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Suicidality in climate change and mental health research 气候变化与心理健康研究中的自杀行为。
IF 21.6 1区 医学 Q1 ENVIRONMENTAL SCIENCES Pub Date : 2026-01-01 DOI: 10.1016/j.lanplh.2025.101399
Luke T Bayliss , Lennart Reifels , Kairi Kõlves
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引用次数: 0
Planetary Health Research Digest 行星健康研究文摘。
IF 21.6 1区 医学 Q1 ENVIRONMENTAL SCIENCES Pub Date : 2026-01-01 DOI: 10.1016/j.lanplh.2025.101402
Cahal McQuillan
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引用次数: 0
Environmental sustainability considerations in the reporting of randomised clinical trials 随机临床试验报告中的环境可持续性考虑。
IF 21.6 1区 医学 Q1 ENVIRONMENTAL SCIENCES Pub Date : 2026-01-01 DOI: 10.1016/j.lanplh.2025.101412
Florien S van Royen MD PhD , Ewoud Schuit PhD
Randomised clinical trials (RCTs) can contribute substantially to carbon dioxide emissions. In this Viewpoint, we explored the extent to which primary publications of RCTs reported environmental sustainability considerations in their study design (eg, resource use and travel movement) and outcomes (eg, the environmental impact of interventions under study). 252 RCTs published between Oct 17, 2022, and Oct 17, 2023, in five prominent medical journals, The Lancet, The New England Journal of Medicine, Nature Medicine, The British Medical Journal, and PLOS Medicine, were included. Sustainability-related statements were reported in 29 (12%) of 252 of RCTs, but only four (1·6%) of 252 explicitly referenced sustainability considerations in their study design or outcome. Thus, environmental sustainability aspects of the study design decisions or outcomes collected seem to be rarely reported in primary publications of RCTs. The findings of this Viewpoint highlight the need for strategies for improved awareness of reporting of environmental sustainability considerations in the context of RCTs.
随机临床试验(RCTs)可能在很大程度上导致二氧化碳排放。在本观点中,我们探讨了rct的主要出版物在其研究设计(例如,资源利用和旅行运动)和结果(例如,研究中干预措施的环境影响)中报告环境可持续性考虑的程度。纳入了2022年10月17日至2023年10月17日期间发表在《柳叶刀》、《新英格兰医学杂志》、《自然医学》、《英国医学杂志》和《公共科学图书馆医学》五种著名医学期刊上的252项随机对照试验。252项随机对照试验中有29项(12%)报告了与可持续性相关的陈述,但252项随机对照试验中只有4项(1.6%)在其研究设计或结果中明确引用了可持续性考虑因素。因此,研究设计决策或收集结果的环境可持续性方面似乎很少在随机对照试验的主要出版物中报道。这一观点的研究结果强调了在随机对照试验的背景下,需要制定战略来提高对报告环境可持续性考虑因素的认识。
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引用次数: 0
Equitable investment in the veterinary workforce is foundational to One Health and planetary wellbeing 对兽医队伍的公平投资是“同一个健康”和地球福祉的基础。
IF 21.6 1区 医学 Q1 ENVIRONMENTAL SCIENCES Pub Date : 2026-01-01 DOI: 10.1016/j.lanplh.2025.101403
Latiffah Hassan , Robyn Alders , Sarah Cleveland , Dirk Pfeiffer , Chris Walzer , Neil M Vora , Raina K Plowright
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引用次数: 0
COP30 agrees on framework to track global climate resilience 第三十届联合国气候变化大会就追踪全球气候适应能力的框架达成一致:在各国首次采纳《巴黎协定》所载目标10年后,第30届联合国气候变化大会以一项历史性协议结束,为全球适应目标提供资金并实施该目标。
IF 21.6 1区 医学 Q1 ENVIRONMENTAL SCIENCES Pub Date : 2026-01-01 DOI: 10.1016/j.lanplh.2025.101419
Arthur Wyns
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引用次数: 0
Risk, burden, and trend of infectious disease hospitalisations associated with floods: a multicountry, time-series study 洪水相关传染病住院的风险、负担和趋势:一项多国时间序列研究
IF 21.6 1区 医学 Q1 ENVIRONMENTAL SCIENCES Pub Date : 2026-01-01 DOI: 10.1016/j.lanplh.2025.101411
Zhengyu Yang PhD , Wenzhong Huang PhD , Prof Joanne E McKenzie PhD , Prof Rongbin Xu PhD , Pei Yu PhD , Gongbo Chen PhD , Wenhua Yu PhD , Yao Wu PhD , Yanming Liu PhD , Bo Wen PhD , Prof Simon Hales PhD , Eric Lavigne PhD , Tingting Ye PhD , Yiwen Zhang MSc , Prof Micheline de Sousa Zanotti Stagliorio Coelho PhD , Patricia Matus PhD , Kraichat Tantrakarnapa PhD , Wissanupong Kliengchuay PhD , Prof Paulo Hilario Nascimento Saldiva PhD , Shuang Zhou PhD , Prof Shanshan Li PhD
