Human health and the health of Planet Earth go together.

The emergence of the planetary health approach was highlighted by the report of The Rockefeller Foundation-Lancet Commission on Planetary Health in 2015 and changed how we comprehend human well-being. The report advocates integrating the health of other living beings and Earth's natural systems as intrinsic components of human health. Drawing on over three decades of experience in respiratory epidemiology and environmental health, this article outlines how my perspective on human health underwent a transformative shift upon reading the abovementioned report. The planetary health approach offers a lens through which human health issues and potential solutions can be understood within the context of the Anthropocene. It addresses the pressing existential challenges arising from humanity's transgression of planetary limits. Embracing the planetary health paradigm within the field of health sciences can catalyze transformative changes essential for cultivating a sustainable and equitable future.

Examining the relationship between the environmental impact of diet and child growth from a co-benefit perspective.

The adoption of diets that minimize both their environmental impacts and weight excess in children would be a major co-benefit for climate change mitigation. We evaluated the relationship between child diet-related environmental impact and anthropometric characteristics in an Italian birth cohort. The study involved 2127 children of the Piccolipiù birth cohort. At 4 years, their diet in the previous two months was assessed through a questionnaire, from which we derived individual: (i) diet-related daily greenhouse gas emissions (GHGE), (ii) land use (LU), (iii) adherence to the Mediterranean Diet (MD) and (iv) red meat consumption. We related these variables with overweight and obesity, waist circumference, and height at 4 years using regression models adjusted for a priori selected confounders. Diet-related GHGE and LU had a positive weak association with overweight and obesity, with an odds ratio (OR) for the fourth vs. second quartile of 1.30 for both GHGE (95% confidence intervals -CI-: 0.96; 1.77) and LU (95% CI: 0.96-1.76). Both OR estimates increased after adjustment for energy intake. GHGE and LU were not associated with height, with the exception of shorter children in the first quartile. A high vs. low MD adherence was associated with an increase in height Z-score of 0.11 (95% CI 0.01; 0.21). No association was found for red meat consumption. These results suggest that lowering the impact of high environmental impact diets may have, if anything, beneficial effects on child obesity, overweight, and height, with pro-MD patterns playing an important role.

Co-benefits and influencing factors exploration of air pollution and carbon reduction in China: Based on marginal abatement costs.

This study addresses the pressing need for cost-effective emission reduction strategies that maximize co-benefits in terms of air pollution and carbon emissions. Our research contributes to the literature by accurately measuring these co-benefits, thereby facilitating their prompt realization in different regions. We employ an input-output framework that integrates carbon emissions and air pollution, allowing us to calculate marginal abatement costs using the shadow price of undesired output. Through this approach, we quantify the co-benefits and analyze the factors influencing them at both spatiotemporal and factor levels using spatial kernel density and geographical detectors. Our findings reveal several key insights: (1) under joint emission reduction efforts, we observe average annual reduction rates of 6.46% for marginal pollution and 6.10% for carbon reduction costs. Importantly, we document an increase in co-benefits from 0.50 to 0.86, characterized by an initial fluctuation followed by a linear increase. (2) the marginal cost difference for carbon emission and pollution reduction in western China was 179.45 and 155.08 respectively, compared to 321.51 and 124.70 in the Northeast, highlighting the crucial role of regional differences in shaping co-benefit outcomes. (3) we identify a negative spatial spillover effect between provinces, which diminishes over time, leading to heterogeneous effects when local provincial co-benefits exceed a threshold of 0.9. (4) during the adjustment period, we find that the industrial structure exerts significant single and interactive effects on co-benefits. Additionally, we highlight the critical role of environmental governance investment and government intervention as drivers of co-benefits in the current era. By offering the quantification of co-benefits under the marginal abatement costs, our study provides valuable scientific insights for planning and implementing effective synergy strategies.

Proposal of policies based on temporal-spatial dynamic characteristics and co-benefits of CO2 and air pollutants from vehicles in Shanghai, China.

