Discussion
26 Apr - 1 Jun 2021

[closed] São Paulo Declaration on Planetary Health Global Consultation

Nina Grinman • 22 April 2021

Welcome to the consultation!

Research and education, policy, the private sector, and the public will play key roles in making rapid, deep, structural changes in human activity that are required for the fundamental shifts needed in the Great Transition. The questions below refer to actions the following stakeholders can take to influence these sectors with the overall goal to achieve the Great Transition.

Your comments below will be incorporated into the São Paulo Declaration on Planetary Health

Click here to read the DRAFT Declaration

 

Please answer the questions below:

Please refrain from suggesting specific text edits to the draft Declaration. Instead, please focus on recommending action items for the questions and stakeholders listed below to be included in Section 3 of the Declaration

 

  1. What actions can the below stakeholders take to influence research and education to achieve the Great Transition?
  2. What actions can the below stakeholders take to influence policy changes to achieve the Great Transition?
  3.  What actions can the below stakeholders take to influence the private sector to achieve the Great Transition?
  4. What actions can the below stakeholders take to influence the public to achieve the Great Transition?

In your answers, please be specific to which stakeholders you are referring to.

The list of stakeholders include:

  1. Agriculture Sector
  2. Artists, Poets, Writers, Musicians
  3. Businesses
  4. Economists
  5. Funders
  6. Governments
  7. Health Practitioners
  8. Health Sector
  9. International Organizations
  10. Jurist and Lawmakers
  11. Media
  12. Researchers
  13. Spiritual leaders of all faiths
  14. Technology Professionals
  15. Universities and other Educational Institutions
  16. Youth representatives

 

 

Comments (124)

Planetary Health Alliance Moderator

A synthesis of comments from moderator Enrique Falceto De Barros:

"We had 32 contributors to the Sao Paulo Declaration from April 25th to May 10th, with many significant and useful comments and suggestions. Here highlight a few from April 25th to May 5th:

a) Education: include pre-scholar and schools;

b) Funders: consider new criteria on Planetary Health;

c) this Declaration may be seen as PH roadmap to 2030;

d) what is new in this Declaration in comparison to previous declarations from other sources?;

e) consider describing what has been achieved by the PH framework so far;

f) consider incorporating the April 28th "Nobel Summit statement – a call for action";

g) set an agenda for mindset transformation;

h) urban planners and architects are essential for the great transition, as well as all other professionals;

i) consider reframing agriculture into food systems ( as highlighted in the literature);

j) artists can inspire what it should look and feel like after the great transformation.

We do hope contributions continue with the same creative energy and inspiration to improve our declaration´s comprehensiveness and impact towards the necessary transformations.

Best wishes,

Enrique"

 

This week's moderator is Antonio Mauro Saraiva, chair of the 2021 Planetary Health Annual Meeting and Festival!

 

Vanessa Goes

Thank you for this synthesis Enrique,  

"a) Education: include pre-scholar and schools;" - I believe this is an extremely important point: focus on Children education. It's important to rethink education structure* in all levels but pre-shcolar and schools are crucial since it will shape the awareness, mindset and potentials our future professionals, researchers, policy makers and so one. 

  * Education should be more holistic and interconnected and less fragmented result of industrial era.

Alana Lea

Having been away from this forum for the last few weeks, I'm wondering if there is any document that incorporates the comments we have all contributed as part of the Declaration that we could review? It's a beautiful wholistic vision, and I do hope that some of the specifics we've all provided are part of the end piece.

Muito Obrigada

Yasna Palmeiro Silva

Hi everybody, 

First of all, thank you very much for all the work you've done. It's amazing.

I couldn't add information to the previous discussion group, so I guess it's OK if I add it here. 

I'm attaching a word document where I've added some thoughts and ideas to the declaration. Some general thoughts: Sometimes, we refer to "our" world when in reality it's not "our". It's the planet or Earth and it belongs to every single species in the world - This follows what Indigenous people would say. 

I'm not sure whether we need to include a call for vaccines patents. It's a very specific point and I guess a declaration is a general statement. 

When we call for specific sectors, then I think the first sentence should be highlighted. It's what stakeholders will read at first sight. 

I hope these suggestions and changes would make sense. 

Finally, some actions for:

5. Funders

- Include new evaluation criteria, such as “Impact on planetary health (research outcomes and policy outcomes)”, “Degree of engagement with people working on planetary health”

8. Health Sector

- Reframe health systems and practice including the planetary health approach

15. Universities and other Educational Institutions

- Incorporate planetary health into the educational curricula at different levels: pre-scholar, school (primary and secondary), universities.

 

Thank you very much again, 

Best wishes

Yasna

christiane

I think if we speak about patents it should be broader- no patents on crops, drugs, knowledge;... Knowledge  should benefit the planet as a whole... 

Enrique Falceto De Barros Moderator

Dear Yasna,

thanks for your comments.

concerning your thoughts on "our world" expression:

i am not sure where we mention "our world", could you point it out? could it not be interpreted as not necessarily excluding our relatives from other species - who also "own our world"?

 

your practical sugestions for actors 5, 8 and 15 seem useful to me. We do need to consider them.

Vanessa Goes

Thank you very much for this initiative! 

"I'm not sure whether we need to include a call for vaccines patents. It's a very specific point and I guess a declaration is a general statement"   - I agree with Yasna about this topic. 

 

Planetary Health Alliance Moderator

Hello and welcome!

We are at a critical juncture in history with COVID-19 as the latest in a string of consequences resulting from excessive pressures we put on the planet. Planetary health science is clear: we can no longer safeguard human health and wellbeing and the health of the planet into the future unless we change course.

With these urgent challenges comes a unique opportunity to move society towards the Great Transition, a fundamental shift in how we live on Earth. The São Paulo Declaration on Planetary Health is our moment to come together as one voice, loud and clear, to state what actions are necessary to achieve the Great Transition. This Declaration invites all communities, geographies, cultures, and generations to act to safeguard the health of people and the planet.

Thank you for bringing your perspective, experience, and wisdom to this consultation. Your inputs are extremely valuable and will feed into the recommendations outlined in the São Paulo Declaration on Planetary Health that will be shared with the global community.

We ask that you focus on actions planetary health stakeholders can take rather than specific text edits. Remember that this document must be understandable to a broad audience and cannot be too specific on any one issue, no matter how important it may be.

We want your help to develop solutions. We need positivity, and most of all, we need hope.

Thank you!

Leslie Solomonian

I speak as a healthcare provider, educator, and advocate.  

  1. What actions can the below stakeholders take to influence research and education to achieve the Great Transition?

- embed ecological and social justice into heathcare education

- acknowledge the significant influence of social and ecological determinants of health and demand shifting of resources to that focus

- this requires the de-deification of the "hierarchy of evidence," which influences bias in funding, publication and implementation

- emphasis on whole systems research

- remove barriers to education and research opportunities for historically and currently marginalized voices

- elevate community-based participatory methods into research methodology

- promote interprofessional and interdisciplinary education and research, move away from silos in education, research, and provision of healthcare

  1. What actions can the below stakeholders take to influence policy changes to achieve the Great Transition?

- deconstruction of the biomedical, reductionistic approach to healthcare; elevate systems thinking, integrative/traditional/interprofessional healthcare teams

- include other healthcare providers at policy tables other than medical doctors

- more emphasis on funding and public health initiatives to promote health of people and communities rather than funding of reactionary care (including policing)

- advocate for decommodication of healthcare services and resources necessary for good health; food, shelter, medicine, choice in healthcare as a human right; when these services are commodified, some profit from them and make them inaccessible to many

  1.  What actions can the below stakeholders take to influence the private sector to achieve the Great Transition?

- socially innovated strategies to promote conditions for health; partnerships with developers to offer community gardens, affordable housing; advocacy to employers for fair wages and encouragement of cooperative ownership

  1. What actions can the below stakeholders take to influence the public to achieve the Great Transition

- as has been pointed out, healthcare providers are a trusted voice; but there is too much emphasis on biomedical/reductionistic/RCT-informed "healthcare"; this must be brought back into balance, elevate the voices of those with a more holistic paradigm; reshape what is meant by "healthcare"; place reactionary medicine where it belongs and expand the voices of those who promote well-being; those with power and influence must use it to raise the perspective of those professions who have been marginalized

Also general comments on the draft declaration:

- first paragraph, last sentence ... I would encourage it to be more strongly stated:   "A global transition is urgently required to radically
restructure human societies in order to preserve the well-being of the living world in which they are embedded." (as opposed to it sounding like caring for the living world is secondary or a convenient co-benefit)

- second paragraph ... the consequences of climate devastation tends to impact socially/politically/economically vulnerable geographic regions first ... we know that the impacts are now closer to the seats of global power ... worth pointing out the melting of glaciers, and permafrost in the polar regions?  Rising levels of the seas and great lakes?  Massive forest fires in the US and Canada as well?

- generally advise to avoid the use of the word "change" when we mean destruction, devastation, collapse, ecocide ...

- paragraph 4 ... would suggest what we need first and foremost is a redefinition of values ... what is important, what is "good," what is just?  This will inform the restructuring as described 

- I agree that demanding depatentization of COVID vaccines may be too specific for this declaration ... but I definition would advocate for decommodification of ALL health-promoting services, including drugs, vaccines, food, traditional medicines, medical care, public health initiatives, etc.

 

 

Carissa Patrone (she/her)

Leslie, 

I appreciate you centering eco-social justice and advancing health equity within planetary health. Those two are very important pieces to consider that must be embedded throughout all of our systems. The disproportionate impacts of COVID-19 on under-resourced, frontline, and fenceline communities has only amplified that need. 

 

Carissa Patrone

Lis Leão

Hi everyone,

First of all I would like to congratulate PHA and Brazilian team for the amazing event and also for this initiative.
I speak as a researcher in the field of nature & health and as a postgraduate professor at Hospital Israelita Albert Einstein, in São Paulo. I want to share my perspective  based on my professional education, but also as a wildlife photographer and, therefore, as a conservationist. Thank you for allowing this contribution.

The following are specific actions the below stakeholders can take to influence these sectors with the overall goal to achieve the Great Transition:

Agriculture Sector

Regular meetings of agribusiness leaders with specialists in climate change and health to evaluate and develop solutions together.

 

Artists, Poets, Writers, Musicians

Return to including nature in cultural production (because in the past it existed more), be it in music, poetry, novels, photography, children's books, in order to contribute to the construction and strengthening of the bond with nature. Culture and nature preservation must go together.

 

Businesses

New businesses that focus on biocentrism, such as sustainable tourism “in” and “with” nature.

New health services based on experiences of immersion in nature to wellbeing and health promotion.

 

Funders

Inclusion of the planetary health theme in specific grants for research, not only from government agencies but also from philanthropists, and other companies who can contribute to the development of evidence and its applicability in the real world.

 

Governments

Development of public policies built in dialogue with all areas of impact, such as the Environment, Health, Public Security, Transport for access to natural areas, Social (for greater equity).

 

Health Practitioners

Health professionals need to seek additional training, since planetary health is not yet found in the traditional curricula of academic training courses.

 

Health Sector

Health sector leaders can develop new ways for health organizations to relate to nature beyond the issues of sustainability and hospital waste management, including new preventive health programs that have a connection with nature as one of the foundations for implementation in population health.

Create paths to combine the ancestral knowledge of the indigenous people with the medicine of the non-indigenous people.

 

International Organizations

Develop joint actions, whether educational, informative, evaluative, or research, with local leaders from all regions. Contribute to the identification and development of leaders from the least favored countries to meet the motto of Sustainable Development Objectives – “not to leave anyone behind”.

 

Jurist and Lawmakers

Harden the penalties related to environmental crimes, as well as expand and strengthen legislation that protects biodiversity (and consequently humanity), while also developing appropriate enforcement mechanisms.

 

Media

Present a positive communication agenda with the general population so that climate change is not seen with fatalism, but with a focus on the possibilities of engagement so that we achieve planetary health.

 

Researchers

Develop research on the theme in its various aspects and mixed research methods, generate evidence, act strongly in scientific dissemination not only among peers, but with the general population.

Create programs to visit schools to raise awareness and bring children closer to scientific discourse and its importance for planetary health.

Provide scientific evidence for nature-based interventions in health in association with biodiversity conservation

 

Technology Professionals

Develop technologies that bring people closer to nature.

 

Universities and other Educational Institutions

Foster and encourage research lines in the area of ​​planetary health.

Insert programmatic content in a transversal way in undergraduate courses in the area of ​​health, architecture and in other areas that can train professionals with an interdisciplinary vision and necessary for future professional performance.

Create outreach programs in planetary health

Create specific disciplines on nature and health, planetary health, indigenous ancestral knowledge for undergraduate health courses and also postgraduate courses involving these topics.

Develop online and free courses on open access platforms for the dissemination of knowledge about planetary health and related topics to a wider scope, mainly in a continental country such as Brazil.

 

Youth representatives

Develop specific forums to identify and strengthen young people to act in planetary health as agents of transformation.

Susana Paixao

The curricula of undergraduate degrees in Environmental Health address most of the themes of Planetary Health.

Enrique Falceto De Barros Moderator

Dear Lis Leão,

 

Muito obrigado por suas contribuições!

:-)

you maybe interested in this course launched by the PHA:

Registration Period: 01/18/2021 to 12/19/2021

Course Period: 01/18/2021 to 12/31/2021

Target Audience: Undergraduate students and higher level health professionals. The course is also open to the community and any individuals who are interested in the topic.

