2025 Annual Symposium

Our Annual Symposium brought together researchers, clinicians, educators, and sustainability leaders for critical discussions. Sessions explored key and emerging issues for collectively addressing the urgent challenges and transformative opportunities at the intersection of environmental sustainability, health systems, and health.

Keynote: Dr. Ojistoh Kahnawahere Horn

Click the image above to view Dr. Ojistoh Kahnawahere Horn’s keynote presentation.

Ro ti kenh shon tah tie: Indigenous Voices in the Decision Making for the Health of the Planet

Dr. Ojistoh Kahnawahere Horn, a Bear Clan Mohawk/Haudenosaunee family physician from Kahnawake and Akwesasne, shared how intertwined systems—land, water, politics, and medicine—shape health in her border-straddling community. Grounded in both clinical practice and traditional knowledge, she explored the layered impacts of pollution, energy infrastructure, and jurisdictional conflict on individual and community wellbeing. Her work in Akwesasne offers a lens through which to understand broader health and environmental challenges facing Indigenous communities across Turtle Island.

Panel Sessions

Morning Sessions

This panel explored participatory and community-based approaches to addressing the mental health impacts of the climate crisis. By centring lived experience and promoting agency, panelists illustrated how experiential knowledge can inform more responsive mental health interventions and climate adaptation and mitigation strategies that are rooted in hope, connection, and justice.

From Climate Distress to Collective Action: Participatory Approaches for Mental Health and Well-Being

  • Swelen Andari: Building Climate-Resilient Futures with Youth by Adapting an Active Hope Intervention
  • Sophia Bryan-Carbonell & Sarah Merghani: Scaling Climate Mental Health: Evaluating the Impact of University-Based Climate Cafés
  • Siqi Xue: Lived Experience with Climate Change among Women with Mental Illness: Understanding Service Needs and Potential Interventions

This panel explored how health policy, education, and practice can be transformed by engaging with more-than-human perspectives. Through case studies spanning infectious disease, surgical practice, and climate adaptation, panelists discussed the need to reconsider interspecies relationships, everyday habits, and embodied ways of knowing.

Sustainability in Everyday Life: Building Practical and More-than-human Consciousness to Change Policy and Practice

  • Sonia Meerai & Chizuru Nobe-Ghelani: Sensing Invisibilities: Revisioning Communication Across the More Than-Human to Transform Health Policy, Practice, and Education
  • Antonia Di Castri: Climate Action and Infectious Disease Prevention: Posthuman Provocations from a More-than-literature Review of Tick-borne Disease Prevention
  • Dr. Colin Sue-Chue-Lam: Unsustainability is What People Do: The Case for Surgical Practice as Social Practice

This panel explored the potential of community-engaged research to advance climate and health equity. Panelists explored good practices for how researchers can collaborate with communities to co-produce knowledge, elevate local voices, and contribute to community goals.

Community Engaged Research

Early Afternoon Sessions

This panel explored innovative, evidence-based strategies to reduce the environmental harms of care by showcasing projects using data-driven approaches, inter-professional collaboration, and behaviour change models to cut greenhouse gas emissions, reduce waste, and lower costs—while maintaining clinical safety and efficiency.

Reducing Environmental Harms of Care

  • Alina Zgardau: Optimizing the Head & Neck Minor Dissecting Surgical Tray: QI Initiative to Reduce Costs & Carbon Footprint
  • Hilalion (San) Ahn: Sustainable Scopes: Potable Tap Water as a Cost-effective Eco-friendly Alternative
  • Michelle Sheojung Shin: Evaluation of Waste & Disposal Practices in the Bronchoscopy Suite
  • Elisabeth Perlikowski: Not all Operating Room Garbage is the Same: The Impact of Properly Sorting Biohazardous Waste
  • Mike Apostol: Biodegradable PPE: Why Greener Isn’t Always Better
  • Susan Deering: Sunnybrook’s Nitrous Oxide Journey
  • Elaine Ng: Greening the Operating Room: Experience at a Tertiary Care Pediatric Hospital

As the health impacts of climate change intensify, there is a growing imperative to integrate planetary health into health professional education. This panel explored how educators and learners are advancing climate-responsive curricula across disciplines, from medicine to pharmacy to health administration. Through diverse approaches to curriculum development, competency frameworks, and student-led advocacy, panelists discussed opportunities to embed sustainability, equity, and environmental accountability into health education and prepare future leaders for a climate-resilient future.

Planetary Health Education

  • Jocelyn Bonti-Ankomah: Identifying Planetary Health Competencies to Guide the Integration of Planetary Health within Pharmacy Curriculum
  • Genny Ng: Advancing Climate Change Education with the Planetary Health Report Card
  • Marlee Vinegar: Development of Planetary Health Learning Modules for Family Medicine Residents and Teachers at U of T

As climate change increasingly affects health and well-being, healthcare systems must adapt to meet emerging challenges. This panel explored discussed how to recognize climate-related health risks, identify those most vulnerable, and strengthen cross-sector collaboration to build more resilient, equitable, and sustainable models of care.

