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气候变化与传染病的关系:是否到了考虑气候变化综合征的时候了?

The climate change-infectious disease nexus: is it time for climate change syndemics?

机构信息

Livestock Development Group, School of Agriculture, Policy and Development, University of Reading, Reading RG6 6AL, UK.

出版信息

Anim Health Res Rev. 2013 Dec;14(2):151-4. doi: 10.1017/S1466252313000133. Epub 2013 Oct 23.

DOI:10.1017/S1466252313000133
PMID:24152918
Abstract

Conceptualizing climate as a distinct variable limits our understanding of the synergies and interactions between climate change and the range of abiotic and biotic factors, which influence animal health. Frameworks such as eco-epidemiology and the epi-systems approach, while more holistic, view climate and climate change as one of many discreet drivers of disease. Here, I argue for a new paradigmatic framework: climate-change syndemics. Climate-change syndemics begins from the assumption that climate change is one of many potential influences on infectious disease processes, but crucially is unlikely to act independently or in isolation; and as such, it is the inter-relationship between factors that take primacy in explorations of infectious disease and climate change. Equally importantly, as climate change will impact a wide range of diseases, the frame of analysis is at the collective rather than individual level (for both human and animal infectious disease) across populations.

摘要

将气候概念化为一个独特的变量限制了我们对气候变化与影响动物健康的多种非生物和生物因素之间的协同作用和相互关系的理解。生态流行病学和生态系统方法等框架虽然更全面,但将气候和气候变化视为疾病的众多离散驱动因素之一。在这里,我主张采用一个新的范例框架:气候变化综合征。气候变化综合征从气候变化是影响传染病过程的众多潜在因素之一这一假设出发,但至关重要的是,它不太可能独立或孤立地发生;因此,在探索传染病和气候变化时,首要考虑的是因素之间的相互关系。同样重要的是,由于气候变化将影响多种疾病,因此分析框架是在人群中针对集体(包括人类和动物传染病),而不是针对个体。

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