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气候变化与流离失所者:病媒与气候如何改变流离失所和迁徙人群中传染病的流行情况。

Climate change and the displaced person: how vectors and climate are changing the landscape of infectious diseases among displaced and migrant populations.

机构信息

Department of Dermatology, Tulane University School of Medicine, New Orleans, LA, USA.

Department of Dermatology, Brigham and Women's Hospital, Boston, MA, USA.

出版信息

Int J Dermatol. 2023 May;62(5):681-684. doi: 10.1111/ijd.16636. Epub 2023 Mar 13.

DOI:10.1111/ijd.16636
PMID:36912708
Abstract

BACKGROUND

As the climate crisis grows, so does the global burden of displacement. Displacement, whether a direct or indirect consequence of natural disaster, can lead to dire health sequelae. Skin health is no exception to this, with dermatologic disease being a leading concern reported by those who care for displaced persons. Health professionals who provide dermatologic care for displaced persons benefit from understanding how climate change impacts the global profile of infectious agents.

METHODS

This review was performed using PubMed and Google Scholar. Search terms included climate change, displaced person, internally displaced person, and refugee, as well as searches of infectious disease dermatology and the specific diseases of interest. Case reports, case series, reviews, and original research articles were included in this review. Non-English studies were not included.

RESULTS

In this manuscript several key infectious agents were identified, and we discuss the skin manifestations and impact of climate change on cutaneous leishmaniasis, dengue, chikungunya, zika, malaria, pediculosis, cutaneous larva migrans, cholera, and varicella zoster.

CONCLUSIONS

Climate change plays a significant role in the challenges faced by displaced persons, including their skin health. Among the many consequences of climate change is its altering of the ecological profile of infectious agents and vectors that impact displaced persons. Being familiar with this impact can improve dermatologic care for this vulnerable population.

摘要

背景

随着气候危机的加剧,全球被迫流离失所的人数也在增加。流离失所,无论是自然灾害的直接还是间接后果,都可能导致严重的健康后果。皮肤健康也不例外,皮肤病是照顾流离失所者的人报告的主要关注点。为流离失所者提供皮肤科护理的卫生专业人员受益于了解气候变化如何影响全球传染病原体的分布。

方法

本综述使用 PubMed 和 Google Scholar 进行。搜索词包括气候变化、流离失所者、国内流离失所者和难民,以及传染病皮肤科和感兴趣的具体疾病的搜索。本综述纳入了病例报告、病例系列、综述和原始研究文章。未纳入非英语研究。

结果

在本文中,我们确定了几个关键的传染病原体,并讨论了气候变化对皮肤利什曼病、登革热、基孔肯雅热、寨卡病毒、疟疾、虱病、游走性幼虫疹、霍乱和带状疱疹的皮肤表现和影响。

结论

气候变化在流离失所者面临的挑战中发挥了重要作用,包括他们的皮肤健康。气候变化的许多后果之一是改变了影响流离失所者的传染病原体和媒介的生态分布。熟悉这种影响可以改善对这一脆弱人群的皮肤科护理。

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