Blog

A post to mark the passing of legendary Yellowknife nurse Martha Codner.
"If you can alleviate the fear of a child just by your presence or your caring and comforting, that's a job done right there...It's the most rewarding job that I think anyone could choose. When you can make a difference and help somebody, whether it be minute or major. It's rewarding. You don't have to have a thank you, you just walk away and say, 'A job well done." Martha's voice, taken from an interview with Loren McGinnis upon her retirement a few years ago, starts off both of these interviews."

Statement about Annamie Paul stepping down
"Thank you to Annamie Paul for your service to Canada. It meant a lot to my daughters and I to have a strong, intelligent, articulate woman on the stage. Many have asked about my plans at this juncture. The NWT is currently being rocked COVID19. For the moment my focus is on my work in the Emergency Department and on helping the local, national, and international health communities respond to the converging health crises of COVID19 and climate change in a manner that recognizes that on an interconnected planet, for any to thrive, all must have the opportunity to be well."

Covid felt very eral in the ER today, NWT friends
Covid felt very real in the ER today, NWT friends. I hope very much that we will be able to turn this Covid wave into a small blip instead of the first uptick on an epic Northern event.

Summer of Smoke- February 7, 2021
*Every once in a while I develop a burning curiosity about something. It's usually the start of an adventure.
New Years Eve 2021
"Hallo All! I write from beside a woodstove, kids just stirring, Darcy doing yoga behind me as part of a New Years’ resolution-ish initiative from last year that actually stuck. I spent most of yesterday reading “Deep Work” and am starting my new, more efficient New Year’s plan a few days early by purposefully not checking my email before settling down to write. Apparently this works great in order to actually eventually get all the email done. I BELIEVE!!"
Medical Life at ASRI: medicine at the end of a bumpy highway.
Although I trained mostly in large academic centres, I’ve spent much of my medical life practicing at the remote end of bumpy highways. There is an elegance to it—an instant humility brought about by limited resources, a ‘we’d better stick together or we’re sunk’ solidarity amongst staff that evaporates much of the posturing that can invade hospitals.
Chainsaw Buyback: Just Transition in the Bornean Rainforest
This journey through Borneo revealed how community-driven climate solutions can create a truly Just Transition—one that supports workers, protects livelihoods, and empowers villages to preserve the rainforest. What I witnessed there offers lessons for how we might rethink climate action and equity back home.
Morning Meeting
ASRI’s morning meetings reveal a rare workplace culture built on horizontal leadership and genuine respect. Sitting together in a circle, staff from every department share the floor equally—creating a motivated, energized team that challenges the rigid hierarchies common in many healthcare settings.
Goats for Widows!
ASRI/Health in Harmony take data from their village surveys to determine which widowed women in the area may benefit from goats. The women receive 1-2 goats, then repay ASRI in goats once the animals procreate.
Visit With Forest Guardians
ASRI’s Forest Guardians play a central role in reducing logging around Gunung Palung National Park—combining social accountability, healthcare incentives, and community outreach to achieve an 89% drop in logging households. Their long-term commitment shows how relationships and local leadership can drive powerful conservation outcomes.
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Why does ASRI's hospital in Borneo feature two giant posters of icebergs?
We arrived here last week, sweaty, towing our children, to find two giant posters of icebergs (1 took them to be the Arctic on our first dayâ*"it is possible they are at the South Pole.)  It was astonishing to come to the jungle and find icy iconography.  We definitely don’t have any photos of orangutans
Why ASRI/ Health in Harmony's Borneo Project is Cool.
Why did we come all the way to Borneo? Â Well...l was intrigued enough by ASRI /Health in Harmony's integrated health and conservation project in Sukadana that I wanted to see it for myself. A The basic idea is that in this rural area in Western Kalimantan, Borneo, providing affordable healthcare allows people to stop cutting down the

Paying for Healthcare With Manure?
ASRI-Borneo’s head MDÂ Dr Nomi explains how rainforest-conservation incentives are built into their hospital’s payment scheme. Imagine if all healthcare systems took Planetary Health into account?
Arrival in Sukadana at ASRI/Health in Harmony Site
Our first journey into Sukadana unfolded in vivid colour—palm-lined roads, families stacked on scooters, evening light sliding into sudden equatorial night. It was a warm, lively welcome to the community surrounding ASRI’s hospital, where lush hills and everyday scenes hinted at the deep connection between people and place.
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Where Does Palm Oil Come From Anyhow?
As Jenie described it and his cousin Andy later showed us, as you head to Camp Leakey, the park is on your right, and a series of research stations and villages are on your left. Branching off every so often on the left are irrigation channels about 2 metres wide. They supply water to palm
I started noticing sirens on my way to ASRI
At some point in my life as an ER doc in a small town I started noticing sirens...but only when I'm within a day or two of working a shift. Â The rest of the time my brain blessedly filters them out completely. I hadn't noticed any since leaving Yellowknife, and then we got off the
Di Manaka Toilet? On travel and novel plumbing.
A lesson in Indonesian, a country that adores children, and an accelerating series of “plumbing adventures” marked our first days en route to Borneo. From airport family toilets to sprayers, stall signs, and finally a squatter toilet, the journey became a humorous crash course in adaptability—and in parenting on the move.
Post #428
A handful of croissants, a trio of EpiPens, a kid thrilled about her bug jacket, and the revival of a pair of well-travelled “ugly pants”—the early moments of this journey blended nerves, nostalgia, and quiet resilience as we prepared to head deep into Borneo as a family.
Post #1
As climate change reshapes human health, the boundaries between humanitarian work, environmental protection, and Planetary Health are dissolving. This growing convergence is what led me—from the Canadian subarctic to Borneo—to join Health in Harmony in exploring how affordable healthcare can curb deforestation and support both people and the planet.
Media Coverage

Dr Courtney Howard, Emergency Physician, Canadian subarctic, Chair, Global Climate & Health Alliance
Dr Courtney Howard, Emergency Physician, Canadian subarctic, Chair, Global Climate and Health Alliance explains compares the Earth's complex system to a human body, and explains what happens when you fail to intervene early enough when complex systems become destabilized

Climate Change Led to At Least 16,500 Heat Deaths in Europe This Summer
A new study tracked the effects of higher temperatures in hundreds of European cities.

