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伊朗的气候变化与健康:一篇叙述性综述。

Climate change and health in Iran: a narrative review.

作者信息

Mousavi Arefeh, Ardalan Ali, Takian Amirhossein, Ostadtaghizadeh Abbas, Naddafi Kazem, Bavani Alireza Massah

机构信息

1Department of Disaster and Emergency Health, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.

2Department of Global Health & Public Policy, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

J Environ Health Sci Eng. 2020 Apr 2;18(1):367-378. doi: 10.1007/s40201-020-00462-3. eCollection 2020 Jun.

Abstract

BACKGROUND

The consequences of climate change are highly impeding the achievement of Sustainable Development Goals (SDGs) anywhere, especially in low and middle-income countries. While climate change scales up, its health-related risks increase, which in turn leads to cause new challenges for public health. As a second largest country of the Eastern Mediterranean Region of World Health Organization, Iran is highly vulnerable to the effects of climate change.

PURPOSE

This study seeks the notion of health risks and challenges of climate change in Iran and provide potential evidence-based remedies to prevent and diminish such destructive effects.

METHODS

A comprehensive literature in various computerized databases was conducted, and numerous published original research and review articles about climate change status and evidences of adverse health consequences of climate change in Iran were reviewed.

RESULTS

The evidence suggests that the expected health challenges related to climate change in Iran are: rising temperatures; frequent extreme weather events; reduction of air quality; food-borne, water-borne, and vector-borne diseases; mental health and well-being consequences; and the increasing trend of natural disasters and deaths associated with climatological hazards.

CONCLUSIONS

By considering the growing burden of diseases associated with climate variability in Iran as well as the interdisciplinary nature of climate change and health issues, an integrated, multi-sectoral, and comprehensive approach for identification, prioritization, and implementation of adaptation options is required by Ministry of Health and Medical Education as a custodian of public health in order to enhance the resiliency and adaption against adverse health effects of climate change.

摘要

背景

气候变化的后果严重阻碍了可持续发展目标(SDGs)在任何地方的实现,尤其是在低收入和中等收入国家。随着气候变化加剧,其与健康相关的风险增加,进而给公共卫生带来新挑战。作为世界卫生组织东地中海区域的第二大国,伊朗极易受到气候变化的影响。

目的

本研究探寻伊朗气候变化带来的健康风险和挑战的概念,并提供基于证据的潜在补救措施,以预防和减少此类破坏性影响。

方法

在各种计算机化数据库中进行了全面的文献检索,并查阅了众多已发表的关于伊朗气候变化状况以及气候变化对健康产生不利影响的原始研究和综述文章。

结果

证据表明,伊朗与气候变化相关的预期健康挑战包括:气温上升;极端天气事件频繁;空气质量下降;食源性、水源性和病媒传播疾病;心理健康和幸福感影响;以及自然灾害和与气候灾害相关死亡人数的增加趋势。

结论

鉴于伊朗与气候多变性相关疾病负担不断加重,以及气候变化与健康问题的跨学科性质,作为公共卫生守护者的卫生和医学教育部需要采取综合、多部门和全面的方法来识别、确定适应选项的优先次序并加以实施,以增强应对气候变化对健康不利影响的复原力和适应能力。

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