Time to treat the climate and nature crisis as one indivisible global health emergency - The BMJ
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<meta name="DC.Title" content="Time to treat the climate and nature crisis as one indivisible global health emergency" />
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Over 200 health journals call on the United Nations, political leaders, and health professionals to recognise that climate change and biodiversity loss are one indivisible crisis and must be tackled together to preserve health and avoid catastrophe. This overall environmental crisis is now so severe as to be a global health emergency.
The world is currently responding to the climate crisis and the nature crisis as if they were separate challenges. This is a dangerous mistake. The 28th UN Conference of the Parties (COP) on climate change is about to be held in Dubai while the 16th COP on biodiversity is due to be held in Turkey in 2024. The research communities that provide the evidence for the two COPs are unfortunately largely separate, but they were brought together for a workshop in 2020 when they concluded: “Only by considering climate and biodiversity as parts of the same complex problem … can solutions be developed that avoid maladaptation and maximize the beneficial outcomes.”1
As the health world has recognised with the development of the concept of planetary health, the natural world is made up of one overall interdependent system. Damage to one subsystem can create feedback that damages another—for example, drought, wildfires, floods, and the other effects of rising global temperatures destroy plant life and lead to soil erosion and so inhibit carbon storage, which means more global warming.2 Climate change is set to overtake deforestation and other …" />
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<meta name="citation_reference" content="citation_journal_title=One Earth;citation_author=WJ. Ripple;citation_author=C. Wolf;citation_author=TM. Lenton;citation_title=Many risky feedback loops amplify the need for climate action;citation_pages=86-91;citation_volume=6;citation_year=2023;citation_doi=10.1016/j.oneear.2023.01.004" />
<meta name="citation_reference" content="European Academies Science Advisory Council. Key messages from European Science Academies for UNFCCC COP26 and CBD COP15. 2021. https://easac.eu/publications/details/key-messages-from-european-scienc…; />
<meta name="citation_reference" content="citation_journal_title=Nature;citation_journal_abbrev=Nature;citation_author=P. Falkowski;citation_title=Ocean Science: The power of plankton.;citation_pages=S17-S20;citation_volume=483;citation_year=2012;citation_issue=7387;citation_pmid=22378122;citation_doi=10.1038/483S17a" />
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<meta name="citation_reference" content="citation_journal_title=Nat Sustain;citation_author=DA. Bossio;citation_author=SC. Cook-Patton;citation_author=PW. Ellis;citation_title=The role of soil carbon in natural climate solutions;citation_pages=391-8;citation_volume=3;citation_year=2020;citation_doi=10.1038/s41893-020-0491-z" />
<meta name="citation_reference" content="citation_journal_title=Nat Geosci;citation_author=DF. Levia;citation_author=IF. Creed;citation_author=DM. Hannah;citation_title=Homogenization of the terrestrial water cycle;citation_pages=656-8;citation_volume=13;citation_year=2020;citation_doi=10.1038/s41561-020-0641-y" />
<meta name="citation_reference" content="citation_journal_title=BMJ;citation_author=L. Atwoli;citation_author=AH. Baqui;citation_author=T. Benfield;citation_title=Call for emergency action to limit global temperature increases, restore biodiversity, and protect health;citation_volume=374;citation_year=2021;citation_pmid=34483099;citation_doi=10.1136/bmj.n1734" />
<meta name="citation_reference" content="citation_journal_title=BMJ;citation_author=L. Atwoli;citation_author=GE. Erhabor;citation_author=AA. Gbakima;citation_title=COP27 climate change conference: urgent action needed for Africa and the world;citation_volume=379;citation_year=2022;citation_pmid=36257789;citation_doi=10.1136/bmj.o2459" />
<meta name="citation_reference" content="WHO, UNEP. Convention on biological D. Connecting global priorities: biodiversity and human health: a state of knowledge review. 2015. https://www.cbd.int/health/SOK-biodiversity-en.pdf" />
<meta name="citation_reference" content="citation_journal_title=Int J Environ Res Public Health;citation_author=R. Magnano San Lio;citation_author=G. Favara;citation_author=A. Maugeri;citation_author=M. Barchitta;citation_author=A. Agodi;citation_title=How antimicrobial resistance is linked to climate change: an overview of two intertwined global challenges;citation_pages=1681;citation_volume=20;citation_year=2023;citation_pmid=36767043;citation_doi=10.3390/ijerph20031681" />
<meta name="citation_reference" content="Jelskov U. “Without nature, we have nothing”: UN chief sounds alarm at key UN biodiversity event. UN News, 6 Dec 2022. https://news.un.org/en/story/2022/12/1131422" />
<meta name="citation_reference" content="World Health Organization. State of the world’s drinking water: An urgent call to action to accelerate progress on ensuring safe drinking water for all. 2022. https://www.who.int/publications/i/item/9789240060807" />
<meta name="citation_reference" content="citation_journal_title=Mar Pollut Bull;citation_author=MT. Comeros-Raynal;citation_author=J. Brodie;citation_author=Z. Bainbridge;citation_title=Catchment to sea connection: impacts of terrestrial run-off on benthic ecosystems in American Samoa;citation_pages=112530;citation_volume=169;citation_year=2021;citation_pmid=34087665;citation_doi=10.1016/j.marpolbul.2021.112530" />
<meta name="citation_reference" content="IPBES. Assessment report on the sustainable use of wild species. 2022. https://www.ipbes.net/sustainable-use-assessment" />
<meta name="citation_reference" content="citation_journal_title=Int J Environ Res Public Health;citation_author=LJ. Falkenberg;citation_author=RGJ. Bellerby;citation_author=SD. Connell;citation_title=Ocean acidification and human health;citation_pages=4563;citation_volume=17;citation_year=2020;citation_pmid=32599924;citation_doi=10.3390/ijerph17124563" />
<meta name="citation_reference" content="Dunne D. Climate change “already” raising risk of virus spread between mammals. Carbon Brief, 2022. https://www.carbonbrief.org/climate-change-already-raising-risk-of-viru…; />
<meta name="citation_reference" content="citation_journal_title=Biosci Microbiota Food Health;citation_author=S. Altveş;citation_author=HK. Yildiz;citation_author=HC. Vural;citation_title=Interaction of the microbiota with the human body in health and diseases;citation_pages=23-32;citation_volume=39;citation_year=2020;citation_pmid=32328397;citation_doi=10.12938/bmfh.19-023" />
<meta name="citation_reference" content="citation_journal_title=Med J Aust;citation_author=R. Schultz;citation_author=S. Cairney;citation_title=Caring for country and the health of Aboriginal and Torres Strait Islander Australians;citation_pages=8-10;citation_volume=207;citation_year=2017;citation_pmid=28659102;citation_doi=10.5694/mja16.00687" />
<meta name="citation_reference" content="Macguire F, Mulcahy E, Rossington B. The Lancet Countdown on Health and Climate Change. Policy brief for the UK. 2022. https://s41874.pcdn.co/wp-content/uploads/Lancet-Countdown-2022-UK-Poli…; />
<meta name="citation_reference" content="citation_journal_title=BMC Public Health;citation_author=FY. Wong;citation_author=L. Yang;citation_author=JWM. Yuen;citation_author=KKP. Chang;citation_author=FKY. Wong;citation_title=Assessing quality of life using WHOQOL-BREF: a cross-sectional study on the association between quality of life and neighborhood environmental satisfaction, and the mediating effect of health-related behaviors;citation_pages=1113;citation_volume=18;citation_year=2018;citation_pmid=30208869;citation_doi=10.1186/s12889-018-5942-3" />
<meta name="citation_reference" content="citation_journal_title=Proc Natl Acad Sci U S A;citation_author=RD. Simkin;citation_author=KC. Seto;citation_author=RI. McDonald;citation_author=W. Jetz;citation_title=Biodiversity impacts and conservation implications of urban land expansion projected to 2050;citation_pages=e2117297119;citation_volume=119;citation_year=2022;citation_pmid=35286193;citation_doi=10.1073/pnas.2117297119" />
<meta name="citation_reference" content="Secretariat of the Convention on Biological Diversity. COP15: nations adopt four goals, 23 targets for 2030 in landmark UN biodiversity agreement. Press release, 19 Dec 2022. https://www.cbd.int/article/cop15-cbd-press-release-final-19dec2022" />
<meta name="citation_reference" content="citation_journal_title=Science;citation_author=DI. Armstrong McKay;citation_author=A. Staal;citation_author=JF. Abrams;citation_title=Exceeding 1.5°C global warming could trigger multiple climate tipping points;citation_pages=eabn7950;citation_volume=377;citation_year=2022;citation_pmid=36074831;citation_doi=10.1126/science.abn7950" />
<meta name="citation_reference" content="WHO guidance for the use of Annex 2 of the International Health Regulations (2005). https://www.who.int/publications/m/item/who-guidance-for-the-use-of-ann…; />
<meta name="citation_reference" content="Australian Government Department of Health. Care A. Consultation on Australia’s first national health and climate strategy. 2023 https://www.health.gov.au/news/consultation-on-australias-first-nationa…; />
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Over 200 health journals call on the United Nations, political leaders, and health professionals to recognise that climate change and biodiversity loss are one indivisible crisis and must be tackled together to preserve health and avoid catastrophe. This overall environmental crisis is now so severe as to be a global health emergency.
