Categories
Action Global Climate Change Population

Heed this Warning!

Used with permission of the artist, Bilicki, via CartoonStock

You have probably observed some changes recently. It’s hotter and dryer, there are fewer birds and it seems that more young people seem to be getting cancer.

These are all symptoms of a sick environment. Climate chaos is caused by greenhouse gas emissions—primarily CO2 from burning fossil fuels. The numbers of birds and other wildlife are plummeting or going extinct. This decrease in nonhuman species has multiple causes, including climate chaos, loss of habitat and environmental poisons. We humans also are tragically affected by environmental toxins, of course. For instance, a  recent study found 920 chemicals in our food, water and air that have been associated with increasing the risk of breast cancer.

Scientists have developed the chemicals and many things that are responsible for these adverse changes. Now, however, some scientists are warning us how serious our situation is, and making suggestions how to prevent worse disasters.

The “World Scientists’ Warning to Humanity: A Third Notice” will be published in 2027. The first Scientists’ Warning was published in 1992, followed by a second Warning in 2017. That one holds the record for the number of cosigners for an article—15,364!

The second Warning listed six changes that we need to make, including “…stabilizing and gradually reducing the population by providing voluntary family planning.”

The third Warning also lists six “transformations to stabilize the Earth system.” In summary, they are: Energy-stop burning fossil fuels; Nature-protect and restore; Economy-align with planetary limits; Consumption-decrease overconsumption; Food-eat less meat; Social Justice-universal access to health care, housing and education, especially for women. It is regrettable that any mention of human population is omitted.

There is a whole “Scientists’ Warning” series of articles, including “Scientists’ Warning on Population” and “Why Do Society and Academia Ignore the ‘Scientists Warning to Humanity On Population?”

Two physicians, one British and the other Czech, have encouraged people to think about the environmental impact of humans in their article, “Doctors and overpopulation 48 years later: a second notice”. In addition, Dr. Greguš recently published “Scientists’ warning: Population as a threat to security.” He states, and I agree, “Security  is  achievable,  however,  if  governments make rational choices to reduce population via embracing reproductive ethics of small(er) families and provide affordable access to contraception to all those who ask for it.” Security is threatened because overpopulation has caused climate chaos, environmental degradation and forced migration, amongst other problems.

The third Warning is not perfect. Nevertheless, I joined the thousands of scientists who have already signed it. A draft is available at: https://scientistswarning.forestry.oregonstate.edu/sites/default/files/Third_Notice.pdf . If you would like to sign your support, here’s the link: https://forms.gle/BAfifGWesmoYjKzi7

If you don’t consider yourself a scientist, you can still express your concern. Please sign the “Public Endorsement: Declaration of a Planetary Emergency”. It “…recognizes that humanity faces a planetary emergency and calls for urgent, coordinated action to protect the natural systems that sustain life while advancing human well-being and a livable future.” You can access it at: https://docs.google.com/forms/d/e/1FAIpQLSdlPKM-SC5BiieIX7waPauyVsZuuA0BNsCMCq96sJxeXdlZlQ/viewform .

There is another, very important action you should take, whether or not you are a scientist—vote! If you are a registered voter in the USA, please vote in the November election. When you vote, consider the candidates’ platforms. Will they help or worsen the state of our planet? Because voluntary slowing of human population growth is vital to our planet’s health, where do the candidates stand on reproductive health issues?

©Richard Grossman MD, 2026

Postscript to Heed this Warning!

(Subscribers to my blog get a more personal note before each post. I want this blog postto include that sort of information, so here it is as a postscript. If you like what you are reading, please subscribe. I promise only one email each month and welcome feedback.)

To subscribe, go to the link at the top right of this page and click on “Menu”.

If you are reading this, you are probably one of the majority of people worldwide who share a concern about the state of our world. My thanks to Dr. Ripple and thousands of other scientists who have publicized the problems we are living with—and which we have all contributed to. Overconsumption and overpopulation are the two major factors that cause our impact to be unsustainable.
Some people focus on the outlandish consumption in rich countries. Indeed, we have more than we need to live good lives. Furthermore, paradoxically the consequences of our overconsumption affect less well off people much more than us.

I am tempted to ask those who focus on consumption about the size of their footprint.

Other people focus on slowing, then reversing, human population growth; I am in this camp. My belief is that voluntary family planning is the least expensive, most effective and most humane way to improve our environmental impact. Unfortunately, family planning will only work to decrease impact in the longterm.

What is your personal footprint? Unless you are aware of how much you contribute to this global problem, there is not much you can do about it.

There are many measures of a person’s impact: Ecological Footprint, carbon footprint, water footprint etc. In addition, there are multiple digital applications to help you determine yours, but I haven’t found one that I would consider top notch.

