Planetary Health: From the Wellspring of Holistic Medicine to Personal and Public Health Imperative
Open accessAbstract
The term planetary health - denoting the interconnections between the health of person and place at all scales - emerged from the environmental and holistic health movements of the 1970-80s; in 1980, Friends of the Earth expanded the World Health Organization definition of health, stating: "health is a state of complete physical, mental, social and ecological well-being and not merely the absence of disease - personal health involves planetary health". By the 1990s, the concept of planetary health was part of the fabric of integrative medicine; more recently, after the 2015 Lancet Commission on Planetary Health report, the concept has penetrated mainstream academic and medical discourse. Here, we explore this history and describe its relevance to contemporary healthcare; integrative medicine is uniquely positioned to educate and advocate on behalf of patients and communities (current and future generations), helping to safeguard health of person, place and planet. We use the emerging microbiome science as a way to illustrate the interconnectivity and health implications of ecosystems (including social/political/economic systems) at all scales. As highlighted in the Canmore Declaration, mainstream planetary health discourse will be strengthened by inter-professional healthcare perspectives, and a more sophisticated understanding of the ways in which social dominance orientation and medical authoritarianism compromise the World Health Organization's broad vision of global health. Planetary health isn't a "new discipline"; it is merely an extension of a concept that was understood by our ancestors, and remains the vocation of all healthcare providers. Discourse on the topic requires cultural competency, critical consciousness and a greater appreciation of marginalized voices.
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In combination with high levels of antibiotics in many food sources, this will likely have wide-spread consequences for individual host health and planetary health.
“In combination with the high levels of antibiotics in many food sources, this will likely have wide-spread consequences not only for individual host health but also from a broader planetary health perspective (Prescott and Logan, 2019).”
From The Microbiota-Gut-Brain Axis (2019) · cites this paper as Prescott and Logan, 2019
In “Microbiome as Measure and Metaphor” (page not specified), the paper links inappropriate antibiotic use to microbial dysbiosis and connects ecological changes with human health. It does not say that many food sources contain high levels of antibiotics or assess the combined consequences of that exposure for individual and planetary health. (LLM, conf=0.84)
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More than 75 percent decline over 27 years in total flying insect biomass in protected areas
Hallmann, C. A., Sorg, M., Jongejans, E., Siepel, H., Hofland, N., Schwan, H., Stenmans, W., Müller, A., Sumser, H., Hörren, T., et al. (2017) · PLOS ONE · doi:10.1371/journal.pone.0185809 · Cited by 3,499 · see citing works
Whitmee, S., Haines, A., Beyrer, C., Boltz, F., Capon, A. G., de Souza Dias, B. F., Ezeh, A., Frumkin, H., Gong, P., Head, P., et al. (2015) · The Lancet · doi:10.1016/s0140-6736(15)60901-1 · Cited by 2,998 · see citing works
Prevalence of inappropriate antibiotic prescriptions among US ambulatory care visits, 2010-2011
Fleming-Dutra, K. E., Hersh, A. L., Shapiro, D. J., Bartoces, M., Enns, E. A., File, T. M., Finkelstein, J. A., Gerber, J. S., Hyun, D. Y., Linder, J. A., et al. (2016) · JAMA · doi:10.1001/jama.2016.4151 · Cited by 1,740 · see citing works
Gupta, V. K., Paul, S., & Dutta, C. (2017) · Frontiers in Microbiology · doi:10.3389/fmicb.2017.01162 · Cited by 1,019 · see citing works
Chassaing, B., Van de Wiele, T., De Bodt, J., Marzorati, M., & Gewirtz, A. T. (2017) · Gut · doi:10.1136/gutjnl-2016-313099 · Cited by 590 · see citing works