The world is currently responding to the climate crisis and the nature crisis as if they were separate challenges. This is a dangerous mistake. The 28th UN Conference of the Parties (COP) on climate change is about to be held in Dubai while the 16th COP on biodiversity is due to be held in Turkey in 2024. The research communities that provide the evidence for the two COPs are unfortunately largely separate, but they were brought together for a workshop in 2020 when they concluded: “Only by considering climate and biodiversity as parts of the same complex problem … can solutions be developed that avoid maladaptation and maximize the beneficial outcomes.”1
As the health world has recognised with the development of the concept of planetary health, the natural world is made up of one overall interdependent system. Damage to one subsystem can create feedback that damages another—for example, drought, wildfires, floods, and the other effects of rising global temperatures destroy plant life and lead to soil erosion and so inhibit carbon storage, which means more global warming.2 Climate change is set to overtake deforestation and other …" />
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Over 200 health journals call on the United Nations, political leaders, and health professionals to recognise that climate change and biodiversity loss are one indivisible crisis and must be tackled together to preserve health and avoid catastrophe. This overall environmental crisis is now so severe as to be a global health emergency.
The world is currently responding to the climate crisis and the nature crisis as if they were separate challenges. This is a dangerous mistake. The 28th UN Conference of the Parties (COP) on climate change is about to be held in Dubai while the 16th COP on biodiversity is due to be held in Turkey in 2024. The research communities that provide the evidence for the two COPs are unfortunately largely separate, but they were brought together for a workshop in 2020 when they concluded: “Only by considering climate and biodiversity as parts of the same complex problem … can solutions be developed that avoid maladaptation and maximize the beneficial outcomes.”1
As the health world has recognised with the development of the concept of planetary health, the natural world is made up of one overall interdependent system. Damage to one subsystem can create feedback that damages another—for example, drought, wildfires, floods, and the other effects of rising global temperatures destroy plant life and lead to soil erosion and so inhibit carbon storage, which means more global warming.2 Climate change is set to overtake deforestation and other …" />
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<div class="highwire-article-citation highwire-citation-type-highwire-article node1088954" data-node-nid="1088954" id="node-1088954--2234063077" data-pisa="bmj;383/oct25_12/p2355" data-pisa-master="bmj;bmj.p2355" data-apath="/bmj/383/bmj.p2355.atom"><cite class='highwire-cite highwire-citation-bmj-article-top'>
<span class='highwire-cite-article-type'>Editorials</span>
<h1 class="highwire-cite-title" id="page-title">Time to treat the climate and nature crisis as one indivisible global health emergency</h1>
<span class='highwire-cite-journal'>BMJ</span>
<span class='highwire-cite-published-year'>2023</span>;
<span class='highwire-cite-volume-issue'>383</span>
<span class='highwire-cite-doi'> doi: <a href="https://doi.org/10.1136/bmj.p2355">https://doi.org/10.1136/bmj.p2355</a…;
<span class='highwire-cite-date'>(Published 25 October 2023)</span>
<span class='highwire-cite-article-as'>
Cite this as: <span
class="italic">BMJ</span> 2023;383:p2355 </span>
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<div class="highwire-markup"><div xmlns="http://www.w3.org/1999/xhtml" data-highwire-cite-ref-tooltip-instance="highwire_reflinks_tooltip" class="content-block-markup" xmlns:xhtml="http://www.w3.org/1999/xhtml"><div class="article fulltext-view "><span class="highwire-journal-article-marker-start"></span><div class="contributors"><ol class="contributor-list" id="contrib-group-1"><li class="contributor" id="contrib-1"><span class="name">Kamran Abbasi</span><span class="contrib-role">, editor in chief</span><a id="xref-aff-1-1" class="xref-aff" href="#aff-1">1</a>, </li><li class="contributor" id="contrib-2"><span class="name">Parveen Ali</span><span class="contrib-role">, editor in chief</span><a id="xref-aff-2-1" class="xref-aff" href="#aff-2">2</a>, </li><li class="contributor" id="contrib-3"><span class="name">Virginia Barbour</span><span class="contrib-role">, editor in chief</span><a id="xref-aff-3-1" class="xref-aff" href="#aff-3">3</a>, </li><li class="contributor" id="contrib-4"><span class="name">Thomas Benfield</span><span class="contrib-role">, editor in chief</span><a id="xref-aff-4-1" class="xref-aff" href="#aff-4">4</a>, </li><li class="contributor" id="contrib-5"><span class="name">Kirsten Bibbins-Domingo</span><span class="contrib-role">, editor in chief</span><a id="xref-aff-5-1" class="xref-aff" href="#aff-5">5</a>, </li><li class="contributor" id="contrib-6"><span class="name">Stephen Hancocks</span><span class="contrib-role">, editor in chief</span><a id="xref-aff-6-1" class="xref-aff" href="#aff-6">6</a>, </li><li class="contributor" id="contrib-7"><span class="name">Richard Horton</span><span class="contrib-role">, editor in chief</span><a id="xref-aff-7-1" class="xref-aff" href="#aff-7">7</a>, </li><li class="contributor" id="contrib-8"><span class="name">Laurie Laybourn-Langton</span><a id="xref-aff-8-1" class="xref-aff" href="#aff-8">8</a>, </li><li class="contributor" id="contrib-9"><span class="name">Robert Mash</span><span class="contrib-role">, editor in chief</span><a id="xref-aff-9-1" class="xref-aff" href="#aff-9">9</a>, </li><li class="contributor" id="contrib-10"><span class="name">Peush Sahni</span><span class="contrib-role">, editor in chief</span><a id="xref-aff-10-1" class="xref-aff" href="#aff-10">10</a>, </li><li class="contributor" id="contrib-11"><span class="name">Wadeia Mohammad Sharief</span><span class="contrib-role">, editor in chief</span><a id="xref-aff-11-1" class="xref-aff" href="#aff-11">11</a>, </li><li class="contributor" id="contrib-12"><span class="name">Paul Yonga</span><span class="contrib-role">, editor in chief</span><a id="xref-aff-12-1" class="xref-aff" href="#aff-12">12</a>, </li><li class="last" id="contrib-13"><span class="name">Chris Zielinski</span><a id="xref-aff-13-1" class="xref-aff" href="#aff-13">13</a></li></ol><ol class="affiliation-list"><li class="aff"><a id="aff-1" name="aff-1"></a><address><sup>1</sup><em>The BMJ, London, UK</em></address></li><li class="aff"><a id="aff-2" name="aff-2"></a><address><sup>2</sup><em>International Nursing Review</em></address></li><li class="aff"><a id="aff-3" name="aff-3"></a><address><sup>3</sup><em>Medical Journal of Australia</em></address></li><li class="aff"><a id="aff-4" name="aff-4"></a><address><sup>4</sup><em>Danish Medical Journal</em></address></li><li class="aff"><a id="aff-5" name="aff-5"></a><address><sup>5</sup><em>JAMA</em></address></li><li class="aff"><a id="aff-6" name="aff-6"></a><address><sup>6</sup><em>British Dental Journal</em></address></li><li class="aff"><a id="aff-7" name="aff-7"></a><address><sup>7</sup><em>The Lancet</em></address></li><li class="aff"><a id="aff-8" name="aff-8"></a><address><sup>8</sup>University of Exeter, Exeter, UK </address></li><li class="aff"><a id="aff-9" name="aff-9"></a><address><sup>9</sup><em>African Journal of Primary Health Care and Family Medicine</em></address></li><li class="aff"><a id="aff-10" name="aff-10"></a><address><sup>10</sup><em>National Medical Journal of India</em></address></li><li class="aff"><a id="aff-11" name="aff-11"></a><address><sup>11</sup><em>Dubai Medical Journal</em></address></li><li class="aff"><a id="aff-12" name="aff-12"></a><address><sup>12</sup><em>East African Medical Journal</em></address></li><li class="aff"><a id="aff-13" name="aff-13"></a><address><sup>13</sup>University of Winchester, Winchester, UK</address></li></ol><ol class="corresp-list"><li class="corresp" id="corresp-1">Correspondence to: C Zielinski <span class="em-link"><span class="em-addr">chris.zielinski{at}ukhealthalliance.org</span></span></li></ol></div><div class="teaser"><p id="p-1">Joint action is essential for planetary and human health</p></div><p id="p-2">Over 200 health journals call on the United Nations, political leaders, and health professionals to recognise that climate change and biodiversity loss are one indivisible crisis and must be tackled together to preserve health and avoid catastrophe. This overall environmental crisis is now so severe as to be a global health emergency.