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The Red List Index uses information from the IUCN Red List to track trends in the projected overall extinction risk of sets of species. It has been widely recognised as an important component of the suite of indicators needed to measure progress towards the international target of significantly reducing the rate of biodiversity loss by 2010. However, further application of the RLI (to non-avian taxa in particular) has revealed some shortcomings in the original formula and approach: It performs inappropriately when a value of zero is reached; RLI values are affected by the frequency of assessments; and newly evaluated species may introduce bias. Here we propose a revision to the formula, and recommend how it should be applied in order to overcome these shortcomings. Two additional advantages of the revisions are that assessment errors are not propagated through time, and the overall level extinction risk can be determined as well as trends in this over time.

Human activity is rapidly transforming most of Earth's natural systems. How this transformation is impacting human health, whose health is at greatest risk, and the magnitude of the associated disease burden are relatively new subjects within the field of environmental health. We discuss what is known about the human health implications of changes in the structure and function of natural systems and propose that these changes are affecting human health in a variety of important ways. We identify several gaps and limitations in the research that has been done to date and propose a more systematic and comprehensive approach to applied research in this field. Such efforts could lead to a more robust understanding of the human health impacts of accelerating environmental change and inform decision making in the land-use planning, environmental conservation, and public health policy realms.At least since Hippocrates wrote On Airs, Waters, and Places, the natural environment has been viewed as an important determinant of human health. However, over the last century, the field of environmental health has focused increasingly on quantifying exposure-response relationships for toxins encountered in the human-dominated environment: from an initial focus on workplace exposures, to a population-level focus on radiation, heavy metals, air and water pollution, and more recently, to exposure to endocrinedisrupting chemicals. Over this period, relatively little attention has been paid to how changes in the structure and function of Earth's natural systems might affect human health. Growing evidence that changes in these natural systems can affect human health in a variety of important ways and the increasing pace and extent of these changes has prompted this Perspective. In it, we review current understanding of this field, identify some of its gaps and limitations, and suggest an approach to expanding our understanding.Human activity is transforming nearly all of Earth's natural systems. With the human population now exceeding 7 billion people and rapid growth in per capita consumption of goods and services, humanity's growing ecological footprint is altering the planet's land cover, rivers and oceans, climate system, biogeochemical cycles, and the

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