Karl, J. P., Margolis, L. M., Madslien, E. H., Murphy, N. E., Castellani, J. W., Gundersen, Y., Hoke, A. V., Levangie, M. W., Kumar, R., Chakraborty, N., et al. (2017) · American Journal of Physiology-Gastrointestinal and Liver Physiology · doi:10.1152/ajpgi.00066.2017 · Cited by 373 · see citing works
Cronin, O., Barton, W., Skuse, P., Penney, N. C., Garcia-Perez, I., Murphy, E. F., Woods, T., Nugent, H., Fanning, A., Melgar, S., et al. (2018) · mSystems · doi:10.1128/msystems.00044-18 · Cited by 232 · see citing works
Lam, Y. Y., Ha, C. W. Y., Hoffmann, J. M. A., Oscarsson, J., Dinudom, A., Mather, T. J., Cook, D. I., Hunt, N. H., Caterson, I. D., Holmes, A. J., et al. (2015) · Obesity · doi:10.1002/oby.21122 · Cited by 223 · see citing works
Tryon, M. S., Carter, C. S., DeCant, R., & Laugero, K. D. (2013) · Physiology & Behavior · doi:10.1016/j.physbeh.2013.08.010 · Cited by 191 · see citing works
Sundin, J., Rangel, I., Fuentes, S., Heikamp‐de Jong, I., Hultgren‐Hörnquist, E., de Vos, W. M., & Brummer, R. J. (2015) · Alimentary Pharmacology & Therapeutics · doi:10.1111/apt.13055 · Cited by 164 · see citing works
Jena, P. K., Sheng, L., Di Lucente, J., Jin, L., Maezawa, I., & Wan, Y. Y. (2018) · The FASEB Journal · doi:10.1096/fj.201700984rr · Cited by 134 · see citing works
Flagged first, then by citations
Research works printed but not linked: 73
- Dubos R. The spaceship earth. J Allergy. 1969;44:1-9.
- Prescott SL, Logan AC, Albrecht G, et al. The canmore declaration: statement of principles for planetary health. Challenges. 2018;9:31.
- Tsaregorodtsev GI. Dialectics of interaction of economic and humanistic approaches. Sov Stud Philos. 1974;13:100-106.
- Devall B, Sessions G. The development of nature resources and the integrity of nature. Environ Ethics. 1984;6:294-305.
- Foreword SJ. The Biocultural basis of health: Expanding Views of Medical Anthropology. In: Moore LG, ed. Toronto, Canada: Mosby; 1980:v-vi.
- Anonymous. Conservation society notes: health care. Alternatives. 1980;9(2):2.
- Ullman U. Holistic health as a model for personal and social change. J Altern Hum Serv. 1979;5:9-12.
- Roszak T. The needs of the person are the needs of the planet. In: Bauman E, Piper L, eds. Holistic Health Lifebook: A Guide to Per- sonal and Planetary Well-Being. Berkeley CA, USA: And/Or Press; 1981.
- Soare A, Khazrai YM, Fontana L, et al. Treatment of reactive hypo- glycemia with the macrobiotic Ma-pi 2 diet as assessed by continu- ous glucose monitoring: The MAHYP randomized crossover trial. Metab: Clin Exp. 2017;69:148-156.
- Pasanisi P, Gargano G, Di Mauro MG, et al. A randomized con- trolled trial of Mediterranean diet and metformin to prevent age- related diseases in people with metabolic syndrome. Tumori. 2018;104(2):137À142.
- Editors SC. Planetary health: are you part of the solution. Begin- nings. 1991;11(1):6.
- Parker J. Toward a nursing ethic for sustainable planetary health. In: Proceedings of the First National Nursing the Environment Conference. Melbourne, Australia. 87-91. 1993.
- Goldman S. Toward a new consciousness of the sonic healing arts: the therapeutic use of sound and music for personal and planetary health transformation. Music Therapy. 1988;7:28-33.
- Roszak T, Gomes ME, Kanner AD, eds. Ecopsychology: Restoring the Earth, Healing the Mind. San Francisco, CA, US: Sierra Club Books; 1995. http://psycnet.apa.org/record/1995-97862-000.
- Walji R, Weeks L, Cooley K, Seely D. Naturopathic medicine and aboriginal health: an exploratory study at Anishnawbe Health Tor- onto. Can J Public Health. 2010;101(6):475-480.
- Kahn JR. Effects of violence on the lives of children. Peace educa- tion curriculum. Proceedings of the 124th American Public Health Asso- ciation Annual Meeting. November 18À21. New York, NY. Abstract 1175. pp 91, 113. 1996.
- Berry T. Healing the Injuries we have inflicted on our planet. Health Prog. 1992;73:60-63.
