{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T04:46:03Z","timestamp":1791780363857,"version":"4.3.4"},"reference-count":0,"publisher":"Scilight Press Pty Ltd","issue":"3","license":[{"start":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T00:00:00Z","timestamp":1785456000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.sciltp.com"],"crossmark-restriction":true},"short-container-title":["Work Health"],"abstract":"<jats:p>Climate change, toxic pollution, and social inequities are converging to create new risks for workers and communities, particularly in the Global South. Yet occupational and environmental health research and policy still tend to address these stressors in isolation, not considering their interactions. To synthesize the main messages of the COP30 side event, \u201cAmazon and Heat: Community-First Climate\u2013Environment\u2013Health Action from the Amazon Basin to Africa and Europe\u201d, presented in the context of the LIMA2025 Conference on Occupational Medicine, and to propose a framework for integrated climate\u2013environment\u2013health action in work and community settings. This conference report and policy perspective are based on a narrative synthesis of presentations and discussions delivered during the COP30 side event and subsequently presented at LIMA2025 by researchers, Indigenous leaders, occupational health practitioners and civil society organizations from the Amazon Basin, Africa and Europe. Contributions were grouped into thematic domains: (1) climate and toxic exposures in the Amazon; (2) work and heat in African and Southern European settings; and (3) cross-cutting challenges and policy opportunities. The analysis followed a qualitative thematic approach. Across regions, participants described intersecting exposures to heat, toxic chemicals, air pollution, deforestation and psychosocial stress, disproportionately affecting workers, Indigenous peoples, traditional populations, pregnant women and children. Evidence from cohort studies, intervention projects, and remote-sensing analyses highlighted: (i) elevated mercury exposure and increasing microplastics and diesel contamination in Amazonian communities, alongside climate-sensitive food-system vulnerabilities; (ii) growing heat-related health risks among children and pregnant women in African cities; and (iii) dehydration, kidney dysfunction, and cardiometabolic risks among agricultural and construction workers in Southern Europe. Cross-cutting themes included exposure mixtures, inequities in access to care and justice, persistent data gaps, and the need for locally owned technologies, capacity building, and sustainable solutions. The side event catalyzed the development of an Amazon Climate\u2013Environment\u2013Health Consortium and a shared policy agenda. Integrated, equity-focused action on heat, toxic exposures, and work is essential for a just climate transition.<\/jats:p>","DOI":"10.53941\/wah.2026.100017","type":"journal-article","created":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T08:27:06Z","timestamp":1785486426000},"update-policy":"https:\/\/doi.org\/10.53941\/sciltp.crossmark.policy","source":"Crossref","is-referenced-by-count":0,"title":["Climate, Toxic Exposures and Work: Linking the Amazon, Africa, and Southern Europe through a COP30 Dialogue"],"prefix":"10.53941","volume":"2","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9723-0237","authenticated-orcid":true,"given":"Roberto G.","family":"Lucchini","sequence":"first","affiliation":[{"name":"Department of Environmental Health Sciences, Florida International University, Miami, FL 33199, USA"},{"name":"Occupational Medicine, University of Modena and Reggio Emilia, 41100 Modena, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sila","family":"Apurina","sequence":"additional","affiliation":[{"name":"Amazonian Work Network and Embassy of Indigenous Peoples, Brasilia 70000-000, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra","family":"Almeida","sequence":"additional","affiliation":[{"name":"Acci\u00f3n Ecol\u00f3gica, Quito 170129, Ecuador"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silvana","family":"Andreescu","sequence":"additional","affiliation":[{"name":"Chemistry & Biochemistry, Clarkson University, Potsdam, NY 13699, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paulo Cesar","family":"Basta","sequence":"additional","affiliation":[{"name":"Escola Nacional de Sa\u00fade P\u00fablica Funda\u00e7\u00e3o Oswaldo Cruz, Rio de Janeiro 21041-210, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Elena Crespo","family":"Lopez","sequence":"additional","affiliation":[{"name":"Laborat\u00f3rio de Farmacologia Molecular, Amazonian Mercury Institute, Universidade Federal do Par\u00e1, Guam\u00e1 Bel\u00e9m 66077-830, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriela de Paula Fonseca","family":"Arrifano","sequence":"additional","affiliation":[{"name":"Laborat\u00f3rio de Farmacologia Molecular, Amazonian Mercury Institute, Universidade Federal do Par\u00e1, Guam\u00e1 Bel\u00e9m 