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Windak A, Rochfort A, Jacquet J. The revised European Definition of General Practice/Family Medicine. A pivotal role of One Health, Planetary Health and Sustainable Development Goals. Eur J Gen Pract 2024; 30:2306936. [PMID: 38334099 PMCID: PMC10860453 DOI: 10.1080/13814788.2024.2306936] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2024] [Accepted: 01/15/2024] [Indexed: 02/10/2024] Open
Affiliation(s)
- A. Windak
- Chair of Family Medicine, Jagiellonian University Medical College, Krakow, Poland
- European Academy of Teachers in General Practice/Family Medicine (EURACT) The College of Family Physicians in Poland, Warszava, Poland
- Associate Editor of the European Journal of General Practice
| | - A. Rochfort
- Irish College of General Practitioners, Dublin, Ireland
- School of Medicine, University College Dublin, Belfield, Dublin4, Ireland
- EQuiP, WONCA Europe Network for Quality & Safety in Family Medicine
| | - J. Jacquet
- Collège de la Médecine Générale, France
- EURIPA, WONCA Europe Network for Rural and Isolated General Practitioner
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Johnson SM, Marconi S, Sanchez-Casalongue M, Francis N, Huo B, Alseidi A, Alimi YR, Pietrabissa A, Arezzo A, Frountzas M, Bellato V, Potapov O, Barach P, Rems M, Bello RJ, Nijhawan S, Oslock WM, Sathe TS, Hall RP, Miller B, Samreen S, Chung J, Marfo N, Lim RB, Vandeberg J, Eussen MM, Bouvy ND, Sylla P. Sustainability in surgical practice: a collaborative call toward environmental sustainability in operating rooms. Surg Endosc 2024; 38:4127-4137. [PMID: 38951239 PMCID: PMC11289051 DOI: 10.1007/s00464-024-10962-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2024] [Accepted: 05/23/2024] [Indexed: 07/03/2024]
Abstract
BACKGROUND The healthcare system plays a pivotal role in environmental sustainability, and the operating room (OR) significantly contributes to its overall carbon footprint. In response to this critical challenge, leading medical societies, government bodies, regulatory agencies, and industry stakeholders are taking measures to address healthcare sustainability and its impact on climate change. Healthcare now represents almost 20% of the US national economy and 8.5% of US carbon emissions. Internationally, healthcare represents 5% of global carbon emissions. US Healthcare is an outlier in both per capita cost, and per capita greenhouse gas emission, with almost twice per capita emissions compared to every other country in the world. METHODS The Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) and the European Association for Endoscopic Surgery (EAES) established the Sustainability in Surgical Practice joint task force in 2023. This collaborative effort aims to actively promote education, mitigation, and innovation, steering surgical practices toward a more sustainable future. RESULTS Several key initiatives have included a survey of members' knowledge and awareness, a scoping review of terminology, metrics, and initiatives, and deep engagement of key stakeholders. DISCUSSION This position paper serves as a Call to Action, proposing a series of actions to catalyze and accelerate the surgical sustainability leadership needed to respond effectively to climate change, and to lead the societal transformation towards health that our times demand.
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Affiliation(s)
- Shaneeta M Johnson
- Department of Surgery, Morehouse School of Medicine, 720 Westview Drive, Atlanta, GA, 30310, USA.
- Satcher Health Leadership Institute, Morehouse School of Medicine, Atlanta, GA, USA.
| | - Stefania Marconi
- Department of Civil Engineering and Architecture, University of Pavia, Pavia, Italy
- IRCCS Policlinico San Matteo Foundation, Pavia, Italy
| | | | | | - Bright Huo
- Department of General Surgery, McMaster University, Ontario, CA, USA
| | - Adnan Alseidi
- Department of Surgery, University of California San Francisco, San Francisco, USA
| | - Yewande R Alimi
- Department of Surgery, Medstar Georgetown University Hospital, Washington, DC, USA
| | | | - Alberto Arezzo
- Department of Surgical Sciences, University of Turin, Turin, Italy
| | - Maximos Frountzas
- First Propaedeutic Department of Surgery, National and Kapodistrian University of Athens, Hippocration General Hospital, Athens, Greece
| | - Vittoria Bellato
- Department of Minimally Invasive Surgery, University Hospital of Rome Tor Vergata, Rome, Italy
| | - Oleksii Potapov
- Department of General Surgery, College of Medicine, University of Rzeszow, Rzeszow, Poland
| | - Paul Barach
- Thomas Jefferson University School of Medicine, Philadelphia, USA
- Department of General Surgery, Imperial College London, London, UK
| | - Miran Rems
- Department of General and Abdominal Surgery, General Hospital Jesenice, Jesenice, Slovenia
| | - Ricardo J Bello
- Department of Surgery, Medical College of Wisconsin, Milwaukee, USA
| | - Sheetal Nijhawan
- Department of Surgery, Sharon Regional Medical Center, Sharon, PA, USA
| | - Wendelyn M Oslock
- Department of Surgery, University of Alabama Birmingham, Birmingham, AL, USA
- Department of Quality, Birmingham Veterans Affairs Medical Center, Birmingham, AL, USA
| | - Tejas S Sathe
- Department of Surgery, University of California San Francisco, San Francisco, USA
| | - Ryan P Hall
- Department of Surgery, Tufts Medical Center, Boston, MA, USA
| | | | - Sarah Samreen
- Division of Minimally Invasive Surgery, University of Texas Medical Branch, Galveston, TX, USA
| | - Jimmy Chung
- Adventus Health Partners, Cincinnati, OH, USA
| | - Nana Marfo
- Ross University School of Medicine, Miramar, FL, USA
| | - Robert B Lim
- Department of Surgery, Wake Forest University, Atrium Carolinas Medical Center, Charlotte, NC, USA
| | | | - Myrthe M Eussen
- Department of Surgery, Maastricht University Medical Center, Maastricht, The Netherlands
- NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University, Maastricht, The Netherlands
| | - Nicole D Bouvy
- Department of Surgery, Maastricht University Medical Center, Maastricht, The Netherlands
- NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University, Maastricht, The Netherlands
| | - Patricia Sylla
- Division of Colon and Rectal Surgery, Mount Sinai Health System, New York, NY, USA
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Kemarau RA, Sakawi Z, Eboy OV, Anak Suab S, Ibrahim MF, Rosli NNB, Md Nor NNF. Planetary boundaries transgressions: A review on the implications to public health. ENVIRONMENTAL RESEARCH 2024; 260:119668. [PMID: 39048067 DOI: 10.1016/j.envres.2024.119668] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/24/2024] [Revised: 06/09/2024] [Accepted: 07/21/2024] [Indexed: 07/27/2024]
Abstract
This literature review systematically examines the impacts of violating planetary boundaries from 2009 to 2023, emphasizing the implications for human health. Planetary boundaries define safe operational limits for Earth's systems, and their transgression poses significant threats to environmental stability and public health. This paper reviews extensive research on the health effects of breaches in these boundaries, including climate change, biodiversity loss, freshwater use, and aerosol loading. The review integrates findings from numerous studies, providing a critical overview of health impacts across various global regions. The analysis underscores the intricate links between planetary boundaries breaching impacts, highlighting urgent policy and governance challenges. The study's outcomes aim to inform policymakers, businesses, and communities, promoting sustainable development and resilience in the face of escalating global challenges.
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Affiliation(s)
- Ricky Anak Kemarau
- Earth Observation Centre, Institute of Climate Change, Universiti Kebangsaan Malaysia, 43600, Bangi, Selangor, Malaysia.
| | - Zaini Sakawi
- Earth Observation Centre, Institute of Climate Change, Universiti Kebangsaan Malaysia, 43600, Bangi, Selangor, Malaysia
| | - Oliver Valentine Eboy
- Geography Program, Faculty of Social Science and Humanities, Universiti Malaysia Sabah, 88400, Kota Kinabalu, Sabah, Malaysia
| | - Stanley Anak Suab
- Graduate School of Environmental Science, Hokkaido University, Sapporo, 060-0810, Japan
| | - Mohd Faiz Ibrahim
- Environmental Health Research Centre, Institute for Medical Research, National Institutes of Health, 40170, Shah Alam, Selangor, Malaysia
| | - Nurul Nazli Binti Rosli
- Center for STEM Enculturation Faculty of Education, Universiti Kebangsaan Malaysia, Selangor, Malaysia
| | - Nik Norliati Fitri Md Nor
- Geography Section, School Distance Learning, Universiti Sains Malaysia, Jalan Universiti, 11700, Gelugor, Penang, Malaysia
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4
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Fleming LE, Landrigan PJ, Ashford OS, Whitman EM, Swift A, Gerwick WH, Heymans JJ, Hicks CC, Morrissey K, White MP, Alcantara-Creencia L, Alexander KA, Astell-Burt T, Berlinck RGS, Cohen PJ, Hixson R, Islam MM, Iwasaki A, Praptiwi RA, Raps H, Remy JY, Sowman G, Ternon E, Thiele T, Thilsted SH, Uku J, Ockenden S, Kumar P. Enhancing Human Health and Wellbeing through Sustainably and Equitably Unlocking a Healthy Ocean's Potential. Ann Glob Health 2024; 90:41. [PMID: 39005643 PMCID: PMC11243763 DOI: 10.5334/aogh.4471] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2024] [Accepted: 05/13/2024] [Indexed: 07/16/2024] Open
Abstract
A healthy ocean is essential for human health, and yet the links between the ocean and human health are often overlooked. By providing new medicines, technologies, energy, foods, recreation, and inspiration, the ocean has the potential to enhance human health and wellbeing. However, climate change, pollution, biodiversity loss, and inequity threaten both ocean and human health. Sustainable realisation of the ocean's health benefits will require overcoming these challenges through equitable partnerships, enforcement of laws and treaties, robust monitoring, and use of metrics that assess both the ocean's natural capital and human wellbeing. Achieving this will require an explicit focus on human rights, equity, sustainability, and social justice. In addition to highlighting the potential unique role of the healthcare sector, we offer science-based recommendations to protect both ocean health and human health, and we highlight the unique potential of the healthcare sector tolead this effort.
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Affiliation(s)
- Lora E Fleming
- European Centre for Environment and Human Health of the University of Exeter Medical School, Cornwall, UK
| | - Philip J Landrigan
- Instituto de Quimica de Sao Carlos, Universidade de Sao Paulo, Sao Carlos, SP, Brazil
| | | | - Ella M Whitman
- Program for Global Public Health and the Common Good, Boston College, Boston, Massachusetts, USA and the Centre Scientifique de Monaco, Monaco
| | - Amy Swift
- Ocean Program, at World Resources Institute, London, UK
| | - William H Gerwick
- Skaggs School of Pharmacy and Pharmaceutical Sciences, University of California San Diego, San Diego, US
| | | | | | - Karyn Morrissey
- Department of Technology, Management and Economics, Technical University of Denmark, Denmark
| | | | - Lota Alcantara-Creencia
- College of Fisheries and Aquatic Sciences, Western Philippines University, Palawan, Philippines
| | - Karen A Alexander
- Marine Governance and Blue Economy at Heriot-Watt University, Orkney, UK
| | - Thomas Astell-Burt
- School of Architecture, Design and Planning, University of Sydney, Sydney, Australia
| | - Roberto G S Berlinck
- Instituto de Quimica de Sao Carlos, Universidade de Sao Paulo, Sao Carlos, SP, Brazil
| | - Philippa J Cohen
- Small-Scale Fisheries Research Program World Fish, Penang, Malaysia
| | - Richard Hixson
- Critical Care, County Durham and Darlington NHS Foundation Trust, Darlington, UK
| | - Mohammad Mahmudul Islam
- Department of Coastal and Marine Fisheries, Sylhet Agricultural University, Sylhet, Bangladesh
| | - Arihiro Iwasaki
- Department of Applied Chemistry, Faculty of Science and Engineering, Chuo University, Tokyo, Japan
| | - Radisti A Praptiwi
- Research Center for Ecology and Ethnobiology, National Research and Innovation Agency (BRIN), Jakarta, Indonesia
| | | | - Jan Yves Remy
- Shridath Ramphal Centre, the University of the West Indies, St. Lucia/Barbados
| | - Georgina Sowman
- Advanced Wellbeing Research Centre, Sheffield Hallam University, Sheffield, UK
| | - Eva Ternon
- Laboratoire d'Océanographie de Villefranche at Sorbonne Université, Paris, France
| | - Torsten Thiele
- Research Institute for Sustainability - Helmholtz Centre Potsdam (RIFS), Potsdam, Germany
| | - Shakuntala H Thilsted
- Nutrition, Health and Food Security Impact Area Platform Worldfish CGIAR, Penang, Malaysia
| | - Jacqueline Uku
- Kenya Marine and Fisheries Research Institute, Mombasa, Kenya
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5
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Segala FV, Di Gennaro F, Giannini LAA, Stroffolini G, Colpani A, De Vito A, Di Gregorio S, Frallonardo L, Guido G, Novara R, Amendolara A, Ritacco IA, Ferrante F, Masini L, Iannetti I, Mazzeo S, Marello S, Veronese N, Gobbi F, Iatta R, Saracino A. Perspectives on climate action and the changing burden of infectious diseases among young Italian doctors and students: a national survey. Front Public Health 2024; 12:1382505. [PMID: 39015393 PMCID: PMC11250467 DOI: 10.3389/fpubh.2024.1382505] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2024] [Accepted: 06/18/2024] [Indexed: 07/18/2024] Open
Abstract
Background The eco-climatic crisis has been defined by the World Health Organization as the "single biggest health threat facing humanity," influencing both the emergence of zoonoses and the spread of vector-borne and water-borne diseases. The aim of this survey was to explore knowledge, eco-anxiety and attitudes toward the ecological and climate crisis among young Italian doctors and medical students. Methods A cross-sectional, multicenter survey was conducted from November 2022 to June 2023, by administering an anonymous questionnaire to Italian doctors and students of medicine. Endpoint of the study was a Knowledge, Attitudes and Practices (KAP) score on ecological and climate crisis (0-20 points). Association between variables and KAP score was assessed by Kruskal-Wallis' or Spearman's test, as appropriate, and significant variables were included into ordinal regression model and reported as adjusted odds ratio (aOR) with their 95% confidence intervals (CI). Results Both KAP and eco-anxiety scores showed acceptable levels of consistency with Cronbach's alpha. A total of 605 medical doctors and students living in 19 Italian regions were included in the study. Median age [Q1-Q3] was 27.6 [24.1-31.3] and females were 352 (58.2%). Despite showing good attitudes toward climate action, knowledge gap were found, with 42.5% (n = 257) of the respondents not knowing the temperature limits set by the Paris Agreements and 45.5% (n = 275) believing that climate change is caused by sunspots. Fears suggestive for eco-anxiety were common. At multivariable ordinal regression, high levels of eco-anxiety (aOR 1.29, p = 0.001) and low trust in government action (aOR 1.96, p = 0.003) were associated with a higher KAP score. Only one Italian medical school offered an educational module on climate change. Conclusion Young Italian doctors and medical students are concerned about the climate crisis but show poor knowledge of these topics. The Italian academic system should urgently respond to this need.
