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On Sunday, I was one of 170 people arrested for blocking the world's largest coal port. Like most doctors, I have not previously engaged in activist activities that put me at risk of legal sanctions. I have until now justified my lack of action or engagement with the climate crisis by my preoccupation with my professional responsibilities. But we have long-since reached a critical time when urgent action is needed, and I cannot in good conscience continue thus. Login or signup to continue reading I am a behavioural neurologist and clinical director of the neuropsychiatry service in the Hunter New England Region. In my professional life, I am expected to practice medicine based on the best available evidence. I am also a research scientist conjoint professor in medicine and psychology at the University of Newcastle and, as such, must collect data scrupulously, present study findings honestly and accurately and describe how they relate to what is already known within the scientific world. If, as a doctor, I give inappropriate treatment and a patient suffers, I should, at the very least, apologise and try to correct the harm. To do less would be malpractice and I could be sanctioned. As a research scientist, if I were to play fast and loose with the facts, and omit reference to important existing work in the field, because I was afraid of its implications, I would expect strong criticism and would lose my credibility. The planet on which we all live is sick and getting sicker from the effects of human activity, including the mass release of heating greenhouse pollution from the burning of coal and gas, the major cause of climate change. This is a dire international public health crisis. My perspective on what we could and should do about this crisis is informed by my role as a clinician-scientist. The "diagnosis" of global warming with catastrophic and deteriorating effects on world ecology and human health is well established. We all need to recognise this crisis and do what we can. Governments have a special role with their levers of power and resources to apply evidence-based practice in response ("prevention" and "treatment"). Newcastle is the largest coal-exporting port in the world. The coal exported through the port contributes about 1 per cent of global emissions, a massive amount, given our relatively small population. Knowing this, best practice is to dramatically reduce and, as fast as possible, cease coal production and use. As United Nations Secretary General Antonio Guterres has said, 'investing in new fossil fuel infrastructure is moral and economic madness'. Our current governments are committing ecological malpractice by failing to plan for dramatic reductions in coal production and export that the evidence would mandate and by failing to adequately fund transitions to alternative energy. The patient, the Earth, is deteriorating at an alarming rate, and the government has neither apologised nor adjusted its practices accordingly. That's why almost 200 ordinary citizens, including myself, entered the coal shipping channel in Newcastle at the weekend. Protests like these serve a hugely important role in highlighting to the public that our government is concealing the urgency of the climate crisis. We are urging our government to stop approving new coal mines and fund new industries so Hunter workers can continue having good union jobs for decades to come. Rising Tide has been focused and effective in highlighting Newcastle's unique role in fueling climate change. As a Newcastle resident, I love this city. Lord mayor Ross Kerridge, with whom I have worked professionally, also loves this city and has acted courageously, with principle, and in the best interests of public safety. But without dramatic changes to Newcastle's role as a coal export port, history will condemn us. Workers in the valley will be left to fend for themselves with no orderly transition. My hope is that the People's Blockade will escalate into a large, vocal, and effective movement that will push governments towards an evidenced-based response to a clear and present threat to our country and the world. By subjecting myself to arrest by entering restricted waters in Newcastle Harbour I hoped to contribute to this outcome. It was a privilege to do so. DAILY Today's top stories curated by our news team. Also includes evening update. WEEKDAYS Grab a quick bite of today's latest news from around the region and the nation. WEEKLY The latest news, results & expert analysis. 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