Lancet Planetary Health最新文献

{"title":"Temporal variations in the short-term effects of ambient air pollution on cardiovascular and respiratory mortality: a pooled analysis of 380 urban areas over a 22-year period","authors":"Maximilian Schwarz MSc ,&nbsp;Prof Annette Peters PhD ,&nbsp;Massimo Stafoggia PhD ,&nbsp;Francesca de'Donato PhD ,&nbsp;Francesco Sera PhD ,&nbsp;Prof Michelle L Bell PhD ,&nbsp;Prof Yuming Guo PhD ,&nbsp;Prof Yasushi Honda PhD ,&nbsp;Veronika Huber PhD ,&nbsp;Prof Jouni J K Jaakkola PhD ,&nbsp;Aleš Urban PhD ,&nbsp;Ana Maria Vicedo-Cabrera PhD ,&nbsp;Pierre Masselot PhD ,&nbsp;Prof Eric Lavigne PhD ,&nbsp;Souzana Achilleos PhD ,&nbsp;Jan Kyselý PhD ,&nbsp;Prof Evangelia Samoli PhD ,&nbsp;Prof Masahiro Hashizume PhD ,&nbsp;Chris Fook Sheng Ng PhD ,&nbsp;Susana das Neves Pereira da Silva MSc ,&nbsp;Antonella Zanobetti","doi":"10.1016/S2542-5196(24)00168-2","DOIUrl":"10.1016/S2542-5196(24)00168-2","url":null,"abstract":"<div><h3>Background</h3><p>Ambient air pollution, including particulate matter (such as PM₁₀ and PM_2·5) and nitrogen dioxide (NO₂), has been linked to increases in mortality. Whether populations’ vulnerability to these pollutants has changed over time is unclear, and studies on this topic do not include multicountry analysis. We evaluated whether changes in exposure to air pollutants were associated with changes in mortality effect estimates over time.</p></div><div><h3>Methods</h3><p>We extracted cause-specific mortality and air pollution data collected between 1995 and 2016 from the Multi-Country Multi-City (MCC) Collaborative Research Network database. We applied a two-stage approach to analyse the short-term effects of NO₂, PM₁₀, and PM_2·5 on cause-specific mortality using city-specific time series regression analyses and multilevel random-effects meta-analysis. We assessed changes over time using a longitudinal meta-regression with time as a linear fixed term and explored potential sources of heterogeneity and two-pollutant models.</p></div><div><h3>Findings</h3><p>Over 21·6 million cardiovascular and 7·7 million respiratory deaths in 380 cities across 24 countries over the study period were included in the analysis. All three air pollutants showed decreasing concentrations over time. The pooled results suggested no significant temporal change in the effect estimates per unit exposure of PM₁₀, PM_2·5, or NO₂ and mortality. However, the risk of cardiovascular mortality increased from 0·37% (95% CI –0·05 to 0·80) in 1998 to 0·85% (0·55 to 1·16) in 2012 with a 10 μg/m³ increase in PM_2·5. Two-pollutant models generally showed similar results to single-pollutant models for PM fractions and indicated temporal differences for NO₂.</p></div><div><h3>Interpretation</h3><p>Although air pollution levels decreased during the study period, the effect sizes per unit increase in air pollution concentration have not changed. This observation might be due to the composition, toxicity, and sources of air pollution, as well as other factors, such as socioeconomic determinants or changes in population distribution and susceptibility.</p></div><div><h3>Funding</h3><p>None.</p></div>","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":"8 9","pages":"Pages e657-e665"},"PeriodicalIF":24.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2542519624001682/pdfft?md5=28e586822af31df1557ea9d75dc0c6d4&pid=1-s2.0-S2542519624001682-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142135801","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":"Less than fantastic plastic","authors":"The Lancet Planetary Health","doi":"10.1016/S2542-5196(24)00210-9","DOIUrl":"10.1016/S2542-5196(24)00210-9","url":null,"abstract":"","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":"8 9","pages":"Page e610"},"PeriodicalIF":24.