Global Observatory on Planetary Health, Boston College, Chestnut Hill, MA, US.
Centre Scientifique de Monaco, MC.
Ann Glob Health. 2024 Jan 5;90(1):1. doi: 10.5334/aogh.4161. eCollection 2024.
Since the Industrial Revolution, humanity has amassed great wealth and achieved unprecedented material prosperity. These advances have come, however, at great cost to the planet. They are guided by an economic model that focuses almost exclusively on short-term gain, while ignoring natural capital and human capital. They have relied on the combustion of vast quantities of fossil fuels, massive consumption of the earth's resources, and production and environmental release of enormous quantities of chemicals, pesticides, fertilizers, and plastics. They have caused climate change, pollution, and biodiversity loss, the "Triple Planetary Crisis". They are responsible for more than 9 million premature deaths per year and for widespread disease - impacts that fall disproportionately upon the poor and the vulnerable.
To map the human health impacts of climate change, pollution, and biodiversity loss. To outline a framework for assessing the health benefits of interventions against these threats.
Actions taken by national governments and international agencies to mitigate climate change, pollution, and biodiversity loss can improve health, prevent disease, save lives, and enhance human well-being. Yet assessment of health benefits is largely absent from evaluations of environmental remediation programs. This represents a lost opportunity to quantify the full benefits of environmental remediation and to educate policy makers and the public.
We recommend that national governments and international agencies implementing interventions against climate change, pollution, and biodiversity loss develop metrics and strategies for quantifying the health benefits of these interventions. We recommend that they deploy these tools in parallel with assessments of ecologic and economic benefits. Health metrics developed by the Global Burden of Disease (GBD) study may provide a useful starting point.Incorporation of health metrics into assessments of environmental restoration will require building transdisciplinary collaborations. Environmental scientists and engineers will need to work with health scientists to establish evaluation systems that link environmental and economic data with health data. Such systems will assist international agencies as well as national and local governments in prioritizing environmental interventions.
自工业革命以来,人类积累了巨大的财富,实现了前所未有的物质繁荣。然而,这些进步是以牺牲地球为代价的。这种经济模式几乎完全专注于短期利益,而忽略了自然资本和人力资本。它依赖于大量化石燃料的燃烧、地球资源的大量消耗,以及大量化学品、农药、化肥和塑料的生产和环境释放。这些行为导致了气候变化、污染和生物多样性丧失,即“三重行星危机”。它们每年导致超过 900 万人过早死亡,并导致广泛的疾病——这些影响不成比例地落在穷人和弱势群体身上。
绘制气候变化、污染和生物多样性丧失对人类健康的影响图。概述评估针对这些威胁的干预措施的健康效益的框架。
各国政府和国际机构为缓解气候变化、污染和生物多样性丧失而采取的行动可以改善健康、预防疾病、挽救生命和增强人类福祉。然而,健康效益评估在环境修复方案的评估中基本上是缺失的。这代表着未能量化环境修复的全部效益,并教育政策制定者和公众的机会。
我们建议实施应对气候变化、污染和生物多样性丧失的干预措施的国家政府和国际机构制定衡量和战略,以量化这些干预措施的健康效益。我们建议他们在评估生态和经济效益的同时部署这些工具。全球疾病负担(GBD)研究制定的健康指标可能是一个有用的起点。将健康指标纳入环境恢复评估需要建立跨学科合作。环境科学家和工程师将需要与健康科学家合作,建立将环境和经济数据与健康数据联系起来的评估系统。这些系统将帮助国际机构以及国家和地方政府在环境干预措施中确定优先次序。