Overview about us

Kosma is...

A Multidisciplinary Observatory for Environmental Health and Diseases.

The Global Environmental Situation & The Environmental Health Problems

On September 25, 2015, the UN approved the 2030 Agenda, setting the 17 Sustainable Development Goals (SDG). Among them, emphasis is placed on the consequences of climate change, among others, on human health.

According to the latest report from the Intergovernmental Panel on Climate Change (IPCC), published on August 9, 2021, scientists are observing changes in the Earth’s climate in all regions and in the climate system as a whole that do not have precedents in hundreds of thousands of years. This report also warns about the effects of this climate change on human health.

The WHO estimates that 24% of the global burden of disease and 23% of mortality are attributable to environmental factors. In children aged 0 to 14 years, the percentage of deaths attributable to the environment is up to 36%.

The costs associated with the effects of the environment on health are difficult to quantify, although according to the 2020 European Public Health Alliance (EPHA) Report, air pollution alone would cost an average of €1,000 per European citizen (corresponding to €166 million per year). This would be the monetary value of a premature death, of medical treatments, lost working days (both of the patient and of the caregivers), and other related medical treatments.

Society, health professionals and many actors from different sectors are increasingly aware of the impact of our environment on health and there are numerous initiatives that focus on finding answers and solutions to this challenge.

Many of them are multidisciplinary in nature, this being the most natural approach to deal with this problem, however, no initiative is born from the very heart of health care. 

The Kosma International Environmental Health and Diseases Observatory and the Dynamic Environmental Health Units are the missing innovative response.

Justification for the creation of an International Environmental Health and Diseases Observatory

We are witnessing a growing sensitivity, awareness and evidence of the environment on human health and a growing interest on the part of health professionals and society. The UN has just recognized that “living in a clean environment is a human right». Many public and private entities are moving to contribute to the achievement of the SDGs and the 2030 agenda and a growing number of companies and individuals are adapting their lifestyles to reduce their ecological footprint.

All this movement and interest is also driven by the large amount of European and international aid that focuses on this subject and by the great presence of the subject in the media. It is worth mentioning the One Health movement born in 2000 that is only now coming into its own. This movement encourages the collaboration of multiple disciplines (medical, veterinary, research, etc.) to work locally, nationally, and globally to achieve optimal health for people, animals, and our environment. This movement is largely driven by the veterinary sector and mostly supported by pharmaceutical companies in their animal health branch.

Another concept, Planetary Health, also encourages multidisciplinary and international collaboration to protect the health of the planet and its inhabitants.

Multidisciplinary initiatives are increasing, promoted within different sectors that seek to find the link between health and the environment, however, curiously, there is no reference from the health and care sector itself, which since the heart of a hospital reaches patients and the population directly.

We can find organizations and initiatives, within entities that are related to the health sector, that have the purpose of reducing the environmental impact of the activities derived from hospitals (such as reducing the carbon footprint or improving nutrition within the hospital) but none with a focus on health itself and, in particular, a focus on Environmental Diseases.

The Kosma Observatory is positioned alongside health institutions and patients, understanding as an Observatory “a place from which to look, listen and analyze the scenary and context of the impact of environmental factors on health and from which to propose and generate innovative initiatives”

The Kosma Observatory is at the forefront of innovation in health and environmental diseases and its mission, vision and values put people at the center of its care and research activity.

Creation of a multidisciplinary and multisectoral Observatory, made up of specialized professionals, versatile and strongly committed to the environmental situation and its impact on health to promote sustainable solutions to face and solve health problems related to the environment.

Impact of the kosma observatory on health institutions

Focusing attention on the impact of the environment on human health is no longer an option, it is an unavoidable necessity.

There are Organizations and Institutions whose purpose is to focus on the influence of the environment on health, however, none is based at the hospital level and from there to the community and for the benefit of individual and public health.

When we talk about Environmental Health and Diseases, we find many gaps that represent challenges:


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