- Hancock T. Ecosystem health, ecological iatrogenesis, and sustain- able human development. Ecosyst Health. 1997;3:229-234.
- Capon AG, Talley Ac NJ, Horton RC. Planetary health: what is it and what should doctors do? Med J Aust. 2018;208(7):296-297.
- Redvers N. The value of global indigenous knowledge in planetary health. Challenges. 2018;9(2):30.
- Coverdale J, Balon R, Beresin EV, et al. Climate change: a call to action for the psychiatric profession. Acad Psychiatry. 2018;42 (3):317-323.
- Prescott SL, Logan AC. Down to Earth: planetary health and bio- philosophy in the symbiocene epoch. Challenges. 2017;8:19.
- Segata N. Gut microbiome: westernization and the disappearance of intestinal diversity. Curr Biol. 2015;25(14):R611-R613.
- Flandroy L, Poutahidis T, Berg G, et al. The impact of human activ- ities and lifestyles on the interlinked microbiota and health of humans and of ecosystems. Sci Total Environ. 2018;627:1018-1038.
- Miranda PM, De Palma G, Serkis V, et al. High salt diet exacerbates colitis in mice by decreasing Lactobacillus levels and butyrate pro- duction. Microbiome. 2018;6(1):57.
- Uebanso T, Ohnishi A, Kitayama R, et al. Effects of low-dose non- caloric sweetener consumption on gut microbiota in mice. Nutrients. 2017;9(6):E560.
- Aitbali Y, Ba-M'hamed S, Elhidar N, Nafis A, Soraa N, Bennis M. Glyphosate based-herbicide exposure affects gut microbiota, anxiety and depression-like behaviors in mice. Neurotoxicol Teratol. 2018;67:44-49.
- Yacoub R, Nugent M, Cai W, et al. Advanced glycation end prod- ucts dietary restriction effects on bacterial gut microbiota in perito- neal dialysis patients; a randomized open label controlled trial. PLoS One. 2017;12(9): e0184789.
- Daien CI, Pinget GV, Tan JK, Macia L. Detrimental impact of microbiota-accessible carbohydrate-deprived diet on gut and immune homeostasis: an overview. Front Immunol. 2017;8:548.
- Kaliannan K, Wang B, Li XY, Kim KJ, Kang JX. A host-micro- biome interaction mediates the opposing effects of omega-6 and omega-3 fatty acids on metabolic endotoxemia. Sci Rep. 2015;5:11276.
- Pyndt Jorgensen B, Winther G, Kihl P, et al. Dietary magnesium deficiency affects gut microbiota and anxiety-like behaviour in C57BL/6N mice. Acta Neuropsychiatr. 2015;27(5):307-311.
- Edwards CA, Havlik J, Cong W, et al. Polyphenols and health: Interactions between fibre, plant polyphenols and the gut micro- biota. Nutr Bull. 2017;42(4):356-360.
- Knowles SR, Nelson EA, Palombo EA. Investigating the role of per- ceived stress on bacterial flora activity and salivary cortisol secre- tion: a possible mechanism underlying susceptibility to illness. Biol Psychol. 2008;77(2):132-137.
- Zijlmans MA, Korpela K, Riksen-Walraven JM, de Vos WM, de Weerth C. Maternal prenatal stress is associated with the infant intestinal microbiota. Psychoneuroendocrinology. 2015;53: 233-245.
- Michels N, Sioen I, Braet C, et al. Relation between salivary cortisol as stress biomarker and dietary pattern in children. Psychoneuroendoc- rinology. 2013;38(9):1512-1520.
- Weltens N, Zhao D, Van Oudenhove L. Where is the comfort in comfort foods? Mechanisms linking fat signaling, reward, and emo- tion. Neurogastroenterol Motil: Off J Eur Gastrointest Motil Soc. 2014;26(3):303-315.
- Deaver JA, Eum SY, Toborek M. Circadian disruption changes gut microbiome taxa and functional gene composition. Front Microbiol. 2018;9:737.
- Savin Z, Kivity S, Yonath H, Yehuda S. Smoking and the intestinal microbiome. Arch Microbiol. 2018;200(5):677-684.
- Wang W, Zhou J, Chen M, et al. Exposure to concentrated ambi- ent PM2.5 alters the composition of gut microbiota in a murine model. Part Fibre Toxicol. 2018;15(1):17.
