2 . Hurricane season is here. Fiona ruined Puerto Rico, and less than two weeks later, Ian struck the west coast of Florida and its remnants(残余部分) moved up and hit the Eastern Seaboard.

Extreme weather events like Ian and Fiona have become more intense because of climate change. That reality has implications for those of us in health care. We have a duty to protect and advance the health of our patients.

We typically think of health as something doctors monitor, offering treatment such as prescription medications as needed. But in reality, only about 20% of a person's health is attributable to the medical care they receive. Social determinants such as people's neighborhood and socioeconomic status are actually responsible for 40% of a person's health outcomes. It's a sad truth that a ZIP code can be more predictive of a person's health than his or her genetic code.

Consider how extreme weather events such as this summer's heat waves affected communities unequally. Poor urban neighborhoods, with sparse tree cover but plenty of concrete and asphalt, absorb and retain the heat of the sun's rays, while leafy, shaded countrysides just a few miles away stay much cooler. A University of California–San Diego study that measured land surface temperatures in over 1,000 counties across the United States found that neighborhoods with the lowest average education and income levels generally recorded higher temperatures.

Extreme weather events such as flood can threaten people's physical and mental health long after it recedes. Almost 1 in 3 people in the flooded area were estimated to have suffered from certain post-traumatic stress disorder. Therefore, physicians in regions at increased risk of natural disasters may need to be ready to deliver more mental health care. For example, doctors in drought-stricken areas may need to make water safety a part of their conversations with patients, because groundwater sources can become unsafe to drink without sufficient rainfall.

Climate change has posed an immediate and dire health threat. Now is the time for health care providers to take collective action to adapt to this unfortunate reality.

4 . Nowadays, taking no notice of protecting the environment leads to problems including global warming. While discussing with my daughter about going green, I remembered the daily practices in most households in India. What we did was actually helping our environment and also protecting our resources. We did all this naturally, without even realizing its importance.

We preferred reusing pens in the past. We used to have ball pens used again and again by changing the refills and we also used ink pens, which were refreshed now and then by filling ink in them when required. There was no such thing as a use-and-throw pen. We loved the process of cleaning the writing instruments. However, today, plastic pens that do not last long are ruling the stationery（文具）shops.

We recycled and reused newspapers without really thinking twice about it. Newspapers were kept carefully during those days because they were an important material used for packing and storing. Today plastic bags have become important, All these materials pollute our land and water and prevent all conservation(保护)efforts.

Public transport was a common thing in the old days and it was so much fun. Nowadays.no one seems to have the patience to take public transport and many consider it too silly for them. So people take their cars out every day and pollute the environment, thinking it makes the m look cool. Vehicular (车辆的) pollution in cities is the biggest contributor to environmental problems.

I am not against the usage of modern technologies. In fact, it has helped make our life casier. While we can use the same technology to go green instead of polluting the environment, we should also go back to a few old traditions that are ecofriendly.