Planetary Health
Planetary Health
Planetary Health
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Many are calling it “planetary health” – viewing the heath of humans and of natural
systems as inseparable.
“One billion children are at extremely high risk from the impacts of climate change.
That’s about half the kids on the planet,” said Elizabeth Willetts, the Planetary Health
Policy Director at the Harvard T.H. Chan School of Public Health, citing UNICEF
data. “These risks arise from diverse ecological changes and adverse impacts to
ecosystem services. We must look at these things together. Climate change causes
flooding; flooding causes leaching of chemicals and pooling of unsafe water. This
interconnectedness demands we move out of our silos.
“We need to think about the spectrum of environmental changes caused by climate
change and how these impact children worldwide. We also know much of the
knowledge of early changes to ecosystems and biodiversity will only be understood
by engaging local communities, whom we must treat as experts in public health
prevention and innovation.”
Beyond a lack of coordination at the national level in most cases, and a lack of
structures working together internationally, she and her colleagues found an
absence of literature examining and describing best practices in coordination.
“So that is one of the areas we’re focused on: How you create the platforms for
countries to share best practices and look at resource efficiency and interrelated
environment-health risks with a systems-thinking viewpoint.”
For the first time, global bodies are beginning to consider elements of a planetary
health system.
The UAE Framework for Global Climate Resilience adopted in late 2023
at COP28 discussed health and other related risks from climate change – “the first
time health indicators are planted into the decision text under the UNFCCC,” she
said.
“It also talked about health impacts from other areas that aren’t always grouped
under the health umbrella, including water security and water-related hazards,
adequate food and nutrition, and preservation and regeneration of nature,” Willetts
said, listing global meetings this year that are expected to integrate concerns on
climate change, environment, and health: the UN Environment Assembly 6, the
World Health Assembly 77, and the Convention on Biological Diversity COP16.
“As much as we may feel pessimistic about progress in global governance, these
forums have an impact on the structure and framing of what happens at the national
level,” she explained. “This is a very comprehensive landscape compared to where
we have been only recently.”
PLANETARY HEALTH:
ADDRESSING
CLIMATE, HEALTH
AND EQUITY
TOGETHER
by Dr Montira Pongsiri, Senior Advisor for Climate Change and Health, Save
the Children US
Ethel, 12, collecting water with her grandmother in their displacement camp,
Malawi. Thoko Chikondi/Save the Children.
WE STAND SIDE BY SIDE WITH CHILDREN IN THE WORLD'S TOUGHEST
PLACES.
DONATE NOW
Scientists working at the science-policy interface have a shared interest in
mobilizing science for impact – through informed decision-making, policy,
advocacy, and solutions on the ground. How we do this is just as important as
achieving that impact.
An example of planetary health that is becoming more salient in our daily lives
is the health impacts of a rapidly changing climate. There are direct (e.g.
heat stress), indirect (e.g. monsoon flooding, air pollution), ecosystem-
mediated (e.g. vector-borne disease), and other pathways by which
climate change can affect health.
The most recent IPCC assessment report warned that climate impacts will
happen simultaneously in ways that may be hard to predict. Underprivileged
groups such as children, women and the poor, may be disproportionately
adversely affected [3]. A recent study found that under current Paris
Agreement country commitments, a child born in 2020 will experience on
average twice as many wildfires, 2.8 times the exposure to crop failure, 2.6
times as many drought events, 2.8 times as many river floods, and 6.8
times more heatwaves across their lifetimes, compared to a person born in
1960 [4]. The impacts will be greater for some children – those living through
conflict; those most severely impacted by COVID-19; and, those experiencing
inequality and discrimination on the basis of gender, disability, displacement
or other factors [5].
This blog article was originally published in Intl Science Council website.
[1] Whitmee, S. et al. (2015). "Safeguarding human health in the
Anthropocene epoch: report of The Rockefeller Foundation–
Lancet Commission on planetary health." The Lancet 386.10007, 1973-2028.
[2] Frumkin H, Haines A. Global environmental change and NCD risk. Annu.
Rev. Public Health 2019; 40:27.1-27.22.
[5] Save the Children. Born into the Climate Crisis: Why We Must Act Now
to Secure Children’s Rights. Save the Children: London, 2021.
For many, the COVID-19 crisis has been an empirical demonstration of the
impacts of biodiversity loss on human health. The sanitary impacts
of biodiversity loss have been documented for a while, and in particular the
linkages between ecosystems degradation and the proliferation of
zoonotic diseases – that is, diseases transmitted from animals to humans.
