Bone Angie, Nona Francis, Lo Selina Namchee, Capon Anthony
Monash Sustainable Development Institute, Monash University, Clayton, Melbourne, Vic 3800, Australia.
Carumba Institute, Queensland University of Technology, Office: B Block, Level 3, Gardens Point Campus, Brisbane, Qld 4000, Australia.
Public Health Res Pract. 2025 Feb;35. doi: 10.1071/PU24002.
The modern field of 'planetary health' was instigated in 2015 by the Rockefeller Foundation-Lancet Commission, which defined it as 'the health of human civilisation and the state of the natural systems on which it depends'. However, this view of human health in relation to natural systems is not really new at all. Rather, it is (re)emerging as the environmental impacts of human activities and their effects on the health of all life on Earth, now and in the future, become increasingly clear. A planetary health approach requires us to rethink dominant perspectives about how we feed, move, house, power and care for the world, as well as the implications for wellbeing and equity across generations and locations. This shift in understanding of our place as humans in relation to the planet is fundamental to addressing the polycrises of the 21st century. Planetary health approaches are increasingly embraced but not yet fully realised or embedded. More organisations and collaborations, in the health sector and beyond, are incorporating these ideas into their methods, plans and training, including concepts that are part of, but not synonymous with planetary health, such as one health, global health, environmental health, climate health and sustainable healthcare. Yet, we are still far from the collective cultural transformation needed to achieve the promise of planetary health as a movement that puts the health of people and the planet at the centre of all policy and action. Education and training in the Western tradition encourage 'human-centred' or 'colonial' thinking. There is much to (re)learn from First Nations peoples, and other non-Western worldviews, about the interdependence of all species and what that means for sustainable health and wellbeing. We offer proposals for how public health policymakers, researchers and practitioners, might support the transformation needed and address the conceptual, knowledge and governance challenges identified by the Rockefeller Foundation-Lancet Commission.
“行星健康”这一现代领域于2015年由洛克菲勒基金会-柳叶刀委员会发起，该委员会将其定义为“人类文明的健康以及人类文明所依赖的自然系统的状态”。然而，这种关于人类健康与自然系统关系的观点根本算不上新鲜。相反，随着人类活动对环境的影响及其对地球上所有生命现在和未来健康的影响日益清晰，它正在（重新）浮现。行星健康方法要求我们重新思考关于我们如何养活、出行、居住、供电以及关爱世界的主流观点，以及对各代人和不同地点的福祉与公平的影响。这种对人类在地球上所处位置理解的转变对于应对21世纪的多重危机至关重要。行星健康方法越来越受到认可，但尚未完全实现或融入。更多的组织和合作，无论是在卫生领域还是其他领域，都在将这些理念纳入其方法、计划和培训中，包括一些虽属于但不等同于行星健康的概念，如同一健康、全球健康、环境卫生、气候健康和可持续医疗保健。然而，要实现行星健康运动的承诺，即将人类和地球的健康置于所有政策和行动的中心，我们仍远未实现所需的集体文化转变。西方传统的教育和培训鼓励“以人类为中心”或“殖民”思维。关于所有物种的相互依存关系以及这对可持续健康和福祉意味着什么，我们有很多要向原住民和其他非西方世界观（重新）学习的地方。我们就公共卫生政策制定者、研究人员和从业者如何支持所需的转变以及应对洛克菲勒基金会-柳叶刀委员会确定的概念、知识和治理挑战提出了建议。
