Lancet Planetary Health最新文献

{"title":"Bridging the gender, climate, and health gap: the road to COP29.","authors":"Kim Robin van Daalen, Laura Jung, Sara Dada, Razan Othman, Alanna Barrios-Ruiz, Grace Zurielle Malolos, Kai-Ti Wu, Ana Garza-Salas, Salma El-Gamal, Tarek Ezzine, Parnian Khorsand, Arthur Wyns, Blanca Paniello-Castillo, Sophie Gepp, Maisoon Chowdhury, Ander Santamarta Zamorano, Jess Beagley, Clare Oliver-Williams, Ramit Debnath, Ronita Bardhan, Nicole de Paula, Alexandra Phelan, Rachel Lowe","doi":"10.1016/S2542-5196(24)00270-5","DOIUrl":"10.1016/S2542-5196(24)00270-5","url":null,"abstract":"<p><p>Focusing specifically on the gender-climate-health nexus, this Personal View builds on existing feminist works and analyses to discuss why intersectional approaches to climate policy and inclusive representation in climate decision making are crucial for achieving just and equitable solutions to address the impacts of climate change on human health and societies. This Personal View highlights how women, girls, and gender-diverse people often face disproportionate climate-related health impacts, particularly those who experience compounding and overlapping vulnerabilities due to current and former systems of oppression. We summarise the insufficient meaningful inclusion of gender, health, and their intersection in international climate governance. Despite the tendency to conflate gender equality with number-based representation, climate governance under the UNFCCC (1995-2023) remains dominated by men, with several countries projected to take over a decade to achieve gender parity in their Party delegations. Advancing gender-responsiveness in climate policy and implementation and promoting equitable participation in climate governance will not only improve the inclusivity and effectiveness of national strategies, but will also build more resilient, equitable, and healthier societies.</p>","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":" ","pages":""},"PeriodicalIF":24.1,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630709","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":"No silver bullets, no shortcuts: confronting the commercial determinants of the climate crisis.","authors":"Benjamin Wood, Penelope Milsom, Sharon Friel","doi":"10.1016/S2542-5196(24)00278-X","DOIUrl":"https://doi.org/10.1016/S2542-5196(24)00278-X","url":null,"abstract":"","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":" ","pages":""},"PeriodicalIF":24.1,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630711","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":"Correction to Lancet Planet Health 2024; published Oct 17. https://doi.org/10.1016/S2542-5196(24)00229-8.","authors":"","doi":"10.1016/S2542-5196(24)00280-8","DOIUrl":"https://doi.org/10.1016/S2542-5196(24)00280-8","url":null,"abstract":"","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":" ","pages":""},"PeriodicalIF":24.1,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142606844","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":"Effect of alternative dosing strategies of pembrolizumab and nivolumab on health-care emissions in the Netherlands: a carbon footprint analysis","authors":"Ruben Malmberg PharmD ,&nbsp;Jurrien H Loosveld MD ,&nbsp;Hans-Peter Schilte BBA ,&nbsp;Prof Alex Burdorf PhD ,&nbsp;Roelof W F van Leeuwen PharmD","doi":"10.1016/S2542-5196(24)00245-6","DOIUrl":"10.1016/S2542-5196(24)00245-6","url":null,"abstract":"<div><h3>Background</h3><div>Hospitals contribute substantially to greenhouse gas emissions and face a moral obligation to prioritise emission reduction. Drugs constitute an important component of the greenhouse gas emissions of hospitals. Alternative dosing strategies (ADS) have been implemented to improve the cost-effectiveness of pembrolizumab and nivolumab. However, the impact of these ADS on greenhouse gas emissions remains unknown. Therefore, we aimed to analyse the effect of ADS implementation on the carbon emissions of treatment with pembrolizumab and nivolumab.</div></div><div><h3>Methods</h3><div>We used a process-based lifecycle assessment to quantify the environmental impact of pembrolizumab and nivolumab, focused on equivalent carbon dioxide emissions (CO₂e). Lifecycle inventory and impact data from Erasmus University Medical Center (Rotterdam, Netherlands) were used to calculate the CO₂e for pembrolizumab and nivolumab, their dosing intervals, and the impact of ADS on CO₂e. The functional unit of the study was the administration of a single dose of pembrolizumab or nivolumab.