Planetary Epidemiology: Towards First Principles
Purpose of Review
To combine evolutionary principles of competition and co-operation with limits to growth models, generating six principles for a new sub-discipline, called “planetary epidemiology.” Suggestions are made for how to quantify four principles.
Climate change is one of a suite of threats increasingly being re-discovered by health workers as a major threat to civilization. Although “planetary health” is now in vogue, neither it nor its allied sub-disciplines have, as yet, had significant impact on epidemiology. Few if any theorists have sought to develop principles for Earth system human epidemiology, in its ecological, social, and technological milieu.
The principles of planetary epidemiology described here can be used to stimulate applied, quantitative work to explore past, contemporary, and future population health, at scales from local to planetary, in order to promote enduring health. It is also proposed that global well-being will decline this century, without radical reform.
KeywordsEarth system Environmental epidemiology Global health Limits to growth Planetary boundaries Planetary health
I thank Emeritus Professor Colin Soskolne, two reviewers, and the editor for their helpful comments.
Compliance with Ethical Standards
Conflict of Interest
The author declares that there are no conflicts of interest.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
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- 3.Fenner F, Henderson DA, Arita I, Jezak Z. I.D. L. Smallpox and its eradication. Geneva: World Health Organization; 1988. 1460 p Google Scholar
- 4.Graunt J. Natural and political observations mentioned in a fallowing index, and made upon the bills of mortality. J Inst Actuar. 1964(1662);90:11–20.Google Scholar
- 7.• Whitmee S, Haines A, Beyrer C, Boltz F, Capon AG, de Souza Dias BF, et al. Safeguarding human health in the Anthropocene epoch: report of The Rockefeller Foundation–Lancet Commission on planetary health. Lancet. 2015;386:1973–2028. https://doi.org/10.1016/S0140-6736(15)60901-1 First paper attempting to describe principles of “planetary health”.CrossRefPubMedGoogle Scholar
- 11.Hill BA. The environment and disease; association or causation? Proc R Soc Med. 1965;58:295–300.Google Scholar
- 13.Commission for the Social Determinants of Health. Closing the gap in a generation. Geneva: World Health Organization; 2008. 245 p Google Scholar
- 15.Suzuki D, Knudtson P. Wisdom of the elders Sydney. Australia: Allen & Unwin; 1997. 368 p Google Scholar
- 18.Buse CG, Oestreicher JS, Ellis NR, Patrick R, Brisbois B, Jenkins AP, et al. Public health guide to field developments linking ecosystems, environments and health in the Anthropocene. J. Epidemiol. Community Health. 2018;72(5):420–5. https://doi.org/10.1136/jech-2017-210082.CrossRefPubMedGoogle Scholar
- 19.Susser M, Susser E. Choosing a future for epidemiology: II. From black box to eco-epidemiology. Am J Public Health. 1996;86:674–7. https://doi.org/10.1093/acprof:oso/9780195300666.003.0025.CrossRefPubMedPubMedCentralGoogle Scholar
- 29.Butler CD. Planetary health. In: Kobayashi A, editor. International encyclopedia of human geography. The Netherlands: Elsevier; in press.Google Scholar
- 30.Seltenrich N. Down to earth: the emerging field of planetary health. Environ Health Perspect. 2018;126(7):072001–1–7.Google Scholar
- 31.Lee K, Buse K, Fustukian S. An introduction to global health policy. In: Lee K, Buse K, Fustukian S, editors. Health policy in a globalising world. Cambridge: Cambridge University Press; 2002. p. 4–5.Google Scholar
- 32.McMichael AJ. Climate change and global health. In: Butler CD, editor. Climate change and Global Health. Wallingford: CABI; 2014. p. 11–20.Google Scholar
- 33.Romanelli C, Capon A, Maiero M, Campbell-Lendrum D, Butler CD, Corvalan C, et al. Climate change, biodiversity and human health. In: World Health Organization, Secretariat of the Convention on Biological Diversity, editors. Connecting Global Priorities: Biodiversity and Human Health. Geneva, Switzerland: World Health Organization. Secretariat of the Convention on Biological Diversity,; 2015. p. 222–37.Google Scholar
- 36.• Ho D. Love in the time of antibiotic resistance: how altruism might be our best hope. In: Ho D, editor. Philosophical issues in pharmaceutics. Dordrecht: Springer; 2017. p. 257–71. Argues that the crisis of global antibiotic resistance is related to individual and collective selfishness, with global, sub-optimal consequences, enhanced by a lack of global organization and insufficient co-operation and altruism. CrossRefGoogle Scholar
- 37.Morse JA, Bendek E, Cabrol N, Turnbull M, Chakrabarti S, Fischer D, et al. Project Blue—visible light imaging search for terrestrial class exoplanets in the habitable zones of Alpha Centauri A & B. https://www.arxivorg/ftp/arxiv/papers/1803/180304872pdf. 2018.