 

https://www.ufrgs.br/telessauders//documentos/cursos/saudeplanetaria/curso_saude_planetaria_manual_20201021_dpa.pdf

 

Lis Leão

Enrique Falceto De Barros 

Dear Enrique, thanks for the information. I attended a presentation at the event and already made my registration! :) very cool this free initiative! We have a grant from Fundação Boticario and we are developing two courses, online and free too, which will be on Einstein's open platform. We will deal more specifically with nature connectedness and health. One aimed to health professionals and another to managers of natural areas. Let's add the efforts! We will have an international symposium this year also online and with simultaneous translation (I INTERNATIONAL SYMPOSIUM ON NATURE & HEALTH: Building bridges between human well-being and conservation)

I'm talking to Sam Myers for his participation (hopefully it will work!). In the coming days we will already have a hot site with scientific programming in English, too.

https://ensino.einstein.br/i_simposio_internacional_de_natureza_-_saud_… 

Lis Leão

Susana Paixao 

Yes I know. I thought of specific forums outside the niches where this already happens. (so as not to be preaching only to those already converted) rsrs :)

Ralf Klemens Stappen

 

Lis Leão 

this is an interesting topic, but still a fringe area of science - in our academic society some events were held on this in the past. The leading head here is Gunnar Tellnes, University Oslo - attached a link for  a book on forests and health, (bases on a conference) but where the whole topic of nature-health was discussed in principle. It´s very important topic if we se this for 7.7 billon peoples ! Also Susan Prescott, Australia  INVIVO work on this question -more form the arts, I like her approach very much. Here a nice art-video.

Lis Leão

Ralf Klemens Stappen 

Dear Ralf,
thank you very much for the references. I'm going to know them. I agree that in the academic society we still have some obstacles. I”ve lived  this in the field of complementary terapies for many years (since 90s). In 2013 at Einstein I was co-founder of  specialization in integrative health that now in 2021 evolved into a new postgraduate course in integrative health: advanced studies, in which I have a discipline on nature and health.  One of my master's students in science is an ambassador for planetary health in the program instituted by USP. Gradually we gaining more space, although in Brazil I feel that we are still crawling. But let's go on!

Ralf Klemens Stappen

Dear Lis  

the Nobel Summit last week, made this interesting statement (as representative of the mainstream science): We need to reinvent our relationship with planet Earth

We could also see the question extended - We need to reinvent our relationship "with nature". The problem is simply that the reductionist, mechanistic scientific logic - which was very effective to analyze parts up to quanta and bisons - but in the end does not understand nature as a whole anymore. This has been discussed for more than 50 years.  But this logic is deeply anchored everywhere, in the universities, curricula, in the minds and therefore we have a hard time with a paradigm shift here. Although the reductionist approach is basically considered to be completely inadequate because (to understand nature) of the implications of quantum theory. Indigenous peoples are closer to this than modern science (excluded the avangarde!). In Planetary Health this was only touched upon e.g. in the introduction of Howard Frumkin and Samuel Myers book to Planetary Health regarding deep ecology, "system thinking (ODUM)" .

If we want to rethink nature in medicine and healing - you have to rethink the concepts of life, body and soul.  A really interesting scientific system approach is the book by Fritjo Capra and Pier Luigu Luisi "The System view of Life" (Cambridge University Press).

Concerning your nature photography, in Planetary Health we should reintegrate the great (but lost ....) natural science tradition of Alexander von Humboldt - as a scientific method for understanding. Humboldt spent hours and days painting landscapes, animals, birds, etc. in the Amzonas. That's hundreds of pictures. The added value, was that Humboldt found a very deep, holistic view of nature through the long looking and close observation. We should reinvent natur photography as a scientific method of "integrative understanding" in PH..

GDT Nature Photographer of the Year 2021

Atteached there is a manifesto for the "new thinking" - ,see also here:

https://en.wikipedia.org/wiki/Potsdam_Denkschrift

We have to think how we can bring the sentence in the draft : "It will also require a revival in how we understand our relationship to Nature and to each other." into action also with stakeholder, education and reserach !

 

Enrique Falceto De Barros Moderator

juliokonrath 

 

excellent glocal example!

have you read Videiras de Cristal?

forte abraço,

enrique

juliokonrath

Enrique Falceto De Barros 

In spite of the vital planetary interconnection of each ground clod, and it seems that international opinion matters little the resistance of a traditional "hunsrich" community in this singular and forgotten foreign immigration bioregion of the extreme south of Brazil - target of repeated cowardly attacks. of world-wide consortia of the so-called "clean energy" (reported in an article to be published soon * Konrath, J. The World Network Biosphere Reserve landscape managente in extreme south Brazil ...), I believe we can communicate in the local language.

"Sim, li quase todo romance histórico-ficcional do Assis Brasil, mas ando atrás de outro mais intimista e prosaico do Prof. João Wendling (A História do Walachai).  A propósito, para o bem da ecologia comunitária do Teewald recomendo fortemente que dediqueis um tempinho a leitura do Relatório PDA192MA (2007) linkado na mensagem anterior, pra entender o quanto uma altimetria de menos de 500 metros, há menos de 80 km da ecotoposfera tóxica da megacidade de Porto Alegre, tem a ver com a saúde ambiental da região com maior densidade populacional do estado". 

 

Cordialmente,

 

 

 

Vanessa Goes

Ralf Klemens Stappen, very good points!  I'm reading Capra&Luisis's book now about this systemic perspective of life. We need to rethink life in all levels, transform our relation with ourselves and with all forms of life and co-create our systems. Thank you very much for sharing.

Vanessa Goes

Very good points Lis. Totally agree.

Jennifer Cole

The inclusion of actions targeted to specific stakeholders is extremely welcome and will help to ensure planetary health can become operationalised. 

I do feel, however, that there is a group who are being consistently overlooked - lower socioeconomic groups in affluent countries. Peter Hotez has written about "blue marble" health, how the worst health outcomes can be suffered by the poor and marginalised in pockets that sit in the midst of wealth - the homeless, or the displaced - and I think this needs to be tied to "blue marble economics", ensuring we do not place planetary health out of the reach of the economically vulnerable. The poor cannot afford to shop at the organic deli, to be the early adopters of electric vehicles; they are not home owners who have the luxury of choosing to install solar panels; they do not have a garden to plant, Planetary health must not marginalise them and must not overlook them while seeking to support others further afield. The inner cities may not be pretty but they need to be helped to bloom. 

I would therefore focus on an action for Government:

Support and subsidise, where necessary, planetary health initiatives for the urban poor, from community gardens and allotments, to active transport and social housing close to places of meaningful work. Encourage communities to be stewards of their own green spaces, no matter how small, and support their long-term health by improving air quality; availability of, access to and affordability of fresh food not only though markets but also community cafes and kitchen for those who struggle to find time to cook for themselves. Promise a place in planetary health to all, not only those who can afford the best view. 

And also: political terms are short, but the words of great politician live on. The greatest politician of the last century vowed that we would fight them on the beaches. This century, we need to fight for the beaches. We need to fight for the air. Stand for what you think is right, and people will stand with you. 

And for media:

The pen is mightier than the sword. Speak with the emotion that will grab headlines, and be the voice that others do not always have. Question, and probe, and hold to account, and leave no stone unturned. Always speak the truth but speak with a new truth backed by evidence that dissenters cannot challenge. Speak to everyone, and for everyone, wherever a voice is needed.

For the health sector:

Measure health in terms of the absence of disease, not only the quantity of life. We must move away from a metric that identifies success only on longevity to question what constitutes healthy life, and healthy populations, across the life course. Ask hard questions about which was most to blame: SARS Cov-2 or obesity, and address the underlying drivers of vulnerability. Look beyond the walls of hospitals to playing fields that keep children active, to community kitchens where everyone can eat healthily and with friends, look at what makes a community health, not only a body, and heal society as well as individuals. Sending a 'healed' individual back into an unhealthy environment is inefficient and ineffective - create communities inducive to good health. Key to this is community healthcare, local healthcare workers who live within a community, know its members and work to prevent ill-health more than to treat it.  (see chapter attached, from Health in the Anthropocene' edited by Katharine Zwyert and Stephen Quilley. 

Ralf Klemens Stappen

Hello friends,

after all, there are hundreds of such declarations, usually hardly anyone outside is interested in them. They can have a great significance for inside, the planetary health community and I think also for the scientific community, reserach funding and universities. What I would personally like to see is  this is our PH Roadmap to 2030. What we want to achive  and what we hope to get support for. It makes a lot of sense to develop the declaration in perspective - as a vision, mission with a small action program. In my opion, it will take until 2030 anyway for Planetary Health to be truly 100% operationally ready.  We should be very clear about our own goals.

We have a huge  international discussion about the Great Transition (scince 2001 https://greattransition.org/gt-essay  and also very important reports about it from WBGU (up from 2011)https://www.wbgu.de/en/publications/flagship-reports, which are very detailed in all questions, which are mentioned above (see report). We should not go behind ! We also have many documents of the international community, starting with AGENDA 21, AGENDA 2030, etc., where similar demands are made. The core question is what is the new, the special mission/message of the Planetary Health Community is doing to heal our Planety. As far as I remember the community of nations is talking about GREAT TRANSFORMATION (Agenda 2030).

I would say frist something about the history of Planetary Health, about the vision, about what has been achieved by 2021 and what is the new approach of Planetary Health.

 

christiane

Thank you very much I agree we should not just have another declaration that is only another piece of paper being read and circulated in the same networks. we could however have some health arguments reinforced through the COVID outbreak whose origins lie in the destructive way life is organized. and the fact that the disease is not yet "under control" shows that techno- quick fix solutions are not possible

Enrique Falceto De Barros Moderator

Dear Ralf,

your insights make a lot of sense to me.

thanks,

enrique

Vanessa Goes

Good point! 

This brings to my mind:  individuals and local communities advocacy,  children education, scientific communication for general public and children, translational research, decolonization of knowledge, storytelling, traditional culture narratives, philosophers, journalists, artists, small groups organizations, individuals spreading this ideas and concepts in their homes, neighborhood, workplace, social media.... until we can reach policy makers and systems. 

Ralf Klemens Stappen

Suggestion:

The international term (in UN documents and science....) is transform or transformation:

Transforming our world: the 2030 Agenda for
Sustainable Development 

To make a difference (and for new add ons) we could speak concerning " for a need for a:

"Great Health Transition" or

"Great Health Transformation"

that would also fit very well because of Covid-19. Transformation is much stronger (in terms of ambition) than transition - that's more of a scenario logic term.

Ralf Klemens Stappen

Concerning the central questions /task:

"Instead, please focus on recommending action items for the questions and stakeholders listed below..."

we could it make very effective and easy. There will be a very strong statement from the

1619102988-ae736bef50c3aaf6

https://nobelprizesummit.nationalacademies.org/s/Nobel_Prize_Summit/home

on Thursday 28 a "Nobel Summit statement – a call for action" where the Declaration could be oriented, from Planetary Health's perspective. This will likely be evidence-based on the latest international scientific discussion, led by world-class institutions and scientist in the field. An interlink could strengthen the Sao Paula Declaration. Richard Horton is participating there as a speaker (I am a normal participant).

They will give a precise answer what actions are relevant now in 2021 and the task here would be to find a link to Planetary Health and the stakeholders.

 

Look this video from Johan Rockström.....

10 Years to Transform the Future of Humanity—Or Destabilize the Planet

 

There will be a very strong and outstanding statement, signed from some Nobel Lauretes - also Planetary Health ist mentioned.

 

Enrique Falceto De Barros Moderator

Dear Ralph,

 

i do agree the term "transformation" is very appropriate and powerful.

"Transition" was meant to resonate with the title of the meeting.

thanks,

:-)

Carin-Lee Masters

Please do not make the same mistake as many others by excluding mental health and conscious/unconscious awareness initiatives, without a deep sense of awareness of the unconscious and self in context, including dealing with feelings of envy, hatred and aggression (instinctive feelings), we will continue to act these out, project them onto others, and be intent on destroying those we regard as different, insignificant, and 'other', including nature. 

Enrique Falceto De Barros Moderator

Dear Carin-Lee,

As a family doctor, i am very interested in "mindsets".

i am actually developing a paper on how family doctors could address this issue with patients, when appropriate.

Thanks!

:-)

Carin-Lee Masters

 

Enrique Falceto De Barros Great. Considering mental health links need to always be on the 'agenda', as many health professionals are fortunately realising more and more that body and mind (and spirit) are inextricably linked, that we are all inextricably linked too, to each other, nature and our ailing planet.

Mathilde Pascal

Hi

Thanks for this very nice initiative. Here are some initial toughts after reading the first draft: 

General: defining planetary health should be a starting point, do not consider that everyone understands it. Also, as a community, how will you make sure that the values of planetary health will be sincere, and not instrumentalized in a kind of greenwashing, as, I feel, it’s the case for One health? (e.g. now with the pandemic old programs are relabeled one health without any changes in their content).

Also, I feel the whole document is a lot about discussion, advocacy... and not really about action. The first pledge should be a pledge to act, not in a general fashion, but in a very specific way. For instance, I pledge to dedicate some of my time to caring for the wildlife of my neighborhood, and this in turns make me evolve as a human being and as a researcher. 

Economists: link with the ideas of planetary economics? cf https://www.kateraworth.com

For international organization => everything here is also true for national organizations

For universities => acknowledge the norms of moderation, and the implicit values of sciences which led to a self-censoring, develop mental health support for the researchers who are observing the destructions of the world, engage with other actors of the society.

I miss a section on public health, it is briefly in the health sector section with prevention and equity, but I think a specific section on public health discussing prevention, the need to collaborate with other professionals (e.g. environmentalists, urban planners), to reduce inequities, develop literacy, empower the most vulnerable, assess the environmental impacts of public health policies, and the health impacts of environmental policies, discuss balance of risk and benefits … would be highly valuable.

I also miss a section on intellectual leaders who are not spiritual leaders, e.g. philosophers. Or maybe they implicitly are under researchers?

 

 

 

 

Jan Dieterle

Dear all.

First of all, I appreciate the discussions and the different backgrounds of the participants. Thank you for all the work that has already been done!

