Lancet Planetary Health最新文献

{"title":"Planetary Health Research Digest","authors":"Cahal McQuillan","doi":"10.1016/S2542-5196(25)00091-9","DOIUrl":"10.1016/S2542-5196(25)00091-9","url":null,"abstract":"","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":"9 4","pages":"Page e251"},"PeriodicalIF":24.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143839727","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":"Climate change and child wellbeing: a systematic evidence and gap map on impacts, mitigation, and adaptation","authors":"Malak Mohamed MBChB MRes ,&nbsp;Saliqa Amin ,&nbsp;Edward Lever ,&nbsp;Angelina Montini ,&nbsp;Komari Machida ,&nbsp;Srivatsan Rajagopalan MSc ,&nbsp;Prof Anthony Costello FRCPCH ,&nbsp;Alice McGushin MBBS ,&nbsp;Beth Jennings PhD ,&nbsp;Laelia Benoit MD ,&nbsp;Naomi Saville PhD ,&nbsp;Nicola Walshe PhD ,&nbsp;Sarah L Dalglish PhD ,&nbsp;Sonja Ayeb-Karlsson PhD ,&nbsp;Sarah Sterlini BA ,&nbsp;Prof Audrey Prost PhD","doi":"10.1016/S2542-5196(25)00061-0","DOIUrl":"10.1016/S2542-5196(25)00061-0","url":null,"abstract":"<div><div>We developed a systematic evidence and gap map (2014–24) to assess how climate change impacts, mitigation, and adaptation affect the wellbeing of children aged 0–18 years globally, and discussed findings with the Children in All Policies 2030 Youth Advisory Board. Health was the most researched child wellbeing domain (84%; 948 of 1127 studies), followed by education (15%; n=171), and food security and nutrition (14%; n=160). Research on children's agency and resilience, displacement, socioeconomic distress, and safety received less attention. Health research gaps included limited studies on vector-borne diseases, children's mental health beyond post-traumatic stress disorder, and health outcomes for children aged 5–18 years. Mitigation and adaptation research focused largely on educational (45%; 114 of 252 studies) and behavioural changes (31%; n=79), with gaps in the evaluation of financing, infrastructure, technology, clean energy, and policy actions. Youth advisory board members emphasised the importance of schools, social media, and intergenerational dialogue in driving climate action while protecting children's wellbeing.</div></div>","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":"9 4","pages":"Pages e337-e346"},"PeriodicalIF":24.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143839687","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 2025; 9: e186–95","authors":"","doi":"10.1016/S2542-5196(25)00083-X","DOIUrl":"10.1016/S2542-5196(25)00083-X","url":null,"abstract":"","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":"9 4","pages":"Page e252"},"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}

{"title":"A kilo for a tonne: the unmet need to address underuse in health care in a climate crisis","authors":"Owen Dan Luo ,&nbsp;Myles Sergeant","doi":"10.1016/S2542-5196(25)00077-4","DOIUrl":"10.1016/S2542-5196(25)00077-4","url":null,"abstract":"","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":"9 4","pages":"Pages e249-e250"},"PeriodicalIF":24.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143839726","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":"Syntropic farming systems for reconciling productivity, ecosystem functions, and restoration","authors":"Prof Johanna Jacobi PhD ,&nbsp;Christian Andres PhD ,&nbsp;Prof Farhah F Assaad PhD ,&nbsp;Stéphane Bellon MSc ,&nbsp;Xavier Coquil PhD ,&nbsp;Prof Sebastian Doetterl PhD ,&nbsp;Dayana Naimid Esnarriaga PhD ,&nbsp;Diana Ortiz-Vallejo PhD ,&nbsp;Cyrille Rigolot PhD ,&nbsp;Johanna Rüegg MSc ,&nbsp;Sylvain Takerkart PhD ,&nbsp;Martin Trouillard PhD ,&nbsp;Boris Vilter BSc ,&nbsp;Prof Janina Dierks PhD","doi":"10.1016/S2542-5196(25)00047-6","DOIUrl":"10.1016/S2542-5196(25)00047-6","url":null,"abstract":"<div><div>Inspired by the succession and vertical stratification found in nature, syntropic farming systems (SFS) incorporate annual and perennial plants in diversified farming systems. Numerous practice examples show the potential of SFS to enhance agroecosystems via optimised design and active management. Yet, scientific knowledge on SFS remains scarce, especially in the temperate zone. We compiled findings on the outcomes and enablers of SFS from 67 studies comprising diverse SFS designs—mainly from tropical countries—that have the potential to be implemented in temperate agricultural landscapes. Most studies highlight the high agrobiodiversity, nutritional diversity, and yield quality of SFS. Comparing the productivity of SFS with other farming systems shows mixed results. Carbon storage, soil fertility, water cycling, climate resilience, and plant health appear favourable in SFS across widely varying cropping systems and environments. SFS can also provide meaningful and dignified work. Nevertheless, remaining obstacles include high labour demand, intensive knowledge requirements, availability of tools and machines for SFS, and a lack of enabling policies. Efforts should focus on harnessing SFS to address the escalating socioecological crises in agri-food systems worldwide, including those of intensively managed cropland systems in the temperate zone where SFS systems could help to redesign agricultural landscapes.</div></div>","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":"9 4","pages":"Pages e314-e325"},"PeriodicalIF":24.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143839685","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":"Blood under pressure: how climate change threatens blood safety and supply chains","authors":"Elvina Viennet PhD ,&nbsp;Melinda M Dean PhD ,&nbsp;Jorga Kircher BSc ,&nbsp;Prof Karin Leder PhD ,&nbsp;Prof Yuming Guo PhD ,&nbsp;Phoebe Jones BA ,&nbsp;Helen M Faddy PhD","doi":"10.1016/S2542-5196(25)00051-8","DOIUrl":"10.1016/S2542-5196(25)00051-8","url":null,"abstract":"<div><div>Climate change substantially threatens public health, including the blood supply chain, which is crucial for medical treatments such as surgeries, trauma care, and chronic disease management. Extreme weather events, vector-borne disease shifts, and temperature fluctuations can disrupt blood collection, testing, transport, and storage, threatening both the safety and sufficiency of blood products. Although studies have highlighted some connections between climate change, transfusion-transmissible infections, and blood safety, there remains a lack of comprehensive understanding of the climate effects on each supply chain stage. In this Personal View, we address the potential climate-driven challenges across the blood supply chain, from donor health to blood component stability, emphasising the importance of proactive measures. To protect the availability and safety of blood supplies in an evolving climate, further research and adaptive strategies are needed to build a resilient blood supply system that can withstand emerging climate-related disruptions.</div></div>","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":"9 4","pages":"Pages e304-e313"},"PeriodicalIF":24.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143839684","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 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}

{"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}

{"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}

{"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}