Ebi Kristie L, Semenza Jan C
ESS, LLC, 5249 Tancreti Lane, Alexandria VA 22304, USA.
Am J Prev Med. 2008 Nov;35(5):501-7. doi: 10.1016/j.amepre.2008.08.018.
The effects of and responses to the health impacts of climate change will affect individuals, communities, and societies. Effectively preparing for and responding to current and projected climate change requires ongoing assessment and action, not a one-time assessment of risks and interventions. To promote resilience to climate change and other community stressors, a stepwise course of action is proposed for community-based adaptation that engages stakeholders in a proactive problem solving process to enhance social capital across local and national levels. In addition to grassroots actions undertaken at the community level, reducing vulnerability to current and projected climate change will require top-down interventions implemented by public health organizations and agencies.
气候变化对健康的影响以及应对这些影响所产生的反应，将波及个人、社区乃至整个社会。要切实做好应对当前及预计的气候变化的准备并做出响应，需要持续进行评估并采取行动，而非对风险和干预措施进行一次性评估。为提高对气候变化及其他社区压力源的适应能力，本文提出了一个循序渐进的行动方案，用于以社区为基础的适应行动，让利益相关者参与积极解决问题的过程，以增强地方和国家层面的社会资本。除了在社区层面采取的基层行动外，降低对当前及预计气候变化的脆弱性还需要公共卫生组织和机构实施自上而下的干预措施。
