Environmental health: an educational need for Peruvian physicians
DOI:
https://doi.org/10.31053/1853.0605.v79.n4.35406Keywords:
environmental health, medical education, curriculum, climate changeAbstract
Introduction: The implementation of courses related to environmental health in undergraduate curricula favors the formation of physicians more committed to the impact of climate change on health. The aim of the study was to identify the prevalence of environmental health courses in Peruvian medical schools, as well as their comparison with air quality levels for each region of the country.
Methods: A descriptive study was carried out. We searched the web page of the National Superintendence of University Higher Education (SUNEDU) of Peru and selected those universities with registered human medicine faculties. We analyzed whether they included in their curriculum a course related to environmental medicine and compared it with the levels of air quality (particulate matter) for each region.
Results: Of 41 medical schools included, 26 (63.4%) of them included a course related to environmental health in their curriculum, and 2 (7.7%) of them included it as an optional course. Of the regions with a moderate/bad air quality index, 63% have medical schools with lecture courses on environmental medicine.
Conclusions: It is necessary to standardize its methodology, contents and teaching resources, as well as the study of relevant topics such as climate change, in addition to its integration with the other courses of the medical career given the importance of environmental health in the different regions of Peru.
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References
1. World Health Organization (WHO). WHO calls for urgent action to protect health from climate change – Sign the call. Disponible en: https://www.who.int/news/item/06-10-2015-who-calls-for-urgent-action-to-protect-health-from-climate-change-sign-the-call
2. Prüss-Üstün A, Wolf J, Corvalán CF, Bos R, Neira MP. Preventing disease through healthy environments: a global assessment of the burden of disease from environmental risks. World Health Organization. 2016. Disponible en: https://apps.who.int/iris/handle/10665/204585.
3. World Health Organization (WHO). Climate change and health. Disponible en: https://www.who.int/news-room/fact-sheets/detail/climate-change-and-health
4. Ordóñez GA. Salud ambiental: conceptos y actividades. Rev Panam Salud Publica. 2000;7:137-47.
5. Watts N, Amann M, Arnell N, Ayeb-Karlsson S, Beagley J, Belesova K, Boykoff M, Byass P, Cai W, Campbell-Lendrum D, Capstick S, Chambers J, Coleman S, Dalin C, Daly M, Dasandi N, Dasgupta S, Davies M, Di Napoli C, Dominguez-Salas P, Drummond P, Dubrow R, Ebi KL, Eckelman M, Ekins P, Escobar LE, Georgeson L, Golder S, Grace D, Graham H, Haggar P, Hamilton I, Hartinger S, Hess J, Hsu SC, Hughes N, Jankin Mikhaylov S, Jimenez MP, Kelman I, Kennard H, Kiesewetter G, Kinney PL, Kjellstrom T, Kniveton D, Lampard P, Lemke B, Liu Y, Liu Z, Lott M, Lowe R, Martinez-Urtaza J, Maslin M, McAllister L, McGushin A, McMichael C, Milner J, Moradi-Lakeh M, Morrissey K, Munzert S, Murray KA, Neville T, Nilsson M, Sewe MO, Oreszczyn T, Otto M, Owfi F, Pearman O, Pencheon D, Quinn R, Rabbaniha M, Robinson E, Rocklöv J, Romanello M, Semenza JC, Sherman J, Shi L, Springmann M, Tabatabaei M, Taylor J, Triñanes J, Shumake-Guillemot J, Vu B, Wilkinson P, Winning M, Gong P, Montgomery H, Costello A. The 2020 report of The Lancet Countdown on health and climate change: responding to converging crises. Lancet. 2021 Jan 9;397(10269):129-170. doi: 10.1016/S0140-6736(20)32290-X. Epub 2020 Dec 2. Erratum in: Lancet. 2020 Dec 14
6. Rojas-Rueda D, Nieuwenhuijsen MJ, Gascon M, Perez-Leon D, Mudu P. Green spaces and mortality: a systematic review and meta-analysis of cohort studies. Lancet Planet Health. 2019 Nov;3(11):e469-e477. doi: 10.1016/S2542-5196(19)30215-3. Erratum in: Lancet Planet Health. 2021 Aug;5(8):e504.
7. Ivanova D, Barrett J, Wiedenhofer D, Macura B, Callaghan M, Creutzig F. Quantifying the potential for climate change mitigation of consumption options. Environ Res Lett. 2020;15(9):093001.
8. Wellbery C, Sheffield P, Timmireddy K, Sarfaty M, Teherani A, Fallar R. It’s Time for Medical Schools to Introduce Climate Change Into Their Curricula. Acad Med. 2018;93(12):1774-7. doi: 10.1097/ACM.0000000000002368.
9. Shea B, Knowlton K, Shaman J. Assessment of Climate-Health Curricula at International Health Professions Schools. JAMA Netw Open. 2020;3(5):e206609. doi: 10.1001/jamanetworkopen.2020.6609.
10. Wellbery C, Sheffield P, Timmireddy K, Sarfaty M, Teherani A, Fallar R. It’s Time for Medical Schools to Introduce Climate Change Into Their Curricula. Acad Med. 2018;93(12):1774-7. doi: 10.1097/ACM.0000000000002368.
