The latest Lancet Countdown report underscores the imperative for a health-centered response in a world facing irreversible harms. Public and political engagement on health and climate change continued its upward trend across 2022, reaching the highest recorded level of engagement among government leaders and companies signed up to the UN sustainability charter, while maintaining recent higher engagement in global newspapers. Individual engagement with health and climate change remained low in 2022; of all click views that led to health-related articles, only 0.03% came from climate change-related articles, and only 0.36% of click views that led to climate change-related articles came from health-related article. Corporate sector engagement with health and climate change reached its highest recorded level In 2022, with 38% of companies referring to the health dimensions of climate change. tweets mentioning the health co-benefits of climate change action reached a record of 22% of all monthly tweets from international organizations in November 2022, in a continuously upward trend. 50% of countries mentioned the intersection of health and climate change at the UN General Debate in 2022, a 10% decrease from 2021; 95% of updated NDC documents refer to health, an increase from 73% in the first submission.