University College London, Gower St, Bloomsbury, London, WC1E 6BT, UK.
Curr Environ Health Rep. 2018 Mar;5(1):170-178. doi: 10.1007/s40572-018-0187-y.
Climate change poses a significant threat to human health. Understanding how climate science can be translated into public health practice is an essential first step in enabling robust adaptation and improving resiliency to climate change.
Recent research highlights the importance of iterative approaches to public health adaptation to climate change, enabling uncertainties of health impacts and barriers to adaptation to be accounted for. There are still significant barriers to adaptation, which are context-specific and thus present unique challenges to public health practice. The implementation of flexible adaptation approaches, using frameworks targeted for public health, is key to ensuring robust adaptation to climate change in public health practice. The BRACE framework provides an excellent approach for health adaptation to climate change. Combining this with the insights provided and by the adaptation pathways approach allows for more deliberate accounting of long-term uncertainties. The mainstreaming of climate change adaptation into public health practice and planning is important in facilitating this approach and overcoming the significant barriers to effective adaptation. Yet, the immediate and future limits to adaptation provide clear justification for urgent and accelerated efforts to mitigate climate change.
气候变化对人类健康构成重大威胁。了解如何将气候科学转化为公共卫生实践，是实现稳健适应和提高气候变化抵御能力的重要第一步。
最近的研究强调了公共卫生适应气候变化的迭代方法的重要性，使健康影响的不确定性和适应障碍得以考虑。适应仍然存在重大障碍，这些障碍因具体情况而异，因此对公共卫生实践提出了独特的挑战。采用针对公共卫生的框架实施灵活的适应方法，是确保公共卫生实践中稳健适应气候变化的关键。BRACE 框架为健康适应气候变化提供了极好的方法。将其与提供的见解和适应途径方法相结合，可以更仔细地考虑长期不确定性。将气候变化适应纳入公共卫生实践和规划的主流，对于促进这种方法和克服有效适应的重大障碍非常重要。然而，适应的即时和未来限制为加紧努力减轻气候变化提供了明确的理由。
