In order to use the planet's ecological life-support systems sustainably, damage to them must be both prevented and repaired. However, repair requires awareness of damage which, in this case, mandates a high level of ecological literacy. Prevention of ecological damage will only be successful on a planetary scale if human society endorses precautionary practices that reduce the probability of ecosystem damage. Society is beginning to endorse precautionary practices to protect human health, which is no longer regarded as merely absence of symptoms of disease and malfunction. Health is regarded as a robust function - an approach toward optimal conditions. Similar views are beginning to emerge regarding ecosystem health, and a close link between human and ecosystem health is gaining increased recognition. However, to achieve health, ecological 'wounds' must be repaired, which is impossible until society 'sees' the wounds. After this recognition, society must become more literate on the attributes of ecosystem health. The methods and procedures are in place, but they will not be used effectively until a major paradigm shift occurs.