Climate change is no longer a problem for future generations and the impact is already taking a toll in many parts of the world. Climate change has already caused substantial, and increasingly irreversible, damage to ecosystems. All these issues combined will inevitably lead to an increase in human suffering and forced displacement. This has significant ramifications for health care systems. In this editorial we outline how climate change is already impacting both physical and mental health. Health professionals have a role to play in addressing this great challenge of our time. Health professionals should reflect on how to promote means of climate change mitigation and adaptation within their spheres of influence – clinical, education, advocacy, administration, and research.

CO2 release rates from soils via soil respiration play an important role in the carbon budget of terrestrial ecosystems. Though the roles of soil temperature and moisture on soil respiration are well recognised, less is known about how their effects vary across different land-cover types. This study looked at the interactive effects of land-cover change and microclimate on temporal patterns of soil respiration in a montane forest-grassland-plantation mosaic in a highly diverse but climatically sensitive ecosystem in the tropical Western Ghats of India. Across all vegetation types, soil respiration rates were highest during south-west monsoon (June–October), when root growth, litter decomposition and microbial activity are relatively high and were lowest during the summer. Among vegetation types, soil respiration rates were higher in grasslands compared to non-native pine plantations, whereas that of forest and invasive wattle (Acacia mearnsii) plantations were intermediate between grasslands and pine plantations. The decline in respiration rates following conversion from grasslands to pine plantations could be due to relatively lower microbial activity, soil temperatures and, subsequently, slower litter decomposition. In addition, the sensitivity of soil respiration to changes in temperature and moisture differed between different vegetation types. Across all vegetation types, respiration was largely insensitive to changes in soil temperature when moisture levels were low. However, when soil moisture levels were high, respiration increased with temperature in grassland and wattle patches, decreased in the case of pine plantations and remained largely unchanged in shola forests. Our results suggest that changes in aboveground vegetation type can significantly affect soil C cycling even in the absence of any underlying differences in soil type.

5wPatients with end stage kidney disease (ESKD) who receive in-center hemodialysis are disproportionately vulnerable to extreme weather events, including hurricanes and heat waves, that may disrupt access to healthcare providers, and life-sustaining treatments. This current era of climate-driven compounding disasters is progressively elevating the level of threat to the health and well-being of patients with ESKD. This analysis brings together multi-disciplinary expertise to explore the contours of this increasingly complex risk landscape. Despite the challenges, important advances have been made for safeguarding this medically high-risk patient population. Hemodialysis services providers have devised innovative systems for preparing their patients and sustaining, or rapidly reestablishing, hemodialysis services in the aftermath of a disaster, and maintaining open lines of communication with their caseloads of ESKD patients throughout all phases of the event. A description of lessons learned along the path towards improved patient support in disasters, is provided. The article concludes with a detailed case example, describing dialysis providers’ effective response throughout Hurricane Ian’s passage across the State of Florida in 2022. Based on lessons learned, this analysis outlines strategies for protecting patients with ESKD that may be adapted for future climate-potentiated disaster scenarios.

Eve Caroline Southward (1930–2023) was a multi-talented scientist, motivated by her curiosity and love of nature. Since she was never paid as a scientist, Eve was an amateur, in the best sense of the word. She was highly proficient at transmission electron microscopy and made lasting contributions to polychaete taxonomy, morphology and ecology. Eve was internationally respected, especially for her studies on the Siboglinidae, mouthless and gutless tubeworms (formerly called Pogonophora) that are found worldwide in the deep-sea. She described how the siboglinids obtained nutrition from symbiotic, sulphur-oxidising bacteria and described similar symbiotic relationships in several bivalve species. Eve wrote over 140 scientific publications and described 56 new benthic species, 47 being mouthless and gutless ‘pogonophores’. Eve assisted her husband Alan Southward in starting broad-scale intertidal surveys around the British Isles and Northwest Europe. These surveys formed the foundation for the time-series, later continued by others, that allowed assessments of the influence of climatic fluctuations, using intertidal rocky shore biota as indicators. Eve contributed, with Alan, to what became a 50-year study describing the long-term effects on intertidal communities of the oil pollution and excessive dispersant use resulting from the Torrey Canyon oil spill in 1967. Eve also co-wrote the Linnaean Society Synopsis on Echinoderms of the British Isles and helped complete unpublished work by Alan Southward and others on barnacle taxonomy.