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Affiliation(s)
- Francesco Vladimiro Segala
- Clinic of Infectious Diseases, Department of Precision and Regenerative Medicine and Ionian Area (DiMePRe-J), University of Bari “Aldo Moro”, Bari, Italy
- Doctors4Future, “Chi si Cura di Te?”, Rome, Italy
| | - Francesco Di Gennaro
- Clinic of Infectious Diseases, Department of Precision and Regenerative Medicine and Ionian Area (DiMePRe-J), University of Bari “Aldo Moro”, Bari, Italy
| | | | - Giacomo Stroffolini
- Doctors4Future, “Chi si Cura di Te?”, Rome, Italy
- Department of Infectious-Tropical Diseases and Microbiology, IRCCS Sacro Cuore Don Calabria Hospital Negrar, Verona, Italy
| | - Agnese Colpani
- Unit of Infectious Diseases, Department of Medicine, Surgery, and Pharmacy, University of Sassari, Sassari, Italy
| | - Andrea De Vito
- Unit of Infectious Diseases, Department of Medicine, Surgery, and Pharmacy, University of Sassari, Sassari, Italy
- PhD School in Biomedical Science, Biomedical Science Department, University of Sassari, Sassari, Italy
| | - Stefano Di Gregorio
- Clinic of Infectious Diseases, Department of Precision and Regenerative Medicine and Ionian Area (DiMePRe-J), University of Bari “Aldo Moro”, Bari, Italy
| | - Luisa Frallonardo
- Clinic of Infectious Diseases, Department of Precision and Regenerative Medicine and Ionian Area (DiMePRe-J), University of Bari “Aldo Moro”, Bari, Italy
| | - Giacomo Guido
- Clinic of Infectious Diseases, Department of Precision and Regenerative Medicine and Ionian Area (DiMePRe-J), University of Bari “Aldo Moro”, Bari, Italy
| | - Roberta Novara
- Clinic of Infectious Diseases, Department of Precision and Regenerative Medicine and Ionian Area (DiMePRe-J), University of Bari “Aldo Moro”, Bari, Italy
| | - Angela Amendolara
- Clinic of Infectious Diseases, Department of Precision and Regenerative Medicine and Ionian Area (DiMePRe-J), University of Bari “Aldo Moro”, Bari, Italy
| | - Ilenia Annunziata Ritacco
- Clinic of Infectious Diseases, Department of Precision and Regenerative Medicine and Ionian Area (DiMePRe-J), University of Bari “Aldo Moro”, Bari, Italy
| | - Francesca Ferrante
- Clinic of Infectious Diseases, Department of Precision and Regenerative Medicine and Ionian Area (DiMePRe-J), University of Bari “Aldo Moro”, Bari, Italy
| | | | | | | | | | - Nicola Veronese
- Geriatric Unit, Department of Medicine, University of Palermo, Palermo, Italy
| | - Federico Gobbi
- Department of Infectious-Tropical Diseases and Microbiology, IRCCS Sacro Cuore Don Calabria Hospital Negrar, Verona, Italy
| | - Roberta Iatta
- Interdisciplinary Department of Medicine, University of Bari, Bari, Italy
| | - Annalisa Saracino
- Clinic of Infectious Diseases, Department of Precision and Regenerative Medicine and Ionian Area (DiMePRe-J), University of Bari “Aldo Moro”, Bari, Italy
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Hunter RF, Garcia L, Dagless S, Haines A, Penney T, Clifford Astbury C, Whiting S, Wickramasinghe K, Racioppi F, Galea G, Kluge HHP. The emerging syndemic of climate change and non-communicable diseases. Lancet Planet Health 2024; 8:e430-e431. [PMID: 38969470 DOI: 10.1016/s2542-5196(24)00112-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2023] [Accepted: 05/01/2024] [Indexed: 07/07/2024]
Affiliation(s)
- Ruth F Hunter
- WHO Collaborating Centre for Complex Systems and Network Science for NCD Prevention and Control, Centre for Public Health, Queen's University Belfast, Belfast BT12 6BJ, UK.
| | - Leandro Garcia
- WHO Collaborating Centre for Complex Systems and Network Science for NCD Prevention and Control, Centre for Public Health, Queen's University Belfast, Belfast BT12 6BJ, UK
| | - Selina Dagless
- Special Initiative on Noncommunicable Diseases and Innovation
| | - Andy Haines
- Centre on Climate Change and Health, London School of Hygiene and Tropical Medicine, London, UK
| | - Tarra Penney
- Global Food System and Policy Research, School of Global Health, York University, York, UK
| | - Chloe Clifford Astbury
- Global Food System and Policy Research, School of Global Health, York University, York, UK
| | - Stephen Whiting
- Special Initiative on Noncommunicable Diseases and Innovation
| | | | | | - Gauden Galea
- Special Initiative on Noncommunicable Diseases and Innovation
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Fears R, Pongsiri M, McGrath PF. Climate change adaptation for health: using case study systems-based approaches to formulating solutions and guiding policy. Lancet Planet Health 2024; 8:e428-e429. [PMID: 38969469 DOI: 10.1016/s2542-5196(24)00111-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2023] [Accepted: 05/01/2024] [Indexed: 07/07/2024]
Affiliation(s)
- Robin Fears
- InterAcademy Partnership, ICTP Campus, TWAS, Trieste 34151, Italy.
| | - Montira Pongsiri
- Climate Change and Health, Department of Global Health, Save the Children, Washington, DC 20002, USA
| | - Peter F McGrath
- InterAcademy Partnership, ICTP Campus, TWAS, Trieste 34151, Italy
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Lin CC, Ip EC, Chau PPH. Championing Planetary Health: Cancer Nurses Paving the Path to a Vibrant Future. Cancer Nurs 2024; 47:250-251. [PMID: 38748499 DOI: 10.1097/ncc.0000000000001366] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/21/2024]
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Piggott T, Raja M, Michels CTJ, Herrmann A, Scahill KA, Darzi AJ, Jewell L, Saif-Ur-Rahman KM, Napierala H, Heuer R, Morgan RL, Leontiadis GI, Neumann I, Schünemann H, Miller FA. Considering planetary health in health guidelines and health technology assessments: a scoping review protocol. Syst Rev 2024; 13:163. [PMID: 38909251 PMCID: PMC11193899 DOI: 10.1186/s13643-024-02577-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/08/2024] [Accepted: 05/30/2024] [Indexed: 06/24/2024] Open
Abstract
BACKGROUND This protocol outlines a scoping review with the objective of identifying and exploring planetary health considerations within existing health guidelines and health technology assessments (HTA). The insights gained from this review will serve as a basis for shaping future Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) guidance on planetary health. METHODS We will adhere to the JBI methodology for scoping reviews. We will conduct a comprehensive search and screening of results in all languages across various databases including MEDLINE, EMBASE, CINAHL, Global Health, Health Systems Evidence, Greenfile, and Environmental Issues. Additionally, we will supplement this search with resources such as the GIN library, BIGG database, Epistemonikos, GRADE guidelines repository, GRADEpro Guideline Development Tool Database, MAGICapp, NICE website, WHO websites, and a manual exploration of unpublished relevant documents using Google incognito mode. Two independent reviewers will screen and assess the full texts of identified documents according to the eligibility criteria. The following information from each full text will be extracted: document title; first author's name; publication year; language; document type; document as a guideline or HTA; the topic/discipline; document purpose/study objective; developing/sponsoring organization; the country in which the study/guideline/HTA report was conducted; definition of planetary health or related concept provided; types of planetary health experts engaged; study methods; suggested methods to assess planetary health; use of secondary data on planetary health outcomes; description for use of life cycle assessment; description for assessing the quality of life cycle; population/intended audience; interventions; category; applicable planetary health boundaries; consideration of social justice/global equity; phase of intervention in life cycle related to planetary health addressed; the measure of planetary health impact; impact on biodiversity/land use; one health/animal welfare mention; funding; and conflict of interest. Data analysis will involve a combination of descriptive statistics and directed content analysis, with results presented in a narrative format and displayed in tables and graphs. DISCUSSION The final review results will be submitted to open-access peer-reviewed journals for publication when they become available. The research findings will also be disseminated at relevant planetary health conferences and workshops. SYSTEMATIC REVIEW REGISTRATION Open Science Framework ( https://osf.io/3jmsa ).
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Affiliation(s)
- Thomas Piggott
- Department of Health Research Methods, Evidence, and Impact, McMaster University, HSC-2C 1280 Main Street West Hamilton, Hamilton, ON, L8N 3Z5, Canada.
- Department of Family Medicine, Queens University, Kingston, Canada.
| | - Maheen Raja
- Department of Health Research Methods, Evidence, and Impact, McMaster University, HSC-2C 1280 Main Street West Hamilton, Hamilton, ON, L8N 3Z5, Canada
| | - Charlotte T J Michels
- Knowledge Institute of the Dutch Association of Medical Specialists, Mercatorlaan 1200, Postbus 3320, Utrecht, 3502 GH, The Netherlands
| | - Alina Herrmann
- Institute of Global Health, Heidelberg University, Heidelberg University Hospital, Im Neuenheimer Feld 324, 69120, Heidelberg, Germany
- Institute of General Medicine, Cologne University, Cologne University Hospital, Cologne, Germany
| | - Karolina Anna Scahill
- College of Medicine and Veterinary Medicine, University of Edinburgh, 49 Little France Crescent, Edinburgh, EH16 4SB, UK
- Evidensia Södra Djursjukhuset Kungens Kurva, Kungens Kurva, Sweden
| | - Andrea J Darzi
- Department of Health Research Methods, Evidence, and Impact, McMaster University, HSC-2C 1280 Main Street West Hamilton, Hamilton, ON, L8N 3Z5, Canada
- Department of Anesthesia, McMaster University, Hamilton, Canada
| | - Laura Jewell
- Department of Family Medicine, Queens University, Kingston, Canada
| | - K M Saif-Ur-Rahman
- College of Medicine, Nursing and Health Sciences, University of Galway, University Road, Galway, H91TK33, Ireland
- Evidence Synthesis Ireland and Cochrane Ireland, University of Galway, University Road, Galway, H91TK33, Ireland
| | - Hendrik Napierala
- Institute of General Practice and Family Medicine, Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt Universität Zu Berlin, Charitéplatz 1, 10117, Berlin, Germany
| | - Ruben Heuer
- Division of Evidence-Based Medicine (dEBM), Department of Dermatology, Venereology and Allergology, Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin Und Humboldt Universität zu Berlin, Berlin, Germany
| | - Rebecca L Morgan
- Department of Health Research Methods, Evidence, and Impact, McMaster University, HSC-2C 1280 Main Street West Hamilton, Hamilton, ON, L8N 3Z5, Canada
- School of Medicine, Case Western Reserve University, Cleveland, OH, USA
| | | | - Ignacio Neumann
- Department of Health Research Methods, Evidence, and Impact, McMaster University, HSC-2C 1280 Main Street West Hamilton, Hamilton, ON, L8N 3Z5, Canada
- School of Medicine, Universidad San Sebastián, Santiago, Chile
- GRADE Conosur, Universidad San Sebastián, Santiago, Chile
| | - Holger Schünemann
- Department of Health Research Methods, Evidence, and Impact, McMaster University, HSC-2C 1280 Main Street West Hamilton, Hamilton, ON, L8N 3Z5, Canada
- Department of Biomedical Sciences, Humanitas University, Via Rita Levi Montalcini 4, 20090, Pieve Emanuele (Milan), Italy
| | - Fiona A Miller
- Institute of Health Policy, Management & Evaluation, Dalla Lana School of Public Health; Collaborative Centre for Climate, Health & Sustainable Care, University of Toronto, Toronto, ON, Canada
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Rogowski W. Accounting for planetary boundaries in health economic evaluation. Expert Rev Pharmacoecon Outcomes Res 2024:1-11. [PMID: 38904091 DOI: 10.1080/14737167.2024.2364047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2023] [Accepted: 05/31/2024] [Indexed: 06/22/2024]
Abstract
INTRODUCTION Health economic evaluation (HEE) provides guidance for decision-making in the face of scarcity but ignores ecological scarcities as long as they involve external costs only. Following the imperative to account for planetary health, this study explores how this blind spot can be addressed. AREAS COVERED The study is based on a critical review of relevant work, particularly in the fields of HEE and life cycle assessment (LCA). LCA can provide information on a technology's environmental impacts which can be accounted for on both the effect and cost sides of HEE. Cost-benefit analyses can incorporate environmental impacts in case vignettes used for eliciting consumers' willingness to pay. Existing LCA impact models can be used to estimate human health risks associated with environmental impacts and add them to the health benefits in cost-utility analyses. Many jurisdictions offer lists of shadow prices that can be used to incorporate environmental impacts on the cost side of HEE. Also, environmental impacts can be reported in a disaggregated manner. EXPERT OPINION Accounting for planetary boundaries is likely to become a key field of methodological innovation in HEE. Decision relevance is likely to be highest for technologies with similar cost-effectiveness but different ecological impacts.
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Affiliation(s)
- Wolf Rogowski
- Research Unit Health Care Management, Institute of Public Health and Nursing Research, Health Sciences, University of Bremen, Bremen, Germany
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Martins ALJ, Paes-Sousa R. The paradox of growing technical capacities with low global governance: a review of Voluntary National Reviews' SDG health-related indicators. Global Health 2024; 20:50. [PMID: 38907243 PMCID: PMC11193190 DOI: 10.1186/s12992-024-01051-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2023] [Accepted: 05/17/2024] [Indexed: 06/23/2024] Open
Abstract
BACKGROUND This study delves into the States' accountability for health-related Sustainable Development Goal (SDG) indicators from 2016 to 2020. An analysis of Voluntary National Reviews (VNR) is employed as an instrument to scrutinize the alignment of States' indicators with the global indicator framework, shedding light on global health governance within the context of the 2030 Agenda and States' strategic prioritization. A curation of 60 health-related indicators from 195 VNRs, produced during the aforementioned period, is organized into thematic groups. RESULTS Our results highlight a concerning discrepancy in the reporting frequency of various health-related themes. The findings reveal a paradoxical coexistence characterized by the concurrent strengthening and diminution of the global health governance articulated in the Agenda's global health governance. This manifests in the increased utilization and consistency of health-related indicators over the study years, coupled with an emphasis on infectious diseases and child and maternal health indicators. Conversely, a discernible governance decline is evidenced by the inadequate representation of health-related indicators in VNRs, notably within the domains of universal health coverage and health system indicators. Furthermore, High-Income States exhibit diminished accountability. CONCLUSIONS The VNRs unveil a paradox wherein burgeoning technical capacity coexists with governance deficits, a phenomenon attributable to both statistical capabilities and political preferences. The prevalent use of proxy indicators in VNRs oversimplifies the presentation of official indicators, thereby compromising the aspirational goal of pioneering statistical innovations for measuring intricate issues in the SDGs. In light of our conceptualization of the 2030 Agenda's global health as a regime complex governance, we advocate for comprehensive investigations into each health regime cluster. This approach aims to unravel disputes, discern patterns, and elucidate States' preferences concerning specific thematic areas. Functioning as an accountability mechanism for the Agenda's governance, VNRs underscore States' adaptability and short-term learning capabilities, offering valuable insights for identifying harmful goal prioritization. The discretionary nature of indicator selection by States in the VNRs, enabled by the Agenda's proposition of a contextual adaptation of the SDGs and a blind eye to the guideline's request to review all SDG indicators, highlights a critical flaw in the VNR as an accountability mechanism.
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Affiliation(s)
- Ana Luisa Jorge Martins
- Health and Social Protection Policies Research Group, René Rachou Institute, Oswaldo Cruz Foundation (FIOCRUZ), Av. Augusto de Lima, 1715. Belo Horizonte, Belo Horizonte, Minas Gerais, Brazil.
| | - Rômulo Paes-Sousa
- Health and Social Protection Policies Research Group, René Rachou Institute, Oswaldo Cruz Foundation (FIOCRUZ), Av. Augusto de Lima, 1715. Belo Horizonte, Belo Horizonte, Minas Gerais, Brazil
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Agyemang P, Kwofie EM, Baum JI, Wang D. The design and development of a dashboard for improving sustainable healthy food choices. THE SCIENCE OF THE TOTAL ENVIRONMENT 2024; 930:172726. [PMID: 38692329 DOI: 10.1016/j.scitotenv.2024.172726] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/20/2023] [Revised: 04/20/2024] [Accepted: 04/22/2024] [Indexed: 05/03/2024]
Abstract
Over the last decade, several digital tools have been designed to provide consumers with nutritional and environmental impact information about their food choices post-consumption. Many of these tools lack behavioral change modules, have low user engagement, and ignore inherent environmental nutrition trade-offs to stimulate dietary change. This study presents the design and development of a decision support system to enhance consumer health while meeting sustainability goals from a pre-consumption perspective. The proposed decision support system, Dashboard for Improving Sustainable Healthy (DISH) food choices, employs behavioral features, traffic light labels, and nudges to inform end-users about the nutritional health performance and environmental impact of meals. DISH uses a simple metric that allows end-users to explore the potential minutes of healthy and productive life gained or lost from consuming 100 kcal of a meal. The metric combines the positive or negative nutritional health effects (μ-DALYs) of consuming a meal and environmental damage (endpoint impact expressed in DALYs) on human health. In the DISH application, end-users are rewarded or deducted EnCoins, which represent the number of silver or gold coins lost or gained based on the cost ($) of environmental damage (midpoint impacts) of a meal compared to reference sustainable healthy and unsustainable and unhealthy meal. DISH's gamification module enables end-users to track the potential minutes of healthy and productive life gained/lost and gold or silver rewards or deductions from consuming 100 kcal of a selected meal through cumulative minutes gained or lost and EnCoins. In promoting a sustainable diet culture, the gamification module enables users to create groups and communities where friends and families can track their sustainability performance through meal decisions. The DISH application is currently available online and can be accessed by an end-user through any device. Further pilot studies will focus on testing the technology in partner campus cafeterias.
