C/o Professor Arulkumaran Sabaratnam,

The British Medical Association,

BMA House,

Tavistock Square

London

WC1H 9JP

The Hon. David Cameron

10 Downing Street

London

SW1A 2AA

Dear Sir,

As current, future and retired healthcare and public health professionals and academics, we are

gravely concerned about the health impacts of the UK’s continuing fossil fuel dependence. Burning

fossil fuels emits particulate matter and other pollutants which harm health directly, along with

greenhouse gases which contribute to climate change and harm health indirectly. We welcome your

recent comments on the need for climate action following Typhoon Haiyan, and call on you to

reaffirm your commitment to science-based emissions reductions as recommended by the

Committee on Climate Change. We also ask that you play a stronger leadership role in EU and

international negotiations, and to speak out on the recent unjustifiable changes of direction by

countries such as Australia and Canada.

Air pollution shortens lives (cutting 6 months from the average UK citizen’s life expectancy), worsens

respiratory and cardiovascular conditions, impairs children’s development, and is classified as a

carcinogen by the International Agency for Research on Cancer. Its human and economic costs are

largely avoidable with sustainable energy and transport policy.

Climate change is an even greater threat to health - for all nations. The latest assessment report of

the Intergovernmental Panel on Climate Change makes clear the need for rapid emissions reductions

to avoid temperature rises far above the internationally-recognised 2°C limit - beyond which the risk

of irreversible changes increases significantly. With the international climate summit in Warsaw

having just drawn to a close, it is clear that progress in international negotiations would be greatly

undermined by a weakening of the UK's climate ambition, with potentially severe repercussions.

The health effects of climate change are direct - eg. heatwaves, flooding and changes in infection risk

- and indirect, such as drought, food insecurity, large-scale migration and conflict.

Action now will save lives and reduce economic damage. Air pollution costs £6-19 billion annually in

the UK, through healthcare costs and reduced productivity. Other low-carbon policies including

investment in active travel infrastructure and housing insulation for the most vulnerable can bring

huge health and economic benefits. The greatest health and economic burden from both air

pollution and climate change falls on the poorest, and exacerbates existing health inequalities.

Maintaining the UK’s dependence on fossil fuels threatens our climate, our security and our health.

Governmental support for the expansion of fossil fuels, as evidenced by the creation of the

dedicated 'Office of Unconventional Gas and Oil’ and recent lobbying against the EU Fuel Quality

Directive, exacerbate this threat.

We are not alone in raising the alarm: our voices join those of the World Health Organisation, the

International Council of Nurses and numerous national Medical Associations. Neither are we alone

in highlighting the synergies between sustainable development and public health policy, and the

potential cost savings.

We urgently need our 'Greenest Government Ever' to commit to making this a reality, and we are

also writing to the editor of the Times to express these concerns. We call on you to demonstrate

visionary leadership and reduce the UK‘s fossil fuel dependence, in order to reap the many benefits

of healthy and sustainable communities. Inevitably this will involve challenging the power and

influence of the fossil fuel industry. With courageous political leadership, the UK can bring about

lasting, positive social change, helping to galvanise international cooperation underlined by

ambitious domestic action. This government can still provide that leadership.

Yours sincerely,

Professor Arul Sabaratnam, President, British Medical Association

Andrea Spyropoulos, President, Royal College of Nursing

Dr. Peter Carter, OBE, Chief Executive and General Secretary, Royal College of Nursing

Dr. Tim Ballard, Vice Chair, Royal College of General Practitioners

Dr Jean-Pascal van Besouw, President of The Royal College of Anaesthetists

Professor John R. Ashton CBE, President of the Faculty of Public Health

Professor Frank Kee, Director UKCRC Centre of Excellence for Public Health

Helen Gordon, CEO, Royal Pharmaceutical Society

Dr. Sue Atkinson, Co-Chair, Climate and Health Council

Dr. Robin Stott, Co-Chair, Climate and Health Council

Professor Martin McKee, Professor of European Public Health, London School of Hygiene and Tropical Medicine

