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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Climate change is not a matter of opinion&#46; The amount of evidence available on the anthropogenic effect on global warming is so overwhelming that denying it is simply absurd&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">A great number of diseases are associated with global warming&#44; ranging from infectious diseases caused by vector spread and outbreaks of gastrointestinal diseases caused by floods to psychiatric diseases and mortality caused by extreme temperatures in cities&#46; The World Health Organization estimates that by 2030 annual mortality attributable to climate change will account for around 250&#44;000 deaths&#44;<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> and there is a broad consensus that action against climate change is probably the greatest health opportunity of the 21st century&#46;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> The European Respiratory Society has produced 2 position statements calling for the involvement of all physicians&#44; especially pulmonologists&#44; in the fight against global warming&#46;<a class="elsevierStyleCrossRefs" href="#bib0020"><span class="elsevierStyleSup">4&#44;5</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">The first green paper measuring the carbon footprint of health systems was published recently&#46; This report&#44; compiled by Health Care Without Harm and ARUP &#40;a company that offers sustainable solutions to industrial problems&#41; highlights the contribution of the healthcare sector to climate change&#46; If all healthcare systems were to come together and form a nation&#44; it would rank fifth worldwide in terms of greenhouse gas emissions&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a> It is paradoxical that the healthcare sector&#44; which is responsible for everyone&#8217;s health&#44; contributes so enormously to the loss of health through global warming&#46; It is clear that the healthcare sector must make a very serious effort to minimize the harm it causes to people through its own emissions&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">The time for raising awareness of climate change has passed&#46; Now we must put in place measures that facilitate a health system that is more sustainable and environmentally friendly&#46; Countries like the United Kingdom have long been in the vanguard of this initiative&#46; An example of this is a very recently published report in which the UK National Health Service commits to delivering a national health system with net zero emissions by 2040&#46;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">7</span></a> Obviously&#44; if we are to achieve a similar goal in Spain&#44; policymakers must change the rules of the game&#46; However&#44; individual&#44; personal and professional action&#44; which can translate into collective action if we all push in the same direction&#44; has a fundamental role to play&#46; For example&#44; the British Thoracic Society has promoted a series of recommendations for all physicians aimed at reducing the release of greenhouse gases from inhalers&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">8</span></a> This is a measure that will have a high impact in the short term&#46; Pressurized inhalers contain hydrofluorocarbon refrigerant gases&#44; greenhouse gases that can be 2500 times more potent than CO<span class="elsevierStyleInf">2</span> in their potential for global warming&#46; In the United Kingdom&#44; this type of inhaler accounts for 70&#37; of all inhalers sold&#46; In Spain&#44; the proportion is approximately 50&#37;&#59; around 14 million devices per year in numerical terms&#46; The same molecules that are delivered in metered dose inhalers &#40;MDI&#41; are available in dry powder inhalers &#40;DPI&#41;&#44; prompting the British Thoracic Society to recommend that&#44; whenever possible&#44; the molecule be prescribed in dry powder&#46; An MDI pollutes 30 times more than an DPI &#40;the equivalent of driving an average of 300&#8239;km compared to 6&#8239;km&#41;&#46; Promoting disease control in order to use less rescue medication&#44; prescribing rescue medication in dry powder instead of MDI&#44; and switching from MDI to DPI while maintaining the same molecules could save more than 180&#44;000&#8239;tons of CO<span class="elsevierStyleInf">2</span> per year &#40;the equivalent of more than 6000 flights from Madrid to London&#41;&#46; These are individual measures that can be translated into tangible CO<span class="elsevierStyleInf">2</span> reductions&#44; and an example of the many measures that can and should be taken&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">Personal action is essential&#44; but scientific societies are also responsible for driving a shift toward more sustainable health care&#46; They must include climate change in their priorities and pass this mindset down to their members&#46; They must put pressure on the authorities to seek solutions to national health system emissions&#46; SEPAR has a historic commitment to health and patient care and continues to spearhead this struggle by developing various initiatives in recent years&#46; Designating 2020&#8211;2021 as the &#8220;SEPAR Year of Air Quality&#46; Climate Change and Health&#8221; was a decision that highlights the relevance and interest that our scientific society attaches to this issue&#46; Throughout the year&#44; we will organize training&#44; education&#44; teaching&#44; research and social outreach activities for the general population and all health professionals to transmit the main messages and improve knowledge and raise awareness of this serious problem&#46; However&#44; our Society on its own will not be able to change the current situation&#59; we must lead all scientific societies in Spain in the fight for real change&#46; This is probably the greatest healthcare challenge of all for the 21st century&#46;</p></span>"
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Editorial
Climate change: SEPAR’s responsibilities
Cambio climático: la responsabilidad de SEPAR
Carlos Cabrera Lópeza,
Corresponding author
ccablopn@gobiernodecanarias.org

Corresponding author.
