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The Sustainable Development Goals (SDGs) have set the agenda for 2030, calling for collective global efforts to deal with climate change while seeking a balance between economic development and environmental protection. Although many countries are exploring emission reduction paths, mainly from government and corporate perspectives, addressing climate change is also an individual responsibility and requires public participation in collective action. The millennial generation constitutes the current workforce and will be the leaders in climate action for the next 30 years. Therefore, our study focuses on the Chinese millennial generation, conducting in-depth semi-structured interviews with 50 participants in qualitative research to explore their low-carbon lifestyles, the barriers, and enablers in switching to a wider range of low-carbon lifestyles. There are three main results: (1) Based on our study samples, there is an indication that Chinese millennials have a positive attitude towards transitioning to a low-carbon lifestyle. Women demonstrate a stronger willingness to adopt low-carbon behaviors in their daily household activities compared to men. However, their involvement in governance in the context of transitioning to a low-carbon society is limited, with most women assuming execution roles in climate action rather than decision-making positions. (2) Millennial’s low-carbon life transition is accompanied by technological innovation and progress. However, this progress brings some new forms of resource waste, and reasonable policy-making is essential. (3) Personal economic interests and the satisfaction of their consumption needs will drive millennials to reduce carbon emissions in their daily lives, but it requires the guidance of reasonable policy-making and synergies among various stakeholders. This research will help policymakers better understand the current status and potential issues related to people’s low-carbon actions, enabling the formulation of more rational guiding policies. It can also help other stakeholders learn about millennials’ demands and take more effective collective action toward carbon reduction.

Circumpolar Indigenous People, such as the Sámi, confront significant challenges stemming from environmental shifts and interrelated issues, profoundly affecting their mental health. Nonetheless, they possess invaluable knowledge and capabilities to navigate and adapt to these transformations. This review aims to investigate peer-reviewed scientific literature, exploring the nexus between environmental changes and mental well-being within the broader Circumpolar Indigenous community, with a special focus on the Sámi People. Conducting a systematic literature review with two arms, one encompassing the broader Circumpolar Indigenous population and the other focusing specifically on the Sámi, followed by thematic analysis, we delved into their experiences of environmental changes, perceptions regarding the intertwining of environmental shifts and mental well-being, and insights into protective factors and resilience-promoting elements. By engaging with Indigenous perspectives, public health initiatives can pinpoint and leverage existing strengths within Indigenous communities and families to bolster their ability to navigate environmental shifts and safeguard mental well-being. However, our review highlighted a lack of scientific investigation of ’strength-based’ factors fostering mental resilience among Indigenous populations inhabiting the Circumpolar North, such as the Sámi. Future qualitative research can address this gap, incorporating the viewpoints of individual Circumpolar Indigenous groups to explore both their distinctiveness and interconnectedness.

[This corrects the article DOI: 10.1371/journal.pone.0254880.].

IntroductionAmbient ozone pollution becomes critical in China. Conclusions on the short-term effects of ozone on cardiovascular mortality have been controversial and limited on cause-specific cardiovascular mortalities and their interactions with season and temperature. This research aimed to investigate the short-term effects of ozone and the modifications of season and temperature on cardiovascular mortality.MethodsCardiovascular death records, air pollutants, and meteorological factors in Shenzhen from 2013 to 2019 were analyzed. Daily 1-h maximum of ozone and daily maximum 8-h moving average of ozone were studied. Generalized additive models (GAMs) were applied to evaluate their associations with cardiovascular mortalities in sex and age groups. Effect modifications were assessed by stratifying season and temperature.ResultsDistributed lag impacts of ozone on total cardiovascular deaths and cumulative effects on mortality due to ischemic heart disease (IHD) were most significant. Population under 65 years old was most susceptible. Majority of significant effects were found in warm season, at high temperature, and at extreme heat. Ozone-associated risks in total deaths caused by hypertensive diseases reduced in warm season, while risks in IHD in males increased at high temperature. Extreme heat enhanced ozone effects on deaths caused by CVDs and IHD in the population under 65 years old.DiscussionThe revealed cardiovascular impacts of ozone below current national standard of air quality suggested improved standards and interventions in China. Higher temperature, particularly extreme heat, rather than warm season, could significantly enhance the adverse effects of ozone on cardiovascular mortality in population under 65 years old.