Jenny Griffiths OBE, Former NHS Chief Executive

Mr. Marcus Grant, Deputy Director, WHO Collaborating Centre for Healthy Cities and Associate Professor of Healthy Urban Environments, UWE

Professor Hugh Montgomery, Director, UCL Institute of Human Health and Performance

Prof John S. Yudkin Emeritus Professor of Medicine, University College London

Dr. David McCoy, Senior clinical lecturer, Queen Mary University, London, and Chair, MedAct

Professor Trish Greenhalgh, Professor of Primary Health Care, Queen Mary University of London

Professor Nick Black, Professor of Health Services Research, London School of

Hygiene and Tropical Medicine

Josko Mise, President, International Federation of Medical Students’ Associations (IFMSA)

Professor Sir Ian Gilmore Honorary Professor in Clinical Science, University of Liverpool

Walter W Holland, CBE Emeritus Professor of Public Health Medicine

Professor Robert Sneyd Dean and Professor of Anaesthesia, Plymouth University Peninsula

Schools of Medicine and Dentistry

Prof Imti Choonara, Emeritus Professor in Child Health

Professor Anna Gilmore, Professor of Public Health

Dr. Richard Smith, Chair, Patients Know Best

Professor Ian Watt, Professor of Primary and Community Care

Dr. Catherine Brogan, Chief Executive and Director, Public Health Action Support Team Rachel Stancliffe, Director, The Centre for Sustainable Healthcare, Oxford

Genon K. Jensen Executive Director, Health and Environment Alliance

Anja Leetz, Executive Director, Health Care Without Harm Europe

Professor Ian Watt, Professor Primary and Community Care

Prof. Mark Dooris, Professor in Health and Sustainability

Dr. Clare Shortall, Vice-President Alma Mata Global Health Network and Paediatrics Trainee at Northwick Park Hospital

Dr. Phil Edwards, Head of Department of Population Health, London School of Hygiene and Tropical Medicine

Professor Moses N. Ikiugu Professor of Occupational Therapy

Professor Alan Maryon-Davis, Honorary Professor of Public Health, Kings College London

Professor Debbie Sharp, Professor of Primary Health Care

Professor Paul Fletcher Professor of Psychiatry

Dr. Paul G. N. Main, Deputy Director, Severn School of Primary Care

Cameron Stocks , Director, Medsin and Medical Student, Barts’ and the London

Isobel Braithwaite, National Coordinator, Healthy Planet UK and Medical Student, UCL

Harrison Carter, BMA Medical Students' Committee Co-Chair

Andrew Wilson, BMA Medical Students' Committee Co-Chair

Dr. Knut Schroeder GP and Author, Sustainable Healthcare

Dr. Tony Waterston, Paediatrician and EC member of International Society for Social Paediatrics

Dr. Peter Lobmayer, Head of Knowledge & Intelligence, Public Health

Dr. Mike Gill, Retired Regional Director of Public Health

Dr. John Middleton, Director of Public Health in the West Midlands

Professor Ashley Woodcock, Professor of Respiratory Medicine

Dr. David Barer, Professor of Stroke Medicine (retired)

Professor Janet Richardson, Professor of Health Service Research

Professor Richard Fielding, Professor of Medical Psychology in Public Health

Professor Woody Caan, Professor of Public Health

Dr. Sarah Anderson, Consultant in Health Protection

Professor Gene Feder, Professor of primary health care, University of Bristol

Mr Mike Rowson Senior teaching fellow, UCL Institute of Child Health and Development

Dr. Stephen Gillam, Public Health Teaching Director and General Practitioner

Professor Martin J. Pippard, Emeritus Professor of Haematology

Annie Mitchell, Associate Professor and Clinical Psychologist

William Beale, Director of the National Kidney Federation and Member of the All-Party Parliamentary Kidney Group

