Aim;
This study aimed to assess the views of physicians from four South Asian countries (Bangladesh, Bhutan, India, and Pakistan) on their knowledge about climate-change related health conditions.

Content:
A cross-sectional online survey of 201 physicians was conducted between March and July 2022, and data was analyzed using the Kruskal-Wallis test and Dunn's post hoc method.
The study found that 86.6% of physicians from Bangladesh, Bhutan, India, and Pakistan believe that climate change is happening and will make health conditions in their countries more severe or frequent. The physicians identified health conditions greatly affected by climate change include those related to reduced outdoor air quality (54.3%), water and food-borne diseases (49.8%), vector-borne diseases (46.7%), heat-related conditions, such as stroke, cardiorespiratory illnesses (46%), drought-related physical or mental harm (43.7%), increased poverty due to economic hardships (43%), hunger and malnutrition due to rising food prices (42.5%), anxiety, depression and mental health conditions (40.1%), and loss of housing and displacement due to extreme weather (37.3%).The common barriers to discussing climate change with patients are lack of knowledge, time, and belief that patients have no interest. More than half (56.2%) of the physicians reported no training in climate change-related health effects.

Goals.
The goal of this study was to raise awareness among policymakers about the training needs of family physicians and the need to incorporate climate-related modules into medical education.

1. South Asian physicians are aware of the health impacts of climate change.
2. Climate change is perceived to worsen health conditions in the future, in the South Asian region.
3. Improving medical education and communication skills is necessary to address the health effects of climate change.

The Ottawa charter for health promotion in 1986 aimed at promoting human health not treating diseases only. Five health actions were announced which pointed out health policies, supportive environment, collective community action along with personal skills are key factors to reorient the health services to promote bio-psycho-social wellbeing.
World Health Organization pointed out climate change is an imminent threat to human health. Climate change will intensify existing health risks with frequent and severe extreme weather events, poor air and water quality, emerging and re-emerging infectious diseases. It places enormous pressure and demand on the healthcare sector. Furthermore, the healthcare sector is a major contributor to greenhouse gases, accelerating the vicious cycle. Reducing the environmental impact is an important issue for healthcare sector.

International Network of Health Promoting Hospital & Health Services (HPH) was established in 1990 for promoting health from a setting approach. In 2010, the taskforce of HPH & Environment was established to address the mitigation and adaptation issues of healthcare sectors to tackle climate change.

Using the ecological model, HPH revised its standards in 2020 in macro-level putting environmental health in standard 5.3 for HPH member hospitals to follow which listed important principles to guide the hospitals’ green programs.
In meso-level, HPH committee in hospitals organizes programs for environmental health, which will develop, enforce, and review annual programs to reduce the climate impact and build climate resilience of the organization such as recycling policy in medical waste segregation, promoting environmental-friendly diet, and so forth.
In micro-level, awareness and practice of personal behavior and lifestyle change improve personal skills such as using energy-efficient appliance, taking public transportation, prescribing fewer MDI inhalers and so forth reduce the greenhouse gas emission.
Awareness of the climate change impact on health is important for family physicians working as frontline healthcare workers.

1. Climate change is the most important factor affecting human health in the 21st century
2. Healthcare professionals should be aware of climate change on health and adopt actions to reduce the climate impact from clinical practice.
3. Ecological model approach from the International Network of Health Promoting Hospitals & Health Services to member hospital level and down to individual level is an effective approach.

There has recently been a radical drop in graduates interested in general practice. Health workforce data shows significantly reduced number of registered general practitioners since 2017. Situation is worse in rural and remote areas. This presentation raises some key issues around reducing GP workforce globally and Australia in particular. Improving remuneration and incentives may recover GP workforce in the short term, however to ‘save’ general practice from being extinct, sensible community based educational approaches should be considered.

Realize the impact of dropping interest in general practice
Appreciate causes of poor interest in GP amongst medical students and general population
Explore some of the approaches to attract diverse students to take yup primary care

Aim:
To discuss the role of primary care physicians in supporting prohibition of nuclear weapons

Content:
Australia has not yet signed or ratified the Treaty on the Prohibition of Nuclear Weapons.
The International Campaign to Abolish Nuclear Weapons is a coalition of non -government agencies in 100 countries and aims to promote adherence of the United Nations Treaty on the Prohibition of Nuclear Weapons; ICAN won the Novel Peace Prize in 2017.
Australian partners that have supported restrictions include the AMA, Medical Association for the Prevention of war and the RACP.
How can primary care physicians contribute? Medical practitioners, including general practitioners, need to consider potential impacts on the health of our communities, both in terms of prevention of nuclear warfare but also of nuclear accidents. For example, a submarine base is being considered on the Australian East Coast, including hosting nuclear-powered submarines.

Goals:
Primary care physicians need to consider what impact this may have on their communities, including risk of accidents involving radiation and capacity to respond to such emergencies. Professional organisations or colleges of primary care physicians can choose to affiliate with ICAN and make a stance on a nuclear non – proliferation.

1. To discuss the role of primary care physicians in supporting prohibition of nuclear weapons
2. To consider how colleges and professional organisations for primary care physicians can support the Treaty on the Prohibition of Nuclear Weapons