Andrew Haines

This article is about the epidemiologist. For the baseball coach and manager, see Andy Haines.

Sir Andrew Paul Haines, FRCGP, FRCP, FFPH FMedSci (born 26 February 1947) is a British epidemiologist and academic. He was the Director of the London School of Hygiene & Tropical Medicine from 2001 to 2010.

Sir Andrew Haines FRCGP FRCP FFPH
Andrew Haines
Born	(1947-02-26) 26 February 1947 (age 77)
Nationality	British
Alma mater	King's College London
Scientific career
Fields	Epidemiology
Institutions	London School of Hygiene & Tropical Medicine

Early life and education

Haines was educated at Latymer Upper School on a state funded scholarship, and at King's College London (MBBS) where he qualified in Medicine in 1969 with honours in pathology, surgery and pharmacology and therapeutics. He gained an MD in Epidemiology in the University of London in 1985.

Career

After a number of hospital appointments he trained in general (family) practice with Dr Julian Tudor Hart in Glyncorrwg, Wales. He was a consultant in epidemiology in the Medical Research Council Epidemiology and Medical Care Unit between 1980 and 1987, and Professor of Primary Health Care at University College London from 1987 to 2000.

He worked part-time as an inner London General Practitioner between 1980 and 2000. Between 1993 and 1996, he was on part-time secondment as Director of Research and Development at the NHS Executive North Thames (formerly North Thames Regional Health Authority) where he had responsibility for a number of regional and national research programmes.^[1][2] At various times in his career he worked in Jamaica, Nepal, USA, Canada and on sabbatical at the World Health Organization (WHO) in Geneva. He had collaborative links with the Family Health Programme in Brazil for many years.^[3]

Formerly a professor of primary health care at University College London, Haines was named Director of the London School of Hygiene & Tropical Medicine in 2001,^[4] with responsibility for academic leadership and management of the institution. He served for nearly 10 years.^[5] The school is internationally recognised for its high quality postgraduate teaching and research. As a result of the 2008 Research Assessment Exercise it was ranked 3rd in the country for the quality of its research output by the Times Higher Education out of more than 100 higher education institutions.^[6][7]

Under his leadership, the London School of Hygiene & Tropical Medicine received the 2009 Award for Global Health from the Bill & Melinda Gates Foundation worth $1m, for sustained commitment to improving the health of poor people, having been selected from 106 nominations worldwide by an international jury of experts.

Haines was also responsible for setting up the London International Development Centre and for raising £3.7m from Higher Education Funding Council for England for this purpose.^[8] The Centre, a collaborative initiative initially between 5 colleges of the University of London now has about 3,000 staff, student and alumni members from 7 constituent colleges.^[9]

He has been a member of a number of major international and national committees including the MRC Global Health Group (chair), the MRC Strategy Group and of the WHO Advisory Committee on Health Research. He was chair of a WHO Task Force on Health Systems Research in 2004^[10] and a member of the Council of International Physicians for the Prevention of Nuclear War at the time of the award of the Nobel Peace Prize in 1985. He was also a member of the UN Intergovernmental Panel on Climate Change for the second and third assessment reports and review editor for the health chapter in fifth assessment report. He chaired the Tropical Health Education Trust, and the Research Strategy Committees of the Multiple Sclerosis Society and Marie Curie (supporting research on palliative end-of-life care).

He is currently Professor of Environmental Change and Public Health at the Centre on Climate Change and Planetary Health at the London School of Hygiene & Tropical Medicine and co-Director (with Pauline Scheelbeek) of the WHO Collaborating Centre on Climate Change Health and Sustainable Development.

Research

His research interests were initially in epidemiology and health services research focussing particularly on primary care and latterly on the study of environmental influences on health, including the potential effects of climate change and the health co-benefits of the low carbon economy.^[11]

Previous research included a number of randomised trials evaluating interventions to change patient and practitioner behaviour, notably a large trial of general practitioner intervention in patients with heavy alcohol consumption.^[12] His first articles on climate change and health were in the early 1990s.^[13][14][15] He also chaired an international task force on climate change mitigation and public health which published a series of articles in the Lancet in 2009.^[16][17]

As chair of an international task force on guidance for health systems policies he co-authored a series of articles on the challenges of assessing evidence for health systems policies and developing guidance for policymakers, published in 2012.^[18][19][20]

His current research includes the study of the effects of climate and other environmental changes on health together with research on health co-benefits of low carbon policies in sectors such as energy, transport, food and agriculture and housing. He has co-authored over 400 scientific articles, editorials, book chapters and reports.^{[citation needed]}

He chaired the Rockefeller Foundation/ Lancet Commission on Planetary Health which was set up to assess the potential implications for health of multiple interacting environmental changes affecting the Earth's 'essential life support systems' and publishing its findings in 2015.^[21][22]

His book co-authored with Howard Frumkin Planetary Health - Safeguarding Human Health in the Anthropocene Epoch was published by Cambridge University Press in 2021.^[23]

