Food education in schools is increasingly being adopted as one of the key policy levers to support the shift towards healthier and more sustainable food practices worldwide. However, the way in which food education is designed and implemented is not often conducive to such goals. We propose a food learning model and process for designing holistic food education that fosters food competent children and adolescents as catalysts for change. The model applies evidence-based core principles required for effective food education, such as action-oriented goals that align with a student's contexts, co-ownership of the learning process, prioritising experiential learning, ensuring purposeful interactions, complementarity with the school food environment and beyond, and meaningful involvement of actors that influence children's food practices and perspectives. The process for designing food education programmes is anchored in the food learning model and highlights the importance of selecting the right entry points in the formal school system, assessment of learning needs, co-formulating competences, and the need for continuous and purposeful assessments of students' learning. We highlight the key challenges beyond programme design that must be addressed to enhance the success of food education, including the need to strengthen systemic capacity and improve the wider policy environment.
{"title":"Putting food at the centre of learning: an evidence-based and practice-informed model of holistic food education in schools","authors":"Melissa Vargas MSc , Cristina Álvarez Sánchez PhD , Vilma Tyler MSc , Fatima Hachem PhD","doi":"10.1016/S2542-5196(25)00033-6","DOIUrl":"10.1016/S2542-5196(25)00033-6","url":null,"abstract":"<div><div>Food education in schools is increasingly being adopted as one of the key policy levers to support the shift towards healthier and more sustainable food practices worldwide. However, the way in which food education is designed and implemented is not often conducive to such goals. We propose a food learning model and process for designing holistic food education that fosters food competent children and adolescents as catalysts for change. The model applies evidence-based core principles required for effective food education, such as action-oriented goals that align with a student's contexts, co-ownership of the learning process, prioritising experiential learning, ensuring purposeful interactions, complementarity with the school food environment and beyond, and meaningful involvement of actors that influence children's food practices and perspectives. The process for designing food education programmes is anchored in the food learning model and highlights the importance of selecting the right entry points in the formal school system, assessment of learning needs, co-formulating competences, and the need for continuous and purposeful assessments of students' learning. We highlight the key challenges beyond programme design that must be addressed to enhance the success of food education, including the need to strengthen systemic capacity and improve the wider policy environment.</div></div>","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":"9 11","pages":"Article 101219"},"PeriodicalIF":21.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-01DOI: 10.1016/j.lanplh.2025.06.002
Prof Marco Springmann PhD , Manasi P Hansoge MSc , Linda Schultz MPH , Silvia Pastorino PhD , Prof Donald A P Bundy
Background
School meal programmes are thought to improve dietary behaviour in children, with benefits sustained throughout the life course, making them important catalysts for wider food-system change. However, only one in five children globally currently receives school meals. We estimated the potential effects of extending school meal coverage to all children by 2030 for dietary health; the environmental effects related to diets; and the costs of diets at global, regional, and national levels.
Methods
We conducted health, environmental, and cost assessments of future scenarios of school meal coverage, meal frequency, meal composition, and food wastage. In the health assessment, we used statistical methods and a comparative risk assessment to estimate short-term changes in undernourishment and long-term changes in dietary risks and mortality. In the environmental assessment, we used food-related environmental footprints to analyse how changes in dietary composition and food waste affect greenhouse gas emissions, land use, and freshwater use. In the cost assessment, we used an international dataset of food prices to estimate changes in diet costs, and we used estimates of the social cost of carbon and the costs of illness to estimate changes in the costs of climate-change damages and in health-related costs.
Findings
Extending school meal programmes to all children globally by 2030 could be associated with substantial health and environmental benefits globally and in each country. In the model assessments, the prevalence of undernourishment in food-insecure populations was reduced by a quarter due to having an additional meal at school; more than 1 million cases of non-communicable diseases were prevented globally per year if dietary habits were partly sustained into adulthood; and food-related environmental effects were halved if meal composition adhered to recommendations for healthy and sustainable diets and food waste was reduced. Increasing school meal coverage incurred additional meal-related costs that ranged from 0·1% of gross domestic product (GDP) in high-income countries to 1·0% of GDP in low-income countries. Reductions in the external costs of climate-change damages and the costs of illness compensated for the costs of providing meals in line with health and sustainable diets.
