As these examples suggest, and as illustrated in Fig. 1.2, not only are human impacts varied and widespread, but they reveal “how, even on the grandest scale, most aspects of the structure and functioning of Earth’s ecosystems cannot be understood without accounting for the strong, often dominant influence of humanity” (Vitousek et al. 1997, p. 494).
Fig. 1.2 Model of direct and indirect human effects on earth systems.
Source: Modified from Vitousek, P., Mooney, H., Lubchenco, J., & Melillo, J. (1997). Human domination of the Earth's ecosystems. Science 277: 494–499.
1.6 Introducing ecocrises interactions and health
Environmentally speaking, what is a crisis? Further, how do we know we are in a crisis, and when is it time to sound the alarm? What kinds of environmental thresholds must be crossed to recognize we have passed from a noncrisis period into a time of such turbulence and threat that it is aptly called a crisis? Historically, in medicine, dating to the 15th century, “crisis” has referred to a “decisive point in the progress of a disease,” the point at which change must come, for better or worse—toward a return to wellness or toward death (though a new up‐and‐down or slow‐progression “steady state” of chronic illness also occurs). Beyond medicine, the word “crisis” has come to mean an unstable or crucial time or state of affairs in which the possibility of a highly undesirable outcome is possible. With regard to the environment, as Moore (2016) comments, “[t]he conditions of life on planet Earth are changing, rapidly and fundamentally. Awareness of this difficult situation has been building for some time. But the reality of a crisis—understood as a fundamental turning point in the life of a system, any system—is often difficult to understand, interpret, and act upon.”
Part of this difficulty is a result of the complexity of environmental systems and the fact that the environment is constantly changing. Cycles of disruption and recovery are the usual state of environmental affairs (Paine et al. 1998). Another part occurs because we never know everything at once—new and perhaps initially controversial scientific findings are constantly coming to light. Additionally, humans are frequently unready to recognize both the full power of nature and our own capacity to adversely influence it. Finally, there is the intentional denial or even falsification of environmental crises because of the short‐term benefits and profits of maintaining business‐as‐usual practices. As a result, “reasonable treatment of environmental concerns often falls prey to the political agendas of those who have a vested interest in an unsustainable, resource‐extractive approach to economic development” (Hudson 2001).
While cycles of change are the “normal” state in nature, “rapidly compounded perturbations have more serious implications for long‐term alterations of community state, occasionally or even often generating a different assemblage of species” (Paine et al. 1998, p. 536) because the “effect of compounded perturbations is multiplicative, not additive” (Paine et al. 1998, p. 537). In this book, I refer to compounded environmental disturbances as “ecocrises interactions.” Ecocrises interaction—the synergistic interface of two or more environmental events or pollutants that multiply resultant harmful health effects beyond their additive impact—puts both humans and other species at catastrophic risk. This book is designed to increase understanding of the link between health and the environment in times of the ever‐more‐pervasive anthropogenic impacts on natural assemblages. Its specific concern is that the diverse ecological calamities we face are encountered not as standalone threats, which has been the conventional perspective to date, but as adversely interacting events and processes with magnified hazardous effects. The sixth Global Environment Outlook issued by the U.N. Environment Program (2019), a continent‐by‐continent 740‐page assessment written by 250 scientists and experts from more than 70 countries, concludes that because of the perilous combination of climate change, pollution, and the growing human population, the damage already done to the planet is so severe that people’s health will be increasingly threatened unless rapid action is taken. In the view of the report’s authors, without drastically scaled‐up implementation of environmental protections, cities and regions in Asia, the Middle East, and Africa may see millions of premature deaths by mid‐21st century. This discussion raises essential questions about the extinction of populations, species, and ways of life.
Ecocrises interactions occur when the various pollutants and environmental disruptions generated especially today by fossil capitalism are not only co‐present in the same environmental context but combine to uni‐ or multidirectionally magnify their impact on human health and society, and on the health and survival of other species as well. Critical to explicating ecocrises interaction is the development of an understanding of the pathways and mechanisms through which two or more ecocrises deleteriously intermingle in the air, on land, and in bodies of fresh or salt water. For example, respiratory health around the world has been growing worse in part because of the combined effects of heavier pollen loads caused by global warming and increased air pollution linked to prevailing fossil fuel use at a time when more intense wildfires are being triggered by climate change (Fig. 1.3). These kinds of complex sets of interactions between global warming and anthropogenic (human‐caused) impairments to clean air can be seen in various planetary ecozones and involve a diverse set of environmental corridors of interaction. Most importantly, they increase human vulnerability to a range of debilitating and deadly diseases.
Fig. 1.3 Smokestack pollution from a power plant.
Source: bhumann34/Pixabay.
Similarly, there is a perilous interaction between meat production, nutrient pollution, and climate change. In the Gulf of Mexico off the coast of Louisiana, there is an 8000‐square‐mile area in which marine life is suffocating due to nutrient pollution. The nutrients, which feed a dead zone of algae bloom—a process known as eutrophication—flow down the Mississippi River in the form of excess nitrogen and phosphorus in fertilizers used on industrial corn farms. As meat production increases, the demand for corn rises, leading to mounting nutrient pollution. In 2017, the largest dead zone on record occurred in the Gulf region. More meat production also increases the release of methane, a powerful greenhouse gas (Weiss 2013).
In this book, the familiar term “pollution” is used specifically to refer to “unwanted, often dangerous, material that is introduced into Earth’s environments as the result of human activity, that threatens human health, and that harms ecosystems” (Landrigan et al. 2018). Diseases caused by pollution resulted in an estimated 9 million premature deaths in 2015, which is 6 percent of the total number of deaths that occurred worldwide. The significance of this rate of mortality is seen in the fact that it is three times higher than that of AIDS, tuberculosis, and malaria combined, and 15 times higher than that of all wars and other forms of physical violence. In some countries, primarily in South East Asia and the western Pacific, pollution‐related disease is responsible for 25 percent of all deaths (Landrigan et al. 2018). Further, pollution is responsible for more deaths globally per year than a high‐sodium