</p><p id="p-3">The world is currently responding to the climate crisis and the nature crisis as if they were separate challenges. This is a dangerous mistake. The 28th UN Conference of the Parties (COP) on climate change is about to be held in Dubai while the 16th COP on biodiversity is due to be held in Turkey in 2024. The research communities that provide the evidence for the two COPs are unfortunately largely separate, but they were brought together for a workshop in 2020 when they concluded: “Only by considering climate and biodiversity as parts of the same complex problem … can solutions be developed that avoid maladaptation and maximize the beneficial outcomes.”<a id="xref-ref-1-1" class="xref-bibr" href="#ref-1">1</a></p><p id="p-4">As the health world has recognised with the development of the concept of planetary health, the natural world is made up of one overall interdependent system. Damage to one subsystem can create feedback that damages another—for example, drought, wildfires, floods, and the other effects of rising global temperatures destroy plant life and lead to soil erosion and so inhibit carbon storage, which means more global warming.<a id="xref-ref-2-1" class="xref-bibr" href="#ref-2">2</a> Climate change is set to overtake deforestation and other land use change as the primary driver of nature loss.<a id="xref-ref-3-1" class="xref-bibr" href="#ref-3">3</a></p><p id="p-5">Nature has a remarkable power to restore. For example, deforested land can revert to forest through natural regeneration, and marine phytoplankton, which act as natural carbon stores, turn over one billion tonnes of photosynthesising biomass every eight days.<a id="xref-ref-4-1" class="xref-bibr" href="#ref-4">4</a> Indigenous peoples’ approaches to land and sea management have a particularly important role in regeneration and continuing care.<a id="xref-ref-5-1" class="xref-bibr" href="#ref-5">5</a></p><p id="p-6">Restoring one subsystem can help another—for example, replenishing soil could help remove greenhouse gases from the atmosphere on a vast scale.<a id="xref-ref-6-1" class="xref-bibr" href="#ref-6">6</a> But actions that may benefit one subsystem can harm another—for example, planting forests with one type of tree can remove carbon dioxide from the air but can damage the biodiversity that is fundamental to healthy ecosystems.<a id="xref-ref-7-1" class="xref-bibr" href="#ref-7">7</a></p><div class="section other1" id="sec-1"><h2 class="">Impacts on health</h2><p id="p-7">Human health is damaged directly by both the climate crisis, as the journals have described in previous editorials,<a id="xref-ref-8-1" class="xref-bibr" href="#ref-8">8</a><a id="xref-ref-9-1" class="xref-bibr" href="#ref-9">9</a> and the nature crisis.<a id="xref-ref-10-1" class="xref-bibr" href="#ref-10">10</a> This indivisible planetary crisis will have major effects on health as a result of the disruption of social and economic systems—shortages of land, shelter, food, and water, exacerbating poverty, which in turn will lead to mass migration and conflict. Rising temperatures, extreme weather events, air pollution, and the spread of infectious diseases are some of the major health threats exacerbated by climate change.<a id="xref-ref-11-1" class="xref-bibr" href="#ref-11">11</a> “Without nature, we have nothing,” was UN Secretary General António Guterres’s blunt summary at the biodiversity COP in Montreal last year.<a id="xref-ref-12-1" class="xref-bibr" href="#ref-12">12</a> Even if we could keep global warming below an increase of 1.5°C over pre-industrial levels, we could still cause catastrophic harm to health by destroying nature.</p><p id="p-8">Access to clean water is fundamental to human health, and yet pollution has damaged water quality, causing a rise in waterborne diseases.<a id="xref-ref-13-1" class="xref-bibr" href="#ref-13">13</a> Contamination of water on land can also have far reaching effects on distant ecosystems when that water runs off into the ocean.<a id="xref-ref-14-1" class="xref-bibr" href="#ref-14">14</a> Good nutrition is underpinned by diversity in the variety of foods, but there has been a striking loss of genetic diversity in the food system. Globally, about a fifth of people rely on wild species for food and their livelihoods.<a id="xref-ref-15-1" class="xref-bibr" href="#ref-15">15</a> Declines in wildlife are a major challenge for these populations, particularly in low and middle income countries. Fish provide more than half of dietary protein in many African, South Asian, and small island nations, but ocean acidification has reduced the quality and quantity of seafood.<a id="xref-ref-16-1" class="xref-bibr" href="#ref-16">16</a></p><p id="p-9">Changes in land use have forced tens of thousands of species into closer contact, increasing the exchange of pathogens and the emergence of new diseases and pandemics.<a id="xref-ref-17-1" class="xref-bibr" href="#ref-17">17</a> People losing contact with the natural environment and the declining loss in biodiversity have both been linked to increases in non-communicable, autoimmune, and inflammatory diseases and metabolic, allergic, and neuropsychiatric disorders.<a id="xref-ref-10-2" class="xref-bibr" href="#ref-10">10</a><a id="xref-ref-18-1" class="xref-bibr" href="#ref-18">18</a> For Indigenous people, caring for and connecting with nature is especially important for their health.<a id="xref-ref-19-1" class="xref-bibr" href="#ref-19">19</a> Nature has also been an important source of medicines, and thus reduced diversity also constrains the discovery of new medicines.</p><p id="p-10">Communities are healthier if they have access to high quality green spaces that help filter air pollution, reduce air and ground temperatures, and provide opportunities for physical activity.<a id="xref-ref-20-1" class="xref-bibr" href="#ref-20">20</a> Connection with nature reduces stress, loneliness, and depression while promoting social interaction.<a id="xref-ref-21-1" class="xref-bibr" href="#ref-21">21</a> These benefits are threatened by the continuing rise in urbanisation.<a id="xref-ref-22-1" class="xref-bibr" href="#ref-22">22</a></p><p id="p-11">Finally, the health effects of climate change and biodiversity loss will be experienced unequally between and within countries, with the most vulnerable communities often bearing the highest burden.<a id="xref-ref-10-3" class="xref-bibr" href="#ref-10">10</a> Linked to this, inequality is also arguably fuelling these environmental crises. Environmental challenges and social and health inequities are challenges that share drivers, and there are potential co-benefits from addressing them.<a id="xref-ref-10-4" class="xref-bibr" href="#ref-10">10</a></p></div><div class="section other2" id="sec-2"><h2 class="">Global health emergency</h2><p id="p-12">In December 2022 the biodiversity COP agreed on the effective conservation and management of at least 30% of the world’s land, coastal areas, and oceans by 2030.<a id="xref-ref-23-1" class="xref-bibr" href="#ref-23">23</a> Industrialised countries agreed to mobilise $30bn a year to support developing nations to do so.<a id="xref-ref-23-2" class="xref-bibr" href="#ref-23">23</a> These agreements echo promises made at climate COPs.</p><p id="p-13">Yet many commitments made at COPs have not been met. This has allowed ecosystems to be pushed further to the brink, greatly increasing the risk of arriving at “tipping points”— abrupt breakdowns in the functioning of nature.