Interpretation
Universal school meal coverage could make important contributions to improving children’s health, the food security of their families, and the sustainability of food systems. However, dedicated policy and financial support will be required to close the gap in school meal coverage, especially in low-income countries.
Funding
Research Consortium for School Health and Nutrition.
{"title":"The health, environmental, and cost implications of providing healthy and sustainable school meals for every child by 2030: a global modelling study","authors":"Prof Marco Springmann PhD , Manasi P Hansoge MSc , Linda Schultz MPH , Silvia Pastorino PhD , Prof Donald A P Bundy","doi":"10.1016/j.lanplh.2025.06.002","DOIUrl":"10.1016/j.lanplh.2025.06.002","url":null,"abstract":"<div><h3>Background</h3><div>School meal programmes are thought to improve dietary behaviour in children, with benefits sustained throughout the life course, making them important catalysts for wider food-system change. However, only one in five children globally currently receives school meals. We estimated the potential effects of extending school meal coverage to all children by 2030 for dietary health; the environmental effects related to diets; and the costs of diets at global, regional, and national levels.</div></div><div><h3>Methods</h3><div>We conducted health, environmental, and cost assessments of future scenarios of school meal coverage, meal frequency, meal composition, and food wastage. In the health assessment, we used statistical methods and a comparative risk assessment to estimate short-term changes in undernourishment and long-term changes in dietary risks and mortality. In the environmental assessment, we used food-related environmental footprints to analyse how changes in dietary composition and food waste affect greenhouse gas emissions, land use, and freshwater use. In the cost assessment, we used an international dataset of food prices to estimate changes in diet costs, and we used estimates of the social cost of carbon and the costs of illness to estimate changes in the costs of climate-change damages and in health-related costs.</div></div><div><h3>Findings</h3><div>Extending school meal programmes to all children globally by 2030 could be associated with substantial health and environmental benefits globally and in each country. In the model assessments, the prevalence of undernourishment in food-insecure populations was reduced by a quarter due to having an additional meal at school; more than 1 million cases of non-communicable diseases were prevented globally per year if dietary habits were partly sustained into adulthood; and food-related environmental effects were halved if meal composition adhered to recommendations for healthy and sustainable diets and food waste was reduced. Increasing school meal coverage incurred additional meal-related costs that ranged from 0·1% of gross domestic product (GDP) in high-income countries to 1·0% of GDP in low-income countries. Reductions in the external costs of climate-change damages and the costs of illness compensated for the costs of providing meals in line with health and sustainable diets.</div></div><div><h3>Interpretation</h3><div>Universal school meal coverage could make important contributions to improving children’s health, the food security of their families, and the sustainability of food systems. However, dedicated policy and financial support will be required to close the gap in school meal coverage, especially in low-income countries.</div></div><div><h3>Funding</h3><div>Research Consortium for School Health and Nutrition.</div></div>","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":"9 11","pages":"Article 101278"},"PeriodicalIF":21.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145087743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-01DOI: 10.1016/j.lanplh.2025.101356
Shih-Chun Candice Lung , Jou-Chen Joy Yeh , Jing-Shiang Hwang
Background
Amid global heating, establishing a heat-health warning system (HHWS) is crucial for reducing heat-related health risks. This paper presents an evidence-based HHWS app developed through stakeholder engagement.
Methods
Biometeorological, epidemiological, and risk communication challenges of heat-health risks across Taiwan were identified. To address these challenges we developed an app based HHWS, in collaboration with the Central Weather Administration and Health Promotion Administration in Taiwan.
Findings
Biometeorological results showed that the mean daily maximum wet-bulb globe temperature (WBGTmax) was 33·1 ± 3·8°C at 20 stations across Taiwan but could reach or exceed 36°C (threshold of the dangerous category) at some hot spots for 42·3–52·0% of the days between May and October from 2016 to 2022. Hot spots and periods identified using WBGT would be missed if temperature alone was used as the heat indicator. The relative risk (RR) for the heat-related emergency visits was 1·83 (95% CI 1·68–1·99) on day 0 when WBGT exceeded 32·5°C across Taiwan, based on a modified generalised additive model. Children aged 0–14 years had the highest RR (8·32, 1·96–35·3) on day 0, compared to adults aged 15–64 years and older. For risk communication, the frequency of warnings was evaluated to avoid excessive alerts, which could desensitise the public and strain resources of the authorities responsible for executing timely responsive programmes.