, Isabel Urrutia Landab, Carlos A. Jiménez-Ruizc
a Servicio de Neumología, Hospital Universitario de Gran Canaria Doctor Negrín, en representación del Comité SEPAR Jóvenes, Las Palmas de Gran Canaria, Las Palmas, Spain
b Unidad de Asma, Servicio de Neumología, Hospital Universitario de Galdakao, Coordinadora del Año SEPAR por la calidad de aire, Cambio climático y salud, Galdakao, Bizkaia, Spain
c Unidad Especializada en Tabaquismo, Hospital Clínico San Carlos, Presidente de SEPAR, Madrid, Spain
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Climate change is not a matter of opinion&#46; The amount of evidence available on the anthropogenic effect on global warming is so overwhelming that denying it is simply absurd&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">A great number of diseases are associated with global warming&#44; ranging from infectious diseases caused by vector spread and outbreaks of gastrointestinal diseases caused by floods to psychiatric diseases and mortality caused by extreme temperatures in cities&#46; The World Health Organization estimates that by 2030 annual mortality attributable to climate change will account for around 250&#44;000 deaths&#44;<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> and there is a broad consensus that action against climate change is probably the greatest health opportunity of the 21st century&#46;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> The European Respiratory Society has produced 2 position statements calling for the involvement of all physicians&#44; especially pulmonologists&#44; in the fight against global warming&#46;<a class="elsevierStyleCrossRefs" href="#bib0020"><span class="elsevierStyleSup">4&#44;5</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">The first green paper measuring the carbon footprint of health systems was published recently&#46; This report&#44; compiled by Health Care Without Harm and ARUP &#40;a company that offers sustainable solutions to industrial problems&#41; highlights the contribution of the healthcare sector to climate change&#46; If all healthcare systems were to come together and form a nation&#44; it would rank fifth worldwide in terms of greenhouse gas emissions&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a> It is paradoxical that the healthcare sector&#44; which is responsible for everyone&#8217;s health&#44; contributes so enormously to the loss of health through global warming&#46; It is clear that the healthcare sector must make a very serious effort to minimize the harm it causes to people through its own emissions&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">The time for raising awareness of climate change has passed&#46; Now we must put in place measures that facilitate a health system that is more sustainable and environmentally friendly&#46; Countries like the United Kingdom have long been in the vanguard of this initiative&#46; An example of this is a very recently published report in which the UK National Health Service commits to delivering a national health system with net zero emissions by 2040&#46;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">7</span></a> Obviously&#44; if we are to achieve a similar goal in Spain&#44; policymakers must change the rules of the game&#46; However&#44; individual&#44; personal and professional action&#44; which can translate into collective action if we all push in the same direction&#44; has a fundamental role to play&#46; For example&#44; the British Thoracic Society has promoted a series of recommendations for all physicians aimed at reducing the release of greenhouse gases from inhalers&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">8</span></a> This is a measure that will have a high impact in the short term&#46; Pressurized inhalers contain hydrofluorocarbon refrigerant gases&#44; greenhouse gases that can be 2500 times more potent than CO<span class="elsevierStyleInf">2</span> in their potential for global warming&#46; In the United Kingdom&#44; this type of inhaler accounts for 70&#37; of all inhalers sold&#46; In Spain&#44; the proportion is approximately 50&#37;&#59; around 14 million devices per year in numerical terms&#46; The same molecules that are delivered in metered dose inhalers &#40;MDI&#41; are available in dry powder inhalers &#40;DPI&#41;&#44; prompting the British Thoracic Society to recommend that&#44; whenever possible&#44; the molecule be prescribed in dry powder&#46; An MDI pollutes 30 times more than an DPI &#40;the equivalent of driving an average of 300&#8239;km compared to 6&#8239;km&#41;&#46; Promoting disease control in order to use less rescue medication&#44; prescribing rescue medication in dry powder instead of MDI&#44; and switching from MDI to DPI while maintaining the same molecules could save more than 180&#44;000&#8239;tons of CO<span class="elsevierStyleInf">2</span> per year &#40;the equivalent of more than 6000 flights from Madrid to London&#41;&#46; These are individual measures that can be translated into tangible CO<span class="elsevierStyleInf">2</span> reductions&#44; and an example of the many measures that can and should be taken&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">Personal action is essential&#44; but scientific societies are also responsible for driving a shift toward more sustainable health care&#46; They must include climate change in their priorities and pass this mindset down to their members&#46; They must put pressure on the authorities to seek solutions to national health system emissions&#46; SEPAR has a historic commitment to health and patient care and continues to spearhead this struggle by developing various initiatives in recent years&#46; Designating 2020&#8211;2021 as the &#8220;SEPAR Year of Air Quality&#46; Climate Change and Health&#8221; was a decision that highlights the relevance and interest that our scientific society attaches to this issue&#46; Throughout the year&#44; we will organize training&#44; education&#44; teaching&#44; research and social outreach activities for the general population and all health professionals to transmit the main messages and improve knowledge and raise awareness of this serious problem&#46; However&#44; our Society on its own will not be able to change the current situation&#59; we must lead all scientific societies in Spain in the fight for real change&#46; This is probably the greatest healthcare challenge of all for the 21st century&#46;</p></span>"
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Article information
ISSN: 15792129
Original language: English
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