Department of Medicine, Division of Allergy and Immunology, UT Health Houston, Houston.
Department of Internal Medicine, Division of Allergy and Immunology, University of Nebraska Medical Center, Omaha, Neb.
J Allergy Clin Immunol. 2024 Jul;154(1):59-67. doi: 10.1016/j.jaci.2024.04.012. Epub 2024 May 22.
Many vulnerable people lose their health or lives each year as a result of unhealthy environmental conditions that perpetuate medical conditions within the scope of allergy and immunology specialists' expertise. While detrimental environmental factors impact all humans globally, the effect is disproportionately more profound in impoverished neighborhoods. Environmental injustice is the inequitable exposure of disadvantaged populations to environmental hazards. Professional medical organizations such as the American Academy of Allergy, Asthma & Immunology (AAAAI) are well positioned to engage and encourage community outreach volunteer programs to combat environmental justice. Here we discuss how environmental injustices and climate change impacts allergic diseases among vulnerable populations. We discuss pathways allergists/immunologists can use to contribute to addressing environmental determinants by providing volunteer clinical service, education, and advocacy. Furthermore, allergists/immunologists can play a role in building trust within these communities, partnering with other patient advocacy nonprofit stakeholders, and engaging with local, state, national, and international nongovernmental organizations, faith-based organizations, and governments. The AAAAI's Volunteerism Addressing Environmental Disparities in Allergy (VAEDIA) is the presidential task force aiming to promote volunteer initiatives by creating platforms for discussion and collaboration and by funding community-based projects to address environmental injustice.
许多弱势群体每年因环境条件不佳而失去健康或生命,这些环境条件使过敏和免疫学专家范围内的医疗状况持续存在。虽然有害的环境因素会对全球所有人产生影响,但在贫困社区的影响更为深远。环境不公正现象是指弱势群体不成比例地暴露于环境危害之中。专业医学组织,如美国过敏、哮喘和免疫学学会(AAAAI),非常适合参与和鼓励社区外展志愿者计划,以应对环境公正问题。在这里,我们讨论环境不公正和气候变化如何影响弱势群体中的过敏疾病。我们讨论了过敏学家/免疫学家可以通过提供志愿者临床服务、教育和宣传来为解决环境决定因素做出贡献的途径。此外,过敏学家/免疫学家可以在这些社区中建立信任、与其他患者权益非营利利益相关者合作,并与地方、州、国家和国际非政府组织、信仰组织以及政府合作。AAAAI 的志愿行动以解决过敏领域的环境差异(VAEDIA)是总统工作组,旨在通过创建讨论和合作的平台以及为解决环境不公正问题的社区项目提供资金,来促进志愿者计划。