From Angst to Action: Talking about Climate Change and Health
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Climate communication training for health professionals.
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From Angst to Action: Talking about Climate Change and Health
- 1. FROM ANGST TO ACTION Talking about Climate Change and Health
- 2. HEALTH IS WHAT MAKES PEOPLE CARE ABOUT CLIMATE CHANGE (WHO 2007)
- 3. CENTER FOR CLIMATE COMMUNICATION George Mason University 6 GROUPS Alarmed Concerned Cautious Disengaged Doubtful Dismissive
- 4. Response to Public Health Frame “Climate change will make us sick” Maibach BMC Public Health 2010 10-299
- 5. Health Co-BenefitsFrame “Climate action will make us healthier” Maibach BMC Public Health 2010 10-299
- 6. Maibach BMC Public Health 2010 10-299 Health Frame Induces Hope
- 7. GALLUP POLL 2013 HONESTY AND ETHICS BY PROFESSION Highest Lowest Nurses Pharmacists Teachers Doctors Military Officers Police Clergy Lawyers TV Reporters Advertising Agents State Office Holders Car Salespeople Congresspeople Lobbyists
- 8. AMERICA'S CLIMATE CONVERSATION WHERE are we? WHO should we be talking to? WHAT should we be talking about?
- 9. THE SCIENCE: Only One Path IPCC Assessment Report 5, 2014
- 10. US ROLE: 50% by 2030
- 11. 59% support ending fossil fuel subsidies 80% ( 75% of Republicans) support expanding clean energy 68% support energy portfolio standards 63% (57% of Republicans) support programs to decrease car use 67% support EPA regulating CO2 60% support cap and trade with revenues going to clean energy US PUBLIC OPINION
- 12. Krosnick, 2013 Stanford 61-76% support action even if its unilateral
- 13. 83% support action even if it affects the economy
- 14. 62% support action even if it raises my utility bills
- 15. MAJORITY OF AMERICANS WANT CLIMATE ACTION
- 16. Low confidence in ability to convince politicians to act. 57% Congress 45% President 41% governor
- 17. Low confidence in their fellow human beings Can and will 6% Could but won't 22% Can't 22% Unsure 50%
- 18. 30% still willing to engage politically to act on efficiency and clean energy: 36% to act on global warming: 29%
- 19. Willing to vote climate 2.5x more likely to vote for candidate who supports 3x more likely to vote against candidate who opposes climate action
- 20. HOW do we communicate effectively and get people to ACT?
- 21. HOW PEOPLE THINK
- 22. www.isthishowyoufeel.weebly.com Frustrated Betrayed Depressed Guilty Angry Sorry Helpless Nervous Glimmer of hope Anxious Apathetic Despair Worried Optimistic Perplexed Dumbfounded Distressed Exasperated
- 23. I DON'T CARE "I'm sick and tired of hearing about..." "I don't want to hear (or think) about this, because it makes me feel..."
- 24. TWO PROCESSING MODES Analytic Experiential Logical, abstract, deliberative, Learned, slow Intuitive, concrete, immediate, Visual, emotional
- 25. Hardwired Responses to Danger
- 28. ALL THINGS NOT BEING EQUAL
- 29. Not enough is being done and we're all going to fry if we don't change. We are already making progress on the path to sustainability.
- 31. PARADOX 80% of Americans believe that the US has a responsibility to respond to climate change. 70% rarely or never discuss climate change with friends or family.
- 32. Why?
- 33. REASON STRATEGY Denial Finite pool of worry Individualism Single action bias EMOTIONS SOLUTIONS SOLUTIONS POLICY, SOLUTIONS, Health Benefits POLICY, SOLUTIONS
- 34. REASON STRATEGY Spiral of silence Lack of confidence Learned helplessness Fear of change and loss MAJORITY MASTERY MORAL ARGUMENT, FAKE IT till you make it Return to familiar past SOLUTIONS as LOSS PREVENTION
- 35. HOW DO WE GET PEOPLE TO ACT? Drawing from our clinical experience
- 36. SOLUTIONS-BASED EDUCATION What is the problem and how urgent is it? What are the solutions? Will they work? Will we gain or lose? How do we get there from here? What can I do (and how do I do it)?