Interpretation
The developed HHWS was embedded in a mobile phone app, which all residents in Taiwan can download.
Funding
National Science and Technology Council Executive Yuan, Taiwan.
{"title":"Establishing an app-based heat-health warning system via collaboration with stakeholders","authors":"Shih-Chun Candice Lung , Jou-Chen Joy Yeh , Jing-Shiang Hwang","doi":"10.1016/j.lanplh.2025.101356","DOIUrl":"10.1016/j.lanplh.2025.101356","url":null,"abstract":"<div><h3>Background</h3><div>Amid global heating, establishing a heat-health warning system (HHWS) is crucial for reducing heat-related health risks. This paper presents an evidence-based HHWS app developed through stakeholder engagement.</div></div><div><h3>Methods</h3><div>Biometeorological, epidemiological, and risk communication challenges of heat-health risks across Taiwan were identified. To address these challenges we developed an app based HHWS, in collaboration with the Central Weather Administration and Health Promotion Administration in Taiwan.</div></div><div><h3>Findings</h3><div>Biometeorological results showed that the mean daily maximum wet-bulb globe temperature (WBGTmax) was 33·1 ± 3·8°C at 20 stations across Taiwan but could reach or exceed 36°C (threshold of the dangerous category) at some hot spots for 42·3–52·0% of the days between May and October from 2016 to 2022. Hot spots and periods identified using WBGT would be missed if temperature alone was used as the heat indicator. The relative risk (RR) for the heat-related emergency visits was 1·83 (95% CI 1·68–1·99) on day 0 when WBGT exceeded 32·5°C across Taiwan, based on a modified generalised additive model. Children aged 0–14 years had the highest RR (8·32, 1·96–35·3) on day 0, compared to adults aged 15–64 years and older. For risk communication, the frequency of warnings was evaluated to avoid excessive alerts, which could desensitise the public and strain resources of the authorities responsible for executing timely responsive programmes.</div></div><div><h3>Interpretation</h3><div>The developed HHWS was embedded in a mobile phone app, which all residents in Taiwan can download.</div></div><div><h3>Funding</h3><div>National Science and Technology Council Executive Yuan, Taiwan.</div></div>","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":"9 ","pages":"Article 101356"},"PeriodicalIF":21.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145617304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-01DOI: 10.1016/S2542-5196(25)00004-X
Yesmeen Khalifa PhD , Prof Matthew Leach PhD , Richard Sieff PhD , Jerome Nsengiyaremye PhD , Beryl Onjala MA , Karlijn Groen MSc , Francesco Fuso Nerini PhD , Camilo Ramirez MSc , Raffaella Bellanca PhD
Approximately 418 million children are beneficiaries of school meal programmes globally. In general, supportive infrastructure is necessary for the successful delivery of school meals, but in many low-income and lower-middle-income countries (LLMICs), schools have poor access to essential facilities such as kitchens, electricity, and clean water. Moreover, schools in LLMICs often rely on charcoal or firewood for cooking with consequent negative health, social, economic, and environmental impacts that disproportionally affect women and children. The increasing availability of electricity and large energy efficient cooking appliances in LLMICs suggests that electric cooking could offer a potential solution. However, although the impacts of providing electricity to schools on educational outcomes have been explored, and the scope for electric cooking transitions at household level is increasingly studied, evidence on the role of electricity in providing sustainable school meals remains scarce, particularly in LLMICs. Most existing studies on school meals focus on the health and nutritional values of school meals and do not consider the energy used in their preparation or associated impacts. To address this gap, this Personal View explores the contribution of electric cooking to providing sustainable school meals. Recent case studies from Kenya, Lesotho, Nepal, and Guinea that introduced electric cooking as an alternative to traditional cooking fuels have shown how electric cooking can contribute to providing sustainable schools meals in LLMICs. This Personal View highlights multiple sustainable benefits from shifting to electric cooking, which include environmental, economic, and health benefits, and time saving, with potential gender benefits intersecting these domains. Sharing lessons learned from each study could improve the delivery and effectiveness of these interventions for other schools, and understanding the range of contexts and challenges could help towards programme design for wider scaling of sustainable school meal provision.