He co-chaired (with Prof. Joanna Haigh) the Academy of Medical Sciences/ Royal Society working group on 'A healthy future - tackling climate change mitigation and human health together' that reported in 2021.^[24]

He currently co-chairs the InterAcademy Partnership (over 140 member science academies worldwide) working group on climate change and health. The group coordinated four regional assessments and a global synthesis report on the effects of climate change on health and the effects of climate change adaptation and mitigation actions on health. He co-chairs The Lancet Pathfinder Commission and broader Pathfinder Initiative with Helen Clark and Joy Phumaphi funded by the Wellcome Trust with support from the Oak Foundation. He was co-author of the Lancet Pathfinder Commission report on Pathways to a healthy net-zero future, published in The Lancet in November 2023.^[25] He was also co-author of a publication on air pollution deaths attributable to fossil fuels, published in the BMJ.^[26]

Honours

He is a Fellow of the Royal College of General Practitioners, the Royal College of Physicians, the Academy of Medical Sciences; an Hon. Fellow of the Faculty of Public Health, Hon. Fellow of University College London and Fellow of King's College London. He was knighted for services to medicine in 2005.^[27] He was also made a foreign Associate member of the US Institute of Medicine of the National Academies in 2007 (currently National Academy of Medicine of the USA).

Other awards include: Hon. Fellow of the Philippine Academy of Family Physicians; Hon. Member of the National Academy of Medicine of Mexico; Hon Life Direct Member World Organisation of Family Doctors (WONCA); Fellow of the Royal Society of Biology; Springer Nature Visiting Professorship, Indian Academy of Sciences 2019; Fellow of the Royal Society for Public Health (RSPH); Hon. Fellow of the American Public Health Association (APHA) (following 'Exchange of Honours' between RSPH and APHA in 2019).

He was awarded the 2022 Tyler Prize for Environmental Achievement.

