Over 40 million health professionals urge G20 leaders to put public health at the core of Covid-19 recovery

This letter is supported and promoted by the Global Climate and Health Alliance, Every Breath Matters, and the World Health Organization in service of the global medical and health community.Over 40 million doctors, nurses and other health professionals from 90 countries, including many working on the frontlines of the Covid-19 pandemic, sent a letter today to G20 leaders urging them to put public health at the centre of their economic recovery packages, to help avoid future crises and make the world more resilient to them.In the biggest health community mobilisation since the run-up to the 2015 Paris climate agreement, over 350 medical groups representing health professionals — including the World Medical Association, the International Council of Nurses, the Commonwealth Nurses and Midwives Federation, the World Organization of Family Doctors and the World Federation of Public Health Associations — signed the letter on behalf of their members, along with thousands of individual health professionals.The letter asks governments to prioritise investments in public health, clean air, clean water and a stable climate in the economic stimulus packages currently under consideration. Such investments would reduce air pollution and climate-warming emissions, which damage human health, build greater resilience to future pandemics, and simultaneously create more sustainable jobs, it says.To achieve this healthy recovery, leaders of the G20 countries must involve their medical and scientific community in developing the stimulus packages. These stimulus decisions must also take into account medical and scientific assessments of how the measures will impact public health in the short- and long-term.The Covid-19 pandemic has exposed doctors, nurses and other health professionals to death, disease and mental distress at levels not seen in decades. The scale of this pain could have been at least partially mitigated by adequate investments in pandemic preparedness, public health and environmental stewardship, the letter states.Leaders must learn from these mistakes and recover in a way that makes the world stronger, healthier and more resilient, the health professionals say. Governments have the power to make this transformation in the next 12-18 months, depending on where and how they direct the trillions of dollars they are about to inject into the economy. International summits this year give world leaders the opportunity to jointly set public health at the core of all recovery efforts, including the G7 summit on June 10, the European Council on June 18-19, the IMF-World Bank meeting on October 16-18 and the G20 summit on November 21-22.As Covid-19 has made clear, the economy suffers when human health is compromised, the health professionals say. Their message is that a science-based approach to a healthy recovery from Covid-19 must lead to decisions to reduce both air pollution, which weakens the lungs, hearts and other organs, and greenhouse gas emissions, which cause drought, extreme heat, flooding, wildfires and other life-threatening disruptions.A healthy recovery requires governments to invest in sustainable and innovative industries, jobs, food production and food supply chains. In doing so, the health professionals say, leaders will encourage healthier diets, more renewable energy, more walking, cycling and zero-emissions public transport, a radical regeneration of trees and nature and other changes that will underpin human, economic and planetary health well into the future.Quotes:Dr. Miguel R. Jorge, President, World Medical Association: “Health professionals are at the frontlines of this emergency, and we are seeing the immense loss of lives because of acting too late. We know now more than ever, that healthy lives depend on a healthy planet. As we walk on the road to recovery, we cannot ignore that we need to build a system in place that will protect us from further damage. That is why it is important that governments take into consideration public health when they are discussing recovery packages. We need a comprehensive approach, a healthy and green recovery and we need it now.”Annette Kennedy, President International Council of Nurses: “Covid-19 has forced the world to pause and take stock, providing us with a unique opportunity to make changes that will benefit the planet and all the people on it. Climate change poses an imminent and serious threat to the health of the world’s population. We are calling on governments to make sure that pollution levels do not return to previous levels, so that our children and grandchildren will be able to grow up healthily in a liveable and sustainable climate. It may be the only chance we have for anything positive to come out of the Covid-19 pandemic, and to let this opportunity slip by would be unforgivable. ICN’s members understand that there is a direct correlation between future preparedness, investment in health services and climate change. Only by investing in both healthcare and the environment can we create a sustainable future.”Jeni Miller, Executive Director, Global Climate and Health Alliance: “A healthy recovery recognises that human health, economic health and the planet’s health are closely connected; the pandemic has demonstrated that economic recovery must be achieved in ways that strengthen our global health resilience. When paving out national recovery plans with the investment of vast amounts of public funds, governments must keep sight of these crucial relationships, and they must not give in to pressure from corporations to weaken environmental standards, which will have direct impacts on human health. This is not the time to go back to business as usual, it is a time to take bold steps forward to create a future that protects both people and the planet.”Dr. Maria Neira, Director of Climate Change, Environment, and Health at the World Health Organization: “It is inspiring to see the millions of nurses, doctors, and health workers, who are leading us through this defining health crisis of our time, equally speaking up to call for a healthy long-term recovery from Covid-19. Their letter to G20 leaders is fully in line with the WHO manifesto for a healthy and green recovery, namely: 1) Protect and preserve the source of human health: Nature. 