Urban green space (UGS) has important impacts on human health, but an integrated participatory approach to UGS design for improved residents’ health has been lacking to date. The aim of our study was to develop and evaluate such a novel approach to address this gap. The approach was developed following guiding principles from the literature and tested with groups of children and elderly as participants in two neighborhoods of Maastricht (The Netherlands) with a low score in economic and health indicators. The novel aspects of the approach are the inclusion of both positive and negative health effects, the combination of resident self-assessment and model-based assessment of the health effects of UGS designs, and the use of maps to visualize UGS designs and health effects. The participant-generated UGS designs resulted in a considerable (up to fourfold) self-assessed increase in the use of the UGSs for meeting, stress reduction, and leisure-based physical activity as compared to the current situation. The model-assessed positive and negative health effects of the participant-generated UGS designs were limited: heat stress slightly decreased (by 0.1 °C), active transport slightly increased (by 30 m per day), and the perceived unsafety slightly increased (8%). The effects on unattractive views, air pollution, tick bite risk, and traffic unsafety were negligible. The major strength of this approach is that it combines active participation of residents in UGS (re)design with assessment of the health effects of these UGS designs. While in other participatory approaches to UGS design, it often remains unclear whether the resulting designs represent an improvement in terms of health, our combination of computer model-based assessment and a participatory process produced clear outcomes regarding the health benefits and use of UGS designs. A major recommendation for improvement is to involve decision makers already in the initial steps of the approach.

The First European Planetary Health Congress, held from 5 to 7 July 2023 at ARTIS in Amsterdam, represented a significant milestone in the global movement of Planetary Health. The event brought together 121 attendees from academia and the private sector dedicated to addressing the impact of human disruptions to natural systems on the well-being of life on Earth. Co-organized by Natura Artis Magistra (ARTIS) and the European Hub of the Planetary Health Alliance (PHA), the Congress featured five workshops: The Future of Planetary Health Cities, Impact through Synergy, Planetary Health Education, Movement Building, and Food and Microbes. Oral presentations addressed the theme of how human health and the health of human civilization depend on the natural environment, including subthemes on Earth, Water, and Food. Additionally, the subtheme of Humans reflected on how humanity can thrive within Planetary Boundaries and how to imagine a prosperous future for all life on Earth. The First European Planetary Health Congress offered a platform for fostering sustainable, just, and equitable societies within ecological limits. Accordingly, ARTIS and the European Hub aim to shape a hopeful future for generations to come.

A sustainable diet is widely recognized as an effective way to solve environmental and healthy dilemmas. Due to economy improvement, food consumption is undergoing a dietary transition toward more animal-based products. However, very few studies explored how geographical locations are correlated with dietary environmental footprints. Here, we quantified the per capita ecological footprint (EFP) and Greenhouse gas (GHG) emissions of Chinese people’s food consumption during the 2015 to 2020 period. Our results showed that the southern residents with high per capita disposable income (PCDI) showed the highest EFP (0.596 ha) and GHG emissions (1946 kgCO2eq), and the northern residents with low PCDI showed the lowest EFP (0.368 ha) and GHG emissions (1260 kgCO2eq). The overconsumption of meat is severe in China, and southern high PCDI residents annually consumed 116.7% more than they need. The EFP and GHG emissions were significantly related to geographical locations (i.e., southern and northern areas), direct economic indicators (i.e., PCDI and food expenditure), and indirect economic indicators (i.e., urban and rural status, and East-Central-West areas) (all p

