Publications by authors named "I Hale"

Purpose: Climate change is now the greatest threat to human survival. The healthcare system contributes significantly to global pollution and greenhouse gas emissions. Individual practitioners play an important role in helping to reduce these impacts in day-to-day practice.

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Article Synopsis
  • Travel to resource-limited areas can increase the risk of infections from multi-drug resistant bacteria like ESBL-PE and CRE, which lead to serious health issues.
  • A study examined the prevalence of these bacteria in British service personnel by analyzing 239 fecal samples and discovered a 16.7% presence of ESBL-PE, but no CRE cases were found.
  • While the rate of ESBL-PE in service personnel is similar to that in civilian populations in England, different genetic variations of the bacteria were observed, highlighting the need for ongoing monitoring to track infection risks.
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Objective: To explore rural physician-community engagement through three case studies in order to understand the role that these relationships can play in increasing community-level resilience to climate change and ecosystem disruption.

Design: Qualitative secondary case study analysis.

Setting: Three Canadian rural communities (BC n = 2, Ontario n = 1).

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Objective: To provide family physicians with prescribing and diagnostic strategies that can reduce carbon emissions associated with inhalers.

Sources Of Information: This review is based on the authors' experience developing the climate-conscious inhaler prescribing playbooks and courses for CASCADES (Creating a Sustainable Canadian Health System in a Climate Crisis). The approach was refined through patient and provider feedback since the first playbook was published in 2021.

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