Patz Jonathan A, Olson Sarah H, Uejio Christopher K, Gibbs Holly K
Global Environmental Health, Center for Sustainability and the Global Environment (SAGE) Nelson Institute for Environmental Studies, University of Wisconsin (at Madison), 1710 University Avenue, Madison, WI 53726, USA.
Med Clin North Am. 2008 Nov;92(6):1473-91, xii. doi: 10.1016/j.mcna.2008.07.007.
Climate change and land use change can affect multiple infectious diseases of humans, acting either independently or synergistically. Expanded efforts in empiric and future scenario-based risk assessment are required to anticipate problems. Moreover, the many health impacts of climate and land use change must be examined in the context of the myriad other environmental and behavioral determinants of disease. To optimize prevention capabilities, upstream environmental approaches must be part of any intervention, rather than assaults on single agents of disease. Clinicians must develop stronger ties, not only to public health officials and scientists, but also to earth and environmental scientists and policy makers. Without such efforts, we will inevitably benefit our current generation at the cost of generations to come.
气候变化和土地利用变化会影响多种人类传染病，其作用方式既可以是独立的，也可以是协同的。需要加大在基于经验和未来情景的风险评估方面的努力，以预测问题。此外，必须在疾病的众多其他环境和行为决定因素的背景下，审视气候和土地利用变化对健康产生的诸多影响。为了优化预防能力，上游环境方法必须成为任何干预措施的一部分，而不是针对单一病原体的攻击。临床医生不仅必须与公共卫生官员和科学家建立更紧密的联系，还必须与地球和环境科学家以及政策制定者建立更紧密的联系。如果不做出这些努力，我们将不可避免地以牺牲后代为代价造福当代人。
