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比较越南国家气候战略在减轻传染病方面相对于东南亚其他经合组织国家的成效。

Comparing Viet Nam's national climate strategy's effectiveness in mitigating infectious diseases against other OECD countries in South-East Asia.

作者信息

Dunsford C, Dat V Q, Beardsley J, Luu V, Zhang Y

机构信息

Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.

Department of Infectious Diseases, Hanoi Medical University, Hanoi, Viet Nam.

出版信息

Sci Rep. 2025 May 20;15(1):17433. doi: 10.1038/s41598-025-01975-3.

Abstract

Climate change is the greatest threat to human health; however, climate change is also impacting the spread of infectious diseases causing contemporaneous burdens on health systems worldwide. The aim of this research was to assess whether Organisation for Economic Co-operation and Development (OECD) South-East Asia (SEA) countries national climate strategies were effective in mitigating infectious diseases impacted by climate change, using Viet Nam as a key case study. To conduct benchmarking between OECD SEA countries, data from the Institute for Health Metrics and Evaluation (IHME), the Climate Watch, and copies of each countries' climate strategy were analysed using a SMART analysis. Further analysis was done with IHME data to benchmark the prevalence infectious disease group per 100,000 by country and income group, and health expenditure per capita by infectious disease incidence per 100,000 and DALY per 100,000 across OECD SEA countries. This research found that Viet Nam is doing relatively well in addressing infectious diseases through climate change policy mitigation efforts, both individually and in comparison, to OECD SEA countries. Viet Nam was found to have the highest prevalence of respiratory diseases and tuberculosis in comparison to other OECD SEA countries but is ranked comparatively well when looking at overall infectious disease DALY's and incidence rates compared to OECD SEA neighbours. Viet Nam's climate strategy clarifies the need to develop the healthcare network and infrastructure required to effectively manage epidemics. Increased health expenditure per capita and greater implementation of One Health frameworks in government strategies are recommended to improve Viet Nam's ability to mitigate climate susceptible infectious diseases.

摘要

气候变化是对人类健康的最大威胁;然而,气候变化也在影响传染病的传播,给全球卫生系统带来了同时期的负担。本研究的目的是评估经济合作与发展组织(OECD)东南亚(SEA)国家的国家气候战略在减轻受气候变化影响的传染病方面是否有效,以越南作为关键案例进行研究。为了在经合组织东南亚国家之间进行基准对比,使用SMART分析法对来自健康指标与评估研究所(IHME)、气候观察组织的数据以及各国气候战略的副本进行了分析。利用IHME数据进一步分析,以基准对比经合组织东南亚国家按国家和收入组划分的每10万人传染病患病率,以及按每10万人传染病发病率和每10万人伤残调整生命年划分的人均卫生支出。本研究发现,越南在通过气候变化政策缓解措施应对传染病方面,无论是单独来看还是与经合组织东南亚国家相比,都做得相对较好。与其他经合组织东南亚国家相比,越南的呼吸道疾病和结核病患病率最高,但在与经合组织东南亚邻国相比总体传染病伤残调整生命年和发病率时,排名相对较好。越南的气候战略明确了发展有效管理流行病所需的医疗网络和基础设施的必要性。建议增加人均卫生支出,并在政府战略中更多地实施“同一健康”框架,以提高越南减轻气候敏感传染病的能力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9cd/12092691/54c7e51d209a/41598_2025_1975_Fig1_HTML.jpg

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