The Role of Descartes’s Dream in the Meditations and in the Historical Ontology of Ourselves

This paper situates the dream-hypothesis in Descartes’s First Meditation within the historical ontology of ourselves. It looks at the way in which the dream enters into and transforms Descartes’ relation to his “system of actuality.” In order to get free from his confinement within his system of actuality – an actuality defined by relations of power-knowledge, government, veridiction, and subjectivity – Descartes draws on the disruptive, negative capacity of the dream. But, while Descartes draws on the dream to get himself free and to establish a way of thinking and living differently, he also disqualifies the dream as a positive source of knowledge, truth, or subjectivity. Excavating this ambivalent place of the dream in the genealogy of our present, we aim to recover the dream not only in its negative power but also to open up the possibility of re-imagining its positivity as a form of counter-conduct, problematization, and element in the care of the self. This paper represents one piece of a larger genealogical study that examines the history of relationships between the arts of dreaming and the problematization of power-truth-subjectivity

Monitoring climate change and child health: The case for putting children in all policies

Climate change is threatening the health of current and future generations of children. The most recent evidence from the Lancet Countdown: Tracking Progress on Health and Climate Change finds declining trends in yield potential of major crops, rising heatwave exposures, and increasing climate suitability for the transmission of infectious diseases, putting at risk the health and wellbeing of children around the world. However, if children are considered at the core of planning and implementation, the policy responses to climate change could yield enormous benefits for the health and wellbeing of children throughout their lives. Child health professionals have a role to play in ensuring this, with the beneficiaries of their involvement ranging from the individual child to the global community. The newly established Children in All Policies 2030 initiative will work with the Lancet Countdown to provide the evidence on the climate change responses necessary to protect and promote the health of children

Tracking the impacts of climate change on human health via indicators: lessons from the Lancet Countdown

Background In the past decades, climate change has been impacting human lives and health via extreme weather and climate events and alterations in labour capacity, food security, and the prevalence and geographical distribution of infectious diseases across the globe. Climate change and health indicators (CCHIs) are workable tools designed to capture the complex set of interdependent interactions through which climate change is affecting human health. Since 2015, a novel sub-set of CCHIs, focusing on climate change impacts, exposures, and vulnerability indicators (CCIEVIs) has been developed, refined, and integrated by Working Group 1 of the “Lancet Countdown: Tracking Progress on Health and Climate Change”, an international collaboration across disciplines that include climate, geography, epidemiology, occupation health, and economics. Discussion This research in practice article is a reflective narrative documenting how we have developed CCIEVIs as a discrete set of quantifiable indicators that are updated annually to provide the most recent picture of climate change’s impacts on human health. In our experience, the main challenge was to define globally relevant indicators that also have local relevance and as such can support decision making across multiple spatial scales. We found a hazard, exposure, and vulnerability framework to be effective in this regard. We here describe how we used such a framework to define CCIEVIs based on both data availability and the indicators’ relevance to climate change and human health. We also report on how CCIEVIs have been improved and added to, detailing the underlying data and methods, and in doing so provide the defining quality criteria for Lancet Countdown CCIEVIs. Conclusions Our experience shows that CCIEVIs can effectively contribute to a world-wide monitoring system that aims to track, communicate, and harness evidence on climate-induced health impacts towards effective intervention strategies. An ongoing challenge is how to improve CCIEVIs so that the description of the linkages between climate change and human health can become more and more comprehensive.This work is supported by an unrestricted grant from the Wellcome Trust (209734/Z/17/Z).Peer Reviewed"Article signat per 26 autors/es: Claudia Di Napoli, Alice McGushin, Marina Romanello, Sonja Ayeb-Karlsson, Wenjia Cai, Jonathan Chambers, Shouro Dasgupta, Luis E. Escobar, Ilan Kelman, Tord Kjellstrom, Dominic Kniveton, Yang Liu, Zhao Liu, Rachel Lowe, Jaime Martinez-Urtaza, Celia McMichael, Maziar Moradi-Lakeh, Kris A. Murray, Mahnaz Rabbaniha, Jan C. Semenza, Liuhua Shi, Meisam Tabatabaei, Joaquin A. Trinanes, Bryan N. Vu, Chloe Brimicombe & Elizabeth J. Robinson "Postprint (published version

The 2020 special report of the MJA–Lancet Countdown on health and climate change: lessons learnt from Australia's "Black Summer"

The MJA-Lancet Countdown on health and climate change was established in 2017, and produced its first Australian national assessment in 2018 and its first annual update in 2019. It examines indicators across five broad domains: climate change impacts, exposures and vulnerability; adaptation, planning and resilience for health; mitigation actions and health co-benefits; economics and finance; and public and political engagement. In the wake of the unprecedented and catastrophic 2019-20 Australian bushfire season, in this special report we present the 2020 update, with a focus on the relationship between health, climate change and bushfires, highlighting indicators that explore these linkages. In an environment of continuing increases in summer maximum temperatures and heatwave intensity, substantial increases in both fire risk and population exposure to bushfires are having an impact on Australia's health and economy. As a result of the "Black Summer" bushfires, the monthly airborne particulate matter less than 2.5 μm in diameter (PM2.5 ) concentrations in New South Wales and the Australian Capital Territory in December 2019 were the highest of any month in any state or territory over the period 2000-2019 at 26.0 μg/m3 and 71.6 μg/m3 respectively, and insured economic losses were $2.2 billion. We also found growing awareness of and engagement with the links between health and climate change, with a 50% increase in scientific publications and a doubling of newspaper articles on the topic in Australia in 2019 compared with 2018. However, despite clear and present need, Australia still lacks a nationwide adaptation plan for health. As Australia recovers from the compounded effects of the bushfires and the coronavirus disease 2019 (COVID-19) pandemic, the health profession has a pivotal role to play. It is uniquely suited to integrate the response to these short term threats with the longer term public health implications of climate change, and to argue for the economic recovery from COVID-19 to align with and strengthen Australia's commitments under the Paris Agreement