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http://eprints.org/relation/isVersionOf https://pure.iiasa.ac.at/id/document/110308 http://eprints.org/relation/isVolatileVersionOf https://pure.iiasa.ac.at/id/document/110308 http://eprints.org/relation/ismediumThumbnailVersionOf https://pure.iiasa.ac.at/id/document/110308 110313 2 334187 document 110313 small.jpg image/png 09f9e5f719cf443bafe418f3046ed55c MD5 2176 2025-07-01 12:39:11 https://pure.iiasa.ac.at/id/eprint/20725/6/small.jpg 20725 6 6 image/png other Thumbnails conversion from text to thumbnail_small en public

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http://eprints.org/relation/isVersionOf https://pure.iiasa.ac.at/id/document/110308 http://eprints.org/relation/isVolatileVersionOf https://pure.iiasa.ac.at/id/document/110308 http://eprints.org/relation/issmallThumbnailVersionOf https://pure.iiasa.ac.at/id/document/110308 archive 353 disk0/00/02/07/25 2025-07-01 12:29:48 2025-10-16 05:00:25 2025-07-01 12:29:48 article show Fiske A. Radhuber I. 10009 0000-0001-8176-5045 Willem T. Buyx A. Celi L.A. McLennan S. pub POPJUS EQU Artificial intelligence (AI) is one of the world's most resource-intensive digital technologies, but the environmental impact of AI on health remains largely unaddressed in both global health and bioethics. Effects on the environment have, thus far, been understood as a subsidiary consideration in AI ethics and rarely considered as a key ethical concern. AI technologies exacerbate climate change and sociopolitical instability due to their intensive use of natural resources and energy resources linked to the training and deployment of algorithmic systems. In global health, this intensive resource use is particularly concerning, given the explicit emphasis on improving health and advancing equity across the world. To address this, we interrogate how the inclusion of AI's environmental impact necessarily reshapes established ethical commitments in AI ethics frameworks and propose concrete strategies for accountability in the area of global health. This approach includes building a culture of intentional AI, for example through improved reporting, auditing, and intranational cooperation, in order to better align AI development and AI ethics with critical climate goals. 2025-07 published doi:10.1016/S2214-109X(25)00124-X 3877 public The Lancet Global Health 13 7 e1314-e1320 1 TRUE 2214109X info:eu-repo/semantics/article