Department of Research, Akhtar Saeed Medical College, University of Health Sciences, Lahore 54000, Pakistan.
Department of Research, Wah Medical College, University of Health Sciences, Wah Cantt 47000, Pakistan.
Int J Environ Res Public Health. 2023 Feb 2;20(3):2697. doi: 10.3390/ijerph20032697.
The Central African Region is an agricultural and fishing-based economy, with 40% of the population living in rural communities. The negative impacts of climate change have caused economic/health-related adverse impacts and food insecurity. This original article aims to research four key themes: (i) acute food insecurity (AFI); (ii) childhood malnutrition and mortality; (iii) infectious disease burden; and (iv) drought and mean temperature projections throughout the twenty-first century. Food insecurity was mapped in Central Africa based on the Integrated Food Security Phase Classification (IPC) for AFI. The global hunger index (GHI) was presented along with the proportion of children with undernourishment, stunting, wasting, and mortality. Data for infectious disease burden was computed by assessing the adjusted rate of change (AROC) of mortality due to diarrhea among children and the burden of death rates due to pneumonia across all age groups. Finally, the mean drought index was computed through the year 2100. This population-based study identifies high levels of hunger across a majority of the countries, with the mean drought index suggesting extreme ends of wet and dry days and an overall rise of 1-3 °C. This study is a source of evidence for stakeholders, policymakers, and the population residing in Central Africa.
中非地区是以农业和渔业为基础的经济体，40%的人口居住在农村社区。气候变化的负面影响已经对经济/健康造成了不利影响，并导致粮食不安全。这篇原始文章旨在研究四个关键主题：(i)急性粮食不安全(AFI)；(ii)儿童营养不良和死亡率；(iii)传染病负担；以及(iv)整个二十一世纪的干旱和平均温度预测。根据急性粮食不安全综合粮食安全阶段分类(IPC)，对中非地区的粮食不安全进行了测绘。全球饥饿指数(GHI)以及营养不足、发育迟缓、消瘦和死亡率的儿童比例也一并呈现。通过评估儿童因腹泻导致的死亡率的调整变化率(AROC)和所有年龄段因肺炎导致的死亡率负担，计算了传染病负担的数据。最后，通过 2100 年计算了平均干旱指数。这项基于人群的研究发现，大多数国家的饥饿程度都很高，平均干旱指数表明干湿日极端情况，整体上升 1-3°C。这项研究为利益相关者、政策制定者和居住在中非地区的民众提供了证据来源。