{"title":"The role of electric cooking in providing sustainable school meals in low-income and lower-middle-income countries","authors":"Yesmeen Khalifa PhD , Prof Matthew Leach PhD , Richard Sieff PhD , Jerome Nsengiyaremye PhD , Beryl Onjala MA , Karlijn Groen MSc , Francesco Fuso Nerini PhD , Camilo Ramirez MSc , Raffaella Bellanca PhD","doi":"10.1016/S2542-5196(25)00004-X","DOIUrl":"10.1016/S2542-5196(25)00004-X","url":null,"abstract":"<div><div>Approximately 418 million children are beneficiaries of school meal programmes globally. In general, supportive infrastructure is necessary for the successful delivery of school meals, but in many low-income and lower-middle-income countries (LLMICs), schools have poor access to essential facilities such as kitchens, electricity, and clean water. Moreover, schools in LLMICs often rely on charcoal or firewood for cooking with consequent negative health, social, economic, and environmental impacts that disproportionally affect women and children. The increasing availability of electricity and large energy efficient cooking appliances in LLMICs suggests that electric cooking could offer a potential solution. However, although the impacts of providing electricity to schools on educational outcomes have been explored, and the scope for electric cooking transitions at household level is increasingly studied, evidence on the role of electricity in providing sustainable school meals remains scarce, particularly in LLMICs. Most existing studies on school meals focus on the health and nutritional values of school meals and do not consider the energy used in their preparation or associated impacts. To address this gap, this Personal View explores the contribution of electric cooking to providing sustainable school meals. Recent case studies from Kenya, Lesotho, Nepal, and Guinea that introduced electric cooking as an alternative to traditional cooking fuels have shown how electric cooking can contribute to providing sustainable schools meals in LLMICs. This Personal View highlights multiple sustainable benefits from shifting to electric cooking, which include environmental, economic, and health benefits, and time saving, with potential gender benefits intersecting these domains. Sharing lessons learned from each study could improve the delivery and effectiveness of these interventions for other schools, and understanding the range of contexts and challenges could help towards programme design for wider scaling of sustainable school meal provision.</div></div>","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":"9 11","pages":"Article 101204"},"PeriodicalIF":21.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Physical inactivity and sedentary lifestyles are now accepted as major contributors to metabolic harm and disorder in the 21st century. These harms are frequently framed as a result of individual choices, with solutions leaning into personal responsibility. There are, however, crucial structural influences on individuals’ capacity to engage with so-called lifestyle advice. In particular, the way in which structural environments influence labour, lives, and communities can present several barriers to exercise and physical activity. These pressures, and their consequences, have particular and compounding effects on those who are economically and socially marginalised. When scientific and clinical literature overlooks these structural determinants of lifestyle, the effectiveness of interventions are undermined, or even worse, intervention failure reinforces judgement and isolation, which cements metabolically harmful behaviours. In this Viewpoint, we call for renewed focus on how social structures influence physical activity to characterise the injustices underpinning current metabolic health and harm.
{"title":"Physical activity in context: the systems and inequalities of metabolic harm","authors":"Prof Alex Broom PhD , Imogen Harper PhD , Prof Jakelin Troy PhD , Prof Louise Baur PhD , Prof Emmanuel Stamatakis PhD","doi":"10.1016/j.lanplh.2025.101323","DOIUrl":"10.1016/j.lanplh.2025.101323","url":null,"abstract":"<div><div>Physical inactivity and sedentary lifestyles are now accepted as major contributors to metabolic harm and disorder in the 21st century. These harms are frequently framed as a result of individual choices, with solutions leaning into personal responsibility. There are, however, crucial structural influences on individuals’ capacity to engage with so-called lifestyle advice. In particular, the way in which structural environments influence labour, lives, and communities can present several barriers to exercise and physical activity. These pressures, and their consequences, have particular and compounding effects on those who are economically and socially marginalised. When scientific and clinical literature overlooks these structural determinants of lifestyle, the effectiveness of interventions are undermined, or even worse, intervention failure reinforces judgement and isolation, which cements metabolically harmful behaviours. In this Viewpoint, we call for renewed focus on how social structures influence physical activity to characterise the injustices underpinning current metabolic health and harm.</div></div>","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":"9 11","pages":"Article 101323"},"PeriodicalIF":21.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-01DOI: 10.1016/j.lanplh.2025.101347
Friederike Mast , Timo-Kolja Pförtner
Background
A growing body of evidence highlights that public perceptions and concern about climate change (CC) are key drivers of support for mitigation and adaptation policies. Understanding the determinants of CC worry is essential for effective communication strategies and policy making.
