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Correction to Lancet Planet Health 2025; 9: e186-95.
IF 24.1 1区 医学
Lancet Planetary Health Pub Date : 2025-04-01 DOI: 10.1016/S2542-5196(25)00083-X
{"title":"Correction to Lancet Planet Health 2025; 9: e186-95.","authors":"","doi":"10.1016/S2542-5196(25)00083-X","DOIUrl":"https://doi.org/10.1016/S2542-5196(25)00083-X","url":null,"abstract":"","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":" ","pages":""},"PeriodicalIF":24.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143789123","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}
引用次数: 0
The role of electric cooking in providing sustainable school meals in low-income and lower-middle-income countries.
IF 24.1 1区 医学
Lancet Planetary Health Pub Date : 2025-03-04 DOI: 10.1016/S2542-5196(25)00004-X
Yesmeen Khalifa, Matthew Leach, Richard Sieff, Jerome Nsengiyaremye, Beryl Onjala, Karlijn Groen, Francesco Fuso Nerini, Camilo Ramirez, Raffaella Bellanca
{"title":"The role of electric cooking in providing sustainable school meals in low-income and lower-middle-income countries.","authors":"Yesmeen Khalifa, Matthew Leach, Richard Sieff, Jerome Nsengiyaremye, Beryl Onjala, Karlijn Groen, Francesco Fuso Nerini, Camilo Ramirez, Raffaella Bellanca","doi":"10.1016/S2542-5196(25)00004-X","DOIUrl":"https://doi.org/10.1016/S2542-5196(25)00004-X","url":null,"abstract":"<p><p>Approximately 418 million children are beneficiaries of school meal programmes globally. In general, supportive infrastructure is necessary for the successful delivery of school meals, but in many low-income and lower-middle-income countries (LLMICs), schools have poor access to essential facilities such as kitchens, electricity, and clean water. Moreover, schools in LLMICs often rely on charcoal or firewood for cooking with consequent negative health, social, economic, and environmental impacts that disproportionally affect women and children. The increasing availability of electricity and large energy efficient cooking appliances in LLMICs suggests that electric cooking could offer a potential solution. However, although the impacts of providing electricity to schools on educational outcomes have been explored, and the scope for electric cooking transitions at household level is increasingly studied, evidence on the role of electricity in providing sustainable school meals remains scarce, particularly in LLMICs. Most existing studies on school meals focus on the health and nutritional values of school meals and do not consider the energy used in their preparation or associated impacts. To address this gap, this Personal View explores the contribution of electric cooking to providing sustainable school meals. Recent case studies from Kenya, Lesotho, Nepal, and Guinea that introduced electric cooking as an alternative to traditional cooking fuels have shown how electric cooking can contribute to providing sustainable schools meals in LLMICs. This Personal View highlights multiple sustainable benefits from shifting to electric cooking, which include environmental, economic, and health benefits, and time saving, with potential gender benefits intersecting these domains. Sharing lessons learned from each study could improve the delivery and effectiveness of these interventions for other schools, and understanding the range of contexts and challenges could help towards programme design for wider scaling of sustainable school meal provision.</p>","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":" ","pages":""},"PeriodicalIF":24.1,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587715","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}
引用次数: 0
The greenhouse gas emissions of pharmaceutical consumption and production: an input–output analysis over time and across global supply chains
IF 24.1 1区 医学
Lancet Planetary Health Pub Date : 2025-03-01 DOI: 10.1016/S2542-5196(25)00028-2
Rosalie H Hagenaars MSc , Reinout Heijungs PhD , Arjan de Koning PhD , Prof Arnold Tukker PhD , Ranran Wang PhD