The global increase in observed forest dieback, characterized by the death of tree foliage, heralds widespread decline in forest ecosystems. This degradation causes significant changes to ecosystem services and functions, including habitat provision and carbon sequestration, which can be difficult to detect using traditional monitoring techniques, highlighting the need for large-scale and high-frequency monitoring. Contemporary developments in the instruments and methods to gather and process data at large scales mean this monitoring is now possible. In particular, the advancement of low-cost drone technology and deep learning on consumer-level hardware provide new opportunities. Here, we use an approach based on deep learning and vegetation indices to assess crown dieback from RGB aerial data without the need for expensive instrumentation such as LiDAR. We use an iterative approach to match crown footprints predicted by deep learning with field-based inventory data from a Mediterranean ecosystem exhibiting drought-induced dieback, and compare expert field-based crown dieback estimation with vegetation index-based estimates. We obtain high overall segmentation accuracy (mAP: 0.519) without the need for additional technical development of the underlying Mask R-CNN model, underscoring the potential of these approaches for non-expert use and proving their applicability to real-world conservation. We also find that color-coordinate based estimates of dieback correlate well with expert field-based estimation. Substituting ground truth for Mask R-CNN model predictions showed negligible impact on dieback estimates, indicating robustness. Our findings demonstrate the potential of automated data collection and processing, including the application of deep learning, to improve the coverage, speed, and cost of forest dieback monitoring.

Even though International Relations (IR) research increasingly recognises the unprecedented urgency of environmental degradation and the resulting ecological injustices, only few IR scholars have probed into the role of economic growth as a fundamental driver of global unsustainability. We level two critiques at the field of IR from a post-growth perspective. First, most IR theories are complicit in naturalising economic growth as a fundamental condition of global order. Second, IR scholarship has neglected to engage seriously with post-growth thinking. What happens when we start to question the background economic assumptions of the current international system? How might a global politics of post-growth challenge and enrich IR and environmental politics? This Editors Forum brings together a diverse group of scholars from across the globe to reflect on these pertinent questions. As a whole, the Forum begins to address the complicity and neglect critiques. To varying degrees, each contribution considers what IR can learn from post-growth research (both conceptually and empirically), and vice versa. In this introductory article, we set the stage for such an engagement by reviewing an interdisciplinary body of relevant work and synthesising the key contributions from a total of seven Forum articles.

In response to the short-term political cycles that govern law-making, there is growing international attention to the obligations owed to future generations. Within the diverse approaches there is often a single, temporally defined inequality; that is, between now and a depleted future. While inequality is imagined between generations, these generations are often constructed as homogenous. This elides not just contemporary inequalities, but that these injustices are caused by historically rooted inequalities that current planetary threats are likely to deepen. In response, we centre health inequalities which illustrate the complex temporalities and structural causes of inequalities. We argue for a focus on eco-social and embodied generations to better understand – and respond to – inequalities past, present and future. We apply this focus to the Capabilities Approach as an example of the work needed to better articulate what is owed to present and future generations to secure justice and inform future-oriented law-making.

Tropical glaciers are rapidly disappearing, particularly in isolated mountain peaks below 5,000 m elevation. These glaciers are fundamental substrates for unique cryogenic ecosystems in high tropical environments where the ice, melting water and rocky substrate sustain microbiological communities and other meso- and macro-biota. This study uses the Red List of Ecosystems guidelines to diagnose the collapse of the tropical glacier ecosystem of the Cordillera de Mérida, Venezuela. We undertook the assessment with existing estimates of glacier ice extent, indirect historical estimates of ice mass balance and global mechanistic models of future ice mass balance. We complemented these with additional statistical analysis of trends and bioclimatic suitability modelling to calculate and predict rates of decline and relative severity of degradation in selected ecosystem indicators. The evidence suggests an extreme risk of collapse (Critically Endangered) because of a prolonged and acute reduction in ice extent and changes in climatic conditions that are leading to the complete loss of ice mass. The ice substrate has declined 90% in the last 20 years, and observed acceleration of the rate of decline suggests it will probably disappear within the next 5 years. Loss of ice substrate will trigger an immediate loss of supraglacial, englacial and subglacial biotic compartments and initiate a decades-long succession of forefield vegetation. However, ongoing inventories of native biota and monitoring of ecosystem transitions can provide valuable insights and lessons for other ecosystems facing similar risks. The Red List of Ecosystems assessment protocol provides a useful framework for comparative analysis of cryogenic ecosystems.

