Phelan Alexandra L, Negri Stefania, Hesselman Marlies
Johns Hopkins Center for Health Security, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States.
Johns Hopkins Institute for Planetary Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States.
J Law Med Ethics. 2025;53(S1):41-45. doi: 10.1017/jme.2025.10. Epub 2025 Apr 14.
International law and global governance regimes for environmental health challenges have been slow to reflect the intertwined relationship between the environment and human health. Historical legacies have caused artificial fragmentation between the two that has resulted in distinct fields of international law and institutions for the environment and health. However, new global paradigms for thinking about environmental health have emerged to foster synthesis under global health law, including One Health and Planetary Health approaches, as well as through international human rights law like the recognition of the right to a clean, safe, and healthy environment. Guided by equity, new international law and global governance reforms, including the proposed Pandemic Agreement and Plastics Treaty, are opportunities to synthesize the intersecting dimensions of the environment and global health. However, future paths towards cohesion must explicitly incorporate human rights in environmental health governance, including the rights of Indigenous Peoples, while actively addressing inequities in global health law, between and within countries, and across generations.
应对环境卫生挑战的国际法和全球治理体系在反映环境与人类健康之间的相互交织关系方面一直进展缓慢。历史遗留问题造成了两者之间的人为分割，导致了环境与健康领域在国际法和机构方面的明显分化。然而，新的环境卫生全球思维范式已经出现，以促进在全球卫生法下的整合，包括“同一健康”和“地球健康”方法，以及通过诸如承认享有清洁、安全和健康环境的权利等国际人权法来实现整合。在公平的指导下，新的国际法和全球治理改革，包括拟议的《大流行协定》和《塑料条约》，是整合环境与全球健康交叉层面的契机。然而，实现融合的未来道路必须将人权明确纳入环境卫生治理，包括原住民的权利，同时积极解决全球卫生法在国家之间、国家内部以及代际之间存在的不平等问题。
