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0 1 2 3 4 The period of environmental changes induced by human exploitation of the planet defines a new geological era: the Anthropocene epoch GRAIN PRODUCTION REQUIREMENTS OCEAN ACIDIFICATION WATER USE ON OUR CURRENT TRAJECTORY WE WILL PUT EVEN MORE PRESSURE ON THE PLANET TO SAFEGUARD HUMAN HEALTH WE NEED TO MAINTAIN THE HEALTH OF THE PLANET ON WHICH WE DEPEND BUT TO ACHIEVE THIS WE’VE EXPLOITED THE PLANET AT AN UNPRECEDENTED RATE WATER DEMAND 2 2000 2050 THE HUMAN POPULATION IS HEALTHIER THAN EVER BEFORE THE HEALTH OF HUMAN CIVILISATION AND THE NATURAL SYSTEMS ON WHICH IT DEPENDS PLANETARY HEALTH Global ocean acidification (mean hydrogen ion concentration, nmol/kg) Water use (thousand km 3 ) 0 50 100 ENERGY USE FERTILISER USE 10 20 30 40 0 World primary energy use (EJ) Global tropical forest loss compared with 1700 baseline (%) POPULATION 2050 World population (billions) Total global cereal production (billions of tonnes) These environmental threats could also exacerbate each other DAMAGING THE PLANET DAMAGES HUMAN HEALTH WATER USE of the world’s population could be living in areas under severe water stress If unchecked climate change related impacts could cause an extra Overfishing together with increasing acidity and other environmental changes threaten fish supplies BIODIVERSITY LOSS Millions of people are at risk of under nutrition due to the combined effects of SOIL DEGRADATION CLIMATE CHANGE c. 4.2 bn 1 bn 1 billion 3,500 km 3 5,500 km 3 2014 1800 7 billion 9.6 billion Read the full series at http://www.thelancet.com/commissions/planetary-health 1960 2014 2050 LEARN ABOUT PLANETARY HEALTH Planetary health is the highest standard of health, wellbeing and equity worldwide. Human systems are responsible for shaping the future of human civilisation and the Earth’s natural systems 30-50% of all food produced is never consumed. Reducing food waste means less land is needed for agriculture; saving energy, water, helping to protect biodiversity and improving food security Diets low in red meat with plenty of fruit and vegetables reduce the risk of heart disease. Dietary changes could reduce greenhouse gas emissions and land use requirements by up to 50% REDUCE FOOD WASTE HEALTHY DIETS WITH A LOW ENVIRONMENTAL IMPACT Coordinated global, national and local policies that reduce environmental damage and improve health need to be implemented BETTER GOVERNANCE Although drip or trickle irrigation methods are more expensive to install, they can be 33% more efficient in water use USE WATER MORE EFFICIENTLY Since 2000 we have cut down over 2.3 million km 2 of primary forest. The REDD+ mechanism aims to reduce greenhouse gas emissions and improve local livelihoods END DEFORESTATION Around 225 million women who want to avoid pregnancy are not using effective contraception. Access to family planning could cut maternal deaths by almost 30% and improve food security FAMILY PLANNING Planning healthy and sustainable cities can increase resilience to environmental change, reduce environmental impacts and improve people’s health CITY PLANNING NUTRITION UNDER climate change and other environmental changes By 2050 over 40% This leads to a loss of 1-2 million hectares of agricultural land per annum 250 300 350 400 Global fertiliser use (nitrogen, phosphorus, and potassium; thousand tonnes) 1. http://data.unicef.org/child-survival/under-five 2. OECD, http://www.oecd.org/env/indicators-modelling-outlooks/49844953.pdf 3. Original source reference in: Watts N, Adger WN, Agnolucci P, et al. Health and climate change: policy responses to protect public health. Lancet 2015; published online June 23. http://dx.doi.org/10.1016/S0140-6736(15)60854-6 All other data is in: Whitmee S, Haines A, Beyrer C, et al. Safeguarding human health in the Anthropocene epoch: report of The Rockefeller Foundation–Lancet Commission on planetary health. Lancet 2015; published online July 16. http://dx.doi.org/10.1016/S0140-6736(15)60901-1 SOURCES 0 200 400 600 1800 1850 1900 1950 2000 1950 2000 1950 2000 1950 2000 1800 1850 1900 1950 2000 1800 1850 1900 1950 2000 1800 1850 1900 1950 2000 1800 1850 1900 1950 2000 0 100 200 1800 1850 1900 1950 2000 TROPICAL FOREST LOSS CARBON DIOXIDE EMISSIONS Atmospheric concentration of CO2 (ppm) LIFE EXPECTANCY Mean global life expectancy at birth (years) POVERTY Population of world in poverty (%) CHILD MORTALITY Recorded deaths of under-fives 1 20M 10M 0 60 80 40 6 7 8 9 250,000 deaths per year between 2030 and 2050 3

