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WHY IS NATURE RESTORATION
CRITICAL TO IMPROVING HUMAN
HEALTH AND WELL-BEING?
Publication date: December 2022
Authors: Maren Gvein, McKenna Davis (Ecologic Institute)
Well-functioning ecosystems are critical for ensuring human health and well-being through the provisioning
of key services (e.g. climate regulation, nutrient cycling and resource provisioning) and wider physical, mental
and psychosocial co-benefits [1]. The delivery of these services is more important than ever, under threat
from ecosystem degradation and extreme weather events and disasters.
The most obvious direct consequences for physical health are deaths caused by these events. Over 200 deaths
were associated with floods in Germany and surrounding areas in 2021 [2], while around 130,000 people die
annually in Europe due to heatwaves [3] and about half a million [4] as a result of poor environmental quality,
such as air and water pollution. As for mental health, consequences include Post-Traumatic Stress Disorder
and depression related to displacement and property loss, loss of labor for farmers due to drought, heat-
related stress, and (eco-)anxiety [5]–[7]. Other chronic diseases, stress, and sleep disturbances are also related
to long-term exposure to environmental noise [8].
Nature restoration has the potential to generate healthier living
environments for people and mitigate physical, mental and social health
threats through the protection and enhancement of biodiversity and the
promotion of healthier and more resilient ecosystems [9], [10].
Bihor County, Romania, Photo by Larisa Birta
WHY IS NATURE RESTORATION CRITICAL TO IMPROVING HUMAN HEALTH AND WELL-BEING?
HOW CAN THE NATURE RESTORATION LAW CONTRIBUTE TO
IMPROVED HUMAN HEALTH AND WELL-BEING IN EUROPE?
The NRL proposal [11] sets the basis for ensuring long-term ecosystem and societal resilience.
‘Protecting human health’ (from Article 191 in the Treaty of the Functioning of the European Union) is
one of four objectives of the NRL. The following articles of the proposal are of particular relevance for
human health:
• Restoration of
freshwater ecosystems is important for water safety and clean drinking water (article 4).
• Enhanced
biodiversity in terrestrial, coastal, freshwater, and marine ecosystems can play a crucial
for both mental and physical health. Ecosystem restoration can further contribute to build resilience to
extreme events such as floods or drought (article 4 and 5).
• Restoration of
marine and agricultural ecosystems is important to ensure food safety and nutritious
food supply from sea and land, and for improved mental health for fishing workers and farmers (arti-
cle 5 and 9).
• Increased
green spaces and tree canopy in cities, towns, and in infrastructure is crucial for good air
quality and to reduce heat stress in cities, with large impacts on mental and physical health (article 6).
• Restoration of
pollinator populations plays a crucial role in the supply of nutritious food… (article 8).
• Biodiversity in
forest ecosystems and nature in general have high importance for mental and physi- cal
health. Forests are also important for increased air quality and evapotranspiration (article 10).
People living in (peri-)urban areas are frequently exposed to environmental risks such as air and noise
pollution, stress from traffic and population density, and heat urban islands. Exposure to urban green and
blue areas (such as urban forests, ponds, etc.) can have significant health benefits [11], [12], including
reduced
noise exposure and cleaner air as well as fostering
stress relief. Blue and green urban and rural areas can
serve as positive contributions both as treatment for mental health challenges (through for example
ecotherapy [13]) and as a recreational purpose [3], [12]. Direct exposure to a natural environment (compared
to a busy urban environment) can decrease the activity of amygdala in the human brain [11], which is the
opposite of the expected reaction for a person in a stressed situation. As such, it is an emerging trend in some
places to prescribe birdwatching and walks in nature as treatment for chronic illnesses [14]. Increased
forest
and vegetation cover can also
cool and regulate the microclimate through transpiration. One study
suggests that in Norway, one tree planted is foreseen to mitigate the heat exposure of one heat sensitive
person every day [15].
Within rural areas, nature restoration can contribute to enhanced biodiversity in above and below ground
habitats, increased evapotranspiration, more diverse landscapes, and increased carbon stocks [16]. Related
health benefits include increased
food safety more
nutritious food, as well as
resilience to droughts, and
thereby enhanced and more stable
working conditions for farmers [17]. Agroecology, which is closely
related to nature restoration, is an emerging concept associated with stronger food systems and increased
well-being in farming communities, as well as enhanced biodiversity and healthy soil [18]. Increased
vegetation cover is also an important measure to avoid freshwater toxicity, where green infrastructure could
contribute to a 50-80% reduction in polluted run-off to rivers [19]. In light of the COVID-19 pandemic, the
NRL has an important role to play in
building resilience to future communicable diseases and potential
pandemics and in implementing the One Health approach [20] within the EU policy landscape – linking
ecosystem, human and animal health.
2
References
1. J. M. Robinson et al., ‘Ecosystem restoration is integral to humanity’s recovery from COVID-19’, Lancet Planet. Health, vol. 6, no. 9, pp. e769–
e773, Sep. 2022, doi: 10.1016/S2542-5196(22)00171-1.
2. W. Cornwall, ‘Europe’s deadly floods leave scientists stunned’, Science, Jul. 20, 2021. https://www.science.org/content/article/europe-s-
deadly-floods-leave-scientists-stunned (accessed Nov. 21, 2022).
3. European Environment Agency, ‘Healthy environment, healthy lives: how the environment influences health and well being in Europe’,
Publications Office, Luxembourg, 21/2019, 2020. Accessed: Nov. 23, 2022. [Online]. Available: https://data.europa.eu/doi/10.2800/53670
4. A. Juginović, M. Vuković, I. Aranza, and V. Biloš, ‘Health impacts of air pol ution exposure from 1990 to 2019 in 43 European countries’, Sci.