- 38.Simpson T. The philosopher and the scientist. Philos Now. 2017;120:14–5.Google Scholar
- 39.Meadows D, Meadows D, Randers J, Behrens W III. The limits to growth. New York: Universe Books; 1972. 205 p Google Scholar
- 40.Rees W. Humans are blind to imminent environmental collapse. http://www.postcarbonorg/humans-are-blind-to-imminent-environmental-collapse/. 2017.
- 41.• Barnosky AD, Ehrlich PR, Hadly EA. Avoiding collapse: grand challenges for science and society to solve by 2050. Elementa: Sci Anthropocene. 2016;4:94. https://doi.org/10.12952/journal.elementa.000094 Argues that “humanity’s grand challenge is solving the intertwined problems of human population growth and overconsumption, climate change, pollution, ecosystem destruction, disease spillovers, and extinction, in order to avoid environmental tipping points that would make human life more difficult and would irrevocably damage planetary life support systems.” Google Scholar
- 44.Butler CD. “Regional overload” as an indicator of profound risk: a plea for the public health community to awaken. In: Quilley S, Zywert K, editors. Medicines for the Anthropocene: health on a finite planet. Toronto: Canada University of Toronto Press; (in press).Google Scholar
- 45.Malthus TR. An essay on the principle of population. London: J. Johnson; 1798.Google Scholar
- 55.• Homer-Dixon T, Walker B, Biggs R, Crépin A-S, Folke C, Lambin EF, et al. Synchronous failure: the emerging causal architecture of global crisis. Ecol Soc. 2015;20(3):6. https://doi.org/10.5751/ES-07681-200306 Describes how multiple stresses in social-ecological systems can rapidly propagate across multiple system boundaries to the global scale. CrossRefGoogle Scholar
- 57.McMichael AJ. Planetary overload. Global environmental change and the health of the human species. Cambridge: Cambridge University Press; 1993.Google Scholar
- 65.Ramanathan V, Seddon J, Victor DG. The next front on climate change: how to avoid a dimmer, drier world. Foreign Aff. 2016;95:135–42.Google Scholar
- 70.Butler CD, Chambers R, Chopra K, Dasgupta P, Duraiappah A, Kumar P, et al. Ecosystems and human well-being. In: Assessment Millennium Ecosystem, editor. Ecosystems and human well-being a framework for assessment. Washington: Island Press; 2003. p. 71–84.Google Scholar
- 71.Beddoe R, Costanza R, Farley J, Garza E, Kent J, Kubiszewski I, et al. Overcoming systemic roadblocks to sustainability: the evolutionary redesign of worldviews, institutions, and technologies. In: Proceedings of the National Academy of Sciences (USA), vol. 106; 2009. p. 2483–9.Google Scholar
- 75.Raworth K. Doughnut economics: seven ways to think like a 21st century economist. White River Junction, VT: Chelsea Green Publishing; 2017.Google Scholar
- 83.Butler CD. Famine, hunger, society and climate change. In: Butler CD, editor. Climate change and Global Health. Wallingford: CABI; 2014. p. 124–34.Google Scholar
- 84.Porter JR, Xie L, Challinor AJ, Cochrane K, Howden SM, Iqbal MM, et al. Food security and food production systems. In: Field CB, Barros VR, Dokken DJ, Mach KJ, Mastrandrea MD, Bilir TE, et al., editors. Climate change 2014: impacts, adaptation, and vulnerability: part a: global and sectoral aspects contribution of Working Group II to the Fifth Assessment Report of the Intergovernmental Panel on Climate Change. Cambridge, United Kingdom and New York, NY. USA: Cambridge University Press; 2014. p. 485–533.Google Scholar
- 85.Butler CD, Hales S, Beggs PJ, Ebi KL. From Paris towards 1.5 degrees C. In: Butler CD, editor. Climate change and global health. Wallingford: CABI; 2016. p. 293–305.Google Scholar
- 87.Wilson EO. Biophilia. Cambridge, MA: Harvard University Press; 1984. 157 p Google Scholar
- 88.Flannery TF. The future eaters. Melbourne: Reed Books; 1994. 423 p Google Scholar
