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The 2021 report of the Lancet Countdown on health and climate change: code red for a healthy future
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![Figure 12 Spending per capita for potential adaptation to climate change for health Data for the health and health-care sector (A) and health-relevant sectors (B; see appendix 5 [p 109] for definition) in each 2019 HDI group. HDI=human development index.](/paper-figures/1688181df9b742128d9b68c9fc6babcf/the-2021-report-of-the-lancet-countdown-on-health-and-climate-change-code-red-figure-12.jpg)






![Figure 19 Net carbon prices, net carbon revenues, and net carbon revenue as a share of current national health expenditure across HDI groups (A) Net carbon prices. (B) Net carbon revenues. (C) Net carbon revenue as a share of current national health expenditure. Data from 84 countries in 2018, arranged by 2019 HDI group (low [n=1], medium [n=7], high [n=23], and very high [n=53]). Boxes represent IQR, horizontal lines inside the boxes represent the medians, and the brackets represent the range. HDI=human development index. tCO2=tonnes of carbon dioxide.](/paper-figures/6f4ca3c093c54f87b3d60100bb67d0b0/the-2021-report-of-the-lancet-countdown-on-health-and-climate-change-code-red-figure-19.jpg)





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Self-citation
Metadata
- 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
- 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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