In megacities, vehicle emissions face urgent challenges related to air pollution and CO2 control. To achieve the refinement of vehicle control policies for the co-control of air pollutants and CO2, this study established a vehicle emission inventory with high spatial and temporal resolution based on the hourly traffic flow in Shanghai and analyzed the spatial and temporal distribution characteristics of the real-time vehicle emissions. Meanwhile, a policy evaluation framework was constructed by combining pollutant emission predictions with quantitative co-control effect assessments. The results indicated that spatio-temporal variations in different air pollutants and CO2 could mainly be attributed to primary contributing vehicle types. The pollutants (CO2, CO and VOCs) primarily contributed by private cars exhibited a bimodal pattern in 24-h time series and their spatial distribution was concentrated in the urban city center. The spatial distribution of NOx and PM primarily contributed by heavy trucks was still obvious on non-urban center areas. Furthermore, the results of synergistic effect analysis revealed that the alternative energy replacement scenario demonstrated the most significant potential for the co-control. Based on temporal-spatial and co-benefit analysis, the precise control policy of vehicle emissions can be established through time-, region-, and model-control. This study provides references and research methods for the formulation of the vehicle refinement control policies in worldwide megacities.

Economic assessment of nature-based solutions to reduce flood risk and enhance co-benefits.

Flooding is expected to increase due to climate change, urbanisation, and land use change. To address this issue, Nature-Based Solutions (NBSs) are often adopted as innovative and sustainable flood risk management methods. Besides the flood risk reduction benefits, NBSs offer co-benefits for the environment and society. However, these co-benefits are rarely considered in flood risk management due to the inherent complexities of incorporating them into economic assessments. This research addresses this gap by developing a comprehensive methodology that integrates the monetary analysis of co-benefits with flood risk reduction in economic assessments. In doing so, it aspires to provide a more holistic view of the impact of NBS in flood risk management. The assessment employs a framework based on life-cycle cost-benefit analysis, offering a systematic and transparent assessment of both costs and benefits over time supported by key indicators like net present value and benefit cost ratio. The methodology has been applied to the Tamnava basin in Serbia, where significant flooding occurred in 2014 and 2020. The methodology offers valuable insights for practitioners, researchers, and planners seeking to assess the co-benefits of NBS and integrate them into economic assessments. The results show that when considering flood risk reduction alone, all considered measures have higher costs than the benefits derived from avoiding flood damage. However, when incorporating co-benefits, several NBS have a net positive economic impact, including afforestation/reforestation and retention ponds with cost-benefit ratios of 3.5 and 5.6 respectively. This suggests that incorporating co-benefits into economic assessments can significantly increase the overall economic efficiency and viability of NBS.

Spatial disparities and sources analysis of co-benefits between air pollution and carbon reduction in China.

Spatial misallocation of resource elements impedes the coordination in regional co-benefit in carbon emission and pollution reduction. Guided by scope economy principles, this study aims to quantifies co-benefits and explores spatial variation patterns to facilitate mutual synergy. The findings offer valuable insights for identifying optimal focus points and shaping targeted collaborative policies. Based on the multi-source provincial panel data spanning 2000 to 2021, this paper quantitatively assesses the co-benefit through the lens of marginal abatement cost. Then, the Dagum Gini coefficient was employed to investigate the disparities at the spatial level. Additionally, geographical detector is introduced to analyze the source of disparities at the factor level. Results indicate: (1) Under joint reduction, the marginal abatement cost reduces by 57.86% and 79.97% respectively, with an overall 68.77% increase in co-benefit fluctuation. (2) Provinces with low co-benefit significantly decreased after 2007, while provinces with high co-benefit concentrated in the northwest, southwest, and east. (3) Overall disparities decreased, east-central regions hold the lowest spatial disparities in co-benefit and east-west hold the most; intragroup differences and supervariable density primarily contributes to the disparity. (4) FDI significantly influence the co-benefit over the past two decades, with spatial disparities influenced by both endogenous and exogenous factors across development stages.

Quantifying the multiple environmental, health, and economic co-benefits from the adoption of carbon capture technology in the power sector in southern Iraq, using a recurrent neural network-based health assessment approach.