Human‑Caused Warming Tripled the Death Toll of European Heat Waves This Summer, New Report Shows
Public health researchers struggle to track the accelerating pace of global warming impacts.

Climate Change May Have Killed 16 469 People in Europe This Summer
Researchers warn that preventable heat-related deaths will continue to rise with continued fossil fuel emissions.

As world gets hotter, Americans are turning to more sugar, study finds
A study reveals that high temperatures drive Americans to consume more sugary beverages and sodas, increasing calorie intake and the risk of diabetes.

How much do we understand about the health effects of wildfire smoke?
This week, the NWT’s chief public health officer warned that wildfires are causing “very high-risk” drops in air quality for some residents. The smoke is disrupting routines and raising questions about the effects on human health.

Wildfires are reversing Canada's progress on improving air quality
Air pollution 'is like the zombie that we thought we had killed,' says expert

Hundreds of deaths from L.A. wildfires went uncounted, researchers say
Doctors warn disaster response should include long-term health monitoring

Dry Canada, wildfire dangers linger, mRNA research cuts, and more
Water restrictions, bans on hiking and driving…. communities across the country are implementing measures because of the dry weather, and the threat of wildfire.

Webinar:Roadmap for Planetary Health & Sustainable Health Systems for Canadian Medical Professionals
Over 100 Canadian hospitals have officially ditched desflurane—a super-polluting anesthetic gas—in a major victory for climate and health.

Canadian hospitals switching out anesthetic gas for cleaner alternative
At Trillium Health Partners in Mississauga, the decision to stop using the common anesthetic gas desflurane during surgeries made a big difference. The hospital reduced carbon emissions from anesthetic gases by more than 90 per cent — going from 860 tonnes of CO2 per year to just 80.

N.W.T. health-care bodies say relying on virtual doctors in emergency room is unsafe
Yellowknife's hospital will staff its emergency room with a virtual doctor, and will regularly schedule doctors to work 12-hour shifts this summer to deal with a personnel shortage, according to three health-care organizations in the territory that have decried the situation as dangerous.

How the wellbeing of people and planet are connected
Join the Wellbeing Economy Alliance Health Working Group to explore why planetary health is essential to reimagining better health systems.

The great turning
Another reckoning is coming with climate change. How do we deal with our mental health — and ultimately find hope?

The GNWT just bumped up pay for locum physicians. Here’s why.
NWT doctors say Stanton Territorial Hospital has so few physicians that its emergency room is in danger of closing. Healthcare bosses insist that will not happen and are increasing pay to address part of the problem.

N.W.T. doctors say severe staff shortages could force Yellowknife ER closures this summer
Yellowknife ER doctor Courtney Howard and other N.W.T. doctors spoke to MLAs on the standing committee on social development Friday on behalf of the Northwest Territories Medical Association, warning of a "crisis point".

Scientists say EPA just needs to look around the world to see the growing dangers of climate change
As President Donald Trump’s administration looks to reverse a cornerstone finding that climate change endangers human health and welfare, scientists say they just need to look around because it’s obvious how bad global warming is and how it’s getting worse.

Study projects millions of European heat deaths as world warms
Extreme temperatures — mostly heat — are projected to kill as many as 2.3 million people in Europe by the end of the century unless countries get better at reducing carbon pollution and adapting to hotter conditions, a new study says.

Here's what happened when experts at COP29 played a climate change board game
Activists and experts who are pushing world leaders to save an overheating planet learned it’s not so easy, even in a simulated world.

The awful fires in the Northwest Territories can light the way to a better, healthier future
Courtney Howard is an emergency physician in Yellowknife and the vice-chair of the Global Climate and Health Alliance. Nicole Redvers (Deninu K’ue First Nation) is an associate professor at Western University. Sarah Cook is a family physician in Yellowknife whose family has been evacuated to Alberta, where she is helping co-ordinate care for pregnant evacuees.

Yellowknife doctor feels pain of N.W.T. wildfires while attending Ottawa conference
As wildfires forced the evacuation of her hometown of Yellowknife on Friday, Dr. Courtney Howard was doing everything possible to stay focused on her keynote speech at the Canadian Medical Association’s Health Summit at the Shaw Centre.

Fossil fuel addiction’ kills 1.2 million people a year and leaves 100 million hungry
Extreme weather from climate change triggered hunger in nearly 100 million people and increased heat deaths by 68% in vulnerable populations worldwide as the world’s “fossil fuel addiction” degrades public health each year, doctors reported in a new study.

Statement from Facebook-June 2021
I've had a lot of people approach me in the past day or so with questions about potential near-term political involvement, and given the wonderful energy and support I had with the campaign, that as it happens, l launched a year ago today, I feel I ought to post a brief message.

Discovery, Ecological grief
Gaia Vince explores the growing impact of ecological grief, and how climate change is affecting people's mental health.
Orangutan-spotting with the Green Team in Tanjung Puting National Park
We wanted to spot some orangutans in Tanjung Puting National Park before heading to Health in Harmony and ASRIäet™s hospital in Western Kalimantan, Borneo, so we carried life jackets for the kids with us all the way from Yellowknife. Â (ER MD job hazard=safety police tendencies...yep- everyone loves to travel with me!) Mr Head-Packer sighed, but