<a id="xref-ref-2-2" class="xref-bibr" href="#ref-2">2</a><a id="xref-ref-24-1" class="xref-bibr" href="#ref-24">24</a> If these events were to occur, the impacts on health would be globally catastrophic.</p><p id="p-14">This risk, combined with the severe impacts on health already occurring, means that the World Health Organization should declare the indivisible climate and nature crisis as a global health emergency. The three preconditions for WHO to declare a situation to be a public health emergency of international concern are that it is serious, sudden, unusual, or unexpected; carries implications for public health beyond the affected state’s national border; and may require immediate international action. Climate change seems to fulfil all those conditions.<a id="xref-ref-25-1" class="xref-bibr" href="#ref-25">25</a> While the accelerating climate change and loss of biodiversity are not sudden or unexpected, they are certainly serious and unusual. Hence, we call for WHO to make this declaration before or at the 77th World Health Assembly in May 2024.</p><p id="p-15">Tackling this emergency requires the COP processes to be harmonised. As a first step, the respective conventions must push for better integration of national climate plans with biodiversity equivalents.<a id="xref-ref-3-2" class="xref-bibr" href="#ref-3">3</a> As the 2020 workshop that brought climate and nature scientists together concluded, “Critical leverage points include exploring alternative visions of good quality of life, rethinking consumption and waste, shifting values related to the human-nature relationship, reducing inequalities, and promoting education and learning.”<a id="xref-ref-1-2" class="xref-bibr" href="#ref-1">1</a> All of these would benefit health.</p><p id="p-16">Health professionals must be powerful advocates for both restoring biodiversity and tackling climate change for the good of health. Political leaders must recognise both the severe threats to health from the planetary crisis and the benefits that can flow to health from tackling the crisis.<a id="xref-ref-26-1" class="xref-bibr" href="#ref-26">26</a> But, first, we must recognise this crisis for what it is: a global health emergency.</p></div><div class="section fn-group" id="fn-group-1"><h2>Footnotes</h2><ul><li class="fn-other" id="fn-1"><p id="p-17">This article is being published simultaneously in multiple journals. For the full list of journals see: <a href="https://www.bmj.com/content/full-list-authors-and-signatories-climate-n… class="section ref-list" id="ref-list-1"><h2>References</h2><ol class="cit-list"><li><a class="rev-xref-ref" href="#xref-ref-1-1" title="View reference 1 in text" id="ref-1">↵</a><div class="cit ref-cit ref-web" id="cit-383.oct25_12.p2355.1"><div class="cit-metadata"><cite>Otto-Portner H, Scholes B, Agard J, et al. Scientific outcome of the IPBES-IPCC co-sponsored workshop on biodiversity and climate change. IPBES Secretariat, 2021.<span class="cit-pub-id-sep cit-pub-id-doi-sep"> </span><span class="cit-pub-id cit-pub-id-doi"><span class="cit-pub-id-scheme-doi">doi:</span>10.5281/zenodo.4659159</span></cite></div><div class="cit-extra"></div></div></li><li><a class="rev-xref-ref" href="#xref-ref-2-1" title="View reference 2 in text" id="ref-2">↵</a><div class="cit ref-cit ref-journal" id="cit-383.oct25_12.p2355.2" data-doi="10.1016/j.oneear.2023.01.004"><div class="cit-metadata"><ol class="cit-auth-list"><li><span class="cit-auth"><span class="cit-name-surname">Ripple</span> <span class="cit-name-given-names">WJ</span></span>, </li><li><span class="cit-auth"><span class="cit-name-surname">Wolf</span> <span class="cit-name-given-names">C</span></span>, </li><li><span class="cit-auth"><span class="cit-name-surname">Lenton</span> <span class="cit-name-given-names">TM</span></span>, </li><li><span class="cit-etal">et al</span></li></ol><cite>. <span class="cit-article-title">Many risky feedback loops amplify the need for climate action</span>. <abbr class="cit-jnl-abbrev">One Earth</abbr><span class="cit-pub-date">2023</span>;<span class="cit-vol">6</span>:<span class="cit-fpage">86</span>-<span class="cit-lpage">91</span>.<span class="cit-pub-id-sep cit-pub-id-doi-sep"> </span><span class="cit-pub-id cit-pub-id-doi"><span class="cit-pub-id-scheme-doi">doi:</span>10.1016/j.oneear.2023.01.004</span>.</cite></div><div class="cit-extra"><a href="{openurl}?query=rft.jtitle%253DOne%2BEarth%26rft.volume%253D6%26rft.spage%253D86%26rft_id%253Dinfo%253Adoi%252F10.1016%252Fj.oneear.2023.01.004%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx" class="cit-ref-sprinkles cit-ref-sprinkles-openurl cit-ref-sprinkles-open-url"><span>OpenUrl</span></a><a href="/lookup/external-ref?access_num=10.1016/j.oneear.2023.01.004&link_type=DOI" class="cit-ref-sprinkles cit-ref-sprinkles-doi cit-ref-sprinkles-crossref"><span>CrossRef</span></a></div></div></li><li><a class="rev-xref-ref" href="#xref-ref-3-1" title="View reference 3 in text" id="ref-3">↵</a><div class="cit ref-cit ref-web" id="cit-383.oct25_12.p2355.3"><div class="cit-metadata unstructured">European Academies Science Advisory Council. Key messages from European Science Academies for UNFCCC COP26 and CBD COP15. 2021. <a href="https://easac.eu/publications/details/key-messages-from-european-scienc… class="cit-extra"></div></div></li><li><a class="rev-xref-ref" href="#xref-ref-4-1" title="View reference 4 in text" id="ref-4">↵</a><div class="cit ref-cit ref-journal" id="cit-383.oct25_12.p2355.4" data-doi="10.1038/483S17a"><div class="cit-metadata"><ol class="cit-auth-list"><li><span class="cit-auth"><span class="cit-name-surname">Falkowski</span> <span class="cit-name-given-names">P</span></span></li></ol><cite>. <span class="cit-article-title">Ocean science: the power of plankton</span>. <abbr class="cit-jnl-abbrev">Nature</abbr><span class="cit-pub-date">2012</span>;<span class="cit-vol">483</span>:<span class="cit-fpage">S17</span>-<span class="cit-lpage">20</span>.<span class="cit-pub-id-sep cit-pub-id-doi-sep"> </span><span class="cit-pub-id cit-pub-id-doi"><span class="cit-pub-id-scheme-doi">doi:</span>10.1038/483S17a</span> <span class="cit-pub-id cit-pub-id-pmid"><span class="cit-pub-id-scheme-pmid">pmid:</span>22378122</span></cite></div><div class="cit-extra"><a href="{openurl}?query=rft.jtitle%253DNature%26rft.stitle%253DNature%26rft.aulast%253DFalkowski%26rft.auinit1%253DP.%26rft.volume%253D483%26rft.issue%253D7387%26rft.spage%253DS17%26rft.epage%253DS20%26rft.atitle%253DOcean%2BScience%253A%2BThe%2Bpower%2Bof%2Bplankton.%26rft_id%253Dinfo%253Adoi%252F10.1038%252F483S17a%26rft_id%253Dinfo%253Apmid%252F22378122%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx" class="cit-ref-sprinkles cit-ref-sprinkles-openurl cit-ref-sprinkles-open-url"><span>OpenUrl</span></a><a href="/lookup/external-ref?access_num=10.1038/483S17a&link_type=DOI" class="cit-ref-sprinkles cit-ref-sprinkles-doi cit-ref-sprinkles-crossref"><span>CrossRef</span></a><a href="/lookup/external-ref?access_num=22378122&link_type=MED&atom=%2Fbmj%2F383%2Fbmj.p2355.atom" class="cit-ref-sprinkles cit-ref-sprinkles-medline"><span>PubMed</span></a><a href="/lookup/external-ref?access_num=000300877900007&link_type=ISI" class="cit-ref-sprinkles cit-ref-sprinkles-newisilink cit-ref-sprinkles-webofscience"><span>Web of Science</span></a></div></div></li><li><a class="rev-xref-ref" href="#xref-ref-5-1" title="View reference 5 in text" id="ref-5">↵</a><div class="cit ref-cit ref-journal" id="cit-383.oct25_12.p2355.5" data-doi="10.5751/ES-12625-260319"><div class="cit-metadata"><ol class="cit-auth-list"><li><span class="cit-auth"><span class="cit-name-surname">Dawson</span> <span class="cit-name-given-names">N</span></span>, </li><li><span class="cit-auth"><span class="cit-name-surname">Coolsaet</span> <span class="cit-name-given-names">B</span></span>, </li><li><span class="cit-auth"><span class="cit-name-surname">Sterling</span> <span class="cit-name-given-names">E</span></span>, </li><li><span class="cit-etal">et al</span></li></ol><cite>. <span class="cit-article-title">The role of Indigenous peoples and local communities in effective and equitable conservation</span>. <abbr class="cit-jnl-abbrev">Ecol Soc</abbr><span class="cit-pub-date">2021</span>;<span class="cit-vol">26</span>:19.