Dr. Mike Gent, Consultant in Communicable Disease Control

Dr. Caroline Jessel, Clinical Strategy Lead NHS England Kent and Medway

Dr. Diana Brighouse Retired consultant in chronic pain

Dr. Eugenia Cronin, Consultant in Public Health

Nick Watts, Head of Project, UCL-Lancet Commission: Policy Responses to

Climate Change

Katy Cooper, Senior Project Manager, C3 Collaborating for Health

Stephen Woods , UK Healthy Cities Network Co-ordinator

Dr. Jay Ginn, Visiting Professor

Philip Thomas, Honorary Visiting Professor, University of Bradford

Dr. Kenneth Boddy, Retired Senior Lecturer, Consultant Obstetrician & Gynaecologist, Edinburgh University

Dr. Joyce Leeson, Retired Director of Public Health, Manchester

Stefi Barna, Lecturer, Global Public Health, UEA

Dr. Ann Wylie, Senior Teaching Fellow, Kings’ College London

Dr. Nick Francis, Senior Clinical Research Fellow

Dr. Taavi Tillmann, Public Health Specialist

Dr. Sarah Walpole, Core Medical Trainee

Dr. Andy Connor, Consultant Physician & Nephrologist

Alastair Tomlinson, Senior Lecturer in Environmental & Public Health, Cardiff Metropolitan University

Dr. Tim Crocker-Buque, Specialist Registrar, Public Health Medicine

Dr. Peter Poore, International health adviser

Dr. Matthew Lumley, Consultant Haematologist

Dr. Christopher Millett, Reader in Public Health

Dr. Derek Chase, General Practitioner King's College Health Centre London

Amy Carson, Medical Student

Alistair Wardrope, Medical Student & coordinator, Healthy Planet Sheffield

Dr. Deon Louw, Specialty Doctor, Emergency Medicine

Gabriele Messori, Ph.D. Student

Dr. Daniel Campion, Occupational physician

Dr. Frank Swinton, Consultant Anaesthetist

Shara Paulo, General Practitioner Manager

Andrew Simmonds, CEO, AECB

Dr. Eleanor Hothersall, Consultant in Public Health and Undergraduate Teaching Lead for Public Health

Lindis Percy, Former nurse, midwife and health visitor

Dr. Nicola Harker, General Practitioner (Trainer and Macmillan General Practitioner)

Martin White Advanced Public Health Practitioner

Lesley Thomas Public Health Programme Manager

Dr. Martin Farebrother, Retired Consultant Physician (Respiratory Medicine)

Julie Hotchkiss, Consultant in Public Health

Dr. Frank Boulton, Retired NHS Consultant haematologist; Board Member, Medact

Alicia Pawluk, Medical Student and Healthy Planet COP19 delegate

Dr. Emma Davies, Consultant in Emergency Medicine

Mr Andreas Nicolaides, Consultant Head & Neck Surgeon

Roshni Patel, Medical student and Healthy Planet UCL committee member

Katy Harker, Registrar in Public Health

Nisreen Khambati, Medical student

Dr. Cathy Read, Public Health Consultant

Dr. Helena Korjonen, Director Research & Information Services

Rachael Wars, Medical Student

Dr. Catherine Stace, Doctor

Shira Rub, Clinical Psychologist

Amanda Rolfes, Occupational Therapy Student

Dr. Sarah Donovan, Research Services Manager

Dr. Chiew Kong, Clinical Scientist (retired)

Matthew Spriggs, Medical Student

Jonathan Miller, Medical Student

Robert Irving, Research Associate, Oxford Brookes University

Margaret Graham, Mental Health Nurse

Dr. Hannah Roberts, Doctor

Claudel P-Desrosiers, President of International Federation of Medical Students’ Associations (IFMSA)-Quebec and IFMSA Think Global Coordinator

Christine Chow, Public Health Researcher

Eva Simpson-Lees, NHS Junior Business Associate

Florence Mutlow, Student

John Caffekey, Medical Student

Julie Edwards, General Practitioner Recruitment and Selection Manager

Dr. Stuart Galey, Occupational Physician

Dr. Nicola Padel, Doctor (psychiatrist)

