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Schulz CM, Ahrend KM, Schneider G, Hohendorf G, Schellnhuber HJ, Busse R. Medical ethics in the Anthropocene: how are €100 billion of German physicians' pension funds invested? Lancet Planet Health 2019; 3:e405-e406. [PMID: 31625510 DOI: 10.1016/s2542-5196(19)30189-5] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2019] [Accepted: 09/20/2019] [Indexed: 06/10/2023]
Affiliation(s)
- Christian M Schulz
- Department of Anaesthesiology, Klinikum rechts der Isar, School of Medicine, Technical University of Munich, 81675 München, Germany.
| | - Klaus-Michael Ahrend
- Faculty of Business, Hochschule Darmstadt-University of Applied Sciences, Darmstadt, Germany
| | - Gerhard Schneider
- Department of Anaesthesiology, Klinikum rechts der Isar, School of Medicine, Technical University of Munich, 81675 München, Germany
| | - Gerrit Hohendorf
- Institute of History and Ethics in Medicine, Klinikum rechts der Isar, School of Medicine, Technical University of Munich, 81675 München, Germany
| | | | - Reinhard Busse
- Faculty of Economics and Management, Technical University Berlin, Berlin, Germany
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302
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Cheng J, Xu Z, Bambrick H, Prescott V, Wang N, Zhang Y, Su H, Tong S, Hu W. Cardiorespiratory effects of heatwaves: A systematic review and meta-analysis of global epidemiological evidence. ENVIRONMENTAL RESEARCH 2019; 177:108610. [PMID: 31376629 DOI: 10.1016/j.envres.2019.108610] [Citation(s) in RCA: 113] [Impact Index Per Article: 18.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/30/2019] [Revised: 07/23/2019] [Accepted: 07/25/2019] [Indexed: 05/21/2023]
Abstract
BACKGROUND Heatwaves affect human health and global heatwave-related disease burden will continue to rise as climate change proceeds, but the effects of heatwaves on cardiovascular and respiratory diseases have not yet been investigated globally and nationally. OBJECTIVES This systematic review and meta-analysis aim to quantify heatwave effects on four major health outcomes: cardiovascular and respiratory morbidity and mortality. METHODS We searched PubMed, Scopus, Embase, and Web of Science for relevant studies from database inception to November 2018. Categories of morbidity included hospital admissions, emergency department visits, and ambulance attendances/call-outs. A random-effects meta-analysis model was used to pool previous estimates of heatwave effects on mortality and morbidity due to cardiovascular and respiratory diseases. Subgroup analyses by gender, age, and disease cause were conducted. Sensitivity analyses were performed by the categories of morbidity, heatwave definitions, study design, and using a leave-one-out cross validation approach. This study is registered with PROSPERO (number: CRD42018101964). RESULTS We identified 54 studies conducted in 20 countries. In total, there were significant associations between heatwaves and cardiovascular mortality (risk estimates (RE): 1.149, 95% confidence interval (CI): 1.090, 1.210) and respiratory mortality (RE: 1.183, 95%CI: 1.092, 1.282), but the magnitude of these associations varied across countries and studies. Heatwaves appeared to be marginally associated with cardiovascular and respiratory morbidities (RE: 0.999, 95%CI: 0.996, 1.002, p-value = 0.61 for cardiovascular morbidity; RE: 1.043, 95%CI: 0.995, 1.093; p-value = 0.08 for respiratory morbidity). For mortality, significant associations were observed for the elderly, ischemic heart disease, stroke, heart failure, and chronic obstructive pulmonary disease. Sensitivity analyses suggested that these findings were robust. CONCLUSION Mortality of cardiovascular and respiratory diseases appeared to be more vulnerable to heatwaves in comparison to morbidity. Considering high heterogeneity detected between studies and limited investigations into subpopulations, more research are required to provide a clearer picture of how heatwaves affect cardiovascular and respiratory diseases in different settings.
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Affiliation(s)
- Jian Cheng
- School of Public Health and Social Work, Institute of Health and Biomedical Innovation, Queensland University of Technology, Queensland, Australia
| | - Zhiwei Xu
- School of Public Health and Social Work, Institute of Health and Biomedical Innovation, Queensland University of Technology, Queensland, Australia
| | - Hilary Bambrick
- School of Public Health and Social Work, Institute of Health and Biomedical Innovation, Queensland University of Technology, Queensland, Australia
| | | | - Ning Wang
- School of Public Health and Social Work, Institute of Health and Biomedical Innovation, Queensland University of Technology, Queensland, Australia
| | - Yuzhou Zhang
- School of Public Health and Social Work, Institute of Health and Biomedical Innovation, Queensland University of Technology, Queensland, Australia
| | - Hong Su
- Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, Anhui, China
| | - Shilu Tong
- Shanghai Children's Medical Centre, Shanghai Jiao-Tong University School of Medicine, Shanghai, China; School of Public Health, Institute of Environment and Human Health, Anhui Medical University, Anhui, China; School of Public Health and Social Work, Queensland University of Technology, Queensland, Australia
| | - Wenbiao Hu
- School of Public Health and Social Work, Institute of Health and Biomedical Innovation, Queensland University of Technology, Queensland, Australia.