This study introduces a novel integrated quantitative modeling framework to assess the multiple environmental, health, and economic benefits from implementing carbon capture technology in the power sector of Basra province, Iraq. This province is struggling with significant environmental challenges and air pollution caused by extensive oil extraction operations. First, the developed modeling framework quantifies the captured CO2 emissions and the equivalent avoided PM2.5 emissions resulting from the use of carbon capture units in existing power plants. This is achieved through a detailed simulation of the monoethanolamine (MEA) capture process using Aspen. Second, the impact of avoided PM2.5 exposure on public health is evaluated by developing and applying a dynamic dispersion model across the districts where the power plants are located. Third, it quantifies the expected health benefits, using the health impact assessment method. This method is based on a comprehensive meta-analysis of concentration-response functions, and it utilizes a Recurrent Neural Network prediction framework based on the Long-Short Term Memory (LSTM) method to predict the relative risk value of six health outcomes. Finally, the economic value of avoided health burdens is estimated by employing the Value of Statistical Life (VSL) and the Cost of Illness (COI) approaches. According to the findings, implementing new carbon capture units in the selected power plants in the area will lead to a reduction of 7.697 million tons of carbon dioxide per year in the total emission of pollutants from the current power generation units in the region. The integrated assessment results demonstrate a significant reduction in PM2.5 emissions, amounting to 2299 tons per year, leading to the avoidance of 1328 premature deaths and 217 hospital admissions, resulting in annual savings of $1846 million from the avoided mortalities and morbidities cases and creation of 29,607 green jobs in Basra Province.

Causal inference approaches reveal both positive and negative unintended effects of agricultural and urban management practices on instream biological condition.

Agricultural and urban management practices (MPs) are primarily designed and implemented to reduce nutrient and sediment concentrations in streams. However, there is growing interest in determining if MPs produce any unintended positive effects, or co-benefits, to instream biological and habitat conditions. Identifying co-benefits is challenging though because of confounding variables (i.e., those that affect both where MPs are applied and stream biota), which can be accounted for in novel causal inference approaches. Here, we used two causal inference approaches, propensity score matching (PSM) and Bayesian network learning (BNL), to identify potential MP co-benefits in the Chesapeake Bay watershed portion of Maryland, USA. Specifically, we examined how MPs may modify instream conditions that impact fish and macroinvertebrate indices of biotic integrity (IBI) and functional and taxonomic endpoints. We found evidence of positive unintended effects of MPs for both benthic macroinvertebrates and fish indicated by higher IBI scores and specific endpoints like the number of scraper macroinvertebrate taxa and lithophilic spawning fish taxa in a subset of regions. However, our results also suggest MPs have negative unintended effects, especially on sensitive benthic macroinvertebrate taxa and key instream habitat and water quality metrics like specific conductivity. Overall, our results suggest MPs offer co-benefits in some regions and catchments with largely degraded conditions but can have negative unintended effects in some regions, especially in catchments with good biological conditions. We suggest the number and types of MPs drove these mixed results and highlight carefully designed MP implementation that incorporates instream biological data at the catchment scale could facilitate co-benefits to instream biological conditions. Our study underscores the need for more research on identifying effects of individual MP types on instream biological and habitat conditions.

Limited co-benefits of protected areas in southwest China under current climate change and human modification.

An ambitious new Post-2020 Global Biodiversity Framework "Kunming-Montreal Global Biodiversity Framework" has been developed. However, the combined effects of climate change and human modification can undermine the potential benefits of the global post-2020 conservation efforts. The co-benefits of stabilizing the climate, conserving biodiversity, and maintaining intact wilderness areas may help to persuade the general public of the need to quickly expand existing protected areas (PAs). To maximize the co-benefits after 2020, the careful optimization of existing (PAs) network and scientific identification of conservation targets are both essential. Here, we mapped hotspots of biodiversity, climate vulnerability, and wilderness in Southwest China (SWC). By analyzing the representativeness and gaps of the existing PAs network in SWC, we devised post-2020 conservation targets and highlighted their implications for decision-makers. Our results showed that the incongruence between hotspots of different species exists, indicating that habitats suitable for one taxon may not fully harbor other taxa. According to our assessment, the five jurisdictions of SWC have warmed on average by 0.4°C-1.1 °C over the past 60 years alone. In particular, biodiversity hotspots in SWC are undergoing stark climatic changes. We uncovered prominent conservation gaps in SWC's network of PAs, especially in terms of climate vulnerability and biodiversity. Due to their insufficient number and unreasonable spatial distribution, the PAs network in SWC may be not capable of meeting its biodiversity, climate vulnerability, and wilderness conservation objectives. To rectify this, we proposed a 3-step mission: milestone 2025, milestone 2030, and goal 2050, which aims to protect 23%, 28%, and 60% of the terrestrial area in SWC, respectively. Taken together, our study derived conservation priority areas with relatively clear spatial boundaries and importance levels, thus providing detailed, timely information for decision-makers to expand the PAs network and implement conservation measures varying in strictness in post-2020 conservation practice.