A new network of over 72 organizations from 12 countries was activated during a convening at ARTIS in Amsterdam on 26–27 September 2022. Representatives are aligned with the transdisciplinary field and social movement of Planetary Health, which analyzes and addresses the impacts of human disruptions to natural systems on human health and all life on Earth. The new European Planetary Health Hub consists of organizations from various sectors, including universities, healthcare, youth, business, and civil society. The Convening, co-organized by the Planetary Health Alliance (PHA), the European Environment and Sustainable Development Advisory Councils Network (EEAC), and Natura Artis Magistra (ARTIS), aimed to develop Planetary Health Working Groups for Education, Policy Engagement, Research, and Movement Building. The Convening resulted in an outline for each of the Working Group’s aims, visions, missions, priorities, and activities, and set the framework for sustaining their activities in the future through the establishment of the European Planetary Health Hub Secretariat in the Netherlands. The Hub members shared lessons learned, built relationships, and developed artwork-inspired perspectives on Planetary Health. In conclusion, the Convening led to the establishment of a strong European foundation to contribute to the transformations needed for sustainable, just, and equitable societies that flourish within the limits of our ecosystems.

Higher education institutes (HEI) face considerable challenges in navigating how to respond to the escalating and intertwined socio-ecological sustainability crises. Many dedicated individuals working in the sector are already driving meaningful action through rigorous research, teaching, knowledge sharing, and public engagement, while there is a growing consensus that sector-wide change is needed to ensure that aspirational declarations and positive individual actions translate into sustainable and transformative change. This article seeks to contribute to such efforts by illustrating a number of trends, examples, and reflections on how third-level educational institutes can act sustainably. We highlight the potential of five strategies HEI could employ to support the creation of a more sustainable future namely, (i) innovative approaches to climate change education; (ii) research agendas for societal transformations; (iii) providing climate change education for professional development; (iv) supporting public intellectuals; and (iv) investing in whole-systems approaches to greening the campus. The insights are the product of an interdisciplinary working group with members from across Europe, Australia, and the UK. These international examples provide insight and a sense of possibility for future application.

Idealism and relativism are components of ethical ideologies which have been explored in relation to animal welfare and attitudes, and potential cultural differences. The present study investigated how ethical ideologies influenced attitude toward animals among undergraduate students. With the help of stratified random sampling, 450 participants were selected from both private and public sector universities in Pakistan. Research instruments consisted of a demographic sheet, the Ethics Position Questionnaire (EPQ), the Animal Attitude Scale—10-Item Version (AAS-10), and Animal Issue Scale (AIS). The study hypotheses were explored by employing various statistical analyses like Pearson Product Moment Correlation, independent sample t-test, ANOVA, and linear regression. Results revealed that there was a significant positive relationship between ethical ideologies (idealism and relativism) and attitude toward animals in students. Results further showed that students who consumed meat less frequently scored higher on relativism as compared to those who consumed meat more frequently (however, the effect size was small). It was also found that senior students held more idealistic ideologies as compared to freshman students. Finally, idealism positively predicted concern for animal welfare among students. The current study shed light on how ethical ideologies can shape and influence animal welfare. It further highlighted the potential cultural differences for the study variables by allowing for comparison with other published studies. By understanding these dynamics better, researchers will be better equipped to help students become informed citizens that may also influence future decision-making processes.

Background: Climate change presents an unprecedented and urgent threat to human health and survival. South Africa’s health response will require a strong and effective intersectoral organisational effort. Aim: Exploratory interview outcomes are used to advance practice and policy recommendations, as well as for broad input in the development of a draft national framework for a health risk and vulnerability assessment (RVA) for national departments. Setting: Nationally in South Africa. Method: Twenty key expert interviews were conducted with South African experts in the field of climate change and health. Interview data was analysed by means of thematic content analysis. Results: Findings suggest that previously poor communities are most at risk to the impacts of climate change on health, as well as those with underlying medical conditions. Climate change may also serve as a catalyst for improving the healthcare system overall and should serve as the conduit to do so. A draft climate change and health RVA should take into account existing frameworks and should be implemented by local government. It is also critical that the health and health system impacts from climate change are well understood, especially in light of the plans to implement the (South African) National Health Insurance (NHI) scheme. Conclusion: Practice and policy initiatives should be holistic in nature. Consideration should be given to forming a South African National Department of Climate Change, or a similar coordinating body between the various national departments in South Africa, as health intercepts with all other domains within the climate change field.