Dr. Tom Heath, General Practitioner Trainee

Ruth Laurence-King, Medical Student and Healthy Planet UCL Co-president

Elena Gonzalez Rojo, Sociologist and Public Health expert

Emily Collins, Student & Healthy Planet UK committee member

Lindsey Wu, Health Policy Analyst

Dr. Elizabeth Murphy, General Practitioner

Aijing Wang, Student

Hannah Warren , Medical Student

Dan Hurlbut, Student Nurse

Katie Burnham, PhD Student in Clinical Medicine

Philip Hefford, Physiologist

Holly McFadden, Nurse

Benny Goodman, Lecturer

Dr. Cathy Read, Public Health Consultant

Layth Hanbali, Medical student and branch president, UCL Medsin

Jonny Elliott, Public Health researcher

Sreenath Subrahmanyam, Lecturer in Climate Change

S. Ahmed, Medical Student

Cam Field, Psychotherapist

Dr. John Leah, Senior Lecturer, University of Worcester

Dr. Pardoe, General Practitioner

Dr. Helen Aspland, Clinical psychologist

Dr. F Kiernan, Specialist Registrar in Anaesthesia

Jo Lewitt, Public Health development and Commissioning Manager

Dr. Robbie Hitchcock, General Practitioner

Dr. Eleanor Cooke, Foundation Year 2 doctor

Dr. Erica Pool, Junior doctor and MSc Public Health student

Lindley Owen, Retired Public Health consultant

Dr. John G Hughes, General Practitioner

Ian Campbell, Medical Statistician

Dr. Maggie Eisner, Retired GP and Training Programme Director, Bradford Specialist Training Scheme for General Practice

Dr. Richard Kaye, Consultant anaesthetist, NHS

Dr. Sajeda Youssouf, Clinical Research Fellow

Eleanor Denny, Medical student

Dr. Pam Wortley, Retired General Practitioner

Dr. Lesley Morrison, General Practitioner

Lordson Simpson, Senior occupational therapist

De Rebecca Redwood, General Practitioner

Anna Watkinson-Powell, Medical Student

John Somner, Clinical Research Fellow

Ezme Cohen, Medical Student

Dr. Will Regan, Paediatric Specialist Trainee

Dr. Julia Wallond, General Practitioner in Bristol

Shuo Zhang, Medical Student

Lola Fakoya-Sales, Medical Student

Dr. Asim K. Dasgupta, Retired Occupational Health consultant

Dr. Jayaindra Fernando, General Surgeon

Dr. Peter Hanrath, General Practitioner

Jacqui Footman , Complementary Health Practitioner

Dr. James Chan, Paediatrics trainee

Dr. Sally Aston, General practitioner

Phoebe Pallotti, Registered Midwife

Dr. Rosemary Croft, General Practitioner

Julia Richmond, Parent and infant specialist

David Haines, Senior lecturer in occupational therapy

Sara Richert, Environmental controller

Dr. Edward Evershed, Retired General Practitioner

Dr. Hugh Thomas, Doctor and Clinical Teaching Fellow

Dr. Daniel Maughan, Doctor (psychiatrist)

Dr. Chris Edwards, Paediatric Respiratory Registrar

Dr. Jilla Burgess-Allen, Public Health Specialty Registrar

Samson Williams, Medical Student

Adri Hartveld, Senior Physiotherapist

Dr. Graham McAll, General Medical Practitioner

Jason Mitchell, Environmental Manager - Leeds & York Partnership NHS FT

Michael Tonkins, Medical student

Dr. Trevor Thompson, Reader in Healthcare Education

Barry Ewart, Community Education Development Officer

Dr. Natasha Robinson, Associate Medical Director for Governance

Dr. Guy Johnson, General Practitioner, Sighthill Health Centre, Edinburgh

Dr. Anna Jones, Teaching fellow in Medical Education and Public Health Doctor.