References

1. Jones, R; Lamont, T; Haines, A (21 October 1995). "Setting priorities for research and development in the NHS: a case study on the interface between primary and secondary care". British Medical Journal. 311 (7012): 1076–80. doi:10.1136/bmj.311.7012.1076. PMC 2551374.
2. Wisely, J; Haines, A (21 October 1995). "Commissioning a National Programme of Research and Development on the Primary/Secondary Care Interface". British Medical Journal. 311 (7012): 1080–2. doi:10.1136/bmj.311.7012.1080. PMC 2551375.
3. Haines, A. (20 February 1993). "Health care in Brazil". British Medical Journal. 306 (6876): 503–506. doi:10.1136/bmj.306.6876.503. ISSN 0959-8138. PMC 1676779. PMID 8448465. S2CID 41298135.
4. Debrett's People of Today. Debrett's Ltd. 2009. ISBN 978-1-870520-51-5.
5. Horton, Richard (1 October 2010). "Offline: Life isn't everything". The Lancet. 376 (9746): 1038. doi:10.1016/S0140-6736(10)61464-X. S2CID 54247375.
6. "Research Assessment Exercise (RAE) results, 2008 | General". Times Higher Education. 18 December 2008. Retrieved 24 September 2013.
7. Watts, G (2008). "Medicine takes two of top three places in research assessment exercise". BMJ. 337 (8): 519–521. doi:10.1136/bmj.a3121. S2CID 71206736.
8. "Bid for better world starts here | General". Times Higher Education. 9 March 2007. Retrieved 24 September 2013.
9. . LIDC. Archived from the original on 27 September 2013. Retrieved 24 September 2013.
10. Task Force on Health Systems Research (2004). "Informed choices for attaining the Millennium Development Goals: Towards an international cooperative agenda for health-systems research". The Lancet. 364 (9438): 997–1003. doi:10.1016/S0140-6736(04)17026-8. PMID 15364193. S2CID 26800221.
11. Priya Shetty (2007). "Andy Haines: exploring the effects of global environmental change and energy use on health". The Lancet. 370 (9591): 929. doi:10.1016/S0140-6736(07)61431-7. PMID 17869622. S2CID 28303104.
12. Wallace, PB; Cutler, S; Haines, A (1988). "Randomised controlled trial of general practitioner intervention in patients with excessive alcohol consumption". British Medical Journal. 297 (6649): 663–668. doi:10.1136/bmj.297.6649.663. PMC 1834369. PMID 3052668.
13. Haines, A. (23 March 1991). "Global warming and health". British Medical Journal. 302 (6778): 669–670. doi:10.1136/bmj.302.6778.669. ISSN 0959-8138. PMC 1669097. PMID 1867673. S2CID 41104467.
14. Haines, A.; Fuchs, C. (May 1991). "Potential impacts on health of atmospheric change". Journal of Public Health Medicine. 13 (2): 69–80. ISSN 0957-4832. PMID 1906721.
15. Haines, Andrew; Epstein, PaulR; McMichael, AnthonyJ (11 December 1993). "Global health watch: monitoring impacts of environmental change". The Lancet. 342 (8885): 1464–1469. doi:10.1016/0140-6736(93)92937-O. ISSN 0140-6736. PMID 7902486. S2CID 35137169.
16. Haines, A; McMichael, AJ; Smith, KR; Roberts, I; Woodcock, J; Markandya, A; Armstrong, BG; Campbell-Lendrum, D; Dangour, AD; Davies, M; Bruce, N; Tonne, C; Barrett, M; Wilkinson, P (2009). "Public health benefits of strategies to reduce greenhouse-gas emissions: overview and implications for policy makers". Lancet. 374 (9707): 2104–14. doi:10.1016/s0140-6736(09)61759-1. hdl:1885/30032. PMID 19942281. S2CID 13753895.
17. Buchen, Lizzie (2009). "Plans for cutting emissions could also benefit health". Nature. doi:10.1038/news.2009.1106.
18. Bosch-Capblanch, X; Lavis, JN; Lewin, S; Atun, R; Røttingen, JA; Dröschel, D; Beck, L; Abalos, E; El-Jardali, F; Gilson, L; Oliver, S; Wyss, K; Tugwell, P; Kulier, R; Pang, T; Haines, A (2012). "Guidance for Evidence-Informed Policies about Health Systems: Rationale for and Challenges of Guidance Development". PLOS Medicine. 9 (3): e1001185. doi:10.1371/journal.pmed.1001185. PMC 3295823. PMID 22412356.
19. Lavis, John N; Røttingen, John-Arne; Bosch-Capblanch, Xavier; Atun, Rifat; El-Jardali, Fadi; Gilson, Lucy; Lewin, Simon; Oliver, Sandy; Ongolo-Zogo, Pierre; Haines, Andy (2012). "Guidance for Evidence-Informed Policies about Health Systems: Linking Guidance Development to Policy Development". PLOS Medicine. 9 (3): e1001186. doi:10.1371/journal.pmed.1001186. PMC 3302830. PMID 22427746.
20. Lewin, S; Bosch-Capblanch, X; Oliver, S; Akl, EA; Vist, GE; Lavis, JN; Ghersi, D; Røttingen, JA; Steinmann, P; Gulmezoglu, M; Tugwell, P; El-Jardali, F; Haines, A (2012). "Guidance for Evidence-Informed Policies about Health Systems: Assessing How Much Confidence to Place in the Research Evidence". PLOS Medicine. 9 (3): e1001187. doi:10.1371/journal.pmed.1001187. PMC 3308931. PMID 22448147.
21. Haines, Andy; Whitmee, Sarah; Horton, Richard (2014). "Planetary health: A call for papers". The Lancet. 384 (9942): 479–80. doi:10.1016/S0140-6736(14)61289-7. PMID 25110268. S2CID 32859415.
22. Whitmee, Sarah; Haines, Andy; Beyrer, Chris; Boltz, Frederick; Capon, Anthony G.; Dias, Braulio Ferreira de Souza; Ezeh, Alex; Frumkin, Howard; Gong, Peng; Head, Peter; Horton, Richard (14 November 2015). "Safeguarding human health in the Anthropocene epoch: report of The Rockefeller Foundation–Lancet Commission on planetary health". The Lancet. 386 (10007): 1973–2028. doi:10.1016/S0140-6736(15)60901-1. ISSN 0140-6736. PMID 26188744. S2CID 21925353.
23. Haines, Andy; Frumkin, Howard (2021). Planetary Health: Safeguarding Human Health and the Environment in the Anthropocene. Cambridge: Cambridge University Press. ISBN 978-1-108-49234-8.
24. "Climate change and health | The Academy of Medical Sciences". acmedsci.ac.uk. 14 October 2021. Retrieved 24 April 2022.
25. Whitmee, S; Green, R; Belesova, K; Hassan, S; Cuevas, S; Murage, P; Picetti, R; Clerq-Rocques, R; Murray, K; Falconer, J; Anton, B; Reynolds, T; Sharma Waddington, H; Hughes, R; Spadaro, J; Aguilar Jaber, A; Saheb, Y; Campbell-Lendrum, D; Cortés-Puch, M; Ebi, K; Huxley, R; Mazzucato, M; Oni, T; de Paula, N; Peng, G; Revi, A; Rockström, J; Srivastava, L; Whitmarsh, L; Zougmoré, R; Phumaphi, J; Clark, H; Haines, A (20 November 2023). "Pathways to a healthy net-zero future: report of the Lancet Pathfinder Commission". The Lancet. 403 (10421): 67–110. doi:10.1016/S0140-6736(23)02466-2.
26. Lelieveld, J; Haines, A; Burnett, R; Tonne, C; Klingmüller, K; Münzel, T; Pozzer, A (29 November 2023). "Air pollution deaths attributable to fossil fuels: observational and modelling study". British Medical Journal. 383. doi:10.1136/bmj-2023-077784. PMC 10686100.
27. "Professor Sir Andrew Haines". Career Focus. BMJ. 330: s29. 15 January 2005. doi:10.1136/bmj.330.7483.s29. S2CID 80466544.