<span class="cit-pub-id-sep cit-pub-id-doi-sep"> </span><span class="cit-pub-id cit-pub-id-doi"><span class="cit-pub-id-scheme-doi">doi:</span>10.5751/ES-12625-260319</span>.</cite></div><div class="cit-extra"><a href="{openurl}?query=rft.jtitle%253DEcol%2BSoc%26rft_id%253Dinfo%253Adoi%252F10.5751%252FES-12625-260319%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx" class="cit-ref-sprinkles cit-ref-sprinkles-openurl cit-ref-sprinkles-open-url"><span>OpenUrl</span></a><a href="/lookup/external-ref?access_num=10.5751/ES-12625-260319&link_type=DOI" class="cit-ref-sprinkles cit-ref-sprinkles-doi cit-ref-sprinkles-crossref"><span>CrossRef</span></a></div></div></li><li><a class="rev-xref-ref" href="#xref-ref-6-1" title="View reference 6 in text" id="ref-6">↵</a><div class="cit ref-cit ref-journal" id="cit-383.oct25_12.p2355.6" data-doi="10.1038/s41893-020-0491-z"><div class="cit-metadata"><ol class="cit-auth-list"><li><span class="cit-auth"><span class="cit-name-surname">Bossio</span> <span class="cit-name-given-names">DA</span></span>, </li><li><span class="cit-auth"><span class="cit-name-surname">Cook-Patton</span> <span class="cit-name-given-names">SC</span></span>, </li><li><span class="cit-auth"><span class="cit-name-surname">Ellis</span> <span class="cit-name-given-names">PW</span></span>, </li><li><span class="cit-etal">et al</span></li></ol><cite>. <span class="cit-article-title">The role of soil carbon in natural climate solutions</span>. <abbr class="cit-jnl-abbrev">Nat Sustain</abbr><span class="cit-pub-date">2020</span>;<span class="cit-vol">3</span>:<span class="cit-fpage">391</span>-<span class="cit-lpage">8</span>.<span class="cit-pub-id-sep cit-pub-id-doi-sep"> </span><span class="cit-pub-id cit-pub-id-doi"><span class="cit-pub-id-scheme-doi">doi:</span>10.1038/s41893-020-0491-z</span>.</cite></div><div class="cit-extra"><a href="{openurl}?query=rft.jtitle%253DNat%2BSustain%26rft.volume%253D3%26rft.spage%253D391%26rft_id%253Dinfo%253Adoi%252F10.1038%252Fs41893-020-0491-z%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx" class="cit-ref-sprinkles cit-ref-sprinkles-openurl cit-ref-sprinkles-open-url"><span>OpenUrl</span></a><a href="/lookup/external-ref?access_num=10.1038/s41893-020-0491-z&link_type=DOI" class="cit-ref-sprinkles cit-ref-sprinkles-doi cit-ref-sprinkles-crossref"><span>CrossRef</span></a></div></div></li><li><a class="rev-xref-ref" href="#xref-ref-7-1" title="View reference 7 in text" id="ref-7">↵</a><div class="cit ref-cit ref-journal" id="cit-383.oct25_12.p2355.7" data-doi="10.1038/s41561-020-0641-y"><div class="cit-metadata"><ol class="cit-auth-list"><li><span class="cit-auth"><span class="cit-name-surname">Levia</span> <span class="cit-name-given-names">DF</span></span>, </li><li><span class="cit-auth"><span class="cit-name-surname">Creed</span> <span class="cit-name-given-names">IF</span></span>, </li><li><span class="cit-auth"><span class="cit-name-surname">Hannah</span> <span class="cit-name-given-names">DM</span></span>, </li><li><span class="cit-etal">et al</span></li></ol><cite>. <span class="cit-article-title">Homogenization of the terrestrial water cycle</span>. <abbr class="cit-jnl-abbrev">Nat Geosci</abbr><span class="cit-pub-date">2020</span>;<span class="cit-vol">13</span>:<span class="cit-fpage">656</span>-<span class="cit-lpage">8</span>.<span class="cit-pub-id-sep cit-pub-id-doi-sep"> </span><span class="cit-pub-id cit-pub-id-doi"><span class="cit-pub-id-scheme-doi">doi:</span>10.1038/s41561-020-0641-y</span>.</cite></div><div class="cit-extra"><a href="{openurl}?query=rft.jtitle%253DNat%2BGeosci%26rft.volume%253D13%26rft.spage%253D656%26rft_id%253Dinfo%253Adoi%252F10.1038%252Fs41561-020-0641-y%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx" class="cit-ref-sprinkles cit-ref-sprinkles-openurl cit-ref-sprinkles-open-url"><span>OpenUrl</span></a><a href="/lookup/external-ref?access_num=10.1038/s41561-020-0641-y&link_type=DOI" class="cit-ref-sprinkles cit-ref-sprinkles-doi cit-ref-sprinkles-crossref"><span>CrossRef</span></a></div></div></li><li><a class="rev-xref-ref" href="#xref-ref-8-1" title="View reference 8 in text" id="ref-8">↵</a><div class="cit ref-cit ref-journal" id="cit-383.oct25_12.p2355.8" data-doi="10.1136/bmj.n1734"><div class="cit-metadata"><ol class="cit-auth-list"><li><span class="cit-auth"><span class="cit-name-surname">Atwoli</span> <span class="cit-name-given-names">L</span></span>, </li><li><span class="cit-auth"><span class="cit-name-surname">Baqui</span> <span class="cit-name-given-names">AH</span></span>, </li><li><span class="cit-auth"><span class="cit-name-surname">Benfield</span> <span class="cit-name-given-names">T</span></span>, </li><li><span class="cit-etal">et al</span></li></ol><cite>. <span class="cit-article-title">Call for emergency action to limit global temperature increases, restore biodiversity, and protect health</span>. <abbr class="cit-jnl-abbrev">BMJ</abbr><span class="cit-pub-date">2021</span>;<span class="cit-vol">374</span>:<span class="cit-fpage">n1734</span>.<span class="cit-pub-id-sep cit-pub-id-doi-sep"> </span><span class="cit-pub-id cit-pub-id-doi"><span class="cit-pub-id-scheme-doi">doi:</span>10.1136/bmj.n1734</span><span class="cit-pub-id-sep cit-pub-id-doi-sep">.</span> <span class="cit-pub-id cit-pub-id-pmid"><span class="cit-pub-id-scheme-pmid">pmid:</span>34483099</span></cite></div><div class="cit-extra"><a href="{openurl}?query=rft.jtitle%253DBMJ%26rft_id%253Dinfo%253Adoi%252F10.1136%252Fbmj.n1734%26rft_id%253Dinfo%253Apmid%252F34483099%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx" class="cit-ref-sprinkles cit-ref-sprinkles-openurl cit-ref-sprinkles-open-url"><span>OpenUrl</span></a><a href="/lookup/ijlink/YTozOntzOjQ6InBhdGgiO3M6MTQ6Ii9sb29rdXAvaWpsaW5rIjtzOjU6InF1ZXJ5IjthOjQ6e3M6ODoibGlua1R5cGUiO3M6NDoiRlVMTCI7czoxMToiam91cm5hbENvZGUiO3M6MzoiYm1qIjtzOjU6InJlc2lkIjtzOjE3OiIzNzQvc2VwMDNfMy9uMTczNCI7czo0OiJhdG9tIjtzOjIzOiIvYm1qLzM4My9ibWoucDIzNTUuYXRvbSI7fXM6ODoiZnJhZ21lbnQiO3M6MDoiIjt9" class="cit-ref-sprinkles cit-ref-sprinkles-ijlink"><span><span class="cit-reflinks-full-text"><span class="free-full-text">FREE </span>Full Text</span></span></a></div></div></li><li><a class="rev-xref-ref" href="#xref-ref-9-1" title="View reference 9 in text" id="ref-9">↵</a><div class="cit ref-cit ref-journal" id="cit-383.oct25_12.p2355.9" data-doi="10.1136/bmj.o2459"><div class="cit-metadata"><ol class="cit-auth-list"><li><span class="cit-auth"><span class="cit-name-surname">Atwoli</span> <span class="cit-name-given-names">L</span></span>, </li><li><span class="cit-auth"><span class="cit-name-surname">Erhabor</span> <span class="cit-name-given-names">GE</span></span>, </li><li><span class="cit-auth"><span class="cit-name-surname">Gbakima</span> <span class="cit-name-given-names">AA</span></span>, </li><li><span class="cit-etal">et al</span></li></ol><cite>. <span class="cit-article-title">COP27 climate change conference: urgent action needed for Africa and the world</span>. <abbr class="cit-jnl-abbrev">BMJ</abbr><span class="cit-pub-date">2022</span>;<span class="cit-vol">379</span>:<span class="cit-fpage">o2459</span>.<span class="cit-pub-id-sep cit-pub-id-doi-sep"> </span><span class="cit-pub-id cit-pub-id-doi"><span class="cit-pub-id-scheme-doi">doi:</span>10.1136/bmj.o2459</span><span class="cit-pub-id-sep cit-pub-id-doi-sep">.</span> <span class="cit-pub-id cit-pub-id-pmid"><span class="cit-pub-id-scheme-pmid">pmid:</span>36257789</span></cite></div><div class="cit-extra"><a href="{openurl}?query=rft.jtitle%253DBMJ%26rft_id%253Dinfo%253Adoi%252F10.1136%252Fbmj.o2459%26rft_id%253Dinfo%253Apmid%252F36257789%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx" class="cit-ref-sprinkles cit-ref-sprinkles-openurl cit-ref-sprinkles-open-url"><span>OpenUrl</span></a><a href="/lookup/ijlink/YTozOntzOjQ6InBhdGgiO3M6MTQ6Ii9sb29rdXAvaWpsaW5rIjtzOjU6InF1ZXJ5IjthOjQ6e3M6ODoibGlua1R5cGUiO3M6NDoiRlVMTCI7czoxMToiam91cm5hbENvZGUiO3M6MzoiYm1qIjtzOjU6InJlc2lkIjtzOjE3OiIzNzkvb2N0MThfNS9vMjQ1OSI7czo0OiJhdG9tIjtzOjIzOiIvYm1qLzM4My9ibWoucDIzNTUuYXRvbSI7fXM6ODoiZnJhZ21lbnQiO3M6MDoiIjt9" class="cit-ref-sprinkles cit-ref-sprinkles-ijlink"><span><span class="cit-reflinks-full-text"><span class="free-full-text">FREE </span>Full Text</span></span></a></div></div></li><li><a class="rev-xref-ref" href="#xref-ref-10-1" title="View reference 10 in text" id="ref-10">↵</a><div class="cit ref-cit ref-web" id="cit-383.oct25_12.p2355.10"><div class="cit-metadata unstructured">WHO, UNEP. Convention on biological D. Connecting global priorities: biodiversity and human health: a state of knowledge review. 