However, before the crisis, the focus of biodiversity loss was often on affecting
primarily ecosystems, and not human societies. The health impacts of climate
change are also well-documented. Every year, the annual report of The Lancet
Countdown Initiative reviews these impacts, which range from cardio-vascular
troubles to allergies and infectious diseases, such as dengue or malaria. The
World Health Organization reckons that climate change could claim 250,000
additional lives per year between 2030 and 2050. Research has consistently
shown that the arguments about the public health impacts of climate change
were amongst the most persuasive, and most likely to induce behavioral
changes. Yet these arguments are not often put forward in public debates
on climate change, even though the COVID-19 crisis shows once again the
persuasiveness of such points. For example, in France, where such evidence
exists, since 2000, the two major peaks of mortality have been caused by the
2003 heat wave (made more likely due to climate change) and by the
coronavirus impacts in 2020.
Figure 1 – Excess mortality in France since 2000. The Y axis shows the total
number of deaths for every day of the year. The X axis shows the progress of the
year. The red curve highlights the year 2020 so far which shows a clear peak
above the usual mort
Environmental changes are also among the leading drivers of migration and
displacement across the world. In 2019, close to 25 million people were
displaced by disasters alone, about three times the number of people
displaced by conflicts and violence. At the same time that billions were forced to
immobility at home, the COVID-19 pandemic also led millions to flee
contaminated zones or confinement measures1, while most countries closed
their borders in an attempt to slow down the spread of the virus2. And while the
virus was inadvertently transported across the world by business travelers,
tourists and exchange students, migrants and refugees have too
often been unable to access health systems or apply distancing measures.
Yet improving the health of migrants and reducing adverse health outcomes
related to migration are also growing concerns globally. Current crises related to
migration and displacement highlight the different challenges related to
migrants’ health, especially in humanitarian emergencies. In recent years,
many programmes and initiatives have sought to improve migrants’ health,
including at IOM. During the pandemic, several governments introduced specific
measures to improve migrants’ access to health services. For example,
the Government of Portugal regularized irregular migrants3 allowing them
to access health services, while the Government of Ireland introduced a
pandemic unemployment payment4 that covered regular and irregular migrant
workers alike.
François GEMENNE
Anneliese DEPOUX
Stefanie SCHÜTTE
Dr Stefanie Schütte is an epidemiologist, working as a science and business
consultant to empower researchers and innovative companies in order
to achieve maximum impact in the field of health and life sciences. She is also a
lecturer and course coordinator at the Apollon University for Applied Health
Sciences in Germany. Prior to this, she worked as a researcher and project
manager at the Centre Virchow-Villermé in Paris.
This article is part of the IOM Series on The COVID-19 Pandemic, Migration
and the Environment.
21 September 2023
4 min read
byWorld Economic Forum
Two people riding a bike in a flooded city. Credit: Biplab Sau on Pexels
59Shares
At its core, climate change is also a health issue: from the air we breathe to the food
we eat, the health of the planet is fundamentally linked to our own health.
As climate change worsens, so too does human health. And as weather becomes
more unpredictable and ecosystems change, it creates and exacerbates acute
emergencies. Mental health, disease spread, and more are all at risk of worsening if
we do not address climate change.
Understanding, and then breaking, the link between climate change and poor health
outcomes is possible by working with and in local communities and by taking the
connection seriously on a global scale. Already, there is evidence in communities
that this is possible.
Experts explored the link between climate and health at the World Economic
Forum's Sustainable Development Impact Meetings 2023 in New York at a session
on Exploring the Climate and Health Nexus.
"We've seen in Malawi, for example, a country I've been in for 13 years, we've been
helping respond to their cholera outbreak that just happened, which was the longest
and worst outbreak that ever happened. Schools shut down, businesses shut down,
tens of thousands got sick, thousands died."
She explained this was "all because of climate change" — tropical storms,
exacerbated by climate change, sweeping southern Africa had compromised the
water supply, infecting it with cholera.
Dr Jemilah Mahmood, Executive Director of the Sunway Centre for Planetary Health
at Malaysia's Sunway University, said that the unfortunate convergence of climate
and health is particularly acute in Asia.
"Asia is the supermarket of disasters," Mahmood said. "All the climate disasters
you're going to see are going to happen in Asia. Any infectious disease outbreaks —
a lot of them emerge from Asia as well."