- 37. The Problem
- 38. Carbon is the basic building block of life CHOCOLATE BUTTER ALCOHOLSTARCH
- 40. used to be alive + = energy & carbon dioxide (CO2)
- 41. SHORT CARBON CYCLE a generation or less
- 42. LONG CARBON CYCLE millions of years
- 45. Or redefine the problem
- 46. Solutions
- 47. THE TARGET Emissions in half by 2030 Zero by 2050
- 48. THE POWER OF STORIES Jeffery Thompson MD Gundersen Lutheran Health System LaCrosse, WI
- 49. Sam Moody Atlanta, GA
- 50. CARMAGEDDON Los Angeles, CA Ultrafine Particulates down 83 % PM2.5 down 36 percent ER Visits UCLA decreased 23% ER Visits Mt Sinai decreased 13% 911 calls decreased 12%
- 51. Steve Goff, Lancaster County, PA
- 52. Clean Energy
- 53. 100% Clean by 2050 is possible thesolutionsproject.org
- 54. Cost savings from prevented premature mortality
- 57. VEHICLES
- 58. Transportation
- 59. Walkable and Transit Oriented Communities are Healthier Lower Rates of Diabetes Obesity CVD Lower BP Fewer MVA Deaths 3 year longer life expectancy Economic benefits
- 60. Per Capita Annual Health Savings from Rapid Transit and TOD Average Urban Transit High Quality Urban Rail or Rapid Bus Transit Oriented Development
- 61. 10,000 colon cancers 215,000 heart attacks 32,000 MVA fatalities PREVENTED 570,000 new diabetes cases each year ANNUAL SAVINGS SF BAY AREA Maizlish, N. Am J Public Health. 1.4-22 BILLION DOLLARS PER YEAR 2013 Apr;103(4):703-9.
- 62. Agriculture
- 63. SUSTAINABLE AGRICULTURE Equally productive Sequesters carbon in soil Uses less fertilizer (Nox = 400 x CO2) Better food access, security, and safety
- 64. ADVISE SUBSIDIZE Meat, Dairy 63% Grains 20% Sugar, Oil, Alcohol 15% Nuts, Legumes 2% Fruits, Vegetables 1%Fruits and Vegetables <1%
- 65. PROSPECTIVE STUDIES Mediterranean Diet 14% lower risk asthma (Nagel, 2010) 80% lower risk DM (Martinez-Gonzales, 2008) 24% lower risk cancer (Benetou, 2008) 31% lower CVD mortality (Sofi, 2008) 22% lower cancer mortality (Sofi, 2008)
- 66. INTERVENTION STUDIES Mediterranean Diet 60% decrease cardiac events (Ornish, 1998) 70% decrease CVD mortality (DeLogeri, 1994) 35- 48% decrease in metabolic syndrome (Esposito, 2004, Azadhbakt, 2005)
- 67. GETTING THE MESSAGE ACROSS
- 68. US should act on climate change even if it costs jobs and slows economic growth US has a responsiblility to take steps to deal with climate change Our government is not doing enough to deal with climate change US should be willing to decrease GHGs if other countries sign a Copenhagen type agreement MAJORITY OF RED & BLUE DISTRICTS AGREE July 2014 Program for Public Consultation
- 69. Increase fuel economy even if it increases cost of vehicles Decrease subsidies for private transportation Increase funds for clean energy and efficiency research EPA should regulate power plant emissions Substantial aid for low carbon growth in developing countries
- 70. WORDS
- 71. ENVIRONMENTAL PRIORITIES AIR, WATER, AND SOIL POLLUTION 29% CLEAN ENERGY 29% GLOBAL WARMING 25% DROUGHT/ WATER SHORTAGES 23% WILDERNESS AREAS 11% ENDANGERED SPECIES 4%