As a Landscape Architect I would like to suggest to add another category of stakeholder:

  • Urban Planners, Landscape Architects and Architects.

When designing sustainable spaces, we always need an integrated perspective to achieve interactive and liveable environments. We create vibrant living environments with people - for people. I would like to emphasise new synergies of the planning disciplines with the health sector, and others, because an ecologically sound environment is directly related to human health. (see also SDG 11)

Also, it will be important to establish interdisciplinary teaching approaches in building mutual understanding.

All the best

Jan

Carissa Patrone (she/her)

Jan, 

Those who contribute to the built environment is a necessary addition. I appreciate you elevating urban planning and architecture as a field that should be considered as well. 

All the best,

Carissa

Ralf Klemens Stappen

Some remarks and questions...

I think we have an overlap in the content of section 2 and section 3. Actions are already listed in section 2 - why is this duplication necessary? Section 1 should perhaps be aligned with the vision of the Planetary Health Memorandum  2014 and also the "Call for Action" of the first Lancet Report. We should also not fall behind these documents. Better an answer - what has been achieved ? Where are still important fields of action today (see Lancet Report)? What new mission and message can we formulate in 2021 for 2030? What should the Planetary Health Movement achieve longterm? What are the central mechanisms for the message? 

Part of the declaration could be a kind of new memorandum from 2014.

The Berlin Principles One Health (where some here have contributed) are definitely a guide for the formulation. What is the difference? Where are the similarities ? What can be achieved together with One Health, Global Health Movement, etc. ?

Elena Cromeyer

This is a great start so far. I agree with one of the other comments that we need to break out/be more specific with "health sector." It's a pretty broad sector with several sub-sectors and focus areas. Public health should be an area unto itself and I think it's important to stress that the field of public health should prioritize aligning population, animal and environmental health more effectively. It's a field that tends to really segment these areas singularly. The inverse relationship of environmental effects on human health should be explored and integrated in the field of public health more. This is my research area in my doctoral degree. Most areas of human health are so closely interrelated with the health of the environment and animals. 

Also, I would add the "Food Industry" to the list of stakeholders as I don't think it is fully encapsulated in the agriculture industry. I'm thinking restaurants, grocery stores and other food establishments or places that make, distribute or sell food. These include a very large section of the food industry. 

Thanks.

Enrique Falceto De Barros Moderator

Dear Elena,

 

We definetly should consider the FOOD SYSTEMS, which is consistently poping up in the literature.

:-)

Vanessa Goes

Thank you for this point! Totally agree that we should include "FOOD INDUSTRY" in this list.

juliokonrath

Stakeholder: Goverments.

Intention: Calling for Planetary Urban Transition Drive!

Forgive my poor English.  The call for the St. Paulo's Declaration of Planetary Health is very timely, challenging and panoptical. Certainly, I would have much more to say, but in the face of the emergency action that the time requires, I will  focus on a single point. Althougth the key message of the São Paulo Declaration on Planetary Health recognizes the Agriculture Sector actions as the center of planetary health shift, in terms of our footprint on natural systems,  it is unthinkable to ignore the growing urban environmental footprint resulting from the population influx, which at the turn of the millennium is directed to more than 50% of the population living in large cities, reaching 80% by the end of the 21st century. Knowing that in addition to the generation of atmospheric greenhouse emissions, cement is currently the most consumed product globally. Whereas in addition to natural ecosystems converted into human settlements, other areas of land and water are also subtracted from a number of infrastructures to support the urban way of life, such as highways, waterways, power generation, waste dump, mining, etc.,  it is incomprehensible that public managers are UNAWARE of the basic truth of the need to replace each square meter of natural or semi-natural ecosystems subtracted for urban development by protected natural areas (from the same biome), in the municipality itself or political-administrative macro-region - in the form of a "territorial sustainability duty" to future generations. If that were the case, there would be no need for the parting of mythical, unmanageable and extensive lands of conservation units elsewhere.  
 

Grateful for the opportunity.

Enrique Falceto De Barros Moderator

Dear Julio,

i feel your english is not worse than mine!

:-)

as i stated above, we do need urban planners to prioritize planetary health.

Muito obrigado!

:-)

Cristian Leal

Olá! Felicitações a todxs!

Como ator social do setor saúde, com expertise na área ambiental, mais especificamente resíduos de serviços de saúde, minha contribuição se concentrará neste tópico.

Acredito que o setor saúde tem que aderir ao Projeto Hospitais Saudáveis, uma iniciativa da organização Saúde Sem Dano (https://www.hospitaissaudaveis.org/), cujo objetivo é promover a sustentabilidade do setor saúde ao redor do mundo. aqui no Brasil especificamente, vários  membros, representados por hospitais e outros serviços, além de sistemas de saúde aderiram ao PHS. acredito ser um ótimo começo. então vamos promover a adesão dos sistemas de saúde brasileiros a esta iniciativa.

Espero ter contribuído, modestamente, mas efetivamente.

Abraços.

Cristianleal

 

Enrique Falceto De Barros Moderator

Dear Cristian,

thanks for your input.

Health without harm is working closely with us.

They are awesome indeed!

grato,

enrique

Ralf Klemens Stappen

Enclosed for your inspiration is this statement published today....

Nobel Prize Laureates and Other Experts Issue Urgent Call for Action After ‘Our Planet, Our Future’ Summit (29. April).

Read the full: Statement

Here are some excerpts. .

"We need to reinvent our relationship with planet Earth. The future of all life on this planet, humans and our societies included, requires us to become effective stewards of the global commons — the climate, ice, land, ocean, freshwater, forests, soils, and rich diversity of life that regulate the state of the planet, and combine to create a unique and harmonious life-support system. There is now an existential need to build economies and societies that support Earth system harmony rather than disrupt it."

Planetary health

The health of nature, our planet, and people is tightly connected. Pandemic risk is one of many global health risks in the Anthropocene. The risks of pandemics are now greater due to destruction of natural habitats, highly networked societies, and misinformation....The poorest and most marginalized in societies remain the most vulnerable. The scale of this catastrophe could have been greatly reduced through preventive measures, greater openness, early detection systems, and faster emergency responses.

Our Future

A decade of action

Time is running out to prevent irreversible changes.... How do we lock this in? The following seven proposals provide a foundation for effective planetary stewardship.

  • POLICY: Complement GDP as a metric of economic success with measures of true well-being of people and nature. Recognize that increasing disparities between rich and poor feed resentment and distrust, undermining the social contract necessary for difficult, long-term collective decision-making. Recognize that the deteriorating resilience of ecosystems undermines the future of humanity on Earth.
  • MISSION-DRIVEN INNOVATION: Economic dynamism is needed for rapid transformation. Governments have been at the forefront of funding transformational innovation in the last 100 years. The scale of today’s challenges will require large-scale collaboration between researchers, government, and business — with a focus on global sustainability.
  • EDUCATION: Education at all ages should include a strong emphasis on the nature of evidence, the scientific method, and scientific consensus to ensure future populations have the grounding necessary to drive political and economic change. Universities should embed concepts of planetary stewardship in all curricula as a matter of urgency. In a transformative, turbulent century, we should invest in life-long learning, and fact-based worldviews.
  • INFORMATION TECHNOLOGY: Special interest groups and highly partisan media can amplify misinformation and accelerate its spread through social media and other digital means of communication. In this way, these technologies can be deployed to frustrate a common purpose and erode public trust. Societies must urgently act to counter the industrialization of misinformation and find ways to enhance global communication systems in the service of sustainable futures.
  • FINANCE AND BUSINESS: Investors and companies must adopt principles of recirculation and regeneration of materials and apply science-based targets for all global commons and essential ecosystem services. Economic, environmental, and social externalities should be fairly priced.
  • SCIENTIFIC COLLABORATION: Greater investment is needed in international networks of scientific institutions to allow sustained collaboration on interdisciplinary science for global sustainability as well as transdisciplinary science that integrates diverse knowledge systems, including local, indigenous, and traditional knowledge.
  • KNOWLEDGE: The pandemic has demonstrated the value of basic research to policymakers and the public. Commitment to sustained investment in basic research is essential. In addition, we must develop new business models for the free sharing of all scientific knowledge.

What stands out is the time factor (SPEED) - 10 years left to us. Planetary Health is also defined more broadly, also in connection with COVID 19. In total, Health is mentioned often. The statement speaks more often of transformation towards sustainability, etc..

Which would certainly make sense if we prefaced the declaration with a short preamble (with vision, values, a short history, state of the movement...).

 

I have attached an example

    Enrique Falceto De Barros Moderator

    Dear Ralf,

     

    Nobel Prize Laureates  are highly relevant to the scientific community.

    their call definetly must inform the Sao Paulo Deaclaration.

    thanks again,

    enrique

    Alana Lea

    Please consider the addition of the following statement in the Agricultural sector: 

    We fully support the "4 per 1000: Soils for Food Security and Climate" Initiative,” knowing that over 33% of the world’s soils are threatened by soil degradation while climate change is accelerating this process. An increase in soil carbon stock through an increase of soil organic matter could reverse this process and promote adaptation to climate change with multiple co-benefits. We recognize the role that forests, agroforestry and trees in the landscape play in the build up and conservation of soil carbon. We recall that farming practices, soil health management systems and landscape development that enhance soil carbon, such as agroecology, contribute to the preservation of natural resources and biodiversity. 

    Enrique Falceto De Barros Moderator

    Dear Alana,

    deforestation is indeed a key issue.

    please look at Health in Harmony, an important partner, and their work in raising this issue.

    FOOD SYSTEMS are a priority.

    :-)

    Alana Lea

    Enrique Falceto De Barros I completely agree with you regarding the importance of Food Systems. As a member of the 4p1000 Consortium which was formed at the Paris COP21, I have come to have a deeper understanding of the necessity to focus on SOIL health for FOOD and HUMAN health. It is completely interconnected. It would be wonderful to see more organizations join efforts, it's not a competition -- all win if we can get the existing systems to change. Like PHA, 4p1000 is comprised of educational institutions, scientific bodies, NGOs and FARMERS who work toward the same goal. My experiences in Brazil over the last decade were quite disheartening in so many ways until tapping into the network of people doing agroforestry. Instead of clearing forests to make way for GMO soy (now being used to replace meat), we can preserve and restore forests WHILE growing food that is actually nourishing. 

    Alana Lea

    Please consider the addition of the following statement in the Artists, Poets, Writers and Musicians sector: 

    Inspire the public to participate in the transition to a truly regenerative future, by showing them what this looks and feels like, while adding concrete actions people at all levels can take without further delay.

    Since this is my main area of focus and involvement, I'm adding the link to a video that is featured in the PHA Festival, on the schedule for April 30: https://youtu.be/BwD3xo2vcjI

    Enrique Falceto De Barros Moderator

    Dear Alan,

    we will consider your suggestion.

    i am an enthusiast of the role of art in leading the cultural changes needed.

    best wishes,

    enrique

    Anna Maria Stewart Ibarra

    Science/research funding agencies

    1. What actions can the below stakeholders take to influence research and education to achieve the Great Transition?

    Design innovative calls for grants through a consultative process with stakeholders that includes diverse stakeholders from a global community.

    Allocate funding for the transdisciplinary science needed to support planetary health, including long term funding needed to support monitoring/surveillance of global change processes, funding to support policy and stakeholder engagement processes.

    Decolonize science by designing calls for grants where the science is driven by local communities/end users through co-design and other processes.

    Include open science/open data clauses in grant agreements to promote sharing of knowledge.

    Place planetary health as a cross-cutting priority area on the global science funding agenda.

    1. What actions can the below stakeholders take to influence policy changes to achieve the Great Transition?

    Require funded projects to be solutions driven, with policy makers/end users involved in the project development and co-design processes.

    1.  What actions can the below stakeholders take to influence the private sector to achieve the Great Transition?

    Fund private-public partnerships. Involve the private sector in planetary health collaborations by requiring co-funding. Include private sector partners in co-design processes. 

    Engage with the private sector when developing grant call text, to ensure that funding priorities align with private sector needs/perceptions. 

    1. What actions can the below stakeholders take to influence the public to achieve the Great Transition?

    Engage with the public when developing grant call text, to ensure that funding priorities align with local needs/perceptions. 

    Require funded projects to conduct outreach and to design communication toolkits, especially for schools and children in areas where the work is ongoing. 

    Jessica LeClair

    Thank you for your work on this draft!

    My comment is for the health sector, researchers, and higher education,

    1. What actions can the below stakeholders take to influence research and education to achieve the Great Transition?

    Refer to the Planetary Health Education Framework that offers a guide for planetary health education and scholarship, centering humanity's Interconnection within Nature. The Declaration on Planetary Health must also center this interconnection and move away from its anthropocentric focus. If we prioritize only human health, then any strategies we create for the Great Transition will be partial and ineffective. Let's introduce students and colleagues to kincentric approaches to planetary health education that support diverse ways of knowing and support healthy relations between humans and more-than-human worlds. 

    Marya Zlatnik

    Thank you for the opportunity to add my voice.  As a healthcare provider and health professions educator, I heartily agree with points made above by Leslie Solomonian and others regarding #7 and #8.  I would add that those of us in mainstream healthcare should lean into efforts to "Care Wisely" or "Choose Wisely" as promoted by the ABIM (https://www.choosingwisely.org/ ) or by agencies such as USPSTF or NICE. As individuals, we can decrease the carbon footprint of the healthcare that we provide by not engaging in care (ordering labs, radiology studies, medications, surgeries, or treatments) that does not improve health and increase health costs both financially and in terms of planetary health. Furthermore, we can teach this thinking to trainees and to patients.

    Giselle Mesiara

    Dear all,

    As a native Brazilian from Sao Paulo and  Global Health and Sustainability professional, I would like to contribute with the attached recommendation letter, to be analyzed and included in Section 3 of the Sao Paulo Declaration on Planetary Health for All.