{"title":"The greenhouse gas emissions of pharmaceutical consumption and production: an input–output analysis over time and across global supply chains","authors":"Rosalie H Hagenaars MSc ,&nbsp;Reinout Heijungs PhD ,&nbsp;Arjan de Koning PhD ,&nbsp;Prof Arnold Tukker PhD ,&nbsp;Ranran Wang PhD","doi":"10.1016/S2542-5196(25)00028-2","DOIUrl":"10.1016/S2542-5196(25)00028-2","url":null,"abstract":"<div><h3>Background</h3><div>Health care substantially contributes to global greenhouse gas emissions, but for pharmaceuticals, this is mostly understood through case studies of individual medicines. Using newly compiled international databases, we aimed to analyse global greenhouse gas emissions from pharmaceutical consumption and production over time and across supply chains.</div></div><div><h3>Methods</h3><div>We quantified the pharmaceutical greenhouse gas footprint across 77 regions from 1995 to 2019 using environmentally extended multi-regional input–output (EE-MRIO) analysis, then conducted structural decomposition analysis to assess key drivers. To identify producers’ full supply chain emission responsibility and mitigation opportunities, we performed structural path analysis and assessed scope 1–3 emissions, supported by a Sankey diagram visualisation. Our analysis was based on data from the EE-MRIO database developed by the Organisation for Economic Co-operation and Development (Inter-Country Input–Output tables 2023) and validated using the EE-MRIO database developed by Eurostat (FIGARO-2024).</div></div><div><h3>Findings</h3><div>From 1995 to 2019, the global pharmaceutical greenhouse gas footprint grew by 77%. This increase was primarily driven by rising pharmaceutical final expenditure, especially in China, and efficiency gains stalling after 2008. High-income countries contributed, on average, a nine-times to ten-times higher pharmaceutical greenhouse gas footprint per capita than lower-middle-income countries in 1995–2019. Supply chain emissions varied substantially among major suppliers in intensity, overseas displacement, and upstream effects.</div></div><div><h3>Interpretation</h3><div>Greenhouse gas emissions related to pharmaceuticals have risen substantially and are likely to continue to rise without concerted and coordinated action. Pharmacies and researchers should investigate sources of unnecessary pharmaceutical use and waste, the industry should improve supply chain efficiency, governments should promote pharmaceutical waste reduction programmes, and international organisations must support global mitigation efforts, especially given the growing importance of scope 3 emissions and international outsourcing.</div></div><div><h3>Funding</h3><div>Leiden University.</div></div>","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":"9 3","pages":"Pages e196-e206"},"PeriodicalIF":24.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143687976","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}
引用次数: 0
Future-proofing cities against negative city mobility and public health impacts of impending natural hazards: a system dynamics modelling study
IF 24.1 1区 医学
Lancet Planetary Health Pub Date : 2025-03-01 DOI: 10.1016/S2542-5196(25)00026-9
Leandro Garcia PhD , Mehdi Hafezi PhD , Larissa Lima PhD , Prof Christopher Millett PhD , Jason Thompson PhD , Ruoyu Wang PhD , Selin Akaraci PhD , Rahul Goel PhD , Prof Rodrigo Reis PhD , Kerry A Nice PhD , Belen Zapata-Diomedi PhD , Prof Pedro C Hallal PhD , Prof Esteban Moro PhD , Clifford Amoako PhD , Prof Ruth F Hunter PhD
{"title":"Future-proofing cities against negative city mobility and public health impacts of impending natural hazards: a system dynamics modelling study","authors":"Leandro Garcia PhD ,&nbsp;Mehdi Hafezi PhD ,&nbsp;Larissa Lima PhD ,&nbsp;Prof Christopher Millett PhD ,&nbsp;Jason Thompson PhD ,&nbsp;Ruoyu Wang PhD ,&nbsp;Selin Akaraci PhD ,&nbsp;Rahul Goel PhD ,&nbsp;Prof Rodrigo Reis PhD ,&nbsp;Kerry A Nice PhD ,&nbsp;Belen Zapata-Diomedi PhD ,&nbsp;Prof Pedro C Hallal PhD ,&nbsp;Prof Esteban Moro PhD ,&nbsp;Clifford Amoako PhD ,&nbsp;Prof Ruth F Hunter PhD","doi":"10.1016/S2542-5196(25)00026-9","DOIUrl":"10.1016/S2542-5196(25)00026-9","url":null,"abstract":"<div><h3>Background</h3><div>The world faces increasing risk from more frequent and larger scale natural hazards, including infectious disease outbreaks (IDOs) and climate change-related extreme weather events (EWEs). These natural hazards are expected to have adverse mobility and public health impacts, with people living in cities especially vulnerable. Little is known about how transport systems can be optimally designed to make cities more resilient to these hazards. Our aim was to investigate how cities’ transport systems, and their resulting mobility patterns, affect their capabilities to mitigate mobility and health impacts of future large-scale IDOs and EWEs.