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Affiliation(s)
- Prince Agyemang
- Bioresource Engineering Department, McGill University, Ste-Anne-de-Bellevue H9X 3V9, Quebec, Canada; Department of Biological and Agricultural Engineering, University of Arkansas, 203 Engineering Hall, Fayetteville, AR 72701, USA
| | - Ebenezer M Kwofie
- Bioresource Engineering Department, McGill University, Ste-Anne-de-Bellevue H9X 3V9, Quebec, Canada; Department of Biological and Agricultural Engineering, University of Arkansas, 203 Engineering Hall, Fayetteville, AR 72701, USA.
| | - Jamie I Baum
- Department of Food Science, University of Arkansas, 2650 N. Young Ave., Fayetteville, AR 72704, USA; Center for Human Nutrition, University of Arkansas System Division of Agriculture, Fayetteville, AR 72704, USA
| | - Dongyi Wang
- Department of Biological and Agricultural Engineering, University of Arkansas, 203 Engineering Hall, Fayetteville, AR 72701, USA
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Struthers NA, Guluzade NA, Zecevic AA, Walton DM, Gunz A. Nature-based interventions for physical health conditions: A systematic review and meta-analysis. ENVIRONMENTAL RESEARCH 2024; 258:119421. [PMID: 38876421 DOI: 10.1016/j.envres.2024.119421] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/23/2024] [Revised: 06/11/2024] [Accepted: 06/12/2024] [Indexed: 06/16/2024]
Abstract
Nature-based interventions (NBIs) are activities, strategies, or programs taking place in natural settings, such as exercising in greenspaces, to improve the health and well-being of people by integrating the benefits of nature exposure with healthy behaviours. Current reviews on NBIs do not report the effects on different groups of physical health conditions. The purpose of this systematic review and meta-analysis was to identify and synthesize the evidence of the effect of NBIs on physical health outcomes and biomarkers of physical health conditions. Overall, 20,201 studies were identified through searching MEDLINE, Embase, CINAHL, SPORTDiscus, and CENTRAL databases up to June 7, 2024. Inclusion criteria were: 1) randomized controlled intervention studies; 2) population with a physical health condition; 3) NBIs vs. different intervention or no intervention; and 4) measuring physical health outcomes and/or biomarkers. Twenty-six studies were included in the review, 15 of which contributed to the meta-analysis. Compared to control groups, NBIs groups showed significant improvements in: diastolic blood pressure (MD -3.73 mmHg [-7.46 to -0.00], I2 = 62%) and heart rate (MD -7.44 bpm [-14.81 to -0.06], I2 = 0%) for cardiovascular conditions, fatigue (SMD -0.50 [-0.82 to -0.18], I2 = 16%) for central nervous system conditions, and body fat percentage (MD -3.61% [-5.05 to -2.17], I2 = 0%) for endocrine conditions. High effect heterogeneity was found in several analyses and the included studies had moderate-to-high risk of bias (RoB). The non-significant outcomes showed a direction of effect in favour of NBI groups for cardiovascular, central nervous system, endocrine, musculoskeletal, and respiratory conditions. This review found some beneficial effects in favour of NBIs for health outcomes in at least three condition groups though RoB and inconsistent effects limited some interpretations. NBIs are promising therapies that healthcare professionals can consider integrating into clinical practice.
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Affiliation(s)
- Nicole A Struthers
- Health and Rehabilitation Sciences, Faculty of Health Sciences, Western University, 1151 Richmond St., London, ON, N6A 3K7, Canada.
| | - Nasimi A Guluzade
- School of Kinesiology, Faculty of Health Sciences, Western University, 1151 Richmond St., London, ON, N6A 3K7, Canada
| | - Aleksandra A Zecevic
- Health and Rehabilitation Sciences, Faculty of Health Sciences, Western University, 1151 Richmond St., London, ON, N6A 3K7, Canada; School of Health Studies, Faculty of Health Sciences, Western University, 1151 Richmond St., London, ON, N6A 3K7, Canada
| | - David M Walton
- Health and Rehabilitation Sciences, Faculty of Health Sciences, Western University, 1151 Richmond St., London, ON, N6A 3K7, Canada; School of Physical Therapy, Faculty of Health Sciences, Western University, 1151 Richmond St., London, ON, N6A 3K7, Canada
| | - Anna Gunz
- Children's Health Research Institute, 750 Base Line Road East, London, ON, N6C 2R5, Canada; Schulich School of Medicine and Dentistry, Western University, 1151 Richmond St., London, ON, N6A 3K7, Canada
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Patrick R, Bruges N, Gunasiri H, Wang Y, Henderson-Wilson C. Healthy Me, Healthy Planet: Evaluation of a pilot planetary health library program. Health Promot J Austr 2024. [PMID: 38853466 DOI: 10.1002/hpja.882] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2023] [Revised: 05/14/2024] [Accepted: 05/17/2024] [Indexed: 06/11/2024] Open
Abstract
ISSUE ADDRESSED The Healthy Me, Healthy Planet program was an evidence-informed pilot program conducted by a local libraries to promote the health co-benefits of action on climate change. BACKGROUND An impact evaluation of the Healthy Me, Healthy Planet program was conducted using a mixed methods research design including pre-, during, and post-program surveys and online focus groups. METHODS The evaluation included 136 participants aged 18+ years who were able to understand and communicate in English or simplified Chinese language. Descriptive analyses of the survey data were integrated with thematic analyses of focus group (N = 2) data to generate key themes. RESULTS Key impacts included individual and organisational capacity building, personal and social well-being, and pro-environmental knowledge, attitudes, and behaviour. Impacts on program participants included increased confidence, motivation, positive feelings, and personal well-being after taking part in the Healthy Me, Healthy Planet program. Participants reported enhanced social connections, mental well-being, and environmental benefits such as engaging within the community on environmental issues and feeling inspired to make sustainable lifestyle changes. CONCLUSION Libraries play a key role in promoting the health of people and planet in the community because they are a trusted, safe, and supportive community setting, a curator of credible and reliable evidence-based information on health and planetary topics and a local and free provider for skills and literacy development. SO WHAT The evaluation of the pilot suggests that participants improved their capacity to practice sustainable living and it is recommended that this program be expanded to other library settings to enhance community connection and support local planetary health initiatives.
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Affiliation(s)
- Rebecca Patrick
- School of Health and Social Development, Deakin University, Melbourne, Victoria, Australia
- Melbourne School of Population and Global Health, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Parkville, Victoria, Australia
| | - Nicole Bruges
- School of Health and Social Development, Deakin University, Melbourne, Victoria, Australia
| | - Hasini Gunasiri
- School of Health and Social Development, Deakin University, Melbourne, Victoria, Australia
| | - Yifan Wang
- School of Health and Social Development, Deakin University, Melbourne, Victoria, Australia
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Krippl N, Mezger NCS, Danquah I, Nieder J, Griesel S, Schildmann J, Mikolajczyk R, Kantelhardt EJ, Herrmann A. Climate-sensitive health counselling in Germany: a cross-sectional study about previous participation and preferences in the general public. BMC Public Health 2024; 24:1519. [PMID: 38844875 PMCID: PMC11155184 DOI: 10.1186/s12889-024-18998-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2024] [Accepted: 05/29/2024] [Indexed: 06/10/2024] Open
Abstract
BACKGROUND In response to climate change (CC), medicine needs to consider new aspects in health counselling of patients. Such climate-sensitive health counselling (CSHC) may include counselling patients on preventing and coping with climate-sensitive diseases or on leading healthy and climate-friendly lifestyles. This study aimed to identify previous participation in and preferences for CSHC as well as associated sociodemographic and attitudinal factors among the general public in Germany. METHODS We conducted a cross-sectional study in a population-based online panel in five German federal states (04-06/2022). We performed descriptive statistics and multivariable regression analysis to assess prior participation in CSHC and content preferences regarding CSHC, as well as associations between sociodemographic variables and general preference for CSHC. RESULTS Among 1491 participants (response rate 47.1%), 8.7% explicitly reported having participated in CSHC, while 39.9% had discussed at least one CSHC-related topic with physicians. In the studied sample, 46.7% of participants would like CSHC to be part of the consultation with their physician, while 33.9% rejected this idea. Participants aged 21 to 40 years (versus 51 to 60), individuals alarmed about CC (versus concerned/cautious/disengaged/doubtful/dismissive), and those politically oriented to the left (vs. centre or right) showed greater preference for CSHC in the multivariable regression model. Most participants wanted to talk about links to their personal health (65.1%) as opposed to links to the health of all people (33.2%). CONCLUSIONS Almost half of the participants in this sample would like to receive CSHC, especially those who are younger, more alarmed about CC and more politically oriented to the left. More research and training on patient-centred implementation of CSHC is needed.
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Affiliation(s)
- Nicola Krippl
- Heidelberg Institute of Global Health, Medical Faculty and University Hospital, Heidelberg University, Im Neuenheimer Feld 130.3, 69120, Heidelberg, Germany.
| | - Nikolaus C S Mezger
- Global and Planetary Health Working Group, Interdisciplinary Center for Health Sciences, Medical Faculty, Martin Luther University Halle-Wittenberg, Magdeburger Straße 8, 06097, Halle (Saale), Germany
| | - Ina Danquah
- Heidelberg Institute of Global Health, Medical Faculty and University Hospital, Heidelberg University, Im Neuenheimer Feld 130.3, 69120, Heidelberg, Germany
- Hertz-Chair Innovation for Planetary Health, Center for Development Research (ZEF), Rhenish Friedrich Wilhelm University of Bonn, Genscherallee 3, 53113, Bonn, Germany
| | - Jessica Nieder
- Heidelberg Institute of Global Health, Medical Faculty and University Hospital, Heidelberg University, Im Neuenheimer Feld 130.3, 69120, Heidelberg, Germany
| | - Silvan Griesel
- Heidelberg Institute of Global Health, Medical Faculty and University Hospital, Heidelberg University, Im Neuenheimer Feld 130.3, 69120, Heidelberg, Germany
| | - Jan Schildmann
- Institute for History and Ethics in Medicine, Interdisciplinary Center for Health Sciences, Medical Faculty, Martin Luther University Halle-Wittenberg, Magdeburger Straße 20, 06112, Halle (Saale), Germany
| | - Rafael Mikolajczyk
- Institute for Medical Epidemiology, Biometrics and Informatics, Interdisciplinary Center for Health Sciences, Medical Faculty of the Martin, Luther University Halle-Wittenberg, Magdeburger Straße 8, 06097, Halle (Saale), Germany
| | - Eva J Kantelhardt
- Global and Planetary Health Working Group, Interdisciplinary Center for Health Sciences, Medical Faculty, Martin Luther University Halle-Wittenberg, Magdeburger Straße 8, 06097, Halle (Saale), Germany
| | - Alina Herrmann
- Heidelberg Institute of Global Health, Medical Faculty and University Hospital, Heidelberg University, Im Neuenheimer Feld 130.3, 69120, Heidelberg, Germany
- Institute of General Medicine, University Hospital Cologne, Medical Faculty Cologne University, Kerpener Straße 62, 50937, Cologne, Germany
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16
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de Bell S, Alejandre JC, Menzel C, Sousa-Silva R, Straka TM, Berzborn S, Bürck-Gemassmer M, Dallimer M, Dayson C, Fisher JC, Haywood A, Herrmann A, Immich G, Keßler CS, Köhler K, Lynch M, Marx V, Michalsen A, Mudu P, Napierala H, Nawrath M, Pfleger S, Quitmann C, Reeves JP, Rozario K, Straff W, Walter K, Wendelboe-Nelson C, Marselle MR, Oh RRY, Bonn A. Nature-based social prescribing programmes: opportunities, challenges, and facilitators for implementation. ENVIRONMENT INTERNATIONAL 2024; 190:108801. [PMID: 38909402 DOI: 10.1016/j.envint.2024.108801] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/01/2024] [Revised: 04/26/2024] [Accepted: 06/03/2024] [Indexed: 06/25/2024]
Abstract
BACKGROUND Evidence on the health benefits of spending time in nature has highlighted the importance of provision of blue and green spaces where people live. The potential for health benefits offered by nature exposure, however, extends beyond health promotion to health treatment. Social prescribing links people with health or social care needs to community-based, non-clinical health and social care interventions to improve health and wellbeing. Nature-based social prescribing (NBSP) is a variant that uses the health-promoting benefits of activities carried out in natural environments, such as gardening and walking. Much current NBSP practice has been developed in the UK, and there is increasing global interest in its implementation. This requires interventions to be adapted for different contexts, considering the needs of populations and the structure of healthcare systems. METHODS This paper presents results from an expert group participatory workshop involving 29 practitioners, researchers, and policymakers from the UK and Germany's health and environmental sectors. Using the UK and Germany, two countries with different healthcare systems and in different developmental stages of NBSP practice, as case studies, we analysed opportunities, challenges, and facilitators for the development and implementation of NBSP. RESULTS We identified five overarching themes for developing, implementing, and evaluating NBSP: Capacity Building; Accessibility and Acceptability; Networks and Collaborations; Standardised Implementation and Evaluation; and Sustainability. We also discuss key strengths, weaknesses, opportunities, and threats for each overarching theme to understand how they could be developed to support NBSP implementation. CONCLUSIONS NBSP could offer significant public health benefits using available blue and green spaces. We offer guidance on how NBSP implementation, from wider policy support to the design and evaluation of individual programmes, could be adapted to different contexts. This research could help inform the development and evaluation of NBSP programmes to support planetary health from local and global scales.
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Affiliation(s)
- Siân de Bell
- Exeter HSDR Evidence Synthesis Centre, University of Exeter, 79 Heavitree Rd, Exeter EX2 4TH, United Kingdom.
| | | | - Claudia Menzel
- Rheinland-Pfälzische Technische Universität Kaiserslautern-Landau, Landau, Germany
| | - Rita Sousa-Silva
- Young Academy for Sustainability Research, Freiburg Institute for Advanced Studies, University of Freiburg, Albertstraße 19, 79104 Freiburg im Breisgau, Germany; Institute of Environmental Sciences, Department of Environmental Biology, Leiden University, P.O. Box 9518, 2300 RA Leiden, the Netherlands
| | - Tanja M Straka
- Institute of Ecology, Technische Universität Berlin, 12165 Berlin, Germany
| | - Susanne Berzborn
- Black Forest National Park, Schwarzwaldhochstraße 2, 77889 Seebach, Germany
| | - Max Bürck-Gemassmer
- KLUG (German Alliance for Climate Change and Health), Hainbuchenstr. 10a, 13465, Berlin, Germany
| | | | - Chris Dayson
- Centre for Regional Economic and Social Research, Sheffield Hallam University, Sheffield S1 2LX, United Kingdom
| | - Jessica C Fisher
- Durrell Institute of Conservation and Ecology, University of Kent, Canterbury CT2 7NR, United Kingdom
| | - Annette Haywood
- Sheffield Centre for Health and Related Research (SCHARR), School of Medicine and Population Health, University of Sheffield, Sheffield S1 4DA, United Kingdom
| | - Alina Herrmann
- Heidelberg Institute of Global Health (HIGH), Faculty of Medicine and University Hospital, Heidelberg University, Heidelberg, Germany; Institute for General Practice, University Hospital Cologne, Medical Faculty University of Cologne, Cologne, Germany
| | - Gisela Immich
- Chair of Public Health and Health Services Research, Faculty of Medicine, LMU Munich, Germany; Pettenkofer School of Public Health, Munich, Germany
| | - Christian S Keßler
- Institute of Social Medicine, Epidemiology and Health Economy, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, 10117 Berlin, Germany; Department of Internal Medicine and Nature-based Therapies, Immanuel Hospital Berlin, Berlin, Germany
| | | | - Mary Lynch
- Faculty of Nursing & Midwifery, Royal College of Surgeons in Ireland, Dublin, Ireland
| | - Viola Marx
- Dundee City Council, Dundee, United Kingdom
| | - Andreas Michalsen
- Institute of Social Medicine, Epidemiology and Health Economy, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, 10117 Berlin, Germany; Department of Internal Medicine and Nature-based Therapies, Immanuel Hospital Berlin, Berlin, Germany
| | - Pierpaolo Mudu
- WHO Regional Office for Europe, European Centre for Environment and Health, Bonn, Germany
| | - Hendrik Napierala
- Institute of General Practice and Family Medicine, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt Universität zu Berlin, Charitéplatz 1, 10117 Berlin, Germany
| | - Maximilian Nawrath
- Norwegian Institute for Water Research, Økernveien 94, 0579 Oslo, Norway
| | | | - Claudia Quitmann
- Heidelberg Institute of Global Health (HIGH), Faculty of Medicine and University Hospital, Heidelberg University, Heidelberg, Germany
| | | | - Kevin Rozario
- Friedrich Schiller University Jena, Institute of Biodiversity, Dornburger Straße 159, 07743 Jena, Germany; Helmholtz Centre for Environmental Research - UFZ, Department of Ecosystem Services, Permoserstr. 15, 04318 Leipzig, Germany; German Centre for Integrative Biodiversity Research (iDiv) Halle-Jena-Leipzig, Puschstraße 4, 04103 Leipzig, Germany; Leipzig University, Wilhelm Wundt Institute for Psychology, Neumarkt 9, 04109 Leipzig, Germany
| | - Wolfgang Straff
- Umweltbundesamt (German Environment Agency), Wörlitzer Pl. 1, 0684 Dessau-Roßlau, Germany
| | - Katie Walter
- Ullapool Medical Practice, NHS Highland, Ullapool, United Kingdom
| | | | - Melissa R Marselle
- Environmental Psychology Research Group, School of Psychology, University of Surrey, Guildford, United Kingdom
| | - Rachel Rui Ying Oh
- Helmholtz Centre for Environmental Research - UFZ, Department of Ecosystem Services, Permoserstr. 15, 04318 Leipzig, Germany; German Centre for Integrative Biodiversity Research (iDiv) Halle-Jena-Leipzig, Puschstraße 4, 04103 Leipzig, Germany
| | - Aletta Bonn
- Friedrich Schiller University Jena, Institute of Biodiversity, Dornburger Straße 159, 07743 Jena, Germany; Helmholtz Centre for Environmental Research - UFZ, Department of Ecosystem Services, Permoserstr. 15, 04318 Leipzig, Germany; German Centre for Integrative Biodiversity Research (iDiv) Halle-Jena-Leipzig, Puschstraße 4, 04103 Leipzig, Germany
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Sterckx A, Delbaere B, De Blust G, Spacova I, Samson R, Van den Broeck K, Remmen R, Keune H. Fine-tuning the practical relevance of a quality framework for integrated nature-based interventions in healthcare facilities. A qualitative interview study. Front Public Health 2024; 12:1379230. [PMID: 38898895 PMCID: PMC11186510 DOI: 10.3389/fpubh.2024.1379230] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2024] [Accepted: 05/16/2024] [Indexed: 06/21/2024] Open
Abstract
Introduction Integrated nature-based interventions in healthcare facilities are gaining importance as promising health and biodiversity promotion strategies. This type of interventions combines the restoration of biodiversity in the vicinity of the healthcare facility with guiding patients in that natural environment for health outcomes. However, quality appraisal of these interventions is still poorly developed. Based on a recent scoping review, the authors developed a preliminary quality framework in support of healthcare facilities designing, implementing and evaluating integrated nature-based interventions. This present study aims to fine-tune the practical relevance of the quality framework within the emerging practice. Methods A qualitative interview study was conducted in seven healthcare facilities in Belgium. Using a combination of snowball and purposive sampling, 22 professionals, involved in the integrated nature-based intervention in their facility, participated in the study. The semi-structured interviews were transcribed and imported into NVivo. A deductive and inductive thematic analysis was used to explore the practical relevance of the quality framework. A stakeholders' assembly review and a member checking of the findings were also part of the study. Findings Twenty-two interviews with nature management coordinators, healthcare professionals, and healthcare managers were conducted by three principal investigators in seven healthcare facilities implementing integrated nature-based interventions. The contextualization and complexity of integrated nature-based interventions in the participating healthcare facilities demonstrated the need for an evidence-based quality framework describing nature-based interventions. The study led to nine quality criteria, confirming the eight quality criteria derived from a previous scoping review, and the identification of a new quality criterion 'Capacity building, leverage and continuity'. These quality criteria have been refined. Finally, a proposal for a quality framework was developed and operationalized in a checklist. Deployment of the quality framework should be embedded in a continuous cyclical, adaptive process of monitoring and adjusting based on evaluations at each phase of an integrated nature-based intervention. Discussion Bridging the domains of healthcare and nature management in the context of an integrated nature-based intervention in a healthcare facility requires a transdisciplinary approach. Scientific frameworks such as "complex interventions," Planetary Health and One Health can support the co-design, implementation and evaluation of integrated nature-based interventions within a cyclical, adaptive process. In addition, the importance of the quality of the interactions with nature could gain from more sophisticated attention. Finally, the implications for healthcare facilities, policymakers and education are discussed, as well as the strengths and limitations of the study.
