Institute for Global Health, University College London, London, UK.
Geography, College of Life and Environmental Sciences, University of Exeter, Exeter, UK.
Lancet. 2017 Mar 18;389(10074):1151-1164. doi: 10.1016/S0140-6736(16)32124-9. Epub 2016 Nov 14.
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-benefits of climate change mitigation; economics and finance; and political and broader engagement. These focus areas form the five thematic working groups of the Lancet Countdown and represent different 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 five 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 refinement, 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 profiles. 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.
跟踪健康和气候变化进展是一个国际多学科研究合作，涉及全球学术机构和从业者。它是对 2015 年柳叶刀委员会工作的延续，该委员会的结论是，应对气候变化可能是“21 世纪最大的全球健康机遇”。柳叶刀倒计时旨在跟踪气候危害对健康的影响；健康的弹性和适应能力；气候变化减缓的健康共同效益；经济学和金融学；以及政治和更广泛的参与。这些重点领域构成了柳叶刀倒计时的五个专题工作组，代表了健康与气候变化之间复杂关系的不同方面。这些专题小组将为全球健康与气候变化概况提供指标；突出引领潮流或违背潮流的国家的国家案例研究；并与一系列利益攸关方进行接触。柳叶刀倒计时的最终目标是每年报告这五个工作组的一系列指标。本文概述了该合作组织要跟踪的潜在指标和指标领域，并就实现这一目标的可用方法和数据集提出了建议。拟议的指标领域需要进一步细化，并标志着正在进行的磋商过程的开始-从 2016 年 11 月到 2017 年初-以开发这些领域，确定当前未涵盖的关键领域，并在必要时更改指标。该合作组织将积极寻求与现有监测进程（如联合国可持续发展目标和世卫组织的气候与健康国家概况）进行合作。随着时间的推移，这些指标将通过与专家和一系列利益攸关方的持续合作而不断发展，并取决于新证据和知识的出现。在其工作过程中，柳叶刀倒计时将采用协作和迭代的过程，旨在补充现有举措，欢迎新合作伙伴的参与，并愿意开展有关健康和气候变化的新研究项目。
