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全科医疗中的热健康:预防与热相关疾病的循证方法。

Heat health in general practice: An evidence-based approach to the prevention of heat-related illness.

作者信息

Hamrosi Michelle, Wylie Kate, Foong Lai Heng, Loo Kim

机构信息

MBBS, BBiomedSc (Hons), FRACGP, IBCLC, DCH, General Practitioner and Lactation Consultant, Surf Beach Surgery, Batemans Bay, NSW; Clinical Lecturer, School of Medicine, Australian National University, Canberra, ACT; Community Engagement Officer, Australian Breastfeeding Association Community Protection for Infants and Young Children in Bushfires Project, Melbourne, Vic.

FRACGP, MBBS, BHSci, DCH, Grad Cert PESH, GP and Executive Director of Doctors for the Environment Australia, Adelaide, SA.

出版信息

Aust J Gen Pract. 2025 Jan-Feb;54(1-2):25-33. doi: 10.31128/AJGP-06-24-7329.

Abstract

BACKGROUND

The year 2023 was the hottest on record, with heatwaves becoming more frequent and severe due to climate change. Extreme heat is the deadliest climate related event, causing significant morbidity and mortality globally. Vulnerable groups include older people, young children and pregnant women.

OBJECTIVE

This paper aims to equip general practitioners (GPs) with evidence-based strategies to prevent and mitigate heat related illnesses. It identifies at-risk populations through life stage analysis and advocates for effective adaptation and mitigation strategies.

DISCUSSION

This paper highlights essential practice points for GPs and discusses the expanding evidence on heat-related health impacts, including direct effects like heat stress and indirect effects such as exacerbation of chronic diseases. The importance of cooling strategies and heat action plans are emphasised while advocating for systemic changes to address the root causes of heat-related health risks.

摘要

背景

2023年是有记录以来最热的一年,由于气候变化,热浪变得更加频繁和严重。极端高温是与气候相关的最致命事件,在全球范围内导致大量发病和死亡。弱势群体包括老年人、幼儿和孕妇。

目的

本文旨在为全科医生提供基于证据的策略,以预防和减轻与高温相关的疾病。它通过生命阶段分析确定高危人群,并倡导有效的适应和缓解策略。

讨论

本文强调了全科医生的重要实践要点,并讨论了关于高温对健康影响的不断扩大的证据,包括热应激等直接影响以及慢性病加重等间接影响。在倡导进行系统性变革以解决与高温相关的健康风险的根本原因时,强调了降温策略和热行动计划的重要性。

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