Exhibit 1.
Required definitions for categories.
| Category | Definition |
|---|---|
| Approach | |
| Adaptation | Approach modeled around accepting and responding to definite current and/or future climate change impacts |
| Mitigation | Approach attempts to reduce rate and extent of as-yet-unrealized climate change by curbing carbon footprint |
| Motive | |
| Political | Driven to action by presence and/or absence of political will regarding climate change |
| Ethical | Driven to action by ethical imperative of climate change |
| Health trends | Driven to action by current and/or future health impacts of climate change |
| Economic | Driven to action by economic consequences of climate change |
| Pathology | |
| Infectious/vector-borne disease | Increased rate and morbidity of infectious, vector-borne, or other communicable disease caused by climate change |
| Food | Food system compromise, soil erosion/infertility, malnutrition or other food-related issue associated with climate change |
| Water | Drought, freshwater shortage, groundwater salination, aquifer depletion or other water-related issue associated with climate change |
| Housing/sanitation | Insufficient, destroyed or otherwise hazardous housing and sanitation caused by climate change |
| Extreme weather | Extreme heat, rainfall, hurricanes or other extreme weather event aligned with climate change |
| Migration | Domestic/international relocation, civil unrest or displacement resulting from climate change |
| Air pollution | Particulate matter and airborne toxins caused by industrial processes that induce climate change |
| Mental health | Anxiety, depression, addiction and other psychological ailments resulting from climate change impacts |
| Profession | |
| M.D. | Primary authorship by medical doctor |
| Nurses | Primary authorship by nurse |
| Non-M.D. medical academics | Primary authorship by medical academic e.g. anthropologist, ethicist |
| Environmental/public health | Primary authorship by environmental or public health practitioner |
| Administrators/lawyers | Primary authorship by administrators, lawyers or clerical |
| Students | Primary authorship by medical student |
| Role | |
| Leadership role | Health care should own, shape and promote best practice for addressing climate change, fully characterizing it as a health care concern |
| Proactive role | Health care should zealously implement best practice for addressing climate change, going above and beyond existing prescriptions and mandates |
| Conformative role | Health care should comply with existing prescriptions and mandates for addressing climate change |
| Passive/no role | Health care should take no action to address climate change |
| Region | |
| South | AL, AR, DE, FL, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, DC, WV |
| Northeast | CT, ME, MA, NH, NJ, NY, PA, RI, VT |
| Midwest | IL, IN, IA, KS, MI, MN, MO, NE, ND, OH, SD, WI |
| West | AK, AZ, CA, CO, HI, ID, MT, NV, NM, OR, UT, WA, WY |
| Sector | |
| Energy | Reduce carbon footprint via alternative energy sourcing/energy reduction |
| Food | Reduce carbon footprint of food consumed |
| Water | Reduce carbon footprint of water utilization |
| Waste | Reduce carbon footprint from waste generation/disposal |
| Infrastructure | Reduce carbon footprint from buildings and static infrastructure |
| Transport | Reduce carbon footprint from related transport |
| Partnerships | |
| None | Health care has no need to respond to climate change |
| Public | Health care should respond to climate change partnered with government/public entities |
| For-profit private | Health care should respond to climate change partnered with private, for-profit entities |
| Non-profit private | Health care should respond to climate change partnered with private, non-profit entities |
| Health care only | Health care should respond to climate change independently |
| Strategy | |
| Education | Education of professionals, public can/does help health care address climate change |
| Advocacy | Publicly highlighting risk, and supporting efforts/organizations reducing carbon can/does help health care address climate change |
| Technology | Technological solutions and innovation can/does help health care address climate change |
| Legislation | Lobbying for, and shaping, legislative initiatives can/does help health care address climate change |
| Behavior | Behavior change programs can/do help health care address climate change |