Worsening air quality and warmer, stormier weather in the Great Lakes region caused by climate change are threatening human health
Michigan medical students are pushing for curriculum changes to address these health threats
As a result, more medical schools are teaching future doctors about climate change
Climate change is no longer a “backburner” issue for medical students like Sierra Silverwood. It’s essential to understanding human health when new and greater health threats are emerging because of climate change.
This story is part of a series by the Great Lakes News Collaborative that connects the region’s changing climate and abundant water to human health.
The collaborative’s five newsrooms — Bridge Michigan, Circle of Blue, Great Lakes Now and the Narwhal — are funded by the Charles Stewart Mott Foundation.
But integrating climate topics into an already “packed medical education” isn’t easy, said Michigan State University fourth-year medical student Silverwood.
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Despite the challenge, future doctors across Michigan and the nation are taking their education into their own hands — creating climate health curriculaand calling on faculty to integrate the material into their programs.
“We’re starting to see how (climate change) impacts our patient care,” said Silverwood. “I think that’s really gotten individuals inspired to take action.”
‘The face of the climate crisis’
This story is part of a series by the Great Lakes News Collaborative that connects the region’s changing climate and abundant water to human health.
The collaborative’s five newsrooms — Bridge Michigan, Michigan Public, Circle of Blue, Great Lakes Now and the Narwhal — are funded by the Charles Stewart Mott Foundation.
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The urgency of climate health education for medical students is more apparent than ever with a dangerous heat wave hitting the Midwest this week.
Climate change is making these extreme heat waves hotter and more frequent.
In the Great Lakes region, average annual temperatures increased 2.3 degrees Fahrenheit since 1951 and are expected to rise several more degrees this century.
Along with extreme heat, flooding, wildfire smoke, air pollution and vector-borne diseases like Lyme disease are sending people to hospitals, sometimes killing people.
A 2019 study by U-M researchers estimated that the number of emergency room visits in Michigan caused by extreme precipitation may increase to 220 per year by 2070 from 170 historically. Deaths from extreme heat may increase to 240 from 33 per year in the same period.
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“Health is the face of the climate crisis,” said Dr.Lisa DelBuono, founder and president of Michigan Clinicians for Climate Action, which is why doctors need to be trained to recognize climate threats to better treat their patients.
But practicing doctors may be hesitant to acknowledge the environmental factors causing their patients to get sick because climate change was highly politicized — or maybe not talked about at all — while they were in medical school, said DelBuono.
A recently retired diagnostic pathologist herself, DelBuono understands these doctors’ concerns but thinks the health threats are too big to ignore.
“If they’re not prepared for what’s coming down the pike, then they’re not going to be able to do their job,” she said.
Current medical students are facing this reality, which is why they’re pushing for the integration of climate health topics in their curriculum.
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Preparing for a changing future
Efforts on the campus of the University of Michigan and Michigan State University are examples of how that can work.
Medical students at University of Michigan took action in 2019, forming White Coats for Planetary Health (WCPH), a group of 12 to 15 medical students pushing for increased education about climate health in their curriculum.
In 2022, the group successfully created a health and climate-change elective for third and fourth-year medical students.
The elective prepares students to recognize environmental impacts on health, such as how air pollution affects lung health and the relationship between extreme rainfall andwater-related illnesses such as E. coli infections.
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Medical student Andrea McGowan, co-chair of education and curriculum for White Coats for Planetary Health, said the courseis “pretty popular among students,” even though it’s not required.
“Med students like to be prepared,” said McGowan, “and a lot of students are starting to recognize that (climate change) might impact what they see in the clinic.”
U-M professor and WCPH mentor Alexander Rabin told students about the dozens of patients he saw last summer with breathing problems because of wildfire smoke.
Seeing and hearing about those impacts is motivating students to advocate for change, said Rabin.
Rabin got involved in climate advocacy when he was a medical student in 2018, and said students are “the lifeblood” of climate health advocacy.
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“They’re politically engaged, and they’re worried about their future,” he said.
What’s next for student advocacy
Students are continuing to advocate for climate health education at their schools.
U-M students earned a big win with the inclusion of the climate health elective, but they aren’t stopping there.
Medical student McGowan said the next step for WCPH is to fully integrate climate health into the existing four-year curriculum.
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For example, during a class about cardiovascular health and heart disease, students might watch a video lesson about how extreme heat can affect patients with existing heart conditions.
WCPH students are teaming up with faculty across the country to create sucheducational videos in partnership with Climate Resources for Health Education (CRHE), a global professional-led climate health initiative.
With summer break in full swing, McGowan said she’s not sure when the videos will be done, but the completed videos will be free and available on CRHE’s website.
Other medical schools in the region are also working towards integrating climate health into their curriculum.
MSU College of Human Medicine is close to adding a climate change course to its program, said Silverwood, who is working with the MSU curriculum committee to cement the change.
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Silverwood said the course would be a required introduction to climate change. From there, students can pursue research about climate health topics that interest them, like climate impacts on cancer or environmental justice.
Without specialized climate health courses at MSU, students will likely have to search for educational material about topics of interest from outside organizations.
