Lehmkuhl Dieter
Deutsche Allianz Klimawandel und Gesundheit, Backnanger Str. 6, 13467, Berlin, Deutschland.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2019 May;62(5):546-555. doi: 10.1007/s00103-019-02935-9.
Since the early 1990s, science has addressed anthropogenic climate change as a health issue. From about 2000 onwards, the scientific literature and evidence on the health effects of climate change has been rapidly increasing. Global warming is now considered an "existential threat to humankind," and leading health organizations call climate change "the defining issue for public health in the 21 century" or a "public health emergency."In recent years, climate change as a health issue has become more and more prominent in health communities on the national and international level.The growing importance of this issue in the international health community and the stages, milestones, and topics of this development are described and what health professionals and health organizations can do to protect health from climate change is demonstrated. The decisive role of The Lancet and the reports of its international commissions, the British Medical Journal (BMJ), and the World Health Organisation (WHO) in setting the agenda is underlined. Important actors, organizations, initiatives as well as new concepts like "planetary health" and "planetary boundaries" are introduced. In the German health sector, however, climate change - apart from niches - has not been much of an issue so far. Neither in the health sector, climate policies, nor climate movement the connections between climate change and health are sufficiently understood, considered, or implemented. A look beyond borders shows what might be possible and necessary in view of the possibly "greatest crisis we have ever faced."The article is based on the author's experience, cooperation, and exchange with parties that are engaged with the issue and on years of literature research. He initiated the campaign of German doctors calling on their pension funds to divest from fossil fuels and is a founding and present board member of the "German Alliance on Health and Climate Change," which was founded 2017.
自20世纪90年代初以来，科学界已将人为气候变化视为一个健康问题。从2000年左右开始，关于气候变化对健康影响的科学文献和证据迅速增加。全球变暖现在被认为是“对人类的生存威胁”，主要卫生组织称气候变化是“21世纪公共卫生的决定性问题”或“公共卫生紧急事件”。近年来，气候变化作为一个健康问题在国家和国际层面的卫生界越来越突出。本文描述了这个问题在国际卫生界日益增长的重要性以及这一发展的阶段、里程碑和主题，并展示了卫生专业人员和卫生组织为保护健康免受气候变化影响可以采取的措施。强调了《柳叶刀》及其国际委员会、《英国医学杂志》（BMJ）和世界卫生组织（WHO）在设定议程方面的决定性作用。介绍了重要行为体、组织、倡议以及“地球健康”和“地球边界”等新概念。然而，在德国卫生部门，到目前为止，除了一些小众领域外，气候变化并没有成为一个重要问题。在卫生部门、气候政策以及气候运动中，气候变化与健康之间的联系都没有得到充分理解、考虑或落实。放眼国外可以看出，鉴于这可能是“我们所面临的最大危机”，哪些事情是可能且必要的。本文基于作者与从事该问题研究的各方的经验、合作与交流以及多年的文献研究。他发起了德国医生呼吁其养老基金撤资化石燃料的运动，并且是2017年成立的“德国健康与气候变化联盟”的创始成员及现任董事会成员。
