Lancet Planetary HealthPub Date : 2026-05-01Epub Date: 2026-06-04DOI: 10.1016/j.lanplh.2026.101473
Kristen N Cowan, Joshua D Miller, Ellie M Madson, Shelby S Yamamoto, Mark M Janko, Kim Diana Connolly, Kelly K Baker
{"title":"Stronger evidence, weaker protections: planetary health consequences of rescinding the US Environmental Protection Agency endangerment finding","authors":"Kristen N Cowan, Joshua D Miller, Ellie M Madson, Shelby S Yamamoto, Mark M Janko, Kim Diana Connolly, Kelly K Baker","doi":"10.1016/j.lanplh.2026.101473","DOIUrl":"10.1016/j.lanplh.2026.101473","url":null,"abstract":"","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":"10 5","pages":"Article 101473"},"PeriodicalIF":20.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148165233","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}
Lancet Planetary HealthPub Date : 2026-05-01Epub Date: 2026-04-17DOI: 10.1016/j.lanplh.2026.101467
Cahal McQuillan
{"title":"Planetary Health Research Digest","authors":"Cahal McQuillan","doi":"10.1016/j.lanplh.2026.101467","DOIUrl":"10.1016/j.lanplh.2026.101467","url":null,"abstract":"","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":"10 5","pages":"Article 101467"},"PeriodicalIF":20.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147730170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lancet Planetary HealthPub Date : 2026-05-01Epub Date: 2026-03-09DOI: 10.1016/j.lanplh.2026.101449
The Lancet Planetary Health Editors
{"title":"Thank you to The Lancet Planetary Health's statistical and peer reviewers in 2025","authors":"The Lancet Planetary Health Editors","doi":"10.1016/j.lanplh.2026.101449","DOIUrl":"10.1016/j.lanplh.2026.101449","url":null,"abstract":"","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":"10 5","pages":"Article 101449"},"PeriodicalIF":20.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147445111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lancet Planetary HealthPub Date : 2026-05-01Epub Date: 2026-06-10DOI: 10.1016/j.lanplh.2026.101465
Yongsoo Choi PhD, Garam Byun PhD, Prof Honghyok Kim PhD, Rory Stewart PhD, Prof Yimeng Song PhD, Seulkee Heo PhD, Prof Jong-Tae Lee PhD, Prof Shilu Tong PhD, Prof Eric Lavigne PhD, Nicolás Valdés Ortega MSc, Prof Patricia Matus Correa PhD, Samuel Osorio PhD, Prof Souzana Achilleos PhD, Prof Jan Kyselý PhD, Prof Aleš Urban PhD, Dominic Roye PhD, Prof Hans Orru PhD, Marek Maasikmets PhD, Prof Jouni J K Jaakkola PhD, Niilo Ryti PhD, Michelle L. Bell Prof
{"title":"Temporal changes in mortality risk associated with PM10 across 143 cities in 26 countries: a multicountry, multicity time-series study","authors":"Yongsoo Choi PhD, Garam Byun PhD, Prof Honghyok Kim PhD, Rory Stewart PhD, Prof Yimeng Song PhD, Seulkee Heo PhD, Prof Jong-Tae Lee PhD, Prof Shilu Tong PhD, Prof Eric Lavigne PhD, Nicolás Valdés Ortega MSc, Prof Patricia Matus Correa PhD, Samuel Osorio PhD, Prof Souzana Achilleos PhD, Prof Jan Kyselý PhD, Prof Aleš Urban PhD, Dominic Roye PhD, Prof Hans Orru PhD, Marek Maasikmets PhD, Prof Jouni J K Jaakkola PhD, Niilo Ryti PhD, Michelle L. Bell Prof","doi":"10.1016/j.lanplh.2026.101465","DOIUrl":"10.1016/j.lanplh.2026.101465","url":null,"abstract":"<div><h3>Background</h3><div>Ambient PM<sub>10</sub> is associated with mortality; however, potential changes in this association over time and the factors explaining such changes are unclear. Therefore, we aimed to examine whether mortality risk associated with PM<sub>10</sub> has changed from 1979 to 2019 and whether changes in socioeconomic or environmental conditions can explain any temporal variation in the association between PM<sub>10</sub> and mortality.</div></div><div><h3>Methods</h3><div>We applied an extended two-stage time-series design to assess temporal change in the association between PM<sub>10</sub> and all-cause mortality across 143 cities in 26 countries from 1979 to 2019. In the first stage, city-specific and time-specific associations between PM<sub>10</sub> and mortality were estimated using quasi-Poisson regression after each city time series was divided into non-overlapping 3-year segments. In the second stage, these estimates were pooled by use of longitudinal random-effects meta-regression with calendar year as a predictor. We further investigated whether selected socioeconomic and environmental factors explained observed temporal trends by including these variables in the second-stage model.