Several studies show that religion hinders concerns for the natural environment preservation. Others, however, have found that the belief in God or the identification with a particular religion is not associated with measures for environmental concerns. This study investigates the influence of religious narrative framing and the relation between Allport's intrinsic personal (IP) and extrinsic social (ES) religious orientation towards general environmental apathy (GEA) and acceptability for harming animals (AIS). This study surveyed 657 teachers and school staff in East Java, Indonesia. Using ANOVA, we find that religious narrative affects participant's GEA and AIS. Participants in stewardship narrative group have significantly lower GEA and AIS compared to participants in human dominance and the non-narratives control group. Using multiple regression, we also confirm the persistence of religious narrative's influence towards GEA. In addition, lower GEA and AIS correlate with higher IP and lower ES. Lastly, we identify and discuss significant demographic and other determinants relation to GEA and AIS.

BackgroundDengue is a prioritized public health concern in China. Because of the larger scale, more frequent and wider spatial distribution, the challenge for dengue prevention and control has increased in recent years. While land use and land cover (LULC) change was suggested to be associated with dengue, relevant research has been quite limited. The "Open Door" policy introduced in 1978 led to significant LULC change in China. This systematic review is the first to review the studies on the impacts of LULC change on dengue dynamics in China. This review aims at identifying the research evidence, research gaps and provide insights for future research.MethodsA systematic literature review was conducted following the PRISMA protocol. The combinations of search terms on LULC, dengue and its vectors were searched in the databases PubMed, Web of Science, and Baidu Scholar. Research conducted on China published from 1978 to December 2019 and written in English or Chinese was selected for further screening. References listed in articles meeting the inclusion criteria were also reviewed and included if again inclusion criteria were met to minimize the probability of missing relevant research.Results28 studies published between 1978 and 2017 were included for the full review. Guangdong Province and southern Taiwan were the major regional foci in the literature. The majority of the reviewed studies observed associations between LULC change factors and dengue incidence and distribution. Conflictive evidence was shown in the studies about the impacts of green space and blue space on dengue in China. Transportation infrastructure and urbanization were repeatedly suggested to be positively associated with dengue incidence and spread. The majority of the studies reviewed considered meteorological and sociodemographic factors when they analyzed the effects of LULC change on dengue. Primary and secondary remote sensing (RS) data were the primary source for LULC variables. In 21 of 28 studies, a geographic information system (GIS) was used to process data of environmental variables and dengue cases and to perform spatial analysis of dengue.ConclusionsThe effects of LULC change on the dynamics of dengue in China varied in different periods and regions. The application of RS and GIS enriches the means and dimensions to explore the relations between LULC change and dengue. Further comprehensive regional research is necessary to assess the influence of LULC change on local dengue transmission to provide practical advice for dengue prevention and control.

With the increasingly common practice of Animal-Assisted Services (AAS), whether in therapy, coaching, education, or volunteering programs, the concern over animal welfare has also risen. However, no standards have yet been established for good practices to ensure the animal’s mental health. This is largely due to the wide variety of roles played by animals in interventions and the lack of ‘job descriptions’ for the animal in diverse settings. Some professionals call their animal a ‘volunteer’, others mention that some directive guidance is given to the therapy animal, and some assistance animals are highly trained. Misunderstandings could be avoided if the integrated animal were to receive a justifiable label: volunteer or professional. Choosing either one comes with obligations for the owner, handler, or therapist. In this paper, we compare the roles of human volunteers and professionals to the roles of animals involved in therapy. We also demonstrate the obligations that come along with the decision to label animals as such either volunteers or professionals. Furthermore, we make a plea for animal-friendly interventions, whether in a volunteer position or as a professional, in order to stimulate the animal’s cooperation and motivation. Studying dopamine and translating the findings into context-ethograms can provide a way to judge behavior more objectively.