- 72. CHOOSING WORDS Climate Change Environment Mitigation Emissions Positive feedback Celsius Greenhouse gases Carbon tax, cap & trade Renewable energy Sea level rise, melting glaciers, increased T Fuel economy Global Warming Air we breath, water we drink etc Stabilizing climate Pollution Vicious cycle Farenheit Pollution Make polluters pay Clean energy Flooding, storms, wildfires, heat waves Use less gas
- 73. VALUES START FROM COMMON GROUND RESPONSIBILITY 1) We owe it to our kids and future generations 2) Its important to respect and take care of the planet 3) We should prevent human harm and suffering DEMOCRACY 1) Its time to break Big Oil's stranglehold on Washington PATRIOTISM 1) Americans have the ingenuity and resourcefulness to tackle this problem
- 76. LEVEL THE PLAYING FIELD MAKE BIG POLLUTERS PAY STOP PUBLIC SUBSIDIES
- 77. Fruits and Vegetables prevent chronic disease and multi-morbidity Ruel, Clinical Nutrition Volume 33, Issue 3, Pages 513–520, June 2014
- 78. Mediterranean Diet Prevents Heart Disease and Diabetes
- 79. POLICIES FOR HEALTHY FOOD AND FARMS Subsidize fruits and vegetables Reward good stewardship Crop diversity Natural fertilizer Crop rotation Conservation set asides Donate excess food Harvest energy from waste
- 80. WHAT WORKS FOR HEALTHY FOOD AND FARMS? Subsidize fruits and vegetables Reward good soil stewardship Harvest energy from waste
- 81. Evidence based federal food guidelines For home And school
- 82. Decrease in O3 and PM 2.5 with 3 Climate Policy Options Clean Electricity Std Transportation Carbon Tax T Thompson, Nature Climate Change (July 2014)
- 83. 20,000 Heart Attacks PREVENTED 200,000 Deaths each year SAVED: OVER 100 BILLION DOLLARS PER YEAR EPA 2013
- 84. Ozono irrita los pulmones Make it personal
- 85. DIOXINS and Wildfires Smoke from Idaho Fires 2013
- 86. Make it local Shellfish Closures, coastal WA
- 87. College football field to farm : Texas
- 88. Heat lowers crop yields: Iowa
- 89. Fish you can't feed your kids: CA
- 90. Duluth, MN 2012 New Jersey 2012
- 91. BLUE GREEN ALGAE BLOOMS Spring Lake, Santa Rosa
- 94. Tailor your talk to fit your listeners
- 95. CONNECTING WITH YOUR AUDIENCE
- 96. INTRODUCE YOURSELF Summarize your professional and life experience Personal story about what spurred you to act on climate Personal values which motivate you to keep working on this
- 98. HUMOR
- 99. 300,000 Heart Attacks/Strokes PREVENTED 260,000 New Diabetes Cases 127,000 CVD Deaths each year 144,000 Cancer Deaths
- 100. INDUSTRIAL AGRICULTURE AND GLOBAL WARMING METHANE POLLUTION (70 x warming power of CO2 )
- 101. ACTION Explicit instructions (what, how) Make a Plan (trigger, visualize, practice) (who, where, when) Act as a Group (identity, efficacy) Accountability (followup)
- 102. Case One PARTICIPATION 9 year old athlete turns into couch potato
- 103. 20 Years Ago Coffee (with whole milk and sugar) Today Mocha Coffee 45 calories 8 ounces ?
- 104. TOP 10 CAUSES OF DEATH IN US RENAL LRI SUICIDE HEART DISEASE CANCER ASTHMA/COPD STROKE UNINTENTIONAL INJURY ALZHEIMERS DIABETES RENAL DISEASE LOWER RESP. INFECTION SUICIDE
- 105. Which 5 US cities have the worst air in the country?