2015. <a href="https://www.cbd.int/health/SOK-biodiversity-en.pdf">https://www.cbd.int… class="cit-extra"></div></div></li><li><a class="rev-xref-ref" href="#xref-ref-11-1" title="View reference 11 in text" id="ref-11">↵</a><div class="cit ref-cit ref-journal" id="cit-383.oct25_12.p2355.11" data-doi="10.3390/ijerph20031681"><div class="cit-metadata"><ol class="cit-auth-list"><li><span class="cit-auth"><span class="cit-name-surname">Magnano San Lio</span> <span class="cit-name-given-names">R</span></span>, </li><li><span class="cit-auth"><span class="cit-name-surname">Favara</span> <span class="cit-name-given-names">G</span></span>, </li><li><span class="cit-auth"><span class="cit-name-surname">Maugeri</span> <span class="cit-name-given-names">A</span></span>, </li><li><span class="cit-auth"><span class="cit-name-surname">Barchitta</span> <span class="cit-name-given-names">M</span></span>, </li><li><span class="cit-auth"><span class="cit-name-surname">Agodi</span> <span class="cit-name-given-names">A</span></span></li></ol><cite>. <span class="cit-article-title">How antimicrobial resistance is linked to climate change: an overview of two intertwined global challenges</span>. <abbr class="cit-jnl-abbrev">Int J Environ Res Public Health</abbr><span class="cit-pub-date">2023</span>;<span class="cit-vol">20</span>:<span class="cit-fpage">1681</span>.<span class="cit-pub-id-sep cit-pub-id-doi-sep"> </span><span class="cit-pub-id cit-pub-id-doi"><span class="cit-pub-id-scheme-doi">doi:</span>10.3390/ijerph20031681</span><span class="cit-pub-id-sep cit-pub-id-doi-sep">.</span> <span class="cit-pub-id cit-pub-id-pmid"><span class="cit-pub-id-scheme-pmid">pmid:</span>36767043</span></cite></div><div class="cit-extra"><a href="{openurl}?query=rft.jtitle%253DInt%2BJ%2BEnviron%2BRes%2BPublic%2BHealth%26rft.volume%253D20%26rft.spage%253D1681%26rft_id%253Dinfo%253Adoi%252F10.3390%252Fijerph20031681%26rft_id%253Dinfo%253Apmid%252F36767043%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx" class="cit-ref-sprinkles cit-ref-sprinkles-openurl cit-ref-sprinkles-open-url"><span>OpenUrl</span></a><a href="/lookup/external-ref?access_num=10.3390/ijerph20031681&link_type=DOI" class="cit-ref-sprinkles cit-ref-sprinkles-doi cit-ref-sprinkles-crossref"><span>CrossRef</span></a><a href="/lookup/external-ref?access_num=36767043&link_type=MED&atom=%2Fbmj%2F383%2Fbmj.p2355.atom" class="cit-ref-sprinkles cit-ref-sprinkles-medline"><span>PubMed</span></a></div></div></li><li><a class="rev-xref-ref" href="#xref-ref-12-1" title="View reference 12 in text" id="ref-12">↵</a><div class="cit ref-cit ref-web" id="cit-383.oct25_12.p2355.12"><div class="cit-metadata unstructured">Jelskov U. “Without nature, we have nothing”: UN chief sounds alarm at key UN biodiversity event. UN News, 6 Dec 2022. <a href="https://news.un.org/en/story/2022/12/1131422">https://news.un.org/en/st… class="cit-extra"></div></div></li><li><a class="rev-xref-ref" href="#xref-ref-13-1" title="View reference 13 in text" id="ref-13">↵</a><div class="cit ref-cit ref-web" id="cit-383.oct25_12.p2355.13"><div class="cit-metadata unstructured">World Health Organization. State of the world’s drinking water: An urgent call to action to accelerate progress on ensuring safe drinking water for all. 2022. <a href="https://www.who.int/publications/i/item/9789240060807">https://www.who… class="cit-extra"></div></div></li><li><a class="rev-xref-ref" href="#xref-ref-14-1" title="View reference 14 in text" id="ref-14">↵</a><div class="cit ref-cit ref-journal" id="cit-383.oct25_12.p2355.14" data-doi="10.1016/j.marpolbul.2021.112530"><div class="cit-metadata"><ol class="cit-auth-list"><li><span class="cit-auth"><span class="cit-name-surname">Comeros-Raynal</span> <span class="cit-name-given-names">MT</span></span>, </li><li><span class="cit-auth"><span class="cit-name-surname">Brodie</span> <span class="cit-name-given-names">J</span></span>, </li><li><span class="cit-auth"><span class="cit-name-surname">Bainbridge</span> <span class="cit-name-given-names">Z</span></span>, </li><li><span class="cit-etal">et al</span></li></ol><cite>. <span class="cit-article-title">Catchment to sea connection: impacts of terrestrial run-off on benthic ecosystems in American Samoa</span>. <abbr class="cit-jnl-abbrev">Mar Pollut Bull</abbr><span class="cit-pub-date">2021</span>;<span class="cit-vol">169</span>:<span class="cit-elocation-id">112530</span>.<span class="cit-pub-id-sep cit-pub-id-doi-sep"> </span><span class="cit-pub-id cit-pub-id-doi"><span class="cit-pub-id-scheme-doi">doi:</span>10.1016/j.marpolbul.2021.112530</span><span class="cit-pub-id-sep cit-pub-id-doi-sep">.</span> <span class="cit-pub-id cit-pub-id-pmid"><span class="cit-pub-id-scheme-pmid">pmid:</span>34087665</span></cite></div><div class="cit-extra"><a href="{openurl}?query=rft.jtitle%253DMar%2BPollut%2BBull%26rft.volume%253D169%26rft.spage%253D112530%26rft_id%253Dinfo%253Adoi%252F10.1016%252Fj.marpolbul.2021.112530%26rft_id%253Dinfo%253Apmid%252F34087665%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx" class="cit-ref-sprinkles cit-ref-sprinkles-openurl cit-ref-sprinkles-open-url"><span>OpenUrl</span></a><a href="/lookup/external-ref?access_num=10.1016/j.marpolbul.2021.112530&link_type=DOI" class="cit-ref-sprinkles cit-ref-sprinkles-doi cit-ref-sprinkles-crossref"><span>CrossRef</span></a><a href="/lookup/external-ref?access_num=34087665&link_type=MED&atom=%2Fbmj%2F383%2Fbmj.p2355.atom" class="cit-ref-sprinkles cit-ref-sprinkles-medline"><span>PubMed</span></a></div></div></li><li><a class="rev-xref-ref" href="#xref-ref-15-1" title="View reference 15 in text" id="ref-15">↵</a><div class="cit ref-cit ref-web" id="cit-383.oct25_12.p2355.15"><div class="cit-metadata unstructured">IPBES. Assessment report on the sustainable use of wild species. 2022. <a href="https://www.ipbes.net/sustainable-use-assessment">https://www.ipbes.net… class="cit-extra"></div></div></li><li><a class="rev-xref-ref" href="#xref-ref-16-1" title="View reference 16 in text" id="ref-16">↵</a><div class="cit ref-cit ref-journal" id="cit-383.oct25_12.p2355.16" data-doi="10.3390/ijerph17124563"><div class="cit-metadata"><ol class="cit-auth-list"><li><span class="cit-auth"><span class="cit-name-surname">Falkenberg</span> <span class="cit-name-given-names">LJ</span></span>, </li><li><span class="cit-auth"><span class="cit-name-surname">Bellerby</span> <span class="cit-name-given-names">RGJ</span></span>, </li><li><span class="cit-auth"><span class="cit-name-surname">Connell</span> <span class="cit-name-given-names">SD</span></span>, </li><li><span class="cit-etal">et al</span></li></ol><cite>. <span class="cit-article-title">Ocean acidification and human health</span>. <abbr class="cit-jnl-abbrev">Int J Environ Res Public Health</abbr><span class="cit-pub-date">2020</span>;<span class="cit-vol">17</span>:<span class="cit-fpage">4563</span>.<span class="cit-pub-id-sep cit-pub-id-doi-sep"> </span><span class="cit-pub-id cit-pub-id-doi"><span class="cit-pub-id-scheme-doi">doi:</span>10.3390/ijerph17124563</span><span class="cit-pub-id-sep cit-pub-id-doi-sep">.