- 89.Butler CD. Population trends and the environment. In: Friis RH, editor. Praeger handbook of environmental health. Westport, Connecticut: Praegar; 2012. p. 215–31.Google Scholar
- 90.Cline EH. 1177 B.C. the year civilization collapsed. Princeton: Princeton University Press; 2014. 264 p Google Scholar
- 94.Ehrlich PR. The population bomb. London: Ballantyne; 1968. 223 p Google Scholar
- 99.• Büntgen U, Myglan VS, Ljungqvist FC, McCormick M, Cosmo ND, Sigl M, et al. Cooling and societal change during the Late Antique Little Ice Age from 536 to around 660 AD. Nature Geosci. 2016;9:231–7. https://doi.org/10.1038/ngeo2652 Describes relationship between a series of severe volcanic eruptions and massive social change, from Eastern Roman Empire to China. CrossRefGoogle Scholar
- 102.• Caesar L, Rahmstorf S, Robinson A, Feulner G, Saba V. Observed fingerprint of a weakening Atlantic Ocean overturning circulation. Nature. 2018;556:191–6. https://doi.org/10.1038/s41586-018-0006-5 Reports a decline in the strength of the Gulf Stream of about 15%, since mid-20th century. This has adverse implications for agriculture, energy use and human well-being, especially in Western Europe. CrossRefPubMedGoogle Scholar
- 105.Ahmed R. Latitudes of anxieties. The Bengali-speaking Muslims and the postcolonial state in Assam. In: Pinar Bilgin LHML, editor. Asia in international relations. London: Routledge; 2017.Google Scholar
- 107.• Kelley CP, Mohtadi S, Cane MA, Seager R, Kushnir Y. Climate change in the Fertile Crescent and implications of the recent Syrian drought. Proc Natl Acad Sci USA. 2015;112(11):3241–6. https://doi.org/10.1073/pnas.1421533112 Documents many links between climate change, drought and the social “milieu” in Syria which have contributed to the war and refugee crisis. CrossRefPubMedGoogle Scholar
- 108.Turner GM. Is global collapse imminent? An updated comparison of the limits to growth with historical data. Melbourne: Melbourne Sustainable Society Institute, The University of Melbourne; 2014. Contract No.: MSSI Research Paper No. 4Google Scholar
- 111.•• Gómez-Baggethun E, Naredo JM. In search of lost time: the rise and fall of limits to growth in international sustainability policy. Sustain Sci. 2015;10:385–95. https://doi.org/10.1007/s11625-015-0308-6 Well-documented critique of the ascent of market forces and the failure to progress towards sustainability. Laments more than 4 lost decades since the first global environment conference in Stockholm, in 1972. CrossRefGoogle Scholar
- 112.• Steffen W, Richardson K, Rockström J, Cornell SE, Fetzer I, Bennett EM, et al. Planetary boundaries: Guiding human development on a changing planet. Science. 2015;347:1259855. https://doi.org/10.1126/science Modern version of “Limits to Growth”, though with more guarded language about the possibility of a decline in human population size. CrossRefPubMedGoogle Scholar
- 113.•• Ripple WJ, Wolf C, Newsome TM, Galetti M, Alamgir M, Crist E, et al. World scientists’ warning to humanity: a second notice. BioScience. 2017;67(12):1026–8. https://doi.org/10.1093/biosci/bix125 Appeal, approaching desperation, by the world’s scientific community for civilization to alter its course. CrossRefGoogle Scholar
- 117.Soskolne CL, Butler CD, Ijsselmuiden C, London L, von Schirnding Y. Toward a global agenda for research in environmental epidemiology. Epidemiology. 2007;18(1):162–6. https://doi.org/10.1097/01.ede.0000248480.19983.ba.CrossRefPubMedGoogle Scholar
- 118.UN Department of Economic and Social Affairs. World population projected to reach 9.8 billion in 2050, and 11.2 billion in 2100. https://www.unorg/development/desa/en/news/population/world-population-prospects-2017html. 2017.
- 121.Harper K. The fate of Rome. Princeton, NJ: Princeton University Press; 2017. 440 p Google Scholar
- 124.Myers N, Simon JL. Scarcity or abundance? A debate on the environment. New York: W.H. Norton; 1994. 276 p Google Scholar