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Non-technical abstract This perspective article from the co-chairs of the United Nations Environment Programme's Sixth Global Environment Outlook (GEO-6) uses the assessment of the literature in the GEO-6 to show how a healthy planet and healthy people are linked together. It argues that the health of the planet is deteriorating and that this deteriorating ecosystem health has major direct and indirect impacts on human health and well-being. Direct impacts include the impacts of polluted air ondoi:10.1017/sus.2019.17 fatcat:gocxcmlcknfalhaws3r4moinwi