2) Ensure essential services, from water and sanitation, to clean energy in healthcare facilities: 3) Invest in the energy systems of the future, not the past. 4) Build healthy, liveable cities. 5) Promote healthy, sustainable diets. 6) Stop using taxpayers money to fund pollution.”Prof. K Srinath Reddy, President of the Public Health Foundation of India: “Covid-19 highlights the dangers of wanton ecological despoliation that creates conveyor belts for viruses mostly contained within wildlife to become virulent pathogens for the human race. Air and water pollution erode our ability to withstand their invasion, because of lowered innate immunity and pre-existing damage to health that amplifies the harm that the virus can inflict on us. It is a primer in environmental health lessons and a cautionary tale from which we must gain insights on how we reshape our future. If harmony with nature is broken, we are left with harm. Let us wisely co-exist to exist.”Mary Robinson, Chair of The Elders, first woman President of Ireland, former UN High Commissioner for Human Rights: “I echo the sentiment of health professionals around the world: re-building a healthy society means taking real and lasting action on the climate crisis. Covid-19 has shone a light on the interconnectedness of our shared vulnerabilities and demonstrated beyond doubt that public health and the protection of our planet are inextricably linked.”Fiona Armstrong, Founder and Executive Director, Climate and Health Alliance, Australia: “National governments must ensure their economic stimulus packages designed to lead us out of the Covid-19 health crisis don’t lead us directly into a new one. This means investing in clean renewable energy, active and public transport and nature conservation, not in polluting fossil fuels that risk further harming our health. As governments have listened to health experts and trusted the science in response to the Covid-19 health crisis, they must do the same for the climate crisis. Our health depends on it.”Signatories to the letter include (Indicative list):Organisation or association name, CountryABRASCO – Associação Brasileira de Saúde Coletiva, BrazilAerztInnen fuer eine gesunde Umwelt, AustriaAlliance of Nurses for Healthy Environments, USAAmerican Public Health Association, USAAmerican Society of Cataract & Refractive Surgery, USAÄrztinnen und Ärzte für Umweltschutz/Médecins en faveur de l’Environnement, SwitzerlandAssociação Nacional de Estudantes de Medicina (ANEM-Portugal), PortugalAssociation of periOperative Registered Nurses (AORN), USAAssociation of Surgeons of India, IndiaAustralasian Epidemiological AssociationAustralian Association of Social Workers, AustraliaAustralian Medical Association, AustraliaAustralian Medical Students’ Association, AustraliaBrazilian Thoracic Society, BrazilBritish Medical Association, UKCanadian Federation of Medical Students, CanadaCanadian Medical Association, CanadaCardiology Society of India, IndiaClinicians for Planetary Health, InternationalCODA, AustraliaCommonwealth Nurses and Midwives Federation, UKConseil des médecins, dentistes et pharmaciens, CanadaCQMF – Collège québécois des médecins de famille, CanadaDeutsche Gesellschaft für Verhaltenstherapie (DGVT) e.V., GermanyDeutsche Psychotherapeuten Vereinigung (DPtV), GermanyDeutscher Pflegerat e.V. (DPR) (German Nursing Council), GermanyEuropean Federation of Nurses Associations (EFN), EuropeEuropean Respiratory Society, EuropeFederation of Obstetric and Gynaecological Societies of India (FOGSI), IndiaFIMS- Federation of Israel Medical Students, IsraelGerman Society of Internal Medicine, GermanyGlobal Green and Healthy Hospitals, InternationalIMANA (Islamic Medical Association of North America), USAIndian Academy of Paediatrics, IndiaIndian College of Allergy, Asthma and Applied Immunology (ICAAAI), IndiaIndian Medical Association, IndiaIndian Radiological and Imaging Association-IRIA, IndiaIndian Society of Anaesthesiologists, IndiaIndonesian Rural and Remote Doctor Association, IndonesiaInternational Association of Applied Psychology, InternationalInternational Association of Dental Students, InternationalInternational Council of Nurses, InternationalInternational Federation of Medical Students’ Associations, InternationalInternational Federation of Medical Students’ Associations – Brazil, BrazilIPPNW Germany (International Physicians for the Prevention of Nuclear War), GermanyISDE, Associazione Medici per l’Ambiente, ItalyJapan Medical Association, JapanMaharashtra Association of Surgeons of India, IndiaMarburger Bund Berlin Brandenburg, GermanyMedical Students Association of India, IndiaNational Medical Association, USANational Student Nurses’ Association, USAPaediatric Association of India, IndiaPakistan Medical Association, PakistanPhysicians for Social Responsibility, USAProgressive Doctors, USAPsychologists / Psychotherapists for Future, GermanyQueensland Nurses and Midwives’ Union, AustraliaRomanian College of Physicians (Colegiul Medicilor din România), RomaniaRoyal College of Surgeons of England, UKRural Seeds, InternationalSindicato dos Nutricionistas do Estado de São Paulo, BrazilSociedad Española de Medicina Familiar y Comunitaria (Spanish Society of Family and Community Medicine), SpainSociedade Brasileira de Medicina de Família e Comunidade, BrazilStanding Committee of European Doctors (CPME), EuropeThe Swedish Medical Association, SwedenUK Health Alliance on Climate Change, UKVictorian Allied Health Professionals Association, AustraliaWONCA Rural South Asia, InternationalWorld Federation of Public Health Associations, InternationalWorld Health Professions Alliance, InternationalWorld Medical Association, InternationalWorld Naturopathic Federation, InternationalWorld Organization of Family Doctors (WONCA), InternationalWorld Psychiatric Association, International