</div></div><div><h3>Methods</h3><div>System dynamics modelling was used to investigate how different city mobility scenarios can affect the health and mobility impacts of four plausible future IDO and EWE (flooding) shocks in three cities: Belfast, UK; Belo Horizonte, Brazil; and Delhi, India. Three city mobility scenarios with incremental degrees of modal shift towards active travel (private motor vehicle volume reduced to 50% and 20% of total road trip volume in vision 1 and 2, and motor vehicle volume [including buses] reduced to 20% of total road trip volume in vision 3) were tested. For each city and each IDO and EWE shock, we estimated the percentage of deaths prevented in visions 1, 2, and 3, relative to the reference scenario, as well as changes in mode share over time.</div></div><div><h3>Findings</h3><div>In all scenarios, all cities showed reduced susceptibility to flooding, with 4–50% of deaths potentially prevented, depending on case city, city mobility, and EWE scenario. The more ambitious the transition towards healthier city mobility patterns, the greater the resilience against flooding. Only vision 3 (the most ambitious transition) showed reduced vulnerability to IDOs, with 6–19% of deaths potentially prevented. Evolution of mode shares varied greatly across cities and mobility scenarios under the IDO shocks.</div></div><div><h3>Interpretation</h3><div>Our results emphasise the importance of well designed, forward-thinking urban transport systems that make cities more resilient and reduce the impact of future public health-related and climate-related threats.</div></div><div><h3>Funding</h3><div>UK Prevention Research Partnership, UK Economic and Social Research Council, UK Medical Research Council, UK National Institute for Health and Care Research, Australian Research Council, Australian National Health and Medical Research Council, and Health and Social Care Research and Development Office Northern Ireland.</div></div>","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":"9 3","pages":"Pages e207-e218"},"PeriodicalIF":24.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143687543","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}
引用次数: 0
The mortality and associated economic burden of London's summer urban heat island effect: a modelling study
IF 24.1 1区 医学
Lancet Planetary Health Pub Date : 2025-03-01 DOI: 10.1016/S2542-5196(25)00025-7
Charles H Simpson DPhil , Oscar Brousse PhD , Tim Taylor PhD , Ai Milojevic PhD , James Grellier PhD , Jonathon Taylor PhD , Prof Lora E Fleming MD PhD , Prof Michael Davies PhD , Clare Heaviside PhD
{"title":"The mortality and associated economic burden of London's summer urban heat island effect: a modelling study","authors":"Charles H Simpson DPhil ,&nbsp;Oscar Brousse PhD ,&nbsp;Tim Taylor PhD ,&nbsp;Ai Milojevic PhD ,&nbsp;James Grellier PhD ,&nbsp;Jonathon Taylor PhD ,&nbsp;Prof Lora E Fleming MD PhD ,&nbsp;Prof Michael Davies PhD ,&nbsp;Clare Heaviside PhD","doi":"10.1016/S2542-5196(25)00025-7","DOIUrl":"10.1016/S2542-5196(25)00025-7","url":null,"abstract":"<div><h3>Background</h3><div>High ambient temperatures lead to increased mortality, especially in older adults. Climate change will increase the frequency and severity of heatwaves globally. Most of the UK population lives in urban areas, which often have higher temperatures than rural areas (the urban heat island [UHI] effect) and higher rates of heat-related mortality. We estimated the mortality burden in terms of attributable mortality and years of life lost (YLLs), and social costs attributed to the UHI effect in summer 2018 in Greater London.</div></div><div><h3>Methods</h3><div>We estimated the UHI effect using advanced urban climate modelling. We applied a quantitative health impact assessment to estimate mortality and YLLs attributable to high air temperature. We estimated social costs using value of statistical life (VSL) and value of statistical life-years (VOLY) methods.