St Louis Michael E, Hess Jeremy J
Coordinating Center for Global Health, 1600 CliftonRoad, MS D-69, Room 21-9006, Atlanta GA 30333, USA.
Am J Prev Med. 2008 Nov;35(5):527-38. doi: 10.1016/j.amepre.2008.08.023.
The most severe consequences of climate change will accrue to the poorest people in the poorest countries, despite their own negligible contribution to greenhouse gas emissions. In recent years, global health efforts in those same countries have grown dramatically. However, the emerging scientific consensus about climate change has not yet had much influence on the routine practice and strategies of global health. We review here the anticipated types and global distribution of health impacts of climate change, discuss relevant aspects of current global interventions for health in low-income countries, and consider potential elements of a framework for appropriately and efficiently mainstreaming global climate change-mitigation and -adaptation strategies into the ongoing enterprise of global health. We propose a collaborative learning initiative involving four areas: (1) increased awareness among current global health practitioners of climate change and its potential impacts for the most disadvantaged, (2) strengthening of the evidence base, (3) incorporation now of climate change-mitigation and -adaptation concerns into design of ongoing global health programs, and (4) alignment of current global health program targets and methods with larger frameworks for climate change and sustainable development. The great vulnerability to climate change of populations reached by current global health efforts should prompt all concerned with global health to take a leading role in advocating for climate change mitigation in their own countries.
气候变化的最严重后果将由最贫穷国家的最贫困人口承担，尽管他们自身对温室气体排放的贡献微不足道。近年来，这些国家的全球卫生工作显著增加。然而，关于气候变化的新科学共识尚未对全球卫生的日常实践和战略产生太大影响。我们在此回顾气候变化对健康影响的预期类型和全球分布，讨论低收入国家当前全球卫生干预措施的相关方面，并考虑一个框架的潜在要素，以便将全球气候变化缓解和适应战略适当且有效地纳入正在进行的全球卫生事业中。我们提出一项涉及四个领域的合作学习倡议：（1）提高当前全球卫生从业者对气候变化及其对最弱势群体潜在影响的认识，（2）加强证据基础，（3）立即将气候变化缓解和适应问题纳入正在进行的全球卫生项目设计中，（4）使当前全球卫生项目目标和方法与更大的气候变化和可持续发展框架保持一致。当前全球卫生工作所覆盖人群对气候变化的巨大脆弱性应促使所有关注全球卫生的人在本国倡导缓解气候变化方面发挥主导作用。
