Enku's posting is full of valuable information, historic and contemporary, I have read it at least twice already. The insight I get from it is that it illustrates how different it is across the globe, and many of these studies in the high income countries still leave out the situation in LMICs. Of course there are flights in low income countries and cars as well, but it appears that the damage to the environment comes more from activities like cutting of forests for fire wood which is the most common form of energy for cooking, heating, pollution, etc. In sone countries, whole government policies are centered on destroying forest reserves, austensibly for 'development'. Suggestions of suitable alternative interventions for development are ignored and in some cases seen as coming from enemies of progress.
As we discuss environmental protection on HIFA let's cover all the contexts, for LMICs there is the need to raise the level of awareness in rural and surburban LMIC communities, where travel is mostly by non fossil-burning means, of the damaging impact of destroying the remaining forests, fauna and animals. [*see note below]
'˜Let no one be left behind' as the world tackles climate change and aims to limit the damage to humanity.
HIFA profile: Joseph Ana is the Lead Consultant and Trainer at the Africa Centre for Clinical Governance Research and Patient Safety in Calabar, Nigeria. In 2015 he won the NMA Award of Excellence for establishing 12-Pillar Clinical Governance, Quality and Safety initiative in Nigeria. He has been the pioneer Chairman of the Nigerian Medical Association (NMA) National Committee on Clinical Governance and Research since 2012. He is also Chairman of the Quality & Performance subcommittee of the Technical Working Group for the implementation of the Nigeria Health Act. He is a pioneer Trustee-Director of the NMF (Nigerian Medical Forum) which took the BMJ to West Africa in 1995. He is particularly interested in strengthening health systems for quality and safety in LMICs. He has written Five books on the 12-Pillar Clinical Governance for LMICs, including a TOOLS for Implementation. He established the Department of Clinical Governance, Servicom & e-health in the Cross River State Ministry of Health, Nigeria in 2007. Website: www.hriwestafrica.com Joseph is a member of the HIFA Steering Group and the HIFA working group on Community Health Workers.
Email: jneana AT yahoo.co.uk
[*Note from HIFA moderator (Neil PW): Some aspects of this discussion are relevant to HIFA, but the wider discussion goes beyond HIFA's remit. Can anyone recommend discussion forums on climate change whom HIFA could contact with a view to collaborate rather than duplicate? A quick Google search suggests there are many, including this: https://www.climate-debate.com/forum/ ]