The 2021 report of the Lancet Countdown on health and climate change: code red for a healthy future
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Given that the economy functions as a subsystem within the finite biosphere, achieving real sustainable growth under these conditions remains highly improbable, if not impossible.
“Given that the economy functions as a subsystem within the finite biosphere, achieving real sustainable growth under these conditions remains highly improbable, if not impossible (48).”
From Bridging Sectors and Disciplines to Gain a Critical Understanding of the Eco-Social Determinants of Health Inequities: The ESDHI-EU Conference (2025) · cites this paper as [48]
Section 4: economics and finance discusses a low-carbon transition and recommends a green recovery rather than business-as-usual growth. It does not address whether the economy is a subsystem of a finite biosphere or whether sustainable growth is improbable or impossible. Searches for those concepts and for green growth found no passage making the attributed claim; page numbers were not available in our copy. (LLM, conf=0.76)
Experimental — accuracy not yet measuredSleep of adequate duration and quality is important for good human physical and mental health.
“Sleep of adequate duration and quality is important for good human physical and mental health.97–100”
From The 2024 report of the Lancet Countdown on health and climate change: facing record-breaking threats from delayed action (2024) · cites this paper as [98]
The passages on physical and mental health discuss physical activity (Section 1, Indicator 1.1) and urban green space (Section 2, Indicator 2.3), not sleep. Searches for sleep and for sleep duration and quality found no passage in our copy addressing whether adequate sleep supports physical and mental health; page numbers were unavailable. (LLM, conf=0.72)
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Hartinger, S. M., Yglesias-González, M., Blanco-Villafuerte, L., Palmeiro-Silva, Y. K., Lescano, A. G., Ibarra, A. M. S., Rueda, D. R., Melo, Ó., Takahashi, B., Buss, D. F., et al. (2023) · The Lancet Regional Health - Americas · doi:10.1016/j.lana.2023.100470 · Cited by 68 · see citing works
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Vergunst, F., Berry, H. L., Minor, K., & Chadi, N. (2022) · Perspectives on Psychological Science · doi:10.1177/17456916221132739 · Cited by 67 · see citing works
Self-citationDavies, J. F., McAlister, S., Eckelman, M. J., McGain, F., Seglenieks, R., Gutman, E. N., Groome, J., Palipane, N., Latoff, K., Nielsen, D. P. D., et al. (2024) · British Journal of Anaesthesia · doi:10.1016/j.bja.2023.11.053 · Cited by 62 · see citing works
Self-citationThe carbon footprint of critical care: a systematic review
Gaetani, M., Uleryk, E. M., Halgren, C., & Maratta, C. (2024) · Intensive Care Medicine · doi:10.1007/s00134-023-07307-1 · Cited by 62 · see citing works
Climate Change Related Depression, Anxiety and Stress Symptoms Perceived by Medical Students
Schwaab, L., Gebhardt, N., Friederich, H.-C., & Nikendei, C. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19159142 · Cited by 59 · see citing works
The urban heat island under extreme heat conditions: a case study of Hannover, Germany
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Climate change and the prevention of cardiovascular disease
Jacobsen, A. P., Khiew, Y. C., Duffy, E. Y., O'Connell, J., Brown, E., Auwaerter, P. G., Blumenthal, R. S., Schwartz, B. S., & McEvoy, J. W. (2022) · American Journal of Preventive Cardiology · doi:10.1016/j.ajpc.2022.100391 · Cited by 62 · see citing works
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- Authors
- Romanello, M., McGushin, A., Di Napoli, C., Drummond, P., Hughes, N., Jamart, L., Kennard, H., Lampard, P., Solano Rodriguez, B., Arnell, N., Ayeb-Karlsson, S., Belesova, K., Cai, W., Campbell-Lendrum, D., Capstick, S., Chambers, J., Chu, L., Ciampi, L., Dalin, C., Dasandi, N., Dasgupta, S., Davies, M., Dominguez-Salas, P., Dubrow, R., Ebi, K. L., Eckelman, M., Ekins, P., Escobar, L. E., Georgeson, L., Grace, D., Graham, H., Gunther, S. H., Hartinger, S., He, K., Heaviside, C., Hess, J., Hsu, S.-C., Jankin, S., Jimenez, M. P., Kelman, I., Kiesewetter, G., Kinney, P. L., Kjellstrom, T., Kniveton, D., Lee, J. K. W., Lemke, B., Liu, Y., Liu, Z., Lott, M., Lowe, R., Martinez-Urtaza, J., Maslin, M., McAllister, L., McMichael, C., Mi, Z., Milner, J., Minor, K., Mohajeri, N., Moradi-Lakeh, M., Morrissey, K., Munzert, S., Murray, K. A., Neville, T., Nilsson, M., Obradovich, N., Sewe, M. O., Oreszczyn, T., Otto, M., Owfi, F., Pearman, O., Pencheon, D., Rabbaniha, M., Robinson, E., Rocklöv, J., Salas, R. N., Semenza, J. C., Sherman, J., Shi, L., Springmann, M., Tabatabaei, M., Taylor, J., Trinanes, J., Shumake-Guillemot, J., Vu, B., Wagner, F., Wilkinson, P., Winning, M., Yglesias, M., Zhang, S., Gong, P., Montgomery, H., Costello, A., & Hamilton, I.
