Kendrovski Vladimir, Spasenovska Margarita, Menne Bettina
WHO Regional Office for Europe, WHO European Centre for Environment and Health, Platz der Vereinten Nationen 1, Bonn 53113, Germany.
WHO Regional Office for Europe, WHO Country Office, The former Yugoslav Republic of Macedonia, Drezdenska 22, Skopje 1000, Macedonia.
Int J Environ Res Public Health. 2014 Jun 5;11(6):5975-88. doi: 10.3390/ijerph110605975.
Projected climatic changes for the former Yugoslav Republic of Macedonia for the period 2025-2100 will be most intense in the warmest period of the year with more frequent and more intense heat-waves, droughts and flood events compared with the period 1961-1990. The country has examined their vulnerabilities to climate change and many public health impacts have been projected. A variety of qualitative and quantitative methodologies were used in the assessment: literature reviews, interviews, focus groups, time series and regression analysis, damage and adaptation cost estimation, and scenario-based assessment. Policies and interventions to minimize the risks and development of long-term adaptation strategies have been explored. The generation of a robust evidence base and the development of stakeholder engagement have been used to support the development of an adaptation strategy and to promote adaptive capacity by improving the resilience of public health systems to climate change. Climate change adaptation has been established as a priority within existing national policy instruments. The lessons learnt from the process are applicable to countries considering how best to improve adaptive capacity and resilience of health systems to climate variability and its associated impacts.
预计前南斯拉夫的马其顿共和国在2025年至2100年期间的气候变化，在一年中最温暖的时期将最为剧烈，与1961年至1990年期间相比，热浪、干旱和洪水事件将更加频繁和强烈。该国已研究了自身对气候变化的脆弱性，并预测了许多对公众健康的影响。评估中使用了各种定性和定量方法：文献综述、访谈、焦点小组、时间序列和回归分析、损害和适应成本估计以及基于情景的评估。已探索了将风险降至最低的政策和干预措施以及长期适应战略的制定。通过生成强有力的证据基础和发展利益相关者参与，来支持适应战略的制定，并通过提高公共卫生系统对气候变化的适应力来促进适应能力。气候变化适应已被确立为现有国家政策工具中的优先事项。从该过程中吸取的经验教训适用于那些正在考虑如何最好地提高卫生系统对气候变异性及其相关影响的适应能力和恢复力的国家。