</div></div><div><h3>Findings</h3><div>Totally, 23·2 million deaths were analysed. The overall association between PM<sub>10</sub> and mortality had increased from 1979 to 2019, indicating a stronger association at a given PM<sub>10</sub> concentration over time. A 10 μg/m<sup>3</sup> increase in daily PM<sub>10</sub> was associated with a 0·23% increase in all-cause mortality in 1979 (95% CI 0·05–0·41), and this association increased to 0·51% in 2019 (0·36–0·65). Temporal patterns in the PM<sub>10</sub>–mortality association varied across cities and were positively associated with population ageing over time and negatively associated with annual mean PM<sub>10</sub> concentrations.</div></div><div><h3>Interpretation</h3><div>The findings of this study suggest that the effect of a given increment of PM<sub>10</sub> on mortality has increased over time. Applying historical risk estimates could underestimate the current health burden. Continuous updating of evidence on the health impacts of air pollution is essential to ensure accurate and valid estimates.</div></div><div><h3>Funding</h3><div>Wellcome Trust.</div></div>","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":"10 5","pages":"Article 101465"},"PeriodicalIF":20.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148220209","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}
Lancet Planetary HealthPub Date : 2026-05-01Epub Date: 2026-06-10DOI: 10.1016/j.lanplh.2026.101466
Catherine Clare Morneau MA, Dimitri Philippon-Dulac, Xiyun Hu MA, Anusha Jain MS, Mingyue Liu MPA, Mali Gruber MA, Jooyoung Jeon MA, Aurialís Alvarez MS, Pablo Yanez Mena MA, Jimena Vivero-Porras, Pärham Riahi MD, Tudor Costea, Primanta Holand Bangun MS, Stella Hoffman Câmara MA, Ivy Mau Yung Fang, Giacomo Di Capua MA, Anne Meierkord BMBS, Siddharth Gundala MA, Misbath Daouda PhD, Chattanika Klinkaew, Ilan Cerna-Turoff PhD
{"title":"Health integration in national climate adaptation policies from 198 countries: a global policy analysis","authors":"Catherine Clare Morneau MA, Dimitri Philippon-Dulac, Xiyun Hu MA, Anusha Jain MS, Mingyue Liu MPA, Mali Gruber MA, Jooyoung Jeon MA, Aurialís Alvarez MS, Pablo Yanez Mena MA, Jimena Vivero-Porras, Pärham Riahi MD, Tudor Costea, Primanta Holand Bangun MS, Stella Hoffman Câmara MA, Ivy Mau Yung Fang, Giacomo Di Capua MA, Anne Meierkord BMBS, Siddharth Gundala MA, Misbath Daouda PhD, Chattanika Klinkaew, Ilan Cerna-Turoff PhD","doi":"10.1016/j.lanplh.2026.101466","DOIUrl":"10.1016/j.lanplh.2026.101466","url":null,"abstract":"<div><h3>Background</h3><div>Health is an essential component of climate adaptation and should be integrated into national policies to build resilient and effective systems. We aimed to review national climate adaptation policies to assess health integration globally, regionally, nationally, and sub-nationally.</div></div><div><h3>Methods</h3><div>In this global policy analysis, we systematically identified national climate adaptation policies for 198 countries in English and 14 other languages. We reviewed Health National Adaptation Plans (HNAPs), National Adaptation Plans (NAPs) or National Adaptation Programmes of Action (NAPAs) when NAPs did not exist, Nationally Determined Contributions (NDCs), and National Communications (NCs). We created a Python application to increase the accuracy of identification of health-related text and applied a standardised scoring metric that assessed five domains—health analysis, health-related actions, planned institutional leads, dedicated budgets and funding mechanisms, and measurement indicators for monitoring and evaluation (M&E)—to compare health integration across documents and countries.</div></div><div><h3>Findings</h3><div>197 countries, all except Libya, were found to have national climate adaptation policies (36 HNAPs, 123 NAPs or NAPAs, 200 NDCs, and 223 NCs). Across these policies, 458 (88% of 522 policies) mentioned health. 159 (81% of 197 countries) further referenced other national health policies. 