Secondary benefits of urban flood protection.

The combined effects of urbanization and climate change put a large portion of the population at risk from pluvial, fluvial, and coastal flooding. To continue to strive for sustainable development, cities will need to protect flood-prone areas, but this will require significant investments in both green and grey infrastructure solutions. Yet, a significant financing gap will need to be bridged to increase cities' resilience. The decision as to which flood protection intervention to finance typically includes an analysis of primary costs (construction) and benefits (averted damages). However, an array of potential secondary benefits occur with increased flood protection that are often not assessed, such as increased well-being and ecosystem health. This review provides a timely overview of the secondary benefits of urban flood protection, a brief analysis of whether they have been included in cost-benefit analyses for investments in urban flood protection projects, and a discussion of methodological concerns. Of the twenty projects reviewed, fourteen make mention of secondary benefits, yet only four quantify them in their analysis. Advances in evaluation methodologies may reduce quantification challenges, but a move away from traditional cost-benefit analysis may be necessary to incorporate a full range of secondary benefits. Ultimately, we argue that a more thorough understanding of the secondary benefits of urban flood protection and their quantification methods could unlock additional financing for flood protection infrastructure, especially in urban centers of developing countries.

Accelerating carbon neutrality could help China's energy system align with below 1.5 °C.

To support the achievement of the Paris Agreement's 1.5 °C global warming threshold, China aims to peak CO2 emissions before 2030 and achieve carbon neutrality before 2060. However, the specific carbon neutrality pathway remains to be designed. By applying a refined Chinese version of Global Change Analysis Model, this study examines implications of four illustrative carbon neutrality scenarios for aligning China's energy system with below 1.5 °C by 2100. The results feature a trade-off between China's ambition to transform its energy system toward mid-century and its reliance on carbon dioxide removal (CDR) after carbon neutrality. From a full time perspective until 2100, accelerating carbon neutrality could help China's energy system align with below 1.5 °C. Compared to a 2060 carbon neutrality scenario, a 2050 carbon neutrality scenario reduces China's total mitigation costs between 2021 and 2100 by 1.04% of GDP, reduces reliance on CDR by 36%, and provides some additional co-benefits, such as reduced air pollutants. However, special attention needs to be paid to the fact that accelerating carbon neutrality poses greater challenges and costs to China in overcoming development inertia and restructuring its energy system over the next 30-40 years. Compared to a 2060 carbon neutrality scenario, a 2050 scenario increases China's mitigation costs by a factor of 1.13 between 2021 and 2050. This study suggests through quantitative evidence that China could accelerate emissions reductions and energy system transformation to achieve carbon neutrality, based on its national circumstances and capabilities and international support.

Climate co-benefits of VOC control policies in China based on a cross-scale approach.

Volatile organic compounds (VOC) contributing to smog formation, have been an important indicator of atmospheric governance during China's "14th Five-Year Plan". VOC would be possibly incorporated into the scope of environmental protection tax, but previous studies have seldom explored impacts of VOC control policies at national and regional levels. Here, we design a national uniform VOC control policy, as well as two regionally differentiated policies based on regional disparities in PM2.5 concentrations and energy intensity by using a cross-scale dynamic computable general equilibrium (CGE) model. Our analysis is to assess the impacts of these policies on VOC, CO2, sulfur dioxide (SO2), nitrogen oxides (NOX), and PM2.5 emissions, air quality and environmental equity, and to estimate health benefits, policy costs and net benefits. We find that national and regionally differentiated VOC control policies generally lead to VOC emission reductions and generate co-benefits on emission reductions in CO2, SO2, NOX and PM2.5 at national and provincial levels. However, regional emission leakage exists due to differences in the provincial costs of VOC mitigation. The regionally differentiated VOC pricing policies are found to be more effective to enhance environmental equity than the uniform policy. In particular, the regionally differentiated VOC control policy based on provincial energy efficiency is found to be superior to other policies in terms of improve air quality. Furthermore, the human health benefits associated with VOC pricing policies would partially offset policy costs at both the national and regional levels. Our results suggest that policymakers would pay attention to developing regions with low energy efficiency which have the great emission reduction potential. Advanced producing technology and further end-of-pipe control measures to reduce non-combustion PM2.5 emissions are needed. VOC policy designed based on provincial energy efficiency provides great insights for environmental policy making to accomplish 2035 goal of building a Beautiful China.

