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[儿童风险与污染预防单位:评估受污染社区儿童健康风险的策略 儿童风险单位:评估受污染社区儿童群体健康风险的一种策略]

[CRCP units: a strategy to assess health risks in children in contaminated communitiesUnidades RISC: uma estratégia para avaliar os riscos de saúde na população infantil de comunidades contaminadas].

作者信息

León-Arce Mauricio, Flores-Ramírez Rogelio, Paz-Tovar Claudia, Palacios-Ramírez Andrés, Pérez-Vázquez Francisco J, Ramírez-Landeros Laura M, Van Brussel Evelyn, Díaz-Barriga Fernando

机构信息

Facultad de Medicina Universidad Autónoma de San Luis Potosí México Facultad de Medicina, Universidad Autónoma de San Luis Potosí, México.

Departamento de Estudios Experimentales y Rurales Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán México Departamento de Estudios Experimentales y Rurales, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, México.

出版信息

Rev Panam Salud Publica. 2023 Mar 10;47:e29. doi: 10.26633/RPSP.2023.29. eCollection 2023.

Abstract

Humanitarian crises can occur in places affected by chemical, physical, biological, and social threats, especially when these threats interact with each other and cause a syndemic. In order to avoid crises in these places, it is necessary to introduce mitigation measures that we have framed as "humanitarian scenarios". Due to their nature, implementation of these interventions requires the creation of multidisciplinary operational groups with a work strategy that integrates them into the affected community. In the case of the child population, the operational group was called the 'childhood risks in contaminated places' (CRCP) unit; contaminated places meaning localities impacted by chemical, physical, or biological threats. The strategy has six phases: (i) planning the survey and site visit; (ii) community involvement in identifying threats, vulnerabilities, and routes of exposure (the path of pollutants from their source to the receiving population), and in preparing joint work for the subsequent phases; iii) prioritization of risks identified through environmental monitoring and use of biomarkers of exposure and effects; iv) risk prevention through the creation of various 'capacities and alternatives for the prevention of syndemic threats'; (v) advocacy to implement these capacities and alternatives through risk communication and local training; and (vi) protection through measures that include telehealth, social progress, and innovation to improve health coverage. The strategy has been implemented in different contexts, and in some of them it has been enriched by analysis of respect for human rights.

摘要

人道主义危机可能发生在受化学、物理、生物和社会威胁影响的地区,尤其是当这些威胁相互作用并引发综合征流行时。为了避免这些地区发生危机,有必要引入我们称之为“人道主义情景”的缓解措施。由于这些干预措施的性质,其实施需要组建多学科行动小组,并制定将其融入受影响社区的工作策略。就儿童群体而言,该行动小组被称为“受污染地区的儿童风险”(CRCP)小组;受污染地区是指受到化学、物理或生物威胁影响的地区。该策略有六个阶段:(i)规划调查和实地考察;(ii)让社区参与识别威胁、脆弱性和接触途径(污染物从源头到受影响人群的路径),并为后续阶段准备联合工作;(iii)通过环境监测以及使用接触和影响生物标志物对识别出的风险进行优先排序;(iv)通过创建各种“预防综合征威胁的能力和替代方案”来预防风险;(v)通过风险沟通和当地培训倡导实施这些能力和替代方案;(vi)通过包括远程医疗、社会进步和创新以改善医疗覆盖范围的措施进行保护。该策略已在不同背景下实施,在其中一些背景下,通过对人权尊重情况的分析使其得到了丰富。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da9d/9976273/1ccc98dbd991/rpsp-47-e29_Figure1.jpg

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