Department of Paediatrics, School of Medicine, University of Western Australia, Perth, WA 6009, Australia.
The ORIGINS Project, Telethon Kids Institute, Perth Children's Hospital, Nedlands, WA 6009, Australia.
Int J Environ Res Public Health. 2019 Jan 16;16(2):238. doi: 10.3390/ijerph16020238.
Experts in preventive medicine and public health have long-since recognized that health is more than the absence of disease, and that each person in the 'waiting room' and beyond manifests the social/political/economic ecosystems that are part of their total lived experience. The term planetary health-denoting the interconnections between the health of person and place at all scales-emerged from the environmental and preventive health movements of the 1970⁻1980s. Roused by the 2015 Lancet Commission on Planetary Health report, the term has more recently penetrated mainstream academic and medical discourse. Here, we discuss the relevance of planetary health in the era of personalized medicine, gross environmental concerns, and a crisis of non-communicable diseases. We frame our discourse around high-level wellness-a concept of vitality defined by Halbert L. Dunn (1896⁻1975); high-level wellness was defined as an integrated method of functioning which is oriented toward maximizing the potential of individuals within the total lived environment. Dunn maintained that high-level wellness is also applicable to organizations, communities, nations, and humankind as a whole-stating further that global high-level wellness is a product of the vitality and sustainability of the Earth's natural systems. He called for a universal philosophy of living. Researchers and healthcare providers who focus on lifestyle and environmental aspects of health-and understand barriers such as authoritarianism and social dominance orientation-are fundamental to maintaining trans-generational vitality at scales of person, place, and planet.
预防医学和公共卫生专家早就认识到，健康不仅仅是没有疾病，而且“候诊室”内外的每个人都体现了他们总体验的社会/政治/经济生态系统。“行星健康”一词表示人与地点在所有尺度上的健康之间的相互关系，它源自 20 世纪 70 年代至 80 年代的环境和预防健康运动。在 2015 年《柳叶刀行星健康委员会报告》的推动下，这一术语最近更渗透到主流学术和医学话语中。在这里，我们讨论了行星健康在个性化医学、严重的环境问题和非传染性疾病危机时代的相关性。我们围绕高水平健康来构建我们的讨论，这是一个由哈尔伯特·邓恩（Halbert L. Dunn，1896 年至 1975 年）定义的活力概念；高水平健康被定义为一种功能的综合方法，旨在最大限度地发挥个体在整个生活环境中的潜力。邓恩认为，高水平健康也适用于组织、社区、国家和整个人类——他进一步指出，全球高水平健康是地球自然系统活力和可持续性的产物。他呼吁建立一种普遍的生活哲学。关注健康的生活方式和环境方面的研究人员和医疗保健提供者——并理解威权主义和社会支配倾向等障碍——对于维持个人、地点和星球的代际活力至关重要。
