Meason Braden, Paterson Ryan
Resident Physician in Emergency Medicine at Denver Health Medical Center.
Staff Physician in Emergency Medicine for the Kaiser Permanente Group in Denver, Colorado, USA, and Assistant Professor in the Department of Emergency Medicine at the University of Colorado/Denver Health Medical Center.
Health Hum Rights. 2014 Jun 14;16(1):105-12.
Chikungunya is a re-emerging arbovirus that causes significant morbidity and some mortality. Global climate change leading to warmer temperatures and changes in rainfall patterns allow mosquito vectors to thrive at altitudes and at locations where they previously have not, ultimately leading to a spread of mosquito-borne diseases. While mutations to the chikungunya virus are responsible for some portion of the re-emergence, chikungunya epidemiology is closely tied with weather patterns in Southeast Asia. Extrapolation of this regional pattern, combined with known climate factors impacting the spread of malaria and dengue, summate to a dark picture of climate change and the spread of this disease from south Asia and Africa into Europe and North America. This review describes chikungunya and collates current data regarding its spread in which climate change plays an important part. We also examine human rights obligations of States and others to protect against this disease.
基孔肯雅热是一种再度出现的虫媒病毒，可导致严重发病并造成一定死亡率。全球气候变化导致气温升高和降雨模式改变，使得蚊虫媒介能够在以前无法生存的海拔高度和地区大量繁殖，最终导致蚊媒疾病传播。虽然基孔肯雅病毒的突变是其再度出现的部分原因，但基孔肯雅热的流行病学与东南亚的天气模式密切相关。这种区域模式的推断，再加上已知影响疟疾和登革热传播的气候因素，描绘出一幅气候变化以及这种疾病从南亚和非洲传播到欧洲和北美的严峻图景。本综述介绍了基孔肯雅热，并整理了当前有关其传播的数据，其中气候变化起到了重要作用。我们还审视了各国及其他方面在防范这种疾病方面的人权义务。