Optimisation of urban-rural nature-based solutions for integrated catchment water management.

Nature-based solutions (NBS) have co-benefits for water availability, water quality, and flood management. However, searching for optimal integrated urban-rural NBS planning to maximise co-benefits at a catchment scale is still limited by fragmented evaluation. This study develops an integrated urban-rural NBS planning optimisation framework based on the CatchWat-SD model, which is developed to simulate a multi-catchment integrated water cycle in the Norfolk region, UK. Three rural (runoff attenuation features, regenerative farming, floodplain) and two urban (urban green space, constructed wastewater wetlands) NBS interventions are integrated into the model at a range of implementation scales. A many-objective optimisation problem with seven water management objectives to account for flow, quality and cost indicators is formulated, and the NSGAII algorithm is adopted to search for optimal NBS portfolios. Results show that rural NBS have more significant impacts across the catchment, which increase with the scale of implementation. Integrated urban-rural NBS planning can improve water availability, water quality, and flood management simultaneously, though trade-offs exist between different objectives. Runoff attenuation features and floodplains provide the greatest benefits for water availability. Regenerative farming is most effective for water quality and flood management, though it decreases water availability by up to 15% because it retains more water in the soil. Phosphorus levels are best reduced by expansion of urban green space to decrease loading on combined sewer systems, though this trades off against water availability, flood, nitrogen and suspended solids. The proposed framework enables spatial prioritisation of NBS, which may ultimately guide multi-stakeholder decision-making, bridging the urban-rural divide in catchment water management.

Food, Health, and Mitigation of Climate change in Italy

OBJECTIVES: to provide evidence on how diet can influence health, greenhouse gas (GHG) emissions, and land use. DESIGN: cohort study. SETTING AND PARTICIPANTS: data collected in the EPIC Italy cohort (N. 47,749). MAIN OUTCOME MEASURES: hazard ratios (HR) for overall mortality and for cancer incidence in association with a sustainable diet (EAT-Lancet). RESULTS: sustainable diets are characterized by lower associated GHG emissions and lower land use (LU). Adherence to the guidelines proposed by the EAT-Lancet Commission was considered. This diet was associated with lower HRs for mortality and cancer incidence in EPIC Italy, estimated with Cox models accounting for potential confounders and stratified by sex. The hazard ratios for overall mortality showed a dose-response relationship with quartiles of diets associated with high GHG emissions, land use, and high distance from the EAT-Lancet diet calculated using a novel index, the EAT-Lancet distance index (EatDI). The HR for overall cancer incidence was also higher in the population with non-sustainable diets. CONCLUSIONS: the association among dietary GHG emissions, LU, and EatDI and overall mortality and overall cancer incidence suggests that promoting diets with low associated environmental impact can be an effective mitigation strategy with important co-benefits.

Lancet Countdown indicators for Italy: tracking progress on climate change and health

