In January 2023, the science and security board of the Bulletin of the Atomic Scientists moved the hands of the doomsday clock forward to 90 seconds before midnight, reflecting the growing risk of nuclear war.1 In August 2022, the UN secretary general, António Guterres, warned that the world is now in “a time of nuclear danger not seen since the height of the Cold War.”2 The danger has been underlined by growing tensions between many nuclear armed states.13 As editors of health and medical journals worldwide, we call on health professionals to alert the public and our leaders to this major danger to public health and the essential life support systems of the planet—and urge action to prevent it.
Current nuclear arms control and non-proliferation efforts are inadequate to protect the world’s population against the threat of nuclear war by design, error, or miscalculation. The Treaty on the Non-Proliferation of Nuclear Weapons (NPT) commits each of the 190 participating nations “to pursue negotiations in good faith on effective measures relating to cessation of the nuclear arms race at …