicine, and the stability of health care systems. In this Interactive Perspective by R.N. Salas and C.G. Solomon, clinicians will find climate-related information relevant to their specialty as well as a broader explanation of this public health emergency.
Climate Crisis & Clinical Practice Symposium
Watch the first symposium to bring together the leading health institutions around Greater Boston to tackle the effects of the climate crisis on clinical practice. It was co-hosted by the New England Journal of Medicine, Harvard Global Health Institute, Harvard C-CHANGE, and Harvard Medical School.
View the Climate and Pandemic Resilience in Health Care discussion on NEJM Resident 360.
- PerspectiveVOL. 387 No. 3, Jul 21, 2022
Communicating Statistics on the Health Effects of Climate ChangeN Engl J Med 2022; 387:193-196
Some foundational behavioral-science principles can enable health professionals to use statistics about the health effects of climate change in ways that inform and promote action.
- EditorialVOL. 386 No. 24, Jun 16, 2022
Fossil-Fuel Pollution and Climate Change — A New NEJM Group SeriesN Engl J Med 2022; 386:2328-2329
The editors announce a new NEJM Group series on climate change and the increasingly urgent health and care delivery challenges we face. Articles will appear in the Journal, in NEJM Evidence, and in NEJM Catalyst Innovations in Care Delivery.
- Review ArticleVOL. 386 No. 24, Jun 16, 2022
Climate Change, Fossil-Fuel Pollution, and Children’s HealthN Engl J Med 2022; 386:2303-2314
Climate change and air pollution, largely caused by the burning of fossil fuels, pose serious harms to children’s health. Children from communities of color and low-income communities are disproportionately harmed.
- PerspectiveVOL. 386 No. 24, Jun 16, 2022
Climate Change in the Supreme CourtN Engl J Med 2022; 386:2255-2257
The U.S. Supreme Court’s reasoning in two Covid-19 cases threatens the power of Congress to legislate against risks in advance. Now, West Virginia v. EPA could have broad implications for protecting public health.
- PerspectiveVOL. 386 No. 14, Apr 07, 2022
After COP26 — Putting Health and Equity at the Center of the Climate MovementN Engl J Med 2022; 386:1295-1297
The Department of Health and Human Services has made commitments to climate-change resilience in U.S. communities and decarbonization in our health systems, but myriad public and private organizations will have to be mobilized to achieve these goals.
- PerspectiveVOL. 385 No. 23, Dec 02, 2021
Decarbonizing the U.S. Health Sector — A Call to ActionN Engl J Med 2021; 385:2117-2119
Progress in four areas of the health sector is essential for decarbonizing and responding to climate change: the supply chain, care delivery, professional education, and policy, financing, and metrics. A public–private Action Collaborative is taking on the challenge.
- Review ArticleVOL. 385 No. 20, Nov 11, 2021
Pollution and the HeartN Engl J Med 2021; 385:1881-1892
Environmental pollution is a cardiovascular risk factor. The Global Burden of Disease study estimated that pollution caused 9 million deaths in 2019, of which more than 60% were due to cardiovascular disease. Transitioning to renewable energy sources may reduce such deaths. This review summarizes the current evidence, and an interactive...
- EditorialVOL. 385 No. 12, Sep 16, 2021
Call for Emergency Action to Limit Global Temperature Increases, Restore Biodiversity, and Protect HealthN Engl J Med 2021; 385:1134-1137
A joint editorial published simultaneously in biomedical journals across the globe calls for swift and decisive action, noting that only fundamental and equitable changes to societies worldwide will reverse our current trajectory.
- PerspectiveVOL. 385 No. 11, Sep 09, 2021
Environmental Racism and Climate Change — Missed DiagnosesN Engl J Med 2021; 385:967-969
A subtype of structural racism, environmental racism includes the use of racist practices in determining which communities receive health-protective, and which health-harming, infrastructure. What can physicians do about this underlying and often missed diagnosis?
