Andy Haines

Andy Haines
London School of Hygiene and Tropical Medicine | LSHTM · Department of Social and Environmental Health Research

MB BS MD,FRCP/RCGP F Med Sci

About

637
Publications
212,711
Reads
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50,446
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Introduction
I have undertaken research as an epidemiologist with the Medical Research Council and subsequently as an Academic Family Doctor until my appointment at the LSHTM in 2001. I was chair of the Rockefeller Foundation/Lancet Commission on Planetary Health which reported in 2015. My current interests are in the health effects of environmental change and the health co-benefits of the 'low carbon' economy.
Additional affiliations
January 2001 - December 2020
London School of Hygiene and Tropical Medicine
Position
  • Professor (Full)
January 1990 - December 1991
January 1988 - December 2006
University College London

Publications

Publications (637)
Article
This Series has examined the health implications of policies aimed at tackling climate change. Assessments of mitigation strategies in four domains-household energy, transport, food and agriculture, and electricity generation-suggest an important message: that actions to reduce greenhouse-gas emissions often, although not always, entail net benefit...
Article
Full-text available
To determine effectiveness of advice from general practitioners to heavy drinkers to reduce their excessive alcohol consumption (35 U or more a week for men, 21 U or more for women). Randomised, controlled double blind trial over 12 months with interim assessment at six months. Group practices (n = 47; list size averaging 10,000) recruited from Med...
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Randomised controlled trials are widely accepted as the most reliable method of determining effectiveness, but most trials have evaluated the effects of a single intervention such as a drug. Recognition is increasing that other, non›pharmacological interventions should also be rigorously evaluated. 1-3 This paper examines the design and execution o...
Article
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Climate change, urbanisation, chemical pollution and disruption of ecosystems, including biodiversity loss, affect our health and wellbeing. Research is crucial to be able to respond to the current and future challenges that are often complex and interconnected by nature. The HERA Agenda, summarised in this commentary, identifies six thematic resea...
Article
Background: Effective and rapid actions are required to achieve global goals for climate change mitigation, and there is an opportunity to ensure that the actions taken are also positive for human health. However, little is known about the relative magnitude of the health co-benefits that can be achieved from mitigation actions, so robust and compr...
Article
Background : Climate change is predicted to be our century's most significant health threat. In 2021, 46 countries committed to environmentally sustainable low carbon health care systems. Of those, 34 were from low- and middle-income countries (LMICs). Currently, health systems are responsible for 4.4% of global greenhouse gas (GHG) emissions, with...
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Background: It is crucial to understand the benefits to human health from decarbonisation to galvanise action among decision makers. Most of our existing evidence comes from modelling studies and little is known about the extent to which the health co-benefits of climate change mitigation actions are realised upon implementation. We aim to analyse...
Preprint
Full-text available
Objective To evaluate the impact of heat stress on umbilical artery resistance index (RI) measured by UmbiFlow™ in field settings and the implications for pregnancy outcomes. Methods This feasibility study was conducted in West Kiang, The Gambia, West Africa; a rural area with increasing exposure to extreme heat. We recruited women with singleton...
Article
Full-text available
Background: Effective and rapid actions are required to achieve global goals for climate change mitigation, and there is an opportunity to ensure that the actions taken are also positive for human health. However, little is known about the relative magnitude of the health co-benefits that can be achieved from mitigation actions, so robust and compr...
Article
Full-text available
Background Missing data can introduce bias and reduce the power, precision and generalisability of study findings. Guidelines on how to address missing data are limited in scope and detail, and poorly implemented. Aim To develop guidelines on how best to (i) reduce, (ii) handle and (iii) report missing data in palliative care clinical trials. Des...
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Chronic exposure to fine particulate matter (PM2.5) poses a major global health risk, commonly assessed by assuming equivalent toxicity for different PM2.5 constituents. We used a data-informed global atmospheric model and recent exposure–response functions to calculate the health burden of ambient PM2.5 from ten source categories. We estimate 4.23...
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This paper describes a global research programme on the complex systemic connections between urban development and health. Through transdisciplinary methods the Complex Urban Systems for Sustainability and Health (CUSSH) project will develop critical evidence on how to achieve the far-reaching transformation of cities needed to address vital enviro...
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Full-text available
There is increasing evidence of both direct and indirect adverse effects of climate change on human health worldwide, the latter mediated by disruption in ecological and socioeconomic systems [1]. Many of these effects have been known for some time; yet, despite the accumulating evidence, protecting human health has only recently become a major con...
Article
Full-text available
Background: The global literature on the links between climate change and human health is large, increasing exponentially, and it is no longer feasible to collate and synthesise using traditional systematic evidence mapping approaches. We aimed to use machine learning methods to systematically synthesise an evidence base on climate change and huma...