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2542519624002109/pdfft?md5=66e232a71acbf1ad4cf7248e0a2e100b&pid=1-s2.0-S2542519624002109-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142135794","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":"Measuring environmentally sustainable health care: a scoping review","authors":"Michael Padget PhD ,&nbsp;Anitha Devadason MPH ,&nbsp;Iris Blom MSc ,&nbsp;Guilhem Molinie MPH ,&nbsp;Wynne Armand MD ,&nbsp;Ann-Christine Duhaime MD ,&nbsp;Jodi D Sherman MD ,&nbsp;Jonathan Slutzman MD ,&nbsp;Dionne Kringos PhD","doi":"10.1016/S2542-5196(24)00162-1","DOIUrl":"10.1016/S2542-5196(24)00162-1","url":null,"abstract":"<div><p>Work to reduce environmental pollution from the health system is hampered by an absence of consensus on the definition of environmentally sustainable health care and the relevant measurement needed. This scoping review aims to encourage standardisation across sustainability efforts by examining how environmentally sustainable health care is defined and measured in current literature. We conducted a scoping review to identify candidate publications that included either a definition or description of environmentally sustainable health care or a measurement of the impact of health care on the environment. 328 publications were included in the final analysis. 52 publications included definitions or descriptions of environmentally sustainable health care. Results of the study highlight the heterogeneity in the current definition, measurement, and measurement calculation methods of environmentally sustainable health care in published literature. Work is needed to create more harmonised definitions and measurement to support progress and reduce environmental pollution from health care.</p></div>","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":"8 9","pages":"Pages e675-e683"},"PeriodicalIF":24.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2542519624001621/pdfft?md5=b7479fdc0f05920c68e85406fcfc0194&pid=1-s2.0-S2542519624001621-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142136479","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":"Guiding principles for the next generation of health-care sustainability metrics","authors":"Matthew J Eckelman PhD ,&nbsp;Ulli Weisz Dr phil ,&nbsp;Peter-Paul Pichler PhD ,&nbsp;Jodi D Sherman MD ,&nbsp;Prof Helga Weisz Dr phil","doi":"10.1016/S2542-5196(24)00159-1","DOIUrl":"10.1016/S2542-5196(24)00159-1","url":null,"abstract":"<div><p>Metrics for health-care sustainability are crucial for tracking progress and understanding the advantages of different operations or systems as the health-care sector addresses the climate crisis and other environmental challenges. Measurement of the key metrics of absolute energy use and greenhouse gas emissions now has substantial momentum, but our overall measurement framework generally has serious deficiencies. Because existing metrics are often borrowed from other sectors, many are unconnected to the specifics of health-care provision or existing health system performance indicators, the potential negative effects of health care on public health are largely absent, a consistent and standardised set of health-care sustainability measurement concepts does not yet exist, and current dynamics in health systems such as privatisation are largely ignored. The next generation of health-care sustainability metrics must address these deficiencies by expanding the scope of observation and the entry points for interventions. Specifically, metrics should be standardised, reliable, meaningful, integrated with data management systems, fair, and aligned with the core mission of health care. Incentives with the potential to contradict sustainability goals must be addressed in future planning and implementation if the next generation of metrics is to be effective and incentivise positive systemic change.</p></div>","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":"8 8","pages":"Pages e603-e609"},"PeriodicalIF":24.1,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2542519624001591/pdfft?md5=6206bef7ae1da2ab11a904196b381d0f&pid=1-s2.0-S2542519624001591-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141914325","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":"Nature-based mental health: research and implementation agenda","authors":"Ralf C Buckley ,&nbsp;Zoë J B Zhang ,&nbsp;Sonya Underdahl ,&nbsp;Mary-Ann Cooper ,&nbsp;Keeley Sclippa ,&nbsp;Paula Brough ,&nbsp;Alienor L M Chauvenet","doi":"10.1016/S2542-5196(24)00166-9","DOIUrl":"10.1016/S2542-5196(24)00166-9","url":null,"abstract":"","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":"8 8","pages":"Pages