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Affiliation(s)
- Ann Sterckx
- Chair Care and the Natural Living Environment, Department of Primary and Interdisciplinary Care, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
| | - Ben Delbaere
- Chair Care and the Natural Living Environment, Department of Primary and Interdisciplinary Care, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
| | - Geert De Blust
- Chair Care and the Natural Living Environment, Department of Primary and Interdisciplinary Care, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
- Department of Bioscience Engineering, University of Antwerp, Antwerp, Belgium
| | - Irina Spacova
- Department of Bioscience Engineering, University of Antwerp, Antwerp, Belgium
| | - Roeland Samson
- Department of Bioscience Engineering, University of Antwerp, Antwerp, Belgium
| | - Kris Van den Broeck
- Chair Public Mental Health, Department of Primary and Interdisciplinary Care, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
| | - Roy Remmen
- Department of Primary and Interdisciplinary Care, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
| | - Hans Keune
- Chair Care and the Natural Living Environment, Department of Primary and Interdisciplinary Care, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
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Schoen JH, Scheel JR. Planetary Health: Should We Care? J Am Coll Radiol 2024; 21:969-972. [PMID: 37473856 DOI: 10.1016/j.jacr.2023.07.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2023] [Revised: 07/01/2023] [Accepted: 07/08/2023] [Indexed: 07/22/2023]
Abstract
The delivery of radiologic services and other health care produces a large amount of environmental pollution, which increases human morbidity and mortality. Planetary health looks for sustainable strategies to deliver high-quality health care and reduce environmental impact. Radiologists should consider the sustainability and resilience of their practice in the face of limited natural resources and increasing extreme weather events. Additionally, there is a strong business case for including planetary health in radiology given the financial benefits of sustainability efforts. The extent of radiology's environmental impact and the central role radiologists play in patient care should encourage radiologists to lead these efforts in health care.
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Affiliation(s)
- Julia H Schoen
- Department of Radiology, Wake Forest School of Medicine, Winston-Salem, North Carolina; and Co-Chair, ACR Task Force on Sustainability and Climate.
| | - John R Scheel
- Department of Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, Tennessee; Chair, Association of University Radiologists Task Force on Sustainability; and Vice Chair of Global and Planetary Health. https://twitter.com/JohnRScheel
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19
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Chevance G, Minor K, Vielma C, Campi E, O'Callaghan-Gordo C, Basagaña X, Ballester J, Bernard P. A systematic review of ambient heat and sleep in a warming climate. Sleep Med Rev 2024; 75:101915. [PMID: 38598988 DOI: 10.1016/j.smrv.2024.101915] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2023] [Revised: 01/31/2024] [Accepted: 02/20/2024] [Indexed: 04/12/2024]
Abstract
Climate change is elevating nighttime and daytime temperatures worldwide, affecting a broad continuum of behavioral and health outcomes. Disturbed sleep is a plausible pathway linking rising ambient temperatures with several observed adverse human responses shown to increase during hot weather. This systematic review aims to provide a comprehensive overview of the literature investigating the relationship between ambient temperature and valid sleep outcomes measured in real-world settings, globally. We show that higher outdoor or indoor temperatures are generally associated with degraded sleep quality and quantity worldwide. The negative effect of heat persists across sleep measures, and is stronger during the hottest months and days, in vulnerable populations, and the warmest regions. Although we identify opportunities to strengthen the state of the science, limited evidence of fast sleep adaptation to heat suggests rising temperatures induced by climate change and urbanization pose a planetary threat to human sleep, and therefore health, performance, and wellbeing.
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Affiliation(s)
| | - Kelton Minor
- Data Science Institute, Columbia University, New York, United States.
| | | | | | - Cristina O'Callaghan-Gordo
- ISGlobal, Barcelona, Spain; Universitat Pompeu Fabra (UPF), Barcelona, Spain; CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain; Faculty of Health Sciences, Universitat Oberta de Catalunya, Barcelona, Spain; Municipal Institute of Medical Research (IMIM-Hospital del Mar), Barcelona, Spain
| | - Xavier Basagaña
- ISGlobal, Barcelona, Spain; Universitat Pompeu Fabra (UPF), Barcelona, Spain; CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain
| | | | - Paquito Bernard
- Department of Physical Activity Sciences, Université du Québec à Montréal, Montréal, Québec, Canada; Research Center, University Institute of Mental Health at Montreal, Montréal, Québec, Canada
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Mitchell A, Maheen H, Bowen K. Mental health impacts from repeated climate disasters: an australian longitudinal analysis. THE LANCET REGIONAL HEALTH. WESTERN PACIFIC 2024; 47:101087. [PMID: 38831889 PMCID: PMC11145535 DOI: 10.1016/j.lanwpc.2024.101087] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/20/2023] [Revised: 04/15/2024] [Accepted: 04/23/2024] [Indexed: 06/05/2024]
Abstract
Background Extreme weather events are becoming more frequent and intense under changing climatic conditions. Whilst there is substantial evidence that exposure to a single weather related disaster is detrimental for mental health, few studies have explored how exposure to multiple disasters impacts mental health. Methods We utilised 11 waves of data from the Household, Income and Labour Dynamics in Australia (HILDA) Survey, yielding a sample of 16,629 observations from 2003 individuals. Fixed effects linear regression analysis was used to estimate the impact of experiencing multiple disasters on mental health. We tested for effect modification on this association by sex, rurality, employment and presence of a long-term health condition. Findings Exposure to multiple disasters was associated with a relative decrease in MHI-5 score compared to baseline by -1.8 points (95% CI -3.4, -0.3), whereas exposure to a single disaster was not associated with a decline in mental health scores. There was evidence of effect modification by employment status. Unemployed individuals had evidence of moderate reduction in MHI-5 scores when exposed to a single disaster (-4.3, 95% CI -7.0, -1.5). Interpretation Findings suggest that repeat exposure to disasters is associated with worsening mental health outcomes. As extreme weather events increase, these findings highlight the need for greater attention on climate change action, and mental health interventions targeting impacted populations. Funding Suicide Prevention Australia.
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Affiliation(s)
- Anna Mitchell
- Melbourne School of Population and Global Health, The University of Melbourne, 207 Bouverie St, Carlton, VIC, Australia
| | - Humaira Maheen
- Melbourne School of Population and Global Health, The University of Melbourne, 207 Bouverie St, Carlton, VIC, Australia
| | - Kathryn Bowen
- Melbourne School of Population and Global Health, The University of Melbourne, 207 Bouverie St, Carlton, VIC, Australia
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21
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Gallois S, Ambassa A, Ramírez Rozzi F. Indigenous peoples' health: Culturally grounded evidence from the Baka, Southeastern Cameroon. Soc Sci Med 2024; 350:116936. [PMID: 38728976 DOI: 10.1016/j.socscimed.2024.116936] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2023] [Revised: 04/20/2024] [Accepted: 04/30/2024] [Indexed: 05/12/2024]
Abstract
Indigenous Peoples are exposed to the impacts of the climatic, ecological and socioeconomic changes, yet there is a need for a better understanding of their health and higher involvement of Indigenous Peoples in health promotion design and implementation. Our study brings empirical data on the healthcare system of the Baka, forager-horticulturalists from Cameroon. Using a mixed methods approach, we explored the health issues they encounter, the emic determinants of health and healthcare system, and the different threats towards their healthcare system. We conducted focus group discussions, interviews with experts, and self-reported health recalls with 302 individuals living in two settlements from southeastern Cameroon during two fieldwork periods between June and November 2022. Our insights highlight the prevalence of respiratory and children's digestive issues, and the occurrence of illnesses implying a combination of symptoms that would deserve further Western biomedical attention. The Baka's healthcare relies on medicinal plants, knowledge experts, and on the social cohesion of the community, all largely affected by the local social-ecological impacts of global change. Exposure to the market and health facilities does not seem to relate to Baka's health state and practices but might affect their perception of health. Deforestation, poor water quality, and alcohol (ab)use were reported and observed threats to the Baka's health and healthcare system. Our work supplies empirical evidence for a better understanding of Baka's health and healthcare system, helpful in designing health prevention and policies adapted to their reality and culture. Further research and interventions on health should consider the current threats to Baka's local ecosystems and cultural knowledge. These insights contribute to a higher recognition of the Baka's, and most broadly, the Indigenous Peoples' emic perspective on health, and on culturally grounded indicators of the resilience of their healthcare system to current and future challenges.
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Affiliation(s)
- Sandrine Gallois
- Institut de Ciència i Tecnologia Ambientals (ICTA), Universitat Autònoma de Barcelona, Cerdanyola del Vallès, Spain.
| | | | - Fernando Ramírez Rozzi
- Eco-anthropologie (EA), Muséum National d'Histoire Naturelle, CNRS, Université de Paris Cité, Musée de l'Homme, Paris, France; UR 2496, Faculté de Chirurgie Dentaire, Université de Paris Cité, Montrouge, France
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22
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Eustachio JHPP, Filho WL, Baars C, Barbosa-Silva J, Lourenção M, Barbir J, Röseler J, Büddig S, de Lima PQ, Bandos MC. Fostering the discussion of planetary health in occupational therapy and physiotherapy. Aust Occup Ther J 2024; 71:423-442. [PMID: 38720015 DOI: 10.1111/1440-1630.12959] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2023] [Revised: 04/09/2024] [Accepted: 04/14/2024] [Indexed: 06/07/2024]
Abstract
INTRODUCTION Occupational therapists and physiotherapists aim to promote health, prevent various diseases and help people in their rehabilitation processes. So far, there is a paucity of understanding of the big picture of how the new paradigm of planetary health (PH) is connected to the education and practice of these professionals. METHODS This research aimed to address this gap by investigating and deploying a bibliometric analysis to elucidate the pivotal role of occupational therapists and physiotherapists in addressing PH challenges. The ultimate goal is to construct a comprehensive framework crosschecking the bibliometric analysis and the collection of 10 case studies selected by experts to outline how best practices in occupational therapy and physiotherapy, related to the three pillars of sustainability and the UN's Sustainable Development Goals (SDGs), can contribute to increasing PH. RESULTS The bibliometric analysis revealed four major research strands: 1) enhancing patient care and quality of life; 2) integrating sustainability in health care and rehabilitation; 3) professional development and clinical competence; and 4) evidence-based practice and quality improvement. Moreover, further temporal analysis revealed how the topic evolved, from advancing evidence-based practice and clinical effectiveness, exploring the strengthening of health care and person-centred practices, to connecting the topic to aspects also predicted by the SDGs, such as integrating environmental and climate concerns in therapy and addressing psychological and self-care impacts on health. The case studies confirmed this trend, and a framework of PH in occupational therapy and physiotherapy through the lens of the SDGs was developed to support future research and practitioners in advancing this research field. CONCLUSIONS Occupational therapists and physiotherapists are essential players in public health and can integrate sustainability at every level of practice, from using resources during therapy sessions to advocating for more sustainable lifestyles.
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Affiliation(s)
- João Henrique Paulino Pires Eustachio
- Faculty of Life Sciences, Research and Transfer Centre Sustainability & Climate Change Management (FTZ-NK), Hamburg University of Applied Sciences, Hamburg, Germany
| | - Walter Leal Filho
- European School of Sustainability Science and Research (ESSSR), Hamburg University of Applied Sciences, Germany
- Department of Natural Sciences, Manchester Metropolitan University, Manchester, UK
| | - Caterina Baars
- Faculty of Life Sciences, Research and Transfer Centre Sustainability & Climate Change Management (FTZ-NK), Hamburg University of Applied Sciences, Hamburg, Germany
| | - Jordana Barbosa-Silva
- Women's Health Research Laboratory, Physical Therapy Department, Federal University of São Carlos (UFSCar), Sao Carlos, Brazil
| | - Marina Lourenção
- School of Economics, Business Administration and Accounting at Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP, Brazil
| | - Jelena Barbir
- Faculty of Life Sciences, Research and Transfer Centre Sustainability & Climate Change Management (FTZ-NK), Hamburg University of Applied Sciences, Hamburg, Germany
| | - Jasmin Röseler
- Faculty of Life Sciences, Research and Transfer Centre Sustainability & Climate Change Management (FTZ-NK), Hamburg University of Applied Sciences, Hamburg, Germany
| | - Swantje Büddig
- Faculty of Life Sciences, Research and Transfer Centre Sustainability & Climate Change Management (FTZ-NK), Hamburg University of Applied Sciences, Hamburg, Germany
| | - Priscilla Queiroz de Lima
- School of Physiotherapy, Faculty of Medicine of Ribeirão Preto, University of São Paulo (USP), Ribeirão Preto, SP, Brazil
| | - Melissa Cavalcanti Bandos
- Uni-FACEF, Post-Graduation Program in Regional Development, Municipal University Center, Franca, SP, Brazil
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Mago A, Dhali A, Kumar H, Maity R, Kumar B. Planetary health and its relevance in the modern era: A topical review. SAGE Open Med 2024; 12:20503121241254231. [PMID: 38774741 PMCID: PMC11107315 DOI: 10.1177/20503121241254231] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2023] [Accepted: 04/25/2024] [Indexed: 05/24/2024] Open
Abstract
Planetary health is a relatively new concept that has gained traction in recent years due to the urgent need to address the health of our planet and its inhabitants. It refers to the interdependent health of both humans and the environment, recognizing that the two are inseparable and that the health of one is intricately linked to the health of the other. This article aims to advocate changes in how health care for both the environment and humans is envisaged, and aligned with sustainable development goals using ethically sound, solution-oriented, and practical approaches to education. Rapid industrialization, urbanization, and population growth led to environmental degradation and climate change in this era. These factors have profound implications for human health, with the World Health Organization estimating that 23% of global deaths are linked to environmental factors. Climate change and extreme weather events are exacerbating existing health problems. Air pollution, water pollution, and toxic chemicals are additional environmental factors that add to it and lead to health issues, including non-communicable diseases and death. A collaborative and interdisciplinary approach is needed to address planetary health challenges, including working across sectors and investing in research to understand better the complex interactions between human health and the environment. By promoting sustainable development and protecting the planet's health and inhabitants, we can ensure a healthy future for generations.