She highlighted the work in Indonesia of Health in Harmony, in partnership with Alam
Sehat Lestari, who worked with local communities forced into deforestation to pay for
healthcare. Now, after being provided the resources for a health clinic, instead of
cutting down forests, they are protecting them. Poor health was causing
deforestation.
Health In Harmony today works with 135,000 Indigenous, traditional and rainforest
peoples, providing healthcare in exchange for goods like handicrafts or even labour,
and protects more than 8.8 million hectares of rainforest.
For Mahmood, this is evidence that the cycle can be broken: "They stopped
deforestation and they find that they have other means for economic livelihood. Their
families are healthy. That's what people want ultimately."
Community-based solutions also help counter the despair that we see from climate
stressors, says John Balbus, Director at the Office of Climate Change and Health
Equity and Deputy Assistant Secretary for Climate Change and Health Equity at the
US Department of Health and Human Services.
"It's not just a physical health problem; it's a physical and mental health problem.
And we have to address those two things together," he says.
"And so we're working on community-based solutions that not only provide services
but also provide hope to young people."
The session 'Exploring the Climate and Health Nexus' was moderated by Paulette
Frank, Chief Sustainability Officer, Johnson & Johnson.
Participants:
Dr Jemilah Mahmood, Executive Director of the Sunway Centre for Planetary Health,
Sunway University
Vanessa Kerry, Co-Founder and Chief Executive Officer at Seed Global Health and
Special Envoy for Climate Change and Health at the World Health Organization
John Balbus, Director, Office of Climate Change and Health Equity, US Department
of Health and Human Services
Written by
Chris Hamill-Stewart, Writer, Forum Agenda
Website
This article was originally published by the World Economic Forum on 20 September 2023.
Original article
Climate change, air pollution, and ecological degradation have had extreme impacts on the
health of our planet. Our ability to urgently and ambitiously implement climate crisis
solutions will define public health outcomes for generations to come.
The Climate Change and Planetary Health concentration, launching in fall of 2024, will help
you understand the consequences of the current planetary health crisis, including its effects
on food, water, air, infectious diseases, extreme weather events, heat, mental health,
migration, and political stability.
Students in this concentration will also learn about the health inequity born out of
environmental degradation. Structural racism and international economic policy have
exacerbated the climate crisis, with communities of color, poor communities, and the Global
South being disproportionately impacted. You will be equipped to use research, leadership,
advocacy, and policy to implement solutions that better serve these populations.
Curriculum
This is a ten-unit concentration for all degree programs at Harvard Chan School. Students in
this concentration will be required to take core curriculum courses, choose one of 2 tracks
(research methodologies or research translation), and take additional elective courses at
Harvard Chan School and across Harvard University.
Learning Objectives
Interpret foundational climate, planetary, and environmental science.
1.
1. Explain the impact of anthropogenic greenhouse gas emissions on global
climate (greenhouse effect).
2. Describe historical trends and current sources of anthropogenic
greenhouse gas emissions and air pollution.
3. Understand how human activities impact ecological stability, land use
changes, biodiversity, water pollution, deforestation and food systems.
Define the mechanisms by which climate change and degradation of planetary health impact
public health.
1.
1. Explain the ways by which climate change and planetary health
degradation impacts public health through environmental exposure
pathways including natural disasters/extreme weather events, changes in
water quantity and quality, food insecurity, heat stress, air pollution, and
vector borne infections.
2. Identify risks for disease emergence arising from ecological degradation
in the form of deforestation, land use changes, agricultural practices,
habitat encroachment, pollution, and biodiversity loss.
3. Describe how the acute and chronic impacts of climate change and
degradation of planetary health affect mental health.
4. List ways in which the delivery of health care creates greenhouse gas
emissions, pollution, environmental toxicants and waste.
5. Explain how climate change can interfere with the delivery of health care
through effects on access to care and impacts on health care facilities and
supply chains.
6. Identify public health findings in major reports such as the U.N.
Intergovernmental Panel on Climate Change report, U.N.
Intergovernmental Science-Policy Platform on Biodiversity and
Ecosystem Services, and National Climate Assessment.
Analyze the historical and structural causes of climate change and planetary health
degradation and describe the ways in which it creates/exacerbates health inequity.
1.
1. Explain how climate change and planetary health degradation intersects
with structural racism and health equity in the U.S. (e.g. redlining, heat
islands, the disproportionate impact on certain populations, intersecting
health challenges, access to adaptive and protective measures).
2. Define environmental justice and recognize its importance to climate and
planetary health solutions.