- 106. THE POWER OF GROUPS
- 107. EXPLAINING POLICY vs CONSUMERISM
- 108. THINK GLOBALLY, NOT NIMBY-ly AMAZON DEFORESTATION CHINA EMISSIONS
- 109. US role in global context
- 110. THE MESSAGE Climate change is here now. We feel fear, anger, guilt and grief too, but there is hope. Our common values require us to act. Solutions exist, here's what they are: They are technically and economically within reach. They will make our future healthier. We need to change policies, not individuals. We are already partway there.
- 111. THE MESSENGER Ignore the deniers. Mobilize the majority. Hope is good, fear is bad. Talk about people and pollution and solutions. Start where people are and build bridges. Use humor. Tell stories. Show pictures. Invite participation. Groups promote learning and doing . Ask for action with clear instructions and a plan.
- 112. “ In order for climate science information to be fully absorbed by audiences, it must be actively communicated with appropriate language, metaphor, and analogy; combined with narrative storytelling; made vivid through visual imagery and experiential scenarios; balanced with scientific information; and delivered by trusted messengers in group settings.” Center for Research on Environmental Decisions
- 113. HEALTHY PEOPLE = HEALTHY PLANET www.climate911.org
Notes de l'éditeur
- Why health?
- The health frame ( climate change is making us sick) brings climate change up close and personalt, engages the disengaged.
- The healthy solutions frame (climate policy will make us healthier than we are now) works even better.
- Hope is prerequisite of efficacy Hope for good health is some thing we all have in common. Even climate deniers can support actions which improve health. ACTION ESSENTIAL, IDEOLOGY OPTIONAL
- WHY US? We are trusted messengers
- WE HAVE TO REALIZE THAT WE HAVE BEEN EFFECTIVE AND THE CONVERSATION IS AT A DIFFERENT POINT THAN 2 YEARS AGO. DON&apos;T WANT TO WASTE OUR TIME REPEATING THINGS THAT PEOPLE ALREADY KNOW OR FOCUSING OUR EFFORTS ON THE WRONG PEOPLE
- Gallup, ABC, NBC, LWV, Bloomburg polls 6/14 corroborate continuedsupport for EPA regs and &quot;Nearly 90 percent of Americans favor government action to address climate change, (Resources for the Future/Stanford University poll conducted by SSRS, June 13, 2014].
- 22 %) of our respondents believed that society could reduce global warming, but won’t because people are unwilling to change their behavior. Half said it’s unclear what society will do, while only six percent said society can and will.
- Its not logical
- Not very well when we are having or avoiding strong negative feelings. Psychic numbing -collective withdrawal in the face of an overwhelming threat. nuclear denial disorder: &quot;an apathetic business-as-usual attitude toward the threat of nuclear annihilation&quot; .
- Joanna Macy- Gratitude, Honoring our pain in the world, before we can see with new eyes
- Also called cool and hot, know and go. HEAD- logical, abstract, learning, slow deliberative GUT/HEART- Historically this is the one which has evolved for survival situations. intuitive immediate, emotional, concrete, visual. We form our conceptions of the future and respond to threats based on our past experiences. If we are facing a novel situation, we don&apos;t have a model. Slow onset emergency doesn&apos;t evoke a gut type reaction.
