Safeguarding human health in the Anthropocene epoch: report of The Rockefeller Foundation–Lancet Commission on planetary health

Whitmee, Sarah; Haines, Andy; Beyrer, Chris; Boltz, Frederick; Capon, Anthony; Dias, Braulio Ferreira de Souza; Ezeh, Alex; Frumkin, Howard; Gong, Peng; Head, Peter; Horton, Richard; Mace, Georgina M.; Marten, Robert; Myers, Samuel S.; Nishtar, Sania; Osofsky, Steven A.; Pattanayak, Subhrendu K.; Pongsiri, Montira J.; Romanelli, Cristina; Soucat, Agnès; Vega, Jeanette; Yach, Derek

doi:10.1016/s0140-6736(15)60901-1

Cited by 2,059 publications

(1,741 citation statements)

References 238 publications

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“…Equally, microbes support planetary health, for example, through nutrient cycles, including those that maintain soil and water quality 4 . In other words, microbes sustain human civilization.…”

Section: Use Antimicrobials Wiselymentioning

confidence: 99%

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Use antimicrobials wisely

Jørgensen

Wernli

Carroll

et al. 2016

Nature

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Section: Use Antimicrobials Wiselymentioning

confidence: 99%

“…any case, waging war on microbes is not tenable 3 -our bodies and planet depend on them 4 (see Supplementary Information; go.nature.com/2c03p6n). Addressing resistance requires global collective action.…”

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confidence: 99%

Use antimicrobials wisely

Jørgensen

Wernli

Carroll

et al. 2016

Nature

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“…3 Climate change places undue burden on the countries least responsible and least able to respond, with low-income and middle-income countries experiencing multiple impacts simultaneously. 12 The Rockefeller Foundation-Lancet Commission on planetary health 13 described how sustained human health and development are dependent on fl ourishing natural systems. This Commission 13 and others 14 have drawn attention to the fact that human activities are breaching environmental limits across a range of areas, driving terrestrial and marine biodiversity loss, ocean acidifi cation, depletion of freshwater, soil degradation, and other potentially irreversible processes.…”

Section: Introductionmentioning

confidence: 99%

The Lancet Countdown: tracking progress on health and climate change

et al. 2017

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The Lancet Countdown: tracking progress on health and climate change is an international, multidisciplinary research collaboration between academic institutions and practitioners across the world. It follows on from the work of the 2015 Lancet Commission, which concluded that the response to climate change could be "the greatest global health opportunity of the 21st century". The Lancet Countdown aims to track the health impacts of climate hazards; health resilience and adaptation; health co-benefi ts of climate change mitigation; economics and fi nance; and political and broader engagement. These focus areas form the fi ve thematic working groups of the Lancet Countdown and represent diff erent aspects of the complex association between health and climate change. These thematic groups will provide indicators for a global overview of health and climate change; national case studies highlighting countries leading the way or going against the trend; and engagement with a range of stakeholders. The Lancet Countdown ultimately aims to report annually on a series of indicators across these fi ve working groups. This paper outlines the potential indicators and indicator domains to be tracked by the collaboration, with suggestions on the methodologies and datasets available to achieve this end. The proposed indicator domains require further refi nement, and mark the beginning of an ongoing consultation process-from November, 2016 to early 2017-to develop these domains, identify key areas not currently covered, and change indicators where necessary. This collaboration will actively seek to engage with existing monitoring processes, such as the UN Sustainable Development Goals and WHO's climate and health country profi les. The indicators will also evolve over time through ongoing collaboration with experts and a range of stakeholders, and be dependent on the emergence of new evidence and knowledge. During the course of its work, the Lancet Countdown will adopt a collaborative and iterative process, which aims to complement existing initiatives, welcome engagement with new partners, and be open to developing new research projects on health and climate change.

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“…Over recent years slippage in terminology from international health to 'global health, ' without defining any change in content of global health activities (other than new global funding mechanisms), has bred confusion. 18,19 The recent leap from this inadequate conception of global health to use of the term 'planetary health' 20 disingenuously claimed to offer the new insight of a healthy planet as essential for human health, while others whose work was not acknowledged have repeatedly articulated this in the past.…”

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confidence: 99%

Politics, Power, Poverty and Global Health: Systems and Frames

Benatar

2016

Int J Health Policy Manag

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Striking disparities in access to healthcare and in health outcomes are major characteristics of health across the globe. This inequitable state of global health and how it could be improved has become a highly popularized field of academic study. In a series of articles in this journal the roles of power and politics in global health have been addressed in considerable detail. Three points are added here to this debate. The first is consideration of how the use of definitions and common terms, for example 'poverty eradication, ' can mask full exposure of the extent of rectification required, with consequent failure to understand what poverty eradication should mean, how this could be achieved and that a new definition is called for. Secondly, a criticism is offered of how the term 'global health' is used in a restricted manner to describe activities that focus on an anthropocentric and biomedical conception of health across the world. It is proposed that the discourse on 'global health' should be extended beyond conventional boundaries towards an ecocentric conception of global/planetary health in an increasingly interdependent planet characterised by a multitude of interlinked crises. Finally, it is noted that the paucity of workable strategies towards achieving greater equity in sustainable global health is not so much due to lack of understanding of, or insight into, the invisible dimensions of power, but is rather the outcome of seeking solutions from within belief systems and cognitive biases that cannot offer solutions. Hence the need for a new framing perspective for global health that could reshape our thinking and actions.

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Safeguarding human health in the Anthropocene epoch: report of The Rockefeller Foundation–Lancet Commission on planetary health

Cited by 2,059 publications

References 238 publications

Use antimicrobials wisely

Use antimicrobials wisely

The Lancet Countdown: tracking progress on health and climate change

Politics, Power, Poverty and Global Health: Systems and Frames

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