</div></div><div><h3>Findings</h3><div>In 2022, the annual carbon emissions related to pembrolizumab and nivolumab treatment in the Erasmus University Medical Center were 445 tons of CO₂e, averaging 94 kg of CO₂e per dose. Pharmaceutical production was the main driver of treatment-related carbon emissions (mean 92·9% of total emissions). Applying ADS resulted in 21–26% and 9–11% CO₂e reductions for pembrolizumab and nivolumab, respectively.</div></div><div><h3>Interpretation</h3><div>This study shows the environmental impact of pembrolizumab and nivolumab treatment and calls for further implementation of ADS for pembrolizumab, nivolumab, and other anti-PD-(L)1 monoclonal antibodies, and more sustainable pharmaceutical production processes. Our findings create environmental awareness and contribute to the promotion and understanding of health-care practices with lower carbon emissions.</div></div><div><h3>Funding</h3><div>None.</div></div>","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":"8 11","pages":"Pages e915-e923"},"PeriodicalIF":24.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142593362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction to Lancet Planet Health 2024; 8: e804–12","authors":"","doi":"10.1016/S2542-5196(24)00275-4","DOIUrl":"10.1016/S2542-5196(24)00275-4","url":null,"abstract":"","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":"8 11","pages":"Page e877"},"PeriodicalIF":24.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142592702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of fine particulate matter from wildfire and non-wildfire sources on emergency-department visits in people who were housed and unhoused in San Diego County (CA, USA) during 2012–20: a time-stratified case–crossover study","authors":"Lara Schwarz PhD ,&nbsp;Andrew Nguyen MPH ,&nbsp;Emilie Schwarz MPH ,&nbsp;Edward M Castillo PhD ,&nbsp;Jesse J Brennan MA ,&nbsp;Prof Theodore C Chan MD ,&nbsp;Rosana Aguilera PhD ,&nbsp;Alexander Gershunov PhD ,&nbsp;Prof Tarik Benmarhnia PhD","doi":"10.1016/S2542-5196(24)00239-0","DOIUrl":"10.1016/S2542-5196(24)00239-0","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Being unhoused can increase vulnerability to adverse health effects due to air pollution. We aimed to quantify changes in emergency-department visits during and after exposure to wildfire-specific and non-wildfire particulate matter 2·5 μm or less in diameter (PM&lt;sub&gt;2·5&lt;/sub&gt;) in San Diego County (CA, USA) in people who were both unhoused and housed.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;For this time-stratified case–crossover study, we used data on exposure to wildfire-specific PM&lt;sub&gt;2·5&lt;/sub&gt; in California and individual-level data for people admitted to the emergency departments of two hospitals (UC San Diego Health emergency departments at La Jolla and Hillcrest, San Diego) in San Diego County between July 1, 2012, and Dec 31, 2020. People with a postcode outside of San Diego County were excluded. Demographic information was age group, race or ethnicity, and transport to the emergency department. Wildfire-specific PM&lt;sub&gt;2·5&lt;/sub&gt; concentration at the postcode level was previously estimated using an ensemble model that combined multiple machine-learning algorithms and explanatory variables obtained via data on 24-h mean PM&lt;sub&gt;2·5&lt;/sub&gt; concentrations from the US Environmental Protection Agency Air Quality System. Conditional logistic regression models were applied, adjusting for specific humidity, wind velocity, and maximum temperature extracted from the US Gridded Surface Meteorological Dataset. Housing status was established by registration staff or triage nurses on arrival at the emergency department. For people who were unhoused, exposure was defined based on the weighted mean PM&lt;sub&gt;2·5&lt;/sub&gt; concentration at the city level proportional to the number of people who were unhoused in each specific city across urban centres in San Diego County. For people who were housed, we used residence postcode to measure exposure. We assessed the association between PM&lt;sub&gt;2·5&lt;/sub&gt; from wildfire and non-wildfire sources and emergency-department visits in people who were housed and unhoused.