</div></div><div><h3>Findings</h3><div>We attribute 785 (95% CI 655–919) deaths in summer 2018 in Greater London to high air temperature. Half of these (399 [350–446]) are attributable to the UHI effect, or approximately 5·0 (4·1–5·9) thousand YLLs. Social costs of the summer UHI effect due to mortality are estimated at £987 million (866 million–1·10 billion) using VSL or £453 million (367–533 million) using VOLY (2023 prices).</div></div><div><h3>Interpretation</h3><div>Monetised costs attributed to the UHI effect remain high using either VSL or VOLY approaches. The findings demonstrate the seriousness of heat as a public health risk, set a scale at which society may be willing to pay for urban heat mitigation, and give tangible support for large-scale urban heat mitigation and adaptation policies.</div></div><div><h3>Funding</h3><div>Wellcome Trust.</div></div>","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":"9 3","pages":"Pages e219-e226"},"PeriodicalIF":24.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143687542","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}
引用次数: 0
National and provincial burden of disease attributable to fine particulate matter air pollution in China, 1990–2021: an analysis of data from the Global Burden of Disease Study 2021
IF 24.1 1区 医学
Lancet Planetary Health Pub Date : 2025-03-01 DOI: 10.1016/S2542-5196(25)00024-5
Tanchun Yu MS , Yixuan Jiang PhD , Renjie Chen PhD , Peng Yin PhD , Huihuan Luo PhD , Prof Maigeng Zhou PhD , Prof Haidong Kan PhD
{"title":"National and provincial burden of disease attributable to fine particulate matter air pollution in China, 1990–2021: an analysis of data from the Global Burden of Disease Study 2021","authors":"Tanchun Yu MS ,&nbsp;Yixuan Jiang PhD ,&nbsp;Renjie Chen PhD ,&nbsp;Peng Yin PhD ,&nbsp;Huihuan Luo PhD ,&nbsp;Prof Maigeng Zhou PhD ,&nbsp;Prof Haidong Kan PhD","doi":"10.1016/S2542-5196(25)00024-5","DOIUrl":"10.1016/S2542-5196(25)00024-5","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Fine particulate matter (PM&lt;sub&gt;2·5&lt;/sub&gt;) is the leading environmental risk factor for mortality and disability worldwide. We aimed to evaluate the temporal trend in, and spatial distribution of, the disease burden attributable to PM&lt;sub&gt;2·5&lt;/sub&gt; in China from 1990 to 2021.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;Based on the methodology framework and general analytical strategies applied in the Global Burden of Diseases, Injuries, and Risk Factors Study 2021, we calculated the numbers, age-standardised rates, and percentage of deaths and disability-adjusted life-years (DALYs) attributable to PM&lt;sub&gt;2·5&lt;/sub&gt; air pollution from 1990 to 2021 at the national and provincial level in China, by disease, sex, and age groups. Exposure to PM&lt;sub&gt;2·5&lt;/sub&gt;, including ambient PM&lt;sub&gt;2·5&lt;/sub&gt; pollution and household PM&lt;sub&gt;2·5&lt;/sub&gt; pollution from solid fuels, was evaluated across 33 provincial administrative units in China.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Findings&lt;/h3&gt;&lt;div&gt;In 2021, 2·3 million (95% uncertainty interval [UI] 1·8–2·9) deaths and 46·7 million (36·6–59·7) DALYs could be attributable to PM&lt;sub&gt;2·5&lt;/sub&gt; pollution in China, accounting for 19·4% (16·0–23·6) of total deaths and 11·6% (9·4–14·1) of total DALYs. Of these, 1·9 million (95% UI 1·3–2·3) deaths and 37·8 million (26·3–46·5) DALYs resulted from ambient exposure, while 0·4 million (0·1–1·3) deaths and 8·9 million (1·5–27·8) DALYs were due to household exposure from solid fuel use. Stroke, ischaemic heart disease, and chronic obstructive pulmonary disease were the leading three causes. Two peaks in the burden were observed: in children aged younger than 5 years, and in people aged 70 years and older. The percentage of deaths and DALYs due to ambient PM&lt;sub&gt;2·5&lt;/sub&gt; was higher in men, while that due to household PM&lt;sub&gt;2·5&lt;/sub&gt; was higher in women. Geographically, the disease burden from ambient PM&lt;sub&gt;2·5&lt;/sub&gt; was higher in north and northwest China, while that from household PM&lt;sub&gt;2·5&lt;/sub&gt; was higher in southwest China. From 1990 to 2021, age-standardised death rates attributable to total PM&lt;sub&gt;2·5&lt;/sub&gt; decreased by 66·0% (95% UI 57·7–73·1) and those attributable to household PM&lt;sub&gt;2·5&lt;/sub&gt; decreased by 92·2% (76·6–98·7), with larger reductions observed in east and south China. By contrast, the disease burden related to ambient PM&lt;sub&gt;2·5&lt;/sub&gt; continued to increase and only began to decline in the past decade.