3. Describe impacts of climate change and planetary health on global health
inequities (e.g. natural disasters/extreme weather events, forced
migration, social instability, political conflict, food security, water
scarcity, and sea level rise), including inequitable resource allocation for
adaptive responses.
4. Identify the ways in which Black and Indigenous people, and people from
the Global South contribute to climate and planetary solutions.
Develop public health skill sets to contribute to climate and planetary solutions.
1.
1. Use foundational biostatistical and epidemiological methodology to
contribute to scientific discovery at the intersection of public health,
climate change and planetary health.
2. Translate scientific findings to the public forum.
1.
1. Communicate the health and health equity benefits of climate and
planetary solutions to the general public, policy makers, and patients, and
address climate science misinformation.
2. Examine the role research, health systems, education, communication,
community partnership, and advocacy play in the development of climate
and planetary solutions.
3. Execute policy and advocacy strategies that promote a healthy planet.
Concentration co-sponsors
Harvard Chan C-CHANGE
FXB Center for Health and Human Rights
Department of Environmental Health
Department of Global Health and Population
Department of Nutrition
Department of Biostatistics
Published
April 23, 2024
By Public Health On Call
ENVIRONMENT
FOOD/NUTRITION
HEALTH SECURITY
We know that ocean warming is changing the size of both fish and
fisheries. It’s also changing where the fisheries are located, moving
them away from the tropics and toward the poles. We did a study to
determine how many people depend on wild-harvested fish for critical
nutrients and live close to a threshold of insufficient intake of those
nutrients—what we define as the vulnerable population to these
changes. We found that over a billion people fall into this category.
We’ve also found that crops like rice, wheat, and maize—foods that
provide most of the calories in the global diet—tend to lose essential
nutrients when grown at elevated concentrations of carbon dioxide
like the ones we expect to see by about the middle of this century.
How does planetary health address the extreme scale of the changes
humans are causing the environment and the consequences of those?
The global health impacts of the Earth crisis are kind of a silent
pandemic, and there are parallels to the COVID pandemic we've just
come out of. The COVID pandemic required massive mobilization of
new technologies, investments in economic stimulus and foreign
assistance, respect for science, and urgent global behavior change.
This silent pandemic is probably much more impactful to human
health. It could be addressed in a very similar way, but we’re doing
very little.
You can't respond to a crisis until you recognize that there is a crisis.
As you are trying to raise concern over planetary health, how is that
warning signal being received?
The field is growing very quickly. We started the Planetary Health
Alliance about eight years ago, and we now have more than 400
organizations involved in more than 70 countries. There's been a very
rapid proliferation of new courses, degree programs, and journals in
planetary health. We’re also seeing government agencies adopting
planetary health as a frame, including the European Union, certain
national governments, and the UN system.
This interview was edited for length and clarity by Aliza Rosen.
Related:
Climate change is exacerbating health issues, but breaking the link is possible.
Image: REUTERS/Eloisa Lopez
Chris Hamill-Stewart
Writer, Forum Agenda
Gayle Markovitz
Acting Head, Written and Audio Content, World Economic Forum
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This article is part of:Sustainable Development Impact Meetings
Listen to the article
5 min listen
At its core, climate change is also a health issue: from the air we breathe to the food
we eat, the health of the planet is fundamentally linked to our own health.
As climate change worsens, so too does human health. And as weather becomes
more unpredictable and ecosystems change, it creates and exacerbates acute
emergencies. Mental health, disease spread, and more are all at risk of worsening if
we do not address climate change.
Understanding, and then breaking, the link between climate change and poor health
outcomes is possible by working with and in local communities and by taking the
connection seriously on a global scale. Already, there is evidence in communities
that this is possible.
Experts explored the link between climate and health at the World Economic
Forum's Sustainable Development Impact Meetings 2023 in New York at a session
on Exploring the Climate and Health Nexus.
SDIM23: What are the Sustainable Development Impact Meetings – and what
to expect
Climate change and global health: What actions are healthcare leaders
taking?
Is a Mediterranean diet the sweet spot for climate and human health?
“We've seen in Malawi, for example, a country I've been in for 13 years, we've been
helping respond to their cholera outbreak that just happened, which was the longest
and worst outbreak that ever happened. Schools shut down, businesses shut down,
tens of thousands got sick, thousands died.”
She explained this was “all because of climate change” — tropical storms,
exacerbated by climate change, sweeping southern Africa had compromised the
water supply, infecting it with cholera.
“
What’s happening in health and what’s happening in climate doesn’t respect
borders.
