Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, Massachusetts.
Department of Medicine and Pediatrics, Brigham and Women's Hospital, Boston Children's Hospital, and Boston Medical Center, Boston, Massachusetts.
Ann Allergy Asthma Immunol. 2024 Jul;133(1):20-27. doi: 10.1016/j.anai.2024.04.018. Epub 2024 Apr 21.
Increased fossil fuel use has increased carbon dioxide concentrations leading to global warming and climate change with increased frequency and intensity of extreme weather events such as thunderstorms, wildfires, droughts, and heat waves. These changes increase the risk of adverse health effects for all human beings. However, these experiences do not affect everyone equally. Underserved communities, including people of color, the elderly, people living with chronic conditions, and socioeconomically disadvantaged groups, have greater vulnerability to the impacts of climate change. These vulnerabilities are a result of multiple factors such as disparities in health care, lower educational status, and systemic racism. These social inequities are exacerbated by extreme weather events, which act as threat multipliers increasing disparities in health outcomes. It is clear that without human action, these global temperatures will continue to increase to unbearable levels creating an existential crisis. There is now global consensus that climate change is caused by anthropogenic activity and that actions to mitigate and adapt to climate change are urgently needed. The 2015 Paris Accord was the first truly global commitment that set goals to limit further warming. It also aimed to implement equity in action, founded on the principle of common but differentiated responsibilities. Meeting these goals requires individual, community, organizational, national, and global cooperation. Health care professionals, often in the frontline with firsthand knowledge of the health impacts of climate change, can play a key role in advocating for just and equitable climate change adaptation and mitigation policies.
化石燃料使用的增加导致了二氧化碳浓度的上升,进而引发了全球变暖和气候变化,极端天气事件的频率和强度也有所增加,如雷暴、野火、干旱和热浪。这些变化增加了所有人类健康受到不良影响的风险。然而,这些经历并不是每个人都一样。服务不足的社区,包括有色人种、老年人、患有慢性疾病的人以及社会经济弱势群体,更容易受到气候变化的影响。这些脆弱性是多种因素造成的,如医疗保健方面的差异、较低的教育程度和系统性种族主义。这些社会不平等现象因极端天气事件而加剧,这些事件成为威胁倍增器,加剧了健康结果的差异。很明显,如果人类不采取行动,这些全球温度将继续上升到无法忍受的水平,从而引发生存危机。现在全球已经达成共识,气候变化是由人类活动引起的,迫切需要采取行动来减轻和适应气候变化。2015 年的《巴黎协定》是第一个真正的全球承诺,为限制进一步变暖设定了目标。它还旨在根据共同但有区别的责任原则,在行动中实现公平。实现这些目标需要个人、社区、组织、国家和全球合作。医疗保健专业人员通常处于应对气候变化对健康影响的第一线,他们可以在倡导公正和公平的气候变化适应和缓解政策方面发挥关键作用。