191 (97%) identified populations disproportionately affected by climate change, whereas only 24 (12%) involved such populations in decision making. Six (3%) countries outlined budgets for health-related actions. Insufficient budgeting and fiscal planning emerged as the weakest aspects of health integration, and sexual and reproductive health and rights, allergies, injuries, violence, and mental health were found to be under-represented in policies.</div></div><div><h3>Interpretation</h3><div>Climate adaptation policies should be comprehensive and outline clear structures to translate plans into action. We need evidence-based inclusion of diseases and health conditions linked to concrete strategies, national and sub-national measurement to track progress, and designated leads to spearhead coordination. Involvement of disproportionately affected groups further bolsters policy relevance and equity, and adequate financing is central to ensuring implementation.</div></div><div><h3>Funding</h3><div>None.</div></div>","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":"10 5","pages":"Article 101466"},"PeriodicalIF":20.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148220212","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}
Lancet Planetary HealthPub Date : 2026-05-01Epub Date: 2026-06-16DOI: 10.1016/j.lanplh.2026.101479
Lea Moujaes
{"title":"From systems to symptoms: planetary health in conflict settings","authors":"Lea Moujaes","doi":"10.1016/j.lanplh.2026.101479","DOIUrl":"10.1016/j.lanplh.2026.101479","url":null,"abstract":"","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":"10 5","pages":"Article 101479"},"PeriodicalIF":20.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148266835","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}
Lancet Planetary HealthPub Date : 2026-05-01Epub Date: 2026-06-12DOI: 10.1016/j.lanplh.2026.101464
Robin Simpson PhD, Vimaladipa Imogen Tennison MEng, Erik Episkopou MSc, Yashaswi Bagga MSc, Hiten Patel BA Hons, Martin Caunt MSc, Matthew J Eckelman PhD
{"title":"Five years of Greener NHS: improved carbon footprint assessment of the National Health Service in England","authors":"Robin Simpson PhD, Vimaladipa Imogen Tennison MEng, Erik Episkopou MSc, Yashaswi Bagga MSc, Hiten Patel BA Hons, Martin Caunt MSc, Matthew J Eckelman PhD","doi":"10.1016/j.lanplh.2026.101464","DOIUrl":"10.1016/j.lanplh.2026.101464","url":null,"abstract":"<div><h3>Background</h3><div>Delivery of health care is a substantial contributor of greenhouse gas emissions. The National Health Service (NHS) in England has been assessing emissions associated with its activities since 2008, and in 2020 was the first health care system worldwide to set net-zero emissions targets. This Article presents updated methodology used to calculate consistent estimates of NHS emissions between 2019–20 and 2024–25.</div></div><div><h3>Methods</h3><div>A hybrid approach was used to estimate emissions associated with health-care activity funded by the NHS in England. NHS-specific activity and spend data were used when available. Resulting emission estimates were presented and compared with the previous estimate for 2019–20. The volume and emissions intensity data quality were also assessed and compared with the previous methodology. Insights from the emissions estimates, sources of remaining uncertainties, and the direction of future development are discussed.</div></div><div><h3>Findings</h3><div>Total NHS emissions increased during the COVID-19 pandemic but have since returned to pre-pandemic levels and are estimated to be 27·3 megatonnes of carbon dioxide equivalent (MtCO<sub>2</sub>e) in 2024–25. Emissions under NHS direct control have decreased by 14% (0·8 MtCO<sub>2</sub>e) since 2019–20. Data quality scores have improved by nearly 30% compared with those of the previously used methodology.</div></div><div><h3>Interpretation</h3><div>This Article represents the most sophisticated and granular footprinting of health care to date, adding to international evidence and supporting global efforts to decarbonise health care. Within England, improved estimates will support actionable insights at the national and local level, as well as improved monitoring of progress towards the NHS net-zero targets.</div></div><div><h3>Funding</h3><div>None.</div></div>","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":"10 5","pages":"Article 101464"},"PeriodicalIF":20.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148240423","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}