Lancet Planetary Health最新文献

{"title":"Climate change-related migration and displacement: addressing the adaptation gap.","authors":"Hannah Marcus","doi":"10.1016/j.lanplh.2026.101462","DOIUrl":"https://doi.org/10.1016/j.lanplh.2026.101462","url":null,"abstract":"<p><p>The growing intersection between climate change and human mobility argues that migration, displacement, and immobility are increasingly shaped by both sudden-onset and slow-onset climate hazards, alongside underlying social and governance vulnerabilities. Most climate-related mobility occurs within national borders and carries considerable implications for health, livelihoods, and urban systems. Global frameworks such as the Global Compact for Migration and the UN Framework Convention on Climate Change have begun to acknowledge these dynamics; however, a major adaptation gap is identified at the national level. Climate-related mobility is often referenced in national adaptation plans, but coherent implementation strategies, coordination mechanisms, and monitoring systems remain underdeveloped. To address this adaptation gap, this Personal View proposes a structured diagnostic assessment tool to evaluate how effectively mobility is integrated into national adaptation plans across domains, including risk assessment, governance, legal preparedness, financing, and monitoring and evaluation. Rather than ranking countries, the tool supports context-sensitive analysis, strengthens institutional readiness, and facilitates cross-country learning. This paper calls for a shift towards anticipatory, rights-based adaptation planning that recognises mobility as both a potential risk and an adaptive strategy in response to climate change.</p>","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":" ","pages":"101462"},"PeriodicalIF":21.6,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The burden of El Niño-Southern Oscillation-related dengue attributable to anthropogenic climate change: a multicountry modelling study.","authors":"Guoao Li, Peng Lu, Philip Weinstein, Aleš Urban, Shilu Tong, Niilo Ryti, Francesco Sera, Michelle L Bell, Dominic Royé, Kristie L Ebi, Alistair Woodward, Mengjie Geng, Taiyuan Zhang, Wen Li, Yu Yan, Xiaochi Zhang, Qiyong Liu, Wei Ma, Bo Lu, Qi Zhao","doi":"10.1016/j.lanplh.2026.101454","DOIUrl":"https://doi.org/10.1016/j.lanplh.2026.101454","url":null,"abstract":"<p><strong>Background: </strong>Dengue is known to be associated with El Niño-Southern Oscillation (ENSO) but the size of the effect is unclear, as is the influence of anthropogenic climate change (ACC). We aimed to quantify the associations between ENSO and dengue risk in 21 countries, and to estimate the contribution of ACC to the ENSO-related dengue burden.</p><p><strong>Methods: </strong>We collected monthly dengue cases and observed and simulated climate data from 21 countries including 1237 locations from 2000 to 2019. We characterised Eastern Pacific (EP) and Central Pacific (CP) ENSO exposures for each location based on the E and C indices and their respective teleconnections. Location-specific association between ENSO exposure and dengue cases was estimated using negative binomial generalised linear model combined with best linear unbiased predictions. We also estimated the ENSO-related dengue burden under scenarios with and without ACC.</p><p><strong>Findings: </strong>For each standard deviation increase in EP-El Niño strength and CP-La Niña strength, the overall risk of dengue cases across locations changed by 23·70% (95% CI 21·50 to 25·94) and -9·07% (-9·91 to -8·21), respectively. During 2000 to 2019, 4·45% (95% empirical CI [eCI] 3·75 to 5·32) and -3·34% (-4·01 to -2·64) of dengue cases were attributable to EP-El Niño strength and CP-La Niña strength, respectively. ACC accounted for 48·64% (95% eCI 38·01 to 60·19) of the EP-El Niño-attributable dengue increment and 33·05% (28·66 to 38·25) of the CP-La Niña-attributable reduction. These estimates corresponded to 403 197 (95% eCI 315 109 to 498 940) and -205 641 (-238 030 to -178 329) dengue cases across 1237 locations, respectively. The associations with ENSO varied strongly across the 21 countries.</p><p><strong>Interpretation: </strong>This study presents new model-based evidence of the strong associations between ENSO and dengue risk at a multicountry level, and suggests that the contribution of ACC to the effects of ENSO might differ geographically.</p><p><strong>Funding: </strong>Prevention and Control of Emerging and Major Infectious Diseases National Science and Technology Major Project, the National Natural Science Foundation of China, and the Czech Ministry of Education Youth and Sport's programme ERC CZ.