11. Kligler B, Pinto Zipp G, Rocchetti C, Secic M, Ihde ES. The impact of integrating environmental health into medical school curricula: a survey-based study. BMC Med Educ. 2021;21(1):40. doi: 10.1186/s12909-020-02458-x.
12. Glouberman S, Millar J. Evolution of the determinants of health, health policy, and health information systems in Canada. Am J Public Health. 2003 Mar;93(3):388-92. doi: 10.2105/ajph.93.3.388.
13. Ministerio del ambiente del Perú. Informe Nacional de la calidad del aire 2013-2014. Disponible en: https://www.minam.gob.pe/wp-content/uploads/2016/07/Informe-Nacional-de-Calidad-del-Aire-2013-2014.pdf
14. Palmeiro-Silva YK, Ferrada MT, Flores JR, Cruz ISS. Climate change and environmental health in undergraduate health degrees in Latin America. Rev Saude Publica. 2021;55:17.
15. Omrani OE, Dafallah A, Paniello Castillo B, Amaro BQRC, Taneja S, Amzil M, Sajib MRU, Ezzine T. Envisioning planetary health in every medical curriculum: An international medical student organization's perspective. Med Teach. 2020 Oct;42(10):1107-1111. doi: 10.1080/0142159X.2020.1796949.
16. World Health Organization (WHO). WHO global strategy on health, environment and climate change. 2020. Available at: https://www.who.int/publications/i/item/9789240000377
17. Gehle KS, Crawford JL, Hatcher MT. Integrating Environmental Health Into Medical Education. Am J Prev Med. 2011;41(4):S296-301.
18. Rabin BM, Laney EB, Philipsborn RP. The Unique Role of Medical Students in Catalyzing Climate Change Education. J Med Educ Curric Dev. 2020;7:2382120520957653. doi: 10.1177/2382120520957653
19. Walpole SC, Barna S, Richardson J, Rother H-A. Sustainable healthcare education: integrating planetary health into clinical education. Lancet Planet Health. 2019;3(1):e6-7. doi: 10.1016/S2542-5196(18)30246-8.
20. Goshua A, Gomez J, Erny B, Burke M, Luby S, Sokolow S, LaBeaud AD, Auerbach P, Gisondi MA, Nadeau K. Addressing Climate Change and Its Effects on Human Health: A Call to Action for Medical Schools. Acad Med. 2021 Mar 1;96(3):324-328. doi: 10.1097/ACM.0000000000003861.
21. Jaramillo-Antillón J. Ecología -Salud y enfermedad. Acta Méd. Costarric. 2010;52(1):43-8. Disponible en: http://www.scielo.sa.cr/scielo.php?script=sci_arttext&pid=S0001-60022010000100011&lng=en
22. Mantilla GC, Li C. Climate Change and Health Education at Medical Schools in Colombia. Rev Salud Ambient. 2019;19(2):116-24.
23. Ministerio del ambiente del Perú, Ministerio de educación del Perú. Política Nacional de Educación Ambiental 2016-2021 (PNEA). 2012. Disponible en: http://www.minedu.gob.pe/educacion-ambiental/pdf/politica_nacional_educacion_ambiental_amigable_11.pdf
24. Arya R, Antonisamy B, Kumar S. Sample size estimation in prevalence studies. Indian J Pediatr. 2012;79(11):1482-8. doi: 10.1007/s12098-012-0763-3
25. Harden RM. Ten key features of the future medical school—not an impossible dream. Med Teach. 2018;40(10):1010-5. doi: 10.1080/0142159X.2018.1498613.
26. Instituto de Hidrología, Meteorología y Estudios Ambientales. Informe del estado de la calidad del aire en Colombia. 2020;138. Disponible en: http://documentacion.ideam.gov.co/openbiblio/bvirtual/023898/InformeCalidadAire_2019.pdf
27. World Health Organization. WHO global air quality guidelines: particulate matter (PM2.5 and PM10), ozone, nitrogen dioxide, sulfur dioxide and carbon monoxide [Internet]. Geneva: World Health Organization. 2021. Disponible en: https://apps.who.int/iris/handle/10665/345329
28. Romero Placeres M, Diego Olite F, Álvarez Toste M. La contaminación del aire: su repercusión como problema de salud. Revista Cubana de Higiene y Epidemiología. 2006;44(2):0-0.
29. Copat C, Cristaldi A, Fiore M, Grasso A, Zuccarello P, Signorelli SS, Conti GO, Ferrante M. The role of air pollution (PM and NO2) in COVID-19 spread and lethality: A systematic review. Environ Res. 2020 Dec;191:110129. doi: 10.1016/j.envres.2020.110129.
30. Dykstra MP, Baitchman EJ. A Call for One Health in Medical Education: How the COVID-19 Pandemic Underscores the Need to Integrate Human, Animal, and Environmental Health. Acad Med. 2021;96(7):951-953. doi: 10.1097/ACM.0000000000004072.
31. Cabrera IR, Tomey AV, Izquierdo NV, Ballester GO. Necesidad de una formación ambiental en la carrera de medicina. Educ Med Super. 2020;34(4).
32. Sánchez Zavaleta CA. Evolución del concepto de cambio climático y su impacto en la salud pública del Perú. Rev Peru Med Exp Salud Publica. 2016;33(1):128-38. doi: 10.17843/rpmesp.2016.331.2014.
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