Ruth Bishop, Occupational Therapist

Dr. S Renkema, General Practitioner

Gill Wyatt, Facilitator and Psychotherapist

Dr. Merav Kliner, Public Health Registrar, North West Deanery

Dr. Mark Thompson, General Practitioner

Graeme Laws, Technical Director

Dr. Elizabeth Densham, General Practitioner

Dr. Sue Richards, Medical statistician

Susan Francis, Programme Director, Architects for Health

Louisa Perry, Medical student

Dr. Sabine Pahl, Reader in Psychology

Marwan Mansour, Medical Student

Alexis Keech, Environmental and Sustainability Manager

Sharon Jenner, Renal nurse specialist

Professor Anthony J Hedley Consultant in Preventive Medicine and Public Health

Dr. S Wheatly, Consultant anaesthetist

Kristin Goffe, Medical student

Christie Noble, Medical student

Caroline Hook, Medical student

Dr. Ephrem Bogues, Retired Medical Practitioner

Dr. Victoria Hurth, University Programme Manager

Dr. Carwyn Watkins, Foundation Year 1 Doctor

Nathan Cantley, Medical Student

Carolien Pronk, Research Advisor

Dr. Catriona Chalmers, Consultant anaesthetist

Dr. Jenny Walker, Foundation Year 2 Doctor

Ian Buckle, NHS Trust Sustainability Manager

Dr. Kate Sparks, Health Psychologist

Dr. Peter Harbord, General Practitioner

Dr. Ashritha Roy, Speciality doctor

Dr. Annabel Smart, General Practitioner

Arminel Lovell, Student

Dr. Ian Baker, Retired Public Health Physician

Dr. Rachel Mearkle, Specialist Registrar in Public Health

Mrs Joanna Goodier, Registered Nurse

Francisco d'Orey, Medical Student

Kirsty Hewitt, Specialist Registrar in Public Health

Guy Mollett, Medical Student

Dr. Bill van Marle, Retired General Practitioner

Chantal Edge, Public health registrar

Dr. Ian Wrench, Consultant Anaesthetist

Jonathan Broad, Final year medical student

Dr. Larch Maxey, Post Doctoral Research Fellow

Rebekah Morris , Medical Student

Professor Brian Harrison, Retired Consultant Physician

Dr. Juliet Boyd, Retired Consultant Anaesthetist

Dr. Heather Pyne, General Practitioner

Dr. Rachel Hadden, General Practitioner trainee

John Boyd, Retired Consultant

Oliver Golledge, Contracts Manager

Dr. G S Mead, Retired General Practitioner

Dr. John Hyde, Retired Consultant Paediatrician

Felicity McElderry, Occupational Therapist

Katherine Deans, Trainee Clinical psychologist

Dr. Richard Lawson, Retired GO/Psychiatrist

Dr. Elizabeth Waterston, General Practitioner (retired)

David Harrap MPhil, Doctoral Student

Jonathan Meldrum, Medical student

Dr. Euan McPhee, Lecturer (retired)

Helga Rhein, General Practitioner

Alisha Patel, Medical Student

Ms Lucyna Czwartos, Trainee Clinical Psychologist

Olivia Fakoussa, Trainee Clinical Psychologist

Leonard Iggulden, Retired lecturer

Dr. Elly Pilavachi, Foundation Doctor

Tim Dobermann, Student and Healthy Planet UK COP19 delegation member

Dr. Anna Blennerhassett, Junior Doctor

Joseph McArthur, Pharmacology student and Open Access Button Project Lead

Carlos Grijalva-Eternod, PhD Student

Hannah Barton, Foundation year 1 Doctor

Mr Steven Martin, Research Associate

Amrita Dhutia, Medical student

Jo Lovett, Student

Shirley Elliott, General Practitioner

Mashal Shamsuddin, Student

Dr. Judith Eling, Public Health trainee, Southwark and General Practitioner, Lambeth