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Interpretation&lt;/h3&gt;&lt;div&gt;Despite the decline in the disease burden attributable to total PM&lt;sub&gt;2·5&lt;/sub&gt; in China during 1990–2021, ambient PM&lt;sub&gt;2·5&lt;/sub&gt; remains a major contributor to mortality and disability. This study highlights considerable spatial heterogeneity across different provinces and provides valuable insights for developing geographically tailored strategies for PM&lt;sub&gt;2·5&lt;/sub&gt; control and public health promotion in China. Stricter control of ambient air pollution is needed in northern and northwestern regions, while p","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":"9 3","pages":"Pages e174-e185"},"PeriodicalIF":24.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143687978","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}
引用次数: 0
Public engagement with health and climate change around the world: a Google Trends analysis
IF 24.1 1区 医学
Lancet Planetary Health Pub Date : 2025-03-01 DOI: 10.1016/S2542-5196(25)00029-4
Prof Niheer Dasandi PhD , Prof Slava Jankin PhD , Dafni Kalatzi Pantera PhD , Marina Romanello PhD
{"title":"Public engagement with health and climate change around the world: a Google Trends analysis","authors":"Prof Niheer Dasandi PhD ,&nbsp;Prof Slava Jankin PhD ,&nbsp;Dafni Kalatzi Pantera PhD ,&nbsp;Marina Romanello PhD","doi":"10.1016/S2542-5196(25)00029-4","DOIUrl":"10.1016/S2542-5196(25)00029-4","url":null,"abstract":"<div><div>Despite growing recognition of the importance of people engaging with the health dimensions of climate change, we know surprisingly little about the levels of public engagement around the world. We address this knowledge gap by examining Google Trends data, using people's online information-seeking behaviour to shed light on global engagement with health and climate change between 2014 and 2023. We observe that over the past decade—and particularly since 2020—there has been growing public engagement via Google searches with health and climate change around the world. The increasing engagement with the intersection of health and climate change is largely distinct from engagement with either climate change or health separately. We observe that such engagement is highest in low-income and middle-income countries. There is also greater engagement with health and climate change than with other issues that intersect climate change—eg, the economy and security—highlighting the public salience of health framings of climate change.</div></div>","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":"9 3","pages":"Pages e236-e244"},"PeriodicalIF":24.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143687974","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}
引用次数: 0
Residential tree canopy configuration and mortality in 6 million Swiss adults: a longitudinal study
IF 24.1 1区 医学
Lancet Planetary Health Pub Date : 2025-03-01 DOI: 10.1016/S2542-5196(25)00022-1
Dengkai Chi PhD , Gabriele Manoli PhD , Brenda Lin PhD , Raf Aerts PhD , Prof Jun Yang PhD , Amy Hahs PhD , Daniel Richards PhD , Naika Meili PhD , Yue Zhu PhD , Yeshan Qiu MSc , Jing Wang MSc , Prof Paolo Burlando PhD , Prof Simone Fatichi PhD , Prof Puay Yok Tan PhD
{"title":"Residential tree canopy configuration and mortality in 6 million Swiss adults: a longitudinal study","authors":"Dengkai Chi PhD ,&nbsp;Gabriele Manoli PhD ,&nbsp;Brenda Lin PhD ,&nbsp;Raf Aerts PhD ,&nbsp;Prof Jun Yang PhD ,&nbsp;Amy Hahs PhD ,&nbsp;Daniel Richards PhD ,&nbsp;Naika Meili PhD ,&nbsp;Yue Zhu PhD ,&nbsp;Yeshan Qiu MSc ,&nbsp;Jing Wang MSc ,&nbsp;Prof Paolo Burlando PhD ,&nbsp;Prof Simone Fatichi PhD ,&nbsp;Prof Puay Yok Tan PhD","doi":"10.1016/S2542-5196(25)00022-1","DOIUrl":"10.1016/S2542-5196(25)00022-1","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Residential exposure to trees has been associated with reduced mortality risks. We hypothesise that in addition to tree canopy cover, tree canopy configuration also plays a role in exposure–mortality relationships. As there is limited evidence on this hypothesis, especially longitudinal evidence, we performed a nationwide study to investigate the residential tree canopy configuration–mortality associations in the Swiss population.