World Health Organization European Centre for Environment and Health, Bonn, Germany.
World Health Organization Asia-Pacific Centre for Environment and Health, Seoul, Republic of Korea.
Eur J Public Health. 2020 Mar 1;30(Suppl_1):i14-i18. doi: 10.1093/eurpub/ckaa028.
The adoption of the 2030 Agenda for Sustainable Development in 2015 opened new opportunities to work towards healthy environments through 'whole of government' and 'whole of society' approaches. It created a strong policy platform that acknowledges health as a result and an enabler of sustainable policies across all sectors of government. Five years into the process, an initial analysis of emerging trends indicates that, despite some encouraging developments in policy as well as overall progress in economy and technology, there remains a gap between rhetoric, ambition and reality. In particular, the monitoring system for environment and health-related sustainable development goals (SDGs) and targets requires further development; inequalities in environment and health persist and in some areas have increased; equity is not yet a central element of implementation and reporting on the achievement of the SDGs; and, most worrying of all, trends in key environmental indicators that are vital to the survival of the human species, such as those related to climate change and biodiversity, are still on an overall negative path. In summary, governments must significantly and rapidly increase action to secure the habitability and safety of planet Earth. The public health community assumes an unprecedented role in placing and maintaining health and equity at the heart of the political agenda. This demands new governance models conferring on the health sector a clear mandate and legitimacy to operate across sectors. It also requires enhancing capacities among health professionals to embrace this new level of complexity, understand the multiple links between sectoral policies and health, and successfully engage with other government sectors and stakeholders.
2015 年，可持续发展目标议程的通过为通过“全政府”和“全社会”方法努力实现健康环境提供了新的机会。它创建了一个强有力的政策平台，承认健康是可持续政策的结果和推动者，涵盖政府所有部门。在这一进程进行五年后，对新出现趋势的初步分析表明，尽管政策上出现了一些令人鼓舞的发展，经济和技术也取得了总体进展，但在言辞、雄心壮志和现实之间仍存在差距。特别是，环境和与健康相关的可持续发展目标（SDG）及具体目标的监测系统需要进一步发展；环境和健康方面的不平等仍然存在，在某些领域甚至有所增加；公平尚未成为实施和报告可持续发展目标实现情况的核心要素；最令人担忧的是，对人类生存至关重要的关键环境指标的趋势，如与气候变化和生物多样性相关的指标，仍呈总体负面走向。总之，各国政府必须大幅加快行动，确保地球的宜居性和安全性。公共卫生界在将健康和公平置于政治议程的核心方面发挥了前所未有的作用。这需要新的治理模式，赋予卫生部门在各部门开展工作的明确任务和合法性。它还要求加强卫生专业人员的能力，以应对这种新的复杂性，理解部门政策与健康之间的多种联系，并成功地与其他政府部门和利益攸关方接触。
