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对空气污染采取行动——对心血管疾病的影响:世界心脏联盟、美国心脏病学会、美国心脏协会和欧洲心脏病学会联合声明

Taking a Stand Against Air Pollution-The Impact on Cardiovascular Disease: A Joint Opinion From the World Heart Federation, American College of Cardiology, American Heart Association, and the European Society of Cardiology.

作者信息

Brauer Michael, Casadei Barbara, Harrington Robert A, Kovacs Richard, Sliwa Karen

机构信息

World Heart Federation Air Pollution Expert Group (M.B.).

School of Population and Public Health, The University of British Columbia, Canada (M.B.).

出版信息

Circulation. 2021 Apr 6;143(14):e800-e804. doi: 10.1161/CIRCULATIONAHA.120.052666. Epub 2021 Jan 28.

Abstract

Although the attention of the world and the global health community specifically is deservedly focused on the COVID-19 pandemic, other determinants of health continue to have large impacts and may also interact with COVID-19. Air pollution is one crucial example. Established evidence from other respiratory viruses and emerging evidence for COVID-19 specifically indicates that air pollution alters respiratory defense mechanisms leading to worsened infection severity. Air pollution also contributes to comorbidities that are known to worsen outcomes among those infected with COVID-19, and air pollution may also enhance infection transmission due to its impact on more frequent coughing. Yet despite the massive disruption of the COVID-19 pandemic, there are reasons for optimism: broad societal lockdowns have shown us a glimpse of what a future with strong air pollution measures could yield. Thus, the urgency to combat air pollution is not diminished, but instead heightened in the context of the pandemic.

摘要

尽管全世界,尤其是全球卫生界的注意力理所当然地集中在新冠疫情上,但其他健康决定因素仍产生着重大影响,并且可能也与新冠病毒相互作用。空气污染就是一个关键例子。来自其他呼吸道病毒的确凿证据以及专门针对新冠病毒的新出现证据表明,空气污染会改变呼吸道防御机制,导致感染严重程度加剧。空气污染还会导致一些合并症,而这些合并症已知会使新冠病毒感染者的病情恶化,并且空气污染还可能因其对更频繁咳嗽的影响而增强感染传播。然而,尽管新冠疫情造成了巨大破坏,但仍有乐观的理由:广泛的社会封锁让我们得以瞥见一个实施强有力空气污染措施的未来会带来什么。因此,抗击空气污染的紧迫性并未减弱,反而在疫情背景下有所增强。

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