Care in a Changing Climate

Late Afternoon Sessions

As artificial intelligence becomes more embedded in health care, its environmental and ethical implications demand greater scrutiny. This panel took a critical look at the hidden climate costs of AI, questioning assumptions about innovation, efficiency, and value. Panelists explored how health systems can navigate the tradeoffs of AI adoption while ensuring sustainability, equity, and transparency.

Climate Costs of Health AI

This panel will feature emerging research from trainees examining the complex relationships between climate change, environmental exposures, and human health. Presentations highlighted how climate-related factors influence health outcomes, healthcare utilization, and equity.

Climate & Health Trainee Research

Chloe DesRoche: Sex-specific Associations of Short-term Environmental Exposures with Utilization of Medical Imaging in the Emergency Department

Felipe Castillo: Sex-specific Associations of Long-term Air Pollution Exposure with Coronary Artery Stenosis on Cardiac CT

Eray Yilmaz: Projections of Future Heat-related Emergency Medical Imaging Demand under Climate Change Scenarios

Mariam Farooq: A Systematic Review of Gendered Impacts of Extreme Climate Events on Women Living in Poverty

Mehnaz Munir: The Effects of Exposure to Air Pollution on Obesity and Ectopic Fats: A Systematic Review and Meta-analysis

Salima Kerai: Extreme Temperatures and Child Wellbeing: Evidence from Pakistan

Sarah Jarvis: Environmental Impacts of Recommended Diets for Cardiometabolic Health

This panel explored practical strategies to use quality improvement and implementation science methodologies to advance environmental sustainability in healthcare. Through case-based discussions and real-world examples, panelists shared approaches to engaging patients and clinicians in environmentally responsible choices and implementing system-level approaches to support sustainable practices.

Bridging the Gap: Quality Improvement & Implementation Science

  • Sarah Ward: Increasing the Environmental Sustainability of Canadian Operating Rooms: An Evidence Informed Guideline
  • Mandy Lam: Improving Environmental Sustainability by Decreasing Inhalational Anesthetic Emissions in Pediatric Surgery – A Quality Improvement Study
  • Stacey Butler: Choosing Green: Conversation Aids for Integrating Environmental Awareness into Inhaler Prescriptions

Posters

PresentersPoster title
Amanda Mac, Adam Fontebasso, Christine Lam, Janet Tang, Ela Howard, Marina Englesakis, Emma Reel, Tulin D. CilOpportunities to Improve the Environmental Sustainability of Breast Cancer Care: A Scoping Review
Amna Zafar, Tom Joseph, Serena LaiThe Impact of the Planetary Health Report Card at University of Toronto Nursing from 2023-2024
Anna Shalin, Zhanyun Wang, Miriam L. DiamondBreaking Lock-Ins to Enable Environmentally Safe and Sustainable Pharmaceuticals
Aryan Sadeghi, Camellia Zakaria, Marianne Hatzopoulou, Weaam JaafarSeeing Black: Employing Computer Vision and Machine Learning Techniques to Estimate Black Carbon Emissions from Traffic Activities
Brittany Maguire, Katharine S Devitt, Fiona A MillerCatalyzing Action for Health in a Changing Climate
Carla Santini, Catherine Devion, Susan DeeringA Scoping Review of Climate Change Impacts on Older Adults: Mental Health, Food Security, Vector-Borne Disease, and Migration Risks
Craig Olmstead, Leann Blake, Maggie ParkinsonEnvironmental and Patient Impact of Accessing Point-of-Care Blood Draws in Rural Southwestern Ontario Primary Care Centres
Inaam Chattha, Tafheem Un Nisa, Amjad Alghamyan, Awais SafdarWildfire Exposure and Spatial Inequities in Access to Reconstructive Burn Care
across Canada and USA
Ivy Lam, Karen CameronEmbedding Planetary Health Education into a Pharmacy Education Curriculum
Katharine S Devitt, Cate MacLeod, Fiona A MillerCASCADES: Strengthening Pan-Canadian Capacity for Climate Action in Healthcare
Lauren Corridore, Susan Harris, Harvey SkinnerMindfulness-based Approaches to Climate Distress: Fostering Inner Resilience & Environmental Action
Mike ApostolBiodegradable PPE – Why Greener Isn’t Always Better
Muhammad Faisal Shehzad, Joonsoo Sean Lyeo, Nabil Bleibel, Sarah Haines, Nicholas Spence, Helen StoppsA Scoping Review of Climate Vulnerability Indicators at the Neighbourhood Level
Sophia Bryan-Carbonell, Sarah MerghaniEvaluating University Climate Wellness Models: Lessons Learned and Future Directions
Zachary Miller Alexis Kuri Garcia, Anita Rao, Ben Hatton, Desmond van den BergA Materials, Performance and Life Cycle Analysis of Reusable and Disposable Absorbent Pads for Patient Care to Reduce Material Waste and Healthcare Costs

