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新冠疫情与热浪:医疗体系面临新挑战。

COVID-19 and heat waves: New challenges for healthcare systems.

机构信息

Institute and Clinic for Occupational, Social and Environmental Medicine, University Hospital, LMU Munich, Ziemssenstr. 1, 80336, Munich, Germany; Institute for Public Health, Medical Decision Making and HTA, UMIT - Private University for Health Sciences, Medical Informatics and Technology, Eduard-Wallnöfer Zentrum 1, 6060, Hall i.T., Austria; University Children's Hospital Regensburg (KUNO) at the Hospital St. Hedwig of the Order of St. John and the University Hospital, University of Regensburg, Regensburg, Germany.

Department of Human Movement Sciences. Faculty of Behavioral and Movement Sciences. Vrije Universiteit Amsterdam. Van der Boechorststraat 7, 1081, BT Amsterdam, the Netherlands.

出版信息

Environ Res. 2021 Jul;198:111153. doi: 10.1016/j.envres.2021.111153. Epub 2021 Apr 20.

DOI:10.1016/j.envres.2021.111153
PMID:33857461
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8056477/
Abstract

Heat waves and Covid-19 overlap, as this pandemic continues into summer 2021. Using a narrative review, we identified overlapping risk groups and propose coping strategies. The high-risk groups for heat-related health problems as well as for high-risk COVID-19 groups overlap considerably (elderly with pre-existing health conditions). Health care facilities will again be challenged by Covid-19 during heat waves. Health care personnel are also at risk of developing heat related health problems during hot periods due to the use of personal protective equipment to shield themselves from SARS-CoV-2 and must therefore be protected from excessive heat periods. Some existing recommendations for heat health protection contradict recommendations for COVID-19 protection. This paper provides a preliminary overview of possible strategies and interventions to tackle these ambiguities. The existing recommendations for protection against heat-related illnesses need revisions to determine whether they include essential aspects of infection control and occupational safety and how they may be supplemented.

摘要

热浪和新冠疫情重叠,因为这种大流行病持续到 2021 年夏季。我们通过叙述性综述确定了重叠的风险群体,并提出了应对策略。与高温相关的健康问题的高风险群体以及新冠病毒高风险群体(患有基础疾病的老年人)高度重叠。在热浪期间,医疗机构将再次受到新冠疫情的挑战。医护人员由于使用个人防护设备来保护自己免受 SARS-CoV-2 的侵害,因此在炎热时期也有患上与热相关的健康问题的风险,因此必须保护他们免受过度炎热时期的影响。一些现有的热健康保护建议与新冠病毒保护建议相矛盾。本文初步概述了可能的策略和干预措施,以解决这些模糊性问题。现有的热相关疾病保护建议需要修订,以确定它们是否包含感染控制和职业安全的基本方面,以及如何补充这些建议。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d925/8056477/7c1ce4b5f116/gr2_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d925/8056477/7e7f8cf3a3fb/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d925/8056477/7c1ce4b5f116/gr2_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d925/8056477/7e7f8cf3a3fb/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d925/8056477/7c1ce4b5f116/gr2_lrg.jpg

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