    Thank you for this opportunity,

    Kind regards,

    Giselle Medeiros Mesiara.

     

     

    Ralf Klemens Stappen

    Thank you for your strong statement! I agree with many and understand you. We really need more manual work, complex PH interventions. Science has produced thousands of tons of studies in the last years - the diagnosis is clear, what we need are millions of intelligent PH interventions - evidence based. This is the core of Planetary Health, the focus on practice (see also the excellent book by Frumkin and Sam Myers). Therefore I like this approach.

    What became clear to me after your statement - we need to show a DIFFERENCE, and for that we should definitely integrate new healthy META PARADIGMAS  like natural-based solutions, circualr economy, sustainable healthy cities (WHO,C40, ICLEI), organic food (IFOAM), economy for the common good, integral ecology (Laudato Si), etc. - which already have comprehensive solutions  and connect with them. We don't have to reinvent the world.I think we should acknowledge that.

    What I like very much is e.g. The new paradigm HALF-EARTH by Edward O.Wilson - to devote half the surface of Earth to nature.....

    Many stakeholders and professionals are already working actively on healthy solutions for the Earth. I would also count myself among them - we really have many very strong and effective approaches (therapies) and in part goes far beyond what is currently on the political agenda or mainstream. E.g. organic food is as far as I remember not part of the SDGs and Agenda 2030! 

    Let's discuss this all in detail.

     

     

    Giselle Mesiara

    Ralf Klemens Stappen  FYI, I just reviewed my recommendation and made small adjustments. Thanks for the shared material, very interesting!  It is great to see so many people with the intention to heal our planet and so do I.  About your comment regarding organic food and the SDGs, I believe it is somehow under goal number 2 End Hunger, once its statements mention "Achieve food security, and improved nutrition and promote sustainable agriculture".  And big "YES", it is necessary to have much more investments in planetary health projects implementation. As you mentioned, I also see tons of published papers and researchers presenting in conferences to other researchers their work. But how about implementation?  I'm a hands-on interventionist, a Health Planetary project implementer and I see no available work or investments for action in my area. It is very frustrating and unfair!

    Ralf Klemens Stappen

    Giselle Mesiara 

    Sustainable agriculture was already a big topic in Agenda 21, 1992 - there is already a very, very big difference to organic agriculture. Even agrobusiness call there farming sustainable....

    As far as the second point is concerned, we might need a Planetary Health Professional / Operation or Implementation Framework, analogous to the Planetary Health Educational Framework, where it would be a matter of creating new jobs and functions in all areas of the state, authorities, NGOs, foundations, etc. It makes no sense to train young people who cannot use their new knowledge later.The practice usually needs highly specialized experts, less generalists (even if this is important), we have to identify the qualifications, permanently educate and take care of qualified job development. I understand the frustration. In order to change this, we would have to proceed very professionally and strategically. So far, there are very few jobs, although the need for implementation is very great. Maybe we should start such a Framework in Hylo - what do you think ?

     

    Ralf Klemens Stappen

    Giselle Mesiara 

    I thought about it. It's all about transforming Planetary Health into concrete operations, interventions and decisions. That is the primacy of this approach. Research, education and practice must go hand in hand. At the moment the ratio of professional practitioners to research and education is maybe 1 to 100, there are first small approaches - but we are far away from saying that PH is operational. And if we are realistic, it will probably take another 10 years - that doesn't mean we don't need to start now. We really have to think very carefully about where the future fields of practice are, I have a whole series of fields that immediately come to mind. For example, last year there were many flood catastrophes in India, Central America, Southeast Asia, and Africa - we need new instruments to take effective precautions here, e.g. through climate adaptation, climate protection, local early warning systems, but also rapid emergency aid.  For the local level - but it also needs new regulations in the question of compensation (this is currently being discussed in the Warsaw Protocol!). There we are considering a project - where new PH instruments could be developed.  Another area is the transformation of cities and municipalities. But these are only two fields out of many. We have to approach this systematically. What we can do (here some suggestions) - until the next PH Assembly at Harvard is:

    1. Find like-minded people - who are interested. I form project in https://www.hylo.com - Are you already in it ?

    2. Identify future areas of operation, and what skills, tools, and training are needed to implement effective problem solving. Where are the current and future bottlenecks?

    3. Conduct demonstration projects around the world to practice the new practice.

    4. We need to develop, discuss, and build a broad consensus of the Planetary Health community on an operations roadmap.

    5 .........

    Let`s go on....wow, I even could create a new group. It would be good if you also became a moderator !

    Denise Galvin

    Thanks to everyone involved for the great work so far, but obviously we are only taking baby steps.  With this groundswell of acknowledgement that indeed we are in trouble the following could constitute a  KISS and sustainable first step -

    For Government - develop the space to engender truly collaborative dialogue with Civil Society to establish a set of Well-Being Indicators at national level.  These Indicators should be related to the achievement of the SDG 2030 Agenda and the dialogue must be on-going and two-way, viz put reliable monitoring and feedback mechanisms into place and review the process of collaboration and the Indicators perhaps initially on a bi-annual basis.

     

    These Indicators should be used to guide policy-making at all levels and form the basis of a Well-Being Charter of Agreement between a government and its citizens on how best to restore the Planet with sustainable actions and interventions at national, regional and local levels.  We did it with the Rio Declaration why can't we do it again?

     

    Many thanks again for the opportunity to contribute to this ground-breaking event.

     

    Ralf Klemens Stappen

    Thank you for your idea with the indicators -but this has been realized long ago, also with the civil society - I was involved myself (among others also as a delegate of the "Rio+20" -UN Conference on Sustainable Development). We have many SDG indicator systems from global, national to local level. Some examples.

    The SDG Index 

    SDG Index & Monitoring
    Tracking progress on the Sustainable Development Goals

    special look this: https://worldhappiness.report/ 

    and this

    That was a central idea of Jeffery Sachs, to metricize sustainable development incl. health - we are very advanced in that today.

    Denise Galvin

    Ralf Klemens Stappen thank you and I do notice that there is a recent addition -November, 2020 -  outlining the progress being made in 100 cities of Spain (where I live).  This is great stuff but unless we can actually find the way to embed a two way dialogue at national level then it seems like the desired change is still a distant aspiration. 

    For example, despite the efforts being made here to integrate SDG goals at national, regional and local level we now have another urgent obstacle in the form of how member states use the EU Covid-19 Recovery Funds.  According our Prime Minister the aim is to make Spain the recycling frontier of the EU and to advance us towards a Green Economy through exponential growth in Renewable Energy going into the national grid. 

    I can't comment on what is happening with recycling but I do know first hand that the funds directed to Green the Economy are being handed out to multi-nationals, national companies involved in Renewable Energy infrastructure provision and that what is happening is tantamount to Green Washing with Solar Parks springing up everywhere even in nature reserves.  On top of this the jobs to be created to achieve this objective in having Spain less reliant on nuclear energy and more renewables feeding into the grid are largely temporary.  Unless we can find the way to embed a two way dialogue between those who govern and those impacted and also to make the concept of Well-Being a fundamental plank of development of any kind - I am still not convinced about Happiness Indicators it seems like an esoteric concept for  ordinary citizens to understand - then it is not clear to me at least that we are the winning struggle to restore the Planet.

    Ralf Klemens Stappen

    Denise Galvin 

    Dear Denise,

    I'm beginning to understand what you're saying. You want more room for the citizens' participation in government, participation in policy-making. It frustrates you how the future is planned, perhaps gambled away. That is unfortunately the fate of representative democracy.

    There are very strong models like direct democracy in Switzerland, but also models like participatory democracy like in Bavaria - where citizens in municipalities can actively shape long-term politics.

    I can understand your frustration with dubious, perhaps irrational top-down decisions, you want more bottom-up.  If I'm honest, we may have to rethink the concept of states as a whole, how citizens and the state interact with each other. I also prefer the term citizen instead of civil society, because citizens are the sovereigns of the state - and civil society is important, but there are only a few organized citizens. I know only a few very few approaches here, interestingly one from a monarch, the Prince of Liechtenstein. He wrote an interesting book (The State in the 3 Millenium), with revolutionary ideas, also on direct democracy (in Liechtenstein they can even vote the monaachie out), with a very strong decentralized, community-focused approach.

    Central to this, the citizen gets more rights - to help govern the state. Not simple statists.  He said the state should serve the people - not the people serve the state -look this video.

    He also founded an institute at Princeton University - it's about empowerment.

    To the end thought should we health and well-being generally - as a central basic principle in the constitution should anchor - in all states and cities, etc.. with indicators alone - we will not solve...these are very thick boards, no baby steps- but I think we really need to redesign the whole state philosophy, including Planetary Health - to solve this problem in Spain.

     

    Denise Galvin

    Ralf Klemens Stappen 

    All those examples are great however Spain has a population of 40+ million and Switzerland approx 9 million.  There is a certain amount of Spanish disdain towards the amount of money that Switzerland spends on referendums and this is probably related to the fact that Spanish citizens are not as affluent as their Swiss counterparts - which I link back to the concept of well-being - and there are more pressing problems here like high across the board unemployment rates.  In fact, I would think that citizens of Lichenstein and Bavaria would also rate as being more affluent than the average Spaniard.  This leads me back to well-being in all facets of life.  

    I do not have the answer because the role of the state is and always has been enshrined in a non-linear discourse. My aim was just to initiate debate.  I will end with this example: I remember in my undergrad course The Politics and Ethics of Environmentalism we were tossing around the idea that if you didn't have enough money for food  your urgency would be on how to feed yourself and you really wouldn't have the energy to engage in a debate about de-carbonisation or any of the other issues relevant to the health of the planet. Hence my focus on well-being harking back to Maslow's Hierarchy of Needs.

    Thanks for all of the good work here.

    Hiroto Ide

    I would first like to express my deep appreciation for your very great proposal!


    As a curriculum researcher and practitioner of primary and secondary education and higher education in Japan, I would like to make the following suggestions for this declaration.

    My opinion is directed to expressions for Stakeholder 15 "Universities and other educational institutions", 6 "Governments", 9 "International Organizations", and 12 "Researchers".

     

    I understand that this declaration focuses primarily on higher education. I basically agree with this choice.

    On the other hand, with regard to the reform of the curriculum for primary and secondary education, I would also like to recommend the addition of some wording to promote planetary health education.

    In primary and secondary education, an increasing number of learning programs are based on the design of integrated curricula, particularly in the areas of learning where children contribute to the SDGs. I am convinced that Planetary Health Education is compatible with the SDGs, and that access to Planetary Health from the primary education level is sufficiently possible if curriculum design and management are carefully considered and implemented.

    But I also understand that the reality of primary and secondary education is different in each country, region, city, and rural context. Some schools have the authority to organize curricula, while others have national curricula that are strongly binding on the state.

    I think the important thing is to boldly expand planetary health education, whatever the various circumstances, while adapting it to each context.

    In this regard, I would like to suggest the addition of a text that can be interpreted in a variety of ways and the promotion of starting some kind of action at the level of international organizations and governments (national and local).

    I also think it is important to research and develop a Planetary Health Education curriculum to train teachers who can connect primary and secondary education with higher education. Based on the characteristics of teacher education (training and on the job teacher training), which bridges the gap between subjects in schools and academia in universities and research institutions, I think it is important to build a sustainable system of succession for planetary health through education.

    kpatter2021

    Hi Hiroto,

    I full agree re: integrating planetary health in primary and secondary education. Education quality is also critical.

    Best,

    Kristen

    Annie Mitchell

    my comments are recommendations/ suggestions for actions for  ( but not restricted to) health professionals and the health sector

     

    1. What actions can the below stakeholders take to influence research and education to achieve the Great Transition?

    a) Draw on wide and diverse understandings of ethical values and priorities, beyond those of westernised disciplines, to explicitly include the particular values and priorities and interests of women, children, people with disabilities and  members of indigenous and marginalised communities.  Incorporate ethical responsibilities for planetary health in professional codes of conduct and ethics  - as  has been done (but we need to  go further)  for the British Psychological Society in 2018  https://www.bps.org.uk/sites/www.bps.org.uk/files/Policy/Policy%20-%20F… 

    which states  

    "The discipline of Psychology, both as
    a science and a profession, exists within the context of human society. Accordingly, a shared collective duty for the welfare of human and non-human beings, both within the societies in which Psychologists live and work, and beyond them, is acknowledged."

     

    b) As others have said very well, revise health programme curricula and intended learning outcomes ( and assessment criteria)  to strongly incorporate issues of planetary and ecological health and justice, complexity, power, threat and meaning, and inter-disciplinary partnership. . 

     

    c) Build attention to planetary health issues into all processes of health care provision governance, at personal and collective (policy) levels  

    1. What actions can the below stakeholders take to influence policy changes to achieve the Great Transition?

    Engage with social and politically progressive and environmentally aware activism,  and encourage learners to do so too.  Build planetary health awareness into conversations with colleagues and clients.  Use their vote.  Contribute to any opportunity to respond to policy consultations about climate and ecological concerns, and encourage others to do so too.  Push for demonstrable commitment and action from professional bodies and unions. Be  (visibly) strong values- based role models,  while not judging, but rather supporting and understanding, those who do not have the resources to make personal life style choices without systemic change happening first.  

    1.  What actions can the below stakeholders take to influence the private sector to achieve the Great Transition?

    use their personal and collective financial powers eg to campaign for pensions and banking disinvestment; be discerning and strategic  about own spending. 

    1. What actions can the below stakeholders take to influence the public to achieve the Great Transition?

    Support processes of public engagement such as Citizens' Assemblies ; learn  about, and draw from knowledge of, processes of social change and follow the evidence about how to effectively engage with peoples' differing values and priorities, as exemplified for example in UK by the British Talks Climate research https://climateoutreach.org/reports/britain-talks-climate/ 

    Fabiana Schiavon

    Olá!

