Lancet Planetary Health最新文献

{"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}

{"title":"Correction to Lancet Planet Health 2025; 9: e314–25","authors":"","doi":"10.1016/j.lanplh.2025.101312","DOIUrl":"10.1016/j.lanplh.2025.101312","url":null,"abstract":"","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":"10 5","pages":"Article 101312"},"PeriodicalIF":20.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147677827","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":"Temporal changes in mortality risk associated with PM10 across 143 cities in 26 countries: a multicountry, multicity time-series study","authors":"Yongsoo Choi PhD,&nbsp;Garam Byun PhD,&nbsp;Prof Honghyok Kim PhD,&nbsp;Rory Stewart PhD,&nbsp;Prof Yimeng Song PhD,&nbsp;Seulkee Heo PhD,&nbsp;Prof Jong-Tae Lee PhD,&nbsp;Prof Shilu Tong PhD,&nbsp;Prof Eric Lavigne PhD,&nbsp;Nicolás Valdés Ortega MSc,&nbsp;Prof Patricia Matus Correa PhD,&nbsp;Samuel Osorio PhD,&nbsp;Prof Souzana Achilleos PhD,&nbsp;Prof Jan Kyselý PhD,&nbsp;Prof Aleš Urban PhD,&nbsp;Dominic Roye PhD,&nbsp;Prof Hans Orru PhD,&nbsp;Marek Maasikmets PhD,&nbsp;Prof Jouni J K Jaakkola PhD,&nbsp;Niilo Ryti PhD,&nbsp;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 PM₁₀ 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 PM₁₀ has changed from 1979 to 2019 and whether changes in socioeconomic or environmental conditions can explain any temporal variation in the association between PM₁₀ 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 PM₁₀ 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 PM₁₀ 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 PM₁₀ and mortality had increased from 1979 to 2019, indicating a stronger association at a given PM₁₀ concentration over time. A 10 μg/m³ increase in daily PM₁₀ 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 PM₁₀–mortality association varied across cities and were positively associated with population ageing over time and negatively associated with annual mean PM₁₀ concentrations.</div></div><div><h3>Interpretation</h3><div>The findings of this study suggest that the effect of a given increment of PM₁₀ 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}

{"title":"Health integration in national climate adaptation policies from 198 countries: a global policy analysis","authors":"Catherine Clare Morneau MA,&nbsp;Dimitri Philippon-Dulac,&nbsp;Xiyun Hu MA,&nbsp;Anusha Jain MS,&nbsp;Mingyue Liu MPA,&nbsp;Mali Gruber MA,&nbsp;Jooyoung Jeon MA,&nbsp;Aurialís Alvarez MS,&nbsp;Pablo Yanez Mena MA,&nbsp;Jimena Vivero-Porras,&nbsp;Pärham Riahi MD,&nbsp;Tudor Costea,&nbsp;Primanta Holand Bangun MS,&nbsp;Stella Hoffman Câmara MA,&nbsp;Ivy Mau Yung Fang,&nbsp;Giacomo Di Capua MA,&nbsp;Anne Meierkord BMBS,&nbsp;Siddharth Gundala MA,&nbsp;Misbath Daouda PhD,&nbsp;Chattanika Klinkaew,&nbsp;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&amp;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}

{"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}

{"title":"Five years of Greener NHS: improved carbon footprint assessment of the National Health Service in England","authors":"Robin Simpson PhD,&nbsp;Vimaladipa Imogen Tennison MEng,&nbsp;Erik Episkopou MSc,&nbsp;Yashaswi Bagga MSc,&nbsp;Hiten Patel BA Hons,&nbsp;Martin Caunt MSc,&nbsp;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 (MtCO₂e) in 2024–25. Emissions under NHS direct control have decreased by 14% (0·8 MtCO₂e) 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}

