Bulletin of Chinese Academy of Sciences (Chinese Version)
Keywords
planetary health, humans and nature, public health, One Health, interdisciplinary integration
Abstract
Against the backdrop of deeply intertwined global environmental change, biodiversity loss, and health risks, Planetary Health is emerging as a new interdisciplinary field that is gradually becoming the scientific frontier for understanding harmonious coexistence between humans and nature. This study systematically reviews the evolution of Planetary Health from the “Planetary Boundaries” theory to a comprehensive disciplinary framework. Through a paradigmatic comparison with concepts such as public health, global health, and One Health, it reveals that the core breakthrough of Planetary Health lies in redefining human health as an endogenous variable embedded within the stability of Earth’s natural systems. Three major challenges to achieving Planetary Health are identified: the imbalance in the safe operating space of food systems relative to Earth’s life-support systems, the systemic disruption of biogeochemical cycles caused by the exponential growth of synthetic substances, and the unintended systemic consequences arising from energy transitions. These challenges generate cross-scale cascading effects through two mechanisms—“positive feedback driving and negative feedback destabilization” as well as “local interventions and global hidden risks”. Using pesticides, antibiotics, and atmospheric carbon dioxide as case studies, this study further elucidates these mechanisms and pathways. Looking ahead, it is essential to build a Planetary Health disciplinary system with Chinese characteristics by: strengthening the core paradigm and knowledge system of the “human-nature coupled system”; developing infrastructure for multi-source data integration and intelligent analysis; establishing a closed-loop translation mechanism from risk early warning to governance intervention. These efforts will enhance China’s capacity for international engagement and academic leadership in the field of Planetary Health, contributing Chinese wisdom to global Planetary Health governance.
First page
1478
Last Page
1488
Language
Chinese
Publisher
Bulletin of Chinese Academy of Sciences
References
[1] 侯建国. 强化科技赋能绿色发展 促进人与自然和谐共生. 中国科学院院刊, 2025, 40(9): 1481-1482. Hou J G. Strengthen S&T empowered green development to promote harmonious coexistence between human and nature. Bulletin of Chinese Academy of Sciences, 2025, 40(9): 1481-1482. (in Chinese)
[2] Horton R, Beaglehole R, Bonita R, et al. From public to planetary health: A manifesto. The Lancet, 2014, 383(9920): 847.
[3] Rockström J, Steffen W, Noone K, et al. A safe operating space for humanity. Nature, 2009, 461: 472-475.
[4] Steffen W, Richardson K, Rockström J, et al. Planetary boundaries: Guiding human development on a changing planet. Science, 2015, 347: 1259855.
[5] van Vuuren D P, Doelman J C, Schmidt Tagomori I, et al. Exploring pathways for world development within planetary boundaries. Nature, 2025, 641: 910-916.
[6] 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. The Lancet, 2015, 386: 1973-2028.
[7] Zhu Y G, Zhao Y, Zhu D, et al. Soil biota, antimicrobial resistance and planetary health. Environment International, 2019, 131: 105059.
[8] 朱永官. 星球健康. 北京: 科学出版社, 2025. Zhu Y G. Planetary Health. Beijing: Science Press, 2025. (in Chinese)
[9] 曾光, 黄建始. 公共卫生的定义和宗旨. 中华医学杂志, 2010, 90(6): 367-370. Zeng G, Huang J S. Understanding the definition and the mission of public health correctly. Chinese Medical Journal, 2010, 90(6): 367-370. (in Chinese)
[10] Watts N, Adger W N, Agnolucci P, et al. Health and climate change: Policy responses to protect public health. The Lancet, 2015, 386: 1861-1914.
[11] Koplan J P, Bond T C, Merson M H, et al. Towards a common definition of global health. The Lancet, 2009, 373: 1993-1995.
[12] 任明辉. 全球健康概论. 北京: 人民卫生出版社, 2016. Ren M H. An Introduction to Global Health. Beijing: People’s Medical Publishing House, 2016. (in Chinese)
[13] Jamison D T, Summers L H, Chang A Y, et al. Global health 2050: The path to halving premature death by mid-century. The Lancet, 2024, 404: 1561-1614.
[14] Bedford J, Farrar J, Ihekweazu C, et al. A new twenty-first century science for effective epidemic response. Nature, 2019, 575: 130-136.
[15] Keenum I, Berendonk T U, Bonnedahl J, et al. Towards One Health action for addressing antimicrobial resistance in the age of polycrisis. Nature Sustainability, 2026, 9(1): 24-34.
[16] Peyre M, Rabold D, Jamal N, et al. Prevent pandemics through One Health commitments. Nature, 2026, 651: 550.
[17] Haines A, Whitmee S, Horton R. Planetary health: A call for papers. The Lancet, 2014, 384: 479-480.
[18] Horton R, Lo S. Planetary health: A new science for exceptional action. The Lancet, 2015, 386: 1921-1922.
[19] Carlson K M, Gerber J S, Mueller N D, et al. Greenhouse gas emissions intensity of global croplands. Nature Climate Change, 2017, 7(1): 63-68.
[20] Crippa M, Solazzo E, Guizzardi D, et al. Food systems are responsible for a third of global anthropogenic GHG emissions. Nature Food, 2021, 2(3): 198-209.
[21] Ceaușu S, Leclère D, Newbold T. Geography and availability of natural habitat determine whether cropland intensification or expansion is more detrimental to biodiversity. Nature Ecology & Evolution, 2025, 9(6): 993-1008.
