Prescott Susan L
Medical School, University of Western Australia; Family and Community Medicine, University of Maryland, Baltimore, Maryland; Planetary Health Network, Nova Institute for Health, Baltimore, Maryland.
Ann Allergy Asthma Immunol. 2024 Dec;133(6):649-657. doi: 10.1016/j.anai.2024.08.014. Epub 2024 Aug 20.
The Anthropocene is a proposed geological epoch reflecting the large-scale impact of human activity on the Earth's natural systems. This era is also characterized by other significant threats to ecologic well-being that are less evident in the sedimentary records. Extensive environmental changes with industrialization and urbanization have also contributed to declining biodiversity and microbial dysbiosis in essential ecosystems-the original and foundational lifeforms that continue to sustain virtually all ecosystems today, including our own. These changes, along with numerous other social and ecologic disruptions at all scales are implicated in the rising rates of physical and mental ill-health, particularly the immune dysregulation and noncommunicable diseases that characterize the Anthropocene. This narrative review considers how urgent structural changes in how we live are essential to the future of human health and the flourishing of all life on Earth. It explores planetary health as a solutions-oriented, transdisciplinary field and social movement aimed at addressing these interconnected global challenges through integrated ecologic approaches. Planetary health considers not only the vital biophysical "planetary boundaries" required to support human flourishing, but also the upstream social, political, and economic ecosystems that support (or undermine) well-being at all scales. The value systems and the worldviews that have contributed to our global challenges are a central consideration in the planetary health agenda-emphasizing the imperative to address structural inequalities, injustices, and the social, emotional, and spiritual dimensions of unrealized human potential. Promoting these inner assets is essential to human flourishing and fostering the cultural capacities necessary to ensure sustainable planetary health.
人类世是一个拟议中的地质时代，反映了人类活动对地球自然系统的大规模影响。这个时代的特点还包括对生态福祉的其他重大威胁，这些威胁在沉积记录中不太明显。工业化和城市化带来的广泛环境变化也导致了重要生态系统中生物多样性的下降和微生物群落失调，而这些原始的、基础性的生命形式至今仍在维持着几乎所有的生态系统，包括我们自己的生态系统。这些变化，连同所有尺度上的许多其他社会和生态破坏，都与身心健康问题发生率的上升有关，特别是与人类世特征性的免疫失调和非传染性疾病有关。这篇叙述性综述探讨了我们生活方式的迫切结构性变化对人类健康未来以及地球上所有生命繁荣的至关重要性。它将行星健康作为一个以解决方案为导向的跨学科领域和社会运动进行探索，旨在通过综合生态方法应对这些相互关联的全球挑战。行星健康不仅考虑支持人类繁荣所需的至关重要的生物物理“行星边界”，还考虑支持（或破坏）所有尺度福祉的上游社会、政治和经济生态系统。导致我们面临全球挑战的价值体系和世界观是行星健康议程的核心考量因素，强调必须解决结构性不平等、不公正问题，以及未实现的人类潜力的社会、情感和精神层面问题。促进这些内在资产对于人类繁荣以及培养确保可持续行星健康所需的文化能力至关重要。
