Abstract
Experts in preventive medicine and public health have long-since recognized that health is more than the absence of disease, and that each person in the ‘waiting room’ and beyond manifests the social/political/economic ecosystems that are part of their total lived experience. The term planetary health—denoting the interconnections between the health of person and place at all scales—emerged from the environmental and preventive health movements of the 1970–1980s. Roused by the 2015 Lancet Commission on Planetary Health report, the term has more recently penetrated mainstream academic and medical discourse. Here, we discuss the relevance of planetary health in the era of personalized medicine, gross environmental concerns, and a crisis of non-communicable diseases. We frame our discourse around high-level wellness—a concept of vitality defined by Halbert L. Dunn (1896–1975); high-level wellness was defined as an integrated method of functioning which is oriented toward maximizing the potential of individuals within the total lived environment. Dunn maintained that high-level wellness is also applicable to organizations, communities, nations, and humankind as a whole—stating further that global high-level wellness is a product of the vitality and sustainability of the Earth’s natural systems. He called for a universal philosophy of living. Researchers and healthcare providers who focus on lifestyle and environmental aspects of health—and understand barriers such as authoritarianism and social dominance orientation—are fundamental to maintaining trans-generational vitality at scales of person, place, and planet.
Highlights
Health of civilization and the Earth’s natural systems as inseparable. With this background in place, weRoadmap argue that theCurrent conceptReview of high-level wellness provides an essential framework for health to the promotion and clinical care in the modern landscape; it allows scientists of diverse fields—no matter in our narrative review, we will revisit high-level wellness and work; explore its place how Here reductionist the scope of their inquiry—to see Dunn’s the large-scale relevancy of their it provides in the emerging planetary health paradigm
The future of planetary health in the context of preventive medicine and environmental health requires a greater understanding of a ‘planetary health psyche’; by this we mean deeper insight into the ways in which emotional bonds are developed between person and place, and the collective cognitions and behaviors which have resulted in environmental degradation and ‘Anthropocene Syndrome’ in the first place [41]
The contemporary concept of planetary health—which has its roots in the late-20th century preventive medicine and environmental health movements—emphasizes that health equates to vitality at scales of person, place, and planet
Summary
Perhaps because of of surgical techniques, and public health measures have been immense Perhaps because these successes, continues to tobe beconflated conflatedwith withthe these successes,the theword wordhealth health(its (itsattainment attainment and and maintenance) maintenance) continues theabsence absenceofofdisease. 1980–1990s, underscores that human health intricately connected to the vitality of natural systems within the Earth’s biosphere. Dunn’s of concept high-level referenced articles which discussed different philosophical of wellness high-levelwas wellness was in referenced in articles which“adiscussed “a different framework philosophical framework through which individual, community, environmental and planetary health can be better understood in a broad and integrated fashion” [8] (see Figure 2). The health implications of anthropogenic threats to life within the biosphere cannot be uncoupled from discussions of the individual, community, and global health Recent endeavors such as the through which individual, community, environmental and planetary can be better understood in a broad. That public health, biopsychosocial medicine, and planetary health are one-and-the-same
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