Health Research Institute, University of Canberra, Locked Bag 1, Canberra, 2601, Australia.
National Centre for Epidemiology and Population Health, Australian National University, Canberra, 0200, Australia.
Curr Environ Health Rep. 2016 Dec;3(4):360-369. doi: 10.1007/s40572-016-0110-3.
Since the use of atomic weapons in 1945 visionaries have warned that without major changes the survival of global civilization is in question. These concerns deepened in following decades, during the Cold War, with The Limits to Growth, the best-selling environmental book of the 1970s. Yet, since then, most concern has faded, fuelled by technological developments and a shift in dominant global ideology. Public health, with a few exceptions (one of which is the book Planetary Overload), has been slow to recognize this debate, even as evidence emerges that civilization may indeed be at risk, driven by an increasingly ominous complex of events. This article outlines the key relevant literature and concepts, attempting to bring emerging and future health consequences to the attention of health workers, including the idea of a "social vaccine," conveying sufficient anxiety to provoke action for environmental protection, but insufficient to induce paralysis.
自 1945 年使用原子武器以来,有远见的人警告说,如果没有重大变革,全球文明的生存将受到质疑。在随后的几十年里,随着《增长的极限》的出版,这种担忧在冷战期间加深了,这是 20 世纪 70 年代最畅销的环境书籍。然而,从那以后,由于技术的发展和主导全球意识形态的转变,大多数担忧已经消失。除了少数例外(其中之一是《行星超载》一书),公共卫生部门迟迟没有认识到这场辩论,尽管有证据表明,由于日益严重的复杂事件,文明可能确实处于危险之中。本文概述了关键的相关文献和概念,试图让卫生工作者关注新兴和未来的健康后果,包括“社会疫苗”的概念,传达足够的焦虑以引发环境保护行动,但不足以引起瘫痪。