”
— Vanessa Kerry, Co-Founder and Chief Executive Officer, Seed Global Health
That strain of cholera was the same one found in floods in Pakistan in 2021, she
adds, which reiterates the transnational nature of the climate change issue: “We
share the crisis — what’s happening in health and what’s happening in climate
doesn’t respect borders.”
Dr Jemilah Mahmood, Executive Director of the Sunway Centre for Planetary Health
at Malaysia’s Sunway University, said that the unfortunate convergence of climate
and health is particularly acute in Asia.
"Asia is the supermarket of disasters," Mahmood said. "All the climate disasters
you're going to see are going to happen in Asia. Any infectious disease outbreaks —
a lot of them emerge from Asia as well."
She highlighted the work in Indonesia of Health in Harmony, in partnership with Alam
Sehat Lestari, who worked with local communities forced into deforestation to pay for
healthcare. Now, after being provided the resources for a health clinic, instead of
cutting down forests, they are protecting them. Poor health was causing
deforestation.
Health In Harmony today works with 135,000 Indigenous, traditional and rainforest
peoples, providing healthcare in exchange for goods like handicrafts or even labour,
and protects more than 8.8 million hectares of rainforest.
For Mahmood, this is evidence that the cycle can be broken: “They stopped
deforestation and they find that they have other means for economic livelihood. Their
families are healthy. That's what people want ultimately.”
Community-based solutions also help counter the despair that we see from climate
stressors, says John Balbus, Director at the Office of Climate Change and Health
Equity and Deputy Assistant Secretary for Climate Change and Health Equity at the
US Department of Health and Human Services.
"It's not just a physical health problem; it's a physical and mental health problem.
And we have to address those two things together," he says.
"And so we're working on community-based solutions that not only provide services
but also provide hope to young people."
The session ‘Exploring the Climate and Health Nexus’ was moderated by Paulette
Frank, Chief Sustainability Officer, Johnson & Johnson.
Participants:
Dr Jemilah Mahmood, Executive Director of the Sunway Centre for Planetary Health,
Sunway University
Vanessa Kerry, Co-Founder and Chief Executive Officer at Seed Global Health and
Special Envoy for Climate Change and Health at the World Health Organization
John Balbus, Director, Office of Climate Change and Health Equity, US Department
of Health and Human Services
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Planetary Health
Planetary Health is a solutions-oriented, transdisciplinary field and
social movement focused on analyzing and addressing the impacts of
human disruptions to Earth’s natural systems on human health and all
life on Earth.
There is no doubt that our global environment is changing – from the hottest
years on record, to the worldwide disappearance of pollinators, to the global
collapse of fisheries, and to our use of about half of the planet's livable surface to
feed ourselves.
It is not just climate change; it is everything change! We face not only a disrupted
climate system, but the 6th mass extinction of life on Earth; global scale pollution
of air, water, and soil; shortages of arable land and freshwater; pervasive changes
in land use and cover; and degradation of marine systems.
Our environment is changing. Atmospheric carbon dioxide levels are rising at a record pace,
with the current levels having increased by about 24% since the 1950s. 2016 was Earth's
warmest year on record, and 2018 was the warmest one for oceans, which have also
become 30% more acidic since the Industrial Revolution. Pollinators, which are needed for
plants and crops to grow, are disappearing worldwide. Biodiversity is rapidly being lost as an
estimated 150 species become extinct each day, which is 1,000 times higher than the "natural"
or "background" rate.
And it's affecting our health. Climate change, biodiversity loss, deforestation, and other factors
affect where, when, and how intensely infectious diseases emerge. Increased drought, declining
pollinators, and extreme storms make it harder to grow food, and some crops are also becoming
less nutritious because of atmospheric changes, making people more susceptible to malnutrition
and disease. Air pollution, whether from industrial emissions or smoke from fires clearing
forests for agricultural use, can lead to cardiorespiratory illnesses and other diseases. Hurricanes
and other major storms put people’s lives at risk. And witnessing the degradation of our world
can have severe consequences for our mental health.
Everything is connected — what we do to the world comes back to affect us, and not always in
ways that we would expect. Understanding and acting upon these challenges call for massive
collaboration across disciplinary and national boundaries to safeguard our health.
These slides are open for public use without prior permission. We encourage you to present
Planetary Health to your communities.
Explore how our environment is changing
Water Scarcity
Biodiversity Shifts
Natural Disasters
Climate Change
Changing Land Use and Land Cover
Global Pollution
Changing Biogeochemical Flows
Mental Health
Nutrition