The Neurological Climate Emergency

The Crisis β€” Brain Climate Equity Collaborative
Brain Climate Equity Collaborative

The Neurological
Climate Emergency

Climate change is one of the most urgent and least-recognized threats to brain health of our time. As wildfires, heat events, and air pollution intensify across Canada, their profound impact on the brain is being ignored. The most vulnerable among us are paying the highest price.

Explore the Evidence ↓
🌑️ 🌫️
204
countries show measurable stroke burden attributable to non-optimal temperatures, documented 1990–2019
Qu et al., Neurology, 2024
59%
of children and young people in a 10-country study reported being very or extremely worried about climate change
Hickman et al., The Lancet Planetary Health, 2021
2Γ—
higher risk of ischemic stroke with long-term PM2.5 exposure β€” particles that cross directly into brain tissue
Alexeeff et al., JAHA, 2021
0
national strategies in Canada address the intersection of climate change and neurological health equity
Brain-CE Landscape Review, 2025
The Science

How Climate Change Attacks the Brain

A rapidly expanding body of peer-reviewed evidence links climate hazards directly to neurological and psychiatric outcomes. This is not a future risk β€” it is already happening across Canada.

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Extreme Heat

Heat is the most well-documented climate hazard for the brain. Rising temperatures increase stroke risk, trigger migraines, exacerbate epilepsy and MS, and dramatically increase hospitalizations for people with dementia. Even rapid temperature fluctuations carry elevated stroke risk.

Key Evidence Hospitalization for Alzheimer’s-related dementias rises sharply during extreme heat events. Rapid temperature swings increase acute stroke risk. Heat-attributable stroke burden affects all 204 countries studied. (Delaney et al., JAMA Internal Medicine, 2025; Kono et al., The Lancet, 2025)
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Wildfire Smoke & PM2.5

Fine particulate matter from wildfires and industrial pollution crosses the blood-brain barrier, triggering neuroinflammation. Long-term exposure is associated with higher rates of dementia, stroke, Parkinson’s disease, cognitive decline, and anxiety. Canada faces some of the world’s most intense wildfire smoke seasons.

Key Evidence PM2.5 exposure is associated with Alzheimer’s pathology in brain tissue, modified by APOE genotype. Fine particulate matter increases Parkinson’s disease risk significantly in Medicare populations. (Christensen et al., Neurology, 2024; Krzyzanowski et al., Neurology, 2023)
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Vector-Borne Disease Expansion

Climate change is expanding tick and mosquito habitats northward into previously unaffected Canadian regions. Lyme disease, West Nile virus, and other vector-borne illnesses can cause severe neurological complications including encephalitis, meningitis, and chronic cognitive impairment.

Key Evidence Vector-borne disease geographic ranges are shifting significantly as temperatures rise, placing new Canadian populations at risk for neuroinfectious diseases previously not endemic to their region. (Mojahed et al., Iranian Journal of Public Health, 2022; WHO, 2023)
Climate Hazard Neurological Conditions Affected Primary Mechanism Highest-Risk Populations
Extreme HeatStroke, Dementia, Epilepsy, MS, MigraineHyperthermia, dehydration, cardiovascular stress, neuroinflammationOlder adults, people with dementia, outdoor workers, those without air conditioning
Wildfire Smoke / PM2.5Stroke, Alzheimer’s, Parkinson’s, Anxiety, Cognitive declineBlood-brain barrier penetration, oxidative stress, neuroinflammationIndigenous communities near fire zones, rural populations, children, people with APOE risk alleles
Floods & Disaster EventsPTSD, Depression, Anxiety, TBIPhysical trauma, displacement, chronic psychological stressResidents of flood-prone areas, low-income communities, newcomers to Canada
Tick/Mosquito-Borne IllnessLyme neuroborreliosis, Encephalitis, West Nile neuroinvasionDirect CNS infection, post-infectious neurological damageRural and peri-urban residents in expanding tick habitats
Chronic Air PollutionParkinson’s disease, Dementia, Cognitive impairmentSystemic inflammation, oxidative stress, neurotoxicityUrban low-income neighbourhoods, communities near industrial zones
Mental Health

The Rising Tide of Climate Anxiety

Beyond the physical impacts, climate change is a profound and growing psychological stressor β€” one that demands clinical attention and a systemic public health response.

Climate Anxiety & Eco-Anxiety

Chronic fear, grief, and distress about the accelerating climate crisis β€” particularly prevalent among youth. This is not pathological alarmism; it is a rational response to a genuine emergency that clinicians need tools to address.

