Consultant, World Health Organization, Geneva, Switzerland.
Department of the Control of Neglected Tropical Diseases, World Health Organization, Geneva, Switzerland.
Trans R Soc Trop Med Hyg. 2021 Jan 28;115(2):147-168. doi: 10.1093/trstmh/traa192.
Neglected tropical diseases (NTDs) are a diverse group of diseases that continue to affect >1 billion people, with these diseases disproportionately impacting vulnerable populations and territories. Climate change is having an increasing impact on public health in tropical and subtropical areas and across the world and can affect disease distribution and transmission in potentially diverse ways. Improving our understanding of how climate change influences NTDs can help identify populations at risk to include in future public health interventions. Articles were identified by searching electronic databases for reports of climate change and NTDs between 1 January 2010 and 1 March 2020. Climate change may influence the emergence and re-emergence of multiple NTDs, particularly those that involve a vector or intermediate host for transmission. Although specific predictions are conflicting depending on the geographic area, the type of NTD and associated vectors and hosts, it is anticipated that multiple NTDs will have changes in their transmission period and geographic range and will likely encroach on regions and populations that have been previously unaffected. There is a need for improved surveillance and monitoring to identify areas of NTD incursion and emergence and include these in future public health interventions.
被忽视的热带病(NTDs)是一组多样化的疾病,继续影响着超过 10 亿人,这些疾病不成比例地影响着弱势人群和地区。气候变化对热带和亚热带地区以及世界各地的公共卫生的影响越来越大,并可能以各种潜在的方式影响疾病的分布和传播。提高我们对气候变化如何影响 NTDs 的理解有助于确定处于风险中的人群,以便将其纳入未来的公共卫生干预措施中。文章是通过在电子数据库中搜索 2010 年 1 月 1 日至 2020 年 3 月 1 日期间有关气候变化和 NTDs 的报告来确定的。气候变化可能会影响多种 NTDs 的出现和再现,特别是那些涉及传播媒介或中间宿主的 NTDs。虽然具体的预测因地理区域、NTD 类型以及相关的媒介和宿主而异,但预计多种 NTDs 的传播期和地理范围将会发生变化,并且可能会侵入以前未受影响的地区和人群。需要加强监测和监测,以确定 NTD 入侵和出现的地区,并将其纳入未来的公共卫生干预措施中。