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Findings&lt;/h3&gt;&lt;div&gt;There were 587 562 emergency-department visits at the two hospitals, 76 407 (13·0%) of which were by people who were unhoused. People who were housed had a higher exposure to overall PM&lt;sub&gt;2·5&lt;/sub&gt; (24-h mean over the study period of 9·904 mg/m&lt;sup&gt;3&lt;/sup&gt;, SD 3·445) and non-wildfire PM&lt;sub&gt;2·5&lt;/sub&gt; (9·663, 2·977) than people who were unhoused (9·863, 3·221; 9·557, 2·599). However, people who were unhoused had a higher exposure to wildfire-specific PM&lt;sub&gt;2·5&lt;/sub&gt; (0·305, 1·797) than people who were housed (0·240, 1·690). Overall PM&lt;sub&gt;2·5&lt;/sub&gt; exposure was associated with increased odds of emergency-department visits for both people who were housed (odds ratio 1·003, 95% CI 1·001–1·004 per 1 μg/m&lt;sup&gt;3&lt;/sup&gt; PM&lt;sub&gt;2·5&lt;/sub&gt; for 0–3 days after exposure) and people who were unhoused (1·004, 1·000–1·008 for 0–3 days after exposure). We found that non-wildfire PM&lt;sub&gt;2·5&lt;/sub&gt; was associated wi","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":"8 11","pages":"Pages e906-e914"},"PeriodicalIF":24.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142592720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Responding to heat-related health risks: the urgency of an equipoise between emergency and equity","authors":"Prof Purnamita Dasgupta PhD ,&nbsp;Prof Vikram Dayal PhD ,&nbsp;Prof Rajib Dasgupta PhD ,&nbsp;Prof Kristie L Ebi PhD ,&nbsp;Clare Heaviside PhD ,&nbsp;William Joe PhD ,&nbsp;Rupa Kumar Kolli PhD ,&nbsp;Prof Meeta Keswani Mehra PhD ,&nbsp;Arabinda Mishra PhD ,&nbsp;Prof Pankaja Raghav MD","doi":"10.1016/S2542-5196(24)00246-8","DOIUrl":"10.1016/S2542-5196(24)00246-8","url":null,"abstract":"<div><div>In the summer of 2024, there were higher temperatures than usual in several parts of India. Temperatures in Delhi, a huge city with millions of residents, broke several previous records. Low-income households have dwellings that do not offer much protection from the heat, and individuals struggle to access basic amenities, such as water. With accumulating evidence on consequent impacts for mortality and morbidity, governance structures are seeking to respond in a timely and efficient manner. There is a need to recognise that heat-related illnesses and deaths are not best addressed merely as an acute disaster but as public health and economic challenges that require planned responses. Responses that are sustainable and equitable combine long-term structural efforts at resilience building with emergency preparedness and prove to be most effective in averting the largely preventable deaths, morbidities, and economic shocks arising from heat-related health risks among exposed and vulnerable communities. Joint action on climate and health enhances achievement of multiple developmental goals with multistakeholder participation. Diverse sectors, including medical care, surveillance, risk communication, disaster preparedness, livelihoods and jobs, and adaptation and urban planning, are needed to raise public awareness and engagement, induce behavioural change, and focus resources for the much-needed structural changes in urban planning and health systems that can save lives and avert damages. To reduce heat-related health risks, vulnerability, inequity, and climate action in the Indian context must be urgently addressed.</div></div>","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":"8 11","pages":"Pages e933-e936"},"PeriodicalIF":24.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142593324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transforming food systems through agroecology: enhancing farmers' autonomy for a safe and just transition","authors":"M Graziano Ceddia PhD ,&nbsp;Sébastien Boillat PhD ,&nbsp;Prof Johanna Jacobi PhD","doi":"10.1016/S2542-5196(24)00234-1","DOIUrl":"10.1016/S2542-5196(24)00234-1","url":null,"abstract":"<div><div>Food systems contribute to multiple crises while failing to deliver healthy, nutritious food for all. A substantial amount of research suggests that the root cause of this issue lies in the complete integration of food systems within global capitalism and the consequent subordination of fairness and sustainability to profit accumulation. We draw on critical political economy to explore how the integration of food systems within global capitalism and their subordination to profit occur. Subsequently, we illustrate how this subordination erodes the autonomy of food producers, with strong environmental and social consequences for consumers and society at large. Lastly, we discuss how agroecology could transform food systems and enhance producers' autonomy, while mitigating environmental and social dysfunction. We stress how the transformative power of agroecology lies in its double nature: concrete (technical) and social (political). By acting in both dimensions, agroecology can help reorient food systems away from profit accumulation and towards better meeting community needs, in line with the tenets of food sovereignty.