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从健康公平视角看巴基斯坦的全球变暖及其对公众健康的影响。

Global Warming in Pakistan and Its Impact on Public Health as Viewed Through a Health Equity Lens.

作者信息

Somani Rozina

机构信息

Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada.

出版信息

Int J Soc Determinants Health Health Serv. 2023 Apr;53(2):154-157. doi: 10.1177/27551938231154467. Epub 2023 Feb 2.

Abstract

Pakistan is extremely vulnerable to the negative impacts of climate change. The recent monsoon season caused widespread, deadly flooding, affecting 15% of the total population when extreme heat waves were followed by the worst rains and floods in the country's history. But Pakistan was not the cause of its own misfortune. The atmospheric buildup of carbon dioxide (CO2) is the greatest contributor to climate change. If we look at the increase of carbon dioxide in the atmosphere, we find that Pakistan is, like all developing nations, essentially a non-contributor of the problem, contributing considerably less than 1% of global greenhouse gas emissions. Moreover, although significant factors exacerbating the effects of climate change in Pakistan include an inadequate sewage system, air pollution from industrial waste, and deforestation, the country could not afford to proactively fix these, nor prepare for flooding and heavy rains. It lacks the funding for climate resilience efforts. As a result, Pakistan is suffering from a high prevalence of poor health outcomes. Children, the elderly, women, and the homeless, especially those living with poverty and disease, are at a high risk of morbidity and mortality. Since mitigating the devastating effects of climate change will continue to be an ongoing challenge for Pakistan, it urgently needs financial investment so that it can build climate-resilient infrastructures and institute mechanisms to deal with global warming's worst effects. Industrialized nations are responsible for global warming, and they must take responsibility for fighting global warming by helping developing countries cultivate greater public health emergency preparedness.

摘要

巴基斯坦极易受到气候变化负面影响的冲击。最近的季风季节引发了大规模的致命洪水,在经历了极端热浪之后,又遭遇了该国历史上最严重的降雨和洪水,影响了15%的总人口。但巴基斯坦并非自身不幸的根源。大气中二氧化碳(CO₂)的积聚是气候变化的最大促成因素。如果我们审视大气中二氧化碳的增加情况,就会发现巴基斯坦和所有发展中国家一样,基本上不是这个问题的促成者,其温室气体排放量占全球的比例远低于1%。此外,尽管加剧巴基斯坦气候变化影响的重要因素包括污水处理系统不完善、工业废料造成的空气污染以及森林砍伐,但该国无力主动解决这些问题,也无法为洪水和暴雨做好准备。它缺乏应对气候变化的资金。结果,巴基斯坦民众健康状况不佳的比例很高。儿童、老年人、妇女和无家可归者,尤其是那些生活贫困且身患疾病的人,面临着很高的发病和死亡风险。由于减轻气候变化的破坏性影响对巴基斯坦来说仍将是一项持续的挑战,该国迫切需要资金投入,以便能够建设抵御气候变化的基础设施,并建立应对全球变暖最严重影响的机制。工业化国家应对全球变暖负责,它们必须通过帮助发展中国家提高公共卫生应急准备能力来承担应对全球变暖的责任。

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