{"id":39600,"date":"2020-05-13T22:33:12","date_gmt":"2020-05-13T22:33:12","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmjgh\/?p=39600"},"modified":"2020-05-18T00:48:23","modified_gmt":"2020-05-18T00:48:23","slug":"disruption-as-an-opportunity-giving-rise-to-a-global-ethos-for-planetary-health","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmjgh\/2020\/05\/13\/disruption-as-an-opportunity-giving-rise-to-a-global-ethos-for-planetary-health\/","title":{"rendered":"Disruption as an opportunity: giving rise to a global ethos for planetary health"},"content":{"rendered":"<p>&nbsp;<\/p>\n<p>Life as we know it has, for millions of people around the globe, been put on-hold because of the Sars-CoV-2 pandemic. Positive consequences so far recorded include unpolluted skies, cleaner waterways and thriving wildlife.<sup>1<\/sup> Meanwhile, some richer nations have begun to question their socio-economic priorities. This is an opportunity to think carefully how we resume \u201clife\u201d in a post COVID-19 era.<\/p>\n<p>Humankind has already entered Anthropocene, the geological epoch which is characterized by unprecedented pressures on the planet\u2019s natural systems due to human activities. One tangible consequence of anthropogenic environmental change is the emergence of more zoonotic infections, like SARS, H1N1 and Ebola due to enhanced proximity of humans to wildlife and their pathogen pools.<sup>2<\/sup> A growth in legal and illegal wildlife trade fuels global movements of infected wildlife and wildlife products.<sup>3<\/sup> The emergence and rapid spread of SARS-CoV-2 is a product of unparalleled levels of global interconnectedness and the environmental impact of human activities. If not halted, they may result in an irreversible and potentially catastrophic shift of the entire Earth system to a state which is not supportive of thriving human societies.<sup>4<\/sup> The partial halt of many of these harmful activities, as a result of multi-country lockdowns attempting to limit the spread of SARS-CoV-2, precipitates a series of fundamental reflections.<\/p>\n<p>No-one is exempt from the ramifications of this outbreak, though the consequences will be more acutely felt by the poor and marginalised. It is now that people across the world, maybe for the first time, consciously experience what it truly means to live in a globalised world. This realization, caused by the profound disruption of our daily lives, provides a huge window of opportunity \u2013 an opportunity to harness a new collective consciousness towards other threats to human wellbeing now and in the future and promote the concept of planetary health. Planetary health, defined as \u201cthe health of human civilisation and the state of the natural systems on which it depends\u201d <sup>5<\/sup>, has the notions of interconnectedness and interdependence at its core. Human health and wellbeing will only be restored and maintained if our present and future actions become rooted in a planetary health approach.<\/p>\n<p>Planetary health expands the notion of health to include well-functioning natural systems on which human health ultimately depends. It also recognizes the interdependence between political, social and economic systems \u2013 the core pillars of societies \u2013 the natural environment and human well-being.<sup>5<\/sup> Systems thinking is required to govern the interplay of these complex systems.<\/p>\n<figure id=\"attachment_39566\" aria-describedby=\"caption-attachment-39566\" style=\"width: 640px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-large wp-image-39566\" src=\"https:\/\/blogs.bmj.com\/bmjgh\/files\/2020\/04\/1200px-Examination_of_worlds_health_-_journal.pmed_.0010003.g001-1024x621.png\" alt=\"Planetary Health\" width=\"640\" height=\"388\" \/><figcaption id=\"caption-attachment-39566\" class=\"wp-caption-text\">Planetary Health in the post-COVID world : Illustrative Image by Giovanni Maki.<\/figcaption><\/figure>\n<p>Ultimately, it is people and their relationships who constitute the complex conglomerate of interactions which we call a health or societal system.<sup>6<\/sup> When we think about how to change our societal systems in order to prevent further adverse outcomes of human activities, we need to consider the worldviews and normative values that inform the nature and scope of societal systems\u2019 goals and processes. To do this, the following cross-cutting principles characterize ways in which human systems in the Anthropocene can achieve planetary health:<\/p>\n<ul>\n<li><span style=\"font-size: 1rem\">Interdisciplinary work and cross-sector collaboration are essential and need to go beyond the realm of professions which are traditionally concerned with health. Integration of knowledge and processes in order to assess harms and benefits against indicators which reflect human well-being in conjunction with the state of all natural systems is necessary.<\/span><sup>7<\/sup><\/li>\n<li>Planetary health demands a new form of altruism which includes non-human life and natural processes as well as all \u201cnot yet alive\u201d beings. Hence, the future has to be valued differently. Let&#8217;s stop the systemic discounting of the future in terms of financial mechanisms and moral attitudes and replace it with decisions and processes that secure health in the short and long-term.