The Baltic Sea ecosystems supply many benefits to society, termed ecosystem services. These depend upon a healthy marine environment requiring marine and relevant land-based policies integrated with public health policies. Until recently marine environment protection policies have largely focussed on human impacts on the environment and have not taken into account impacts of ecosystems on human health beyond the direct impacts of hazardous substances, such as those present in seafood. Whilst endeavours have been made to integrate human health and well-being into marine policies, interviews with key stakeholders through a participatory process revealed that the linkages were not sufficiently strong to inform policymaking. The existing evidence base urgently needs to be identified and synthesised to support relevant policy updates of the Marine Strategy Framework Directive (MSFD) 2008/56/EC and the Baltic Sea Action Plan (BSAP) (2007) as well as to help direct future research priorities. The protocol is based on the primary question, “What linkages have been researched between Baltic Sea ecosystems and the positive and negative impacts to human health and well-being?” Using systematic mapping, this study will identify and map the state and the geographical distribution of the existing research evidence linking human health and well-being with the Baltic Sea ecosystems. The types of ecosystem services supplied by the Baltic Sea and the associated health and well-being impacts will be categorised and presented in a graphical matrix, illustrating ecosystem service type and the types of health and well-being outcomes. The systematic mapping procedure will result in a narrative report published with a searchable database, which will contain a descriptive summary of the information from all of the eligible studies. The systematic map and database will be displayed on the website of the Finnish Environment Institute (SYKE).

中文翻译：

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有什么证据表明波罗的海生态系统对人类健康和福祉有影响？系统的地图协议

波罗的海生态系统为社会提供了许多好处，被称为生态系统服务。这些取决于健康的海洋环境，需要海洋和相关的陆基政策与公共卫生政策相结合。直到最近，海洋环境保护政策主要集中在人类对环境的影响上，并且除了有害物质（例如海鲜中存在的有害物质）的直接影响之外，还没有考虑到生态系统对人类健康的影响。在努力将人类健康和福祉纳入海洋政策的同时，通过参与性过程对主要利益相关者的采访表明，这种联系不够牢固，无法为决策提供依据。迫切需要确定和综合现有的证据基础，以支持海洋战略框架指令（MSFD）2008/56 / EC和波罗的海行动计划（BSAP）（2007）的相关政策更新，并帮助指导未来的研究优先事项。该协议基于以下主要问题：“在波罗的海生态系统与人类健康和福祉的正面和负面影响之间已研究了哪些联系？” 通过系统的制图，本研究将识别和映射现有研究证据的状态和地理分布，这些研究证据将人类健康和福祉与波罗的海生态系统联系在一起。波罗的海提供的生态系统服务的类型以及相关的健康和福祉影响将以图表的形式进行分类和呈现，说明生态系统服务类型以及健康和福祉成果的类型。系统的制图程序将产生一个叙述性报告，并在其可搜索的数据库中发布，其中将包含所有符合条件的研究的信息的描述性摘要。系统地图和数据库将显示在芬兰环境研究所（SYKE）的网站上。