Rep., vol. 11, no. 1, p. 22516, Dec. 2021, doi: 10.1038/s41598-021-01802-5.
5. European Climate and Health Observatory, ‘Climate change impacts on mental health in Europe. An overview of evidence’, Mar. 2022.
Accessed: Nov. 22, 2022. [Online]. Available: https://climate-adapt.eea.europa.eu/en/observatory/evidence/health-effects/mental-health-
effects/european_climate_health_observatory_mental-health_evidence_review_2022.pdf
6. L. Jackson and C. A. Devadason, ‘Climate Change, Flooding and Mental Health’, University of Oxford, Johns Hopkins University, Report from
the Secretariat of the Rockefeller Foundation Economic Council on Planetary Health, Apr. 2019.
7. E. L. Lawrance, R. Thompson, J. Newberry Le Vay, L. Page, and N. Jennings, ‘The Impact of Climate Change on Mental Health and Emotional
Wellbeing: A Narrative Review of Current Evidence, and its Implications’, Int. Rev. Psychiatry, vol. 34, no. 5, pp. 443–498, Jul. 2022, doi:
10.1080/09540261.2022.2128725.
8. European Environment Agency, ‘Environmental noise in Europe, 2020.’, Publications Office, Luxembourg, 22/2019, 2020. Accessed: Nov. 24,
2022. [Online]. Available: https://data.europa.eu/doi/10.2800/686249
9. European Commission (COM), ‘COM(2020) 380 final. COMMUNICATION FROM THE COMMISSION TO THE EUROPEAN PARLIAMENT, THE
COUNCIL, THE EUROPEAN ECONOMIC AND SOCIAL COMMITTEE AND THE COMMITTEE OF THE REGIONS EU Biodiversity Strategy for
2030’, European Commission, Brussels, Belgium, Document 52020DC0380, May 2020. [Online]. Available: https://eur-
lex.europa.eu/resource.html?uri=cellar:a3c806a6-9ab3-11ea-9d2d-01aa75ed71a1.0001.02/DOC_1&format=PDF
10. World Wide Fund for Nature, ‘FACTSHEET 1 HEALTH BENEFITS OF INVESTING IN NATURE RESTORATION’. 2021.
11. S. Sudimac, V. Sale, and S. Kühn, ‘How nature nurtures: Amygdala activity decreases as the result of a one-hour walk in nature’, Mol.
Psychiatry, Sep. 2022, doi: 10.1038/s41380-022-01720-6.
12. L. T. M. Huynh, A. Gasparatos, J. Su, R. Dam Lam, E. I. Grant, and K. Fukushi, ‘Linking the nonmaterial dimensions of human-nature relations
and human well-being through cultural ecosystem services’, Sci. Adv., vol. 8, no. 31, p. eabn8042, Aug. 2022, doi: 10.1126/sciadv.abn8042.
13. P. Chaudhury and D. Banerjee, ‘“Recovering With Nature”: A Review of Ecotherapy and Implications for the COVID-19 Pandemic.’, Front.
Public Health, vol. 8, pp. 604440–604440, 2020, doi: 10.3389/fpubh.2020.604440.
14. S. Carrell, ‘Scottish GPs to begin prescribing rambling and birdwatching’, The Guardian, Oct. 04, 2018. Accessed: Nov. 24, 2022. [Online].
Available: https://www.theguardian.com/uk-news/2018/oct/05/scottish-gps-nhs-begin-prescribing-rambling-birdwatching
15. Z. S. Venter, N. H. Krog, and D. N. Barton, ‘Linking green infrastructure to urban heat and human health risk mitigation in Oslo, Norway’, Sci.
Total Environ., vol. 709, p. 136193, Mar. 2020, doi: 10.1016/j.scitotenv.2019.136193.
16. ‘COM(2022) 304 final. Proposal for a REGULATION OF THE EUROPEAN PARLIAMENT AND OF THE COUNCIL on nature restoration’, European
Commission, Brussels, Belgium, Document 52022PC0304, Jun. 2022. Accessed: Nov. 21, 2022. [Online]. Available: https://eur-
lex.europa.eu/legal-content/EN/TXT/PDF/?uri=CELEX:52022PC0304&from=EN
17. H. Vins, J. Bell, S. Saha, and J. Hess, ‘The Mental Health Outcomes of Drought: A Systematic Review and Causal Process Diagram’, Int. J.
Environ. Res. Public. Health, vol. 12, no. 10, pp. 13251–13275, Oct. 2015, doi: 10.3390/ijerph121013251.
18. Daniel Amoak, I. Luginaah, and G. McBean, ‘Climate Change, Food Security, and Health: Harnessing Agroecology to Build Climate-Resilient
Communities’, Sustainability, 2022, doi: 10.3390/su142113954.
19. ‘SWD(2022) 167 final. PART 5/12. COMMISSION STAFF WORKING DOCUMENT IMPACT ASSESSMENT REPORT ANNEX VI-b Accompanying
the proposal for a Regulation of the European Parliament and of the Council on nature restoration {COM(2022) 304 final} - {SEC(2022) 256
final} - {SWD(2022) 168 final}’, European Commission, Brussels, Belgium, Jun. 2022. doi: 10.5040/9781782258674.
20. WHO Regional Office for Europe, ‘A health perspective on the role of the environment in One Health’, Copenhagen, WHO/EURO:2022-5290-
45054-64214, 2022.
Funded by the European Union. Views and opinions expressed are however those of the author(s) only and do not
necessarily reflect those of the European Union or CINEA. Neither the European Union nor CINEA can be held
responsible for them.
These policy briefs were written by IEEP and
Ecologic Institute in the Think Sustainable Europe
Network in response to the proposed EU nature
restoration law.