Methods
Data from the 2016 European Social Survey, comprising 44 387 individuals aged 15–100 years from 22 European countries were used to conduct multilevel logistic regression analyses to assess the association between CC worry and individual demographic (age, sex, and self-rated health), socioeconomic (education, income, household size, and political engagement), and macro-level (PM2·5 exposure, expenditure on environmental protection, and GDP) factors.
Findings
Overall, 76·1% of the respondents were worried about CC. Younger individuals (p<0·01), those with higher education levels (p<0·01), and females (p<0·001) were more likely to be concerned about CC. Political engagement also emerged as a significant predictor (p<0·01), suggesting that civic participation correlates with environmental concerns. However, lower income was not consistently associated with higher CC worry, with the relationship varying across countries. Furthermore, macro-level indicators showed no significant association with CC worry.
Interpretation
Individual-level factors are key to understanding CC concerns and further investigation into contextual influences on CC worries is warranted. Policy efforts should target groups less concerned about CC, such as older individuals and those with lower education and income levels. Enhancing political engagement could amplify concerns about CC, leading to more robust public support for environmental policies.
Funding
None.
背景：越来越多的证据表明，公众对气候变化的认识和关注是支持减缓和适应政策的关键驱动因素。了解CC担忧的决定因素对于有效的沟通策略和政策制定至关重要。方法采用2016年欧洲社会调查（European Social Survey）数据，对来自22个欧洲国家的44 387名年龄在15-100岁的个体进行多水平logistic回归分析，评估CC担忧与个人人口统计学（年龄、性别和自评健康）、社会经济（教育、收入、家庭规模和政治参与）和宏观层面（PM2·5暴露、环境保护支出和GDP）因素的相关性。总体而言，76.1%的受访者担心环境污染，其中年轻人（p< 0.01）、受教育程度较高的人（p< 0.01）和女性（p< 0.001）更可能担心环境污染，政治参与也成为一个显著的预测因子（p< 0.01），表明公民参与与环境问题相关。然而，较低的收入并不总是与较高的CC担忧相关，各国之间的关系各不相同。宏观指标与CC担忧无显著相关。解释个人层面的因素是理解CC担忧的关键，需要进一步调查情境对CC担忧的影响。政策努力应针对不太关心CC的群体，如老年人和受教育程度和收入水平较低的人。加强政治参与可能会扩大对CC的关注，从而导致公众对环境政策的更强有力的支持。
{"title":"A multilevel analysis of climate change worry: determinants and vulnerabilities","authors":"Friederike Mast , Timo-Kolja Pförtner","doi":"10.1016/j.lanplh.2025.101347","DOIUrl":"10.1016/j.lanplh.2025.101347","url":null,"abstract":"<div><h3>Background</h3><div>A growing body of evidence highlights that public perceptions and concern about climate change (CC) are key drivers of support for mitigation and adaptation policies. Understanding the determinants of CC worry is essential for effective communication strategies and policy making.</div></div><div><h3>Methods</h3><div>Data from the 2016 European Social Survey, comprising 44 387 individuals aged 15–100 years from 22 European countries were used to conduct multilevel logistic regression analyses to assess the association between CC worry and individual demographic (age, sex, and self-rated health), socioeconomic (education, income, household size, and political engagement), and macro-level (PM<sub>2·5</sub> exposure, expenditure on environmental protection, and GDP) factors.</div></div><div><h3>Findings</h3><div>Overall, 76·1% of the respondents were worried about CC. Younger individuals (p<0·01), those with higher education levels (p<0·01), and females (p<0·001) were more likely to be concerned about CC. Political engagement also emerged as a significant predictor (p<0·01), suggesting that civic participation correlates with environmental concerns. However, lower income was not consistently associated with higher CC worry, with the relationship varying across countries. Furthermore, macro-level indicators showed no significant association with CC worry.</div></div><div><h3>Interpretation</h3><div>Individual-level factors are key to understanding CC concerns and further investigation into contextual influences on CC worries is warranted. Policy efforts should target groups less concerned about CC, such as older individuals and those with lower education and income levels. Enhancing political engagement could amplify concerns about CC, leading to more robust public support for environmental policies.</div></div><div><h3>Funding</h3><div>None.</div></div>","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":"9 ","pages":"Article 101347"},"PeriodicalIF":21.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145617230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-01DOI: 10.1016/j.lanplh.2025.101350
Carlos E Sanchez-Pimienta
Background
Planetary health seeks to promote human and ecological wellbeing, emphasising the interconnectedness of humans as part of nature and the inclusion of Indigenous Knowledges. However, critiques highlight the reliance of Planetary Health on the Western ontological categories of nature and human, and the low engagement with indigenous worldviews. In this study, I examined whether the terms nature and human can effectively convey how Mexican grassroots-level land-defence organisations promote planetary health.
