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Social Prescribing: Health Benefits & Climate Mitigation Munro Stewart RCGP Scotlandhttps://brc.org.uk/climate-roadmap/section-8-pathway-5-helping-our-employees-and-customers-to-live-low-carbon- lifestyles/81-emissions-overview/Fuel Poverty  2019 Review  10% of Income  Linked to winter excess deaths  Worse in UK than Scandinavia  Due to thermal inefficiency of housing stock https://www.gmjournal.co.uk/fuel-poverty-significant-cause-of-preventable-ill-healthFuel poverty  Cardiovascular  Respiratory  Mental Health  Other  £35-£65bn retrofit housing stock  £1.4bn NHS savings per yearPlanetary Health Diet  Lancet - Eat  On course for increased malnutrition  Healthy diet for 10bn by 2050  Within confines of planetary resources  Halve food waste  Prevent 11 million deaths a year  19gigatons down to 5gt2CO eDiet  50% fruit and veg  The other half primarily  Whole grains  Plant based proteins  Unsaturated plant oils  Modest amounts of  Animal protein  Dairy  Starchy veg  Health Benefits https://eatforum.org/content/uploads/2019/07/EAT- Lancet_Commission_Summary_Report.pdfActive T ravel  Travel is about ¼ of UK citizens carbon footprint  Air pollution kills 3000 a year in Scotland  Physical inactivity kills in UK every 15 minutes  https://movingmedicine.ac.uk/  Evidence finder - name a disease!Active T ravel and Clean Air  Cut deaths from  Air pollution  Inactivity  Reduce disease burden for patients and the NHS Photo: Mikael Colville-AndersonGreen and Blue Space  Needed for  Sequestering carbon  Biodiversity  Adaptation for Climate change eg flood risk  But hugely important for health Image: Mark RamsayGreen and Blue Space  Mental Health  Anxiety  Depression  ADHD  Memory  Test scores in Children  Immune system Image: D'Arcy VallanceConnection  Nature experience is also associated with  Improved social cohesion  Resilience  Sense of purpose  Shift view from being separate to nature, to part of it  Biophilia hypothesis  Reduce obesity cardiovascular disease, T2DM  Improved wellbeing, reduced anxiety depression, social skills Image: Meg Haywood SullivanWhy Don’t People Act?Conclusion  ‘Planetary Health’ includes our health  Our health depends on planetary health  Many of the actions we can take for climate mitigation can improve our health dramatically Fox in the snow photographyFurther Information www.lancetcountdown. org Tay.fifegreenerpractice@nhs.scot