Post-Traumatic Stress Disorder

Survivors of climate-fuelled disasters β€” wildfires, floods, hailstorms β€” experience PTSD, depression, and anxiety at significantly elevated rates. The 2020 and 2023 Calgary hailstorms documented elevated mental health impacts among 88.5% of affected residents in affected neighbourhoods.

Solastalgia

Emotional distress caused by environmental change in one’s home environment β€” a feeling of loss for a once-familiar landscape. Being documented in First Nations communities across Canada facing unprecedented land and resource disruption.

Pre-Traumatic Stress

Anticipatory grief and dread about future climate scenarios β€” an emerging psychological reality. Dr. Christine Gibson, Brain-CE’s Director of Innovation and trauma therapist, has written extensively on this in The Modern Trauma Toolkit.

“We’re stuck in feedback loops where we’re so embedded in the status quo that we can’t conceive of what could benefit the social good. Social innovation means asking: what do we want to build from the embers?”

β€” Dr. Christine Gibson, Director of Innovation, Brain-CE
68%
of children and young people globally report that climate change makes them feel sad, afraid, or anxious. Over 45% say these feelings are impacting their daily functioning.
Hickman et al., The Lancet Planetary Health, 2021 β€” 10,000 young people across 10 countries, the largest study of its kind

Our Clinical Response

Brain-CE is developing clinical screening tools, community resilience frameworks, and care pathways for Canadians experiencing climate-related psychological distress.

Equity

This Crisis Is Not Felt Equally

Systemic injustices ensure that equity-denied communities bear the greatest burden of climate-related neurological harm β€” while having the least access to information, healthcare, and adaptation resources.

  • πŸ—οΈ
    Outdoor Workers Cannot escape heat or wildfire smoke during working hours. Disproportionately racialized and newcomer workers face maximum exposure with minimum protection and the fewest legal safeguards.
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    Low-Income Households & Seniors Often lack air conditioning or filtration. In Calgary’s Northeast “hailstorm alley” β€” predominantly newcomer communities β€” repeated climate shocks combine with insurance exclusions and language barriers to compound harm.
  • 🌿
    Indigenous Communities On the front lines of land, water, and resource disruption. Disproportionately affected by wildfires and displacement. Face compounded barriers to neurological care and culturally unsafe health systems.
  • β™Ώ
    People with Disabilities & Neurological Conditions Greater physiological vulnerability to heat and air quality changes. Higher risk during evacuation failures. Existing conditions amplified by environmental stressors, while climate policy seldom considers their needs.

Relative Climate Risk Exposure

Indigenous communities (wildfire smoke)Very High
Older adults with dementia (extreme heat)Very High
Low-income households (heat, no AC)High
Newcomer communities (hailstorm alley)High
Racialized neighbourhoods (air pollution)High

Relative exposure based on synthesis of peer-reviewed literature. Illustrative.

Key finding: In Canada and the US, air pollution exposure disparities closely mirror racial and income geography β€” communities of colour breathe measurably worse air. This is the direct product of inequitable land use and urban planning decisions. (Jbaily et al., Nature, 2022; Morello-Frosch & Obasogie, NEJM, 2023)

The Gap
“Canada has no national framework connecting climate hazards to neurological health β€” for any population.”

While the United Kingdom, Australia, and the European Union have begun integrating brain health into their climate adaptation strategies, Canada lags far behind. There is no coordinated national research agenda, no clinical guidance for practitioners, and no public health messaging connecting climate events to neurological risk.

The Brain Climate Equity Collaborative was founded in 2025 to fill this critical gap β€” generating the evidence, raising awareness, and driving the systemic change needed to protect every Canadian brain in a changing climate.

Our Story & Mission β†’
🍁 Canada β€” Current Status

No national strategy addressing climate-neurological health intersections. Fragmented, reactive clinical practice. No public health messaging. Equity gaps in climate adaptation largely unaddressed. Brain-CE is the first initiative to take on this nationally.

πŸ‡¬πŸ‡§ United Kingdom

Lancet Countdown reports explicitly track climate impacts on neurological health. NHS climate adaptation plans reference neurological vulnerability groups. Academic-clinical partnerships advancing rapidly.

πŸ‡¦πŸ‡Ί Australia

National heat health alert systems explicitly address neurological risk groups. Research funding connects bushfire smoke to cognitive outcomes. Community-based clinical interventions underway.

The Time to Act Is Now

Canada’s window to get ahead of this crisis is closing. Join our growing community of researchers, clinicians, advocates, and community members building the national response that is urgently needed.