Environmental health policy: A priority for a global health renaissance

by Éloi Laurent, Fabio Battaglia, Alessandro Galli, Giorgia Dalla
Libera Marchiori, Raluca Munteanu

On 21 May, the Italian Presidency of the G20 together
with the European Commission will co-host the World Health Summit in Rome. A
few days later, the World Health Organisation will hold its annual meeting in
Geneva. Both events will obviously focus on the Covid tragedy and on reforms
that could prevent similar disasters in the future. “The world needs a new
beginning in health policy. And our health renaissance starts in Rome,”
said European Commission President Ursula von der Leyen on 6 May. We share this
hope and want to see it succeed.

As members of civil society, we have been called
upon to contribute to the collective discussion that will lead to the drafting
of the “Rome Declaration”. Based on a report we are releasing today as part of the
Well-being Economy Alliance (WeALL), we believe that the notion of an
environmental health policy should be at the heart of the Rome Declaration and,
beyond that, it should inspire the overhaul of health policy at all levels of
government. In essence, we are calling on the delegates at these two crucial
summits to recognise the fruitful interdependencies between the environment,
health and the economy.

The key principle is to make the link between
health and the environment the core of global health and move from a cost-benefit
logic to co-benefit policies. Our inability to respond effectively to the twin
crises hitting health and the environment stems in large part from our
perception of the costs that resolute action would have for the “economy”. But
we are the economy, and the economy forms only part of the true source of our
prosperity, which is social cooperation. The health-environment transition does
of course have an economic cost, but it is clearly lower than the cost of not
making the transition. The limits of the monetarisation of life are becoming
more and more apparent, and every day it is becoming clearer that the supposed
trade-offs between health, the environment and the economy are wrong-headed and
counter-productive. Conversely, the gains in terms of health, jobs, social cohesion
and justice from co-benefit policies are considerable. Health systems are the
strategic institutions in this reform, so long as much greater emphasis is
placed on prevention, but other areas of the transition are also involved: food
production and consumption, energy systems, social policy (particularly the
fight against inequality and social isolation) and educational policy.

To take simply the example of energy, it is
abundantly clear that today’s global energy system, based 80% on fossil fuels,
makes no sense from the point of view of humanity’s well-being, as it is simultaneously
destroying current and future health. Air pollution resulting from the use of fossil
fuels is playing a grave role in the health vulnerability of Europeans facing
Covid-19 (responsible for 17% of deaths according to some estimates); yet reducing air pollution in Europe’s cities
would bring a key health co-benefit: it would reduce the risk both of
co-morbidity in the face of future environmental shocks such as respiratory
diseases but also of heatwaves, which are becoming increasingly frequent and
intense on the continent. When all the co-benefits are taken into account,
first and foremost the reduction of morbidity and mortality linked to air
pollution (which, according to recent studies, are much higher than previous
estimates, with 100,000 premature deaths in France each year), the switch to renewable energies would
lead to savings of around fifteen times the cost of their implementation.

Beyond these areas we have identified, there are
many others where health, the environment and the economy are mutually
reinforcing. Together they form a foundation on which to erect policies that
aim for the full health of a living planet. As the Rome Summit and the WHO
Assembly approach, we therefore want to challenge the participants with two
simple questions: What if the best economic policy were a genuine health
policy? What if the best  health policy were
a genuine environmental policy? As the countries of Europe know very well,
crises are the cradle of new worldviews, the catalysts of new approaches that
can gain traction. Rome was not built in a day, but the co-benefit approach can
light the way to a renaissance in health.