e528-e529"},"PeriodicalIF":24.1,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2542519624001669/pdfft?md5=e4df68bc75f90122027e0f2f79275202&pid=1-s2.0-S2542519624001669-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141914327","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 global change on snakebite envenoming incidence up to 2050: a modelling assessment","authors":"Gerardo Martín PhD ,&nbsp;Joseph James Erinjery PhD ,&nbsp;Dileepa Ediriweera PhD ,&nbsp;Eyal Goldstein MSc ,&nbsp;Ruchira Somaweera PhD ,&nbsp;Prof H Janaka de Silva PhD ,&nbsp;Prof David G Lalloo DM ,&nbsp;Takuya Iwamura PhD ,&nbsp;Prof Kris A Murray","doi":"10.1016/S2542-5196(24)00141-4","DOIUrl":"10.1016/S2542-5196(24)00141-4","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;p&gt;Human activities are driving climate, land cover, and population change (global change), and shifting the baseline geographical distribution of snakebite. The interacting effects of global change on snakes and communities at risk of snakebite are poorly understood, limiting capacity to anticipate and manage future changes in snakebite risk.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;p&gt;In this modelling study, we projected how global change will affect snakebite envenoming incidence in Sri Lanka, as a model system that has a high incidence of snakebite. We used the shared socioeconomic pathway (SSP) scenario analysis framework to integrate forecasts across the domains of: climate change (historical trend from WorldClim plus three underlying regional circulation models [RCMs] in the Coordinated Regional Downscaling Experiment-South Asia repository, with two emissions pathways [representative concentration pathways RCP4.5 and RCP8.5]); land cover change (Dyna-CLUE model); and human population density change (based on Gridded Population of the World data) from Jan 1, 2010 to Dec 31, 2050. Forecasts were integrated under three different development scenarios: a sustainability pathway (SSP1 and no further emissions), a middle-of-the-road pathway (SSP2 and RCP4.5), and a fossil-fuelled pathway (SSP5 and RCP8.5). For SSP2 and SSP5, we nested three different RCMs (CNRM-CM5, GFDL-CCM3, and MPI-ESM-LR; mean averaged to represent consensus) to account for variability in climate predictions. Data were used as inputs to a mechanistic model that predicted snakebite envenoming incidence based on human–snake contact patterns.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Findings&lt;/h3&gt;&lt;p&gt;From 2010 to 2050, at the national level, envenoming incidence in Sri Lanka was projected to decrease by 12·0–23·0%, depending on the scenario. The rate of decrease in envenoming incidence was higher in SSP5-RCP8.5 than in SSP1 and SSP2-RCP4.5. Change in envenoming incidence was heterogenous across the country. In SSP1, incidence decreased in urban areas expected to have population growth, and with land cover changes towards anthropised classes. In SSP2-RCP4.5 and SSP5-RCP8.5, most areas were projected to have decreases in incidence (SSP5-RCP8.5 showing the largest area with incidence reductions), while areas such as the central highlands and the north of the country showed localised increases. In the model, decreases occurred with human population growth, land use change towards anthropised classes (potentially shifting occupational risk factors), and decreasing abundance of some snake species, potentially due to global warming and reduced climatic and habitat suitability, with displacement of some snake species.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Interpretation&lt;/h3&gt;&lt;p&gt;Snakebite envenoming incidence was projected to decrease overall in the coming decades in Sri Lanka, but with an apparent emerging conflict with sustainability objectives. Therefore, efforts to mitigate snakebite envenoming incidence will need ","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":"8 8","pages":"Pages e533-e544"},"PeriodicalIF":24.1,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2542519624001414/pdfft?md5=40baaffb13307b7c34ef63759cd5153f&pid=1-s2.0-S2542519624001414-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141914323","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":"Planetary Health Research Digest","authors":"Cahal McQuillan","doi":"10.1016/S2542-5196(24)00174-8","DOIUrl":"10.1016/S2542-5196(24)00174-8","url":null,"abstract":"","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":"8 