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气候变化对南非林波波省儿童健康的影响。

Impact of climate change on children's health in Limpopo Province, South Africa.

作者信息

Thompson Adeboyejo Aina, Matamale Lirvhuwani, Kharidza Shonisani Danisa

机构信息

Department of Urban and Regional Planning, University of Venda, Private Bag X5050, Thohoyandou, 0950, Limpopo, South Africa.

出版信息

Int J Environ Res Public Health. 2012 Mar;9(3):831-54. doi: 10.3390/ijerph9030831. Epub 2012 Mar 8.

Abstract

This paper examines the impact of climate change on children's health, in the Limpopo Province of South Africa. Twenty one years climatic data were collected to analyse climatic conditions in the province. The study also employs 12 years hospital records of clinically diagnosed climate-related ailments among children under 13 years to examine the incidence, spatio-temporal, age and sex variations of the diseases. Regression analysis was employed to examine the relationships between climatic parameters and incidence of diseases and also to predict distribution of disease by 2050. The results show that the most prevalent diseases were diarrhea (42.4%), followed by respiratory infection (31.3%), asthma (6.6%) and malaria (6.5%). The incidence varied within city, with the high density areas recording the highest proportion (76.7%), followed by the medium (9.4%) and low (2.5%) density residential areas. The most tropical location, Mussina, had the highest incidence of the most prevalent disease, diarrhea, with 59.4%. Mortality rate was higher for males (54.2%). Analysis of 21 years of climatic data show that maximum temperature is positively correlated with years in four cities with r coefficients of 0.50; 0.56, 0.48 and 0.02, thereby indicating local warming. Similarly rainfall decreased over time in all the cities, with r ranging from -0.02 for Bela Bela to r = 0.18 for Makhado. Results of the regression analysis show that 37.9% of disease incidence is accounted for by the combined influence of temperature and rainfall.

摘要

本文考察了气候变化对南非林波波省儿童健康的影响。收集了该省21年的气候数据以分析气候状况。该研究还采用了13岁以下儿童临床诊断的与气候相关疾病的12年医院记录,以研究这些疾病的发病率、时空分布、年龄和性别差异。采用回归分析来考察气候参数与疾病发病率之间的关系,并预测到2050年疾病的分布情况。结果表明,最常见的疾病是腹泻(42.4%),其次是呼吸道感染(31.3%)、哮喘(6.6%)和疟疾(6.5%)。发病率在城市内部存在差异,高密度地区的发病率最高(76.7%),其次是中密度地区(9.4%)和低密度地区(2.5%)。最具热带气候特征的穆西纳,腹泻这一最常见疾病的发病率最高,为59.4%。男性的死亡率更高(54.2%)。对21年气候数据的分析表明,四个城市的最高气温与年份呈正相关,r系数分别为0.50、0.56、0.48和0.02,这表明当地出现了变暖现象。同样,所有城市的降雨量都随时间减少,贝拉贝拉的r值为-0.02,马卡多的r值为0.18。回归分析结果表明,温度和降雨的综合影响占疾病发病率的37.9%。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca4c/3367281/1ad3ee8b0cb4/ijerph-09-00831-g001.jpg

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