癌症与气候变化。
Cancer and climate change.
机构信息
Department of Epidemiology and Biostatistics and Helen Diller Family Comprehensive Cancer Center, University of California San Francisco, San Francisco, CA, USA.
Institute for Global Health Sciences, University of California San Francisco, San Francisco, CA, USA.
出版信息
Lancet Oncol. 2020 Nov;21(11):e519-e527. doi: 10.1016/S1470-2045(20)30448-4.
The acute impact of climate change on human health is receiving increased attention, but little is known or appreciated about the effect of climate change on chronic diseases, particularly cancer. This Review provides a synopsis of what is known about climate change and the exposures it generates relevant to cancer. In the context of the world's cancer burden and the probable direction we could expect to follow in the absence of climate change, this scoping review of the literature summarises the effects that climate change is having on major cancers, from environmental exposures to ultraviolet radiation, air pollution, disruptions in the food and water supply, environmental toxicants, and infectious agents. Finally, we explore the effect of climate change on the possible disruption of health systems that have been essential to cancer control practice. We conclude with potential responses and opportunities for intervention.
气候变化对人类健康的急性影响受到了越来越多的关注，但对于气候变化对慢性病（尤其是癌症）的影响，人们知之甚少或认识不足。本综述概述了气候变化及其产生的暴露对癌症的影响，这些暴露与癌症有关。在世界癌症负担的背景下，以及在没有气候变化的情况下我们可能期望遵循的方向，本文献综述总结了气候变化对主要癌症的影响，包括从环境暴露于紫外线辐射、空气污染、食物和水供应中断、环境毒物和传染病等方面。最后，我们探讨了气候变化对癌症控制实践中至关重要的卫生系统可能出现的中断的影响。最后，我们提出了一些潜在的应对措施和干预机会。
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