8","pages":"Page e532"},"PeriodicalIF":24.1,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2542519624001748/pdfft?md5=65f38044f88644f0cc7de5cfa44aca1e&pid=1-s2.0-S2542519624001748-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141914328","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":"A road to the next pandemic: the consequences of Amazon highway BR-319 for planetary health","authors":"Lucas Ferrante","doi":"10.1016/S2542-5196(24)00163-3","DOIUrl":"10.1016/S2542-5196(24)00163-3","url":null,"abstract":"","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":"8 8","pages":"Pages e524-e525"},"PeriodicalIF":24.1,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2542519624001633/pdfft?md5=89440d9e3563c4fb33a040b275bc9e47&pid=1-s2.0-S2542519624001633-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141914321","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":"Environmental and clinical ethics support decarbonising end-of-life care","authors":"Cristina Richie ,&nbsp;Forbes McGain","doi":"10.1016/S2542-5196(24)00165-7","DOIUrl":"10.1016/S2542-5196(24)00165-7","url":null,"abstract":"","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":"8 8","pages":"Page e530"},"PeriodicalIF":24.1,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2542519624001657/pdfft?md5=f573eb02e80e15c0095193169715f200&pid=1-s2.0-S2542519624001657-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141914324","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":"Plant-based and planetary-health diets, environmental burden, and risk of mortality: a prospective cohort study of middle-aged and older adults in China","authors":"Hui Chen MSc ,&nbsp;Xiaoxi Wang PhD ,&nbsp;John S Ji ScD ,&nbsp;Liyan Huang BMed ,&nbsp;Ye Qi BMed ,&nbsp;You Wu PhD ,&nbsp;Pan He PhD ,&nbsp;Yanping Li PhD ,&nbsp;Benjamin Leon Bodirsky PhD ,&nbsp;Christoph Müller PhD ,&nbsp;Walter C Willett MD DrPH ,&nbsp;Prof Changzheng Yuan ScD","doi":"10.1016/S2542-5196(24)00143-8","DOIUrl":"10.1016/S2542-5196(24)00143-8","url":null,"abstract":"<div><h3>Background</h3><p>Plant-based diets (PBDs) and planetary-health diets (PHDs) are recommended for their potential health and environmental benefits, but population-based evidence in diverse cultures is scarce.</p></div><div><h3>Methods</h3><p>We included 9364 adults aged 45 years and older (52·3% female, 47·7% male) from the open cohort of the China Health and Nutrition Survey. Dietary intake was assessed using 3-day 24 h dietary recalls combined with weighing methods from 1997 to 2011, and mortality was documented from 1997 to 2015. We calculated the overall PBD index (PDI), healthful PBD index (hPDI), and unhealthful PBD index (uPDI; ranges 18–90), and the PHD score (range 0–140). We also estimated the related greenhouse gas emissions, land appropriation, and total water footprint and examined their associations with mortality.</p></div><div><h3>Findings</h3><p>PBD indices were inversely related to greenhouse gas emissions, land appropriation, and total water footprint, whereas higher PHD score was related to higher environmental burdens (p&lt;0·0001). During follow-up (mean 9·2 years), 792 (8·5%) death cases were documented. PDI (HR 1·08 [95% CI 0·88–1·32]) and hPDI (0·98 [0·80–1·21]) were not significantly associated with mortality, whereas higher uPDI was related to a higher mortality risk (1·55 [1·26–1·91]). In contrast, higher PHD score was associated with lower mortality risk (0·79 [0·63–0·99]).</p></div><div><h3>Interpretation</h3><p>The PBDs showed environmental benefits, but are not necessarily associated with lower mortality risk. The PHD, developed mainly in western populations, was related to lower mortality risk but higher environmental burdens in the Chinese population.</p></div><div><h3>Funding</h3><p>Fundamental Research Funds for the Central Universities, Zhejiang University Global Partnership Fund, and National Natural Science Foundation of China.</p></div>","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":"8 8","pages":"Pages e545-e553"},"PeriodicalIF":24.1,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2542519624001438/pdfft?md5=ccb97015957e640294dacc22c697bceb&pid=1-s2.0-S2542519624001438-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141914329","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}