a rising climate health burden that will last their lifetimes
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Anjali Sharma took the federal Environment Minister to court as a teenager over a coal mine expansion.
She now leads the Climate Duty of Care campaign and cites a children's wellbeing bill that failed to pass.
A duty of care is a legal obligation to take reasonable care to avoid harming others.[2]
The 2026 MJA–Lancet Countdown Oceania report tracks 28 indicators across five health and climate domains.
Forty-one experts from 18 institutions wrote the eighth annual edition.
Domains span hazards, adaptation, mitigation, economics and political engagement.[3]
The report concludes that children already bear climate impacts and face a lifetime of exposure to come.
Heatwave exposure for infants and older adults has risen substantially across both countries over the past decade.
A heatwave is a spell of unusually high temperatures that lasts several days.[1]
Infants in Australia endured an average of 4.6 heatwave days a year across 2016 to 2025. That figure sits 66 per cent above the 1986 to 2005 baseline. Parents for Climate chief executive Nic Seton describes that as two-thirds more heatwave days than a generation ago.[2]
Lead author Paul Beggs ranks climate change as the century's largest health threat. He says children and young people already feel the physical and mental effects. Rising heat also limits safe outdoor activity, lowers participation and raises heat illness during exercise.[5]
Australia holds the role of President of Negotiations at COP31, the 31st United Nations climate conference, in November. The report treats that role as a chance to place health at the centre of international climate action. Authors urge stronger commitments to cut emissions and to adapt.[5]
Climate change makes hot spells more frequent and longer, which raises heatwave days for infants and older adults. An urban heat island, where built surfaces trap heat, adds to the load. Associate Professor Aditya Vyas reports Western Sydney heatwaves run 10 degrees hotter than the affluent east.[2]
Attribution science measures how much climate change adds to a specific hazard. Across 2021 to 2025, 65 per cent of Australian heatwave days trace to climate change. Climate Councillor Andrew Watkins notes Port Augusta became the southernmost place on Earth to record 50 degrees last summer.[2]
Countdown data show very high or extreme fire danger exposure reached 33.6 days per person across 2013 to 2022. Anxiety, post-traumatic stress disorder and depression rank among the most reported mental health problems after bushfires. The 2019 to 2020 fires caused about 450 deaths through injury and air pollution.[6][7]
Drought ranks among Australia's most important climate extremes, with substantial effects on physical and mental health. A Curtin University study of 35,309 girls and young women aged 13 to 24 spanned 14 countries. In those low- and middle-income countries, prolonged extreme drought carried 21 per cent higher odds of sexual violence.[6][8]
The survey reached 16,230 Australians aged 14 to 19. Half reported worry or sadness about climate change and its threat to people. The authors say the threat to physical and mental health continues to grow.[1]
About one in seven respondents, or 13.5 per cent, said climate feelings negatively affect their daily life. Separately, 49 per cent said they worry that climate change threatens people and the planet. ECOMIND co-founder Georgia Monaghan argues that government inaction, as well as climate itself, fuels young people's distress.[2]
Today's children face decades of exposure ahead, a point that gives the report its title. The authors say climate change shapes child health through heat, severe weather, worsening environments and youth mental health strain. Climate education, advocacy and collective action can build agency, coping and hope among children, the report adds.[4]
The survey adds a direct measure of how young people feel, which exposure statistics alone leave unmeasured. That measure sits beside indicators on hazards, adaptation, mitigation, economics and political engagement.[1]
New Zealand published its Health National Adaptation Plan 2024 to 2027 in October 2024. A health national adaptation plan sets how a health system prepares for climate impacts. The report says the plan lays foundations for resilience and recognises environmental and social determinants of health.[1]
