Kristie L. Ebi (
Christofer Åström is a research fellow in the Department of Public Health and Clinical Medicine at Umeå University, in Umeå, Sweden.
Health Aff (Millwood). 2020 Dec;39(12):2168-2174. doi: 10.1377/hlthaff.2020.01004.
The question of whether, how, and to what extent climate change is affecting health is central to many climate and health studies. We describe a set of formal methods, termed detection and attribution, used by climatologists to determine whether a climate trend or extreme event has changed and to estimate the extent to which climate change influenced that change. We discuss events where changing weather patterns were attributed to climate change and extend these analyses to include health impacts from heat waves in 2018 and 2019 in Europe and Japan, and we show how such impact attribution could be applied to melting ice roads in the Arctic. Documenting the causal chain from emissions of greenhouse gases to observed human health outcomes is important input into risk assessments that prioritize health system preparedness and response interventions and into financial investments and communication about potential risk to policy makers and to the public.
气候变化是否以及在何种程度上影响健康,这是许多气候与健康研究的核心问题。我们描述了一组气候学家用来确定气候趋势或极端事件是否发生变化,以及估计气候变化对这种变化影响程度的正式方法,称为检测和归因。我们讨论了一些归因于气候变化的天气模式变化的事件,并将这些分析扩展到包括 2018 年和 2019 年欧洲和日本的热浪对健康的影响,我们展示了如何将这种影响归因应用于北极融化的冰路。记录温室气体排放到观察到的人类健康结果的因果链,是对卫生系统准备和应对干预措施进行风险评估以及对决策者和公众进行潜在风险的财务投资和沟通的重要投入。