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Acting on climate change for a healthier future

In 2018, the Declaration of Astana on primary health care renewed the principles established more than 40 years earlier in another Kazakh city, once known as Alma-Ata. Much of the new vision was familiar, with a notable addition: a warning that, without immediate action, “the health impacts of climate change” will continue to end lives prematurely.1 Despite strong and consistent evidence, measures to address the links between climate change, health, and health care have not been proportionate to the urgency and severity of the problem.2 The Canadian public is increasingly concerned about the negative consequences.3 In an address to the 2020 World Health Assembly, the World Health Organization director-general announced that we “cannot afford repeated disasters on the scale of COVID-19 [coronavirus disease 2019], whether they are triggered by the next pandemic, or from mounting environmental damage.”4 To prevent even greater harm from climate change, a renewed focus on primary care values can be a healing shift in practice.