Ebi Kristie L, Ogden Nicholas H, Semenza Jan C, Woodward Alistair
Department of Global Health, University of Washington , Seattle, Washington, USA.
Public Health Risk Sciences Division, National Microbiology Laboratory, Public Health Agency of Canada , Saint-Hyacinthe, Quebec, Canada.
Environ Health Perspect. 2017 Aug 7;125(8):085004. doi: 10.1289/EHP1509.
Detection and attribution of health impacts caused by climate change uses formal methods to determine ) whether the occurrence of adverse health outcomes has changed, and ) the extent to which that change could be attributed to climate change. There have been limited efforts to undertake detection and attribution analyses in health.
Our goal was to show a range of approaches for conducting detection and attribution analyses.
Case studies for heatwaves, Lyme disease in Canada, and emergence in northern Europe highlight evidence that climate change is adversely affecting human health. Changes in rates and geographic distribution of adverse health outcomes were detected, and, in each instance, a proportion of the observed changes could, in our judgment, be attributed to changes in weather patterns associated with climate change.
The results of detection and attribution studies can inform evidence-based risk management to reduce current, and plan for future, changes in health risks associated with climate change. Gaining a better understanding of the size, timing, and distribution of the climate change burden of disease and injury requires reliable long-term data sets, more knowledge about the factors that confound and modify the effects of climate on health, and refinement of analytic techniques for detection and attribution. At the same time, significant advances are possible in the absence of complete data and statistical certainty: there is a place for well-informed judgments, based on understanding of underlying processes and matching of patterns of health, climate, and other determinants of human well-being. https://doi.org/10.1289/EHP1509.
气候变化对健康影响的检测与归因采用正式方法来确定:(1)不良健康结果的发生是否已发生变化;(2)该变化可归因于气候变化的程度。在健康领域进行检测与归因分析的努力有限。
我们的目标是展示一系列进行检测与归因分析的方法。
热浪、加拿大莱姆病以及北欧疾病出现的案例研究突出了气候变化对人类健康产生不利影响的证据。检测到了不良健康结果的发生率和地理分布的变化,并且在每种情况下,据我们判断,观察到的变化中有一定比例可归因于与气候变化相关的天气模式变化。
检测与归因研究的结果可为基于证据的风险管理提供信息,以减少当前与气候变化相关的健康风险变化,并为未来的此类变化制定计划。要更好地了解疾病和伤害的气候变化负担的规模、时间和分布,需要可靠的长期数据集、更多关于混淆和改变气候对健康影响的因素的知识,以及改进检测与归因的分析技术。与此同时,在缺乏完整数据和统计确定性的情况下也有可能取得重大进展:基于对潜在过程的理解以及健康、气候和其他人类福祉决定因素模式的匹配,明智的判断是有空间的。https://doi.org/10.1289/EHP1509