- Emotion, but not too much. Interest, worry, hope are associated with support of climate policies. Fear, anger and helplessness are not. Thoughts on how this info might change our communication style
- Static (conservative) and dynamic (liberal) thinking. Static wants things to stay the way they are. May have difficulty conceiving of the present not being an option in the future.. Have larger amygdala. Decision making is more emotional Dynamic ( liberals) are more responsive to informational complexity, ambiguity and novelty. anterior cingulate activity, suggesting greater neurocognitive sensitivity to cues for altering a habitual response pattern. Arguments for Statics: It is already working
- Hyperbolic discounting-$1 today is better than $5 in a month. PRESENT MORE IMPORTANT THAN FUTURE. How far ahead is the future meaningful to you? Loss aversion AVOIDING LOSS MORE IMPORTANT THAN GAIN 2100 has no meaning 2030 does Future dystopia not motivating
- We&apos;re facing a paradox and are at risk of projecting our frustration onto others. To awaken the silent majority, we need to understand why they arethat way. Many of us are frustrated at the silence and inaction of our fellow citizens but anger and exclusivity won&apos;t help. We need to be curious about why.
- Denier vs Denial First you have to know why. Approach with a spirit of curiousity, not judgement. Story about promotora and “noncompliant patient” with different colored pills He didn&apos;t have the information he needed
- Don&apos;t know if solution is possible.Finite pool of worry Don&apos;t feel informed enough to speak Learned Helplessness 1) lack of control 2) repetition Start by admitting to negative emotions
- Story of How to Adjust your Insulin in 3 Easy Steps. What did this work? (discussion) People have to understand the problem and know how solutions work. START FROM WHERE THEY ARE BUILD ON WHAT THEY KNOW Provide a familiar framework Success is empowering
- There can&apos;t be problem people and policy people. We have to learn about and speak to policy, especially its health benefits. Explicit instructions Imagine doing it with one person or taking first step
- Short carbon cycle is the one we see around us. Its everything you see in Bambi: birth, death, growth and decay. If the forest burns, it will grow back in a generation or less.
- Long carbon cycle takes place over a geologic time frame. The carbon in plants and sea creatures gets buried deep in the ground and millions of years of accumulated weight compresses it.
- When we bring this compressed concentrated carbon aboveground and burn it, the energy released is like Bambi meets Godzilla.
- The short carbon cycle can only take up half the carbon we release and its essentially saturated. Every day that we burn fossil fuel the other half of the CO2 enters the oceans and the atmosphere and is added to the CO2 from yesterday, the day before, all the way back to the start of the industrial revolution. This thick blanket of CO2 surrounds the earth trapping the heat of the sun. It will take hundreds of thousands, perhaps millions of years for the slow cycle to put that carbon back underground again.
- Geoffrey Thompson is a neonatalogist and the CEO of Gundersen Lutheran Health System, a nonprofit healthcare network with 4 hospitals and 75 clinics serving patients in Iowa, Wisconsin, and Minnesota.. Hospitals are among the most energy intensive buildings in the US and back in 2007 Gundersen had to raise patient bills due to energy costs rising by $350,000 per year. “We asked ourselves, &quot;Why are we here?&quot; To improve the health and well-being of patients and our communities and if we&apos;re going to do that, we need to stop causing harm., and part of the community&apos;s need is that we keep the cost of health care down. So, we said we&apos;re going to decrease our impact on the environment and lower the cost of health care at the same time”. .
- Meet Sam Moody a car insurance executive who gave up his car and lost 70lb in the process. Here is his story: I was sitting in line at the gas station during the “gas shortage” , turning my car off and on for 45 minutes waiting to pay over $3 a gallon. That is when I realized that I needed to find a better solution. My employer offers the Commuter Choice Tax Benefit, so I got $180/mo tax free to cover the cost of taking public transit. Walking 2 miles each day to the station helped with the weight loss. I started eating better due to the fact I was no longer passing fast food restaurants on my way home; luckily the train doesn&apos;t stop at Wendy’s. I eventually sold my car and haven&apos;t driven to work in over a year.” Sam got healthy and lost 70 lb commuting with public transit.
- JULY 2011, A 10 mile stretch of the 405 freeway, normally traversed by 300,000 cars a day closed for 36 hours for repairs. Traffic north and south of the shutdown dropped 60-70% and traffic on alternate routes dropped 30-40% . Regional air quality improved within minutes for a radius of 100 miles.
