Health and wellbeing

Health and well-being have a central role in the 17 Sustainable Development Goals (SDGs) endorsed by the United Nations, emphasizing the integral part they play in building a sustainable future. The third SDG explicitly calls for ensuring healthy lives and promoting well-being for all at all ages. This goal encompasses a wide range of health objectives, from reducing maternal and child mortality rates, combatting disease epidemics, to improving mental health and well-being. But beyond SDG 3, health is intrinsically linked with almost all the other goals.

When addressing SDG 1, which aims to end poverty, one cannot neglect the social determinants of health. Economic hardship often translates into poor nutrition, inadequate housing, and limited access to health care, leading to a vicious cycle of poverty and poor health. Similarly, achieving SDG 2, ending hunger, also contributes to better health through adequate nutrition, essential for physical and mental development and the prevention of various diseases.

Conversely, the repercussions of climate change, encapsulated in SDG 13, profoundly impact health. Rising global temperatures can lead to increased spread of infectious diseases, compromised food and water supplies, and increased frequency and intensity of extreme weather events, all posing severe health risks. Conversely, the promotion of good health can also mitigate climate change through the reduction of carbon-intensive lifestyles and adoption of healthier, more sustainable behaviors.

SDG 5, advocating for gender equality, also has substantial health implications. Ensuring women's access to sexual and reproductive health services not only improves their health outcomes, but also contributes to societal and economic development. Furthermore, achieving SDG 4, quality education, is also critical for health promotion. Education fosters health literacy, empowering individuals to make informed health decisions, hence improving overall community health.

Lastly, SDG 17 underlines the importance of partnerships for achieving these goals. Multi-sector collaboration is vital to integrate health considerations into all policies and practices. Stakeholders from various sectors, including health, education, agriculture, finance, and urban planning, need to align their efforts in creating sustainable environments that foster health and well-being.

Hence, the relationship between health, well-being, and the SDGs is reciprocal. Improving health and well-being helps in achieving sustainable development, and vice versa. In this context, health and well-being are not just outcomes but are also powerful enablers of sustainable development. For the world to truly thrive, it must recognize and act upon these interconnections.

Elsevier,

Biomarkers in Neuropsychiatry, Volume 3, December 2020

Change point analysis can reveal when a biomarker starts to diverge from the pattern of normal aging. This paper analyzes several biomarkers from the Alzheimer’s Disease Neuroimaging Initiative (ADNI) to estimate the sequence and timing of their change points relative to a subsequent clinical diagnosis of mild cognitive impairment (MCI) in subjects initially considered cognitively normal (CN).
This book chapter advances SDG 3 by explaining how water, sanitation and hygiene (WASH) essentially address healthy living through intelligent management of human behaviour and the production of wastes so that the environment and ecosystems are not negatively impated. This chapter describes WASH in low resource countries and the role of the engineer in enabling the approach.
Based on the responses of a nationwide survey, this article explores the significant impact that COVID 19 has had on radiologists across the nation and, in the context of SDG 3, the impact on their mental health.
This chapter addresses SDG 10 and SDG 3 through an examination the critical dimensions of cyberbullying in relation to hate speech and online harassment, connecting it with racial and ethnic discrimination.
Elsevier,

Lancet Planetary Health, Volume 5, Issue 1, January 2021, Pages e50–e62.

This Personal View addresses SDGs 2, 3, 10, and 12 by exploring the potential consequences of food system innovations in relation to the SDGs. The authors highlight the negative consequences that standalone innovations can have for some sustainability goals, particularly for reducing inequalities and improving social justice. They identify ways in which technical innovations could be embedded in systemic changes to address trade-offs between positive and negative outcomes of their implementation.
Background: Circadian disturbances are commonly seen in people with Alzheimer's disease and have been reported in individuals without symptoms of dementia but with Alzheimer's pathology. We aimed to assess the temporal relationship between circadian disturbances and Alzheimer's progression. Methods: We did a prospective cohort study of 1401 healthy older adults (aged >59 years) enrolled in the Rush Memory and Aging Project (Rush University Medical Center, Chicago, IL, USA) who had been followed up for up to 15 years.
An article on the prevalence, risk factors, and management of dementia in older adults in China, in the context of SDG 3, highlighting the need for the development of a prevention strategy and optimising clinical management.
Elsevier,

Oliver et al., Practice improvement through a sex and gender high-value healthcare model, In: Jenkins et al, How Sex and Gender Impact Clinical Practice, Academic Press, 2021, Pages 309-323.

This book chapter advances SDGs 3 and 5 by explaining that there is evidence that healthcare cost distress affects women disproportionately, and that one way clinicians can help combat the epidemic of financial toxicity is through the practice of high-value care, an approach that aims to improve patient health and well-being by reducing the costs of care and/or by improving patient outcomes.
Elsevier,

Enzyme Active Sites and their Reaction Mechanisms, 2021, Pages 97-100

This chapter aligns with the SDG goal 3 of good health and wellbeing by examining the properties of the enzyme, hepatitis C NS2/3 protease, with special emphasis on the catalytic components of its active site, and the mechanism by which it hydrolyzes peptide bonds.
In this brief perspective piece, a rural sexual assault nurse examiner (SANE) program is described in the hopes that dissemination will lead to increased numbers of rural SANEs, increased reporting of sexual assaults in rural and underserved communities, increased prosecution rates of sexual assault perpetrators, and program sustainability through the provision of a nurse-centered approach to training and support. This article contributes SDGs 3, 5, 9, and 16.

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