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;In this longitudinal study, the tree canopy cover and configuration metrics within 500 m of individuals’ residences were quantified using high-resolution tree canopy data (1 × 1 m) from 2010 to 2019. We developed single-exposure and multi-exposure time-varying Cox regression models to estimate the associations between the different exposure metrics and natural-cause and cause-specific mortality in Swiss adults (aged from 20 years to 90 years). Mortality and census data were taken from the Swiss National Cohort (SNC). We estimated the hazard ratios (HRs) and corresponding 95% CIs per IQR increase in the metrics adjusting for personal sociodemographic and contextual covariates. We also explored the effect modification by tree canopy cover, PM&lt;sub&gt;10&lt;/sub&gt;, air temperature, urbanisation level, age, sex, and area-based local socioeconomic position.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Findings&lt;/h3&gt;&lt;div&gt;Our analyses included 6 215 073 individuals from the SNC between 2010 and 2019. In the fully adjusted single-exposure models, we observed protective associations between natural-cause mortality risk and tree canopy cover (IQR 12·4%, HR 0·979 [95% CI 0·975–0·983]) and configuration metrics describing the aggregation (6·3%, 0·831 [0·823–0·840]), and connectedness (2·9%, 0·946 [0·938–0·953]); and detrimental associations with two metrics describing the fragmentation (211 patches per 100 ha, 1·073 [1·066–1·080]) and shape complexity (1·9, 1·094 [1·089–1·100]) of patches. The associations were generally preserved with other common causes of death. According to the multi-exposure models, the HR (95% CI) for the combination of one IQR decrease in aggregation and one IQR increase in fragmentation and shape complexity was 1·366 (1·343–1·390). Analyses on modification effects suggested a stronger association in people living in areas with a higher level of tree canopy cover, PM&lt;sub&gt;10&lt;/sub&gt; concentration, air temperature, and urbanisation level.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Interpretation&lt;/h3&gt;&lt;div&gt;Aggregated, connected, and less fragmented forested greenspaces might offer stronger health benefits than isolated, fragmented ones, but are difficult to implement in cities. Our study provided valuable insights into optimising forested greenspaces and highlighted future directions for the planning and management of urban forests towards healthy and green cities.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Funding&lt;/h3&gt;&lt;div&gt;National Research Foundation, Prime Minister's Office, Singapore under its Campus for Research Excellence","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":"9 3","pages":"Pages e186-e195"},"PeriodicalIF":24.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143687977","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}
引用次数: 0
Nature-based solutions to address climate change and antimicrobial resistance
IF 24.1 1区 医学
Lancet Planetary Health Pub Date : 2025-03-01 DOI: 10.1016/S2542-5196(25)00052-X
Sonia Lewycka , Tea Skrinjaric , Gloria Rukomeza , Hai H T Ngo , Pablo Imbach
{"title":"Nature-based solutions to address climate change and antimicrobial resistance","authors":"Sonia Lewycka ,&nbsp;Tea Skrinjaric ,&nbsp;Gloria Rukomeza ,&nbsp;Hai H T Ngo ,&nbsp;Pablo Imbach","doi":"10.1016/S2542-5196(25)00052-X","DOIUrl":"10.1016/S2542-5196(25)00052-X","url":null,"abstract":"","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":"9 3","pages":"Page e173"},"PeriodicalIF":24.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143687536","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}
引用次数: 0
Planetary Health Research Digest
IF 24.1 1区 医学
Lancet Planetary Health Pub Date : 2025-03-01 DOI: 10.1016/S2542-5196(25)00057-9
Cahal McQuillan
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