OBJECTIVES: to provide evidence of the health impacts of climate change in Italy. DESIGN: descriptive study. SETTING AND PARTICIPANTS: the indicators published in the 2022 Lancet Countdown report were adapted and refined to provide the most recent data relevant to Italy. MAIN OUTCOME MEASURES: twelve indicators were measured, organized within five sections mirroring those of the 2022 Lancet Countdown report: climate change impacts, exposures, and vulnerabilities; adaptation, planning, and resilience for health; mitigation actions and health co-benefits; economics and finance; and public and political engagement. RESULTS: the overall picture depicted by the analysis of the 12 indicators reveals two key findings. First, climate change is already affecting the health of Italian populations, with effects not being uniform across the Country and with the most vulnerable groups being disproportionately at risk. Second, results showed that Italy's mitigation response has been partial, with major costs to human health. Accelerated climate change mitigation through energy system decarbonisation and shifts to more sustainable modes of transport could offer major benefits to health from cleaner air locally and from more active lifestyles, and to climate change from reduction of global warming. The decarbonisation of agricultural systems would similarly offer health co-benefits to Italian population. Conclusions: through accelerated action on climate change mitigation, Italy has the opportunity of delivering major and immediate health benefits to its population. Developing a key set of local indicators to monitor the impacts of climate change and evaluate response actions, in terms of adaptation and mitigation, can help support and enhance policy and action to fight climate changes.

How do we best synergize climate mitigation actions to co-benefit biodiversity?

A multitude of actions to protect, sustainably manage and restore natural and modified ecosystems can have co-benefits for both climate mitigation and biodiversity conservation. Reducing greenhouse emissions to limit warming to less than 1.5 or 2°C above preindustrial levels, as outlined in the Paris Agreement, can yield strong co-benefits for land, freshwater and marine biodiversity and reduce amplifying climate feedbacks from ecosystem changes. Not all climate mitigation strategies are equally effective at producing biodiversity co-benefits, some in fact are counterproductive. Moreover, social implications are often overlooked within the climate-biodiversity nexus. Protecting biodiverse and carbon-rich natural environments, ecological restoration of potentially biodiverse and carbon-rich habitats, the deliberate creation of novel habitats, taking into consideration a locally adapted and meaningful (i.e. full consequences considered) mix of these measures, can result in the most robust win-win solutions. These can be further enhanced by avoidance of narrow goals, taking long-term views and minimizing further losses of intact ecosystems. In this review paper, we first discuss various climate mitigation actions that evidence demonstrates can negatively impact biodiversity, resulting in unseen and unintended negative consequences. We then examine climate mitigation actions that co-deliver biodiversity and societal benefits. We give examples of these win-win solutions, categorized as 'protect, restore, manage and create', in different regions of the world that could be expanded, upscaled and used for further innovation.

Assessment of the health benefits to children of a transportation climate policy in New York City.

BACKGROUND: Assessments of health and environmental effects of clean air and climate policies have revealed substantial health benefits due to reductions in air pollution, but have included few pediatric outcomes or assessed benefits at the neighborhood level. OBJECTIVES: We estimated benefits across a suite of child health outcomes in 42 New York City (NYC) neighborhoods under the proposed regional Transportation and Climate Initiative. We also estimated their distribution across racial/ethnic and socioeconomic groups. METHODS: We estimated changes in ambient fine particulate matter (PM2.5) and nitrogen dioxide (NO2) concentrations associated with on-road emissions under nine different predefined cap-and-invest scenarios. Health outcomes, including selected adverse birth, respiratory, and neurodevelopmental outcomes, were estimated using a program similar to the U.S. EPA BenMAP program. We stratified the associated monetized benefits across racial/ethnic and socioeconomic groups. RESULTS: The benefits varied widely over the different cap-and-investment scenarios. For a 25% reduction in carbon emissions from 2022 to 2032 and a strategy prioritizing public transit investments, NYC would have an estimated 48 fewer medical visits for childhood asthma, 13,000 avoided asthma exacerbations not requiring medical visits, 640 fewer respiratory illnesses unrelated to asthma, and 9 avoided adverse birth outcomes (infant mortality, preterm birth, and term low birth weight) annually, starting in 2032. The total estimated annual avoided costs are $22 million. City-wide, Black and Hispanic children would experience 1.7 times the health benefits per capita than White and Non-Hispanic White children, respectively. Under the same scenario, neighborhoods experiencing the highest poverty rates in NYC would experience about 2.5 times the health benefits per capita than the lowest poverty neighborhoods. CONCLUSION: A cap-and-invest strategy to reduce carbon emissions from the transportation sector could provide substantial health and monetized benefits to children in NYC through reductions in criteria pollutant concentrations, with greater benefits among Black and Hispanic children.

The Impact of Climate Change on Mental Health and Emotional Wellbeing: A Narrative Review of Current Evidence, and its Implications.