<div><h3>Background</h3><div>Infectious disease outbreak is one of the most concerning issues in the aftermath of floods. However, knowledge gaps exist in the risk, burden, and trend of infectious disease hospitalisation associated with floods. Therefore, we aimed to quantify the risks, burden, and temporal changes of infectious disease hospitalisations associated with flood exposure during 2000–19.</div></div><div><h3>Methods</h3><div>In this multicountry, time-series study, hospitalisation data for all communities in Australia, Brazil, Canada, Chile, New Zealand, and Thailand from Jan 1, 2000, to Dec 31, 2019, were collected from local authorities of each country. We retrieved flood events data from the Dartmouth Flood Observatory. Meteorological, population, and gross domestic product data were collected from the European Centre for Medium-Range Weather Forecasts Reanalysis version 5, Landscan, and a previous study. Associations between flood exposure and weekly hospitalisation risks were estimated using a two-stage analytical approach. To examine temporal changes in the associations and the corresponding burden, we estimated relative risks (RRs) and excess rates of hospitalisations from infectious diseases that were attributable to floods for the communities in each country in two periods (2000–09 and 2010–19) using the two-stage analytical approach.</div></div><div><h3>Findings</h3><div>27 million infectious disease hospitalisation records from 709 communities were included in the analysis. Hospitalisation risks of all-cause infectious, foodborne and waterborne diseases, airborne diseases, skin and mucous-membrane infections, and sexually transmitted infections increased for up to 26 weeks following flood exposure. For each 1-week flood exposure, the associated RR (mean across 26 weeks) after flood exposure was 1·006 (95% CI 1·002–1·009) for all-cause infectious diseases, 1·008 (1·003–1·012) for foodborne and waterborne diseases, 1·004 (1·001–1·008) for airborne diseases, 1·010 (1·005–1·015) for skin and mucous-membrane infections, and 1·032 (1·025–1·039) for sexually transmitted infections. Changes in RRs were observed between 2000–09 and 2010–19 across countries. In 2010–19, the excess rate of all-cause infectious disease hospitalisations was the highest in Australia, which was 150·0 (95% empirical CI 115·8–183·2) admissions per million person-years.</div></div><div><h3>Interpretation</h3><div>Flood exposure was associated with increased hospitalisation risks for foodborne and waterborne diseases, airborne diseases, skin and mucous-membrane infections, and sexually transmitted infections, lasting for up to 26 weeks after flooding. With the projected increases in severity, duration, and frequency of floods under climate change, greater efforts are warranted to review and improve the current adaptation strategies, disaster response protocols, health system resilience, and disease surveillance systems.</div></div><div><h3>Funding</h3><div>Aus
背景:洪灾后传染病暴发是最受关注的问题之一。然而,在与洪水相关的传染病住院的风险、负担和趋势方面存在知识空白。因此,我们的目的是量化2000-19年期间与洪水暴露相关的传染病住院的风险、负担和时间变化。方法:在这项多国时间序列研究中,从每个国家的地方当局收集2000年1月1日至2019年12月31日期间澳大利亚、巴西、加拿大、智利、新西兰和泰国所有社区的住院数据。我们从达特茅斯洪水观测站检索了洪水事件数据。气象、人口和国内生产总值数据收集自欧洲中期天气预报再分析中心第5版、Landscan和先前的一项研究。使用两阶段分析方法估计洪水暴露与每周住院风险之间的关联。为了检查关联的时间变化和相应的负担,我们使用两阶段分析方法估计了两个时期(2000- 2009年和2010- 2019年)每个国家社区因洪水引起的传染病的相对风险(rr)和超额住院率。结果:来自709个社区的2700万份传染病住院记录被纳入分析。全因传染病、食源性和水传播疾病、空气传播疾病、皮肤和粘膜感染以及性传播感染的住院风险在洪水暴露后长达26周内增加。对于每1周的洪水暴露,洪水暴露后的相关RR(26周平均值)为:全因传染病为1·006 (95% CI为1·002-1·009),食源性和水传播疾病为1·008 (95% CI为1·001-1·012),空气传播疾病为1·004(1·001-1·008),皮肤和粘膜感染为1·010(1·005-1·015),性传播感染为1·032(1·025-1·039)。在2000- 2009年至2010- 2019年期间,观察到各国rr的变化。2010- 2019年,澳大利亚的全因传染病住院率最高,为每百万人年150.0例(95%经验CI为11.8 - 18.2)。解释:洪水暴露与食源性和水传播疾病、空气传播疾病、皮肤和粘膜感染以及性传播感染的住院风险增加有关,这种情况在洪水后持续长达26周。由于预计在气候变化下洪水的严重程度、持续时间和频率会增加,有必要加大努力审查和改进当前的适应战略、灾害应对方案、卫生系统复原力和疾病监测系统。资助:澳大利亚研究理事会、澳大利亚国家卫生和医学研究理事会、泰国国家研究理事会。
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引用次数: 0
Bridging the policy gap between climate change and antimicrobial resistance 弥合气候变化与抗菌素耐药性之间的政策差距。
IF 21.6 1区 医学 Q1 ENVIRONMENTAL SCIENCES Pub Date : 2026-01-01 DOI: 10.1016/j.lanplh.2025.101409
Annemieke van den Dool , S L P Evin , Jaemin Kim , Xiaohang Lyu , Lana Abusalem , Yijin Niu , Khanh Tuong Tran , L Gayani Tillekeratne
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引用次数: 0
Zero-emissions vehicle adoption and satellite-measured NO2 air pollution in California, USA, from 2019 to 2023: a longitudinal observational study 2019年至2023年美国加利福尼亚州零排放车辆的采用和卫星测量的二氧化氮空气污染:一项纵向观察研究。
IF 21.6 1区 医学 Q1 ENVIRONMENTAL SCIENCES Pub Date : 2026-01-01 DOI: 10.1016/j.lanplh.2025.101379
Sandrah P Eckel PhD , Futu Chen PhD , Sam J Silva PhD , Daniel L Goldberg PhD , Jill Johnston PhD , Lawrence A Palinkas PhD , Alberto Campos MSW , Wilma Franco EdD , Erika Garcia PhD

