Marinucci Gino D, Luber George, Uejio Christopher K, Saha Shubhayu, Hess Jeremy J
Int J Environ Res Public Health. 2014 Jun;11(6):6433-58. doi: 10.3390/ijerph110606433.
Climate change is anticipated to have several adverse health impacts. Managing these risks to public health requires an iterative approach. As with many risk management strategies related to climate change, using modeling to project impacts, engaging a wide range of stakeholders, and regularly updating models and risk management plans with new information-hallmarks of adaptive management-are considered central tenets of effective public health adaptation. The Centers for Disease Control and Prevention has developed a framework, entitled Building Resilience Against Climate Effects, or BRACE, to facilitate this process for public health agencies. Its five steps are laid out here. Following the steps laid out in BRACE will enable an agency to use the best available science to project likely climate change health impacts in a given jurisdiction and prioritize interventions. Adopting BRACE will also reinforce public health's established commitment to evidence-based practice and institutional learning, both of which will be central to successfully engaging the significant new challenges that climate change presents.
预计气候变化将对健康产生若干不利影响。应对这些公共卫生风险需要采用迭代方法。与许多与气候变化相关的风险管理策略一样，利用模型预测影响、让广泛的利益相关者参与进来，以及根据新信息定期更新模型和风险管理计划——适应性管理的标志——被视为有效公共卫生适应的核心原则。疾病控制与预防中心制定了一个名为“增强气候影响适应能力”（BRACE）的框架，以促进公共卫生机构开展这一进程。其五个步骤如下。遵循BRACE中列出的步骤将使一个机构能够利用现有最佳科学知识预测特定辖区内气候变化可能对健康产生的影响，并确定干预措施的优先顺序。采用BRACE还将强化公共卫生对循证实践和机构学习的既定承诺，这两者对于成功应对气候变化带来的重大新挑战至关重要。