CRHE is one such resource. Along with new climate health video material, the initiative provides 44 courses complete with learning objectives, slide decks and facilitator guides.
CRHE says all itsresources are “evidence-based, expert-reviewed,” free and open-access.
In addition to CRHE, Medical Students for a Sustainable Future (MS4SF), a global, student-run climate health advocacy group, provides free educational resources like webinars and lectures on its website.
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The group also organizes research opportunities and training programs centered on the link between climate and health, which medical students can apply for.
Silverwood is the curriculum co-chair for MS4SF. She said the students who founded the organization in 2019 were “pioneers” in climate health advocacy, and since then, MS4SF has been crucial to driving change in medical schools across the country.
Efforts to integrate climate health into medical school curricula are fairly new — much of CRHE material is only two years old. Many medical schools, like U-M and MSU, have begun reforming their curricula,but others haven’t made any progress.
In fact, the American Medical Association found that 45 percent of U.S. medical schools don’t require climate health as a topic in their courses in 2022.
Medical students wanting to propose curriculum reform at their schools can use MS4SF’s curriculum guide, which takes students through writing a letter to their curriculum committee to create syllabi for climate health courses.
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Many schools still have a long way to go, but Silverwood said student efforts are only growing.
MS4SF’s regional chapters are starting to work together to push nationwide climate health education reform, said Silverwood.
“I feel like the organization is gaining a lot of momentum,” she said. “We’re excited to find new and better ways to facilitate curriculum integration for students.”
TEMPE, Ariz. — Athletics director Graham Rossini attempted to reassure Arizona State’s restless fan base on Thursday that the university is working to provide what coach Kenny Dillingham needs for the football program to thrive. It’s just taking time.
“As a sport, as an industry, we work with these long-term contracts,” Rossini said during his weekly radio appearance on Arizona Sports KMVP-FM. “The reality is the landscape of college sports is changing daily, weekly, very quickly. My perspective has been, all along, as you’re designing something long-term, the little details become the most important part of the big moments, so we got to get it right.”
This story has played out in two acts over the past week. The first unfolded last Saturday. Amid speculation that Dillingham might be a top candidate for Michigan’s head-coaching position, Dillingham expressed just how much it means to coach at Arizona State, his alma mater. He struggled to keep his composure, and much of the fan base relaxed, secure that Dillingham wasn’t going anywhere.
Three days later, Dillingham delivered a different message. Asked if he was relieved to put the Michigan rumors behind him, the 35-year-old coach pivoted to the industry’s craziness, at one point comparing it to the tech boom of the mid-1990s. Asked if he could put fans’ fear of his departure to rest, Dillingham said his job is to do whatever possible to help and protect those who are “in the foxhole” with him.
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This puts Arizona State back in a familiar place, trying to figure out what it wants its football program to be. Under school president Michael Crow, the school has never had a five-star program. It’s always been more like former running back Cameron Skattebo, stretching for extra yards and proving people wrong. It’s not a coincidence that the Sun Devils have usually performed better as underdogs. It’s who they’ve always been.
But under Dillingham, the Sun Devils have flexed different potential.
Can’t win a national title? Last season, Dillingham took the Sun Devils to the College Football Playoff, where they came within a fourth-down, overtime stop against Texas from advancing to the semifinals.
Can’t activate a difficult fan base? This season, Arizona State sold out its home schedule at Mountain America Stadium, the first time in memory the Sun Devils have done so.
In three years, Dillingham has gone from unproven head coach to one of the nation’s more respected program builders. He won three games in his first season and the Big 12 championship the next. He grasps the sport’s changing dynamics. He connects with those around him. And others have noticed.
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For three months, Dillingham has been linked to the biggest job openings in the sport. Michigan is the latest, a school any young coach would find intriguing, Dillingham included. While his heart and family are in the desert, those close to him say he won’t stay at a place where he doesn’t think he can succeed, at least not long-term. Dillingham once talked publicly about staying at Arizona State for decades. He doesn’t do that anymore. Too much has changed within the sport.
“You’ve got to be able to adapt to continue to raise your level and operate, or you’re going to die,” said Dillingham, who’s 22-16 at Arizona State. “It’s unfortunate because you could go in one day with a plan, and the next day that plan sucks. It (costs three times more) to run that plan. You better be ready to have your plan, how to become three (times) what you just were four days ago, because four people at other institutions chose to be all in. Now you have to change things up if you want to be competitive.”
Dillingham has praised the administration’s support. In January, the Arizona Board of Regents approved an extension that placed him among the Big 12’s higher-paid coaches. State law prevents Arizona coaches from having longer than five-year contracts, but Arizona State included a rollover clause that awards Dillingham an extra year anytime the Sun Devils reach six wins and bowl eligibility. Their eight wins this season stretched Dillingham’s contract to Dec. 31, 2030.
But Dillingham has made it clear he needs more to keep the Sun Devils operating at a high level. The program needs additional staff, perhaps a general manager, and a bigger assistant-coach salary pool. Dillingham has also discussed engaging more high-level donors for better NIL support and the need for an improved indoor facility. (The latter is in the works.)