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Affiliation(s)
- Arpit Mago
- Jawaharlal Nehru Medical College, Belgaum, KA, India
| | - Arkadeep Dhali
- University of Sheffield, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK
| | | | - Rick Maity
- Institute of Postgraduate Medical Education and Research, Kolkata, India
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Fotakis EA, Kontele I, Tzoutzou M, Grammatikopoulou MG, Arvanitaki E, Sergentanis TN, Kotrokois K, Kornarou E, Vassilakou T. Food Insecurity in Greece and across the Globe: A Narrative Literature Review. Foods 2024; 13:1579. [PMID: 38790879 PMCID: PMC11121129 DOI: 10.3390/foods13101579] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2024] [Revised: 04/30/2024] [Accepted: 05/14/2024] [Indexed: 05/26/2024] Open
Abstract
Food insecurity comprises a major global public health threat, as its effects are detrimental to the mental, physical, and social aspects of the health and well-being of those experiencing it. We performed a narrative literature review on the magnitude of global food insecurity with a special emphasis on Greece and analyzed the major factors driving food insecurity, taking into consideration also the effect of the COVID-19 pandemic. An electronic search of international literature was conducted in three databases. More than 900 million people worldwide experience severe food insecurity, with future projections showing increasing trends. Within Europe, Eastern and Southern European countries display the highest food insecurity prevalence rates, with Greece reporting a prevalence of moderate or severe food insecurity ranging between 6.6% and 8% for the period 2019-2022. Climate change, war, armed conflicts and economic crises are major underlying drivers of food insecurity. Amidst these drivers, the COVID-19 pandemic had a profound impact on food insecurity levels around the globe, through halting economic growth, disrupting food supply chains and increasing unemployment and poverty. Tackling food insecurity through addressing its key drivers is essential to any progress towards succeeding the Sustainable Development Goal of "Zero Hunger".
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Affiliation(s)
- Emmanouil Alexandros Fotakis
- Department of Public Health Policy, School of Public Health, University of West Attica, 196 Alexandras Avenue, 11521 Athens, Greece; (E.A.F.); (I.K.); (E.A.); (T.N.S.); (K.K.); (E.K.)
| | - Ioanna Kontele
- Department of Public Health Policy, School of Public Health, University of West Attica, 196 Alexandras Avenue, 11521 Athens, Greece; (E.A.F.); (I.K.); (E.A.); (T.N.S.); (K.K.); (E.K.)
| | - Milia Tzoutzou
- Department of Nutrition and Dietetics, Hellenic Mediterranean University, 72300 Sitia, Greece;
| | - Maria G. Grammatikopoulou
- Department of Rheumatology and Clinical Immunology, Faculty of Medicine, School of Health Sciences, University of Thessaly, Biopolis, 41110 Larissa, Greece
| | - Eirini Arvanitaki
- Department of Public Health Policy, School of Public Health, University of West Attica, 196 Alexandras Avenue, 11521 Athens, Greece; (E.A.F.); (I.K.); (E.A.); (T.N.S.); (K.K.); (E.K.)
- Open Elderly Care Center, Municipality of Keratsini-Drapetsona, 18756 Athens, Greece
| | - Theodoros N. Sergentanis
- Department of Public Health Policy, School of Public Health, University of West Attica, 196 Alexandras Avenue, 11521 Athens, Greece; (E.A.F.); (I.K.); (E.A.); (T.N.S.); (K.K.); (E.K.)
| | - Konstantinos Kotrokois
- Department of Public Health Policy, School of Public Health, University of West Attica, 196 Alexandras Avenue, 11521 Athens, Greece; (E.A.F.); (I.K.); (E.A.); (T.N.S.); (K.K.); (E.K.)
| | - Eleni Kornarou
- Department of Public Health Policy, School of Public Health, University of West Attica, 196 Alexandras Avenue, 11521 Athens, Greece; (E.A.F.); (I.K.); (E.A.); (T.N.S.); (K.K.); (E.K.)
| | - Tonia Vassilakou
- Department of Public Health Policy, School of Public Health, University of West Attica, 196 Alexandras Avenue, 11521 Athens, Greece; (E.A.F.); (I.K.); (E.A.); (T.N.S.); (K.K.); (E.K.)
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Tourrette C, Tostain JB, Kozub E, Badreddine M, James J, Noraz A, De Choudens C, Moulis L, Duflos C, Carbonnel F. An e-Learning Course to Train General Practitioners in Planetary Health: Pilot Intervention Study. JMIR Form Res 2024; 8:e56138. [PMID: 38743463 PMCID: PMC11134242 DOI: 10.2196/56138] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2024] [Revised: 02/24/2024] [Accepted: 03/16/2024] [Indexed: 05/16/2024] Open
Abstract
BACKGROUND According to the World Health Organization, climate and ecological emergencies are already major threats to human health. Unabated climate change will cause 3.4 million deaths per year by the end of the century, and health-related deaths in the population aged ≥65 years will increase by 1540%. Planetary health (PH) is based on the understanding that human health and human civilization depend on flourishing natural systems and the wise stewardship of those natural systems. Health care systems collectively produce global emissions equivalent to those of the fifth largest country on earth, and they should take steps to reduce their environmental impact. Primary care in France accounts for 23% of greenhouse gas emissions in the health care sector. General practitioners (GPs) have an important role in PH. The course offers first-year GP residents of the Montpellier-Nîmes Faculty of Medicine a blended-learning course on environmental health. An e-learning module on PH, lasting 30 to 45 minutes, has been introduced in this course. OBJECTIVE The objective of this study was to assess the impact of the e-learning module on participants' knowledge and behavior change. METHODS This was a before-and-after study. The module consisted of 3 parts: introduction, degradation of ecosystems and health (based on the Intergovernmental Panel on Climate Change report and planetary limits), and ecoresponsibility (based on the Shift Project report on the impact of the health care system on the environment). The questionnaire used Likert scales to self-assess 10 points of knowledge and 5 points of PH-related behavior. RESULTS A total of 95 participants completed the pre- and posttest questionnaires (response rate 55%). The mean scores for participants' pretest knowledge and behaviors were 3.88/5 (SD 0.362) and 3.45/5 (SD 0.705), respectively. There was no statistically significant variation in the results according to age or gender. The pretest mean score of participants who had already taken PH training was statistically better than those who had not taken the PH training before this course (mean 4.05, SD 0.16 vs mean 3.71, SD 0.374; P<.001). CONCLUSIONS The PH module of the Primary Care Environment and Health course significantly improved self-assessment knowledge scores and positively modified PH behaviors among GP residents. Further work is needed to study whether these self-declared behaviors are translated into practice.
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Affiliation(s)
- Cédric Tourrette
- University Department of General Practice, Montpellier University, Montpellier, France
| | - Jean-Baptiste Tostain
- University Department of General Practice, Montpellier University, Montpellier, France
- Desbrest Institute of Epidemiology and Public Health, Montpellier University, INSERM, Montpellier, France
| | - Eva Kozub
- University Department of General Practice, University Toulouse III, Toulouse, France
| | - Maha Badreddine
- Department of Pedagogical Engineering and Audiovisual Production, Faculty of Medicine, Montpellier University, Montpellier, France
| | - Julia James
- University Department of General Practice, Montpellier University, Montpellier, France
| | - Aurore Noraz
- University Department of General Practice, Montpellier University, Montpellier, France
| | - Charlotte De Choudens
- Clinical research and Epidemiology Unit, University of Montpellier Hospital Center, Montpellier, France
| | - Lionel Moulis
- Clinical research and Epidemiology Unit, University of Montpellier Hospital Center, Montpellier, France
| | - Claire Duflos
- Clinical research and Epidemiology Unit, University of Montpellier Hospital Center, Montpellier, France
| | - Francois Carbonnel
- University Department of General Practice, Montpellier University, Montpellier, France
- Desbrest Institute of Epidemiology and Public Health, Montpellier University, INSERM, Montpellier, France
- Maison de Santé Pluriprofessionnelle Universitaire Avicenne, Cabestany, France
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Andrianorosoa Ony C, Solofondranohatra CL, Ramiadantsoa T, Ravelomanana A, Ramanampamonjy R. N, Hugel S, Fisher BL. Effect of Cricket Frass Fertilizer on growth and pod production of green beans (Phaseolus vulgaris L.). PLoS One 2024; 19:e0303080. [PMID: 38722876 PMCID: PMC11081369 DOI: 10.1371/journal.pone.0303080] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2023] [Accepted: 04/18/2024] [Indexed: 05/13/2024] Open
Abstract
Cricket Frass Fertilizer (CFF) was tested for its efficiency and potential as a fertilizer on the growth of green beans (Phaseolus vulgaris L.) in central Madagascar from April 2020 to October 2020. We grew green beans experimentally for 93 days with seven different fertilizer treatments: NPK 200 kg/ha (0.47 g of N/plant), GUANOMAD (guano from bat) 300 kg/ha (0.26 g of N/ plant), CFF 100 kg/ha (0.12 g of N/plant), CFF 200 kg/ha (0.24 g of N/plant), CFF 300 kg/ha (0.38 g of N/plant), CFF 400 kg/ha (0.52 g of N/plant), and no fertilizer (0 g of N/plant). Three plant traits were measured: survival proportion, vegetative biomass, and pod biomass. The survival proportion of plants treated with the highest dose of CFF (400 kg/ha, 88.1%), NPK (79.8%), and GUANOMAD (81.2%) were similar, but plants treated with the former yielded significantly higher vegetative (35.5 g/plant) and pod biomass (11 g/plant). These results suggest that fertilizing green beans with CFF at a 400 kg/ha dose is sufficient for plant survival and growth, and improves pod production. In Madagascar where soil quality is poor, dependence on imported chemical fertilizers (NPK) and other organic fertilizer (GUANOMAD) can be reduced. Cricket Frass Fertilizer can be used as an alternative sustainable fertilizer for beans.
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Affiliation(s)
| | | | | | - Andrianjaka Ravelomanana
- Madagascar Biodiversity Center, Antananarivo, Madagascar
- Mention Entomologie Cultures Elevage et Santé, Faculté des Sciences, Université d’Antananarivo, Antananarivo, Madagascar
| | | | - Sylvain Hugel
- Madagascar Biodiversity Center, Antananarivo, Madagascar
- Institut des Neurosciences Cellulaires et Intégratives, Centre National de la Recherche Scientifique, Université de Strasbourg, Strasbourg, France
| | - Brian L. Fisher
- Madagascar Biodiversity Center, Antananarivo, Madagascar
- Department of Entomology, California Academy of Sciences, San Francisco, California, United States of America
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Schwienhorst-Stich EM, Kropff D, Kersken K, König S, Leutritz T, Parisi S, Schlittenhardt C, Schmid J, Simmenroth A, Jünger J, Zirkel J. [The elective planetary health: Climate, environment and health at the faculty of medicine in Würzburg: Concept, didactic methods and evaluation results]. ZEITSCHRIFT FUR EVIDENZ, FORTBILDUNG UND QUALITAT IM GESUNDHEITSWESEN 2024; 186:92-103. [PMID: 38575437 DOI: 10.1016/j.zefq.2023.12.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/18/2023] [Revised: 12/11/2023] [Accepted: 12/21/2023] [Indexed: 04/06/2024]
Abstract
BACKGROUND The connections between climate, environment, and health as well as the concept of planetary health need to be integrated into the education of health professionals, as is increasingly demanded both internationally and nationally. Planetary health education should also aim to foster transformative action for climate protection and sustainability. In recent years, innovative teaching formats and objective catalogues have emerged internationally. In Germany, these topics have not yet been integrated into medical education everywhere. Since 2021, the Faculty of Medicine in Würzburg has offered an elective course as a first step of a longitudinal curriculum currently in development. The design, content, structure, and results of the evaluation are discussed in this article and will be used for quality assurance as well as the (further) development of this kind of educational interventions elsewhere. METHODOLOGY We developed an elective course for students in their second to tenth semester with 30 onsite and online face-to-face teaching units and an additional project phase. We used an innovative mix of didactic methods with online simulations, training in climate-sensitive health counselling, and interdisciplinary climate communication as well as local sustainability projects in small groups, with a large amount of peer-teaching. A quantitative and qualitative evaluation was done immediately after the teaching units through feedback rounds and online with the evaluation software Evasys®, using closed and open-ended questions exploring learning progress (summer semester) and achievement of learning objectives (winter semester), motivation to participate, acceptance of teaching methods, attitudes, relevance, and further interest. The evaluation questionnaire was slightly modified for the winter semester. RESULTS In the summer and winter semester of 2021/2022, a total of 34 students (17 per semester) participated in the elective course; of these, 33 participated in the written evaluation. The evaluation in the summer semester (n = 17) showed a significant increase in self-assessed learning gain, the evaluation in the winter semester (n = 16) indicated a substantial achievement of learning objectives (mean = 3.96 of a 5-point Likert scale). Participants of both semesters (n = 33) regarded peer-teaching as a suitable method (mean = 4.2) and well-implemented (mean = 4.3). The topics were considered highly relevant but not adequately integrated into the main curriculum. There was a high level of interest in local impacts of climate and environmental changes and local measures for climate protection and sustainability. The specific projects in small groups may serve as examples of how transformative action can be promoted in education. DISCUSSION In the current dynamic development of the widely demanded integration of planetary health education into curricula, this elective course shows a possible and well-accepted example with a combination of various innovative didactic methods aiming at the levels of knowledge, attitudes, skills, and self-efficacy (or confidence) alike. The positive evaluation by the students and the high interest in local sustainability projects show the potential for future integration into the main curriculum. CONCLUSION The elective can serve as an inspiration to tackle the challenge of taking the steps from knowledge to action in planetary health education. While an elective cannot replace the integration of all relevant aspects of planetary health into the main curriculum, it can serve as a space for piloting of future curricular educational interventions and offer opportunities for developing transformative competencies.
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Affiliation(s)
- Eva-Maria Schwienhorst-Stich
- Institut für Allgemeinmedizin, Universitätsklinikum Würzburg (UKW), Würzburg, Deutschland; Lehrklinik der Medizinischen Fakultät und Institut für Medizinische Lehre und Ausbildung, Universitätsklinikum Würzburg (UKW), Würzburg, Deutschland.
| | - Dana Kropff
- Institut für Allgemeinmedizin, Universitätsklinikum Würzburg (UKW), Würzburg, Deutschland
| | - Katharina Kersken
- Institut für Allgemeinmedizin, Universitätsklinikum Würzburg (UKW), Würzburg, Deutschland
| | - Sarah König
- Institut für Medizinische Lehre und Ausbildungsforschung, Universitätsklinikum Würzburg (UKW), Würzburg, Deutschland
| | - Tobias Leutritz
- Institut für Medizinische Lehre und Ausbildungsforschung, Universitätsklinikum Würzburg (UKW), Würzburg, Deutschland
| | - Sandra Parisi
- Institut für Allgemeinmedizin, Universitätsklinikum Würzburg (UKW), Würzburg, Deutschland
| | | | - Jörg Schmid
- Institut für Allgemeinmedizin, Universitätsklinikum Würzburg (UKW), Würzburg, Deutschland
| | - Anne Simmenroth
- Institut für Allgemeinmedizin, Universitätsklinikum Würzburg (UKW), Würzburg, Deutschland
| | - Jana Jünger
- Institut für Prüfungs- und Kommunikationsforschung gGmbH, Heidelberg, Deutschland; Studiengangsleitung Master of Medical Education, Universität Heidelberg, Heidelberg, Deutschland
| | - Janina Zirkel
- Institut für Allgemeinmedizin, Universitätsklinikum Würzburg (UKW), Würzburg, Deutschland; Medizinische Klinik II, Abteilung für Infektiologie, Universitätsklinikum Würzburg (UKW), Würzburg, Deutschland
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Antó JM. Human health and the health of Planet Earth go together. J Intern Med 2024; 295:695-706. [PMID: 38420693 DOI: 10.1111/joim.13774] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/02/2024]
Abstract
The emergence of the planetary health approach was highlighted by the report of The Rockefeller Foundation-Lancet Commission on Planetary Health in 2015 and changed how we comprehend human well-being. The report advocates integrating the health of other living beings and Earth's natural systems as intrinsic components of human health. Drawing on over three decades of experience in respiratory epidemiology and environmental health, this article outlines how my perspective on human health underwent a transformative shift upon reading the abovementioned report. The planetary health approach offers a lens through which human health issues and potential solutions can be understood within the context of the Anthropocene. It addresses the pressing existential challenges arising from humanity's transgression of planetary limits. Embracing the planetary health paradigm within the field of health sciences can catalyze transformative changes essential for cultivating a sustainable and equitable future.
