As cholera, dengue, and malaria spread, that will only get worse.

Wildfires blazing across North America and Australia, heatwaves scorching Europe and Asia, cyclones ravaging Africa and the Caribbean. Climate change is already here, and it’s only going to get worse. But it isn’t just hurting the planet. It’s hurting us.

Climate change is already affecting our health, a new report from The Lancet confirms, and it’s hitting children and the elderly particularly hard. Children will not only face rapid and unprecedented changes over the course of this century, but they are also the most susceptible to illnesses like dengue, diarrhea, asthma, malnutrition and more—as wildfires choke our lungs, storms and floods spread cholera, and rising temperatures bring more mosquito-borne illnesses. The health of the elderly is also disproportionately affected by the climate crisis, especially heatwaves.

The Lancet Countdown report, which has been updated every year since 2015, emphasizes what many experts have warned with increasing urgency: improving health care has to be a central part of climate change preparedness. Read more at The New Republic.