Neurology in an Era of Environmental and Climatic Transformation: Bridging Healthcare Gaps — Act Locally, Think Globally
Daniel Samano Martin Del Campo1, Danielle Bass2, Esther Monexe3, Boston Irvin3, Lunthita Duthely3
1Neurology, University of Miami/Jackson Health Systems, 2Philadelphia College of Osteopathic Medicine-North Georgia, 3University of Miami
Objective:
To assess Healthcare Providers’ knowledge, attitudes, and behaviors regarding climate risks, extreme weather events, and their health impacts
Background:

Healthcare professionals (HCPs) are trusted leaders in their communities, playing a crucial role in addressing climate-related health risks and adaptation. However, gaps in education, preparedness, and integration into clinical practice may limit their ability to respond effectively. This study assesses HCPs’ knowledge, attitudes, and behaviors (KAB) regarding climate risks, extreme weather events (EWE), and their health impacts.

Design/Methods:

A cross-sectional KAB survey was conducted among Florida-based HCPs from November to December 2024. We evaluated climate-related education, perceived threats, preparedness training, clinical integration, and barriers to incorporating climate considerations into healthcare. Descriptive statistics and logistic regression analyses were performed.

Results:

Among 285 respondents, 136 (48.4%) were HCPs, including physicians (49.6%), nurses (17.8%), physical therapists (5.9%), pharmacists (1.5%), and students (13%). Education & Training: 50% had received formal education on climate crisis or EWE, and 35% had engaged in preparedness training. Risk Perception: While 98% recognized a climate crisis, 41% believed it was already affecting health in their communities. Clinical Integration & Barriers: 57% acknowledged the relevance of EWE to patient health, however 29% discussed preparedness with patients. A 47% agreed that climate-related topics should be integrated into healthcare fields, yet 34% cited time constraints, 23% lacked institutional support, and 17% felt unprepared to address climate-related health concerns. Further, 48% reported limited understanding of pathophysiologic differences between heat strokes and ischemic strokes, further emphasizing the need for targeted education.

Conclusions:

As community leaders, HCPs are well-positioned to address climate-related health risks and promote adaptation. Despite their critical role in public health, many lack the training and institutional support needed to integrate climate-related considerations into patient care. Strengthening education, embedding climate adaptation within medical curricula, and enacting systemic changes are essential to enhance preparedness and improve health outcomes.

10.1212/WNL.0000000000217634
Disclaimer: Abstracts were not reviewed by Neurology® and do not reflect the views of Neurology® editors or staff.