- Affiliations
- University College London (GB)
- University of York (GB)
- University of Reading (GB)
- London School of Hygiene & Tropical Medicine (GB)
- Tsinghua University (CN)
- World Health Organization (CH)
- Cardiff University (GB)
- Yale University (US)
- University of Birmingham (GB)
- CMCC Foundation - Euro-Mediterranean Center on Climate Change (IT)
- University of Washington (US)
- Northeastern University (US)
- Virginia Tech (US)
- International Livestock Research Institute (KE)
- National University of Singapore (SG)
- Universidad Peruana Cayetano Heredia (PE)
- Harvard University (US)
- International Institute for Applied Systems Analysis (AT)
- Boston University (US)
- University of Sussex (GB)
- Nelson Marlborough Institute of Technology (NZ)
- Emory University (US)
- Center on Global Energy Policy (US)
- Technical University of Munich (DE)
- The University of Melbourne (AU)
- University of Copenhagen (DK)
- Technical University of Denmark (DK)
- Hertie School (DE)
- Umeå University (SE)
- Max Planck Institute for Human Development (DE)
- Agricultural Research & Education Organization (IR)
- Cooperative Institute for Research in Environmental Sciences (US)
- University of Exeter (GB)
- University of Oxford (GB)
- Universiti Malaysia Terengganu (MY)
- Tampere University (FI)
- Universidade de Santiago de Compostela (ES)
- World Meteorological Organization (CH)
- University of Hong Kong (HK)
- Energy Institute (GB)
- Corresponding author
- Hamilton, Ian
- ORCID
- Romanello, Marina
- McGushin, Alice
- Drummond, Paul
- Hughes, Nick
- Kennard, Harry
- Lampard, Pete
- Arnell, Nigel
- Belesova, Kristine
- Cai, Wenjia
- Campbell-Lendrum, Diarmid
- Capstick, Stuart
- Chambers, Jonathan
- Chu, Lingzhi
- Ciampi, Luisa
- Dalin, Carole
- Dasandi, Niheer
- Dasgupta, Shouro
- Davies, Michael
- Dubrow, Robert
- Ebi, Kristie L
- Eckelman, Matthew
- Ekins, Paul
- Escobar, Luis E
- Georgeson, Lucien
- Grace, Delia
- Graham, Hilary
- Gunther, Samuel H
- Hartinger, Stella
- He, Kehan
- Heaviside, Clare
- Hsu, Shih-Che
- Jimenez, Marcia P
- Kelman, Ilan
- Kiesewetter, Gregor
- Kinney, Patrick L
- Kjellstrom, Tord
- Kniveton, Dominic
- Lee, Jason K W
- Liu, Yang
- Liu, Zhao
- Lott, Melissa
- Lowe, Rachel
- Maslin, Mark
- McAllister, Lucy
- McMichael, Celia
- Mi, Zhifu
- Milner, James
- Minor, Kelton
- Mohajeri, Nahid
- Morrissey, Karyn
- Munzert, Simon
- Murray, Kris A
- Nilsson, Maria
- Obradovich, Nick
- Sewe, Maquins Odhiambo
- Oreszczyn, Tadj
- Owfi, Fereidoon
- Pencheon, David
- Rabbaniha, Mahnaz
- Robinson, Elizabeth
- Rocklöv, Joacim
- Salas, Renee N
- Semenza, Jan C
- Sherman, Jodi
- Shi, Liuhua
- Springmann, Marco
- Tabatabaei, Meisam
- Taylor, Jonathon
- Trinanes, Joaquin
- Vu, Bryan
- Wagner, Fabian
- Wilkinson, Paul
- Winning, Matthew
- Zhang, Shihui
- Gong, Peng
- Montgomery, Hugh
- Costello, Anthony
- Hamilton, Ian
- Venue
- The Lancet
- Publisher
- Elsevier BV
- Published
- 2021-10
- Volume
- 398
- Issue
- 10311
- Pages
- 1619-1662
- ISSN
- 0099-5355 (ISSN-L)
- 0140-6736
- PMC
- PMC7616807
- OpenAlex
- W3211328827
- Cited by
- 1,603
- References
- 218
- Citations by year
- 2026: 200 · 2025: 251 · 2024: 289 · 2023: 523 · 2022: 318 · 2021: 20 · 2018: 1
- FWCI
- 27.37
- Type
- journal article
- Language
- en
- Update notices
- erratum (2021-12-11)
- Open access
- bronze
- doi.org
- Licence