Methods
9 months of ethnographic fieldwork (November 2023 to August 2024) was conducted in El Salto and Juanacatlán in Mexico, which are communities severely impacted by industrial pollution, to learn from two grassroot-level organisations, Un Salto de Vida (A Leap of Life) and the Concejo Indígena de Xonacatlán (Xonacatlán Indigenous Council). I observed participants and conducted interviews and storytelling workshops to examine the relationship between local practices and the ontological assumptions of planetary health (ie, a single nature and a universal human) using an abductive data analysis approach.
Findings
Two ethnographic stories illustrate these challenges. The first contrasts two ways of making pollution real: one based on threshold theories, the other on the disappearance of native animals. The second story examines Indigenous Coca resurgence in Juanacatlán, highlighting the risks of studying using a non-indigenous lens.
Interpretation
The first story disrupts the assumption of a single nature by revealing two ways to enact pollution. The second story questions the universal human by exposing Indigenous-mestizo power relations in development projects that might harm planetary health. Overall, this study calls for meaningful engagement with grassroots and indigenous ontologies in planetary health scholarship.
Funding
The Vanier Canada Graduate Scholarship and Pierre Elliot Trudeau Foundation scholarship supported this work as part of the authors’ graduate studies.
行星健康旨在促进人类和生态福祉，强调人类作为自然的一部分的相互联系，并纳入土著知识。然而，批评强调了行星健康对西方自然和人类本体论范畴的依赖，以及与土著世界观的低接触。在这项研究中，我考察了自然和人类这两个术语是否能有效地传达墨西哥基层土地防御组织如何促进地球健康。方法于2023年11月至2024年8月在墨西哥受工业污染严重影响的El Salto和Juanacatlán社区进行为期9个月的民族志实地调查，向两个基层组织Un Salto de Vida（生命的飞跃）和Concejo Indígena de Xonacatlán （Xonacatlán土著委员会）学习。我观察了与会者，并进行了访谈和讲故事讲习班，以利用溯因数据分析方法审查当地做法与地球健康的本体论假设（即单一自然和普遍人类）之间的关系。两个民族志故事说明了这些挑战。第一个对比了两种使污染成为现实的方法：一种基于阈值理论，另一种基于本地动物的消失。第二个故事考察了Juanacatlán上土著古柯的复苏，强调了使用非土著视角进行研究的风险。第一个故事通过揭示两种制定污染的方式，打破了单一性质的假设。第二个故事通过揭露可能危害地球健康的发展项目中的土著与混血人的权力关系，对全人类提出了质疑。总的来说，这项研究呼吁在地球健康学术中与基层和土著本体论进行有意义的接触。Vanier Canada研究生奖学金和Pierre Elliot Trudeau基金会奖学金支持这项工作，作为作者研究生学习的一部分。
{"title":"Rethinking planetary health assumptions about ontology through ethnography","authors":"Carlos E Sanchez-Pimienta","doi":"10.1016/j.lanplh.2025.101350","DOIUrl":"10.1016/j.lanplh.2025.101350","url":null,"abstract":"<div><h3>Background</h3><div>Planetary health seeks to promote human and ecological wellbeing, emphasising the interconnectedness of humans as part of nature and the inclusion of Indigenous Knowledges. However, critiques highlight the reliance of Planetary Health on the Western ontological categories of nature and human, and the low engagement with indigenous worldviews. In this study, I examined whether the terms nature and human can effectively convey how Mexican grassroots-level land-defence organisations promote planetary health.</div></div><div><h3>Methods</h3><div>9 months of ethnographic fieldwork (November 2023 to August 2024) was conducted in El Salto and Juanacatlán in Mexico, which are communities severely impacted by industrial pollution, to learn from two grassroot-level organisations, Un Salto de Vida (A Leap of Life) and the Concejo Indígena de Xonacatlán (Xonacatlán Indigenous Council). I observed participants and conducted interviews and storytelling workshops to examine the relationship between local practices and the ontological assumptions of planetary health (ie, a single nature and a universal human) using an abductive data analysis approach.