Background

Electrifying the transportation sector is a key climate-change mitigation strategy. Reductions in exhaust emissions have anticipated air quality co-benefits; yet, evidence is primarily based on projections. Using observed data in California, USA, we aimed to investigate whether reductions in exhaust emissions from the transition to zero-emissions vehicles (ZEVs: battery electric, plug-in hybrid, and hydrogen fuel cell) were detectable using Tropospheric Monitoring Instrument (TROPOMI) satellite measurements of nitrogen dioxide (NO2) air pollution.

Methods

In this longitudinal observational study, we combined data from 2019 to 2023 on annual light-duty ZEV registrations in 1692 California ZIP code tabulation areas (ZCTAs; cross-walked from ZIP codes) with annual mean TROPOMI-measured NO2. We used longitudinal linear mixed-effects models to assess the association between within-ZCTA ZEV changes and within-ZCTA NO2 changes, adjusting for temporal trends and time-varying potential confounding, or excluding 2020. In positive control analyses, we related internal combustion engine vehicle registrations to NO2. In ground-truth analyses, we related ZEVs to NO2 concentrations using 123 Environmental Protection Agency monitors from 2012 to 2023.

Findings

The median within-ZCTA increase in ZEVs from 2019 to 2023 was 272 (IQR 18 to 839). A within-ZCTA increase of 200 ZEVs was associated with a 1·10% (95% CI −1·19 to −1·00) decrease in annual average NO2. The main findings were supported by sensitivity analyses (–1·32% [–1·43 to –1·21] when excluding the year 2020), ground-truth analysis (–0·87% [–1·76 to 0·03] using NO2 from ground-level monitors), and positive control analysis (0·80% [0·63 to 0·97] increase in annual average NO2 per 800 increase in number of internal combustion engine vehicles).

Interpretation

Using a natural experiment, we found that within-ZCTA increases in ZEV registrations were associated with reductions in NO2 air pollution measured by satellite and replicated with ground-level monitors. This work in California serves as a proof-of-principle for future work using satellite-measured NO2 to quantify effects of climate-change mitigation efforts on combustion-related air pollution within the USA and internationally.

