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健康不平等、COVID-19 大流行和气候变化是否导致了自 2003 年以来法国有记录以来最致命的热浪?

Have health inequities, the COVID-19 pandemic and climate change led to the deadliest heatwave in France since 2003?

机构信息

Santé Publique France, 12 Rue Du Val D'Osne, 94415, St Maurice, France.

Santé Publique France, 12 Rue Du Val D'Osne, 94415, St Maurice, France.

出版信息

Public Health. 2021 May;194:143-145. doi: 10.1016/j.puhe.2021.02.012. Epub 2021 Apr 21.

Abstract

OBJECTIVES

Between 2015 and 2019, 5700 excess deaths were observed during heatwaves in France. The summer of 2020 combined exceptionally high temperatures with the COVID-19 pandemic. The associated health impacts of this unique situation are described in this study.

STUDY DESIGN

This is an observational study based on indicators of the French heat prevention plan.

METHODS

Mortality and morbidity data during heatwaves were compared between 2020 and previous years, alongside COVID-19 in-hospital mortality.

RESULTS

In total, 1921 additional deaths (+18.2%) were observed during the 2020 heatwaves, which is the largest number of deaths observed since 2003. Less than 100 deaths were attributed to COVID-19 during the heatwaves of 2020.

CONCLUSIONS

Exceptionally high temperatures driven by climate change, combined with health inequities exacerbated by the COVID-19 outbreak, may have increased vulnerability to heat in 2020.

摘要

目的

在 2015 年至 2019 年期间,法国热浪导致 5700 人死亡。2020 年夏季,异常高温与 COVID-19 大流行同时出现。本研究描述了这一独特情况的相关健康影响。

研究设计

这是一项基于法国热预防计划指标的观察性研究。

方法

在热浪期间,死亡率和发病率数据与 COVID-19 住院死亡率进行了比较。

结果

在 2020 年的热浪中,共观察到 1921 例额外死亡(增加 18.2%),这是自 2003 年以来观察到的死亡人数最多的一次。在 2020 年的热浪期间,归因于 COVID-19 的死亡人数不到 100 人。

结论

气候变化导致的异常高温,加上 COVID-19 爆发加剧的健康不平等,可能导致 2020 年对高温的脆弱性增加。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85af/8462812/fe0901e22291/gr1_lrg.jpg

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