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2019冠状病毒病大流行与社会环境不平等:一项叙述性综述

COVID-19 pandemic and socio-environmental inequality: A narrative review.

作者信息

Kalankesh Laleh R, Rezaei Zahed, Mohammadpour Ali, Taghavi Mahmoud

机构信息

Social Determinants of Health Research Center Gonabad University of Medical Sciences Gonabad Iran.

出版信息

Health Sci Rep. 2023 Jun 27;6(6):e1372. doi: 10.1002/hsr2.1372. eCollection 2023 Jun.

Abstract

BACKGROUND AND AIMS

The COVID-19 pandemic has provided preliminary evidence of the existence of health, social, and environmental inequalities. This inequality encompasses inadequate access to safe water, clean air, and wastewater management, as well as limited socioeconomic and educational opportunities. These issues have not received sufficient attention during the pandemic. The purpose of this narrative review is to provide a comprehensive summary and analysis of the existing literature on a specific topic, ultimately leading to a conclusion based on the evidence presented.

METHODS

The search methodology for this study involved conducting comprehensive searches of scientific databases, including PubMed, ScienceDirect, LILACS, and Google Scholar, from 2019 to 2023. The study focused on a specific theme and its relevant aspects related to global environmental health and society. Keywords such as COVID-19, inequities, and environmental health were used for searching. Additionally, the Boolean operator "AND" was used to combine these descriptors.

RESULTS

Unequal exposure to air pollution has been reported in Africa, as well as in large parts of Asia and Latin America, according to the data that has been obtained. The pandemic has also resulted in a surge in healthcare waste generation, exacerbating the environmental impact of solid waste. Furthermore, there is evidence indicating significant disparities in the severe lack of access to sanitation services between developing nations and low-income regions. The issues related to water availability, accessibility, and quality are subject to debate. It has been reported that SARS-CoV-2 is present not only in untreated/raw water, but also in water bodies that act as reservoirs. Moreover, insufficient education, poverty, and low household income have been identified as the most significant risk factors for COVID-19 infection and mortality.

CONCLUSION

It is evident that addressing socio-environmental inequality and striving to narrow the gap by prioritizing vulnerable populations are imperative.

摘要

背景与目的

新冠疫情为健康、社会和环境不平等的存在提供了初步证据。这种不平等包括安全用水、清洁空气和废水管理的获取不足,以及社会经济和教育机会有限。这些问题在疫情期间未得到充分关注。本叙述性综述的目的是对关于特定主题的现有文献进行全面总结和分析,最终根据所呈现的证据得出结论。

方法

本研究的检索方法包括在2019年至2023年期间对科学数据库进行全面检索,这些数据库包括PubMed、ScienceDirect、LILACS和谷歌学术。该研究聚焦于一个特定主题及其与全球环境健康和社会相关的方面。使用了如新冠病毒、不平等和环境健康等关键词进行检索。此外,使用布尔运算符“AND”来组合这些描述符。

结果

根据已获得的数据,在非洲以及亚洲和拉丁美洲的大部分地区,都报告了空气污染暴露的不平等情况。疫情还导致医疗废物产生激增,加剧了固体废物对环境的影响。此外,有证据表明发展中国家和低收入地区在卫生设施服务严重缺乏方面存在显著差异。与水的可用性、可及性和质量相关的问题存在争议。据报道,严重急性呼吸综合征冠状病毒2不仅存在于未经处理的/原水中,还存在于作为蓄水池的水体中。此外,教育不足、贫困和家庭收入低已被确定为新冠病毒感染和死亡的最主要风险因素。

结论

显然,解决社会环境不平等问题并通过优先考虑弱势群体来努力缩小差距势在必行。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6d2/10300242/b0da163014b0/HSR2-6-e1372-g003.jpg

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