Genevieve Southgate, Student

Julie, Bowel Cancer Researcher

Amy Green, Medical Student

Ricardo Costa, Engineer and specialist in Early Warning Systems

John Somner, Clinical Research Fellow

Dr. Hilary Cooling, Medical doctor

Ms Jane Beenstock, Locum consultant in public health

Elliot Clissold, Medical student and Coordinator, Healthy Planet St. George’s

Tom Merewether, Medical Student and Healthy Planet UCL Committee member

Emma Allan, Medical Student and Healthy Planet UCL Committee member

John Stoves, Hospital consultant

Emily van de Venter, Public Health Speciality Registrar

Tahmina Parveen, Medical Student

Shauna Grant, Assistant Contracts Manager, Airedale NHS Foundation Trust

Diana Divajeva, Health researcher

Nickie Wright, Occupational Therapist

Dr. Elizabeth Archer, Retired General Practitioner and sustainable healthcare teacher

Robert Shearer, FRCS Consultant Urological Surgeon (retired)

Dr. Honey Smith, General Practitioner

Dr. Damian Kenny, General Practitioner and Community Education Advisor in General Practice

Dr. Cristina Renzi, Research Associate, Department of Epidemiology and Public Health

Helen Collins, Administrative Assistant

Joana Catarina Hiew de Sousa Magalhães, Medical student

Dr. Sarah Hill, Senior Lecturer, University of Edinburgh

Virupaksha Sadhunavar, Doctor

Dr. Bryony Hopkinshaw, Foundation Year 1 Doctor

Maija Sequeira, Student

Jack Czauderna, Retired General Practitioner

Dr. Huw Morgan, Retired General Practitioner

Dr. Charlie Kenward, General Practitioner Trainee

Dr. Oyinlola Oyebode, Public Health Registrar

Dr. Sarah Corlett, Consultant in Public Health

Dr. Lucy Pocock, General Practitioner Registrar

Dr. Sharon Drewett, General Practitioner

Dr. Rita Issa Foundation Doctor

Dr. Nicholas Hopkinson, Respiratory Physician

David Carroll Medical Student

Dr. Grace Thompson, General Practitioner Registrar

Dr. Katherine Brook, Doctor

Aisling Quiery, Medical doctor (General Practice trainee)

Dr. Nigel Speight, Paediatrician

Emily Prowse, Paediatric Occupational Therapist

David Williams, Project Manager

Dr. Fred Martineau, Clinical Research Fellow

Dr. Elizabeth Rachel Anderson, Specialist Registrar in Genitourinary Medicine

Nathan Post, Student and Medsin National Activities Director

Thomas Shanahan, Medsin National Policy & Advocacy Director

Dr. Sarah Lou Bailey, Clinical Research Fellow

Elen Newcombe MSc, Environmental Consultant

Dr. Stuart Murray, General Practitioner

Anelise Rosa, Student

Dr. Trevor Trueman, Retired General Practitioner

Dr. Antonia Wrigley, General Practitioner Registrar

Dr. Brian Francis Beveridge, Retired Consultant Ophthalmologist

Amelia Martin, Medical student

Olivia Drewett, Medical Student

Dr. B Lees, General Practitioner specialty registrar

Dr. Kenneth Burke, General Practitioner

Dr. Rachel Bate, General Practitioner Specialist Trainee

Mr Stephen Robinson, Medical Student

Mrs Liz Paxton Paediatric Occupational Therapist

Tim Campion-Smith, Medical Student

Dr. Dino Motti, Medical Doctor

Dr. J T Brennan, NHS Psychotherapist

Rosemary Kate Hughes, Senior Occupational Therapist

James Arrich, Medical Student

Gina Sahota, Student

Zoe Atkinson, Art Psychotherapist

Dr. Kambiz Boomla, General Practitioner

Rosa Roberts, Medical Student

Dr. Robert MacGibbon, Retired General Practitioner

Debra Fox MCD; MRes; BA (Health) RM, HIA & Spatial Planning Researcher /Consultant

