Ecological Levers for Health

“Ecological levers of health” are conservation interventions that have direct, measurable benefits to human health. For example, after a dam was built in Senegal and extirpated a native prawn species, schistosomiasis, a debilitating human infectious disease, increased dramatically. Restoring native prawns that prey upon the snail vectors of schistosomiasis reduces human risk. In fact, prawn restoration is expected to be more effective for controlling the disease than medical interventions alone. The Ecological Levers for Health group synthesized lessons learned from many such solutions that alleviate burdens of the world’s most important infectious human diseases while safeguarding or restoring ecosystems integrity and function.

 

OUR APPROACH: This working group is identifying clear links between infectious disease transmission, environmental change, and actionable solutions at local and regional levels. By synthesizing existing win–win solutions that can benefit people and nature, this team is contributing to Planetary Health research, investment, and evaluation agendas for the 21st century.

Team Status:

Goals

Results

 

  • Analyze existing data and models on human-disease-environment systems to identify existing evidence and opportunities to intervene through “ecological levers for health” at local or regional levels
  • Contextualize concrete examples and synthesize how they can advance a “planetary health” agenda for the 21st century
  • Develop metrics and modules to quantify and monitor the feedbacks between health, development, and conservation efforts

Ecological and Human Health are Connected

This team’s research has helped make clear that human health can decline when local and global ecosystems are degraded due to agriculture and aquaculture, urbanization and development, deforestation, overexploitation, and other conservation threats. Inversely, when human communities are unhealthy, people often cannot prioritize sustainability, leading to further ecosystem degradation. This cycle illustrates the interconnectedness and interdependence of ecological and human health.

Win–Win Solutions

The team collected examples of solutions that both reduce infectious human diseases and improve ecosystem integrity, using a systematic literature review and evidence synthesis. They found 47 proposed solutions and critically evaluated each example. Most solutions had some evidence gaps regarding safety, feasibility, and prior success, but most were also promising targets for future adaptive implementation. The group developed a decision hierarchy based on 11 viability criteria that can be used by researchers, funders, and decision-makers to evaluate and compare amongst potential Planetary Health interventions.

Intervention Example

In Indonesian Borneo, a key driver of forest loss is illegal logging conducted by individuals trying to meet their basic needs, especially health care needs. A non-profit organization built a clinic to improve rural health care and provided training in alternative livelihoods. Over the past decade, this community-derived solution has both improved human health and reduced illegal logging and forest carbon loss.

Impacts

“We synthesized evidence to make a “menu” of actionable solutions that advance conservation and reduce human disease burdens. Our menu and the supporting evidence portal can be used by anyone to find and compare Planetary Health solutions.”

–Skylar Hopkins

Key Products

Teams

Leaders

Susanne Sokolow

Kevin Lafferty

Members

Taylor Ricketts

Skylar Hopkins

Sarah Olson

Sandra Laney

Raina Plowright

Matt Bonds

Lisa Mandle

Justin Remais

John Openshaw

Heather Tallis

Isabel Jones

Giulio De Leo

Gary Tabor

Erin Mordecai

Chelsea Wood

David Lopez-Carr

Armand Kuris

Andy MacDonald

Andy Dobson

Andres Garchitorena

Alison Peel

Advisors