</span> <span class="cit-pub-id cit-pub-id-pmid"><span class="cit-pub-id-scheme-pmid">pmid:</span>32599924</span></cite></div><div class="cit-extra"><a href="{openurl}?query=rft.jtitle%253DInt%2BJ%2BEnviron%2BRes%2BPublic%2BHealth%26rft.volume%253D17%26rft.spage%253D4563%26rft_id%253Dinfo%253Adoi%252F10.3390%252Fijerph17124563%26rft_id%253Dinfo%253Apmid%252F32599924%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx" class="cit-ref-sprinkles cit-ref-sprinkles-openurl cit-ref-sprinkles-open-url"><span>OpenUrl</span></a><a href="/lookup/external-ref?access_num=10.3390/ijerph17124563&link_type=DOI" class="cit-ref-sprinkles cit-ref-sprinkles-doi cit-ref-sprinkles-crossref"><span>CrossRef</span></a><a href="/lookup/external-ref?access_num=32599924&link_type=MED&atom=%2Fbmj%2F383%2Fbmj.p2355.atom" class="cit-ref-sprinkles cit-ref-sprinkles-medline"><span>PubMed</span></a></div></div></li><li><a class="rev-xref-ref" href="#xref-ref-17-1" title="View reference 17 in text" id="ref-17">↵</a><div class="cit ref-cit ref-web" id="cit-383.oct25_12.p2355.17"><div class="cit-metadata unstructured">Dunne D. Climate change “already” raising risk of virus spread between mammals. Carbon Brief, 2022. <a href="https://www.carbonbrief.org/climate-change-already-raising-risk-of-viru… class="cit-extra"></div></div></li><li><a class="rev-xref-ref" href="#xref-ref-18-1" title="View reference 18 in text" id="ref-18">↵</a><div class="cit ref-cit ref-journal" id="cit-383.oct25_12.p2355.18" data-doi="10.12938/bmfh.19-023"><div class="cit-metadata"><ol class="cit-auth-list"><li><span class="cit-auth"><span class="cit-name-surname">Altveş</span> <span class="cit-name-given-names">S</span></span>, </li><li><span class="cit-auth"><span class="cit-name-surname">Yildiz</span> <span class="cit-name-given-names">HK</span></span>, </li><li><span class="cit-auth"><span class="cit-name-surname">Vural</span> <span class="cit-name-given-names">HC</span></span></li></ol><cite>. <span class="cit-article-title">Interaction of the microbiota with the human body in health and diseases</span>. <abbr class="cit-jnl-abbrev">Biosci Microbiota Food Health</abbr><span class="cit-pub-date">2020</span>;<span class="cit-vol">39</span>:<span class="cit-fpage">23</span>-<span class="cit-lpage">32</span>.<span class="cit-pub-id-sep cit-pub-id-doi-sep"> </span><span class="cit-pub-id cit-pub-id-doi"><span class="cit-pub-id-scheme-doi">doi:</span>10.12938/bmfh.19-023</span><span class="cit-pub-id-sep cit-pub-id-doi-sep">.</span> <span class="cit-pub-id cit-pub-id-pmid"><span class="cit-pub-id-scheme-pmid">pmid:</span>32328397</span></cite></div><div class="cit-extra"><a href="{openurl}?query=rft.jtitle%253DBiosci%2BMicrobiota%2BFood%2BHealth%26rft.volume%253D39%26rft.spage%253D23%26rft_id%253Dinfo%253Adoi%252F10.12938%252Fbmfh.19-023%26rft_id%253Dinfo%253Apmid%252F32328397%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx" class="cit-ref-sprinkles cit-ref-sprinkles-openurl cit-ref-sprinkles-open-url"><span>OpenUrl</span></a><a href="/lookup/external-ref?access_num=10.12938/bmfh.19-023&link_type=DOI" class="cit-ref-sprinkles cit-ref-sprinkles-doi cit-ref-sprinkles-crossref"><span>CrossRef</span></a><a href="/lookup/external-ref?access_num=32328397&link_type=MED&atom=%2Fbmj%2F383%2Fbmj.p2355.atom" class="cit-ref-sprinkles cit-ref-sprinkles-medline"><span>PubMed</span></a></div></div></li><li><a class="rev-xref-ref" href="#xref-ref-19-1" title="View reference 19 in text" id="ref-19">↵</a><div class="cit ref-cit ref-journal" id="cit-383.oct25_12.p2355.19" data-doi="10.5694/mja16.00687"><div class="cit-metadata"><ol class="cit-auth-list"><li><span class="cit-auth"><span class="cit-name-surname">Schultz</span> <span class="cit-name-given-names">R</span></span>, </li><li><span class="cit-auth"><span class="cit-name-surname">Cairney</span> <span class="cit-name-given-names">S</span></span></li></ol><cite>. <span class="cit-article-title">Caring for country and the health of Aboriginal and Torres Strait Islander Australians</span>. <abbr class="cit-jnl-abbrev">Med J Aust</abbr><span class="cit-pub-date">2017</span>;<span class="cit-vol">207</span>:<span class="cit-fpage">8</span>-<span class="cit-lpage">10</span>.<span class="cit-pub-id-sep cit-pub-id-doi-sep"> </span><span class="cit-pub-id cit-pub-id-doi"><span class="cit-pub-id-scheme-doi">doi:</span>10.5694/mja16.00687</span><span class="cit-pub-id-sep cit-pub-id-doi-sep">.</span> <span class="cit-pub-id cit-pub-id-pmid"><span class="cit-pub-id-scheme-pmid">pmid:</span>28659102</span></cite></div><div class="cit-extra"><a href="{openurl}?query=rft.jtitle%253DMed%2BJ%2BAust%26rft.volume%253D207%26rft.spage%253D8%26rft_id%253Dinfo%253Adoi%252F10.5694%252Fmja16.00687%26rft_id%253Dinfo%253Apmid%252F28659102%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx" class="cit-ref-sprinkles cit-ref-sprinkles-openurl cit-ref-sprinkles-open-url"><span>OpenUrl</span></a><a href="/lookup/external-ref?access_num=10.5694/mja16.00687&link_type=DOI" class="cit-ref-sprinkles cit-ref-sprinkles-doi cit-ref-sprinkles-crossref"><span>CrossRef</span></a><a href="/lookup/external-ref?access_num=28659102&link_type=MED&atom=%2Fbmj%2F383%2Fbmj.p2355.atom" class="cit-ref-sprinkles cit-ref-sprinkles-medline"><span>PubMed</span></a></div></div></li><li><a class="rev-xref-ref" href="#xref-ref-20-1" title="View reference 20 in text" id="ref-20">↵</a><div class="cit ref-cit ref-web" id="cit-383.oct25_12.p2355.20"><div class="cit-metadata unstructured">Macguire F, Mulcahy E, Rossington B. The Lancet Countdown on Health and Climate Change. Policy brief for the UK. 2022. <a href="https://s41874.pcdn.co/wp-content/uploads/Lancet-Countdown-2022-UK-Poli… class="cit-extra"></div></div></li><li><a class="rev-xref-ref" href="#xref-ref-21-1" title="View reference 21 in text" id="ref-21">↵</a><div class="cit ref-cit ref-journal" id="cit-383.oct25_12.p2355.21" data-doi="10.1186/s12889-018-5942-3"><div class="cit-metadata"><ol class="cit-auth-list"><li><span class="cit-auth"><span class="cit-name-surname">Wong</span> <span class="cit-name-given-names">FY</span></span>, </li><li><span class="cit-auth"><span class="cit-name-surname">Yang</span> <span class="cit-name-given-names">L</span></span>, </li><li><span class="cit-auth"><span class="cit-name-surname">Yuen</span> <span class="cit-name-given-names">JWM</span></span>, </li><li><span class="cit-auth"><span class="cit-name-surname">Chang</span> <span class="cit-name-given-names">KKP</span></span>, </li><li><span class="cit-auth"><span class="cit-name-surname">Wong</span> <span class="cit-name-given-names">FKY</span></span></li></ol><cite>. <span class="cit-article-title">Assessing quality of life using WHOQOL-BREF: a cross-sectional study on the association between quality of life and neighborhood environmental satisfaction, and the mediating effect of health-related behaviors</span>. <abbr class="cit-jnl-abbrev">BMC Public Health</abbr><span class="cit-pub-date">2018</span>;<span class="cit-vol">18</span>:<span class="cit-fpage">1113</span>.<span class="cit-pub-id-sep cit-pub-id-doi-sep"> </span><span class="cit-pub-id cit-pub-id-doi"><span class="cit-pub-id-scheme-doi">doi:</span>10.1186/s12889-018-5942-3</span><span class="cit-pub-id-sep cit-pub-id-doi-sep">.</span> <span class="cit-pub-id cit-pub-id-pmid"><span class="cit-pub-id-scheme-pmid">pmid:</span>30208869</span></cite></div><div class="cit-extra"><a href="{openurl}?query=rft.jtitle%253DBMC%2BPublic%2BHealth%26rft.volume%253D18%26rft.spage%253D1113%26rft_id%253Dinfo%253Adoi%252F10.1186%252Fs12889-018-5942-3%26rft_id%253Dinfo%253Apmid%252F30208869%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx" class="cit-ref-sprinkles cit-ref-sprinkles-openurl cit-ref-sprinkles-open-url"><span>OpenUrl</span></a><a href="/lookup/external-ref?access_num=10.1186/s12889-018-5942-3&link_type=DOI" class="cit-ref-sprinkles cit-ref-sprinkles-doi cit-ref-sprinkles-crossref"><span>CrossRef</span></a><a href="/lookup/external-ref?access_num=30208869&link_type=MED&atom=%2Fbmj%2F383%2Fbmj.p2355.atom" class="cit-ref-sprinkles cit-ref-sprinkles-medline"><span>PubMed</span></a></div></div></li><li><a class="rev-xref-ref" href="#xref-ref-22-1" title="View reference 22 in text" id="ref-22">↵</a><div class="cit ref-cit ref-journal" id="cit-383.oct25_12.p2355.22" data-doi="10.1073/pnas.2117297119"><div class="cit-metadata"><ol class="cit-auth-list"><li><span class="cit-auth"><span class="cit-name-surname">Simkin</span> <span class="cit-name-given-names">RD</span></span>, </li><li><span class="cit-auth"><span class="cit-name-surname">Seto</span> <span class="cit-name-given-names">KC</span></span>, </li><li><span class="cit-auth"><span class="cit-name-surname">McDonald</span> <span class="cit-name-given-names">RI</span></span>, </li><li><span class="cit-auth"><span class="cit-name-surname">Jetz</span> <span class="cit-name-given-names">W</span></span></li></ol><cite>. <span class="cit-article-title">Biodiversity impacts and conservation implications of urban land expansion projected to 2050</span>. <abbr class="cit-jnl-abbrev">Proc Natl Acad Sci U S A</abbr><span class="cit-pub-date">2022</span>;<span class="cit-vol">119</span>:<span class="cit-elocation-id">e2117297119</span>.