There is ample research supporting White's (1967) thesis, which postulates that religion and religious belief inhibit ecological concerns. This study thus seeks to explore the relationship between individuals' acceptability for harming animals as one representation of ecological concern (measured using Animal Issue scale (AIS)) and their religious belief (measured using Religious Orientation Scale (ROS)) and ethical ideology (measured using Ethical Position Questionnaire (EPQ)). The study surveyed 929 Muslim teachers and school staff in East Java, Indonesia. We found that ROS correlates with EPQ whereby intrinsic personal (IP) relates with idealism while extrinsic social religious orientation (ES)-where religion is perceived as an instrument for social gain, membership and support-relates with relativism. However, using multiple regression analysis to examine both EPQ and ROS relation to acceptability for harming animals suggests mixed results. We found that, idealism and IP relate to a lower acceptability for harming animals, while relativism and ES correlate to a higher acceptability for harming animals. In another model where we calculate all the main variables with all the demographical and other determinants, we found that only ROS consistently relates to acceptability for harming animals. Additionally, we identify, explain and discuss significant demographic determinants along with this study's limitations.

Since the beginning of the COVID-19 pandemic, various animal species were found to be susceptible to SARS-CoV-2 infection. The close contact that exists between humans and cats warrants special attention to the role of this species. Therefore, a scoping review was performed to obtain a comprehensive overview of the existing literature, and to map key concepts, types of research, and possible gaps in the research. A systematic search of the databases PubMed, Google Scholar, and Scopus and the preprint servers medRxiv and bioRxiv was performed. After a two-step screening process, 27 peer-reviewed articles, 8 scientific communication items, and 2 unpublished pre-prints were included. The main themes discussed were susceptibility to SARS-CoV-2, induced immunity, prevalence of infection, manifestation of infection, interspecies transmission between humans and cats, and lastly, intraspecies transmission between cats. The main gaps in the research identified were a lack of large-scale studies, underrepresentation of stray, feral, and shelter cat populations, lack of investigation into cat-to-cat transmissions under non-experimental conditions, and the relation of cats to other animal species regarding SARS-CoV-2. Overall, cats seemingly play a limited role in the spread of SARS-CoV-2. While cats are susceptible to the virus and reverse zoonotic transmission from humans to cats happens regularly, there is currently no evidence of SARS-CoV-2 circulation among cats.

Transmission of experience about prey and habitat supports the survival of next generation of wolves. Thus, the parent pack (PP) can affect whether young migrating wolves (loners) kill farm animals or choose to be in human environments, which generates human–wolf conflicts. Therefore, we researched whether the behavior of loners resembles PP behavior. After being extinct, 22 loners had entered the Netherlands between 2015 and 2019. Among them, 14 could be DNA-identified and linked with their PPs in Germany. Some loners were siblings. We assessed the behavior of each individual and PP through a structured Google search. PP behavior was determined for the loner’s rearing period. Similarity between loner and PP behavior was significant (p = 0.022) and applied to 10 of 14 cases: like their PPs, three loners killed sheep and were near humans, five killed sheep and did not approach humans, while two loners were unproblematic, they did not kill sheep, nor were they near humans. Siblings behaved similarly. Thus, sheep killing and proximity to humans may develop during early-life experiences in the PP. However, by negative reinforcement that can be prevented. New methods are suggested to achieve that. As a result, new generations may not be problematic when leaving PPs.