</div></div>","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":"8 11","pages":"Pages e958-e965"},"PeriodicalIF":24.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142593328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nurturing nature","authors":"The Lancet Planetary Health","doi":"10.1016/S2542-5196(24)00282-1","DOIUrl":"10.1016/S2542-5196(24)00282-1","url":null,"abstract":"","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":"8 11","pages":"Page e874"},"PeriodicalIF":24.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142593361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of a coal to clean heating policy on acute myocardial infarction in Beijing: a difference-in-differences analysis","authors":"Martha Lee PhD ,&nbsp;Jie Chang PhD ,&nbsp;Qiuju Deng PhD ,&nbsp;Piaopiao Hu PhD ,&nbsp;Honor Bixby PhD ,&nbsp;Prof Sam Harper PhD ,&nbsp;Guofeng Shen PhD ,&nbsp;Prof Shu Tao PhD ,&nbsp;Moning Guo MD ,&nbsp;Feng Lu PhD ,&nbsp;Prof Jill Baumgartner PhD ,&nbsp;Prof Jing Liu PhD","doi":"10.1016/S2542-5196(24)00243-2","DOIUrl":"10.1016/S2542-5196(24)00243-2","url":null,"abstract":"<div><h3>Background</h3><div>In 2015, the Chinese Government launched the coal to clean heating policy (CHP), designed to improve air quality and health in China. The CHP banned household coal burning and provided subsidies for clean electric or gas-powered heating for millions of peri-urban and rural households. We aimed to investigate whether the CHP affected the incidence of acute myocardial infarction in Beijing townships.</div></div><div><h3>Methods</h3><div>In this quasi-experimental study, we obtained township data on acute myocardial infarction hospital admissions and deaths, exposure to the CHP (yes <em>vs</em> no), and a range of covariates for periods before (Jan 1, 2013, to Dec 31, 2014) and after the CHP began (Jan 1, 2016, to Dec 31, 2017; and Jan 1, 2018, to Dec 31, 2019). The policy was gradually rolled out across villages, and townships in our study were considered exposed to the policy in periods when more than 50% of their villages were assigned into the CHP. We estimated the effect of the CHP on township incidence of acute myocardial infarction for all adults (aged ≥35 years) and separately for sex and older adults (aged ≥65 years) using a difference-in-differences approach that accommodates the progressive roll-out of the policy.</div></div><div><h3>Findings</h3><div>Of 307 townships in Beijing, we excluded 156 (51%) urban townships where most villages had central heating and were thus ineligible for the CHP. Of the 151 peri-urban and rural Beijing townships considered eligible for the CHP, 75 (50%) townships were exposed to the CHP by the end of 2017 and 92 (61%) by the end of 2019. We estimated an overall reduction of 6·6% (95% CI –12·3 to –0·8) in the incidence of acute myocardial infarction from before to after roll-out of the CHP in exposed townships relative to those not exposed to the policy, with some evidence of larger effects in women (–11·7% [–19·0 to –4·1%]), older adults (–10·7% [–17·4 to –3·6%]), and in townships exposed for longer (–3·5% [–9·5 to 2·8%] after &lt;2 years and –9·7% [–18·3 to –0·5%] after 2–4 years).</div></div><div><h3>Interpretation</h3><div>Our results provide among the first empirical evidence of possible cardiovascular benefits from a household clean energy policy, and support efforts to implement and assess such policies in China and globally.</div></div><div><h3>Funding</h3><div>Wellcome Trust, the Canadian Institutes for Health Research, and the National Natural Science Foundation of China.</div></div>","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":"8 11","pages":"Pages e924-e932"},"PeriodicalIF":24.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142593363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}