Chapter
We live in unprecedented times - the Anthropocene - defined by far-reaching human impacts on the natural systems that underpin civilisation. Planetary Health explores the many environmental changes that threaten to undermine progress in human health, and explains how these changes affect health outcomes, from pandemics to infectious diseases to men...
Chapter
We live in unprecedented times - the Anthropocene - defined by far-reaching human impacts on the natural systems that underpin civilisation. Planetary Health explores the many environmental changes that threaten to undermine progress in human health, and explains how these changes affect health outcomes, from pandemics to infectious diseases to men...
Chapter
We live in unprecedented times - the Anthropocene - defined by far-reaching human impacts on the natural systems that underpin civilisation. Planetary Health explores the many environmental changes that threaten to undermine progress in human health, and explains how these changes affect health outcomes, from pandemics to infectious diseases to men...
Chapter
We live in unprecedented times - the Anthropocene - defined by far-reaching human impacts on the natural systems that underpin civilisation. Planetary Health explores the many environmental changes that threaten to undermine progress in human health, and explains how these changes affect health outcomes, from pandemics to infectious diseases to men...
Chapter
We live in unprecedented times - the Anthropocene - defined by far-reaching human impacts on the natural systems that underpin civilisation. Planetary Health explores the many environmental changes that threaten to undermine progress in human health, and explains how these changes affect health outcomes, from pandemics to infectious diseases to men...
Chapter
We live in unprecedented times - the Anthropocene - defined by far-reaching human impacts on the natural systems that underpin civilisation. Planetary Health explores the many environmental changes that threaten to undermine progress in human health, and explains how these changes affect health outcomes, from pandemics to infectious diseases to men...
Chapter
We live in unprecedented times - the Anthropocene - defined by far-reaching human impacts on the natural systems that underpin civilisation. Planetary Health explores the many environmental changes that threaten to undermine progress in human health, and explains how these changes affect health outcomes, from pandemics to infectious diseases to men...
Chapter
We live in unprecedented times - the Anthropocene - defined by far-reaching human impacts on the natural systems that underpin civilisation. Planetary Health explores the many environmental changes that threaten to undermine progress in human health, and explains how these changes affect health outcomes, from pandemics to infectious diseases to men...
Chapter
We live in unprecedented times - the Anthropocene - defined by far-reaching human impacts on the natural systems that underpin civilisation. Planetary Health explores the many environmental changes that threaten to undermine progress in human health, and explains how these changes affect health outcomes, from pandemics to infectious diseases to men...
Book
We live in unprecedented times - the Anthropocene - defined by far-reaching human impacts on the natural systems that underpin civilisation. Planetary Health explores the many environmental changes that threaten to undermine progress in human health, and explains how these changes affect health outcomes, from pandemics to infectious diseases to men...
Article
Full-text available
Climate change affects human health; however, there have been no large-scale, systematic efforts to quantify the heat-related human health impacts that have already occurred due to climate change. Here, we use empirical data from 732 locations in 43 countries to estimate the mortality burdens associated with the additional heat exposure that has re...
Article
Full-text available
Background: It is crucial to understand the benefits to human health from decarbonisation to galvanise action among decision makers. Most of our existing evidence comes from modelling studies and little is known about the extent to which the health co-benefits of climate change mitigation actions are realised upon implementation. We aim to analyse...
Article
Full-text available
The Complex Urban Systems for Sustainability and Health (CUSSH) project is a global research programme on the complex systemic connections between urban development and health. Through transdisciplinary methods it will develop critical evidence on how to achieve the far-reaching transformation of cities needed to address vital environmental imperat...
Article
Full-text available
Background: Globally, the COVID-19 pandemic has had broad consequences on health outcomes with significant morbidity and mortality. Rural health systems face more challenges in the availability of a workforce, adequate infrastructure and equipment. We completed a baseline assessment of the health system in Siaya at the beginning stages of the COVID...
Article
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Cities produce more than 70% of global greenhouse gas emissions. Action by cities is therefore crucial for climate change mitigation as well as for safeguarding the health and wellbeing of their populations under climate change. Many city governments have made ambitious commitments to climate change mitigation and adaptation and implemented a range...
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Home Browse Climate action for health and wellbeing in cities: a protocol for... ALL METRICS 99 VIEWS 11 DOWNLOADS Get PDF Get XML Cite Export Track Email Share ▬ STUDY PROTOCOL Climate action for health and wellbeing in cities: a protocol for the systematic development of a database of peer-reviewed studies using machine learning methods [version...
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Full-text available
