BACKGROUND Sustainable management of the natural environment is essential. Continued environmental degradation will lead to worsened health outcomes in countries and across generations. The Sustainable Development Goals (SDGs) provide a framework for viewing the preservation of natural environments and the promotion of health, well-being and health equity as interconnected pursuits. Within the SDG framework the goals of promoting environmental sustainability and human health are unified through attention to the social determinants of health and health equity (SDH/HE). This paper presents findings from a document analysis of all Australian environment sector policies and selected legislation to examine whether and how current approaches support progress toward achieving SDG goals on water, climate change, and marine ecosystems (Goals 6, 13 and 14), and to consider implications for health and health equity. RESULTS Consideration of a broad range of SDH/HE was evident in the analysed documents. Related collaborations between environment and health sectors were identified, but the bulk of proposed actions on SDH/HE were initiated by the environment sector as part of its core business. Strengths of Australian policy in regard to SDGs 6, 13 and 14 are reflected in recognition of the effects of climate change, a strong cohesive approach to marine park protection, and recognition of the need to protect existing water and sanitation systems from future threats. However, climate change strategies focus predominately on resilience, adaptation and heat related health effects, rather than on more comprehensive mitigation policies. The findings emphasise the importance of strengthened cross-sectoral action to address both the drivers and effects of environmental degradation. A lack of policy coherence between jurisdictions was also evident in several areas, compounded by inadequate national guidance, where vague strategies and non-specific devolution of responsibilities are likely to compromise coordination and accountability. CONCLUSIONS Evidence on planetary health recognises the interconnectedness of environmental and human health and, as such, suggests that ineffective management of climate change and water pose serious risks to both the natural environment and human well-being. To address these risks more effectively, and to achieve the SDGs, our findings indicate that cross-jurisdiction policy coherence and national coordination must be improved. In addition, more action to address global inequities is required, along with more comprehensive approaches to climate change mitigation.

中文翻译：

---

澳大利亚关于水管理和气候变化的政策：它们是否支持可持续发展目标以及改善健康状况？

背景技术自然环境的可持续管理是必不可少的。持续的环境恶化将导致各国乃至几代人的健康状况恶化。可持续发展目标（SDGs）提供了一个框架，将相互联系的追求视为对自然环境的保护以及对健康，福祉和健康公平的促进。在可持续发展目标框架内，通过关注健康和健康公平的社会决定因素（SDH / HE）来统一促进环境可持续性和人类健康的目标。本文提供了对澳大利亚所有环境部门政策和选定立法的文件分析得出的结论，以研究当前的方法是否以及如何支持实现水，气候变化和海洋生态系统的可持续发展目标的进展（目标6、13和14），并考虑对健康和健康公平的影响。结果在分析的文件中显然考虑了广泛的SDH / HE。确定了环境和卫生部门之间的相关合作，但是关于SDH / HE的大部分拟议行动是由环境部门发起的，是其核心业务的一部分。澳大利亚在可持续发展目标6、13和14方面的优势体现在对气候变化的影响的认识，对海洋公园保护的有力的凝聚力方法以及对保护现有水和卫生系统免受未来威胁的需求的认识。但是，气候变化战略主要集中在韧性，适应性和与热相关的健康影响上，而不是更全面的缓解政策上。调查结果强调了加强跨部门行动以应对环境恶化的驱动因素和影响的重要性。在几个领域中，司法管辖区之间缺乏政策一致性也很明显，加上国家指导不充分，在这些领域模糊的战略和责任的非特定性转移很可能损害协调和问责制。结论关于行星健康的证据认识到环境与人类健康之间的相互联系，因此，表明对气候变化和水的无效管理对自然环境和人类福祉均构成严重威胁。为了更有效地应对这些风险并实现可持续发展目标，我们的研究结果表明，必须提高跨辖区政策的连贯性和国家协调。此外，