</p>","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":" ","pages":"101454"},"PeriodicalIF":21.6,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Disentangling urban vulnerability to rising temperatures.","authors":"Hicham Achebak, Blanca Paniello-Castillo, Robbie M Parks, Kim R van Daalen","doi":"10.1016/j.lanplh.2026.101451","DOIUrl":"https://doi.org/10.1016/j.lanplh.2026.101451","url":null,"abstract":"","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":" ","pages":"101451"},"PeriodicalIF":21.6,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The 2025-30 US dietary guidelines for Americans reject scientific evidence, transparency, and planetary health.","authors":"Gabby Headrick, Lindsey Smith Taillie, Julia A Wolfson","doi":"10.1016/j.lanplh.2026.101460","DOIUrl":"https://doi.org/10.1016/j.lanplh.2026.101460","url":null,"abstract":"","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":" ","pages":"101460"},"PeriodicalIF":21.6,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785986","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Projected heatwave-related excess mortality under climate change scenarios across 2288 communities in Australia: a nationwide ecological projection modelling study.","authors":"Botian Chen, Rongbin Xu, Zhihu Xu, Wenhua Yu, Yanming Liu, Zhaoyuan Li, Yunfei Xing, Yuming Guo, Shanshan Li","doi":"10.1016/j.lanplh.2026.101446","DOIUrl":"https://doi.org/10.1016/j.lanplh.2026.101446","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Climate change is intensifying the frequency, duration, and severity of heatwaves globally, posing a growing threat to human health. However, few fine-scale projections of heatwave-related excess mortality account for spatial disparities and adaptive capacity. We aimed to estimate future heatwave-related excess mortality across statistical area level 2 (SA2) communities in Australia under multiple climate scenarios.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;In this modelling study, we projected excess mortality rates across 2288 SA2 communities in Australia for the period 2020-2100 under four shared socioeconomic pathways (SSPs) representing alternative trajectories of adaptation (SSP1-2.6, SSP2-4.5, SSP3-7.0, and SSP5-8.5). Daily all-cause mortality data from Jan 1, 2009, to Dec 31, 2019, were obtained from the Australian Coordinating Registry and the Australian Bureau of Statistics. We estimated historical exposure-response relationships using a two-stage distributed lag non-linear model with multivariate meta-regression. Future daily temperatures were obtained from bias-corrected, downscaled projections based on Coupled Model Intercomparison Project Phase 6 (a global climate model intercomparison project) and combined with mortality data and SSP-specific population forecasts to estimate annual excess deaths and excess mortality rates. We assessed median percentage changes in annual excess mortality rates for 2050-59 and 2090-99 using the 2020-29 period as a reference. Two adaptation scenarios were considered: no adaptation and full adaptation. Uncertainty was quantified through Monte Carlo simulations.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Findings: &lt;/strong&gt;Heatwave-related excess mortality was projected to increase substantially across Australia under all SSP scenarios. We estimated that, in 2100, without adaptation, annual excess deaths would reach approximately 5820 under SSP5-8.5 (a scenario of a fossil fuel-intensive future with little mitigation) and the cumulative total of heatwave days across all communities would be 174 079. Heatwave-related excess mortality rates were projected to be highest in Northern Territory during 2090-99, at 33·9 deaths per 100 000 population (95% empirical CI 13·9-55·0), followed by Queensland, at 18·4 deaths per 100 000 population (7·6-29·8), and New South Wales, at 12·8 deaths per 100 000 population (5·3-20·7); projected percentage changes in excess mortality rate relative to 2020-29 ranged from 356% (in West Coast, South Australia) to 4412% (in Thamarrurr, Northern Territory). Although full adaptation substantially reduced the projected mortality burdens, considerable residual risks remained. Spatial disparities in excess mortality rates persisted across states, socioeconomic strata, and urban-rural classifications, although absolute differences were modest.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Interpretation: &lt;/strong&gt;This study provides a comprehensive assessment of future heatwave-related excess mortality across Australia unde","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":" ","pages":"101446"},"PeriodicalIF":21.6,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Planetary Health Research Digest.","authors":"Cahal McQuillan","doi":"10.1016/j.lanplh.2026.101467","DOIUrl":"https://doi.org/10.1016/j.lanplh.2026.101467","url":null,"abstract":"","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":" ","pages":"101467"},"PeriodicalIF":21.6,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147730170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Global environmental change and the gut-kidney-brain axis: a review and framework of vulnerability and resilience.","authors":"Shazia Adalat, Konstantinos Giannakou, Benjamin Valderrama, Juan Guillermo Cárdenas-Aguilera, Giorgos K Sakkas, Jonathan Overeem, Gaye