RESEARCH AGENDA
Global environmental change and human health
Global environmental change and human health: a public health research agenda
Correspondence to:
Correspondence to:
Professor Johan P Mackenbach
Department of Public Health, Erasmus Medical Center, PO Box 2040, 3000 CA Rotterdam, The Netherlands; j.mackenbach@erasmusmc.nl
Research into the health effects of global environmental changes is important
| The first 150 words of the full text of this article appear below. |
Environmental problems, and our perceptions of their current and future health effects, have changed over the decades. About 20–40 years back, public health was most concerned about localised environmental degradation, as exemplified by air and water pollution. Although it was often difficult to measure the direct health effects, the paradigm of public health worked reasonably well to cope with these problems. As a result, some of the localised environmental problems of the 20th century have been solved, at least in the richer parts of the world.1
We have since become aware, however, of the threats to human health which operate at a much larger geographical scale, and which, because of their non-localised character, are even more difficult to investigate. All these "global environmental changes" are due to increased human pressure on the environment, of which the main drivers are population growth and an increase
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