Managing the impact of AI on both human health and planetary health requires new forms of governance

We need to reimagine global governance.In public health, we now accept that human and planetary wellbeing are inseparable.The climate crisis, biodiversity loss, pollution, pandemics, and inequity are not isolated challenges-they are symptoms of one interlinked system under strain.The institutions that once protected global health and stability now struggle to keep pace with this complexity.The urgent demands to bring together the planetary and the global health agenda are an expression of this need for change.Yet we must go further as we better understand and define "the planetary" and create new frameworks of governance, knowledge, and actions Just six years after the publication of the cli-fi novel The Ministry for the Future by Kim Stanley Robinson, 1 our world has changed drastically again-and we are not ready for the challenges we face.The rise of artificial intelligence and the accelerating planetary health crisis are not only simultaneously reshaping global systems but are also introducing immense systemic risk.We are now familiar with the concept of planetary boundaries, 2 but we lack an awareness that AI is not sustainable.As Galindo and colleagues have said: "Governments are racing to develop national AI strategies, but rarely do they take the environment and sustainability into account.The lack of environmental guardrails is no less dangerous than the lack of other AI related safeguards."