Crow has always recognized football’s importance, but he has done so cautiously. He was among the last school presidents to flee the sinking Pac-12 and leap onto the Big 12 life raft. He was against escalating coaching salaries and player compensation. But Crow has come a long way the past few years, something Rossini brought up on Thursday’s radio show. The athletics director said he hopes fans recognize the university’s recent track record of investing in the football program and how it has tried to position the Sun Devils for success.
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And that it will continue doing so through its negotiations with Dillingham and his reps.
“I can promise you it’s my top priority,” Rossini said. “I can promise you we’re up all hours of the night working on details. This is a fluid, active, healthy conversation, in my opinion.”
ONTONAGON COUNTY, MI — Two cougar cubs found this spring in the Upper Peninsula remain alive and traveling with their mother, a confirmation that Michigan wildlife officials say represents a historic milestone for natural reproduction.
The Michigan Department of Natural Resources said Thursday, Dec. 18 that a trail camera photo taken this month shows an adult female cougar walking down a snowy trail in central Ontonagon County followed by two juvenile cougars estimated to be roughly a year old.
The same cubs were first documented in early March when motorists photographed two small kittens along a western U.P. road.
“This is a historic confirmation for Michigan since it is the first time in over 100 years that verified cougar reproduction has occurred east of the Mississippi River and possibly even east of the Missouri River,” said Brian Roell, DNR large carnivore specialist
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Until this year, genetic testing and other evidence indicated that nearly all confirmed cougars in Michigan were transient adult males believed to have traveled east from established populations in the western states.
The presence of cubs confirms at least one breeding female is now on the landscape, though officials say that doesn’t mean Michigan has an established breeding population.
Cougars are native to Michigan but were essentially hunted out of the state by the early 1900s. The DNR has confirmed about 168 cougar sightings since 2008, although it says most of them are of the same animal being reported by multiple sources.
All confirmed sightings have been in the Upper Peninsula.
Cougar sightings have been increasing in recent years alongside the proliferation of trail cameras. This marked the third consecutive year of record-high cougar sightings in Michigan. As of late November, the DNR had confirmed 26 sightings statewide in 2025.
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The state verified the first confirmed vehicle collision with a male cougar on Nov. 15 in northern Houghton County.
The DNR said it verified the new cubs sighting image after a private landowner submitted a trail camera photo taken Dec. 6. Biologists enhanced the nighttime image and confirmed the presence of three cougars. The sex of the cubs is unknown.
Cougar cubs typically stay with their mother for up to two years and Roell said their chances of survival are relatively high because female cougars invest heavily in raising their young. The absence of an adult cougar in March had raised concerns about their survival. He is surprised the kittens weren’t seen on any other trail cameras since this spring.
“These kittens will stay with their mom through this winter and possibly even into next winter,” Roell said.
This photograph shared with with the Michigan DNR in March 2025 shows a cougar cub in found in Ontonagon County.Michigan Department of Natural Resources
State officials did not release the exact location of the latest sighting. Cougars are listed as endangered in Michigan. It is illegal to hunt or harass them or attempt to locate dens.
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Anyone who encounters evidence of a cougar should keep their distance, avoid disturbing the area and report sightings to the DNR.
The DNR said other states, including Nebraska, have also reported increases in cougar sightings.
Cougars need large territories because they are solitary ambush predators that rely on deer and other large prey, which leads to low population densities. Even states with the largest cougar populations generally have just a few thousand of the animals.
“This isn’t an animal that is ever going to become very numerous,” Roell said. “They’re going to remain rare on the landscape regardless of whatever happens with them here in Michigan.”
Moore was released on a $25,000 bond on Friday, Dec. 12, 2025
ANN ARBOR, Mich. – A new report has shed more light on the alleged relationship between former Michigan Wolverines football head coach Sherrone Moore and an alleged staff member.
Moore was fired on Wednesday (Dec. 10) due to the inappropriate relationship, and afterward, he reportedly went to the woman’s home and threatened to take his own life.
According to The Athletic, the woman was on the phone with her lawyer when Moore allegedly broke into her apartment.
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The lawyer told police she could hear screaming over the phone.
The report also stated the woman allegedly ended the relationship two days before Moore was fired, but he continued to call and send dozens of texts over the following days.
That behavior prompted the woman to come forward to the university, leading to his dismissal and subsequent arrest.
Moore was released on a $25,000 bond on Friday, Dec. 12, 2025.
–> Michigan football interim head coach Biff Poggi talks team’s emotional state following Sherrone Moore saga
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–> President Trump appears to take jab at Michigan football while talking about NIL
–> Jim Harbaugh talks Sherrone Moore’s firing, arrest after former Michigan football understudy posts bond
–> Warde Manuel still athletic director after U of M Regents meet, per reports
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About the Author
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Brandon Carr
Brandon Carr is a digital content producer for ClickOnDetroit and has been with WDIV Local 4 since November 2021. Brandon is the 2015 Solomon Kinloch Humanitarian award recipient for Community Service.