Climate services supply tailored climate data and forecasts to decision makers, including health authorities. The report rates provision to the health sector in Australia and New Zealand as advanced.[1]
For the first time, the report tracks Aboriginal and Torres Strait Islander time on Country with Indigenous-governed data. Almost 60 per cent of adults spent time on Country between 2021 and 2025. Dr Bronwyn Wilkes, a Gundungurra woman, says an estimated 14.3 per cent wanted that time but lacked access.[3]
Weather-related disasters displaced 32,177 people in Australia in 2024, including 25,000 through flooding in Queensland. A 2024 Deloitte study for UNICEF Australia counts over 1.4 million children and young people facing disasters annually. Associate Professor Aditya Vyas calls GP clinics and emergency departments the first line of defence in disasters.[2]
Heat-related mortality carries estimated costs averaging US$1.49 billion a year across 2021 to 2025. Inflation-adjusted, that sum more than doubles the cost at the start of the century. A net carbon price weighs pricing against fuel subsidies, and Australia's stood at minus AU$27.80 per tonne in 2024.[1][2]
Australian healthcare-related greenhouse gas emissions generally declined from 2016 to 2023, in both total and per capita terms. Spikes around 2018 and a modest rise from 2022 to 2023 interrupt the trend. Globally, health-care emissions rose 25.5 per cent since 2016, so Australia diverges from the worldwide pattern.[4]
Cutting emissions also delivers health co-benefits, a domain the report tracks directly. This edition shifts from electric vehicle uptake to indicators on walking and cycling. Globally, cleaner energy cut indoor air pollution deaths by an estimated 400,000 in 2023 versus 2016.[4]
The Climate Change Amendment (Duty of Care and Intergenerational Climate Equity) Bill 2025 failed to become law. It sought to amend the Climate Change Act 2022, which legislates national emissions targets, so decision-makers weigh children's health. The report counts it among important lost opportunities, and two UN experts now question coal and gas approvals.[2]
The 2026 MJA–Lancet Countdown Oceania report shows children carrying climate harm today and facing decades more. Heatwaves, bushfire smoke, drought and distress converge on young Australians, while heat deaths already cost US$1.49 billion annually.
A children's duty of care bill failed to pass, while a negative net carbon price effectively subsidises fossil fuels. Accountability rests with the federal decision-makers who set targets, approvals and subsidies.
COP31 offers Australia a platform to put health at the centre of negotiations. The evidence supports faster emissions cuts, stronger adaptation and child-centred policy before the next summer. Each season of delay adds to the lifetime exposure already facing today's children.
1. The 2026 Oceania Report of the MJA–Lancet Countdown on Health and Climate Change . This peer-reviewed abstract supplies the headline findings on heatwaves, youth distress, costs and adaptation.
2. Kids already paying for climate pollution as UN puts Australia's coal and gas approvals under scrutiny . This Climate Media Centre release lists the report's key findings, expert comments and the UN allegation letter.
3. Aboriginal and Torres Strait Islander Peoples' access to Country now a climate and health measure . The Australian National University explains the first Indigenous-governed indicator and its Mayi Kuwayu Study data.
4. Global climate health stocktake brings grim news and prescriptions for urgent action . Croakey Health Media summarises the Oceania findings alongside the global Lancet Countdown, including emissions and active transport indicators.
5. Children bear the brunt of climate change, warns new report . Macquarie University announces the report and quotes lead author Professor Paul Beggs on heat exposure and COP31.
6. The 2023 Report of the MJA–Lancet Countdown on Health and Climate Change: Sustainability Needed in Australia's Health Care Sector . The earlier edition documents bushfire danger exposure, mental health effects and drought impacts.
7. Eight years of the MJA–Lancet Countdown: the evidence on climate and health is clear . Editor-in-Chief Virginia Barbour recounts the 2020 Countdown figures on bushfire deaths and air pollution.
8. Extreme drought and sexual violence against adolescent girls and young women: A multi-country population-based study . This Curtin University peer-reviewed study links prolonged extreme drought to higher odds of sexual violence among 35,309 girls.