<span class="cit-pub-id-sep cit-pub-id-doi-sep"> </span><span class="cit-pub-id cit-pub-id-doi"><span class="cit-pub-id-scheme-doi">doi:</span>10.1073/pnas.2117297119</span><span class="cit-pub-id-sep cit-pub-id-doi-sep">.</span> <span class="cit-pub-id cit-pub-id-pmid"><span class="cit-pub-id-scheme-pmid">pmid:</span>35286193</span></cite></div><div class="cit-extra"><a href="{openurl}?query=rft.jtitle%253DProc%2BNatl%2BAcad%2BSci%2BU%2BS%2BA%26rft.volume%253D119%26rft.spage%253De2117297119%26rft_id%253Dinfo%253Adoi%252F10.1073%252Fpnas.2117297119%26rft_id%253Dinfo%253Apmid%252F35286193%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx" class="cit-ref-sprinkles cit-ref-sprinkles-openurl cit-ref-sprinkles-open-url"><span>OpenUrl</span></a><a href="/lookup/external-ref?access_num=10.1073/pnas.2117297119&link_type=DOI" class="cit-ref-sprinkles cit-ref-sprinkles-doi cit-ref-sprinkles-crossref"><span>CrossRef</span></a><a href="/lookup/external-ref?access_num=35286193&link_type=MED&atom=%2Fbmj%2F383%2Fbmj.p2355.atom" class="cit-ref-sprinkles cit-ref-sprinkles-medline"><span>PubMed</span></a></div></div></li><li><a class="rev-xref-ref" href="#xref-ref-23-1" title="View reference 23 in text" id="ref-23">↵</a><div class="cit ref-cit ref-web" id="cit-383.oct25_12.p2355.23"><div class="cit-metadata unstructured">Secretariat of the Convention on Biological Diversity. COP15: nations adopt four goals, 23 targets for 2030 in landmark UN biodiversity agreement. Press release, 19 Dec 2022. <a href="https://www.cbd.int/article/cop15-cbd-press-release-final-19dec2022">ht… class="cit-extra"></div></div></li><li><a class="rev-xref-ref" href="#xref-ref-24-1" title="View reference 24 in text" id="ref-24">↵</a><div class="cit ref-cit ref-journal" id="cit-383.oct25_12.p2355.24" data-doi="10.1126/science.abn7950"><div class="cit-metadata"><ol class="cit-auth-list"><li><span class="cit-auth"><span class="cit-name-surname">Armstrong McKay</span> <span class="cit-name-given-names">DI</span></span>, </li><li><span class="cit-auth"><span class="cit-name-surname">Staal</span> <span class="cit-name-given-names">A</span></span>, </li><li><span class="cit-auth"><span class="cit-name-surname">Abrams</span> <span class="cit-name-given-names">JF</span></span>, </li><li><span class="cit-etal">et al</span></li></ol><cite>. <span class="cit-article-title">Exceeding 1.5°C global warming could trigger multiple climate tipping points</span>. <abbr class="cit-jnl-abbrev">Science</abbr><span class="cit-pub-date">2022</span>;<span class="cit-vol">377</span>:<span class="cit-elocation-id">eabn7950</span>.<span class="cit-pub-id-sep cit-pub-id-doi-sep"> </span><span class="cit-pub-id cit-pub-id-doi"><span class="cit-pub-id-scheme-doi">doi:</span>10.1126/science.abn7950</span><span class="cit-pub-id-sep cit-pub-id-doi-sep">.</span> <span class="cit-pub-id cit-pub-id-pmid"><span class="cit-pub-id-scheme-pmid">pmid:</span>36074831</span></cite></div><div class="cit-extra"><a href="{openurl}?query=rft.jtitle%253DScience%26rft.volume%253D377%26rft.spage%253Deabn7950%26rft_id%253Dinfo%253Adoi%252F10.1126%252Fscience.abn7950%26rft_id%253Dinfo%253Apmid%252F36074831%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx" class="cit-ref-sprinkles cit-ref-sprinkles-openurl cit-ref-sprinkles-open-url"><span>OpenUrl</span></a><a href="/lookup/external-ref?access_num=10.1126/science.abn7950&link_type=DOI" class="cit-ref-sprinkles cit-ref-sprinkles-doi cit-ref-sprinkles-crossref"><span>CrossRef</span></a><a href="/lookup/external-ref?access_num=36074831&link_type=MED&atom=%2Fbmj%2F383%2Fbmj.p2355.atom" class="cit-ref-sprinkles cit-ref-sprinkles-medline"><span>PubMed</span></a></div></div></li><li><a class="rev-xref-ref" href="#xref-ref-25-1" title="View reference 25 in text" id="ref-25">↵</a><div class="cit ref-cit ref-web" id="cit-383.oct25_12.p2355.25"><div class="cit-metadata unstructured">WHO guidance for the use of Annex 2 of the International Health Regulations (2005). <a href="https://www.who.int/publications/m/item/who-guidance-for-the-use-of-ann… class="cit-extra"></div></div></li><li><a class="rev-xref-ref" href="#xref-ref-26-1" title="View reference 26 in text" id="ref-26">↵</a><div class="cit ref-cit ref-web" id="cit-383.oct25_12.p2355.26"><div class="cit-metadata unstructured">Australian Government Department of Health. Care A. Consultation on Australia’s first national health and climate strategy. 2023 <a href="https://www.health.gov.au/news/consultation-on-australias-first-nationa… class="cit-extra"></div></div></li></ol></div><span class="highwire-journal-article-marker-end"></span></div><span id="related-urls"></span></div></div> </div>
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<div class="highwire-article-citation highwire-citation-type-highwire-article node1088954--3" data-node-nid="1088954" id="node-1088954--4138151994" data-pisa="bmj;383/oct25_12/p2355" data-pisa-master="bmj;bmj.p2355" data-apath="/bmj/383/bmj.p2355.atom"><div id="jnl_bmj_custom_authors" style="display: none;"><span data-delta="0"><span class="nlm-given-names">Kamran</span> <span class="nlm-surname">Abbasi</span> <span class="nlm-role">editor in chief</span></span>, <span data-delta="1"><span class="nlm-given-names">Parveen</span> <span class="nlm-surname">Ali</span> <span class="nlm-role">editor in chief</span></span>, <span data-delta="2"><span class="nlm-given-names">Virginia</span> <span class="nlm-surname">Barbour</span> <span class="nlm-role">editor in chief</span></span>, <span data-delta="3"><span class="nlm-given-names">Thomas</span> <span class="nlm-surname">Benfield</span> <span class="nlm-role">editor in chief</span></span>, <span data-delta="4"><span class="nlm-given-names">Kirsten</span> <span class="nlm-surname">Bibbins-Domingo</span> <span class="nlm-role">editor in chief</span></span>, <span data-delta="5"><span class="nlm-given-names">Stephen</span> <span class="nlm-surname">Hancocks</span> <span class="nlm-role">editor in chief</span></span> et al</div>
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<span class="highwire-cite-title article-title">Time to treat the climate and nature crisis as one indivisible global health emergency</span>
<span class="highwire-cite-metadata" ><span class="highwire-cite-metadata-journal highwire-cite-metadata">BMJ </span><span class="highwire-cite-metadata-date highwire-cite-metadata">2023; </span><span class="highwire-cite-metadata-volume highwire-cite-metadata">383 </span><span class="highwire-cite-metadata-volume highwire-cite-metadata">:p2355 </span></span>
<span class="article-doi" >doi:10.1136/bmj.p2355</span>
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Related Knowledge Center: Climate economics
Climate change is now a driver of the world’s economy. The impact is profound:
- Catastrophic weather events — hurricanes, floods, droughts, high temperatures — are more frequent and more extreme. The cost can be measured in both the initial damage caused and the longer-term impact on the economy.
- Vulnerable communities are increasing climate-related investments, hardening infrastructure and taking other protective measures.
- Investment in carbon capture and storage technologies is increasingly rapidly.
- Governments are making investments and crafting regulations to reduce emissions of carbon dioxide and other greenhouse gases.
On top of all of this is the cost of uncertainty. As the Fourth National Climate Assessment, released in 2018 by the U.S. Global Change Research Program, says, “The assumption that current and future climate conditions will resemble the recent past is no longer valid.”