66077-830, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alok","family":"Deoraj","sequence":"additional","affiliation":[{"name":"Department of Environmental Health Sciences, Florida International University, Miami, FL 33199, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enatfenta Sewmehone","family":"Endalew","sequence":"additional","affiliation":[{"name":"School of Nursing, Faculty of Health Sciences, Institute of Health, Jimma University, Jimma P.O. Box 378, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos","family":"Espinal","sequence":"additional","affiliation":[{"name":"Global Health, Florida International University, Miami, FL 33199, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Quentin","family":"Felty","sequence":"additional","affiliation":[{"name":"Department of Environmental Health Sciences, Florida International University, Miami, FL 33199, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3879-1445","authenticated-orcid":true,"given":"Luis","family":"Fernandez","sequence":"additional","affiliation":[{"name":"Biology, Sabin Center for Environment and Sustainability, Wake Forest University, Winston-Salem, NC 27109, USA"},{"name":"Centro de Innovaci\u00f3n Cient\u00edfica Amaz\u00f3nica (CINCIA), Puerto Maldonado 17001, Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Del Carmen","family":"Gasta\u00f1aga","sequence":"additional","affiliation":[{"name":"Centro Nacional de Salud Ocupacional y Protecci\u00f3n del Ambiente para la Salud, Instituto Nacional de Salud, Lima 15073, Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luca","family":"Lombroso","sequence":"additional","affiliation":[{"name":"\u2018Enzo Ferrari\u2019 Engineering, University of Modena and Reggio Emilia, 41100 Modena, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefanny Magaly Moncada","family":"Barbosa","sequence":"additional","affiliation":[{"name":"Faculty of Gobierno, Universidad del Desarrollo, Las Condes 7550000, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ebba","family":"Malqvist","sequence":"additional","affiliation":[{"name":"Occupational and Environmental Medicine, Lund University, 22100 Lund, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Desalew Meseret","family":"Moges","sequence":"additional","affiliation":[{"name":"Ethiopian Public Health Institute, Addis Ababa P.O. Box 1242, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristina","family":"O\u2019Callaghan-Gordo","sequence":"additional","affiliation":[{"name":"Barcelona InTerdisciplinary Research Group on plAnetary heaLth (BITAL), Universitat Oberta de Catalunya, 08018 Barcelona, Spain"},{"name":"Universitat Pompeu Fabra, 08003 Barcelona, Spain"},{"name":"CIBER Epidemiolog\u00eda y Salud P\u00fablica (CIBERESP), 28029 Madrid, Spain"},{"name":"Barcelona Institute for Global Health (ISGlobal), 08036 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jes\u00fas","family":"Olivero-Verbel","sequence":"additional","affiliation":[{"name":"Environmental and Computational Chemistry Group, Research Institute for Climate Change and Sustainable Development, Universidad de Cartagena. Cartagena 130000, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luciana","family":"Pitta","sequence":"additional","affiliation":[{"name":"Department of Environmental Health Sciences, Florida International University, Miami, FL 33199, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4012-2363","authenticated-orcid":true,"given":"Claudia","family":"Vega","sequence":"additional","affiliation":[{"name":"Centro de Innovaci\u00f3n Cient\u00edfica Amaz\u00f3nica (CINCIA), Puerto Maldonado 17001, Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kunihiko","family":"Yoshida","sequence":"additional","affiliation":[{"name":"Guangwai Law School, Guangdong University of Foreign Studies, Guangzhou 510420, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luiz Augusto","family":"Galv\u00e3o","sequence":"additional","affiliation":[{"name":"Center for International Relations in Health, FIOCRUZ, Rio de Janeiro 21040-900, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kurt","family":"Straif","sequence":"additional","affiliation":[{"name":"Barcelona Institute for Global Health (ISGlobal), 08036 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"32106","published-online":{"date-parts":[[2026,7,31]]},"container-title":["Work and Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/media.sciltp.com\/articles\/2607004645\/2607004645.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/media.sciltp.com\/articles\/2607004645\/2607004645.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T04:06:57Z","timestamp":1791778017000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.sciltp.com\/journals\/wah\/articles\/2607004645"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,31]]},"references-count":0,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2026,9,30]]}},"URL":"https:\/\/doi.org\/10.53941\/wah.2026.100017","relation":{},"ISSN":["2982-3463"],"issn-type":[{"value":"2982-3463","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,31]]}}}