</div></div><div><h3>Findings</h3><div>Two ethnographic stories illustrate these challenges. The first contrasts two ways of making pollution real: one based on threshold theories, the other on the disappearance of native animals. The second story examines Indigenous Coca resurgence in Juanacatlán, highlighting the risks of studying using a non-indigenous lens.</div></div><div><h3>Interpretation</h3><div>The first story disrupts the assumption of a single nature by revealing two ways to enact pollution. The second story questions the universal human by exposing Indigenous-<em>mestizo</em> power relations in development projects that might harm planetary health. Overall, this study calls for meaningful engagement with grassroots and indigenous ontologies in planetary health scholarship.</div></div><div><h3>Funding</h3><div>The Vanier Canada Graduate Scholarship and Pierre Elliot Trudeau Foundation scholarship supported this work as part of the authors’ graduate studies.</div></div>","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":"9 ","pages":"Article 101350"},"PeriodicalIF":21.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145617227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-01DOI: 10.1016/j.lanplh.2025.101395
Gordon Best , Olivia Cheng-Boivin , Connor Brenna , Phil Williams , Ishita Aggarwal , Owen Luo , Nicole Simms , Sarah Ward , Anita Rao , Melissa Ho , Husein Moloo , Mary Hanna , Dave Smith
Background
Environmental determinants such as air pollution and extreme heat contribute to approximately 13 million preventable deaths globally every year. Paradoxically, the health-care sector itself considerably affects planetary health, with operating rooms accounting for 10–20% of hospital-related greenhouse gas emissions. In response, the Sustainable Health Systems Community of Practice developed a sustainability scorecard, later adapted into the national Sustainable Perioperative Care Scorecard by the CASCADES initiative. This tool outlines 13 evidence-based targets to guide sustainable practices in perioperative care. This quality improvement pilot project aimed to show the utility of this national, freely available scorecard in a resident-led assessment of perioperative sustainability practices.
Methods
Residents partnered with staff surgeons to apply the 2023 CASCADES Sustainable Perioperative Care Scorecard across two major academic institutions. Assessments covered domains such as sustainability leadership, anaesthetic gas usage, reduction of low-value care, reusable instrument adoption, and waste segregation.
Findings
Both institutions showed strong engagement with resident-led evaluations. Scorecard results could distinguish differences and opportunities in practice between the two sites. Both hospitals scored well on elements relating to limiting low-value care, minimising intraoperative fresh gas flows, and implementing reusable anaesthesia equipment, and several opportunities for improvement were identified.
Interpretation
This pilot project illustrates the practicality of a national scorecard for evaluating perioperative sustainability and underscores the important role of residents in leading climate-conscious health-care improvements. Engaging trainees in structured assessments can accelerate institutional efforts towards more sustainable perioperative practices.