I checked my carbon footprint for this past year using the US Environmental Protection Agency app. It was good because it was simple, however it left out diet and flying. Because of several trips this year, my footprint is large. The average for a US citizen is about 20 tons of CO2 emitted on their behalf. What have I done to reduce my impact?

I have already increased my plant-based food intake, and get most of our energy from the sun. At age 83, with a love of travel, I hope to continue flying a few more years. Fortunately I have found an excellent way to mitigate the carbon emissions which I cannot, nor wish to, reduce further.

There is a difference between “mitigate” and “offset”. To mitigate is to reduce the harm at the site of the harm, while offsetting is attempting to reduce harm by an action elsewhere. Unfortunately, offsets are often difficult to monitor and many offset scams have been reported.

My wife and I have lived in a cohousing community since 2000. This way of life is more efficient than the usual solitary home because we are surrounded with friends and because we share some common facilities. For instance, we have a shared workshop so I don’t need one in my basement. Our home is quite efficient, resulting in smaller than average utility bills. The 14 new Heartwood Phase 2 homes are constructed to be even more efficient than ours, with amazing insulation and all electric heating and cooling.

Several years ago Heartwood started the voluntary “Renewable Energy Fund”. We have used it to mitigate the use of fossil fuels in our community. We now have a large solar array that supplies most of the power for the workshop, our Common House and an electric vehicle charger. I contribute an amount in order to mitigate the impact of our trips to this fund.

Whatever you do—or don’t do—to offset or mitigate your carbon emissions, please keep in mind that we need politicians who are good caretakers of our environment. Furthermore, please keep this in mind when you which candidates to vote for!

Categories
Public Health Reproductive Health

Cervical Cancer Prevention

This is actually a picture of cauliflower from Wikipedia

Ruby Carroll was a new patient who told me that she hadn’t had a Pap smear for a long time. “I think that there might be something wrong because I bleed when my husband and I have sex.”

On examination, I had to agree that something was wrong. There was an area on her cervix that resembled cauliflower. Instead of doing a Pap, I said: “Ms. Carroll, I fear that you are correct. There an area on you cervix that looks abnormal. I’ll do some little biopsies for tissue to send to the lab to be certain what’s there, if that’s ok with you. The biopsies will pinch a bit, and you’ll have some bleeding after.”

The biopsies did show cancer, so I referred her to a gynecologic cancer specialist for further evaluation and treatment. Ms. Carroll told him she was going to a naturopath who said he could cure her without surgery. A couple of years later I read Ruby Carroll’s obituary in the newspaper.

We know that cervical cancer is caused by some bad strains of Human Papilloma Virus (HPV). There are many strains of HPV; each one has its favorite places to live in our bodies. For instance, warts on our hands are caused by certain strains but the strains causing plantar warts are different. Two of the common strains that cause cervical cancer are 16 and 18. Fortunately, there are vaccines available to combat these and thus prevent this terrible disease. One of the immunizations, Gardasil®?9, adds coverage against 7 other, less virulent strains of HPV.

Cervical cancer takes years to develop, and its precursor goes through stages. The idea of Pap smears, and the more recent tests, is to find an abnormality in an early stage before it turns into cancer.

Women who have received HPV immunization as teenagers are much less likely to develop cervical cancer or its precursors. The immunization is not perfect, however, so it is still wise to get routine screening for cervical abnormalities.

Since some strains of HPV are a sexually transmitted, aren’t men also susceptible? Yes! Even though a man doesn’t have a cervix, there are other places where these cancer-causing viruses live. Cancer-fighting vaccines help protect men from anal, penile and some oropharyngeal cancers, so all teens should get immunized.

No medical treatment is entirely safe, but immunizations, as a whole, are amazingly safe. The FDA is responsible for collecting ongoing information about side effects of drugs, including immunizations. There has been a concern that Gardasil®?9 causes ovaries of young women to fail. Premature Ovarian Insufficiency (POI), in which a woman goes through menopause before she is 40, is quite rare, but it happens. It was alarming when a few cases occurred after receiving Gardasil®?9. However, analysis of large populations of young women has not shown an increased incidence of POI after this immunization.

HPV immunization is recommended in over 120 countries, but it is too expensive or unavailable for most people to get it in many of the poorest places. Unfortunately, there are other reasons why many susceptible people don’t get it in the USA, including denial (“my teen Riley is a good kid—they’ll never have sex until they’re married), lack of knowledge and misinformation.

Misinformation about immunizations has become rampant in the USA. The current epidemic of measles in unvaccinated people makes this obvious, with 3 deaths from measles so far this year. The incubation period for measles is less than 3 weeks, and infected people usually have symptoms, so it is fairly easy to diagnose and track measles. On the other hand, cervical infections with HPV can last years without causing symptoms until cancer is present—when it may be too late. Prevention is always best, and HPV vaccinations do just that.

©?Richard Grossman MD, 2026