{"title":"Correction to Lancet Planet Health 2025; 9: 101273","authors":"","doi":"10.1016/j.lanplh.2025.101319","DOIUrl":"10.1016/j.lanplh.2025.101319","url":null,"abstract":"","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":"10 5","pages":"Article 101319"},"PeriodicalIF":20.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114820","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":"Therapeutic strategies to manage climate distress among young people","authors":"Hasini Gunasiri PhD,&nbsp;Emma L Lawrance DPhil,&nbsp;Jana M Menssink DPsych,&nbsp;Rebecca Patrick PhD,&nbsp;Christie Wilson MGT,&nbsp;Bronwyn Gresham DClin Psych,&nbsp;Prof Patrick D McGorry MD PhD,&nbsp;Caroline X Gao PhD","doi":"10.1016/j.lanplh.2026.101470","DOIUrl":"10.1016/j.lanplh.2026.101470","url":null,"abstract":"<div><div>The impact of climate change on mental health is increasingly evident, particularly among young people (16–25 years old), ranging from acute distress after extreme weather events to more persistent feelings of anxiety, grief, and uncertainty regarding the future. This Viewpoint explores how mental health care for young people can be improved to more effectively respond to the psychological impacts of climate change. Rather than proposing a new treatment model, this Viewpoint provides a starting point for clinicians by examining how existing therapeutic approaches could be applied, adapted, or reconsidered in the context of climate change. Furthermore, a range of therapeutic approaches commonly used in youth mental health care, including cognitive behavioural therapy, acceptance and commitment therapy, dialectical behaviour therapy, schema therapy, mindfulness and resilience-based interventions, nature-based approaches, empowerment and activism engagement, community-based interventions, and pharmacological treatments, are discussed for their potential relevance. We highlight both the strengths and limitations of these approaches when addressing climate distress. Finally, we outline key priorities for clinical practice, service development, and future research to support the mental health of young people in a changing climate.</div></div>","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":"10 5","pages":"Article 101470"},"PeriodicalIF":20.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148220171","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":"Climate change-related migration and displacement: addressing the adaptation gap","authors":"Ms Hannah Marcus MSc","doi":"10.1016/j.lanplh.2026.101462","DOIUrl":"10.1016/j.lanplh.2026.101462","url":null,"abstract":"<div><div>The growing intersection between climate change and human mobility argues that migration, displacement, and immobility are increasingly shaped by both sudden-onset and slow-onset climate hazards, alongside underlying social and governance vulnerabilities. Most climate-related mobility occurs within national borders and carries considerable implications for health, livelihoods, and urban systems. Global frameworks such as the Global Compact for Migration and the UN Framework Convention on Climate Change have begun to acknowledge these dynamics; however, a major adaptation gap is identified at the national level. Climate-related mobility is often referenced in national adaptation plans, but coherent implementation strategies, coordination mechanisms, and monitoring systems remain underdeveloped. To address this adaptation gap, this Personal View proposes a structured diagnostic assessment tool to evaluate how effectively mobility is integrated into national adaptation plans across domains, including risk assessment, governance, legal preparedness, financing, and monitoring and evaluation. Rather than ranking countries, the tool supports context-sensitive analysis, strengthens institutional readiness, and facilitates cross-country learning. This paper calls for a shift towards anticipatory, rights-based adaptation planning that recognises mobility as both a potential risk and an adaptive strategy in response to climate change.</div></div>","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":"10 4","pages":"Article 101462"},"PeriodicalIF":21.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844800","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":"Inequalities in health-care carbon footprints and implications for demand-side interventions: a global assessment across population groups","authors":"Han Zhao PhD ,&nbsp;Shangchen Zhang BEng ,&nbsp;Mingyu Lei MSc ,&nbsp;Prof Shihui Zhang PhD ,&nbsp;Prof Wenjia Cai PhD","doi":"10.1016/j.lanplh.2026.101456","DOIUrl":"10.1016/j.lanplh.2026.101456","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Reducing emissions from health care is now recognised as an urgent priority on the climate–health agenda. Although studies have quantified the environmental impacts of health systems at national and global scales, inequalities in health-care carbon footprints (HCFs) across population groups (both between and within countries) and their trajectories remain unexplored. This study quantified these disparities and evaluated the potential of targeted demand-side interventions to achieve equitable, low-carbon health care while expanding delivery of care.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;We estimated the HCFs of different income groups within 121 countries from 2005 to 2017 by integrating consumer expenditure surveys, national health expenditure data, and a global multiregional input–output model. Our approach enabled the disaggregation of emission patterns by income groups, health expenditure groups, health-care expenditure category, as well as health-care products and services. Scenario analyses were then carried out to evaluate the potential of demand-side interventions in reducing health care-related carbon emissions under different strategies.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Findings&lt;/h3&gt;&lt;div&gt;Our analysis revealed disparities in HCFs both between countries and among population groups within them. By 2017, the top 10% of high-spending health-care consumers contributed 48% (1128 Mt CO&lt;sub&gt;2&lt;/sub&gt; equivalents [CO&lt;sub&gt;2&lt;/sub&gt;e]) of the total HCFs, in comparison to the less than 10% of the total HCFs contributed by the bottom 50%. In addition, the top 1% contributed 2857 kg CO&lt;sub&gt;2&lt;/sub&gt;e per capita, more than eight-times the global per-capita average and nearly 66-times that of the bottom 50%. In addition to high-income countries, which maintained consistently high levels of HCFs over time, upper-middle-income countries also contributed to a substantial rise, with total HCF increasing from 181 Mt CO&lt;sub&gt;2&lt;/sub&gt;e in 2005 to 760 Mt CO&lt;sub&gt;2&lt;/sub&gt;e in 2017, representing more than a three-fold increase. By estimating the health expenditure–carbon elasticity, we found that health-care spending embodies higher marginal emissions among high-spending groups than that among low-spending groups. Scenario analyses indicated that without compromising on health outcomes, demand-side controls targeting carbon-intensive overuse of health care among the top 10–20% while simultaneously advancing ambitious universal health coverage could deliver a 25–40% reduction in carbon footprints and even ease costs.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Interpretation&lt;/h3&gt;&lt;div&gt;Our study moves beyond cross-country comparisons based on national averages or totals by examining HCFs across different population groups within countries. The highest-spending populations were found to contribute disproportionately to health-care carbon emissions, thus highlighting that achieving equitable, low-carbon health-care transitions requires attention to within-country population disparities t","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":"10 4","pages":"Article 101456"},"PeriodicalIF":21.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147934863","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}