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卫生、虫媒病毒与疾病的环境决定因素:对城市健康的影响。

Sanitation, Arboviruses, and Environmental Determinants of Disease: impacts on urban health.

机构信息

Centro Universitário Tiradentes. Av. Gustavo Paiva 5017, Cruz das Almas. 57038-000 Maceió AL Brasil.

出版信息

Cien Saude Colet. 2020 Oct;25(10):3857-3868. doi: 10.1590/1413-812320202510.30712018. Epub 2019 Feb 17.

DOI:10.1590/1413-812320202510.30712018
PMID:32997018
Abstract

What are the repercussions of poorly planned urbanization for population health? Understanding urban health, the risks posed by cities, health repercussions, and urban social relations helps urban planners to decide where to target prevention interventions. We conducted a qualitative descriptive analytical study based on a document analysis and bibliographical review to explore the relationship between urbanization and urban health, focusing on diseases transmitted by the mosquito Aedes aegypti. Our findings show that environmental degradation and inadequate infrastructure pose a serious risk to human health, insofar as the disposal of waste in dumps and landfills can cause exposure to hazardous chemicals. In addition, inadequate urban infrastructure and sanitation is conducive to the transmission of water-borne diseases and the reproduction of vectors of other diseases such as Aedes aegypti, responsible for the transmission of arboviruses (dengue, chikungunya, and Zika). Research on environmental and urban health therefore provides an important foundation for improving the quality of life of people living in cities and developing measures designed to prevent diseases related to unplanned urbanization.

摘要

城市化规划不善对人口健康有哪些影响?了解城市健康、城市带来的风险、健康影响以及城市社会关系有助于城市规划者决定在哪里进行预防干预。我们进行了一项基于文献分析和文献综述的定性描述分析研究,以探讨城市化与城市健康之间的关系,重点关注由埃及伊蚊传播的疾病。我们的研究结果表明,环境恶化和基础设施不足对人类健康构成严重威胁,因为垃圾和垃圾填埋场中的废物处理会导致接触危险化学品。此外,城市基础设施和卫生条件不足有利于水传播疾病的传播和其他疾病(如埃及伊蚊)的传播媒介的繁殖,埃及伊蚊负责传播虫媒病毒(登革热、基孔肯雅热和寨卡病毒)。因此,环境与城市健康方面的研究为改善城市居民的生活质量以及制定预防与城市规划不善相关的疾病的措施提供了重要基础。

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