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气候变化对伊朗疟疾影响的系统证据综述。

A systematic evidence review of the effect of climate change on malaria in Iran.

作者信息

Babaie Javad, Barati Mohammad, Azizi Maryam, Ephtekhari Adel, Sadat Seyed Javad

机构信息

1Iranian Center of Excellence in Health Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran.

2Infectious Diseases Research Center, Aja University of Medical Sciences, Tehran, Iran.

出版信息

J Parasit Dis. 2018 Sep;42(3):331-340. doi: 10.1007/s12639-018-1017-8. Epub 2018 Jul 18.

Abstract

Climate is an effective factor in the ecological structure which plays an important role in control and outbreak of the diseases caused by biological factors like malaria. With regard to the occurring climatic change, this study aimed to review the effects of climate change on malaria in Iran. In this systematic review, Cochrane, PubMed and ScienceDirect (as international databases), SID and Magiran as Persian databases were investigated through MESH keywords including climate change, global warming, malaria, , and Iran. The related articles were screened and finally their results were extracted using data extraction sheets. Totally 41 papers were resulted through databases searching process. Finally 14 papers which met inclusion criteria were included in data extraction stage. The findings indicated that mosquitoes are present at least in 115 places in Iran; they are compatible with climatic zones of Iran. Malaria and it's vectors are affected by climate change. Temperature, precipitation, relative humidity, wind intensity and direction are the most important climatic factors affecting the growth and proliferation of , and the prevalence of malaria. The transmission of malaria in Iran is associated with the climatic factors of temperature, rainfall, and humidity. Therefore, with regard to the occurring climatic change, the incidence of the disease may also change which needs to be taken into consideration while planning of malaria control.

摘要

气候是生态结构中的一个有效因素,在控制和爆发由生物因素引起的疾病(如疟疾)方面发挥着重要作用。鉴于当前发生的气候变化,本研究旨在综述气候变化对伊朗疟疾的影响。在这项系统综述中,通过包括气候变化、全球变暖、疟疾和伊朗等在内的医学主题词(MESH),对Cochrane、PubMed和ScienceDirect(作为国际数据库)以及SID和Magiran(作为波斯语数据库)进行了检索。对相关文章进行筛选,最后使用数据提取表提取其结果。通过数据库检索过程共得到41篇论文。最终,14篇符合纳入标准的论文被纳入数据提取阶段。研究结果表明,蚊子至少在伊朗的115个地方存在;它们与伊朗的气候带相适应。疟疾及其传播媒介受到气候变化的影响。温度、降水、相对湿度、风的强度和方向是影响蚊子生长繁殖以及疟疾流行的最重要气候因素。伊朗疟疾的传播与温度、降雨和湿度等气候因素有关。因此,鉴于当前发生的气候变化,该疾病的发病率也可能发生变化,这在疟疾控制规划时需要加以考虑。

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