Ziegler Carol, Morelli Vincent, Fawibe Omotayo
Vanderbilt University School of Nursing, Nashville, 461 21st Ave South, Nashville, TN 37240, USA; Department of Family & Community Medicine, Meharry Medical College, 1005 Dr D. B. Todd Boulevard, Nashville, TN 37208, USA.
Sports Medicine Fellowship, Department of Family and Community Medicine, Meharry Medical College, 1005 Dr D. B. Todd Boulevard, Nashville, TN 37208, USA.
Prim Care. 2017 Mar;44(1):171-184. doi: 10.1016/j.pop.2016.09.017.
Climate change is the greatest global health threat of the twenty-first century, yet it is not widely understood as a health hazard by primary care providers in the United States. Aside from increasing displacement of populations and acute trauma resulting from increasing frequency of natural disasters, the impact of climate change on temperature stress, vector-borne illnesses, cardiovascular and respiratory illnesses, and mental health is significant, with disproportionate impact on underserved and marginalized populations. Primary care providers must be aware of the impact of climate change on the health of their patients and advocate for adaptation and mitigation policies for the populations they serve.
气候变化是21世纪最大的全球健康威胁,但美国的初级保健提供者并未广泛将其视为一种健康危害。除了因自然灾害频发导致人口流离失所和急性创伤增加外,气候变化对温度应激、媒介传播疾病、心血管和呼吸系统疾病以及心理健康的影响重大,对服务不足和边缘化人群的影响尤为严重。初级保健提供者必须意识到气候变化对其患者健康的影响,并倡导为他们所服务的人群制定适应和缓解政策。