{"title":"Resident-led action for greener operating rooms: a pilot using the national perioperative sustainability scorecard","authors":"Gordon Best , Olivia Cheng-Boivin , Connor Brenna , Phil Williams , Ishita Aggarwal , Owen Luo , Nicole Simms , Sarah Ward , Anita Rao , Melissa Ho , Husein Moloo , Mary Hanna , Dave Smith","doi":"10.1016/j.lanplh.2025.101395","DOIUrl":"10.1016/j.lanplh.2025.101395","url":null,"abstract":"<div><h3>Background</h3><div>Environmental determinants such as air pollution and extreme heat contribute to approximately 13 million preventable deaths globally every year. Paradoxically, the health-care sector itself considerably affects planetary health, with operating rooms accounting for 10–20% of hospital-related greenhouse gas emissions. In response, the Sustainable Health Systems Community of Practice developed a sustainability scorecard, later adapted into the national Sustainable Perioperative Care Scorecard by the CASCADES initiative. This tool outlines 13 evidence-based targets to guide sustainable practices in perioperative care. This quality improvement pilot project aimed to show the utility of this national, freely available scorecard in a resident-led assessment of perioperative sustainability practices.</div></div><div><h3>Methods</h3><div>Residents partnered with staff surgeons to apply the 2023 CASCADES Sustainable Perioperative Care Scorecard across two major academic institutions. Assessments covered domains such as sustainability leadership, anaesthetic gas usage, reduction of low-value care, reusable instrument adoption, and waste segregation.</div></div><div><h3>Findings</h3><div>Both institutions showed strong engagement with resident-led evaluations. Scorecard results could distinguish differences and opportunities in practice between the two sites. Both hospitals scored well on elements relating to limiting low-value care, minimising intraoperative fresh gas flows, and implementing reusable anaesthesia equipment, and several opportunities for improvement were identified.</div></div><div><h3>Interpretation</h3><div>This pilot project illustrates the practicality of a national scorecard for evaluating perioperative sustainability and underscores the important role of residents in leading climate-conscious health-care improvements. Engaging trainees in structured assessments can accelerate institutional efforts towards more sustainable perioperative practices.</div></div><div><h3>Funding</h3><div>None.</div></div>","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":"9 ","pages":"Article 101395"},"PeriodicalIF":21.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145617385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-01DOI: 10.1016/j.lanplh.2025.101374
Natalia Estrada-Carmona PhD , Maaike MA van Houtert MSc , Silvia Araujo de Lima MA , Paul Fauchon MSc , Danny Hunter PhD , Sarah K Jones PhD , Ian Ondo MSc , Piedad Pareja Cabrejos MSc , Silvia Pastorino PhD , Samuel Pironon PhD , Meghajit Shijagurumayum PhD , Mulele Sibeso MSc , Samrat Singh PhD , Roseline Remans PhD
The global shift away from healthy, diverse, and sustainable diets threatens children’s health and futures. Although school gardens and home-grown school feeding can reconnect children with nutritious, sustainably produced food, these interventions are often implemented separately and with little attention to agrobiodiversity, which is a cornerstone for sustainability and healthy diets. Via a scoping review of 124 articles from 35 countries, we identified wide-ranging and complementary benefits of these interventions beyond health and education. The benchmark of the species used in these interventions against cultivated, predicted, and listed edible plants shows that agrobiodiversity is underused. Despite fragmented and incomplete evidence, our research shows that these interventions can jointly drive profound transformation. Realising this potential demands systemic shifts toward holistic, rights-based approaches that overcome surmountable barriers and build objective, sustainable, and resilient food systems delivering planet-friendly school meals.
{"title":"Mainstreaming agrobiodiversity in planet-friendly school meals for children: a scoping review","authors":"Natalia Estrada-Carmona PhD , Maaike MA van Houtert MSc , Silvia Araujo de Lima MA , Paul Fauchon MSc , Danny Hunter PhD , Sarah K Jones PhD , Ian Ondo MSc , Piedad Pareja Cabrejos MSc , Silvia Pastorino PhD , Samuel Pironon PhD , Meghajit Shijagurumayum PhD , Mulele Sibeso MSc , Samrat Singh PhD , Roseline Remans PhD","doi":"10.1016/j.lanplh.2025.101374","DOIUrl":"10.1016/j.lanplh.2025.101374","url":null,"abstract":"<div><div>The global shift away from healthy, diverse, and sustainable diets threatens children’s health and futures. Although school gardens and home-grown school feeding can reconnect children with nutritious, sustainably produced food, these interventions are often implemented separately and with little attention to agrobiodiversity, which is a cornerstone for sustainability and healthy diets. Via a scoping review of 124 articles from 35 countries, we identified wide-ranging and complementary benefits of these interventions beyond health and education. The benchmark of the species used in these interventions against cultivated, predicted, and listed edible plants shows that agrobiodiversity is underused. Despite fragmented and incomplete evidence, our research shows that these interventions can jointly drive profound transformation. Realising this potential demands systemic shifts toward holistic, rights-based approaches that overcome surmountable barriers and build objective, sustainable, and resilient food systems delivering planet-friendly school meals.</div></div>","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":"9 11","pages":"Article 101374"},"PeriodicalIF":21.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145802152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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