<\/li>\n<li>Advocacy for the values of planetary health has to happen at all levels of society, by means of effective communication. Although local context informs worldviews, effective advocacy can facilitate the development of common ground. Ultimately, everyone, regardless of their social, cultural and educational background should be able to relate to the concept of planetary health.<\/li>\n<\/ul>\n<p>Planetary health is a means to its own end, a philosophy of life which should become a global ethos, underlying and informing all sociocultural or religious worldviews and societal orders to enable humankind to thrive \u2013 now and in the future.<\/p>\n<p>Let us all take advantage of the \u201cgreat pause\u201d<sup>8<\/sup> from our lives-as-usual, that we have suddenly been conceded due to the COVID-19 pandemic. Let&#8217;s kickstart the reinvention of humanity\u2019s global society \u2013 it is about time.<\/p>\n<p><strong>About the authors<\/strong><\/p>\n<p>Katharina Wabnitz is a medical doctor from Germany and a MSc Public Health Student at London School of Hygiene and Tropical Medicine. As a Planetary Health Campus Ambassador, she advocates for and promotes the concept of planetary health.<\/p>\n<p>Susannah Mayhew is a Full Professor at the Department for Global Health and Development at London School of Hygiene and Tropical Medicine. In her works she focusses on issues of climate, population and health, outbreak-response and cross-sector systems\/services integration.<\/p>\n<p><strong>Competing Interests:\u00a0<\/strong><\/p>\n<p>None declared<\/p>\n<p><strong>References<\/strong><\/p>\n<ol>\n<li>Milman O. Pandemic side-effects offer glimpse of alternative future on Earth Day 2020 The Guardian2020 [Available from: <a href=\"https:\/\/www.theguardian.com\/environment\/2020\/apr\/22\/environment-pandemic-side-effects-earth-day-coronavirus\">https:\/\/www.theguardian.com\/environment\/2020\/apr\/22\/environment-pandemic-side-effects-earth-day-coronavirus<\/a> accessed 7th May 2020.<\/li>\n<li>Webster J, Borlase A, Rudge J. Who acquires infection from whom and how? Disentangling multi-host and multi-mode transmission dynamics in the \u2018elimination\u2019 era. <em>Phil Trans R Soc<\/em> 2017;B 372(20160091) doi: <a href=\"http:\/\/dx.doi.org\/10.1098\/rstb.2016.0091\">http:\/\/dx.doi.org\/10.1098\/rstb.2016.0091<\/a><\/li>\n<li>Can OE, D&#8217;Cruze N, Macdonald DW. Dealing in deadly pathogens: Taking stock of the legal trade in live wildlife and potential risks to human health. <em>Glob Ecol Conserv<\/em> 2019;17:e00515. doi: 10.1016\/j.gecco.2018.e00515 [published Online First: 2019\/01\/01]<\/li>\n<li>Steffen W, Richardson K, Rockstrom J, et al. Sustainability. Planetary boundaries: guiding human development on a changing planet. <em>Science<\/em> 2015;347(6223):1259855. doi: 10.1126\/science.1259855 [published Online First: 2015\/01\/17]<\/li>\n<li>Whitmee S, Haines A, Beyrer C, et al. Safeguarding human health in the Anthropocene epoch: report of The Rockefeller Foundation\u2013Lancet Commission on planetary health. <em>The Lancet<\/em> 2015;386(10007):1973-2028. doi: <a href=\"https:\/\/doi.org\/10.1016\/S0140-6736(15)60901-1\">https:\/\/doi.org\/10.1016\/S0140-6736(15)60901-1<\/a><\/li>\n<li>Sheikh K, Ranson MK, Gilson L. Explorations on people centredness in health systems. <em>Health Policy and Planning<\/em> 2014;29(suppl_2):ii1-ii5. doi: 10.1093\/heapol\/czu082<\/li>\n<li>Haines A, Hanson C, Ranganathan J. Planetary Health Watch: integrated monitoring in the Anthropocene epoch. <em>The Lancet Planetary Health<\/em> 2018;2(4):e141-e43. doi: 10.1016\/S2542-5196(18)30047-0<\/li>\n<li>Janoo A, Dodds GB. The Great Pause wellbeingeconomy.org2020 [Available from: <a href=\"https:\/\/wellbeingeconomy.org\/the-great-pause\">https:\/\/wellbeingeconomy.org\/the-great-pause<\/a> accessed 28th April 2020.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; Life as we know it has, for millions of people around the globe, been put on-hold because of the Sars-CoV-2 pandemic. Positive consequences so far recorded include unpolluted skies, cleaner waterways and thriving wildlife.1 Meanwhile, some richer nations have begun to question their socio-economic priorities. This is an opportunity to think carefully how we [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmjgh\/2020\/05\/13\/disruption-as-an-opportunity-giving-rise-to-a-global-ethos-for-planetary-health\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":350,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18,25,172],"tags":[164,208],"class_list":["post-39600","post","type-post","status-publish","format-standard","hentry","category-climate-change","category-communicable-disease","category-covid-19","tag-covid-19","tag-planetary-health"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Disruption as an opportunity: giving rise to a global ethos for planetary health - BMJ Global Health blog<\/title>\n<meta name=\"description\" content=\"Life as we know it has, for millions of people around the globe, been put on-hold because of the Sars-CoV-2 pandemic. 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