Climate change is a health crisis. But are governments and societies paying attention?

Professor Niheer Dasandi reflects on his findings showing that fewer countries are addressing health and climate change for the fourth year running.

A wildfire spreads through a field behind houses

Heatwaves and wildfires are intensifying around the world, with 2026 seeing the hottest August on record.

Climate change is already having profound consequences for people's health around the world. From extreme heat and flooding to the spread of infectious diseases, food insecurity and worsening air pollution; the effects of a changing climate are increasingly felt in our everyday lives. And as global temperatures continue to rise, these threats will only become more severe.

Yet understanding how climate change is affecting our health is only part of the challenge. We also need to know whether governments, institutions, and the wider public are paying attention to these threats, and whether growing awareness is translating into meaningful action.

This is one of the central questions we address in the 2026 Lancet Countdown on Health and Climate Change annual report. Bringing together more than 100 researchers from around the world, the report assesses the growing health threats posed by climate change and tracks global progress towards protecting people's health. It presents more than 50 scientific indicators, updated annually, examining five interconnected areas: health impacts; adaptation and resilience; health co-benefits of reducing greenhouse gas emissions; economics and finance; and public and political engagement.

Tracking public awareness and political attention

I chair the Lancet Countdown's Working Group on Public and Political Engagement, which examines how different parts of society are responding to the growing evidence on climate change and health. Working with Dr Fabio Battaglia, Dr Aditi Dutta and Professor Slava Jankin at the University of Birmingham and colleagues from institutions worldwide, we tracked engagement through indicators on media coverage, scientific research, corporate engagement, national legislation, public interest, and government and international organisation engagement.

Why does this matter? Because scientific evidence, however compelling, does not automatically translate into political action. Governments face competing priorities, businesses respond to different incentives, and people are understandably concerned with the immediate pressures of everyday life. How climate change is understood, discussed and prioritised across society can therefore play a crucial role in shaping our response.

There is also an important opportunity in framing climate change as a health issue. Climate change can seem like a distant environmental problem, discussed in terms of temperature targets and emissions trajectories. But its health consequences are immediate, tangible and deeply personal.

Photo of Niheer Dasandi
Professor Niheer Dasandi
Professor of Global Politics and Sustainable Development

There is also an important opportunity in framing climate change as a health issue. Climate change can seem like a distant environmental problem, discussed in terms of temperature targets and emissions trajectories. But its health consequences are immediate, tangible and deeply personal. There are also direct health benefits from climate action – such as active travel and less red meat consumption – that can help build support. Indeed, our previous research finds that health framings can increase public support for climate action, including among people less concerned about climate change.

Growing public interest

Our latest findings provide some grounds for optimism. A significant development is the growing public interest with the relationship between climate change and health. Using Google search data, we find that global public engagement on this topic has increased approximately sixfold since 2016, reaching its highest recorded level in 2025. Importantly, engagement is highest in low- and middle-income countries and small island developing states, often countries facing the greatest climate-related health threats despite contributing little to global emissions.

Our media indicator, tracking news coverage in 75 countries, shows growing attention to climate change and health. Meanwhile, a new indicator examining national climate legislation, developed by Dr Aditi Dutta, reveals a fiftyfold increase in laws referencing health between 2000 and 2025. These developments matter because public awareness, media attention and legislation can help create the conditions for action.

Slipping down the political agenda

However, our findings are not all positive. Perhaps the most concerning finding is that growing societal engagement is not being consistently matched by political attention. Our analysis of government statements at the United Nations shows that political engagement with climate change and health has declined for the fourth consecutive year. This is particularly troubling when evidence of climate-related health impacts is becoming stronger and action more urgent. Of course, what governments say internationally is not the same as what they do. But political rhetoric matters. The issues governments emphasise reveal something about their priorities and help shape international cooperation and policy agendas.

Our findings reinforce a simple but important point: responding effectively to the health threats posed by climate change requires more than scientific evidence. It also requires sustained public attention, political commitment, and resources to turn evidence into action.

Growing societal engagement is encouraging. But declining political engagement reminds us that progress cannot be taken for granted. Understanding who is paying attention, who is being left behind, and whether engagement translates into action is essential if we are to protect people's health in a rapidly changing climate.