Peatlands play important ecological, economic and cultural roles in human well-being. Although considered sensitive to climate change and anthropogenic pressures, the spatial extent of peatlands is poorly constrained. We report the development of an improved global peatland map, PEATMAP, based on a meta-analysis of geospatial information collated from a variety of sources at global, regional and national levels. We estimate total global peatland area to be 4.23 million km 2 , approximately 2.84 % of the world land area. Our results suggest that previous global peatland inventories are likely to underestimate peat extent in the tropics, and to overestimate it in parts of mid-and high-latitudes of the Northern Hemisphere. Global wetland and soil datasets are poorly suited to estimating peatland distribution. For instance, tropical peatland extents are overestimated by Global Lakes and Wetlands Database-Level 3 (GLWD-3) due to the lack of ground data; and underestimated by the use of histosols to represent peatlands in the Harmonized World Soil Database (HWSD) v1.2, as large areas of swamp forest peat in the humid tropics are omitted. PEATMAP and its underlying data are freely available as a potentially useful tool for scientists and policy makers with interests in peatlands or wetlands. PEATMAP's data format and file structure are intended to allow it to be readily updated when previously undocumented peatlands are found and mapped, and when regional or national land cover maps are updated and refined.

A systematic global stocktake of evidence on human adaptation to climate changeAssessing global progress on human adaptation to climate change is an urgent priority. Although the literature on adaptation to climate change is rapidly expanding, little is known about the actual extent of implementation. We systematically screened >48,000 articles using machine learning methods and a global network of 126 researchers. Our synthesis of the resulting 1,682 articles presents a systematic and comprehensive global stocktake of implemented human adaptation to climate change. Documented adaptations were largely fragmented, local and incremental, with limited evidence of transformational adaptation and negligible evidence of risk reduction outcomes. We identify eight priorities for global adaptation research: assess the effectiveness of adaptation responses, enhance the understanding of limits to adaptation, enable individuals and civil society to adapt, include missing places, scholars and scholarship, understand private sector responses, improve methods for synthesizing different forms of evidence, assess the adaptation at different temperature thresholds, and improve the inclusion of timescale and the dynamics of responses.

Supplementary Table 2 Condensed land use of water-supply peatlands General land use Specify land use Pristine or protected Forest-protected Grasslands-unmanaged Grasslands-protected Shrubs-unmanaged Shrubs-protected Agriculture-protected Sparsely vegetated areas-protected Open Water-unmanaged Open Water-protected Low agricultural activities Shrubs-low livestock density Moderate or higher agricultural activities Forest-with agricultural activities Forest-with moderate or higher livestock density Grasslands-moderate livestock density Grasslands-high livestock density Shrubs-moderate livestock density Shrubs-high livestock density Rain-fed crops (Subsistence/Commercial) Crops and moderate intensive livestock density Crops and high livestock density Open Water-inland Fisheries Settlement Settlement land

Climate change adaptation responses are being developed and delivered in many parts of the world in the absence of detailed knowledge of their effects on public health. Here we present the results of a systematic review of peer-reviewed literature reporting the effects on health of climate change adaptation responses in low- and middle-income countries (LMICs). The review used the ‘Global Adaptation Mapping Initiative’ database (comprising 1682 publications related to climate change adaptation responses) that was constructed through systematic literature searches in Scopus, Web of Science and Google Scholar (2013–2020). For this study, further screening was performed to identify studies from LMICs reporting the effects on human health of climate change adaptation responses. Studies were categorised by study design and data were extracted on geographic region, population under investigation, type of adaptation response and reported health effects. The review identified 99 studies (1117 reported outcomes), reporting evidence from 66 LMICs. Only two studies were ex ante formal evaluations of climate change adaptation responses. Papers reported adaptation responses related to flooding, rainfall, drought and extreme heat, predominantly through behaviour change, and infrastructural and technological improvements. Reported (direct and intermediate) health outcomes included reduction in infectious disease incidence, improved access to water/sanitation and improved food security. All-cause mortality was rarely reported, and no papers were identified reporting on maternal and child health. Reported maladaptations were predominantly related to widening of inequalities and unforeseen co-harms. Reporting and publication-bias seems likely with only 3.5% of all 1117 health outcomes reported to be negative. Our review identified some evidence that climate change adaptation responses may have benefits for human health but the overall paucity of evidence is concerning and represents a major missed opportunity for learning. There is an urgent need for greater focus on the funding, design, evaluation and standardised reporting of the effects on health of climate change adaptation responses to enable evidence-based policy action.

We present the first systematic, global stocktake of the academic literature on human adaptation. We screen 48,316 documents and identify 1,682 articles that present empirical research documenting human efforts to reduce risk from climate change and associated hazards. Coding and synthesizing this literature highlights that the overall extent of adaptation across global regions and sectors is low. Adaptations are largely local and incremental rather than transformative. Behavioural adjustments by individuals and households are more prevalent than any other type of response, largely motivated by drought and precipitation variability. Local governments and civil society are engaging in risk reduction across all sectors and regions, particularly in response to flooding. Urban technological and infrastructural adaptations to flood risk are prevalent in Europe, while shifts in farming practices dominate reporting from Africa and Asia. Despite increasing evidence of adaptation responses, evidence that these responses are reducing risks (observed and projected) remains limited.