- Hu J, Raikhel V, Gopalakrishnan K, et al. Effect of postnatal low- dose exposure to environmental chemicals on the gut microbiome in a rodent model. Microbiome. 2016;4(1):26.
- Richardson JB, Dancy BCR, Horton CL, et al. Exposure to toxic metals triggers unique responses from the rat gut microbiota. Sci Rep. 2018;8(1):6578.
- Blaser MJ. Antibiotic use and its consequences for the normal microbiome. Science. 2016;352(6285):544-545.
- Fleming-Dutra KE, Hersh AL, Shapiro DJ, et al. Prevalence of inap- propriate antibiotic prescriptions among US ambulatory care visits, 2010À2011. JAMA. 2016;315(17):1864-1873.
- Logan AC. Dysbiotic drift: mental health, environmental grey space, and microbiota. J Physiol Anthropol. 2015;34:23.
- Kim GR, Jee SH, Pikhart H. Role of allostatic load and health behaviours in explaining socioeconomic disparities in mortality: a structural equation modelling approach. J Epidemiol Community Health. 2018;72(6):545-551.
- Robinette JW, Charles ST, Almeida DM, Gruenewald TL. Neigh- borhood features and physiological risk: an examination of allo- static load. Health Place. 2016;41:110-118.
- Lakshmanan V, Cottone J, Bais HP. Killing two birds with one stone: natural rice rhizospheric microbes reduce arsenic uptake and blast infections in rice. Front Plant Sci. 2016;7:1514.
- Daisley BA, Trinder M, McDowell TW, et al. Neonicotinoid- induced pathogen susceptibility is mitigated by Lactobacillus plan- tarum immune stimulation in a Drosophila melanogaster model. Sci Rep. 2017;7(1):2703.
- Alberoni D, Baffoni L, Gaggia F, et al. Impact of beneficial bacteria supplementation on the gut microbiota, colony devel- opment and productivity of Apis mellifera L. Benef Microbes. 2018;9(2):269-278. Planetary Health EXPLORE March/April 2019, Vol. 15, No. 2
- Thavamani P, Samkumar RA, Satheesh V, et al. Microbes from mined sites: harnessing their potential for reclamation of derelict mine sites. Environ Pollut. 2017;230:495-505.
- Mills JG, Weinstein P, Gellie N, Weyrich LS, Lowe AJ, Breed MF. Urban habitat restoration provides a human health benefit through microbiome rewilding: the microbiome rewilding hypothesis. Restor Ecol. 2017;25:866-872.
- Sudak NL, Harvey J. Integrative strategies for planetary health. In: Rackel D, ed. Integrative Medicine. Expert Consult. Philadelphia, PA: Elsevier Saunders; pp 930-2012.
- Wilkes M, Kennedy R. Interprofessional health sciences education: it's time to overcome barriers and excuses. J Gen Intern Med. 2017;32(8):858-859.
- Prescott SL, Logan AC. From authoritarianism to advocacy: life- style-driven, socially-transmitted conditions require a transforma- tion in medical training and practice. Challenges. 2018;9(1):10. http://dx.doi.org/10.3390/challe9010010. · DOI
- Merrill JM, Laux LF, Lorimor R, Thornby JI, Vallbona C. Authori- tarianism's role in medicine. Am J Med Sci. 1995;310(3):87-90.
- Lepiece B, Reynaert C, van Meerbeeck P, Dory V. Social domi- nance theory and medical specialty choice. Adv Health Sci Educ The- ory Pract. 2016;21(1):79-92.
- Tsimtsiou Z, Kerasidou O, Efstathiou N, Papaharitou S, Hatzimoura- tidis K, Hatzichristou D. Medical students' attitudes toward patient- centred care: a longitudinal survey. Med Educ. 2007;41(2):146-153.
- Lavin B, Haug M, Belgrave LL, Breslau N. Change in student physi- cians' views on authority relationships with patients. J Health Soc Behav. 1987;28(3):258-272.
- Kumagai AK, Lypson ML. Beyond cultural competence: critical consciousness, social justice, and multicultural education. Acad Med. 2009;84(6):782-787.