- STEVE GROFF grows veg on 200 acres in PA. 20 years ago was losing 14 tons of topsoil per year. Switched to sustainable methods and soil stability quadrupled with a 70% increase in organic content and his crop yields increased 10%. GO FROM PERSON
- US is endowed with wind and solar potential many times greater than our current use of electricity We can get up to 80% of energy from clean renewables with existing technology Costs are coming down and in some states are competitive. When social cost is taken into account all clean is competitive. Feasible to be 50% by 2030 and 100% by 2050
- We&apos;d save more than we&apos;d spend
- Health savings from transit: $ 500/ yr with TOD, economic development 100:1
- Here you can see the relative dollar value of clean air, exercise, and fewer car accidents. The health savings estimates I&apos;ve been talking about until now were based solely on air quality. We&apos;d save 3 times as much from increased walking and 17 times more from the decrease in fatal crashes.
- TO SOLUTION
- FIRST WE&apos;D HAVE TO PUT OUR MONEY WHERE OUR MOUTH IS. If you look at what we reward farmers for doing, you can see that we get what we pay for. We spend 63% of farm subsidies on what is supposed to fill less than a quarter of our plate and &lt;1% on foods that should fill half of it. If we pay for what we want to get, the prices and buying and eating will change.
- Look at how much a med diet would decrease some of those top 10 causes. According to UCS, If Americans ate just one more serving of fruits or vegetables per day, this would save more than 30,000 lives/ yr. If Americans were to follow current USDA recommendations for daily consumption of fruits and vegetables, those numbers would go up to more than 127,000 lives and $17 billion saved
- Even if you already have a chronic disease, its not too late Vegetables and fruit can save you. We don&apos;t have a drug that comes anywhere close to being this effective. .
- Be curious Be inclusive, nonjudgemental Think coalition. Unbundle your agenda.
- Center forPolicy Attitudes and School for Public Policy Univ of MD Report A Not So Divided America, no statistical difference on 19/27 questions relating to climate change Don&apos;t prejudge, don&apos;t bundle in your other beliefs, and don&apos;t engage in splitting.
- GLOBAL WARMING vs CLIMATE CHANGE Yale Study- global warming vs climate change. Americans in general were 13% more likely to say that global warming was bad than climate change., differences up to 30% among Latinos, African-Americans, women, and young people. Global warming is the term most people use.
- Do you remember learning “objective-speak”? The beaker was placed in ….. Make everything more personal. ACTIVITY- add to list of words that should not be used and come up with substitutes.
- What kind of policies do we need to move us to clean energy? We need to level the playing field so that when we&apos;re considering the costs of clean vs fossil fuel we&apos;re comparing apples to apples. We give the highly profitable coal, gas, and oil industry $4 billion/year in tax breaks while the American people pay the health and environmental costs with our tax dollars and sometimes our lives. That&apos;s not the only advantage we give them. We lease public land for mining and drilling at far below market prices. Example: 40% of US coal comes from public lands, we sell it to coal companies for around a dollar a ton and they turn around and sell it to Asia for $50 a ton. The mercury and air pollution from burning that coal comes back to us across the Pacific quicker than the time it took to ship it over, leaving us to pay for the damage.
- 5 year prospective study, fruits prevented getting first chronic disease, veg prevented addition of any more
- Change what we grow and make it more available In 2000 over 25% of Tx counties were classified as food deserts
- We could change that. Here are a few policy steps.
- We could change that. Here are a few policy steps.
