Now updated with key developments in mitigation and adaptation from the last decade, Climate Change and Public Health, Second Edition offers an engaging overview of climate change and its health consequences alongside evolving methods for climate resilience.
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This year marks the 30th anniversary of the Intergovernmental Panel on Climate Change (IPCC), which has produced five comprehensive assessments for the world's governments; a health chapter has featured in all but the first assessment report, along with climate change impacts on our atmosphere, oceans, and landscapes. Research on the health risks from climate change has grown substantially, with findings suggesting that the global health gains achieved over the past half century are being undermined by climate change [1]. Hazardous exposure pathways are many, from heat waves and air pollution episodes to infectious diseases, malnutrition, forced migration, and conflict [2]. Impacts are experienced differently within segments of the population and between geographic locations based on biological, social, and economic vulnerabilities as well as the nature of the climate hazard.
The environmental and health consequences of climate change, which disproportionately affect low-income countries and poor people in high-income countries, profoundly affect human rights and social justice. Environmental consequences include increased temperature, excess precipitation in some areas and droughts in others, extreme weather events, and increased sea level. These consequences adversely affect agricultural production, access to safe water, and worker productivity, and, by inundating land or making land uninhabitable and uncultivatable, will force many people to become environmental refugees. Adverse health effects caused by climate change include heat-related disorders, vector-borne diseases, foodborne and waterborne diseases, respiratory and allergic disorders, malnutrition, collective violence, and mental health problems.These environmental and health consequences threaten civil and political rights and economic, social, and cultural rights, including rights to life, access to safe food and water, health, security, shelter, and culture. On a national or local level, those people who are most vulnerable to the adverse environmental and health consequences of climate change include poor people, members of minority groups, women, children, older people, people with chronic diseases and disabilities, those residing in areas with a high prevalence of climate-related diseases, and workers exposed to extreme heat or increased weather variability. On a global level, there is much inequity, with low-income countries, which produce the least greenhouse gases (GHGs), being more adversely affected by climate change than high-income countries, which produce substantially higher amounts of GHGs yet are less immediately affected. In addition, low-income countries have far less capability to adapt to climate change than high-income countries.Adaptation and mitigation measures to address climate change needed to protect human society must also be planned to protect human rights, promote social justice, and avoid creating new problems or exacerbating existing problems for vulnerable populations.
Abstract. Floods are the most common and damaging natural disaster in Bangladesh, and the effects of floods on public health have increased significantly in recent decades, particularly among lower socioeconomic populations. Assessments of social vulnerability on flood-induced health outcomes typically focus on local to regional scales; a notable gap remains in comprehensive, large-scale assessments that may foster disaster management practices. In this study, socioeconomic, health, and coping capacity vulnerability and composite social-health vulnerability are assessed using both equal-weight and principal-component approaches using 26 indicators across Bangladesh. Results indicate that vulnerable zones exist in the northwest riverine areas, northeast floodplains, and southwest region, potentially affecting 42 million people (26 % of the total population). Subsequently, the vulnerability measures are linked to flood forecast and satellite inundation information to evaluate their potential for predicting actual flood impact indices (distress, damage, disruption, and health) based on the immense August 2017 flood event. Overall, the forecast-based equally weighted vulnerability measures perform best. Specifically, socioeconomic and coping capacity vulnerability measures strongly align with the distress, disruption, and health impact records observed. Additionally, the forecast-based composite social-health vulnerability index also correlates well with the impact indices, illustrating its utility in identifying predominantly vulnerable regions. These findings suggest the benefits and practicality of this approach to assess both thematic and comprehensive spatial vulnerabilities, with the potential to support targeted and coordinated public disaster management and health practices.
A new generation of activists is calling for bold responses to the climate crisis. Although young people are motivated to act on climate issues, existing educational frameworks do not adequately prepare them by addressing the scope and complexity of the human health risks associated with climate change. In this article, we adapt the US government's climate literacy principles to propose a definition and corresponding set of elements for a concept we term climate and health literacy. We then conduct a scoping review to assess how the peer-reviewed literature addresses these elements. Our analysis reveals a focus on training health professionals, more international than domestic content, and limited information about data and models, fossil fuels, and equity. We propose developing a framework that builds on the climate and health literacy elements to support a broader educational agenda that prepares students and future leaders to recognize the complex health ramifications of a changing climate.
The increasing burden of emerging infectious diseases worldwide confronts us with numerous challenges, including the imperative to design research and responses that are commensurate to understanding the complex social and ecological contexts in which infectious diseases occur. A diverse group of scientists met in Hawaii in March 2005 to discuss the linked social and ecological contexts in which infectious diseases emerge. A subset of the meeting was a group that focused on "transdisciplinary approaches" to integrating knowledge across and beyond academic disciplines in order to improve prevention and control of emerging infections. This article is based on the discussions of that group. Here, we outline the epidemiological legacy that has dominated infectious disease research and control up until now, and introduce the role of new, transdisciplinary and systems-based approaches to emerging infectious diseases. We describe four cases of transboundary health issues and use them to discuss the potential benefits, as well as the inherent difficulties, in understanding the social-ecological contexts in which infectious diseases occur and of using transdisciplinary approaches to deal with them.
The increasing burden of emerging infectious diseases worldwide confronts us with numerous challenges, including the imperative to design research and responses that are commensurate to understanding the complex social and ecological contexts in which infectious diseases occur. A diverse group of scientists met in Hawaii in March 2005 to discuss the linked social and ecological contexts in which infectious diseases emerge. A subset of the meeting was a group that focused on "transdisciplinary approaches" to integrating knowledge across and beyond academic disciplines in order to improve prevention and control of emerging infections. This article is based on the discussions of that group. Here, we outline the epidemiological legacy that has dominated infectious disease research and control up until now, and introduce the role of new, transdisciplinary and systems-based approaches to emerging infectious diseases. We describe four cases of transboundary health issues and use them to discuss the potential benefits, as well as the inherent difficulties, in understanding the social-ecological contexts in which infectious diseases occur and of using transdisciplinary approaches to deal with them.