Recently, studies in the United States and European countries have shown that the degree of attachment is associated with the attribution of emotions to companion animals. These studies imply that investigating the degree of attachment to companion animals is a good way for researchers to explore animal emotions and then improve animal welfare. Although a promising area of study, in Japan, no empirical studies have examined the correlation between the degree of attachment and the attribution of emotions to companion animals. In this research, we aimed to assess companion animal owners' attribution of six primary (anger, joy, sadness, disgust, fear and surprise) and four secondary (shame, jealousy, disappointment and compassion) emotions to their dogs and cats, as well as how the degree of attachment related to such attribution of emotions from a Japanese cultural perspective. The "Pet Bonding Scale" (PBS), which is used to determine the level of bonding between humans and animals, was introduced to measure respondents' degree of attachment to their companion animals. The results of a questionnaire (N = 546) distributed throughout Japan showed that respondents attributed a wide range of emotions to their animals. Companion animals' primary emotions, compared to secondary emotions, were more commonly attributed by their owners. The attribution of compassion and jealousy was reported at a high level (73.1% and 56.2%, respectively), which was surprising as compassion and jealousy are generally defined as secondary emotions. All participants were highly attached to their companion animals, and this attachment was positively associated with the attribution of emotions (9/10) to companion animals (all p < 0.05). This study is one of the first to investigate animal emotions by analyzing the bonding between companion animals and owners in Japan, and it can therefore provide knowledge to increase Japanese people's awareness of animal welfare.

Climate change is considered to be a significant influence for infectious disease risk in Western Europe. Climatic and non-climatic developments act together resulting in current and future infectious disease risk. This study uses a survey to explore Dutch expert perspectives on climate change induced infectious disease risk. The results show that the experts consider temperature change, precipitation change, humidity change, and climate change induced habitat change to be relatively important for water-related infectious disease risk, vector-borne disease risk excluding zoonoses, and the risk of zoonoses. The climatic drivers are seen as relatively less important for food-related infectious disease risk. The experts rate many non-climatic drivers to be highly important for infectious disease risk. Comparatively, the majority of the non-climatic drivers assessed are seen as more important than climate change drivers. The degree of uncertainty in the future development of climatic drivers is viewed as moderate to high, and for non-climatic drivers mostly as moderate. An analysis of subsamples based on professional backgrounds reveals differences in experts’ opinions for e.g., socio-cultural drivers, and similarities. Diversity and consensus amongst expert perspectives on climate change and infectious diseases can have implications for policy. Further research to uncover and compare prevailing perspectives is necessary.

The social context and culture in which individuals grow shapes their perspectives through life. Early on, children learn about animals through storybooks, animated movies, toys, and through interactions with pets and wildlife, and will slowly start to build beliefs around those experiences. Their attitudes towards animals will be influenced by a number of factors, including: sex, age, nationality/ethnicity, residence area, animal-related activities and hobbies, food habits, culture/religion education, and pet ownership. A case study of Dutch and Belgian high school students (aged 12–21) investigated the attitudes of young people towards animals. By using the Animal Attitude Scale (AAS) and the Animal Issue Scale (AIS) questionnaires, our study shows that levels of concern for animal welfare were distinctly higher among: female participants; those who ate little to no meat; Belgian students; pet owners; and those who had been to a zoo at least once. In general, students who reported having more contact with animals also had more positive attitudes towards animals. To understand younger generations and their attitudes toward animals is to understand how future generations will look towards and treat our fellow animals, with which we share the planet Earth.

Introduction: Dengue fever (DF) in Vietnam remains a serious emerging arboviral disease, which generates significant concerns among international health authorities. Incidence rates of DF have increased significantly during the last few years in many provinces and cities, especially Hanoi. The purpose of this study was to detect DF hot spots and identify the disease dynamics dispersion of DF over the period between 2004 and 2009 in Hanoi, Vietnam. Methods: Daily data on DF cases and population data for each postcode area of Hanoi between January 1998 and December 2009 were obtained from the Hanoi Center for Preventive Health and the General Statistic Office of Vietnam. Moran's I statistic was used to assess the spatial autocorrelation of reported DF. Spatial scan statistics and logistic regression were used to identify space–time clusters and dispersion of DF. Results: The study revealed a clear trend of geographic expansion of DF transmission in Hanoi through the study periods (OR 1.17, 95% CI 1.02–1.34). The spatial scan statistics showed that 6/14 (42.9%) districts in Hanoi had significant cluster patterns, which lasted 29 days and were limited to a radius of 1,000 m. The study also demonstrated that most DF cases occurred between June and November, during which the rainfall and temperatures are highest. Conclusions: There is evidence for the existence of statistically significant clusters of DF in Hanoi, and that the geographical distribution of DF has expanded over recent years. This finding provides a foundation for further investigation into the social and environmental factors responsible for changing disease patterns, and provides data to inform program planning for DF control.

