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亚洲的肺癌:气候变化的影响

Lung cancer in Asia: the impact of climate change.

作者信息

De Guzman Roselle B, Malik Monica, Singh Navneet, Ho-Fung Loong Herbert, Mohan Anant

机构信息

Oncology and Pain Management Section, Manila Central University-FDT Medical Foundation Hospital, Caloocan City, Philippines.

Department of Radiation Oncology, Nizam's Institute of Medical Sciences, Hyderabad, India.

出版信息

EClinicalMedicine. 2024 Jul 8;74:102680. doi: 10.1016/j.eclinm.2024.102680. eCollection 2024 Aug.

Abstract

The escalating global threat of climate change is becoming more evident. The climate crisis intersects with another major challenge: lung cancer. With Asia already bearing half the global cancer burden, the impact of climate-related events on health and on lung cancer care specifically are profound. There can potentially be critical implications on the overall landscape of lung cancer care-from screening and early detection, to management and treatment. In 2022, the deadliest flooding events occurred in India and Pakistan. Extreme weather events such as cyclones and typhoons cause damage to healthcare facilities and disrupt transportation networks. These impede access to vital treatments, causing delays, thus worsening patients' conditions. Most low and middle-income countries (LMICs) have disparities in healthcare infrastructure, resources, and workforce distribution that result in limited access to comprehensive care. This fragmented healthcare system in many Asian countries pose additional challenges. Adaptation and mitigation strategies are crucial for minimizing these impacts on cancer care. Addressing this complex interplay demands urgent, collaborative, and multidisciplinary efforts to safeguard healthcare and ensure access to uninterrupted care amid climate-related challenges.

摘要

全球气候变化威胁的不断升级正变得愈发明显。气候危机与另一重大挑战——肺癌相互交织。亚洲已然承担着全球一半的癌症负担,气候相关事件对健康尤其是肺癌护理的影响极为深远。这可能对肺癌护理的整体格局产生关键影响——从筛查与早期检测,到管理与治疗。2022年,印度和巴基斯坦发生了最致命的洪水事件。诸如气旋和台风等极端天气事件会对医疗设施造成破坏,并扰乱交通网络。这些阻碍了获得关键治疗的机会,导致延误,从而使患者病情恶化。大多数低收入和中等收入国家在医疗基础设施、资源和劳动力分布方面存在差异,导致获得全面护理的机会有限。许多亚洲国家这种碎片化的医疗体系带来了额外的挑战。适应和缓解策略对于将这些对癌症护理的影响降至最低至关重要。应对这种复杂的相互作用需要紧急、协作和多学科的努力,以在气候相关挑战中保障医疗保健并确保获得不间断的护理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a993/11701854/8d5d68121f29/gr1.jpg

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