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Global Health Injustice From Climate Change Driven By Consumption

Rupcic, L.; Yoo, D.; Levasseur, A.; Alexandre, C.; Laurent, A.; Jolliet, O.

2026-06-12 public and global health
10.64898/2026.06.10.26355381 medRxiv
Show abstract

Climate change imposes unequal health burdens from heat and cold, disproportionately harming vulnerable nations least responsible for emissions. A framework to quantitatively attribute this damage to different countries' consumption patterns has been missing. We developed a global framework linking consumption-based greenhouse gas emissions to country-specific health burdens, measured in Disability-Adjusted Life Years (DALYs). Our results quantify the profound scale of this externalized harm. For example, average North American consumption imposes a global health burden of 34 days of healthy life per person per year, without net damage suffered. In contrast, Sub-Saharan Africa endures 25 days per person per year despite minimal emissions. The resulting Health Injustice Index provides a powerful instrument for climate accountability, reframing responsibility in terms of tangible human health impacts.

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