Pediatric asthma incidence has been associated with exposure to nitrogen dioxide (NO2) in ambient air. NO2 is predominantly emitted through fossil fuel use in land transportation, power generation and the burning of solid biofuels in households. We simulated NO2 with a global atmospheric chemistry model, combined with a land use regression model, t...
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The COVID-19 pandemic has required health protection responses with far-reaching consequences for society, livelihoods, and the wider economy. Future enquiries will in time evaluate the success of responses at all scales. But emerging lessons highlight immediate implications for addressing the growing climate crisis through a recovery from COVID-19...
Preprint
Full-text available
Objective: Our aim was to assess Siaya county COVID-19 preparedness at community and health facility levels and measure baseline household prevalences of fever and cough. Design: There was retrospective and prospective data collection using standard tools. We determined the prevalence of fever and cough in households. We evaluated household knowled...
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Transformational change is urgently needed to address planetary health challenges in cities. Through an interdisciplinary overview of the literature, we consider how to frame and unpack city-level transformation towards synergistic benefits for urban health and environmental sustainability. By describing the characteristics of a ‘healthy sustainabl...
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Climate change is already affecting health in populations around the world, threatening to undermine the past 50 years of global gains in public health. Health is not only affected by climate change via many causal pathways, but also by the emissions that drive climate change and their co-pollutants. Yet there has been relatively limited synthesis...
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Background: Anthropogenic climate change has led to increasingly extreme temperatures worldwide. SubSaharan Africa (SSA), including West Africa, is considered especially vulnerable to the impacts of climate extremes. In SSA women make up 50% of agricultural workforce and often work throughout pregnancy, while maternal exposure to high temperatures...
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Aims The risk of mortality from the coronavirus disease that emerged in 2019 (COVID-19) is increased by comorbidity from cardiovascular and pulmonary diseases. Air pollution also causes excess mortality from these conditions. Analysis of the first severe acute respiratory syndrome coronavirus (SARS-CoV-1) outcomes in 2003, and preliminary investiga...
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The adoption of healthy diets with low environmental impact has been widely promoted as an important climate change mitigation strategy. Typically, these diets are high in plant-sourced and low in animal-sourced and processed foods. Despite the fact that their environmental impacts vary, they are often referred to as 'sustainable diets'. Here we sy...
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The COVID-19 pandemic continues to impact health and livelihoods in West Africa. Exposure of food system fragilities by the pandemic presents the opportunity for regional-specific reforms to deliver healthy diets for all and promote resilience to future shocks.
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The outbreak of COVID-19 raised numerous questions on the interactions between the occurrence of new infections, the environment, climate and health. The European Union requested the H2020 HERA project which aims at setting priorities in research on environment, climate and health, to identify relevant research needs regarding Covid-19. The emergen...
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The concept of planetary health in the Rockefeller Foundation-Lancet Commission 1 is based on the understanding that human health and human civilisation depend on flourishing and balanced natural systems and the wise stewardship of those ecosystems. How to deploy the planetary health approach in the EU, particularly in relation to the new growth st...
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Background: Modeling suggests that climate change mitigation actions can have substantial human health benefits that accrue quickly and locally. Documenting the benefits can help drive more ambitious and health-protective climate change mitigation actions; however, documenting the adverse health effects can help to avoid them. Estimating the health...
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The contribution of domestic production to total fruit and vegetable supply in the UK decreased from 42% in 1987 to 22% in 2013. The impact of this changing pattern of UK fruit and vegetable imports from countries with different vulnerabilities to projected climate change on the resilience of the UK food system is currently unknown. Here, we used t...
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An amendment to this paper has been published and can be accessed via a link at the top of the paper.
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Governments are deciding on measures to help economies recover from the impacts of the COVID-19 pandemic, but, as in previous crises, a narrow focus on fighting the recession could have adverse effects on the environment and health. We suggest that health and sustainability should be at the heart of the economic response.
Chapter
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Unprecedented environmental changes threaten to reverse progress on health and development unless they are addressed by decisive actions. The implementation of policies to reduce the environmental impact of human societies can reduce risks and also bring a range of near-term health benefits—for example, from lowered emissions of pollutants co-emitt...
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Introduction: Climate change predictions indicate that global temperatures are likely to exceed those seen in the last 200,000 years, rising by around 4°C above pre-industrial levels by 2100 (without effective mitigation of current emission rates). In regions of the world set to experience extreme temperatures, women often work outside in agricultu...