Faculty of Medicine, University of Toronto, Toronto, Canada.
Ecohealth. 2009 Mar;6(1):52-7. doi: 10.1007/s10393-009-0222-4. Epub 2009 May 6.
Over the coming decades, sub-Saharan Africa will face profound stresses and challenges from global climate change. Many of these will manifest as adverse health outcomes. This article uses a series of five hypothetical cases to review the climate impacts on the health and well-being of individuals and populations in sub-Saharan Africa. This approach fosters insights into the human dimensions of the risks to health, their interaction with local human ecology, and awareness of the diverse health ramifications of external environmental changes. Each case illustrates the health impact resulting from a specific environmental or social consequence of climate change, including impacts on agriculture and food security, droughts, floods, malaria, and population displacement. Whereas the article focuses on discrete manifestations of climate change, individuals will, in practice, face multiple stresses from climate change (i.e., floods and malaria) concomitant with other non-climate stressors (i.e., HIV/AIDS, globalization, etc.). These multiple sources of vulnerability must be considered when designing climate change and socioeconomic development interventions.
在未来几十年，撒哈拉以南非洲将面临全球气候变化带来的深刻压力和挑战。其中许多将表现为不利的健康结果。本文使用一系列五个假设案例，审查了气候变化对撒哈拉以南非洲个人和人群健康和福祉的影响。这种方法有助于深入了解健康风险的人类层面，以及它们与当地人类生态的相互作用，以及对外界环境变化的多样化健康影响的认识。每个案例都说明了由气候变化的特定环境或社会后果（包括对农业和粮食安全、干旱、洪水、疟疾和人口流离失所的影响）导致的健康影响。虽然本文侧重于气候变化的离散表现形式，但在实践中，个人将面临气候变化（如洪水和疟疾）与其他非气候压力源（如 HIV/AIDS、全球化等）的多重压力。在设计气候变化和社会经济发展干预措施时，必须考虑这些多种脆弱性来源。