[22] Wolfram J, Bussen D, Bub S, et al. Increasing applied pesticide toxicity trends counteract the global reduction target to safeguard biodiversity. Science, 2026, 391: 616-621.
[23] Jasechko S, Seybold H, Perrone D, et al. Rapid groundwater decline and some cases of recovery in aquifers globally. Nature, 2024, 625: 715-721.
[24] Maggi F, Tang F H M, Tubiello F N. Agricultural pesticide land budget and river discharge to oceans. Nature, 2023, 620: 1013-1017.
[25] Willett W, Rockström J, Loken B, et al. Food in the Anthropocene: The EAT-Lancet Commission on healthy diets from sustainable food systems. The Lancet, 2019, 393: 447-492.
[26] Elhacham E, Ben-Uri L, Grozovski J, et al. Global human-made mass exceeds all living biomass. Nature, 2020, 588: 442-444.
[27] Escher B I, Stapleton H M, Schymanski E L. Tracking complex mixtures of chemicals in our changing environment. Science, 2020, 367: 388-392.
[28] Monclús L, Arp H P H, Groh K J, et al. Mapping the chemical complexity of plastics. Nature, 2025, 643: 349-355.
[29] Allen S, Allen D, Phoenix V R, et al. Atmospheric transport and deposition of microplastics in a remote mountain catchment. Nature Geoscience, 2019, 12: 339-344.
[30] Persson L, Carney Almroth B M, Collins C D, et al. Outside the safe operating space of the planetary boundary for novel entities. Environmental Science & Technology, 2022, 56(3): 1510-1521.
[31] Macklin M G, Thomas C J, Mudbhatkal A, et al. Impacts of metal mining on river systems: A global assessment. Science, 2023, 381: 1345-1350.
[32] Hou D Y, Jia X Y, Wang L W, et al. Global soil pollution by toxic metals threatens agriculture and human health. Science, 2025, 388: 316-321.
[33] Supran G, Rahmstorf S, Oreskes N. Assessing ExxonMobil’s global warming projections. Science, 2023, 379: eabk0063.
[34] Appenzeller T. Science’s 2025 breakthrough of the year. Science, 2025, 390: 1208-1209.
[35] Aska B, Sonter L J, zu Ermgassen S O S E, et al. Mining, biodiversity and social conflict in the renewable energy transition. Nature Reviews Biodiversity, 2025, 1(9): 597-614.
[36] Lade S J, Steffen W, de Vries W, et al. Human impacts on planetary boundaries amplified by Earth system interactions. Nature Sustainability, 2020, 3: 119-128.
[37] Köninger J, Labouyrie M, Ballabio C, et al. Pesticide residues alter taxonomic and functional biodiversity in soils. Nature, 2026, 650: 367-373.
[38] Gould F, Brown Z S, Kuzma J. Wicked evolution: Can we address the sociobiological dilemma of pesticide resistance?. Science, 2018, 360: 728-732.
[39] Lewis K. The science of antibiotic discovery. Cell, 2020, 181(1): 29-45.
[40] Joakim Larsson D G, Flach C F. Antibiotic resistance in the environment. Nature Reviews Microbiology, 2022, 20(5): 257-269.
[41] Zhu Y G, Zhao Y, Li B, et al. Continental-scale pollution of estuaries with antibiotic resistance genes. Nature Microbiology, 2017, 2: 16270.
[42] Zhu Y G, Gillings M, Simonet P, et al. Microbial mass movements. Science, 2017, 357: 1099-1100.
[43] MacLean R C, San Millan A. The evolution of antibiotic resistance. Science, 2019, 365: 1082-1083.
[44] Yaffe E, Dethlefsen L, Patankar A V, et al. Brief antibiotic use drives human gut bacteria towards low-cost resistance. Nature, 2025, 641: 182-191.
[45] Hönisch B, Royer D L, Breecker D O, et al. Toward a Cenozoic history of atmospheric CO2. Science, 2023, 382: eadi5177.
[46] Long S P, Ainsworth E A, Leakey A D B, et al. Food for thought: Lower-than-expected crop yield stimulation with rising CO2 concentrations. Science, 2006, 312: 1918-1921.
[47] Bloom A J, Asensio J S R, Randall L, et al. CO2 enrichment inhibits shoot nitrate assimilation in C3 but not C4 plants and slows growth under nitrate in C3 plants. Ecology, 2012, 93(2): 355-367.
[48] Myers S S, Zanobetti A, Kloog I, et al. Increasing CO2 threatens human nutrition. Nature, 2014, 510: 139-142.
[49] Smith M R, Myers S S. Impact of anthropogenic CO2 emissions on global human nutrition. Nature Climate Change, 2018, 8(9): 834-839.
Recommended Citation
Yongguan, ZHU; LIU, Jue; ZHENG, Hua; XU, Yaoyang; ZHOU, Weiqi; and ZHANG, Hongliang
(2026)
"Planetary health: Scientific frontier for harmonious coexistence between humans and nature,"
Bulletin of Chinese Academy of Sciences (Chinese Version): Vol. 41
:
Iss.
7
, Article 15.
DOI: https://doi.org/10.3724/j.issn.1000-3045.20260505005
Available at:
https://bulletinofcas.researchcommons.org/journal/vol41/iss7/15
Included in
Natural Resource Economics Commons, Natural Resources and Conservation Commons, Natural Resources Management and Policy Commons, Science and Technology Policy Commons


