No collapswashing

Joint action is essential for planetary and human health Over 200 health journals call on the United Nations, political leaders, and health professionals to recognise that climate change and biodiversity loss are one indivisible crisis and must be tackled together to preserve health and avoid catastrophe. This overall environmental crisis is now so severe as to be a global health emergency. The world is currently responding to the climate crisis and the nature crisis as if they were separate challenges. This is a dangerous mistake. The 28th UN Conference of the Parties (COP) on climate change is about to be held in Dubai while the 16th COP on biodiversity is due to be held in Turkey in 2024. The research communities that provide the evidence for the two COPs are unfortunately largely separate, but they were brought together for a workshop in 2020 when they concluded: “Only by considering climate and biodiversity as parts of the same complex problem … can solutions be developed that avoid maladaptation and max

The role of health professionals In January 2023, the science and security board of the Bulletin of the Atomic Scientists moved the hands of the doomsday clock forward to 90 seconds before midnight, reflecting the growing risk of nuclear war.1 In August 2022, the UN secretary general, António Guterres, warned that the world is now in “a time of nuclear danger not seen since the height of the Cold War.”2 The danger has been underlined by growing tensions between many nuclear armed states.13 As editors of health and medical journals worldwide, we call on health professionals to alert the public and our leaders to this major danger to public health and the essential life support systems of the planet—and urge action to prevent it. Current nuclear arms control and non-proliferation efforts are inadequate to protect the world’s population against the threat of nuclear war by design, error, or miscalculation. The Treaty on the Non-Proliferation of Nuclear Weapons (NPT) commits each of the 190 participating nations