Converging global evidence highlights the dire consequences of climate change for human mental health and wellbeing. This paper summarises literature across relevant disciplines to provide a comprehensive narrative review of the multiple pathways through which climate change interacts with mental health and wellbeing. Climate change acts as a risk amplifier by disrupting the conditions known to support good mental health, including socioeconomic, cultural and environmental conditions, and living and working conditions. The disruptive influence of rising global temperatures and extreme weather events, such as experiencing a heatwave or water insecurity, compounds existing stressors experienced by individuals and communities. This has deleterious effects on people's mental health and is particularly acute for those groups already disadvantaged within and across countries. Awareness and experiences of escalating climate threats and climate inaction can generate understandable psychological distress; though strong emotional responses can also motivate climate action. We highlight opportunities to support individuals and communities to cope with and act on climate change. Consideration of the multiple and interconnected pathways of climate impacts and their influence on mental health determinants must inform evidence-based interventions. Appropriate action that centres climate justice can reduce the current and future mental health burden, while simultaneously improving the conditions that nurture wellbeing and equality. The presented evidence adds further weight to the need for decisive climate action by decision makers across all scales.

Ecosystem Benefits Provision of Green Stormwater Infrastructure in Chinese Sponge Cities.

The Sponge City Development (SCD) concept was initiated in 2012 to address severe urban flooding and water quality challenges in China. Green stormwater infrastructure (GSI) such as rain gardens have been adopted as critical stormwater management tools. Existing GSI research has focused primarily on their environmental performance, overlooking the human dimensions. The co-benefits of GSI have been particularly underinvestigated. We used social surveys (n = 607) and expert interviews (n = 11) to explore public perception of SCD and GSI in four pilot sponge cities, examining flood experience, stormwater concerns, GSI familiarity, institutional trust, and GSI benefit perception. The survey found high exposure to flooding, medium GSI familiarity, and strong institutional trust. The public showed greater concern on stormwater impacts on their quality-of-life than the water environment, rating the less-intended aesthetic and health values as the best-perceived benefits. Experience, familiarity, concern, trust, age, and city significantly affected GSI benefit perception. In contrast, the experts spoke more positively about the environmental benefits while indicating the inadequacy of public participation. The case of GSI in SCD offers broad implications for environmental governance and expert-public relationships in an era of rapid social, technological, and environmental change. Refining policies and regulations to incorporate social goals, bringing the public into the SCD process, and building up the GSI industry's capacity in planning, design, construction, and maintenance are critical to enhancing GSI benefits provision. Adopting the co-benefits approach will be essential to utilizing GSI as a place-making tool to create more sustainable and livable communities.

Transitioning to low-GWP alternatives with enhanced energy efficiency in cooling non-residential buildings of China.

The electricity demand for space cooling in the non-residential building (NRB) sector of China is growing significantly and is becoming increasingly critical with rapid economic development and mounting impacts of climate change. The growing demand for space cooling will increase global warming due to emissions of hydrofluorocarbons used in cooling equipment and carbon dioxide emissions from the mostly fossil fuel-based electricity currently powering space cooling. This study uses the Greenhouse Gas and Air Pollution Interaction and Synergies (GAINS) model framework to estimate current and future emissions of hydrofluorocarbons and their abatement potentials for space cooling in the NRB sector of China and assess the co-benefits in the form of savings in electricity and associated reductions in greenhouse gas (GHG), air pollution, and short-lived climate pollutant emissions. Co-benefits of space cooling are assessed by taking into account (a) regional and urban/rural heterogeneities and climatic zones among different provinces; (b) technical/economic energy efficiency improvements of the cooling technologies; and (c) transition towards lower global warming potential (GWP) refrigerants under the Kigali Amendment. Under the business-as-usual (BAU) scenario, the total energy consumption for space cooling in the NRB sector will increase from 166 TWh in 2015 to 564 TWh in 2050, primarily due to the rapid increase in the floor space area of non-residential buildings. The total GHG mitigation potential due to the transition towards low-GWP refrigerants and technical energy efficiency improvement of cooling technologies will approximately be equal to 10% of the total carbon emissions from the building sector of China in 2050. Supplementary Information: The online version contains supplementary material available at 10.1007/s11027-022-10021-w.