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Affiliation(s)
- Josep M Antó
- ISGlobal, Barcelona, Spain
- Universitat Pompeu Fabra (UPF), Barcelona, Spain
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Kevrekidis T, Markos A, Boubonari T, Mogias A, Malea P, Apostoloumi C, Kevrekidou A. Assessing the impact of an integrated educational program on Greek students' knowledge about coastal lagoons and attitudes towards marine environment conservation. MARINE POLLUTION BULLETIN 2024; 202:116297. [PMID: 38583222 DOI: 10.1016/j.marpolbul.2024.116297] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/11/2024] [Revised: 03/23/2024] [Accepted: 03/23/2024] [Indexed: 04/09/2024]
Abstract
The primary objective of this study is to contribute to the conservation and sustainable use of seas by promoting Ocean Literacy. It investigates the impact of an educational program on Greek primary and secondary public school students' knowledge about coastal lagoons and attitudes towards marine environment conservation. An educational resource titled "Exploring the Coastal Lagoons" was developed to facilitate the non-formal educational intervention. The program involved classroom, fieldwork/outdoor and laboratory activities, focusing on enhancing understanding of coastal lagoons' abiotic and biotic characteristics and human interconnection. Results showed improved knowledge and slightly more positive attitudes after the didactic intervention. The study underlines the effectiveness of targeted educational interventions in marine sciences, suggesting that non-formal educational settings influence student outcomes more than family or informal sources. Younger students appeared more adaptable and responsive to educational stimuli. The study advocates for refined educational strategies integrating cognitive and emotional elements, emphasizing real nature experience.
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Affiliation(s)
- Theodoros Kevrekidis
- Department of Primary Education, Laboratory of Environmental Research & Education, Democritus University of Thrace, Alexandroupolis, Greece.
| | - Angelos Markos
- Department of Primary Education, Laboratory of Environmental Research & Education, Democritus University of Thrace, Alexandroupolis, Greece.
| | - Theodora Boubonari
- Department of Primary Education, Laboratory of Environmental Research & Education, Democritus University of Thrace, Alexandroupolis, Greece
| | - Athanasios Mogias
- Department of Primary Education, Laboratory of Environmental Research & Education, Democritus University of Thrace, Alexandroupolis, Greece
| | - Paraskevi Malea
- Department of Botany, School of Biology, Aristotle University of Thessaloniki, Greece
| | - Chrisa Apostoloumi
- Department of Primary Education, Laboratory of Environmental Research & Education, Democritus University of Thrace, Alexandroupolis, Greece
| | - Alkistis Kevrekidou
- Environmental Engineering Laboratory, Department of Chemical Engineering, Aristotle University of Thessaloniki, Greece
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Gordon LB, Liu KT, Wungwattana M, Meyer DA. Hospitalists can learn from antimicrobial stewardship programs when it comes to environmentally conscious prescribing. J Hosp Med 2024; 19:429-431. [PMID: 37877671 DOI: 10.1002/jhm.13222] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/27/2023] [Revised: 09/27/2023] [Accepted: 10/02/2023] [Indexed: 10/26/2023]
Affiliation(s)
- Lesley B Gordon
- Department of Medicine, Maine Medical Center, Tufts University School of Medicine, Portland, Maine, USA
| | - Katherine T Liu
- Department of Medicine, Maine Medical Center, Tufts University School of Medicine, Portland, Maine, USA
| | | | - Daniel A Meyer
- Department of Medicine, Maine Medical Center, Tufts University School of Medicine, Portland, Maine, USA
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Shen T, Rasdi IB, Ezani NEB, San OT. The mediating role of pro-environmental attitude and intention on the translation from climate change health risk perception to pro-environmental behavior. Sci Rep 2024; 14:9831. [PMID: 38684780 PMCID: PMC11059261 DOI: 10.1038/s41598-024-60418-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2024] [Accepted: 04/23/2024] [Indexed: 05/02/2024] Open
Abstract
Climate change is a serious environmental issue appearing in China. As a public service institution operating around the clock, the negative impact of hospitals on the environment is evident, promoting their workers' pro-environmental behavior (PEB) through increasing climate change health risk perception (CHRP) is an effective method to protect the environment and achieve sustainable development. This study investigates how CHRP shapes pro-environmental attitude (PEA), pro-environmental intention (PEI), and pro-environmental behavior (PEB) among hospital workers. Using structural equation modeling (SEM) to determine the chain of causation from CHRP to PEB among hospital workers. The result shows that CHRP positively affects PEA and PEI, and PEI positively affects their PEB. In addition, although CHRP has no significant direct effect on PEB, it can play a crucial indirect effect through the mediating role of PEI. Moreover, the result of multiple regression shows that there are significant differences regarding PEA, PEI, and PEB.
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Affiliation(s)
- Tao Shen
- Department of Environmental and Occupational Health, Faculty of Medicine and Health Sciences, University of Putra Malaysia, 43400, Serdang, Selangor, Malaysia
- Clinical Laboratory, Jincheng People's Hospital, Jincheng, China
| | - Irniza Binti Rasdi
- Department of Environmental and Occupational Health, Faculty of Medicine and Health Sciences, University of Putra Malaysia, 43400, Serdang, Selangor, Malaysia.
| | - Nor Eliani Binti Ezani
- Department of Environmental and Occupational Health, Faculty of Medicine and Health Sciences, University of Putra Malaysia, 43400, Serdang, Selangor, Malaysia
| | - Ong Tze San
- School of Business and Economics, University of Putra Malaysia, Serdang, Selangor, Malaysia
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Aitken RJ. What is driving the global decline of human fertility? Need for a multidisciplinary approach to the underlying mechanisms. FRONTIERS IN REPRODUCTIVE HEALTH 2024; 6:1364352. [PMID: 38726051 PMCID: PMC11079147 DOI: 10.3389/frph.2024.1364352] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2024] [Accepted: 04/03/2024] [Indexed: 05/12/2024] Open
Abstract
An intense period of human population expansion over the past 250 years is about to cease. Total fertility rates are falling dramatically all over the world such that highly industrialized nations, including China and the tiger economies of SE Asia, will see their populations decline significantly in the coming decades. The socioeconomic, geopolitical and environmental ramifications of this change are considerable and invite a multidisciplinary consideration of the underlying mechanisms. In the short-term, socioeconomic factors, particularly urbanization and delayed childbearing are powerful drivers of reduced fertility. In parallel, lifestyle factors such as obesity and the presence of numerous reproductive toxicants in the environment, including air-borne pollutants, nanoplastics and electromagnetic radiation, are seriously compromising reproductive health. In the longer term, it is hypothesized that the reduction in family size that accompanies the demographic transition will decrease selection pressure on high fertility genes leading to a progressive loss of human fecundity. Paradoxically, the uptake of assisted reproductive technologies at scale, may also contribute to such fecundity loss by encouraging the retention of poor fertility genotypes within the population. Since the decline in fertility rate that accompanies the demographic transition appears to be ubiquitous, the public health implications for our species are potentially devastating.
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Affiliation(s)
- Robert John Aitken
- Priority Research Centre for Reproductive Science, Discipline of Biological Sciences, School of Environmental and Life Sciences, College of Engineering Science and Environment, University of Newcastle, Callaghan, NSW, Australia
- Hunter Medical Research Institute, New Lambton Heights, NSW, Australia
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Fisher J, Splieth C, Matanhire-Zihanzu C, Glick M. Advancing the concept of global oral health to strengthen actions for planetary health and One Health. Int J Equity Health 2024; 23:71. [PMID: 38622718 PMCID: PMC11017574 DOI: 10.1186/s12939-024-02176-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2024] [Accepted: 04/05/2024] [Indexed: 04/17/2024] Open
Abstract
Advancing the concept of global oral health can help tackle the triple planetary crises of climate change, nature and biodiversity loss, and pollution and waste. A model for oral and planetary health places more explicit focus on understanding the state of the Earth's systems, changing environment in relation to planetary health boundaries and their impact on human well-being. This can facilitate a planet-centric critical thinking for equity in global oral health that contributes to UN 2030 Agenda for Sustainable Development.
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Affiliation(s)
- Julian Fisher
- Center for Integrative Global Oral Health, University of Pennsylvania, School of Dental Medicine, 240 S. 40th Street, 3rd Floor East, Philadelphia, USA.
| | - Christian Splieth
- Präventive Zahnmedizin und Kinderzahnheilkunde, University of Greifswald, Fleischmannstr. 42, Greifswald, 17487, Germany
| | - Cleopatra Matanhire-Zihanzu
- Department of Oral Health, Faculty of Medicine and Health Sciences, University of Zimbabwe, MP167 Mt Pleasant, Harare, Zimbabwe
| | - Michael Glick
- Center for Integrative Global Oral Health, University of Pennsylvania, School of Dental Medicine, 240 S. 40th Street, 3rd Floor East, Philadelphia, USA
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Gepp S, Otieno MA, Buse K. Planetary health: challenging power and privilege is key to a fairer and healthier future. BMJ 2024; 385:q853. [PMID: 38621788 DOI: 10.1136/bmj.q853] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 04/17/2024]
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Long Y, Huang L, Su J, Yoshida Y, Feng K, Gasparatos A. Mixed diets can meet nutrient requirements with lower carbon footprints. SCIENCE ADVANCES 2024; 10:eadh1077. [PMID: 38598638 PMCID: PMC11006225 DOI: 10.1126/sciadv.adh1077] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/18/2023] [Accepted: 03/06/2024] [Indexed: 04/12/2024]
Abstract
Achieving sustainable dietary change is essential for safeguarding human and environmental health. However, dietary recommendations based on broad food groups may not accurately reflect real-world realities because individuals select and consume dishes with multiple food items influenced by diverse context-specific factors. Therefore, here we explored the sustainability trade-offs of dietary choices at the dish level through an optimization modeling approach tested in Japan. We estimated the nutritional quality, price, and carbon footprint of major Japanese dishes and examined 16 dietary scenarios to identify options that meet the nutritional requirements and minimize carbon footprint. Overall, mixed diets contain more combinations of dishes that meet nutritional requirements with lower carbon footprints compared to more restrictive dietary scenarios. We argue that the approach developed here enables a better understanding of dietary trade-offs, complements existing methods, and helps identify sustainable diets by offering nuanced information at the national and sub-national levels.
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Affiliation(s)
- Yin Long
- Department of Technology Management for Innovation, Graduate School of Engineering, University of Tokyo, Tokyo, Japan
| | - Liqiao Huang
- Department of Technology Management for Innovation, Graduate School of Engineering, University of Tokyo, Tokyo, Japan
| | - Jie Su
- Institute for Future Initiatives (IFI), University of Tokyo, 7-3-1 Hongo, 113-8654 Tokyo, Japan
| | - Yoshikuni Yoshida
- Department of Technology Management for Innovation, Graduate School of Engineering, University of Tokyo, Tokyo, Japan
| | - Kuishuang Feng
- Department of Geographical Sciences, University of Maryland, College Park, MD, USA
| | - Alexandros Gasparatos
- Institute for Future Initiatives (IFI), University of Tokyo, 7-3-1 Hongo, 113-8654 Tokyo, Japan
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Nadarajah K, Somat A, Baeyens C, Pansu P. How social background and interest in science are linked to junior high school students' perceptions of the ecological transition. Front Psychol 2024; 15:1360166. [PMID: 38680282 PMCID: PMC11046707 DOI: 10.3389/fpsyg.2024.1360166] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2023] [Accepted: 03/12/2024] [Indexed: 05/01/2024] Open
Abstract
Junior high school students are tomorrow's key protagonists in the ecological transition. They need enlightened education to face the uncertainty and challenges of climate change. The development of climate change education programs requires a clear understanding of how young people perceive the issue. This study deals with social representations. Its aim was to understand how social background and interest in science are linked to the way young people perceive the concept of the ecological transition. Four hundred twenty-nine junior high school students took part in this study. Data were collected and subjected to prototypical analysis and factorial correspondence analysis. Three main findings emerged from the analysis: (1) the participants had significant knowledge of the ecological transition, (2) their awareness of the social aspects of climate change was limited, and (3) their representations of the ecological transition were linked to their interest in science and their parents' social background. To conclude, these results underline the importance of educating all social classes about effective solutions for the ecological transition. Our findings also highlight the need to consider existing representations and prior knowledge when designing educational programs on climate change issues.
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Affiliation(s)
- Kévin Nadarajah
- Laboratoire de Recherche sur les Apprentissages en Contexte (LaRAC), Univ. Grenoble Alpes, Grenoble, France
- Laboratoire de Psychologie: Cognition, Comportement, Communication (LP3C), Psychology, Rennes 2 University, Rennes, France
| | - Alain Somat
- Laboratoire de Psychologie: Cognition, Comportement, Communication (LP3C), Psychology, Rennes 2 University, Rennes, France
| | - Céline Baeyens
- Laboratoire Inter-Universitaire de Psychologie, Personnalité, Cognition, Changement Social (LIP/PC2S), Univ. Grenoble Alpes, Univ. Savoie Mont Blanc, Grenoble, France
| | - Pascal Pansu
- Laboratoire de Recherche sur les Apprentissages en Contexte (LaRAC), Univ. Grenoble Alpes, Grenoble, France
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Zandavalli RB, Stein AT, de Camargo TS. Systems approach in planetary health education for medical students: a mixed methods study. BMC MEDICAL EDUCATION 2024; 24:365. [PMID: 38570772 PMCID: PMC10988787 DOI: 10.1186/s12909-024-05341-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/20/2023] [Accepted: 03/22/2024] [Indexed: 04/05/2024]
Abstract
BACKGROUND Introducing students to the "planetary health lenses" perspective is crucial. Comprehensive strategies for teaching this perspective are lacking, especially in the domains of "interconnection within nature (IWN)" and "systems thinking/complexity." There is also a scarcity of studies assessing medical students' opinions on planetary health and evaluating teaching strategies. OBJECTIVE To understand Brazilian medical students' perceptions and knowledge of planetary health (PH) and evaluate the application of the educational material "Patient and Clinic through the Lens of Planetary Health," which addresses "IWN" and "complexity" through the sociological lens of Actor-Network Theory, in an integrative course at a medical school in Brazil. METHODS A mixed-methods, quasi-experimental design involving two medical student classes during 2022/2023. Participants completed a questionnaire on sociodemographic data; pre- and post-intervention closed-ended questions about perceptions related to PH, and an open-ended questionnaire on experience and learning. Each student group presented a portfolio under the planetary health lenses regarding a real patient, developing a network diagram that described the social network involving both human and non-human actors with which this person is interconnected. The cohorts participated in "IWN" activities: a contemplative trail or reflection on belonging to the planet. RESULTS Ninety-six students and 9 professors participated. The majority of students (66.7%) reported significant or extremely significant learning from the sessions. There was an increase in perception of the need for physicians to incorporate PH into their clinical practice (p = 0.002; r = 0.46) and an intensification of the sense of interconnection with the environment (p = 0.003; r = 0.46). There was a gain in knowledge about how many diseases were related to PH (p < 0.02 for all 13 listed diseases). The majority (83%) found the sessions relevant or highly relevant and commented on their impact, both professionally and personally. CONCLUSIONS Teaching PH in a medical school allowed students to learn from the patient's perspective, considering psychosocial and environmental determinants, about the intrinsic interdependence between population's health and PH. This strategy made a significant contribution by proposing pioneering didactics and offering valuable insights into the challenges and nuances of teaching PH.
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Affiliation(s)
- Rafaela Brugalli Zandavalli
- Postgraduate Program in Science Education (PPgEci), Institute of Health Science, Federal University of Rio Grande Do Sul, Porto Alegre (ICBS-UFRGS), Primary Health Care Management - Conceição Hospital Group (GHC), Porto Alegre, Brazil.
| | - Airton Tetelbom Stein
- Public Health Department, Federal University of Health Sciences of Porto Alegre (UFCSPA), Teaching and Research Management - Conceição Hospital Group (GHC), Porto Alegre, Brazil
| | - Tatiana Souza de Camargo
- Postgraduate Program in Science Education (PPgEci), Institute of Health Science, Federal University of Rio Grande Do Sul, Porto Alegre (ICBS-UFRGS), Porto Alegre, Brazil
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McKee H, Brown MJ, Kim HHR, Doo FX, Panet H, Rockall AG, Omary RA, Hanneman K. Planetary Health and Radiology: Why We Should Care and What We Can Do. Radiology 2024; 311:e240219. [PMID: 38652030 DOI: 10.1148/radiol.240219] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/25/2024]
Abstract
Climate change adversely affects the well-being of humans and the entire planet. A planetary health framework recognizes that sustaining a healthy planet is essential to achieving individual, community, and global health. Radiology contributes to the climate crisis by generating greenhouse gas (GHG) emissions during the production and use of medical imaging equipment and supplies. To promote planetary health, strategies that mitigate and adapt to climate change in radiology are needed. Mitigation strategies to reduce GHG emissions include switching to renewable energy sources, refurbishing rather than replacing imaging scanners, and powering down unused scanners. Radiology departments must also build resiliency to the now unavoidable impacts of the climate crisis. Adaptation strategies include education, upgrading building infrastructure, and developing departmental sustainability dashboards to track progress in achieving sustainability goals. Shifting practices to catalyze these necessary changes in radiology requires a coordinated approach. This includes partnering with key stakeholders, providing effective communication, and prioritizing high-impact interventions. This article reviews the intersection of planetary health and radiology. Its goals are to emphasize why we should care about sustainability, showcase actions we can take to mitigate our impact, and prepare us to adapt to the effects of climate change. © RSNA, 2024 Supplemental material is available for this article. See also the article by Ibrahim et al in this issue. See also the article by Lenkinski and Rofsky in this issue.
