The Lancet Countdown tracks progress on health and climate change and provides an independent assessment of the health effects of climate change, the implementation of the Paris Agreement,1 and the health implications of these actions. It follows on from the work of the 2015 Lancet Commission on Health and Climate Change,2 which concluded that anthropogenic climate change threatens to undermine the past 50 years of gains in public health, and conversely, that a comprehensive response to climate change could be “the greatest global health opportunity of the 21st century”.

Circulating metals from both the natural environment and pollution have been linked to cardiovascular disease. However, few prospective studies have investigated the associations between exposure to multiple metals and incident coronary heart disease (CHD).

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This landmark study published in Lancer finds that toxic air, water, soils and workplaces kill at least 9 millon people and cost trillions of dollars every year. Pollution kills more people in India than anywhere else in the world revealed the study.

1044 women of child-bearing age from 25 countries participated in the study. 42% of them had mercury levels greater than 1 ppm — the level that approximately corresponds to the US EPA reference dose.* 55% of the women had mercury levels greater than 0.58 ppm mercury, a more recent, science-based threshold based on data indicating harmful effects at lower levels of exposure. Mercury is a health threat to women and the developing fetus.