Stefanie Gissing, Fourth year medical student

Dr. Lucy Potter, Junior Doctor

Stephanie Flynn, Medical student

Nele Jensen, PhD student

Amy Alsop, Doctor

Dalvir Kular, Medical student

Neil Chadborn, Research fellow

Jennifer Almeida, Medical student

Dr. Stephen Halpin, Doctor

Abigail Sabey, Senior Lecturer Health Research

Charles Martin, Consultant anaesthetist

Dr. Paul Selway, Hospice Physician

Roger Kline, Research fellow

Gavin Barlow, Consultant in Infection

Dr. Peter Poore, International health systems adviser

Lynn Barnett, Retired mental health worker

Lindsay Solera-Deuchar, Medical Student

Dr. M R Bahl, Retired NHS Consultant

Professor Jane Salvage, Nursing consultant

Eilidh Clark, Medical Student/Edinburgh Medsin Branch President

Stuart Mclellan, Consultant

Annabel Hammond, Student Nurse

Martha Martin, Medical Student

Dr. David Kirby, General Practitioner

Dr. Christopher A Birt, Senior Research Associate / Consultant in Public Health

Katherine Hickman, General Practitioner

Dr. Jonathan Cleary, General Practitioner

Amina Aitsi-Selmi, Doctor

Dr. Sarah Butt, General Practitioner

Julie Hotchkiss, Consultant in Public Health

Tom Merewether, Medical Student

Emily van de Venter, BSc MSc MFPH Public Health Speciality Registrar

Oliver Isaac, Medical student

David Lindhard-Tordrup, Research Fellow

Michael Durbar, Medical Student

Felicia Yeung, Medical student

Dr. Jennifer Gibson, Retired doctor

Miraya Jun, Research Officer

Dr. Niall Sinclair MacLeod, General Practitioner

Dr. Alison Payne General Practitioner

Dr. G S Mead Retired GP

Logan Mills Medical Student

Dr. Richard Worth Consultant Physician (Honorary)

Hector Hall Medical Student

Ahmed El-Sayed Student

Katherine O'Shea Medical Student

Hannah Emmett Medical student

Dr. William Gibson Doctor

Hollie Kluczewski Medical Student

Thomas Stephenson Medical student and Education Director, Medsin

Dr. Thomas Kilner Emergency Medicine Doctor

Dr. Daniela Kirwan Doctor (Infectious Diseases and Microbiology)

Alice Inman Physiotherapist

Jane Howson Health Visitor

Nina Kumari Medical student

Alessandra Research Officer in Health policy

Dr Jeffrie Strang Independent Public Health Consultant

Mrs M. A. Strang Former health services manager

Dr. Emma Kirk General Practice ST1

Dr. Peter Waterson Retired General Practitioner

Dr. Jill Rapoport Retired General Practitioner

Dr. Peter Allen General Practitioner

Mr Minesh Patel Pharmacist

Dr. Annette Stiggelbout GP trainee

Dr. Tanzilah barrow ST3 radiology

Nathan Doull Medical Student

Dr Richard Worth Consultant Physician (Honorary)

Lois Carter Projects Manager TALC, Health development charity

Rachel Scantlebury Public health registrar

Dr Peter Baker Public Health Registrar

Dr Catherine Maytum General Practitioner

Andrew Prayy Health improvement specialist

Dr Jane Edge General Practitioner

Dr Andrew Cordell General Practitioner

Robert Gran Senior Lecturer in Health and Social Care Statistics, St George's, University of London and Kingston University

Dr Will Marsh Foundation Year 2 Doctor

Matthew Hodson COPD Nurse Consultant

Wendy Preston Advanced nurse

Lucie Hooper Researcher

Sarah Bird Public Health Practitioner

Dr Ted Cantrell Retired Physician

Sandra Olive Respiratory Nurse Specialist

Dr Jessica Watson GP registrar and Academic Clinical Fellow, Bristol

Susan Mikes Community Matron

Dr Nirandeep Rehill Specialty Registrar in Public Health

Dr Linda Thomas General Practitioner

Dr Helen Asquith Specialist Registrar in Public Health

Dr Jane Roderic-Evans General Practitioner

Dr Andrew Carr GP Registrar

Dr Helen Clemence GP registrar

Dr Piyush Pushkar Psychiatry SHO

Benjamin Beattie Medical student

We have included a list of references, upon which – amongst other sources of evidence – the

statements in this letter are founded, overleaf and at http://bit.ly/1bhxMZe.

