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气候变化对健康的影响:原因和后果的不平等。

Health Risks Due To Climate Change: Inequity In Causes And Consequences.

机构信息

Kristie L. Ebi (

Jeremy J. Hess is a professor of environmental and occupational health sciences at the University of Washington.

出版信息

Health Aff (Millwood). 2020 Dec;39(12):2056-2062. doi: 10.1377/hlthaff.2020.01125.

Abstract

Climate change has altered global to local weather patterns and increased sea levels, and it will continue to do so. Average temperatures, precipitation amounts, and other variables such as humidity levels are all rising. In addition, weather variability is increasing, causing, for example, a greater number of heat waves, many of which are more intense and last longer, and more floods and droughts. These changes are collectively increasing the number of injuries, illnesses, and deaths from a wide range of climate-sensitive health outcomes. Future health risks will be determined not just by the hazards created by a changing climate but also by the sensitivity of individuals and communities exposed to these hazards and the capacity of health systems to prepare for and effectively manage the attendant risks. These risks include deaths and injuries from extreme events (for example, heat waves, storms, and floods), infectious diseases (including food-, water-, and vectorborne illnesses), and food and water insecurity. These risks are unevenly distributed and both create new inequities and exacerbate those that already exist. Most of these risks are projected to increase with each additional unit of warming. Using an equity lens to move beyond incremental to transformational resilience would reduce vulnerability and improve sustainability for all, but substantial additional funding is required for proactive and effective actions by the health system.

摘要

气候变化改变了全球到地方的天气模式并导致海平面上升,而且这种情况还将继续。平均气温、降水量和其他变量(如湿度水平)都在上升。此外,天气的可变性也在增加,例如导致更多的热浪,其中许多热浪更加剧烈且持续时间更长,以及更多的洪水和干旱。这些变化共同导致了一系列由气候敏感型健康结果引起的伤害、疾病和死亡。未来的健康风险不仅取决于气候变化造成的危害,还取决于暴露于这些危害的个人和社区的敏感性以及卫生系统应对和有效管理相关风险的能力。这些风险包括由极端事件(例如热浪、风暴和洪水)、传染病(包括食源性、水源性和虫媒疾病)以及食物和水不安全导致的死亡和伤害。这些风险分布不均,不仅会产生新的不平等现象,还会加剧现有的不平等现象。预计随着每增加一个单位的升温,这些风险中的大多数都会增加。利用公平视角从增量转变为变革性的弹性将减少所有人的脆弱性并提高可持续性,但卫生系统需要大量额外资金来采取积极有效的行动。

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