Ruscio Bruce A, Brubaker Michael, Glasser Joshua, Hueston Will, Hennessy Thomas W
Office of International Health and Biodefense, Bureau of Oceans and International Environmental and Scientific Affairs, U.S. Department of State, Washington, DC, USA;
Center for Climate and Health, Alaska Native Tribal Health Consortium, Anchorage, AK, USA.
Int J Circumpolar Health. 2015 Sep 1;74:27913. doi: 10.3402/ijch.v74.27913. eCollection 2015.
The circumpolar north is uniquely vulnerable to the health impacts of climate change. While international Arctic collaboration on health has enhanced partnerships and advanced the health of inhabitants, significant challenges lie ahead. One Health is an approach that considers the connections between the environment, plant, animal and human health. Understanding this is increasingly critical in assessing the impact of global climate change on the health of Arctic inhabitants. The effects of climate change are complex and difficult to predict with certainty. Health risks include changes in the distribution of infectious disease, expansion of zoonotic diseases and vectors, changing migration patterns, impacts on food security and changes in water availability and quality, among others. A regional network of diverse stakeholder and transdisciplinary specialists from circumpolar nations and Indigenous groups can advance the understanding of complex climate-driven health risks and provide community-based strategies for early identification, prevention and adaption of health risks in human, animals and environment. We propose a regional One Health approach for assessing interactions at the Arctic human-animal-environment interface to enhance the understanding of, and response to, the complexities of climate change on the health of the Arctic inhabitants.
北极地区极易受到气候变化对健康的影响。尽管国际社会在北极地区的健康领域开展了合作，加强了伙伴关系并改善了当地居民的健康状况，但仍面临重大挑战。“同一健康”（One Health）是一种考虑环境、植物、动物和人类健康之间联系的方法。在评估全球气候变化对北极居民健康的影响时，理解这一点变得越来越关键。气候变化的影响复杂且难以确切预测。健康风险包括传染病分布的变化、人畜共患病和病媒的扩散、迁徙模式的改变、对粮食安全的影响以及水的可获得性和质量的变化等。来自北极圈国家和原住民群体的不同利益相关者及跨学科专家组成的区域网络，可以增进对复杂的气候驱动健康风险的理解，并提供基于社区的策略，用于早期识别、预防和应对人类、动物和环境中的健康风险。我们提出一种区域“同一健康”方法，用于评估北极地区人类 - 动物 - 环境界面的相互作用，以增进对气候变化给北极居民健康带来的复杂性的理解和应对能力。