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Affiliation(s)
- Hayley McKee
- From the Temerty Faculty of Medicine (H.M.) and Department of Medical Imaging (H.M., H.P., K.H.), University of Toronto, Toronto, Ontario, Canada; Department of Radiology, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada (M.J.B.); Department of Radiology, Seattle Children's Hospital, University of Washington School of Medicine, Seattle, Wash (H.H.R.K.); University of Maryland Medical Intelligent Imaging (UM2ii) Center, Department of Radiology and Nuclear Medicine, University of Maryland Medical Center, Baltimore, Md (F.X.D.); Department of Surgery and Cancer, Faculty of Medicine, Imperial College London, London, England (A.G.R.); Department of Radiology, Imperial College Healthcare NHS Trust, London, England (A.G.R.); Department of Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, Tenn (R.A.O.); Joint Department of Medical Imaging, University Medical Imaging Toronto, Toronto, Ontario, Canada (K.H.); and Toronto General Hospital Research Institute, University Health Network, University of Toronto, 1 PMB-298, 585 University Ave, Toronto, ON, Canada M5G 2N2 (K.H.)
| | - Maura J Brown
- From the Temerty Faculty of Medicine (H.M.) and Department of Medical Imaging (H.M., H.P., K.H.), University of Toronto, Toronto, Ontario, Canada; Department of Radiology, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada (M.J.B.); Department of Radiology, Seattle Children's Hospital, University of Washington School of Medicine, Seattle, Wash (H.H.R.K.); University of Maryland Medical Intelligent Imaging (UM2ii) Center, Department of Radiology and Nuclear Medicine, University of Maryland Medical Center, Baltimore, Md (F.X.D.); Department of Surgery and Cancer, Faculty of Medicine, Imperial College London, London, England (A.G.R.); Department of Radiology, Imperial College Healthcare NHS Trust, London, England (A.G.R.); Department of Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, Tenn (R.A.O.); Joint Department of Medical Imaging, University Medical Imaging Toronto, Toronto, Ontario, Canada (K.H.); and Toronto General Hospital Research Institute, University Health Network, University of Toronto, 1 PMB-298, 585 University Ave, Toronto, ON, Canada M5G 2N2 (K.H.)
| | - Helen H R Kim
- From the Temerty Faculty of Medicine (H.M.) and Department of Medical Imaging (H.M., H.P., K.H.), University of Toronto, Toronto, Ontario, Canada; Department of Radiology, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada (M.J.B.); Department of Radiology, Seattle Children's Hospital, University of Washington School of Medicine, Seattle, Wash (H.H.R.K.); University of Maryland Medical Intelligent Imaging (UM2ii) Center, Department of Radiology and Nuclear Medicine, University of Maryland Medical Center, Baltimore, Md (F.X.D.); Department of Surgery and Cancer, Faculty of Medicine, Imperial College London, London, England (A.G.R.); Department of Radiology, Imperial College Healthcare NHS Trust, London, England (A.G.R.); Department of Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, Tenn (R.A.O.); Joint Department of Medical Imaging, University Medical Imaging Toronto, Toronto, Ontario, Canada (K.H.); and Toronto General Hospital Research Institute, University Health Network, University of Toronto, 1 PMB-298, 585 University Ave, Toronto, ON, Canada M5G 2N2 (K.H.)
| | - Florence X Doo
- From the Temerty Faculty of Medicine (H.M.) and Department of Medical Imaging (H.M., H.P., K.H.), University of Toronto, Toronto, Ontario, Canada; Department of Radiology, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada (M.J.B.); Department of Radiology, Seattle Children's Hospital, University of Washington School of Medicine, Seattle, Wash (H.H.R.K.); University of Maryland Medical Intelligent Imaging (UM2ii) Center, Department of Radiology and Nuclear Medicine, University of Maryland Medical Center, Baltimore, Md (F.X.D.); Department of Surgery and Cancer, Faculty of Medicine, Imperial College London, London, England (A.G.R.); Department of Radiology, Imperial College Healthcare NHS Trust, London, England (A.G.R.); Department of Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, Tenn (R.A.O.); Joint Department of Medical Imaging, University Medical Imaging Toronto, Toronto, Ontario, Canada (K.H.); and Toronto General Hospital Research Institute, University Health Network, University of Toronto, 1 PMB-298, 585 University Ave, Toronto, ON, Canada M5G 2N2 (K.H.)
| | - Hayley Panet
- From the Temerty Faculty of Medicine (H.M.) and Department of Medical Imaging (H.M., H.P., K.H.), University of Toronto, Toronto, Ontario, Canada; Department of Radiology, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada (M.J.B.); Department of Radiology, Seattle Children's Hospital, University of Washington School of Medicine, Seattle, Wash (H.H.R.K.); University of Maryland Medical Intelligent Imaging (UM2ii) Center, Department of Radiology and Nuclear Medicine, University of Maryland Medical Center, Baltimore, Md (F.X.D.); Department of Surgery and Cancer, Faculty of Medicine, Imperial College London, London, England (A.G.R.); Department of Radiology, Imperial College Healthcare NHS Trust, London, England (A.G.R.); Department of Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, Tenn (R.A.O.); Joint Department of Medical Imaging, University Medical Imaging Toronto, Toronto, Ontario, Canada (K.H.); and Toronto General Hospital Research Institute, University Health Network, University of Toronto, 1 PMB-298, 585 University Ave, Toronto, ON, Canada M5G 2N2 (K.H.)
| | - Andrea G Rockall
- From the Temerty Faculty of Medicine (H.M.) and Department of Medical Imaging (H.M., H.P., K.H.), University of Toronto, Toronto, Ontario, Canada; Department of Radiology, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada (M.J.B.); Department of Radiology, Seattle Children's Hospital, University of Washington School of Medicine, Seattle, Wash (H.H.R.K.); University of Maryland Medical Intelligent Imaging (UM2ii) Center, Department of Radiology and Nuclear Medicine, University of Maryland Medical Center, Baltimore, Md (F.X.D.); Department of Surgery and Cancer, Faculty of Medicine, Imperial College London, London, England (A.G.R.); Department of Radiology, Imperial College Healthcare NHS Trust, London, England (A.G.R.); Department of Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, Tenn (R.A.O.); Joint Department of Medical Imaging, University Medical Imaging Toronto, Toronto, Ontario, Canada (K.H.); and Toronto General Hospital Research Institute, University Health Network, University of Toronto, 1 PMB-298, 585 University Ave, Toronto, ON, Canada M5G 2N2 (K.H.)
| | - Reed A Omary
- From the Temerty Faculty of Medicine (H.M.) and Department of Medical Imaging (H.M., H.P., K.H.), University of Toronto, Toronto, Ontario, Canada; Department of Radiology, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada (M.J.B.); Department of Radiology, Seattle Children's Hospital, University of Washington School of Medicine, Seattle, Wash (H.H.R.K.); University of Maryland Medical Intelligent Imaging (UM2ii) Center, Department of Radiology and Nuclear Medicine, University of Maryland Medical Center, Baltimore, Md (F.X.D.); Department of Surgery and Cancer, Faculty of Medicine, Imperial College London, London, England (A.G.R.); Department of Radiology, Imperial College Healthcare NHS Trust, London, England (A.G.R.); Department of Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, Tenn (R.A.O.); Joint Department of Medical Imaging, University Medical Imaging Toronto, Toronto, Ontario, Canada (K.H.); and Toronto General Hospital Research Institute, University Health Network, University of Toronto, 1 PMB-298, 585 University Ave, Toronto, ON, Canada M5G 2N2 (K.H.)
| | - Kate Hanneman
- From the Temerty Faculty of Medicine (H.M.) and Department of Medical Imaging (H.M., H.P., K.H.), University of Toronto, Toronto, Ontario, Canada; Department of Radiology, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada (M.J.B.); Department of Radiology, Seattle Children's Hospital, University of Washington School of Medicine, Seattle, Wash (H.H.R.K.); University of Maryland Medical Intelligent Imaging (UM2ii) Center, Department of Radiology and Nuclear Medicine, University of Maryland Medical Center, Baltimore, Md (F.X.D.); Department of Surgery and Cancer, Faculty of Medicine, Imperial College London, London, England (A.G.R.); Department of Radiology, Imperial College Healthcare NHS Trust, London, England (A.G.R.); Department of Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, Tenn (R.A.O.); Joint Department of Medical Imaging, University Medical Imaging Toronto, Toronto, Ontario, Canada (K.H.); and Toronto General Hospital Research Institute, University Health Network, University of Toronto, 1 PMB-298, 585 University Ave, Toronto, ON, Canada M5G 2N2 (K.H.)
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Pfenning-Butterworth A, Buckley LB, Drake JM, Farner JE, Farrell MJ, Gehman ALM, Mordecai EA, Stephens PR, Gittleman JL, Davies TJ. Interconnecting global threats: climate change, biodiversity loss, and infectious diseases. Lancet Planet Health 2024; 8:e270-e283. [PMID: 38580428 PMCID: PMC11090248 DOI: 10.1016/s2542-5196(24)00021-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2023] [Revised: 12/06/2023] [Accepted: 02/06/2024] [Indexed: 04/07/2024]
Abstract
The concurrent pressures of rising global temperatures, rates and incidence of species decline, and emergence of infectious diseases represent an unprecedented planetary crisis. Intergovernmental reports have drawn focus to the escalating climate and biodiversity crises and the connections between them, but interactions among all three pressures have been largely overlooked. Non-linearities and dampening and reinforcing interactions among pressures make considering interconnections essential to anticipating planetary challenges. In this Review, we define and exemplify the causal pathways that link the three global pressures of climate change, biodiversity loss, and infectious disease. A literature assessment and case studies show that the mechanisms between certain pairs of pressures are better understood than others and that the full triad of interactions is rarely considered. Although challenges to evaluating these interactions-including a mismatch in scales, data availability, and methods-are substantial, current approaches would benefit from expanding scientific cultures to embrace interdisciplinarity and from integrating animal, human, and environmental perspectives. Considering the full suite of connections would be transformative for planetary health by identifying potential for co-benefits and mutually beneficial scenarios, and highlighting where a narrow focus on solutions to one pressure might aggravate another.
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Affiliation(s)
| | - Lauren B Buckley
- Department of Biology, University of Washington, Seattle, WA, USA
| | - John M Drake
- School of Ecology, University of Georgia, Athens, GA, USA; Center for the Ecology of Infectious Diseases, University of Georgia, Athens, GA, USA
| | | | - Maxwell J Farrell
- Department of Ecology & Evolutionary Biology, University of Toronto, Toronto, ON, Canada; School of Biodiversity, One Health & Veterinary Medicine, University of Glasgow, Glasgow, UK
| | - Alyssa-Lois M Gehman
- Institute for the Oceans and Fisheries, University of British Columbia, Vancouver, BC, Canada; Hakai Institute, Calvert, BC, Canada
| | - Erin A Mordecai
- Department of Biology, Stanford University, Stanford, CA, USA
| | - Patrick R Stephens
- Department of Integrative Biology, Oklahoma State University, Stillwater, OK, USA
| | - John L Gittleman
- School of Ecology, University of Georgia, Athens, GA, USA; Nicholas School for the Environment, Duke University, Durham, NC, USA
| | - T Jonathan Davies
- Department of Botany, University of British Columbia, Vancouver, BC, Canada; Department of Forest and Conservation Sciences, University of British Columbia, Vancouver, BC, Canada.
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Carl J, Abu-Omar K, Bernard P, Lohmann J, White P, Peters J, Sahlqvist S, Ma J, Duncan M, Barnett LM. Physical Literacy in the Context of Climate Change: Is There a Need for Further Refinement of the Concept? J Phys Act Health 2024; 21:316-319. [PMID: 38176406 DOI: 10.1123/jpah.2023-0714] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2023] [Accepted: 12/05/2023] [Indexed: 01/06/2024]
Abstract
The concept of physical literacy (PL) has witnessed enormous popularity in recent years and has undergone substantial theoretical evolvement during the last 2 decades. However, the research field pertaining to PL has not yet initiated discussions around the challenges of climate change and the alignment with conceptualizations of planetary health. Therefore, we argue that the consideration of an "ecological domain" for individual physical activity, in the form of ecological awareness, would further evolve the concept. We illustrate how to potentially integrate adjustments within the most frequent PL definitions of the field (eg, those in Australia, Canada, England, Ireland, the United States, or by the International Physical Literacy Association) without questioning the entire integrity of these elaborate conceptualizations. An ecological domain of PL would not only interact with the postulated physical, cognitive, psychological/affective, and social domains of PL but also have important implications for the (re)design of interventions and practices in physical activity contexts. We call the scientific community, both on national and international scales, to intensify the discussions and initiate a research agenda involving an "ecological domain" of PL.
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Affiliation(s)
- Johannes Carl
- Institute for Physical Activity and Nutrition (IPAN), School of Health and Social Development, Deakin University, Burwood, VIC, Australia
| | - Karim Abu-Omar
- Department of Sport Science and Sport, Friedrich-Alexander University Erlangen-Nürnberg, Erlangen, Germany
| | - Paquito Bernard
- Department of Physical Activity Sciences, Université du Québec à Montréal, Montréal, QC, Canada
- Research Center, University Institute of Mental Health at Montreal, Montreal, QC, Canada
| | - Julia Lohmann
- Institute of Sports Science, Augsburg University, Augsburg, Germany
| | - Peta White
- School of Education, Deakin University, Burwood, VIC, Australia
| | - Jacqui Peters
- School of Education, Deakin University, Burwood, VIC, Australia
| | - Shannon Sahlqvist
- Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, Waurn Ponds,VIC, Australia
| | - Jiani Ma
- Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, Burwood, VIC, Australia
| | - Michael Duncan
- Center for Physical Activity, Sport and Exercise Sciences, Coventry University, Coventry, United Kingdom
| | - Lisa M Barnett
- Institute for Physical Activity and Nutrition (IPAN), School of Health and Social Development, Deakin University, Burwood, VIC, Australia
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Suresh P, Crotty J, Tesanovic S, Alaweed O, Doyle S, Kiandee M, Hayes E, Umeh V, Khalilinejad B, Duane B. A life cycle analysis of the environmental impact of procurement, waste and water in the dental practice. Br Dent J 2024; 236:545-551. [PMID: 38609622 PMCID: PMC11014795 DOI: 10.1038/s41415-024-7239-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2023] [Revised: 11/09/2023] [Accepted: 11/24/2023] [Indexed: 04/14/2024]
Abstract
Background Health care is a significant contributor to climate change. Global pressure for a change towards a more sustainable way of providing dental health care has resulted in the creation of the Green Impact Toolkit, which is comprised of a list of suggested changes that dental practices can make to become more sustainable in a number of categories, such as procurement, waste and water.Aims To compare the effectiveness of changes suggested by the Green Impact Toolkit.Materials and methods A comparative life cycle assessment (LCA) was conducted using the Ecoinvent database v3.8 and these data were processed using OpenLCA v1.10.3 software.Results The carbon footprint per patient was significantly reduced after the recommendations were implemented. For instance, using water from a rainwater collection tank instead of the mains supply saved 30 g CO2eq (carbon dioxide equivalents) per patient, a 90% reduction in carbon footprint.Discussion This comparative LCA identified some effective changes which can be easily made by a dental practice. Nevertheless, some actions require some initial financial investment and may be difficult to implement in a busy modern dental practice setting.Conclusion The findings from this study can be used to guide dental practices to making choices which are more sustainable and eco-friendly in the future.