PresentersPoster title
Aly Muhammad LadakEnvironmental Sustainability in Radiology: Switch from Paper-Based to Digital Outpatient Appointment Communication
Anastasia MacDougallScaling Unit-Level Recycling Success across The Ottawa Hospital
Anna De JongClimate Cafés as a Space for Navigating Climate Emotions: A Scoping Review
Caitlin RoyPharmacy and Planetary Health Research Project and Publication Repository
Abdelrahman Said, Caroline Kinnear, Peter Pasceri, Guoliang Meng, Wei Wei, James Ellis, Seema MitalImplementing Sustainable Lab Practices through the My Green Lab Program at SickKids
Carolyn HouldingConservation and Sustainability Focused Group on an Inpatient Clinical Mental Health Program: Impact, Acceptability, Feasibility
Charmi ShahExtending the Life of Anesthesia Breathing Circuits: Safety Considerations and the Urgent Need for Consensus Guidelines in Canada
Darius Baginskis, Sydney Schultz, Genny NgBuilding the Case for Climate-Informed Healthcare Leadership: Lessons Learned from the PHRC Healthcare Management Pilot
Diego Rada RojasEndotoxins and Environmental Factors Associated with Childhood Asthma in Canada
Erin Flanagan, Mariya Bezgrebelna, Renée Rosenmann, Katie Upham, Sean A. KiddThe Role of Landlords in Shaping Housing Responses to Climate Change and Health Equity
Gregory Ryan GismondiThere Is No Planet B: Streamlining Operating Room Sustainability Project through Machine Learning in Pediatric Surgery
Harshit GujralWhy EVs must Replace—Not Supplement—Existing Gas-powered Vehicles for Meaningful Public Health Benefits
Helena TengDeveloping an Environmental Sustainability Strategy for North York General Hospital
Huy NguyenA Comparison of Climate Change Adaptation Plans in Canada with a Focus on Poverty and Homelessness
Japleen Thind, Megan Abbott, Susan DeeringFrom Waste to Workshop: ReSuture – A Pilot Initiative Repurposing Suturing Supplies for Medical Education
Katie CameronExamining the Connection Between Sustainability and Employee Well-Being
Kyobin HwangEvidence-Based Strategies to Reduce the Environmental Impact of Ophthalmology: A National Toolkit for Sustainable Eye Care
Leanne Lacap, Jolly NoorWomen in the Midst: An Analysis of the Intersectionality of Climate Change, Poverty and Health in the Canadian Print Media
Leslie Solomonian, Samantha Green, Jacqueline Avanthay-StrusAdaptation and Mitigation to the Planetary Health Crisis from within Primary Health Care: A Scoping Review
Lisa BlankIntegration of Sustainable Food in Healthcare Institutions in Ontario: A Grey Literature Scoping Review
Lola OyefesoEnvironmental Inequity as a Health Burden: A Scoping Review of Pollutant Exposure Among Indigenous Populations in Canada
Lorraine Maze dit MieusementBiodegradable Glove Product Review and Implementation
Nalia Shaikh, Lourdes Dela Cruz, Pauline Wolak, Maria HeninAn Initiative Evaluation – “Gauze for Gaza”: Exploring Healthcare Worker Attitudes toward Medical Waste Reclamation for Humanitarian Aid
Marilia D’SouzaCritically Mapping the Evidence on the Role and Impact of Plastics in the Context of Health Products and their Packaging
Mauriene TolentinoAdvancing Equity through Climate Resilience: Teachings from Community Initiatives in the GTA
Michael Montess, Daniel BuchmanWhy Mental Health Ethics and Public Health Ethics Approaches are Needed to Address the Impacts of the Climate Crisis on Health Care
Michaela Hargitai, Joonsoo Sean Lyeo, Nicholas SpenceClimate Change Education for Vulnerable Populations in the Global North: A Scoping Review
Ashley Khan, Preetama Badyal, Hamza Alsaied, Nour Abdelrahman, Oana BirceanuThe Environmental and Health Risks of Antibiotics and Antibiotic Resistance in Water Systems
Remziye ZaimResponsible Artificial Intelligence Governance for Sustainable Health Systems
Samantha UngerPulse Check: What is the Environmental Impact of Medical Devices Used in Cardiovascular Care?
Sharleen Kemunto NyakundiClinicians at the Frontline: Driving Climate-Resilient Healthcare for Communities
Sherry DuMosquitoes Prefer Laying Egg Rafts in Road-salt Polluted Habitats