Time to treat the climate and nature crisis as one indivisible global health emergency

Authors

  • Kamran Abbasi Editor-in-Chief, BMJ
  • Parveen Ali Editor-in-Chief, International Nursing Review; Virginia Barbour, Editor-in-Chief, Medical Journal of Australia
  • Virginia Barbour Editor-in-Chief, Medical Journal of Australia
  • Thomas Benfield Editor-in-Chief, Danish Medical Journal
  • Kirsten Bibbins Editor-in-Chief, JAMA
  • Stephen Hancocks Editor-in-Chief, British Dental Journal
  • Richard Horton Editor-in-Chief, The Lancet; Laurie Laybourn-Langton, University of Exete
  • Robert Mash Editor-in-Chief, African Journal of Primary Health Care & Family Medicine
  • Peush Sahni Editor-in-Chief, National Medical Journal of India
  • Wadeia Mohammad Sharie Editor-in-Chief, Dubai Medical Journal
  • Paul Yonga Editor-in-Chief, East African Medical Journal
  • Chris Zielinski University of Winchester

Keywords:

Time to treat the climate and nature crisis

Abstract

ABSTRACT
Over 200 health journals call on the United Nations, political leaders, and health professionals to
recognise that climate change and biodiversity loss are one indivisible crisis and must be tackled
together to preserve health and avoid catastrophe. This overall environmental crisis is now so severe
as to be a global health emergency.
The world is currently responding to the climate crisis and the nature crisis as if they were separate
challenges. This is a dangerous mistake. The 28th Conference of the Parties (COP) on climate change
is about to be held in Dubai while the 16th COP on biodiversity is due to be held in Turkey in 2024. The
research communities that provide the evidence for the two COPs are unfortunately largely separate,
but they were brought together for a workshop in 2020 when they concluded that: “Only by
considering climate and biodiversity as parts of the same complex problem…can solutions be
developed that avoid maladaptation and maximize the beneficial outcomes.”[1]
As the health world has recognised with the development of the concept of planetary health, the
natural world is made up of one overall interdependent system. Damage to one subsystem can create
feedback that damages another—for example, drought, wildfires, floods and the other effects of
rising global temperatures destroy plant life, and lead to soil erosion and so inhibit carbon storage,
which means more global warming. [2] Climate change is set to overtake deforestation and other
land-use change as the primary driver of nature loss. [3]
Nature has a remarkable power to restore. For example, deforested land can revert to forest through
natural regeneration, and marine phytoplankton, which act as natural carbon stores, turn over one
billion tonnes of photosynthesising biomass every eight days. [4] Indigenous land and sea
management has a particularly important role to play in regeneration and continuing care. [5]
Restoring one subsystem can help another—for example, replenishing soil could help remove
greenhouse gases from the atmosphere on a vast scale. [6] But actions that may benefit one
subsystem can harm another—for example, planting forests with one type of tree can remove carbon
dioxide from the air but can damage the biodiversity that is fundamental to healthy ecosystems. [7]

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Published

2024-01-22