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Affiliation(s)
- Peter Suresh
- Undergraduate Student, Dental Science, Dublin Dental University Hospital, Trinity College Dublin, Ireland.
| | - John Crotty
- Division of Restorative Dentistry and Periodontology, Dublin Dental University Hospital, Trinity College Dublin, Ireland
| | - Sonja Tesanovic
- Undergraduate Student, Dental Science, Dublin Dental University Hospital, Trinity College Dublin, Ireland
| | - Othman Alaweed
- Undergraduate Student, Dental Science, Dublin Dental University Hospital, Trinity College Dublin, Ireland
| | - Sadhbh Doyle
- Undergraduate Student, Dental Science, Dublin Dental University Hospital, Trinity College Dublin, Ireland
| | - Mikra Kiandee
- Undergraduate Student, Dental Science, Dublin Dental University Hospital, Trinity College Dublin, Ireland
| | - Emily Hayes
- Undergraduate Student, Dental Science, Dublin Dental University Hospital, Trinity College Dublin, Ireland
| | - Vanessa Umeh
- Undergraduate Student, Dental Science, Dublin Dental University Hospital, Trinity College Dublin, Ireland
| | - Bita Khalilinejad
- Undergraduate Student, Dental Science, Dublin Dental University Hospital, Trinity College Dublin, Ireland
| | - Brett Duane
- Associate Professor in Dental Public Health, Dublin Dental University Hospital, Trinity College Dublin, Ireland
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Wabnitz K, von Gierke F, Gepp S, Jung L, Schneider F, Schwienhorst-Stich EM, Fast M. Visions for planetary health: Results from open-ended questions of survey participants after a virtual planetary health lecture series. ZEITSCHRIFT FUR EVIDENZ, FORTBILDUNG UND QUALITAT IM GESUNDHEITSWESEN 2024; 185:108-114. [PMID: 38508897 DOI: 10.1016/j.zefq.2023.12.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/15/2022] [Revised: 12/06/2023] [Accepted: 12/07/2023] [Indexed: 03/22/2024]
Abstract
INTRODUCTION A profound transformation of all areas of human activities is urgently needed for planetary health. Developing a shared vision of the future that is grounded in values aligned with planetary health is indispensable in this regard. The Planetary Health Academy is the first open online lecture series in Germany aiming for transformative planetary health education. As part of a recent evaluation of the impact of the lecture series, participants' visions for planetary health were also examined. METHODS As part of a retrospective, cross-sectional, self-administered online survey, participants were asked to respond to an open-ended question on their visions for planetary health. Results were analysed using summarising qualitative content analysis according to Mayring. Sociodemographic details of those participants who provided a valid answer (n = 197) were calculated. RESULTS Eight main categories were developed to summarise participants' visions for planetary health. These were: Awareness for planetary health - Planetary health integrated in all types of education - Establishment and development of the concept - A different understanding of health (care) - A transformative movement and global community - Transforming human activities - Planetary health as a guiding principle - The future state of planetary health. DISCUSSION Broadly, the participants' visions were about planetary health as a goal and the means necessary to achieve this goal. Our findings can only be seen as a first explorative step in eliciting aspects of a common vision for planetary health, as our study design did not include a mechanism of building consensus towards one common vision. Besides the field of planetary health, similar concepts and associated movements exist or are emerging. Facilitating dialogue and exchange across disciplines and narratives about the prevailing future visions will be key to achieving what we call planetary health and what others might call Ubuntu or buen vivir. CONCLUSION The results of this study provide first insights into the planetary health visions of those whom we would consider members of a movement aligned behind the idea of planetary health. In future editions, the Planetary Health Academy could integrate more discursive elements with a particular focus on negotiating future visions to support the creation of a critical mass of change agents within the health community and beyond.
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Affiliation(s)
- Katharina Wabnitz
- Institute for Medical Information Processing, Biometry and Epidemiology (IBE), Chair of Public Health and Health Services Research, Ludwig-Maximilians-Universität München, Munich, Germany; Centre for Planetary Health Policy (CPHP), Berlin, Germany
| | | | - Sophie Gepp
- Centre for Planetary Health Policy (CPHP), Berlin, Germany; German Alliance on Climate Change and Health (KLUG e.V.), Berlin, Germany; Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany
| | - Laura Jung
- Leipzig University Medical Center, Division of Infectious Diseases and Tropical Medicine, Leipzig, Germany
| | - Frederick Schneider
- Technical University of Munich, TUM School of Medicine, Department of Anaesthesiology and Intensive Care, München, Germany
| | - Eva-Maria Schwienhorst-Stich
- Department of General Practice & Family Medicine, University Hospital Würzburg, Würzburg, Germany; Teaching Clinic of the Faculty of Medicine and Institute of Medical Teaching and Medical Education Research, University Hospital Würzburg, Würzburg, Germany.
| | - Marischa Fast
- German Alliance on Climate Change and Health (KLUG e.V.), Berlin, Germany
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Unger AL, Beal T, Conrad Z, Pikosky MA, Brown K. Opportunities for Consistent and Holistic Metrics to Support Food Systems Transformation: A Summary of a Symposium Presented at Nutrition 2023. Curr Dev Nutr 2024; 8:102129. [PMID: 38559312 PMCID: PMC10981006 DOI: 10.1016/j.cdnut.2024.102129] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2023] [Revised: 02/21/2024] [Accepted: 02/26/2024] [Indexed: 04/04/2024] Open
Abstract
There is an urgent need for global food systems transformation to realize a future where planetary health reaches its full potential. Paramount to this vision is the ability of stakeholders across sectors to understand how foods and dietary patterns impact food systems inclusive of all domains of sustainability-environmental, nutrition/health, economic and social. This article is a synopsis of presentations by 3 food systems experts to share the latest science in a session entitled "How do you measure sustainability? Opportunities for consistent and holistic metrics to support food systems transformation" at the American Society for Nutrition's 2023 annual conference. As summarized here, global population data showing widespread malnutrition underscore the important role of dietary diversity through a balance of plant- and animal-source foods to achieve nutritionally adequate diets and reduce risk of noncommunicable diseases. Yet, recent international audits of countries, companies, and organizations and their sustainability targets largely demonstrate an underrepresentation of robust nutrition/health metrics to support public nutrition and health progress. Addressing limitations in diet-sustainability modeling systems provides a viable opportunity to accurately reflect the important contributions and trade-offs of diets across all domains of sustainability to ultimately support evidence-based decision making in advancing healthy food systems.
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Affiliation(s)
| | - Ty Beal
- Global Alliance for Improved Nutrition, Washington, DC, United States
| | - Zach Conrad
- Department of Kinesiology, William & Mary, Williamsburg, VA, United States
- Global Research Institute, William & Mary, Williamsburg, VA, United States
| | | | - Katie Brown
- National Dairy Council, Rosemont, IL, United States
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Kronenberg J, Andersson E, Elmqvist T, Łaszkiewicz E, Xue J, Khmara Y. Cities, planetary boundaries, and degrowth. Lancet Planet Health 2024; 8:e234-e241. [PMID: 38580425 DOI: 10.1016/s2542-5196(24)00025-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2023] [Revised: 01/17/2024] [Accepted: 02/14/2024] [Indexed: 04/07/2024]
Abstract
Cities are the main hubs of human activity and the engines of economic growth. In pursuit of such growth, cities are transgressing their local environmental boundaries. Ongoing urbanisation increasingly contributes to the human pressure on planetary boundaries and negatively affects planetary health. In a telecoupled world, cities externalise impacts by shifting production and many other functions away from their boundaries. At the same time, urban inhabitants and people who follow urban lifestyles but live outside cities are increasingly disconnected from nature. This Viewpoint highlights the role of degrowth in keeping an urban planet within planetary boundaries and suggests areas for further research and policy. Degrowth calls for meaningfully connecting planetary boundaries with cities and ensuring everyone receives a fair share of their ecological capacity. Degrowth calls for lower use of existing resources, highlights political power asymmetries, and moves beyond pricing interventions. Degrowth addresses three key aspects that connect cities and urban lifestyles to planetary boundaries: reducing production and consumption, connecting people and nature, and including nature (to a more substantial extent) in the design of cities and in what is used and consumed in cities. A radical degrowth transformation of cities is necessary to stay within a safe operating space for humanity.
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Affiliation(s)
- Jakub Kronenberg
- Social-Ecological Systems Analysis Lab, Faculty of Economics and Sociology, University of Lodz, Lodz, Poland; Department of Geography, University of Cambridge, Cambridge, UK.
| | - Erik Andersson
- Ecosystems and Environment Research Programme, University of Helsinki, Helsinki, Finland; Stockholm Resilience Centre, Stockholm University, Stockholm, Sweden; Research Unit for Environmental Sciences and Management, North-West University, Potchefstroom, South Africa
| | - Thomas Elmqvist
- Stockholm Resilience Centre, Stockholm University, Stockholm, Sweden
| | - Edyta Łaszkiewicz
- Social-Ecological Systems Analysis Lab, Faculty of Economics and Sociology, University of Lodz, Lodz, Poland
| | - Jin Xue
- Department of Urban and Regional Planning, Norwegian University of Life Sciences, Ås, Norway
| | - Yaryna Khmara
- Social-Ecological Systems Analysis Lab, Faculty of Economics and Sociology, University of Lodz, Lodz, Poland
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Nagy NA, Tóth GE, Kurucz K, Kemenesi G, Laczkó L. The updated genome of the Hungarian population of Aedes koreicus. Sci Rep 2024; 14:7545. [PMID: 38555322 PMCID: PMC10981705 DOI: 10.1038/s41598-024-58096-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2023] [Accepted: 03/25/2024] [Indexed: 04/02/2024] Open
Abstract
Vector-borne diseases pose a potential risk to human and animal welfare, and understanding their spread requires genomic resources. The mosquito Aedes koreicus is an emerging vector that has been introduced into Europe more than 15 years ago but only a low quality, fragmented genome was available. In this study, we carried out additional sequencing and assembled and characterized the genome of the species to provide a background for understanding its evolution and biology. The updated genome was 1.1 Gbp long and consisted of 6099 contigs with an N50 value of 329,610 bp and a BUSCO score of 84%. We identified 22,580 genes that could be functionally annotated and paid particular attention to the identification of potential insecticide resistance genes. The assessment of the orthology of the genes indicates a high turnover at the terminal branches of the species tree of mosquitoes with complete genomes, which could contribute to the adaptation and evolutionary success of the species. These results could form the basis for numerous downstream analyzes to develop targets for the control of mosquito populations.
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Affiliation(s)
- Nikoletta Andrea Nagy
- Department of Evolutionary Zoology and Human Biology, University of Debrecen, Debrecen, Hungary.
- HUN-REN-UD Behavioural Ecology Research Group, University of Debrecen, Debrecen, Hungary.
- Institute of Metagenomics, University of Debrecen, Debrecen, Hungary.
| | - Gábor Endre Tóth
- National Laboratory of Virology, Szentágothai Research Centre, University of Pécs, Pecs, Hungary
- Bernhard Nocht Institute for Tropical Medicine, WHO Collaborating Centre for Arbovirus and Hemorrhagic Fever Reference and Research, Hamburg, Germany
| | - Kornélia Kurucz
- National Laboratory of Virology, Szentágothai Research Centre, University of Pécs, Pecs, Hungary
- Institute of Biology, Faculty of Sciences, University of Pécs, Pecs, Hungary
| | - Gábor Kemenesi
- National Laboratory of Virology, Szentágothai Research Centre, University of Pécs, Pecs, Hungary
- Institute of Biology, Faculty of Sciences, University of Pécs, Pecs, Hungary
| | - Levente Laczkó
- HUN-REN-UD Conservation Biology Research Group, University of Debrecen, Debrecen, Hungary
- One Health Institute, University of Debrecen, Debrecen, Hungary
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Opbroek J, Pereira Barboza E, Nieuwenhuijsen M, Dadvand P, Mueller N. Urban green spaces and behavioral and cognitive development in children: A health impact assessment of the Barcelona "Eixos Verds" Plan (Green Axis Plan). ENVIRONMENTAL RESEARCH 2024; 244:117909. [PMID: 38103780 DOI: 10.1016/j.envres.2023.117909] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/03/2023] [Revised: 12/08/2023] [Accepted: 12/09/2023] [Indexed: 12/19/2023]
Abstract
BACKGROUND Urban environments lack natural features, while nature exposure in cities has been associated with health benefits, including children's neurodevelopment. Through extensive street greening, Barcelona's Eixos Verds (Green Axis) Plan enhances safety, environment, and climate resilience. We aimed to assess the Eixos Verds Plan's potential impact on children's behavioral and cognitive development due to the increased green space expected under the Eixos Verds implementation. METHODS We performed a quantitative health impact assessment for Barcelona children at census-tract level (n = 1068). We assessed the Eixos Verds Plan's impact by comparing baseline green space distribution with the proposed plan, translating it into percentage green area (%GA) and Normalized Difference Vegetation Index (NDVI). By combining these exposure metrics with child-specific risk estimates and population data, we estimated potential improvements in children's behavioral and cognitive development due to full Eixos Verds implementation. RESULTS With the full Eixos Verds implementation, citywide, %GA increased by 6.9% (IQR: 6.4%; range: 0-23.1%) and NDVI by 0.065 (IQR: 0.083; range: 0.000-0.194). Child behavioral and cognitive development outcomes are expected to improve compared to the baseline. Based on NDVI increases, children's Total Difficulties and Hyperactivity/Inattention scores, based on the Strengths and Difficulties Questionnaire (SDQ), are projected to decrease by 5% (95% CI: 0-15%) and 6% (95% CI: 0-17%). Working Memory and Superior Working Memory scores are expected to increase by 4% and 5%, respectively, based on the computerized n-back test, while the Inattentiveness score could be reduced by 1%, based on the computerized attentional test (ANT). INTERPRETATION Urban greening as planning tool can improve behavioral and cognitive development in city children. Methods and results of our study are applicable to many cities worldwide, and similar results for children of real-life urban greening interventions can be expected.
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Affiliation(s)
- Jet Opbroek
- ISGlobal Barcelona Institute for Global Health, Barcelona, Spain; Universitat Pompeu Fabra (UPF), Barcelona, Spain.
| | - Evelise Pereira Barboza
- ISGlobal Barcelona Institute for Global Health, Barcelona, Spain; Universitat Pompeu Fabra (UPF), Barcelona, Spain; CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain
| | - Mark Nieuwenhuijsen
- ISGlobal Barcelona Institute for Global Health, Barcelona, Spain; Universitat Pompeu Fabra (UPF), Barcelona, Spain; CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain
| | - Payam Dadvand
- ISGlobal Barcelona Institute for Global Health, Barcelona, Spain; Universitat Pompeu Fabra (UPF), Barcelona, Spain; CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain
| | - Natalie Mueller
- ISGlobal Barcelona Institute for Global Health, Barcelona, Spain; Universitat Pompeu Fabra (UPF), Barcelona, Spain; CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain
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Martens P. Planetary health: The need for a paradigm shift. Bioscience 2024; 74:128-129. [PMID: 38560621 PMCID: PMC10977863 DOI: 10.1093/biosci/biad107] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2023] [Accepted: 11/16/2023] [Indexed: 04/04/2024] Open
Affiliation(s)
- Pim Martens
- System Earth Science Institute
- The University College Venlo, part of Maastricht University, Maastricht, The Netherlands
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Landrigan PJ, Rémond J, Gomarasca P, Chiles TC, Whitman EM, Ferrer L. Laudato Si' and the emerging contribution of Catholic research universities to planetary health. Lancet Planet Health 2024; 8:e140-e141. [PMID: 38453378 DOI: 10.1016/s2542-5196(24)00012-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2023] [Accepted: 01/23/2024] [Indexed: 03/09/2024]
Affiliation(s)
- Philip J Landrigan
- Boston College, Chestnut Hill, MA 02467, USA; Centre Scientifique de Monaco, Monaco.
| | - Jacqui Rémond
- Nulungu Research Institute, Notre Dame University, Broome, WA, Australia; Australian Catholic University, North Sydney, NSW, Australia
| | | | | | | | - Lilian Ferrer
- Pontificia Universidad Católica de Chile, Santiago, Chile
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Mackenbach JP. Dutch Academy of Science proposes research agenda for planetary health. Lancet Planet Health 2024; 8:e138-e139. [PMID: 38453377 DOI: 10.1016/s2542-5196(24)00007-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2023] [Accepted: 01/22/2024] [Indexed: 03/09/2024]
Affiliation(s)
- Johan P Mackenbach
- Department of Public Health, Erasmus MC, Rotterdam 3000 CA, Netherlands.
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Cygan H, Garman AN, Basapur S, Bejster M. Turning Concern Into Confidence: Planetary Health Needs in Nursing Education. J Nurs Educ 2024; 63:178-181. [PMID: 38442399 DOI: 10.3928/01484834-20240108-09] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/07/2024]
Abstract
BACKGROUND Climate change is a recognized global threat to human health, and nurses must be prepared to mitigate its negative effects. This article describes nursing student and faculty opinions about climate change and associated planetary health curricular needs. METHOD A survey including the Six Americas Super Short Survey and an adaptation of the Planetary Health Report Card was developed and emailed to nursing students and faculty. RESULTS Student (n = 72) and faculty (n = 56) responses showed that although they were concerned about climate change, they were not confident in preparation of nurses student to climate change and its impact. Students and faculty shared perceptions about specific curricular areas are to be included in curricula. CONCLUSION In response to the updated Essentials, which include specific reference to climate change, widespread curricular change is imminent in nursing education. This study offers insight for integrating climate change and planetary health into nursing curricula. [J Nurs Educ. 2024;63(3):178-181.].
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