The relationship between armed conflict, the environment and climate change is intricate and challenging to define. While international humanitarian law (IHL) includes some environmental protections, it did not anticipate the connection to climate change. Climate change can act as a risk multiplier, intensifying negative socio-economic impacts, and conflict-related environmental damage may contribute to climate change. Bridging these fields is crucial, and to this end, this article seeks to interpret IHL considering evolving understandings of armed conflict effects and progress under international environmental law (IEL). The article illustrates how existing norms can address climate change impacts in warfare, and explores how relevant IEL provisions, such as the Paris Agreement and the harm prevention principle, could be applied during armed conflicts to achieve similar goals.

The Australian debate over Investor-State Dispute Settlement (ISDS) sharpened in 2023 because Australian mining billionaire Clive Palmer, having previously registered his mining company in Singapore, has claimed to be a Singaporean investor. He is using ISDS provisions in the 2012 ASEAN-Australia-New Zealand Free Trade Agreement and the amended 2017 Singapore-Australia Free Trade Agreement to sue the Australian government for a total of A$410 billion in three separate claims. This article uses Cox’s critical theory framework developed by Schneiderman to explain the historical development and power dynamics of ISDS, the contest between its business supporters and social movement critics, and the impact of this contest on governments. It then analyses the Palmer claims and explores the global debate about ISDS, including its increased use by fossil fuel companies against government regulation of carbon emissions, which has led to increased resistance from social movements and governments. ISDS is also being reviewed by the United Nations and World Bank institutions which provide arbitrators for its tribunals and by the Organisation for Economic Co-operation and Development. The conclusion assesses the debate over whether ISDS can be reformed and its future viability.

The real estate business on sandy coasts and coastal dunes has increased dramatically over the last decades because of the growing demands for leisure activities which, consequently, have yielded important economic gains. Such ravaging exploitation results in the replacement of sandy ecosystems with tourism-oriented settlements, infrastructure, and facilities. As the sandy beaches and coastal dunes become deteriorated or eliminated, their protective role is lost, and the hydrometeorological risks to which the increasing human coastal populations are exposed grow, especially in a climate change scenario with increasing storminess. Furthermore, when possible, the expansion of the tourism industry continues searching for new, unspoiled locations, and the cycle begins again. This situation leads to the dilemma of coastal management: should we continue with the over-exploitation of sandy coasts for growing economic benefits? Or should we preserve the coasts for protection against the impact of increasing storms and sea level rise and to benefit biodiversity? Although scientific evidence demonstrates the relevance of protecting the coasts, coastal development plans continue to ignore these findings. What are the key drivers for these trends? We first looked for scientific evidence of the appraisal of the esthetic beauty of the beach and coastal dunes, as highly important drivers of urbanization and coastal environmental change. We then looked for evidence that demonstrated how coastal dunes offer storm protection Finally, we examined if the conservation of beaches and coastal dunes can be compatible with non-intrusive tourism. In summary, through the literature review and our own data, we show how different alternatives may help achieve a more sustainable coastal tourism by combining economic necessities with environmental concerns.

European Central Bank (ECB) staff have repeatedly justified the carbon bias of the Asset Purchase Programme (APP) in terms of “market neutrality”. Yet this term is not included in the Treaties so its meaning and legal nature are unclear. To clarify the meaning of market neutrality in the euro area’s monetary policy we develop a summative content analysis of the textual data contained in relevant legal and policy documents that are publicly available. We conclude that, in the context of monetary policy, the ECB and its staff have used the term market neutrality with two meanings: (i) the minimisation of any impact on the operation of markets and, in particular, on the operation of the price discovery mechanism; and (ii) the mirroring of the composition of a particular market to guide asset purchases. We then examine the legal nature of market neutrality in each of these two meanings. In its first meaning, we argue that market neutrality is the ECB’s definition of the so-called ‘principle of an open market economy’ (‘OME principle’) and it is therefore primary law. In its second meaning, we argue that market neutrality operationalises the OME principle and is therefore secondary law. Our conclusions differ from those reached by the first academic enquiries into the legal nature of market neutrality and open an academic debate on the matter. A clear understanding of the legal nature of market neutrality is also essential to assess the validity of the ECB’s climate change action plan.