Funding

National Institutes of Health, National Institute of Environmental Health Sciences, National Aeronautics and Space Administration Health and Air Quality Applied Sciences Team, and the National Aeronautics and Space Administration Atmospheric Composition Modeling and Analysis Program.
背景:交通部门电气化是减缓气候变化的一项关键战略。废气排放的减少预期会带来空气质量的协同效益;然而,证据主要是基于预测。利用美国加利福尼亚州的观测数据,我们旨在调查使用对流层监测仪器(TROPOMI)卫星测量二氧化氮(NO2)空气污染是否可以检测到过渡到零排放车辆(zev:电池电动,插电式混合动力和氢燃料电池)的废气排放减少。方法:在这项纵向观察研究中,我们将2019年至2023年1692个加州邮政编码表列区(ZCTAs;从邮政编码步行)的轻型ZEV年度登记数据与tropomi测量的年平均二氧化氮相结合。我们使用纵向线性混合效应模型来评估zcta内ZEV变化和zcta内NO2变化之间的关系,调整时间趋势和时变潜在混杂因素,或排除2020年。在正对照分析中,我们将内燃机车辆登记与二氧化氮联系起来。在基础事实分析中,我们使用123个环境保护局(Environmental Protection Agency) 2012年至2023年的监测仪,将zev与二氧化氮浓度联系起来。从2019年到2023年,ZEVs在zcta内的中位数增加为272 (IQR 18至839)。zcta内增加200 zev与年平均NO2下降1.10% (95% CI为- 1.19 ~ - 1.00)相关。敏感性分析(排除2020年时为-1·32%[-1·43 ~ -1·21])、地面实况分析(使用地面监测的NO2数据为-0·87%[-1·76 ~ 0.03])和阳性对照分析(每增加800辆内燃机车辆的年平均NO2增加0.80%[0.63 ~ 0.97])支持了主要研究结果。解释:使用自然实验,我们发现在zcta内ZEV登记的增加与卫星测量的NO2空气污染的减少有关,并与地面监测仪重复。加州的这项工作为今后利用卫星测量的二氧化氮来量化美国和国际上减缓气候变化努力对与燃烧有关的空气污染的影响的工作提供了原理证明。资助:美国国立卫生研究院、美国国家环境健康科学研究所、美国国家航空航天局健康和空气质量应用科学小组以及美国国家航空航天局大气成分建模和分析计划。
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引用次数: 0
Planetary Health Research Digest. 行星健康研究文摘。
IF 21.6 1区 医学 Q1 ENVIRONMENTAL SCIENCES Pub Date : 2025-12-23 DOI: 10.1016/j.lanplh.2025.101421
Cahal McQuillan
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引用次数: 0
Inclusion of wellbeing impacts of climate change: a review of literature and integrated environment–society–economy models 纳入气候变化对健康的影响:文献综述和综合环境-社会-经济模型。
IF 21.6 1区 医学 Q1 ENVIRONMENTAL SCIENCES Pub Date : 2025-12-01 DOI: 10.1016/j.lanplh.2025.101375
Inge Schrijver MA , Prof Paul Behrens PhD , Rutger Hoekstra PhD , Prof René Kleijn PhD
Climate change has broad and deep impacts on people’s wellbeing; yet, these dynamics are largely excluded from integrated environment–society–economy (ESE) models. In this Review, we provide an overview of climate change–wellbeing impact pathways and explore which of these pathways have been quantified or modelled, or both. We assessed literature reviews and meta-analyses to describe how climate change affects specific wellbeing outcomes and which of these relationships are robust and amenable to parametrisation. We also conducted a review of 18 models that include one or more wellbeing impacts of climate change. Generally, more quantified pathways are available in the literature than those currently incorporated in ESE models. Temperature-related mortality, food security, and GDP are well represented in quantitative literature and to some extent in ESE models, whereas the impacts of climate change on infectious diseases; respiratory, cardiovascular, and neurological outcomes; mental health; adverse birth outcomes; occupational health and labour productivity; conflict; migration; poverty; air quality; and biodiversity loss have been quantified in the literature but are largely absent in ESE models. These relationships present promising steps towards a next generation of ESE models that could include more sophisticated interactions between environmental impacts and wellbeing.
气候变化对人民福祉的影响广泛而深刻;然而,这些动态在很大程度上被排除在综合环境-社会-经济(ESE)模型之外。在本综述中,我们概述了气候变化-福祉影响途径,并探讨了哪些途径已被量化或建模,或两者兼而有之。我们评估了文献综述和荟萃分析,以描述气候变化如何影响特定的福祉结果,以及这些关系中哪些是稳健的,可以进行参数化。我们还对18个模型进行了审查,这些模型包括气候变化对健康的一种或多种影响。一般来说,文献中可获得的量化途径比目前纳入ESE模型的途径更多。与温度相关的死亡率、粮食安全和GDP在定量文献中得到了很好的体现,在某种程度上也在ESE模型中得到了体现,而气候变化对传染病的影响;呼吸、心血管和神经系统预后;心理健康;不良出生结局;职业健康和劳动生产率;冲突;迁移;贫困;空气质量;和生物多样性损失在文献中已经量化,但在ESE模型中基本缺失。这些关系为下一代的ESE模型提供了有希望的步骤,这些模型可能包括环境影响和福祉之间更复杂的相互作用。
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引用次数: 0
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Lancet Planetary Health
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