Hafez, Dearbhla Kelly, Jelena Vulevic, Guohua He, Silvia M Mihăilă, Alessandra Tammaro, Burcin Ikiz, John F Cryan","doi":"10.1016/j.lanplh.2026.101453","DOIUrl":"https://doi.org/10.1016/j.lanplh.2026.101453","url":null,"abstract":"<p><p>Climate-health research often examines organ systems in isolation, which limits our understanding of how environmental stressors shape multiorgan disease patterns. We propose an integrative framework that explores how perturbations in the gut-kidney-brain axis might contribute to differential climate and environmental vulnerability. Climatic and environmental stressors might influence intestinal and blood-brain barrier integrity alongside established haemodynamic, toxicological, endocrine, and neurovascular pathways. Experimental and mechanistic evidence indicates that some environmental exposures can alter epithelial tight junction function and promote translocation of microbial products. Such translocation can drive systemic inflammation, altered metabolic signalling, and neural dysfunction implicated in chronic kidney disease progression and neurological impairment. In the proposed framework, barrier integrity is positioned as a biologically plausible interface within a multipathway model linking the gut, kidney, and brain. The framework highlights how climate and environmental exposures interact with pre-existing physiological and social vulnerabilities, adaptive capacity, and cumulative exposure burden to shape susceptibility to adverse health outcomes across the life course. Because current evidence relies heavily on experimental models and associative data, these mechanisms require validation under real-world, multifactorial climatic and environmental conditions. We also identify crucial research priorities, including prospective studies in climate-exposed populations, biomarker validation of barrier integrity, and targeted interventions to help preserve gut-kidney-brain axis function alongside exposure-reducing efforts. If empirical evidence supports this framework, the suggested systems-based approach could inform prevention, surveillance, and equity-centred resilience strategies.</p>","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":" ","pages":"101453"},"PeriodicalIF":21.6,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147700492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Planetary Health Research Digest.","authors":"Cahal McQuillan","doi":"10.1016/j.lanplh.2026.101452","DOIUrl":"https://doi.org/10.1016/j.lanplh.2026.101452","url":null,"abstract":"","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":" ","pages":"101452"},"PeriodicalIF":21.6,"publicationDate":"2026-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147487578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Thank you to The Lancet Planetary Health's statistical and peer reviewers in 2025.","authors":"The Lancet Planetary Health Editors","doi":"10.1016/j.lanplh.2026.101449","DOIUrl":"https://doi.org/10.1016/j.lanplh.2026.101449","url":null,"abstract":"","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":" ","pages":"101449"},"PeriodicalIF":21.6,"publicationDate":"2026-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147445111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Healthpunk: speculative methods for the future of planetary health","authors":"Filip Maric PhD ,&nbsp;Bodhisattva Chattopadhyay PhD ,&nbsp;Jena Webb PhD","doi":"10.1016/j.lanplh.2026.101436","DOIUrl":"10.1016/j.lanplh.2026.101436","url":null,"abstract":"<div><div>Challenges in planetary health necessitate the use of science fiction and speculative futurisms as tools for transformative change. A critical gap, however, is the absence of a framework for activating science fiction and speculative futurisms to address crises of imagination that obstruct planetary health and impede the advancement of corresponding transformation. We introduce healthpunk as an emerging science fiction and speculative futurisms framework that integrates speculative thinking with a focus on planetary health. A series of interventions involving students and professionals from diverse sectors was undertaken to identify key elements of such a framework. These interventions led to the co-creation of multiple anthologies on planetary health futures and indicated a positive reception of science fiction and speculative futurisms as a means of transforming planetary health among an expanding community of authors and readers. At the same time, the findings underscore the need for methodological guidance. We argue that a dedicated healthpunk training programme, grounded in a fully developed framework, could address existing challenges and enable the full potential of science fiction and speculative futurisms within planetary health practice.</div></div>","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":"10 3","pages":"Article 101436"},"PeriodicalIF":21.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147533470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}