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These differential health risks also reflect the wider issue of access to global and local “public goods.” disney mickey mouse chicago bears football full over printed shirt Most of the world’s arable land has now been privatised;

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to environmental degradation and the eventual loss of resource bases. David Attenborough described the level of human population on the planet as a multiplier of all other environmental problems. disney mickey mouse chicago bears football full over printed shirt  In 2013, he described humanity as “a plague on the Earth” that needs to be controlled by limiting population growth. Doctors and other health professionals have particular knowledge, opportunity, and, often, political leverage that can help ensure—through advocacy or direct participation—that preventive actions are taken. Actions include promoting public understanding, monitoring and reporting the health effects of environmental change, and proposing and advocating local adaptive responses . The spectrum of potential strategies to reduce health risks is wide, commensurate with the diversity of threats to health posed by climate change and other global environmental changes.

Local policies and actions, both to mitigate environmental change at source and to adapt to existing and unavoidable risks to health, will often need support from health attuned policies at provincial, national, and international levels. For example, community programmes to mosquito-proof houses will need to be reinforced by improvements in the national surveillance of infectious diseases and in outbreak warning systems. ). Global changes result in loss of natural resources. Resolution of these risks therefore requires a different approach from that used for the more familiar challenges presented by time limited and reversible local environmental contamination. The risks to population health from environmental change have far reaching implications for prevention strategies (fig​ . The relation of environmental impoverishment to health risks and inequalities is complex. Environmental degradation impairs health, while health deficits can amplify environmental mismanagement. This causes inequalities in both health endangering exposures and health outcomes.