- Decrease in air pollution would convey substantial health benefits
- When we stop burning fossil fuel, we get immediate improvement in air quality.. Atlanta Olympics traffic dropped 20%, emissions dropped 30%, peds asthma admissions 40%. clean energy saves more lives by clearing the air than by preventing worsening of climate change. Globally 400,000 people a year die as a result of climate change (90% are children) but 4.5 million die from lung disease, CVD and cancer from carbon related air pollution. In the US closing all coal burning power plants would save 13,200 lives and prevent nearly 10,000 hospitalizations and more than 20,000 heart attacks each year. According to the EPA the health cost of coal and oil is greater than the purchase price of the energy itself. If all the costs were factored in gasoline would cost $15 a gallon. Health savings would be more than $100 billion per year
- PEOPLE WHO LOOK LIKE YOUR AUDIENCE.
- Dioxin in smoke, deposited on range and farmland resulting in human ingestion and accumulation in fatty tissues. 80% of dioxin exposure is from beef and dairy
- People are intensely interested in what is happening where they live.
- Rainwater going down storm drain and coming back up mixed with raw sewage, cso backwash from storm surge
- Mixture of excess nutrients from runoff and warm water temperature. Hepatotoxic, 1000x higher at water&apos;s edge.
- Captive vs free range audiences
- And you can bring somebody with you: Bill Gates, Polio and Rotary
- Connecting with an audience Story of Baker City START FROM WHAT WE SHARE Think coalition Unbundle your agenda. Avoid unrelated issues. .
- Cut deniers off at the beginning. Hold questions till the end. 97% of scientists and a strong majority of Americans understand that climate change is real and caused by people. If any of you aren&apos;t sure, I&apos;m not here to convince you otherwise. What I&apos;d like you to do while you&apos;re listening to this talk is ask yourself how much you&apos;re willing to gamble. Racetrack analogy. If you lose, you don&apos;t get it back.
- HUMOR IS GOOD
- TO BENEFIT
- In addition to its nutritional impact on our health, the emissions from production add to global warming, which has further health impacts on food and water. second largest source of methand are animals we raise for meat and dairy, with each cow producing over 1000 liters/d. The third is decay of wasted food in landfills
- Can of beans donation story. Person making plan identifies and overcomes own obstaclces Efficacy To kick butt, take names
- Participation. CASE THREE A 9 year old girl is brought to the doctor by her mother for cough that won&apos;t go away. Previously active and athletic, she played soccer and was on swimming team, but now avoids exercise and spends her free time on the phone. So what do you think is wrong with her? Does anybody recognize this disease? And what does climate have to do with that? Keep it light. Make it fun. Always respond positively to suggestions even if incorrect. Give hints. Give everyone a chance, jokingly disqualify people who know too much after they give one correct answer.
- How many calories do you think are in this cup of coffee? ANSWER 16 OZ 350 CAL
- Lets list the top ten causes of death in descending order. First? (let them go through a few, then start trying to interject wild stuff like leptospirosis, paralytic shellfish poisoning, chikungunya) Heart disease- Diabetes 65% of diabetics die of heart disease
- Invite sharing of experiences about group visits. How do group visits differ from one on one? My experience with Bupe Group and DM support group (drinking). People think and behave differently when they’re physically part of a group or reminded of their membership in a group. When people make decisions or process information as part of a group shift toward promoting outcomes that are good for the group rather than just themselves People get strength from being in a group. They are inspired to adopt new behavior more by peers than outsiders and get encouragment and advice as they move into more active role. Group work models the activism we hope they will take up. Being able to share and help someone is empowering. A group is more than a bunch of people in a room. Its up to the speaker to “cast the circle”. 1) greet people as they come in and talk with them. 2) invite participation, show that you respect their problem solving abiity 3) take comments from participants and weave them into the presentation 4) laughter or other shared emotion
- ONE REASON WE HAVE TO HAVE FEDERAL ACTION IS TO LEVERAGE AGREEMENTS WITH OTHER COUNTRIES.
- Climate change will make you sick feeds into denial and psychic numbing and is unnecessary for target group who already know it is bad and we should fix it.
- The solutions are within reach but healthy climate healthy people policy won&apos;t happen unless we can generate the political will. To do that we need people and we need vision. So I&apos;m going to tell you some stories.