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Taking a Climate and Health History: A One Health‑Informed Approach to Primary Care and Services Cover

Taking a Climate and Health History: A One Health‑Informed Approach to Primary Care and Services

Open Access
|Jan 2026

Abstract

Climate change poses the greatest public health threat, disproportionately impacting communities in Low‑ and Middle‑Income Countries (LMICs) where fragile health systems increase vulnerability. Despite this, clinical practice often overlooks climate‑related health risks. Current approaches focus on single disciplines or settings, limiting broader integration. Incorporating a One Health approach—recognizing the interconnection of human, animal, environmental, and plant health—into routine clinical encounters offers a pathway to strengthen climate‑health awareness. This manuscript presents practical guidance for integrating climate and health histories, with a focus on heat exposure, and emphasizes the role of physicians, other health providers and three categories of Community Health Workers (CHWs) across the care continuum. A case study illustrates how targeted climate and environmental inquiries during history‑taking can advance diagnosis and patient education. Embedding One Health in clinical care bridges existing gaps, enhances early detection of climate‑related illness, and promotes culturally sensitive, holistic health interventions in vulnerable communities.

DOI: https://doi.org/10.5334/aogh.4898 | Journal eISSN: 2214-9996
Language: English
Submitted on: Aug 6, 2025
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Accepted on: Dec 11, 2025
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Published on: Jan 8, 2026
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2026 Firoz Abdoel Wahid, Maureen Lichtveld, Samantha Totoni, Brian Earle, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.