    Sou jornalista e estou tentando acompanhar a conversa. Mas para chegarmos na mídia, precisamos de dados, números de qualquer tipo. 

    Não identifiquei nada no material, mas se tiverem insights, ideias, mandem, por favor?

     

     

    Vanessa Goes

    Olá Fabiana, 

    Que bom que você está por aqui. Realmente a mídia é fundamental nesse processo de conscientização e "call to action". Eu diria que qualquer um desse grupo tem capacidade de te disponibilizar qualquer tipo de dado que você precise. Por favor não deixe de sinalizar sua demanda.  Fico a disposição (vgnutricao@gmail.com). Muito obrigada!

    Enrique Falceto De Barros Moderator

    Prezada Fabiana,

    a linguagem da declaração é mais no sentido de roadmap.

    dados nao faltam.

    caso queiras conversar, podes me mandar um email enriquequefbarros@gmail.com

    a mídia é fundamental.

    abx,

    enrique

    Elina Drakvik

    Thank you for this wonderful and important initiative! I focus here on the first two questions, at least for now (I am working in research management and science-to-policy interface).

    What actions can the below stakeholders take to influence research and education to achieve the Great Transition?

    Research and research funding:

    Dedicated funding is required, understanding the scale of the challenges and promoting systems- and solutions-oriented approaches to these interconnected global problems including climate change, biodiversity loss and global environmental change, global pollution as well as inter-linkages with food systems and ecosystems health and how these all are affecting both human health and the environment, including animal and plant health. Funding agencies, cities, governments and international organisations should not only fund but also participate in these types of interdisciplinary research projects at various levels  (local, national, regional and international levels), and that would include not only researchers but a broad range of stakeholders, from academics to responsible businesses, health and various other relevant sectors, citizens and civil society, including vulnerable groups. This broad participation would help implementation and operationalisation of feasible solutions that have ownership, legitimacy and transparency embedded through participatory research, co-design and communication and awareness raising efforts.  

    However, it should be highlighted that only this type of research will not be sufficient. Broader scientific advances and scientific preparedness is needed in areas that support breakthroughs in fundamental research (basic research) in the fields of health and environment. Fundamental research and international collaboration have been critical to the response to COVID-19, and they will continue to be essential in helping to solve current and future threats both at local and global scale.

    Furthermore, more research and innovation funding should be directed to radical and transformative societal and technological innovations that support planetary health and that do not seek only incremental improvement but which are truly based on state of the art and beyond. Although incremental knowledge has a significant role to play, the problem becomes more tangible if/when incremental research projects have competitive edge only because they are compatible with the existing system and regulatory environment in the health and environment field, adding something only on top of it and hence, supporting “easy uptake” to policies – not questioning or altering the system itself even when it is flawed or outdated. So also here discussions with stakeholders, and between policymakers and researchers, are important to agree on direction and "degree" of changes required.

    Education system:

    Integrating and operationalising interdisciplinary and transdiciplinary education and skills on planetary health is necessary at all levels, including primary and secondary education. This includes involving broader education sector and co-designing teachers’ education and training materials as well as school materials that are appropriate for specific age groups and contexts. This could include also innovative immersive learning experiences via virtual reality and gaming that may be attractive channels for younger audiences.  

    Quality education supports development of value and norm system as well as may inspire to behaviour change towards sustainable and healthy choices at individual, family and community level. Children and young people may also be more receptive to changing their behaviour, educating their own parents and peers. Furthermore, it may be useful to learn from other initiatives using participatory approaches to include children and young people in drafting and developing solutions that will have direct impact in their own lives and furthermore, and provide best practices and concrete examples how to communicate in ways that bring hope.

    What actions can the below stakeholders take to influence policy changes to achieve the Great Transition?

    The increasing health and environmental risks from climate change, environmental degradation, pollution and biodiversity loss need to be urgently tackled. The focus should not be on symptoms alone, but consider the drivers and inter-dependencies - how we organise our living, in cities, communities and societies at large, in a sustainable manner. Bold decisions will be needed from decision-makers, short-term wins should not prevail over long-term benefits. Involvement of citizens and various stakeholders will be necessary to discuss and debate in a transparent manner both costs and benefits and short- and long-term consequences, solutions as well as needed behavior (and value) changes towards sustainability and thriving, good life.

    Governments should take decisive international collective action and enhance cooperation on planetary health (as well as related initiatives on One Health, Eco Health, One Sustainable Health), and this more holistic/systemic approach should become mainstreamed in all policies, combining implications related to human health, environment and climate from a sustainability perspective and putting health and well-being (in a broad sense) at the centre of policies. This could mean e.g. developing and applying the “well-being economy” (https://wellbeingeconomy.org/ ).

    More practical examples could be e.g. adding sustainability related criteria to public procurements, as well as developing legislation towards “Safe and Sustainable by Design” in relation to materials and chemicals used in our everyday lives, and promoting their circularity (both through regulations and incentives).

    Best regards,

    Elina Drakvik 

    kpatter2021

    Hi Elina,

    Thank you for your comments. I agree re: starting with education at the primary and secondary level (e.g. not waiting for post-graduate/university level). A quality education is indeed a basic human right, and should include planetary health knowledge.

    Best,

    Kristen Patterson (Project Drawdown)

    Kerstin Damerau

    First of all, thank you very much for your efforts on preparing this declaration!! 

    I skimmed over the numerous great comments, and here are my 2 cents:

    Regarding businesses, I think it would be great to edit this paragraph a bit and make it somewhat clearer that to reach planetary health we need businesses/corporations to take responsibility for their impacts globally. Often, corporations like to deflect by shifting blame to consumers or (foreign) governments, especially in regard to their internationally outsourced operations. This links to a previous comment on the role of low- and mid-income populations. We need systemic change as you underlined very well. To do so, we cannot expect vulnerable population groups to promote/generate this change, but rather those who keep them within current socio-economic conditions.

    E.g. with respect to greenhouse gas emissions, we (scientists/media/government) like to compare national GHG statistics as if their respective population were to blame rather than disclosing and comparing the largest emitting corporations, no matter where their emissions occur.

    cheers,

    Kerstin

    Elina Drakvik

    Hi Kerstin!

    I agree, tricky indeed. Your comment is also topical in light of the recent Guardian article that discusses the power of a few dominating actors behind a third of carbon emissions: https://www.theguardian.com/environment/2019/oct/09/revealed-20-firms-third-carbon-emissions. We definitely need this type of research and investigative journalism (linked to role of media).

    Also, a recent study related to financial giants is highly interesting as their actions can play a significant role for climate stability. According to the study (see the link below), a handful of international investors influence the stability of some of the world’s largest forests and hence the global climate. Financial institutions have a key role to play, not only in terms of redirecting investments to renewable energy and low-carbon businesses, but also to bolster the resilience and stability of the Brazilian Amazon and boreal forests in Russia and Canada, two known ‘tipping elements’ in the Earth system. These ‘Sleeping Giants’, if awakened, can have pivotal impacts on the global climate by becoming large-scale emitters of carbon dioxide, as opposed to storing carbon in soil and vegetation. Here is the link to the news and the published article: http://www.gedb.se/news/publications/188309

    Best regards,

    Elina Drakvik

     

    Liudmila Liutsko

    For Educational purposes, I'd also suggest to work on it at ealrier stages, before universities, meaning incorporating in the content of the educational programms, in the kindergarden, primary and secondary schools; and, of course, linked to the relevant decision-making bodies - ministry of education, etc.

    Vanessa Goes

    Totally agree!  In my opinion this is crucial.

     

    Tara Tolhurst

    Some ideas for what actions Spiritual Leaders of All Faiths can take to influence the public particularly to achieve the Great Transition:

    • Incorporate and emphasise our interconnectedness to Nature and to each other, as well as environmental justice, into community discussions, activities and talks, helping people to relate and connect to Nature
    • Do theology on Nature and environmental justice, and find links in scriptures and holy writings to reflect on our relationship with Nature and others
    • Encourage and demonstrate practical actions for caring for Nature and each other in faith communities
    • Create and distribute resources for people of faith to engage with caring for and connecting to Nature and each other and for supporting the effort to achieve the Great Transition
    Ralf Klemens Stappen

    I agree in principle - but we should not forget the institutions either. There are tens of thousands of religious schools of all religions alone. The Catholic Church alone has one of the largest health care and educations systems in the world (the largest healthy system in the USA !) and there are over 500 Catholic universities. Regarding interconnectivity, there is partly a real paradigm shift with Laudato Si - Planetary Health is already on the agenda, at least in the Catholic Church.

    • World religions should use all their capacities to support Planetary Health on all levels.
    • Religious and spiritual communities should use their universities and schools for the education, training and study of Planetary Health.
    • They should be a planetary health leader for environmental and sustainability management systems in their institutions like hospitals, kindergarden,  etc..

     

    Saulo Barboza

    Dear all,

    Please consider adding one more stakeholder to the list: Sport and Physical Activity Community.

    Sports and physical activity can be powerful avenues for mainstreaming planetary health. Regular physical activity helps in the prevention and treatment of noncommunicable diseases (NCDs), improves mental health, quality of life and well-being. Societies that are more physically active can generate additional returns on investment including reduced use of fossil fuels, cleaner air and less congested, safer roads. Such benefits are highlighted in the WHO Global Action Plan on Physical Activity 2018—2030. This plan is in synchrony with the 2030 Agenda and its implementation can contribute to achieving 13 of the 17 sustainable development goals (SDGs).

    Further, sports and physical activity function as high-impact vehicles for humanitarian, population development, and peace-building efforts worldwide; and have been influencing research and education, policy changes, the private sector, and the public (question 1—4) throughout history in different ways. Bridging planetary health and the sport and physical activity community seems to be an important step towards the Great Transition.

    Those would be some initial thoughts to add such community as stakeholders in this Declaration. Happy to discuss this further.

    All the best,

    Saulo

    Tokie IZAKI

    Thank you for your thought. I totally agree that we can make the most use of the potential of sports and physical activity.  Outdoor study could be included. I believe that promoting experiences and activities in nature through people from a diverse background is beneficial (At the same time, we should be careful how we face nature during those activities)

    Saulo Barboza

    Tokie IZAKI , thank you for your reply. Indeed it is important to promote a physically active lifestyle in nature. It is also important to recognize the power of sports in mainstreaming. Athletes' voice has been important to raising awareness on important issues, such as racism and gender equality, to name a few. Some sporting organizations are working to make sports more sustainable, such as the Green Sports Alliance, for example. Mentioning the sport and physical activity community in the declaration could bring the attention of athletes and sporting organizations to planetary health, such as the International Olympic Committee and national federations. It would be interesting to have athletes and sporting organizations onboard for spreading the message of planetary health and provoking change.

    Saulo Barboza

    Dear all,

    Considering that there would be still a possibility to include the Sport & Physical Activity Community as a stakeholder (please see my comment above), I would like to share some ideas on how such community can contribute the Great Transition. I will be using ‘sport community’ for simplification purposes.

    By aligning with planetary health values, the sport community can influence directly its industry (private sector) regarding the development of products and services that aim to reduce the footprint of sporting practices. Also, such influence can impact sports-related research and education by triggering ideas and projects with the same purpose. An interesting example is the case of the London Marathon. In 2018, some 920,000 plastic bottles were used at the event. In 2019,  in partnership with a start-up (private sector), plastic-free water pods were handed out runners. Another case interesting case is the one from Formula E, which “promotes electric mobility and renewable energy solutions to contribute to reducing air pollution and fighting against climate change around the world.” Its Word Championship “became the first global sport to be certified with a net zero carbon footprint from inception.” Examples like this amongst others from sports have a tremendous potential to influence the public towards the Great Transition. Such initiatives can also influence policy changes that aim to reduce the burden of a physically inactive lifestyle through sport.

    In short, sports have an enormous potential to mainstream planetary health.

    Best regards,

    Saulo Barboza 

    David Lopez-Carr
    • What actions can the below stakeholders take to influence research and education to achieve the Great Transition?

    Governments can catalyze funding Great Transition ideas by providing seed funds for doctoral dissertations on Planetary Health topics. Education policy should emphasize meeting the SDG for educating all children in K-12, especially girls. Health Ministry workers can have a ripple effect by training regional health workers to train local health workers.

     

    • What actions can the below stakeholders take to influence policy changes to achieve the Great Transition?

    A united front is needed from all stakeholders to hold government accountable. Grassroots organizing, educational campaigns, and sending letters to congress are all important actions.

     

    •  What actions can the below stakeholders take to influence the private sector to achieve the Great Transition?

    The private sector needs to see that doing their part in the Great Transition is also good business and that showing their good works is the best advertising. To the extent their are news stories on these actions, the publicity is free. This is a win-win.

     

    • What actions can the below stakeholders take to influence the public to achieve the Great Transition?

    The academic community must focus on critical and integrative thinking. Lawmakers must push a Great Transition Agenda. Healthworkers must spread the word wherever they work. The media must report responsibly.

     

     

    Flavia Virginio

    Dear all, firstly I would like to apologize my delay, and consequently it was impossible to me to read all the discussion. But if it is possible to contribute yet, I would like to suggest that we think about to submit a paper in the "Scientists warning" style.  

    Flavia Virginio

    In addition, I consider that it is important to add in the document as a whole, the message of the importance of a D&I (Diversity and Inclusion)  in the committees, groups, teams.. I say it because several studies have been highlighted that diversity improve any team. In other words, if we contemplate different ethnical, gender people, consequently different life experiences and think configuration. 