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01234The period of environmental changes induced by human exploitation of the planet defines a new geological era: the Anthropocene epochGRAIN PRODUCTION REQUIREMENTS OCEAN ACIDIFICATIONWATER USEON OUR CURRENT TRAJECTORY WE WILL PUT EVEN MORE PRESSURE ON THE PLANETTO SAFEGUARD HUMAN HEALTH WE NEED TO MAINTAIN THE HEALTH OF THE PLANET ON WHICH WE DEPENDBUT TO ACHIEVE THIS WEVE EXPLOITED THE PLANET AT AN UNPRECEDENTED RATEWATER DEMAND22000 2050THE HUMAN POPULATION IS HEALTHIER THAN EVER BEFORETHE HEALTH OF HUMAN CIVILISATION AND THE NATURAL SYSTEMS ON WHICH IT DEPENDSPLANETARY HEALTHGlobal ocean acidication (meanhydrogen ion concentration, nmol/kg)Water use(thousand km3)050100ENERGY USEFERTILISER USE102030400World primaryenergy use (EJ)Global tropical forest loss comparedwith 1700 baseline (%)POPULATION2050World population (billions) Total global cereal production(billions of tonnes)These environmental threats could also exacerbate each otherDAMAGING THE PLANET DAMAGES HUMAN HEALTHWATER USEof the worlds population could be living in areas under severe water stressIf unchecked climate change related impacts could cause an extra Overshing together with increasing acidity and other environmental changes threaten sh suppliesBIODIVERSITY LOSSMillions of people are at risk of under nutrition due to the combined efects ofSOIL DEGRADATION CLIMATE CHANGEc. 4.2 bn1 bn1 billion3,500 km35,500 km3201418007 billion9.6 billionRead the full series at http://www.thelancet.com/commissions/planetary-health1960 2014 2050LEARN ABOUT PLANETARY HEALTHPlanetary health is the highest standard of health, wellbeing and equity worldwide. Human systems are responsible for shaping the future of human civilisation and the Earths natural systems30-50% of all food produced is never consumed. Reducing food waste means less land is needed for agriculture; saving energy, water, helping to protect biodiversity and improving food securityDiets low in red meat with plenty of fruit and vegetables reduce the risk of heart disease. Dietary changes could reduce greenhouse gas emissions and land use requirements by up to 50%REDUCE FOOD WASTEHEALTHY DIETS WITH A LOW ENVIRONMENTAL IMPACTCoordinated global, national and local policies that reduce environmental damage and improve health need to be implementedBETTER GOVERNANCEAlthough drip or trickle irrigation methods are more expensive to install, they can be 33% more efcient in water useUSE WATER MORE EFFICIENTLYSince 2000 we have cut down over 2.3 million km2 of primary forest. The REDD+ mechanism aims to reduce greenhouse gas emissions and improve local livelihoodsEND DEFORESTATIONAround 225 million women who want to avoid pregnancy are not using efective contraception. Access to family planning could cut maternal deaths by almost 30% and improve food securityFAMILY PLANNINGPlanning healthy and sustainable cities can increase resilience to environmental change, reduce environmental impacts and improve peoples healthCITY PLANNINGNUTRITIONUNDER climate change and other environmental changesBy 2050 over 40%This leads to a loss of 1-2million hectares of agricultural land per annum250300350400Global fertiliser use (nitrogen, phosphorus, and potassium; thousand tonnes)1.http://data.unicef.org/child-survival/under-ve2.OECD, http://www.oecd.org/env/indicators-modelling-outlooks/49844953.pdf3. Original source reference in: Watts N, Adger WN, Agnolucci P, et al. Health and climate change: policy responses to protect public health. Lancet 2015; published online June 23. http://dx.doi.org/10.1016/S0140-6736(15)60854-6All other data is in: Whitmee S, Haines A, Beyrer C, et al. Safeguarding human health in the Anthropocene epoch: report of The Rockefeller FoundationLancet Commission on planetary health. Lancet 2015; published online July 16. http://dx.doi.org/10.1016/S0140-6736(15)60901-1SOURCES02004006001800 1850 1900 1950 20001950 2000 1950 2000 1950 20001800 1850 1900 1950 2000 1800 1850 1900 1950 20001800 1850 1900 1950 2000 1800 1850 1900 1950 200001002001800 1850 1900 1950 2000TROPICAL FOREST LOSSCARBON DIOXIDE EMISSIONSAtmospheric concentrationof CO2 (ppm)LIFE EXPECTANCYMean global life expectancy at birth (years)POVERTYPopulation of world in poverty (%)CHILD MORTALITYRecorded deaths of under-ves120M10M06080406789250,000 deaths per yearbetween 2030 and 20503