Executive summaryThe 2015 Lancet Commission on Health and Climate Change has been formed to map out the impacts of climate change, and the necessary policy responses, in order to ensure the highest attainable standards of health for populations worldwide. This Commission is multi-disciplinary and international in nature, with strong collabor-ation between academic centres in Europe and China.The central finding from the Commission's work is that tackling climate change could be the greatest global health opportunity of the 21st century. The key messages from the Commission are summarised below, accompanied by ten underlying recommendations to accelerate action in the next 5 years.The effects of climate change are being felt today, and future projections represent an unacceptably high and potentially catastrophic risk to human healthThe implications of climate change for a global population of 9 billion people threatens to undermine the last half century o f gains in development and global health. The direct effects of climate change include increased heat stress, floods, drought, and increased frequency of intense storms, with the indirect threatening population health through adverse changes in air pollution, the spread of disease vectors, food insecurity and under-nutrition, displacement, and mental ill health.Keeping the global average temperature rise to less than 2°C to avoid the risk of potentially catastrophic climate change impacts requires total anthropogenic carbon dioxide (CO2) emissions to be kept below 2900 billion tonnes (GtCO2) by the end of the century. As of 2011, total emissions since 1870 were a little over half of this, with current trends expected to exceed 2900 GtCO2 in the next 15-30 years. High-end emissions projection scenarios show global average warming of 2·6-4·8°C by the end of the century, with all their regional amplification and attendant impacts.Tackling climate change could be the greatest global health opportunity of the 21st century Given the potential of climate change to reverse the health gains from economic development, and the health co-benefits that accrue from actions for a sustainable economy, tackling climate change could be the greatest global health opportunity of this century. Many mitigation and adaptation responses to climate change are "no-regret" options, which lead to direct reductions in the burden of ill-health, enhance community resilience, alleviate poverty, and address global inequity. Benefits are realised by ensuring that countries are unconstrained by climate change, enabling them to achieve better health and wellbeing for their populations. These strategies will also reduce pressures on national health budgets, delivering potentially large cost savings, and enable investments in stronger, more resilient health systems.
The Commission recommends that over the next 5 years, governments:1 Invest in climate change and public health research, monitoring, and surveillance to ensure a better understanding of the adaptation needs and the potential health co-b...