Indicators by themselves tell us little about how well a system is progressing in relation to the goal of sustainability. Especially at the regional level, existing indicator frameworks do not typically permit the inclusion of relevant region-specific information. Furthermore, they do not provide comprehensive information on overall system sustainability. The real challenge is not to identify indicators–there are hundreds of good lists–but to seek out the best way to put all of them to work. The INSURE project, carried out in four case-study regions in Europe (including the Limburg region of The Netherlands), attempted to develop an adaptive indicator framework for integrated monitoring of sustainable development. During the project, it became increasingly clear that indicators are not only more meaningful when viewed within the context of the whole system, but also that science and policy play different, but complementary, roles. This article discusses the challenges and the lessons learned during the Limburg project.

This article examines the notion of sustainable development that has emerged as a new normative orientation of Western society. We argue that sustainable development is an inherently subjective concept and for this reason re-quires deliberative forms of governance and assessment. We outline the contours of sustainability science as a new form of science, complementing traditional science. Such science is to be used in service to reflexive modes of governance, for which we outline the general principles and offer a practical illustration, the transition-management model. The example shows that it is possible to work toward sustainable development as an elusive goal through provisional knowledge about our needs and systems to satisfy these needs. Heterogeneous local understandings and appreciations are not suppressed but drawn into the transition process in various ways such as participatory integrated assessment and social deliberation. The social interest in sustainable development is exploited without falling into the modernistic trap of rational decision making that disregards local cultures.

It is clear that in making the concept of sustainable development concrete, one has to take into account a number of practical elements and obstacles. There is little doubt that integrated approaches are required to support sustainable development. Therefore, a new research paradigm is needed that is better able to reflect the complexity and the multidimensional character of sustainable development. The new paradigm, referred to as sustainability science, must be able to encompass different magnitudes of scales (of time, space, and function), multiple balances (dynamics), multiple actors (interests) and multiple failures (systemic faults). I also think that sustainability science has to play a major role in the integration of different styles of knowledge creation in order to bridge the gulf between science, practice, and politics—which is central to successfully moving the new paradigm forward.

Reports of malaria are increasing in many countries and in areas thought free of the disease. One of the factors contributing to the reemergence of malaria is human migration. People move for a number of reasons, including environmental deterioration, economic necessity, conflicts, and natural disasters. These factors are most likely to affect the poor, many of whom live in or near malarious areas. Identifying and understanding the influence of these population movements can improve prevention measures and malaria control programs.

This paper reviews the health dimension and sociocultural, economic, and ecological determinants of health in existing global scenario studies. Not even half of the 31 scenarios reviewed gave a good description of future health developments and the different scenario studies did not handle health in a consistent way. Most of the global driving forces of health are addressed adequately in the selected scenarios, however, and it therefore would have been possible to describe the future developments in health as an outcome of these multiple driving forces. To provide examples on how future health can be incorporated in existing scenarios, we linked the sociocultural, economic, and environmental developments described in three sets of scenarios (special report on emission scenarios (SRES), global environmental outlook-3 (GEO3), and world water scenarios (WWS)) to three potential, but imaginary, health futures ("age of emerging infectious diseases", "age of medical technology", and "age of sustained health"). This paper provides useful insights into how to deal with future health in scenarios and shows that a comprehensive picture of future health evolves when all important driving forces and pressures are taken into account.