- www.elsevier.com/tdm/userlicense/1.0/ (tdm)
- www.elsevier.com/legal/tdmrep-license (tdm)
- www.elsevier.com/open-access/userlicense/1.0/ (am, 384 d)
- doi.org/10.15223/policy-017 (stm-asf)
- doi.org/10.15223/policy-037 (stm-asf)
- doi.org/10.15223/policy-012 (stm-asf)
- doi.org/10.15223/policy-029 (stm-asf)
- doi.org/10.15223/policy-004 (stm-asf)
- Locations
- The Lancet (acceptedVersion)
- PubMed (publishedVersion)
- Research at the University of Copenhagen (University of Copenhagen) (publishedVersion, cc-by-nc-nd)
- Greenwich Academic Literature Archive (University of Greenwich) (acceptedVersion)
- PubMed Central (acceptedVersion, cc-by)
- London School of Economics and Political Science Research Online (London School of Economics and Political Science) (acceptedVersion)
- CentAUR (University of Reading) (submittedVersion)
- White Rose Research Online (University of Leeds, The University of Sheffield, University of York) (submittedVersion)
- London School of Economics and Political Science Theses Online (London School of Economics and Political Science) (submittedVersion)
- Sussex Research Online (University of Sussex) (submittedVersion)
- UNU Collections (United Nations University) (submittedVersion)
- National University of Singapore (submittedVersion)
- CGSPace A Repository of Agricultural Research Outputs (Consultative Group for International Agricultural Research) (submittedVersion, other-oa)
- UCL Discovery (University College London) (submittedVersion)
- Figshare (submittedVersion)
- Hispana (submittedVersion, other-oa)
- ORCA Online Research @Cardiff (Cardiff University) (submittedVersion)
- ARCA (Università Ca' Foscari Venezia) (submittedVersion, cc-by-nc-nd)
- Minerva Access (University of Melbourne) (submittedVersion, cc-by)
- OPUS 4 (Zuse Institute Berlin) (submittedVersion)
- University of Birmingham Research Portal (University of Birmingham) (submittedVersion, other-oa)
- Technical University of Denmark, DTU Orbit (Technical University of Denmark, DTU) (submittedVersion)
- IIASA PURE (International Institute of Applied Systems Analysis) (submittedVersion)
- Tampere University Institutional Repository (Tampere University) (submittedVersion, cc-by-nc-nd)
- Funders
- Wellcome Trust (209734/Z/17/Z)
- Northeastern University
- Royal Society
- National Research Foundation
- UK Energy Research Centre
- International Energy Agency
- National Research Foundation Singapore
- National University of Singapore
- National Aeronautics and Space Administration (80NSSC21K0507)
- Svenska Forskningsrådet Formas (2018\u201301754, 2017\u201301300)
- Harvard University
- Natural Environment Research Council (NE/N01524X/1, 205200/Z/16/Z, NE/R01440X/1, 216035/Z/19/Z)
- Topics
- Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Climate Change and Health Impacts
- Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Air Quality and Health Impacts
- Physical Sciences › Environmental Science › Global and Planetary Change › Climate Change and Environmental Impact
- Keywords
- health and climate change, COVID-19 pandemic, health equity, low-carbon transition, climate change adaptation, global health indicators, sustainable development, just transition
- MeSH terms
- Forecasting, Health Planning, Humans, Global Health, Climate Change, Renewable Energy
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