- Minkler M, Cox K. Creating critical consciousness in health: appli- cations of freire's philosophy and methods to the health care set- ting. Int J Health Serv. 1980;10:311-322.
- Carroll J, Minkler M. Freire's message to social workers: looking back, looking ahead. J Comm Pract. 2000;8:21-36.
- Marsh GP. Man and Nature Charles. Scribner Press; 1864.
- Katz DL, Meller S. Can we say what diet is best for health. Annu Rev Public Health. 2014;35:83-103.
- Garcia-Mantrana I, Selma-Royo M, Alcantara C, Collado MC. Shifts on gut microbiota associated to mediterranean diet adher- ence and specific dietary intakes on general adult population. Front Microbiol. 2018;9:890.
- Pallister T, Spector TD. Food: a new form of personalised (gut microbiome) medicine for chronic diseases. J R Soc Med. 2016;109 (9):331-336.
- Hendrie GA, Baird D, Ridoutt B, Hadjikakou M, Noakes M. Over- consumption of energy and excessive discretionary food intake inflates dietary greenhouse gas emissions in Australia. Nutrients. 2016;8(11):E690.
- Lacour C, Seconda L, Alles B, et al. Environmental impacts of plant-based diets: how does organic food consumption contribute to environmental sustainability. Front Nutr. 2018;5:8.
- van de Kamp ME, Seves SM, Temme EHM. Reducing GHG emis- sions while improving diet quality: exploring the potential of reduced meat, cheese and alcoholic and soft drinks consumption at specific moments during the day. BMC Public Health. 2018;18 (1):264.
- Tilman D, Clark M. Global diets link environmental sustainability and human health. Nature. 2014;515(7528):518-522.
- Benatar S, Upshur R, Gill S. Understanding the relationship between ethics, neoliberalism and power as a step towards improv- ing the health of people and our planet. Anthropocene Rev. 2018;5:155-176.
- Berliner HS, Salmon JW. The holistic alternative to scientific medi- cine: history and analysis. Int J Health Serv. 1980;10:133-147.
- Chao MT, Adler SR. Integrative medicine and the imperative for health justice. J Altern Complement Med. 2018;24(2):101- 103.
- Huff C. The growth of holistic health. Philadelphia Inquirer. 1977: p 52. 100. Locke R. All the problems of man are not going to be solved in a laboratory. The Advocate. 1984;164(191):1B.
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Cryan, J. F., O'Riordan, K. J., Cowan, C. S. M., Sandhu, K. V., Bastiaanssen, T. F. S., Boehme, M., Codagnone, M. G., Cussotto, S., Fulling, C., Golubeva, A. V., et al. (2019) · Physiological Reviews · doi:10.1152/physrev.00018.2018 · Cited by 5,286 · see citing works
Robinson, J. M., & Breed, M. F. (2020) · Science of The Total Environment · doi:10.1016/j.scitotenv.2020.137626 · Cited by 30 · see citing works
- Authors
- Prescott, S. L., & Logan, A. C.
- Affiliations
- The University of Western Australia (AU)
- Worldwide Universities Network (GB)
- Corresponding author
- Logan, Alan C.
- Venue
- EXPLORE
- Publisher
- Elsevier BV
- Published
- 2019-03
- Volume
- 15
- Issue
- 2
- Pages
- 98-106
- ISSN
- 1550-8307 (ISSN-L)
- OpenAlex
- W2891356146
- Cited by
- 118
- References
- 11
- Citations by year
- 2026: 9 · 2025: 24 · 2024: 18 · 2023: 19 · 2022: 13 · 2021: 13 · 2020: 13 · 2019: 8 · 2018: 1
- FWCI
- 6.88
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- EXPLORE (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- UWA Profiles and Research Repository (UWA) (submittedVersion, cc-by-nc-nd)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Medicine, History, and Philosophy
- Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Public Health and Environmental Issues
- Health Sciences › Health Professions › General Health Professions › Health, psychology, and well-being
- Keywords
- planetary health, holistic health, integrative medicine, WHO definition of health, microbiome, social dominance orientation, cultural competence, critical consciousness, marginalized voices, environmental health
- MeSH terms
- Holistic Health, Humans, Public Health, Global Health, Ecosystem, Mind-Body Relations, Metaphysical, History, 20th Century, Integrative Medicine, Microbiota
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