Our Planet, Our Health Program, Wellcome Trust, London NW1 2BE, United Kingdom; email:
Department of Public Health, Environments and Society and Department of Population Health, London School of Hygiene and Tropical Medicine, London WC1H 9SH, United Kingdom; email:
Annu Rev Public Health. 2019 Apr 1;40:261-282. doi: 10.1146/annurev-publhealth-040218-043706. Epub 2019 Jan 11.
Multiple global environmental changes (GECs) now under way, including climate change, biodiversity loss, freshwater depletion, tropical deforestation, overexploitation of fisheries, ocean acidification, and soil degradation, have substantial, but still imperfectly understood, implications for human health. Noncommunicable diseases (NCDs) make a major contribution to the global burden of disease. Many of the driving forces responsible for GEC also influence NCD risk through a range of mechanisms. This article provides an overview of pathways linking GEC and NCDs, focusing on five pathways: ( a) energy, air pollution, and climate change; ( b) urbanization; ( c) food, nutrition, and agriculture; ( d) the deposition of persistent chemicals in the environment; and ( e) biodiversity loss.
目前正在发生的多种全球环境变化(GECs),包括气候变化、生物多样性丧失、淡水资源枯竭、热带森林砍伐、过度捕捞渔业、海洋酸化和土壤退化,对人类健康产生了重大影响,但仍有许多方面尚未被完全理解。非传染性疾病(NCDs)是全球疾病负担的主要贡献者。导致 GEC 的许多驱动因素也通过一系列机制影响 NCD 风险。本文概述了将 GEC 和 NCD 联系起来的途径,重点关注五个途径:(a)能源、空气污染和气候变化;(b)城市化;(c)食品、营养和农业;(d)持久性化学物质在环境中的沉积;以及(e)生物多样性丧失。