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空气污染对气候变化时代呼吸系统疾病的影响:当前证据综述。

The impact of air pollution on respiratory diseases in an era of climate change: A review of the current evidence.

机构信息

Ph.D. Program in Global Health and Health Security, College of Public Health, Taipei Medical University, Taipei, Taiwan; Faculty of Public Health, Da Nang University of Medical Technology and Pharmacy, Viet Nam.

Ph.D. Program in Global Health and Health Security, College of Public Health, Taipei Medical University, Taipei, Taiwan.

出版信息

Sci Total Environ. 2023 Nov 10;898:166340. doi: 10.1016/j.scitotenv.2023.166340. Epub 2023 Aug 15.

Abstract

The impacts of climate change and air pollution on respiratory diseases present significant global health challenges. This review aims to investigate the effects of the interactions between these challenges focusing on respiratory diseases. Climate change is predicted to increase the frequency and intensity of extreme weather events amplifying air pollution levels and exacerbating respiratory diseases. Air pollution levels are projected to rise due to ongoing economic growth and population expansion in many areas worldwide, resulting in a greater burden of respiratory diseases. This is especially true among vulnerable populations like children, older adults, and those with pre-existing respiratory disorders. These challenges induce inflammation, create oxidative stress, and impair the immune system function of the lungs. Consequently, public health measures are required to mitigate the effects of climate change and air pollution on respiratory health. The review proposes that reducing greenhouse gas emissions contribute to slowing down climate change and lessening the severity of extreme weather events. Enhancing air quality through regulatory and technological innovations also helps reduce the morbidity of respiratory diseases. Moreover, policies and interventions aimed at improving healthcare access and social support can assist in decreasing the vulnerability of populations to the adverse health effects of air pollution and climate change. In conclusion, there is an urgent need for continuous research, establishment of policies, and public health efforts to tackle the complex and multi-dimensional challenges of climate change, air pollution, and respiratory health. Practical and comprehensive interventions can protect respiratory health and enhance public health outcomes for all.

摘要

气候变化和空气污染对呼吸系统疾病的影响带来了重大的全球健康挑战。本综述旨在研究这些挑战相互作用对呼吸系统疾病的影响。气候变化预计会增加极端天气事件的频率和强度,从而放大空气污染水平,使呼吸系统疾病恶化。由于世界许多地区经济增长和人口扩张,空气污染水平预计将会上升,从而导致呼吸系统疾病的负担更大。在儿童、老年人和已有呼吸系统疾病的人群等脆弱人群中,情况更是如此。这些挑战会引起炎症、产生氧化应激,并损害肺部的免疫系统功能。因此,需要采取公共卫生措施来减轻气候变化和空气污染对呼吸系统健康的影响。本综述提出,减少温室气体排放有助于减缓气候变化和减轻极端天气事件的严重程度。通过监管和技术创新来提高空气质量,也有助于降低呼吸系统疾病的发病率。此外,旨在改善医疗保健获取和社会支持的政策和干预措施,可以帮助减少人口对空气污染和气候变化的不利健康影响的脆弱性。总之,需要持续开展研究、制定政策和采取公共卫生措施,以应对气候变化、空气污染和呼吸系统健康的复杂和多层面挑战。实际和综合的干预措施可以保护呼吸系统健康,提高所有人的公共卫生成果。

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