1. COMEAP (2011) ‘The Mortality Effects of Long-Term Exposure to Particulate Air Pollution in the United Kingdom: A report by the Committee on the Medical Effects of Air Pollutants’ Health

Protection Agency: http://www.hpa.org.uk/webc/HPAwebFile/HPAweb_C/1317137012567

(accessed November 2013)

2. IPCC AR4 Chapter 8: Human Health. In: ‘Impacts, Adaptation, and Vulnerability: Contribution of Working Group II to the Fourth Assessment Report of the Intergovernmental Panel on Climate Change’ 391–431 (Cambridge University Press, 2007). URL: http://www.ipcc.ch/publications_and_data/ar4/wg2/en/ch8.html Retrieved October 2013. 3. "Working Group I Contribution to the IPCC Fifth Assessment Report Climate Change 2013: The Physical Science Basis Summary for Policymakers". URL: http://www.climatechange2013.org/images/uploads/WGI_AR5_SPM_brochure.pdf Retrieved November 2013.

4. HEAL. The unpaid health bill: how coal power plants make us sick. (Health and Environment Alliance, 2013). at <http://www.env-health.org/IMG/pdf/heal_report_the_unpaid_health_bill_ how_coal_power_plants_make_us_sick_final.pdf>

5. Loomis, D. et al. The carcinogenicity of outdoor air pollution. Lancet Oncol. (2013). doi:10.1016/S1470-2045(13)70487-X

6. COMEAP (2009). Long-Term Exposure to Air Pollution: Effect on Mortality. Health Protection Agency: http://www.comeap.org.uk/documents/reports/63-long-term-exposure-to-air-pollution-effect-on-mortality.html (accessed December 2010)

7. DARA. Climate vulnerability monitor: a guide to the cold calculus of a hot planet. (DARA, 2012). http://www.daraint.org/wp-content/uploads/2012/09/EXECUTIVE-AND-TECHNICAL-SUMMARY.pdf Retrieved November 2013.

8. Costello, A. et al ‘Managing the health effects of climate change’ The Lancet 16/05/09 (Vol. 373, Issue 9676, pp 1693-1733) doi: 10.1016/S0140-6736(09)60935-18.

9. Howarth, R. W., Santoro, R. & Ingraffea, A. Methane and the greenhouse-gas footprint of natural gas from shale formations. Clim. Change 106, 679–690 (2011).

10. Finkel, M., Hays, J. & Law, A. The Shale Gas Boom and the Need for Rational Policy. Am. J. Public Health 103, 1161–1163 (2013).

11. Tenenbaum, D. J. Oil Sands Development: A Health Risk Worth Taking? Environ. Health Perspect. 117, A150 (2009).

12. Anderson, K. 'UK unveils Office of unconventional gas & oil – another nail in the climate change coffin?' URL: http://kevinanderson.info/blog/uks-office-of-unconventional-gas-oil-another-nail-in-the-climate-change-coffin/ Retrieved November 2013.

13. West, J. J. et al. Co-benefits of mitigating global greenhouse gas emissions for future air quality and human health. Nat. Clim. Change 3, 885–889 (2013).

14. Haines, A. & Dora, C. How the low carbon economy can improve health. BMJ 344, e1018–e1018 (2012).

14. Air Quality - Environmental Audit Committee: The costs of poor air quality. URL: http://www.publications.parliament.uk/pa/cm200910/cmselect/cmenvaud/229/22906.htm#a11 Accessed November 2013. © Parliamentary copyright 2010.