    Boisved

    For economists, funders, governments, researchers, universities & educational institutions, international organizations - go further than "shifting away from GDP as a primary metric of economic success" to actively shifting resources to foster the degrowth of our mental models, communities, societies, and economic and other systems; including funding degrowth research, policies, programs, interventions, evaluation & monitoring, education systems/curricula

    For the healthcare sector and health practitioners - add a specific emphasis on public health /global health systems, population health solutions. Crazy that in a discussion of planetary health and the COVID-19 pandemic this declaration is still thinking in terms of "healthcare" and patients (with a slight nod to communities). The systematic, global dismissal of the importance of public health, the decades of chronic underfunding of global & public health, and the outdated thinking of healthcare = health & well-being; has led to the horror of the last 15 months. Healthcare and clinicians are not the end-all-be-all of health and if you really want to emphasize prevention, then add public health and public health workers to this section. Drop the healthcare and health practitioners (which implies physicians and nurses) language and include language that ensures that population health, public health, global health is highlighted and public health practitioners like bio-statisticians, epidemiologists, health educators, health communications workers, environmental health workers, health advocates, et cetera are emphasized in this section. Unsure, then read WHO's independent panel report below.

    https://theindependentpanel.org/wp-content/uploads/2021/05/COVID-19-Mak…

    Liliane Mavridara

    I totally agree with you @Boisved on your point about the healthcare sector. We need to think and regard "Health" as something we (all health-related professionals, from all levels of health-promoting industries and fields) all contribute to, and have a role to play to make sure current and future generations are healthy in mind-body-and soul. Doctors and Nurses are already beyond burn-out, and at the end of the day they are only part of a greater system that needs to be in place, anchored on inter-disciplinary and inter-dependence principles and mindset. 

    sarahcwalpole

    Thank you so much for organising this collaboration, such a fantastic effort! I've read through many of the comments so far as well as the initial document, but apologies that I don't have time to read every person's comment, so apologies if there is any duplication in what i say.

    I've not noticed much discussion about the need for interdisciplinary working and to develop more 'generalists', who understand the wider context, as opposed to super-specialised experts who know a lot of depth about one issue but may not be able to contextualise their knowledge, skills and developments alongside other important planetary trends and issues. For example, within medicine we're aware of the challenges that have arisen from sub-specialisation and the need to take a step back and ensure that we see the wider picture and address not only the symptoms of disease but also the factors that cause disease. We could develop such generalisation and collaboration across sectors by refocusing training, by incentivising approaches that have beenfits for health and society, through interdisciplinary learning - learning with and from those studying other disciplines - and by promoting structures and processes that enhance collaboration across different perspectives and disciplines. (I wonder if there is any way of framing the competencies that doesn't so strongly divide by discipline, but I think there might not be a meaningful and applicable way to do this.)

    Within this framework, I wondered whether we could further highlight the role of technology and technologists in shaping current and future practice - how do we ensure that technologies are developed that are either carbon neutral or carbon negative and that technologies that are developed promote equity and inclusion in society (which in turn is key to ensuring ongoing environmental sustainability)?

    My impression is that a planetary health perspective can recognise us all (including students, professionals and educators) as lifelong learners. We can continually gain experience, engage with new perspectives, develop empathy and progress our knowledge and skills to promote planetary health while also advancing our own personal development and specific goals for work within our field and/or profession.

    Carissa Patrone (she/her)

    I appreciate all of the work that has been done on this paper and the comments that were provided. In the introduction and the conclusion, adding universal education about planetary health, and sexual and reproductive health and rights could be a great addition that could weave throughout many of the stakeholder groups that are outlined. Below, you will find a few other suggestions for specific sectors: 

     

    1. Agriculture Sector ("Food Systems"): Provide information on plant-based diets, reducing food waste, regenerative indigenous practices, and eliminating factory farming. 

    2. Artists, poets, writers, musicians: Emphasize oral histories to capture knowledge, experience and language of elders and lived experience without extracting or appropriating. 

    3. Business (add "& Industry"): Create a culture where businesses have an active policy voice for health (ex: lowering of prescription drug costs, paid sick leave, equitable distribution of vaccines, etc.). Encourage the examination of global supply chains within the health sector and their manufacturing practices (considering equity, how they treat their employees, and sustainability). 

    5. Funders (add "& Financial Institutions"): Work to break down systemic barriers for accessing capital (especially for people who are already doing the work to grow their initiatives). Encourage interdisciplinary and collaborative projects and a prioritization of funding that reaches those who are representative of their communities. 

    6. Governments: Practice deep listening and prioritize and fund the needs that the community uplifts (especially on a neighborhood level). Examine where there are gaps in access to healthcare and work on cross-sectoral collaborations to map out how climate change and health impacts intersect and where the most vulnerable areas are/will be. Create an action plan to address these areas as a collective. 

    8. Health sector: Uplift mental health and indigenous medicinal practices and knowledge. Create a contingency plan for medical supplies when global supply chains are interrupted by natural, climate and health disasters/emergencies. Elevate the need for sexual and reproductive health and rights.

    9. International Organizations: Leverage collective resources to prioritize areas that are currently/have historically been impacted disproportionately by climate change and COVID-19. 

    11. Media: Relay the intersectionality of the urgency to address the compounding crises we face today (social and environmental justice, climate change, COVID-19 and other health crises, growing economic inequities, and disproportionate impact of all of these things on women and girls- specifically in emerging economies). Leverage stories to spur action. Combat misinformation with facts, empathy and understanding.  

    12. Researchers (add "& Monitoring, Learning & Evaluation professionals/practitioners): Ensure that research is participatory and people providing information and knowledge are adequately compensated for their contributions. 

    14. Technology professionals: Examine and weigh negative externalities that might show up through the development and trial of new technologies. 

    15. Universities and other Educational Institutions (& Community-based education): Encourage community-based education with institutional resources and the sharing of knowledge/information with those most impacted. Ensure that research is not extractive but compensates those interviewed/providing information from their lived experience or expertise. Forward universal education - embedding the learnings and teachings of planetary health throughout primary and secondary school levels and ensuring that women and girls have access to such information. Educating youth gives them an opportunity to influence their parents’ decision-making and beliefs. 

    Here are a few other groups of stakeholders that we might want to include: 

    -Grassroots organizers, neighbors, and community-based organizations

    -Environmental/Sustainability/Climate sector: solid waste management, environmental justice, land use, conservation 

    -Transportation sector: acknowledging past and current injustices, electrification, access to transport

    -Electricity: renewables, energy efficiency, HVAC/refrigeration

    -Built environment: buildings, architecture, infrastructure

     

    lydie stokes

    I suggest to include three additional proposals that might be instrumental in achieving the aims of planetary health especially in relation to social and environmental justice:

    1. reparations for harm and wrongdoings of colonial and post-colonial era, but also for the environmental harm and pollution caused in recent decades by various industries. It is important to acknowledge the historical sources of current situation and provide for remedy and redress. Professor of international law, Philippe Sands, who is the chair of the Stop Ecocide drafting panel, is making this case with respect to reparations for slavery, for example, and explores the capacity of international law in this regard. These reparations might be potentially tied to provision of universal health care, including preventative care, health and environemntal infrastructure, restorative ecology, etc. in line with the aims of planetary health.

    2. universal political rights endowed by birth, rather than by reaching certain age. This would make a very clear case that future generations matter and their interests must to be respected. From a practical perspective, parents/guardians can act as legal proxies for young children, and older children/adolescents can be involved and participate on political life of their communities.

    3. creation of world-wide opportunities for young people to participate on social and environmental programmes, such as is currently option in the US as Peace Corps, in Germany as Freiwilliges Soziales Jahr, or European Solidarity Corps, and UN Youth Volunteer Programme, supported by generous living allowances. This should provide young people an opportunity to contribute in a collaborative way, expand one's horizons and develop new skills and networks. Not everyone has a chance to study even at high school level or even go to the university and this would create opportunities for young people to work together across national, class, religious, educational and other (often divisive) lines.

    Thank you.

    Nicole Redvers Moderator

    Hello everyone, I am so pleased to see the continued development of this incredibly important discussion. I will be moderating the discussion board for the next few weeks and look forward to some great dialogue based on your recommendations. If there are any questions on the process. Don’t hesitate to reach out to me at: nicole.redvers@und.edu.

    In health,

    Nicole

    kpatter2021

    Hello everyone, thank you for all of the amazing comments and additions to the Declaration. I'd like to lift up the inclusion of reproductive health into the health aspects of planetary health as critical for maternal and child health, as well as women's economic empowerment and resilience.

    Best,

    Kristen

    dZiveri

    Dear Planetary Health community,

    Thank you for this participative process. I wish to contribute to answering from the point of view of International Organizations, a group that also includes Civil Society Organizations (CSOs), Non-Governmental Organizations (NGOs), and organizations of Persons with Disabilities (OPDs).

    1. What actions can the below stakeholders take to influence research and education to achieve the Great Transition?

    We could create/reuse/adapted the Planetary Health approach and tools in our capacity-building plans. The Planetary Health approach should be considered an essential part of any basic training/induction and briefings, despite it could seem not yet operational at this stage.

    Once this frame massively understood and adopted, more people could generate solutions or contributes in their own way to the Great Transition. Training should be accessible and inclusive. Research should include health services users, vulnerable communities, and grassroots social movements.

    1. What actions can the below stakeholders take to influence policy changes to achieve the Great Transition?

    To actually contribute to all 4 key questions, it is crucial that all mentioned stakeholders use this shared narrative in any of their actions. We should mainstream the Planetary Health narrative

    All stakeholders have their own agenda and they are already engaged in social transformation in their own field or geographical setting. It is time now to promote synergies among those forces where Planetary Health is a cross-cutting issue.

    My expectation is to see the Planetary Health approach mentioned in all stakeholders’ current work, advocacy calls, and meetings and networks. We need a strong engagement in co-building and disseminating the Planetary Health framework leaving no one behind.

    1. What actions can the below stakeholders take to influence the private sector to achieve the Great Transition?

    Innovative partnerships on equal bases are needed, especially in health systems, but always fulfilling Human Rights as minimum bases for dialogue and ensuring transparency and accountability to most vulnerable constituencies.

    1. What actions can the below stakeholders take to influence the public to achieve the Great Transition?

    We should raise the voice of persons in hard-to-reach areas or with low health literacy or any kind of vulnerability in order to make equity and inclusion a reality, empower those groups to speak for themselves, and enrich the debate and contribute to the Great Transition.

    Specific programs for fostering participation and inclusion to leave no one behind in this endeavor are highly needed.

    Thank you.

    Davide Ziveri - Environmental Health Specialist / Humanity & Inclusion

    Nicole Redvers Moderator

    Thanks for your great comments Davide. In thinking about the inclusion of the planetary health approach into any basic training/induction or general education this is a great resource available: https://www.planetaryhealthalliance.org/education-framework. Your comments brought to mind the potential of also incorporating the planetary health approach one step up the chain within all frameworks that inform training/induction etc. Your noted on breaking down silos is so incredibly important and by having apparent divisions between the stakeholders it may de-emphasize the need that you pointed out for needed cross pollination and the breaking down of traditional silos. I want to highlight your note on equity as this is important piece to ensure adequately reflected in the declaration.

    Bruno Oliveira

    Dear community,

    First of all, I would like to thank you for the amazing event! The organization, the audience and the speakers were very high profile! It was a pleasure to take part in the meeting.

    Regarding this document, I would like to make two small contributions.

    At the end of the second part, where the “conclusions” are made, I would like to suggest:

    The first recognition made should be regarding peace as a common right for mankind, now and forever. There can be no governance of society and nature if relations between people are corrupted by strength and war.

    The second recognition is about equality among races and the need for compensation for the historical abuses that have happened in all continents. Racism was and still is the root of several conflicts on the planet and inequalities between the global north and south. Recognizing and compensating for these inequalities and historical debt is the way to raise mankind to equal and just development.

    Best regards,

    Bruno Oliveira

    Nicole Redvers Moderator

    Thanks Bruno for bringing these important points up. Equity, human rights, racism, corruption etc. are all elements that we cannot be afraid to be bold with in this space. Colonization in all of its forms (neocolonialism, imperialism, etc.), continues to have effects in many spaces, places, and within governance which often gets minimized by the global north sectors, organizations, and institutions.

    Brett Bayles

    What actions can the below stakeholders take to influence research and education to achieve the Great Transition?

    Universities and other Educational Institutions need to adopt a common planetary health education framework:

    https://www.thelancet.com/journals/lanplh/article/PIIS2542-5196(21)0011…

    Different disciplines may be looking at a similar issue, but using idiosyncratic discipline-specific frameworks. Using the planetary health education framework provides a common core lexicon. Some disciplines are more obviously connected to studying human-environment connections (i.e. ecology, public health), but a common educational framework may be used to engage with other disciplines not traditionally associated with this field (i.e. psychology, art, history).

     

    Nicole Redvers Moderator

    Excellent point Brett, and for those that are not familiar the full education framework for planetary health can be found here: https://www.planetaryhealthalliance.org/education-framework. Overarching meta-level frameworks can be incredibly helpful in this case to ensure actions and education are grounded in common values and principles that inform transformation. Due to the need for change on all levels, not limiting education to environmental and health professions is incredibly important as you noted. 

    Anusha Seneviratne

    Dear Planetary Health Community,

    Firstly, thank you to the PHA and USP for organising a fantastic annual meeting, and for putting this declaration together. It is an excellent piece of work and it is great to see the many suggestions in the discussion. I have written a few comments and suggestions below. I read through as much of the discussion as possible, but I apologise if I have duplicated any suggestions for specific stakeholders.

    Businesses – I agree with some of the comments above that the food industry is a key stakeholder and can perhaps form a separate category. There should be greater regulation of the food industry to address their production processes, which can cause great environmental destruction, and the nutritional content of processed food, which can affect the poorest communities more greatly. Healthier food options should be more affordable, and as much as possible be free of plastic or any other non-recyclable packaging.  