- Special ReportVOL. 383 No. 22, Nov 26, 2020
Wildfires, Global Climate Change, and Human HealthN Engl J Med 2020; 383:2173-2181
Wildfires are increasingly common and projected to worsen with climate change. Health consequences include burns and mental health effects, as well as risks from air pollutants in smoke. Cutting carbon emissions to limit the global temperature increase to 2.0°C or 1.5°C above the preindustrial level would markedly reduce wildfire risks.
- PerspectiveVOL. 383 No. 11, Sep 10, 2020
The Climate Crisis and Covid-19 — A Major Threat to the Pandemic ResponseN Engl J Med 2020; 383:e70
Understanding the challenges posed by the conjunction of the rapidly emerging Covid-19 pandemic and the insidiously evolving climate crisis is essential if we are to devise effective and equitable strategies to protect and improve health in the United States.
- Sounding BoardVOL. 383 No. 7, Aug 13, 2020
The Need for a Tighter Particulate-Matter Air-Quality StandardN Engl J Med 2020; 383:680-683
Members of the former (dismissed) EPA Particulate Matter Review Panel argue that current air-quality standards for fine particles (<2.5 μm in diameter) are insufficient and that the EPA-proposed plan to retain them will result in tens of thousands of premature deaths annually....
- PerspectiveVOL. 382 No. 21, May 21, 2020
Leadership for the Social ClimateN Engl J Med 2020; 382:1975-1977
Our ability to implement the necessary responses to adapt to or mitigate climate and ecologic change, endure its consequences, and turn ambitious policy into results will depend on the social and emotional resilience and involvement of people and communities.
- PerspectiveVOL. 382 No. 7, Feb 13, 2020
The Climate Crisis and Clinical PracticeN Engl J Med 2020; 382:589-591
The full health implications of the climate crisis may be more immense and insidious than we have imagined. Although dedicated climate and health research is needed, this gap can be addressed more rapidly by adding a climate-change lens to existing lines of research.
- PerspectiveVOL. 382 No. 3, Jan 16, 2020
History of Medicine: Sounding the Alarm on Climate Change, 1989 and 2019N Engl J Med 2020; 382:205-207
As the climate crisis continues to unfold, the story of physician Alexander Leaf, who devoted his attention first to the nuclear threat and then to planetary health, offers much-needed inspiration for physician-activists.
- PerspectiveVOL. 382 No. 2, Jan 09, 2020
The False Promise of Natural GasN Engl J Med 2020; 382:104-107
Natural gas has been hailed as a clean “transition” fuel — a bridge from the coal and oil of the past to the clean energy sources of the future. But gas is associated with health hazards and reduced social welfare and poses grave dangers to the global climate.
- PerspectiveVOL. 382 No. 1, Jan 02, 2020
Double Environmental Injustice — Climate Change, Hurricane Dorian, and the BahamasN Engl J Med 2020; 382:1-3
The escalating effects of hurricanes on population health represent a double environmental injustice: disadvantaged populations sustain disproportionate harm, and those most vulnerable to hurricanes contribute little to the climate change that is exacerbating them.
- PerspectiveVOL. 381 No. 23, Dec 05, 2019
Health and High WaterN Engl J Med 2019; 381:2196-2197
Under the strange gravity of the Anthropocene era, clinical medicine has begun to feel a bit weightless. What does it mean to engage with individual distress inside a hospital while bearing witness to cataclysmic distress outside it?
- PerspectiveVOL. 381 No. 23, Dec 05, 2019
Bracing for the Worst — Range Expansion of the Lone Star Tick in the Northeastern United StatesN Engl J Med 2019; 381:2189-2192
Increasing population densities and subsequent range expansion, in conjunction with nondiscriminating biting habits and the capacity to transmit diverse pathogens, position the lone star tick as an important emerging health threat.
- PerspectiveVOL. 381 No. 21, Nov 21, 2019
Eastern Equine Encephalitis Virus — Another Emergent Arbovirus in the United StatesN Engl J Med 2019; 381:1989-1992
In the summer and fall of 2019, nine U.S. states reported 36 human cases (14 of them fatal) of EEE, an arthropod-borne viral (arboviral) disease transmitted by mosquitoes. The outbreak may be a harbinger of a new era of arboviral emergences.