    Funders – there should be greater support for researchers and organisations in developing countries to carry out Planetary Health research specific to the issues faced by those nations, and to publicise and gain recognition for their research findings globally so that their findings are taken into consideration by the wider planetary health community moving forwards. There should also be support for the development of future researchers and professionals in developing countries, and to encourage them to stay in their native countries to develop planetary health solutions.

    Researchers – in my field of biomedical research, there is an emphasis on identifying drug targets to develop potential therapies and elucidate the molecular mechanisms of diseases as this is seen as more attractive to publish in peer-reviewed journals and obtain further funding. Seeking preventative measures to address the causes of disease, particularly environmental causes of health problems is often neglected. For example, poor nutrition and air pollution can drive the inflammatory processes that cause many chronic diseases, but little research has been done into the cellular and molecular mechanisms underlying these issues. There should be greater support for research that identifies or analyses preventative measures addressing the common causes between environmental destruction and human health issues.

    Spiritual leaders of all faiths – Correct me if I am wrong as I come from a Buddhist background, but as far as I am aware all religions teach us that all life on Earth is of equal value. Therefore, religious leaders should more greatly emphasise respect for all forms of life and preserving the environment we live in. This can be interlinked with other relevant teachings, for example in Buddhism one of the core teachings is that greed is the root of all suffering. For most people, human suffering comes to mind in this case but as we all know, human greed has led to the destruction of much of our environment.

    Universities and other Educational Institutions – The coupling of Planetary health research with education and outreach should be encouraged to make important research findings more accessible and understandable to stakeholders and the public, so they can benefit from such knowledge as soon as possible.

    Governments/International Organizations – Work with marginalised and indigenous communities - who are facing the brunt of climate change, environmental destruction, and the current COVID-19 pandemic - to resolve feelings of disenfranchisement and hopelessness due to colonisation and continuing inequalities, so they can proactively participate in producing solutions. As previously mentioned, resolving conflict and exploitation of resources is also an important part of this.

    Thank you and best wishes,

    Anusha Seneviratne

    Nicole Redvers Moderator

    Thank you Anusha for your wonderful and detailed comments on the respective sections outlined. You bring up some excellent points of reflection in thinking through the declaration itself. Your note on ‘established’ patterns in research, as well as the lack of funding currently in this space are particularly important as they prevent the platform of solutions-based learning to occur. This also ties into the equity piece you noted under international organizations where established patterns often root out other ways of knowing and being in the world which may in fact have some of the answers we need as a society. The Parliament of the World’s religion has a large platform and there has been at the last gathering movement and speakers educating on the urgency on environmental health piece. I believe this is a large forum that has been structurally underestimated in policy and planning circles in regard to climate mitigation actions. Thanks for highlighting that piece here.

    Professor Liz Grant

    Alongside the messages already incorporated in Section 2  suggest

     

    For Governments   Use a Planetary Health impact assessment tool to assess all activity from all government sectors.   

    Establish that the well-being of  life (of all living things and the planet that sustains life)  is the basis  and the goal of government  

    Support and entrust Civil Society with the funding and the freedom to be creative for local and national drivers for planetary health 

     

    For universities and educational institutes  Co-design education that meets the needs of the radical 21st century transformation that is required.  Invest ethically and ensure that the systems, structures and services of universities and educational institutes are  planetary health compliant  

    Educate for compassion, curation of knowledge and creativity 

     

    For Businesses   Invest in and operationalise a plan for net-zero that simultaneously  promotes health outcomes for people and planet. Establish Boardroom policies that are planetary health principled, and integrate CSR activities into a collective whole 

     

    For Schools   graduate children knowledgeable and empowered to take planetary health actions 

     

    Nicole Redvers Moderator

    Thanks for your great comments Liz. Your idea on the planetary health impact assessment tool is excellent as it allows the potential for the well-being of life metric to fit into assessment. The creativity piece is also so important as you noted as we often get stuck into established funding blocks that do not allow for creative innovation to take hold. Having civil society lead this is a great idea. The planetary health principled board room policies are another great foundational driver that may help to hold businesses accountable. Again, great thinking on these elements for the declaration!

    Tiiu Sildva RN MPH

    Suggestions for Section 2: 

    Artists, poets, writers, musicians: encourage inclusive collaboration with all age groups for art promotion to support mental health initiatives.

    Businesses: Bring mandatory global health & environment education to the  business sector to encourage proactive sustainable behaviours. Encourage more local production and consumption, limiting unnecessary imports/exports. Conventional siloed thinking must be challenged to consider how the individual components make up the larger systems as a whole. 

    Economists: A priority should be promoting a living wage to tackle homelessness and poverty because having a home is a human right and money and food is too unevenly distributed globally. 

    Health sector: shift infrastructure focus from the currently mostly secondary/tertiary treatment focus to much more primary prevention and early detection focus to encourage more of a shift in mentality from 'treatment' to 'prevention'. The infrastructures that exist cater to ill-health with limited capacity for prevention. This must change. We should instead be allocating more resources to the prevention piece which would in turn ease the huge burden on current infrastructures that are only built to treat symptoms (rather than causes) of chronic preventable diseases. 

    Juris and lawmakers: Having a home is a human right and laws should be put in place for all sectors to collaborate in an effort to eradicate homelessness and absolute poverty as poverty creates a cycle of poverty that has great impact on the environment and health. Policies should be context-specific and local rather than overarching blanket policies that overlook/do not apply to the needs of certain contexts or populations, such as lower SES groups, CALD groups, and remote populations. Set policies for businesses to maintain certain sustainability/green standards with penalties for not maintaining standards. 

    Media: to capture the attention of broader audiences and encourage people to incorporate positive lifestyle changes with a global mindset, it is important to disseminate information in lay, bite-sized, repetitive formats across multiple platforms because people are already bombarded with content constantly competing for attention. Create social challenges/incentives to motivate collaborative and positive behaviour change to encourage new social norms.

    Researchers: public involvement (citizen science) is key to collecting robust data and encouraging buy-in for initiatives. The collective heritage of humans from Indigenous and anthropological knowledge should also be incorporated as protecting the symbiotic relationship of different populations with the environment is key to biodiversity conservation. 

    Universities: incorporate environmental health into core curriculum rather than as electives and have key aspects of this curriculum freely accessible to the public online also. Create incentives to participate in sustainability projects and standardize policies across campuses to have minimum targets of sustainability with penalties for not maintaining certain standards. Inspire students by collaborating with leaders from environmental, global health, engineering, and even astronomy sectors (astronauts) because mentors from these sectors can provide valuable insights across all areas of sustainability and they can inspire change with great impact. Universities should make all relevant data and resources on this topics open access to encourage literacy and involvement. 

    Nicole Redvers Moderator

    Hello Tiiu, and thank you for your excellent additions to the discussion. There were so many great points that you noted. A few notes that stuck out for me were the importance of moving healthcare to more prevention driven goals as opposed to just sick care, the need for policies and implementation to be context specific in reference to your notes on poverty, penalties for business not meeting sustainability/green standards, media’s role in encouraging people to incorporate positive lifestyle changes with a global mindset, core curriculum integration of planetary health into education institutions, as well as the call for open access for relevant data and resources on this topic. Thanks for providing these and many more important reflections for us.

    Tiiu Sildva RN MPH

    Hi Nicole Redvers Thank you for your feedback. I appreciate the opportunity to contribute my thoughts! Please let me know if I can do anything else to contribute to this important project. 

    Alexandre Robert - Alliance Santé Planétaire

    Hi everybody. Our humble contribution below. Our members find the declaration is great, comprehensive and very well written. Thank you! Alliance Santé Planétaire (Francophone NGO)

    Preliminary comments:
    A missing stakeholder would be the organizations representing professionals and trade unions. Another would be the banks which must stop investing in fossil fuels (Finance sector in general). A final would be the emergency and civil security sector (firefighters).

    1. Actions to influence research and education to achieve the Great Transition:

    Complete the training of future doctors and health professionals so that they embody and develop the planetary health approach in their practice: integrate notions of climate, biodiversity, planetary boundaries, sustainable food, as well as the effects of environmental determinants of health (air pollution, cancer, diabetes and overweight, endocrine disruptors, etc.).

    Decompartmentalize the research sector to allow transdisciplinary studies on the impact of human activities on health and ecosystems and the means to improve it: medicine, veterinarian, social sciences, political sciences, philosophy, urbanism, agrology, ecology, engineering, etc.

    Health sector: propose and supervise health thesis work in planetary health, offer in the initial training of health professionals a common base of knowledge in planetary health. Establish a commitment to planetary health as a health professional, make this approach concrete through our care practice and the links to forge with the various interveners who are involved in politics.

    Health sector / Artists: Interventions in schools (similar to sex education, or posters) and via social networks, develop through art the principles of planetary health in order to play on the imaginaries and allow an integration of concepts by the visual, the sensitive and to make planetary health desirable and palpable.

    Researchers' sector: make science based on evidence-based medicine coexist with social sciences so as not to dichotomize approaches and gain efficiency in the work undertaken in planetary health. Think about the after-work: dissemination of knowledge, promote the results through policies. Decompartmentalize fundamental research from the application of the conclusions of the work carried out.

    Media sector: the relationship to information forces a rethinking of the media landscape and its influence, the development of independent media having as a compass the development of critical thinking in order to bring as many people as possible the fundamental information to know how to achieve the great transition.
     

    2. Actions to influence policy changes to achieve the Great Transition:

    Advocacy with decision-makers and gain in notoriety of the movement for planetary health. Put the climate and environmental emergency at the center of the debates with the protection of humans as a key angle.

    Ensure that climate and ecological emergencies become a priority concern of citizens AND elected officials in order to orient the public debate towards these issues through advocacy work.

    Work hand in hand with the municipalities: think about the scales to carry out projects, think global, act local by creating partnerships with the mayors to think about the specific conditions of each territory, enhance the conditions of habitability, residence of the territories. Planetary health can serve as a compass to coordinate projects within the territories with common values.


    3. Actions to influence the private sector to achieve the Great Transition:

    Make compulsory the durability and repair of products, waste recycling. End of planned obsolescence. Development of Low Tech repair cafés. Prohibit in public places the advertising messages which encourage the consumption of new, non-recyclable products, with a heavy environmental cost in terms of greenhouse gas emissions or consumption of resources. Support the transition of polluting and harmful companies to jobs in the circular and regenerative economy.

    Make the environmental and human impact assessment compulsory upstream of production.
    Advocacy for:
        - go through binding laws for environmental protection, human protection and promote initiatives in this direction (reduction of taxes, subsidies, etc.)
        - allocate public procurement calls for tenders to purely "planetary health virtuous companies" with very strict criteria.
    All this being applicable to the health sector (hospital / clinic management, pharmacy, etc.).

    Develop a legal framework that prevent companies to commit ecocide crimes. Develop regulation devices according to the principles of planetary boundaries, ensure the fight against greenwashing, investments in polluting sectors.

    Review the functioning of companies to apply the principle of sobriety and degrowth, paying particular attention to energy and resource extraction.
     

    4. Actions to influence the public to achieve the Great Transition:

    Health sector: training / conferences for the general public on various themes of planetary health, development of practical sheets / digital tools.

    Promote and support initiatives such as the Citizen's Convention for the Climate (a citizen assembly) in France and FOLLOW/APPLY the measures proposed by these collective citizens.

    Use of social networks and videos to disseminate clear and powerful messages. Offer as examples of solutions that speak to citizens so as not to scare but to show that it is within our reach.

    Media / general public: Contribute to petitions, marches, information campaigns.

    Health sector: information and education of patients in the practice on the impact of the planetary environment on health.

    Implement projects to reconnect people to the living through simple actions to preserve the environment, by first identifying the factors preventing the dynamics of living organisms from unfolding: land use, deforestation, multiple pollution, urbanization, etc.

    PS: Sorry for the franglish...

    Isabel Barros

    Hi everyone,

    First of all I would like to congratulate all the involved for the event and this initiative.
    I speak as a researcher in the field of children & nature at Alana Institute, in Brazil. I would like to contribute calling the attention of this Forum for the legal concept of the child’s right to connect with nature described by th Motion132 of IUCN - Child’s right to connect with nature and to a healthy environment. 

    Therefore I urge the Great Transition to encompass that growing up in a healthy environment and connecting children with nature is of such a fundamental importance for both children and the (future of) the conservation of nature and the protection of the environment, that it should be recognized and codified internationally as a human right for children and as part of the rights-based approach to conservation.

    Please find the complete Motion here: https://portals.iucn.org/library/sites/library/files/resrecfiles/WCC_20…

    Thank you!

     

     

    Nicole Redvers Moderator

    Hello Isabel, and thank you for providing this resource within the forum space. We hear often of human rights and the rights of nature; however, a child’s right to connect with nature is so very important as well for all of the other pieces to come together. Fostering this sense of connection earlier on is only possible with the environment intact, so this work should be highlighted also within the rights framing.

    João Pessoa

    Primarily, congratulations to everyone involved in Planetary Health and in this important Declaration. Below are some insights regarding Technology stakeholders – 14:

    1 – Research and Education

    - Cooperation between research institutes, not just local ones. Integrating teaching and research projects in large portfolios, each project being part of a large program, with goals that meet short, medium and long term expectations.

    - Inclusion in the academic curriculum of professional and undergraduate courses of the discipline “Green IT” focused on technology privileging practical work of technology in a sustainable way.

    - In the fundamental education curriculum, implement an agenda of field activities to demonstrate the negative and positive impacts that technology can incur on the planet. Cases of demonstration of major transformations using technology can be disseminated with a view to creating a technology culture as a pillar of global level transformation.

    - Foster academic research in IT area that involves the combination of technology and sustainability – ensuring a specific funding line. Postgraduate research lines include the preservation of human life as a theme, encouraging responsible and creative uses of technology.

    2 – Politics

    - Science and technology authority of each government instance are integrated into a technology governance strategy that considers innovation, digital technologies while ensuring planetary health.

    - PPP (Public-Private Partnerships) to design strategic projects and promote Great Transition.

    - Creation of an innovation ecosystem that allows the development of technologies that contribute to planetary health.

    - More holistic way of designing your technological programs, knowing that the various existing digital technologies can have synergy with Green IT, eliminating waste and with new customer journeys (external and internal) also including society/community.

    3 – Private Sector

    - Transformation programs must be structured in such a way to ensure the business strategy adapts to the dynamic behavior of the market while being able to connect with future planetary needs.

    - Technology professionals must be aware of their performance, when assembling squads to aggregate the greatest possible diversity, as well as negotiating the prioritization of the best (not the cheapest/fastest) technology solutions, convincing the top management of the companies for reuse, whenever possible with open solutions and disseminating data sharing APIs with other players in the ecosystem.

    - Discourage deliveries that only aim at increasing productivity and reducing costs - success should not be measured only in terms of the quantity of deliveries, team speed and revenue, but rather evaluate learning, adaptability and the resulting empowerment of customers, entity and whole society.

    - Truly encourage the use of new technologies and artificial intelligence as an instrument to correct course and significantly change the protection of the environment and equity among human beings, for this, counting on the great ideas and new capabilities of Startups.

    4 - Public

    - Call for work with research grants that may or may not be linked to a university, but in fact seeking innovation in the area with due diversity and equity.

    - Mentality that solutions always vary according to context and even from individual to individual. Thus, against the rigidity of the exact sciences sector, accepting that there are no unique and conformed solutions that solve any situation. Decision-making, testing of our beliefs, experimentation and learning are dynamic and generate the best results for all directly and indirectly involved.

    - The big change in technology is to understand that the system must include direct and indirect relationships, varying in time and according to the observer's perspective. Understanding that objectivity is useful, but should not be used at all stages, is the first step in postulating a transformation in this area. A superior interdisciplinary vision with the use of a scientific rationality as a differential, but not limiting, understanding that just decomposing large tasks into smaller work blocks is not enough, that even though it is an important technique, if disconnected from the system, the parts can lose meaning if not organized and correctly valued.

    Thank you for the opportunity and congratulations to all engaged,

    João Emmanuel Pessoa.

    Mona

    Hello Everyone and thanks Vanessa Goes (Brazil ) for your kind invitation to contribute with my thoughts in this Declaration as a medical doctor, quality assurance medical educator, trainer and of course a planetary health advocate.

     

    Kindly, find my added suggestions under the sections of Health practitioners and health sectors below.

    1. Health Practitioners Planetary health values allows you to shift back and forth in the root causes of diseases, health and wellbeing , thus health practitioners need to practice the art of medicine that goes beyond the skeleton of the human body to the entire health of all natural ecosystems which eventually form the visible and invisible entanglement of bio-psycho-social aspect to health and disease. Thus, we need to have greater emphasis on the interconnectedness of medicine with humanities, the Arts and culture. Actionable recommendations include:A) Promotion of multidisciplinary translational research that investigate more into the cultural influence on medicine through studying varieties of indigenous knowledge systems all the way to the foundational knowledge that brings us back to the roots of biomedicine from contemporary to ancient practices.B) Capacity building for healthcare practitioners by holding workshops , online courses, blogs, Newsletters, educational videos  that highlights the value of planetary health narratives at the interface of Anthropology, natural sciences and biomedical sciences for a holistic approach on health and disease in medical practice as professionals and healers who are culturally competent.

    2- Health Sector:

    A) Introduction to planetary health in the undergraduate studies for health professions sector as elective course with multidisciplinary themes that includes activities and assignments that encourage critical thinking and creative minds on burning issues linked to human health as non-communicable diseases (their pathologies are basically studied in core curriculum) underscoring  Anthropocentric erosive value systems that impact human health (NCDs) as well as all life forms on the planet (biodiversity loss for example) to bring the bigger picture and set the stage for change since early years of medical studies.

    B) Introduction to planetary health in the Postgraduate studies for health professions sector could be more applicable in thesisproposals that investigate more on our internal ecosystems (cellular interactions with all the overarching microbiome, exposome science and Epigenetic ,..ect) that directly interface with external ecosystem reflected by environmental and dietary factors , to name just a few as an example on the unlimited scope of planetary health research.

    C) Introduction to planetary health in Professional Diplomas that will make public health more expansive and relevant to our post-Covid world. 

     

    That's all what I can think of in the time being . 

     

    Please accept my warm regards,

    Dr.Mona El-Sherbini

     

     

    Vanessa Goes

    Hello Mona,

    You're very wellcome!  I'm so glad you're able to add your valuable contribution to this document. 

    Thank you very much

    Vanessa Goes

    Hello everyone,

     

    Congratulations for this amazing initiative! 

    As a mother, passionate about nature and life, artist (dancer), integrative health professional (dietitian, Pilates and body awareness instructor and wellness mentor), researcher (food science) and Planetary Health ambassador, I would like to share my thoughts and contribute to this important document.

    Thank you very much for this opportunity.

     

    General suggestions:

    • To include the definition of Planetary Health
    • To include ARCHITECTS AND URBAN PLANNERS as well as FOOD INDUSTRY in the stakeholder’s list.
    • In GOVERNMENT I would be more generalist taking about relaxation of patents considering not only covid-19 vaccine. This is about equity and the need for a mentality shift about the sense of belonging (country à planet)

    AGRICULTURE

    • Guide techniques based on sustainable and organic processes that would foster biodiversity, aiming to provide higher nutritive quality food. Using scientific, tradicional (indigenous) and local farmers knowledge.
    • "Translationate" food science technological knowledge to agricultural sector aiming to reduce food waste (traditional and small farmers knowledge should also contribute)

    GOVERNMENT

    • Guarantee by law a considerable amount (%) of their total income (GDP) to invest in planetary health recovery (shift mindset about public money investment. e.g. do we still need to invest in the war industry ?!)
    • Familiar and small local farmers should be encouraged therefore land distribution should be rethought. Creation of pubic policies that would guarantee consumption of their production.
    • Promote review and update of education systems and institutions in all levels including curriculum review (kindergarten to universities) - this is urgent!
    • Rethink prisional systems considering to engage this people’s labor to somehow regenerate the planet (agriculture, recycling, reforestation)
    • Considering gathering in the same structure rest home for elderly with orphanage based in the planetary health values
    • Descentralize power
    • Incorporate technology to governance systems (transparency and citizen's participation)
    • Create a robust communication channel with society (indigenous and traditional people, small farmers, artists, all kinds of professionals, children, scientists) aiming citizen’s participation in policy-making.
    • Integrate minorities and poor people to society
    • Policy implementation for residues treatment and regeneration of materials in all levels

     

    EDUCATIONAL INSTITUTIONS

    In my opinion EDUCATION is one of the most important mechanism to achieve the transition. Change starts with consciousness and education is crucial for that.

    • Here I would INCLUDE ALL LEVELS  from kindergarten to universities.
    • We need a radical shift in our mindsets and this should start with CHILDREN EDUCATION. Is urgent to change our education paradigm and structural system, still based in the industrial era values. Planetary health values and concepts should be in our kids curriculum  (self-care practices, nutrition, meditation, body awareness, design thinking, complex systems, ecology, gardening, cooking, music, artistic expression, circular economy, ethics, philosophy and so on.
    • Collaborative, transdisciplinar, creative mindsets should be fostered with education.
    • Rethink all kinds of curriculum (all levels and fields)
    • Planetary Health values and concepts should be integrated in the formation (curriculum) of all kinds of professionals. Complexity paradigm should be considered fostering transdisciplinarity
    • Education decolonization (european centered)

     

    RESEARCHERS

    • Paradigm shift from reductionist/mechanistic logic  to a holistic approach
    • Integrate traditional knowledge (decolonization)
    •  All research should be oriented and based on the planetary health values and the complexity paradigm fostering collaboration and transdisciplinarity.
    • Foster translational research
    • Create a systematic way to communicate  and disseminate scientific data and knowledge to all levels of society

     

    HEALTH PRACTIONERS

    • Paradigm shift: holistic and integrative approach considering physical, metal, spiritual, social and environmental health.
    • Review of all health professionals formation curriculum
    • Shift to a naturopathic and preventive perspective
    • Include planetary health perspective in their practices

     

    HEALTH SECTOR

    • Descentralize healthcare systems from medical doctors, integrating all health professionals (same value)
    • Integrate traditional health narratives (indigenous)
    • Formalize holistic and integrative approach in the public system
    • Rethink about hospitals structures (incorporate nature)
    • Humanize ICU

     

    ECONOMISTS

    • Create new metrics to mesure economic progress based on planetary health values
    • Shift to a systemic paradigm of circular, macro and micro, economy mindset.
    • Collaborate with other fields to sort out the inequity problem

     

    TECHNOLOGY PROFESSIONALS

    • Create tools to improve political and legal systems. Where concepts like transparency, decentralization, inclusion, interconnection would be guaranteed
    • Measurement systems for important planetary health metrics

     

    ARTISTS

    • Advocate and disseminate planetary health values and concepts through their art
    • Collaborate with society, government and all kind of professionals and actors to co-create solutions to our systemic complex challenges

    MEDIA

    • Paradigm shift:  For those familiar with the concept of Positive psychology I would suggest by analogy that we urgently need a “POSITIVE JOURNALISM”, which would be basically focused on positive, promising, hopeful news.
    • Disseminate planetary health values and concepts

     

    JURIST AND LAWMAKERS

    • To consider the  planet Earth as a legal entity

     

    FUNDERS

    • Invest in equity as a value

     

    SPIRITUAL LEADERS

    • To consider Nature as god

     

    BUSINESSES

    • Mindset values shift

     

    INTERANTIONAL ORGANIZATIONS

    • Bring the sense of Planet Earth belonging (not countries)
    • Unit people (connectivity, cooperation and diplomacy)
    • Advocate and act globally on behalf of Planet Earth
    • Improve equity
    • Use technology to create an open platform, aiming to enable people, from all over the globe, to co-think and co-create solutions to our global complex challenges.
    • Create an global organization like UN and WHO focussed in planetary health

    Thank you very much again!

    Vanessa Goes

     

    Nicole Redvers Moderator

    Hello Vanessa, and thank you for taking the time to contribute to this important document and initiative. Thank you for highlighting the need for a clear definition of planetary health to root the rest of the document. The need for the relaxing of patents being broaden to notions of equity and the need for a mentality shift about the sense of belonging, fits well with many of your points below on a values shift, equity as value, and the paradigms shifts needed in many of the sectors. I love your note on the need for ‘positive journalism’!

    Liliane Mavridara

    Hello Everyone and thank you for all the thoughtful contributions.

    Being an allied health professional, holistic consultant and trauma-informed facilitator, I would like to offer a few considerations as we move through and towards the great transition.

    1) For any transformation and system-based change to occur, all the above-mentioned stakeholders must work together. We can no longer operate and think in silos.  Collaborations and a collaborative mindset are key.

    2) Arts, culture, food and community lie at the basis/foundation of individual, societal and planetary health and well-being.   If we do not take these into consideration while we build the new systems and mindsets, we will repeat the current reality we are all faced with now.

    3) What we consider as the Health sector, needs to expand its content of practices, modalities, practitioners, and scope. Health must be seen as a result of the physical-emotional-mental and spiritual aspects of one's life, which are inter-dependent with the immediate relational environment one lives in, and the greater ecosystem this environment belongs to.

    4) I see the greater transition, as a transition that happens on an Eco-region level, and addresses the idiosyncrasies and needs that this Eco-region has. In that regard, the stakeholders have to come together and address how they can collaborate and inform each other's work so that the Eco-region can become resilient, and its people, animals, and natural environment can thrive.

    5) Lastly, given the speed of climate change and its effects around the world, trauma-informed practices and education must be incorporated at all levels so that we stop perpetuating old dysfunctions, and instead we are able to innovate and embrace new ways of thinking, relating, and caring for each other, our communities and our planet.

    Thank you,

    Liliane

    Nicole Redvers Moderator

    Hello Liliane, and thanks for your comments and recommendations for the declaration. Your note on trauma-informed practices is one that I believe has not been mentioned yet but I think was so important to have noted in this discussion. With increasing ecological grief and climate anxiety, the impact of this on hearts and minds really needs to be a key consideration for messaging. It can be a tricky balance sometimes highlighting the urgency and depth of the problem while still remaining solutions focused and attentive to aspects of hope that cannot be lost in the process.

    Teddie Potter

    I am sorry for the late response but I will add my thoughts just in case you are still accepting feedback. Thank you for this beautiful document. I have very little to add as it is very strong as written.

    What actions can the below stakeholders take to influence research and education to achieve the Great Transition? 

    We need to make sure that all fields are able to communicate the negative health and quality of life impacts created by destruction of Earth's natural systems. The health and QOL message is key for movement building. We also need to advance participatory research with deep engagement of the communities most impacted by ecosystem destruction.

    What actions can the below stakeholders take to influence policy changes to achieve the Great Transition?

    Foster relationships between front line communities and large professional organizations to amplify the voices of those traditionally on the margins.

    What actions can the below stakeholders take to influence the private sector to achieve the Great Transition?

    Ideally, every initiative will have multi-generational participation. The private sector caters to consumers and the larger and more broad the base, the more they listen.

    What actions can the below stakeholders take to influence the public to achieve the Great Transition?

    We need to create a shared vision and narrative of the future that is possible if the Great Transition succeeds. More people engage when they move towards something rather than away from something. They need to see that there are far more benefits for them and their children if they live a healthy  planet lifestyle compared to their current lifestyle.

    Thank you for the invitation to participate,

    Teddie Potter