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303
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Abstract
Minimising the health harms of climate change and optimising universal health coverage will only be achieved through an integrated agenda and aligned solutions, say Renee Salas and Ashish Jha
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Chavaillaz Y, Roy P, Partanen AI, Da Silva L, Bresson É, Mengis N, Chaumont D, Matthews HD. Exposure to excessive heat and impacts on labour productivity linked to cumulative CO 2 emissions. Sci Rep 2019; 9:13711. [PMID: 31548555 PMCID: PMC6757059 DOI: 10.1038/s41598-019-50047-w] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2019] [Accepted: 08/30/2019] [Indexed: 12/31/2022] Open
Abstract
Cumulative CO2 emissions are a robust predictor of mean temperature increase. However, many societal impacts are driven by exposure to extreme weather conditions. Here, we show that cumulative emissions can be robustly linked to regional changes of a heat exposure indicator, as well as the resulting socioeconomic impacts associated with labour productivity loss in vulnerable economic sectors. We estimate historical and future increases in heat exposure using simulations from eight Earth System Models. Both the global intensity and spatial pattern of heat exposure evolve linearly with cumulative emissions across scenarios (1% CO2, RCP4.5 and RCP8.5). The pattern of heat exposure at a given level of global temperature increase is strongly affected by non-CO2 forcing. Global non-CO2 greenhouse gas emissions amplify heat exposure, while high local emissions of aerosols could moderate exposure. Considering CO2 forcing only, we commit ourselves to an additional annual loss of labour productivity of about 2% of total GDP per unit of trillion tonne of carbon emitted. This loss doubles when adding non-CO2 forcing of the RCP8.5 scenario. This represents an additional economic loss of about 4,400 G$ every year (i.e. 0.59 $/tCO2), varying across countries with generally higher impact in lower-income countries.
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Affiliation(s)
- Yann Chavaillaz
- Ouranos Inc, 550 rue Sherbrooke Ouest, Tour Ouest 19e étage, Montréal, QC, H3A 1B9, Canada.
- Department of Geography, Planning and Environment, Concordia University, 1455 boulevard de Maisonneuve Ouest, Montréal, QC, H3G 1M8, Canada.
| | - Philippe Roy
- Ouranos Inc, 550 rue Sherbrooke Ouest, Tour Ouest 19e étage, Montréal, QC, H3A 1B9, Canada
| | - Antti-Ilari Partanen
- Finnish Meteorological Institute, Climate System Research, P.O. Box 503, 00101, Helsinki, Finland
| | - Laurent Da Silva
- Ouranos Inc, 550 rue Sherbrooke Ouest, Tour Ouest 19e étage, Montréal, QC, H3A 1B9, Canada
| | - Émilie Bresson
- Université du Québec en Abitibi-Témiscamingue, 445 Boulevard de l'Université, Rouyn-Noranda, QC, J9X 5E4, Canada
| | - Nadine Mengis
- Simon Fraser University, Department of Geography, 8888 University Drive, Burnaby, BC, V5A 1S6, Canada
- Helmholtz Centre for Ocean Research Kiel (GEOMAR), Düsternbrooker Weg 20, Kiel, D-24105, Germany
| | - Diane Chaumont
- Ouranos Inc, 550 rue Sherbrooke Ouest, Tour Ouest 19e étage, Montréal, QC, H3A 1B9, Canada
| | - H Damon Matthews
- Department of Geography, Planning and Environment, Concordia University, 1455 boulevard de Maisonneuve Ouest, Montréal, QC, H3G 1M8, Canada
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305
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Liu J, Ma Y, Wang Y, Li S, Liu S, He X, Li L, Guo L, Niu J, Luo B, Zhang K. The Impact of Cold and Heat on Years of Life Lost in a Northwestern Chinese City with Temperate Continental Climate. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16193529. [PMID: 31547211 PMCID: PMC6801473 DOI: 10.3390/ijerph16193529] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/12/2019] [Revised: 09/06/2019] [Accepted: 09/13/2019] [Indexed: 12/16/2022]
Abstract
Cold spells and heat waves in a changing climate are well known as great public-health concerns due to their adverse effects on human health. However, very few studies have quantified health impacts of heat and cold in the region of Northwestern China. The purpose of the present study was to evaluate the effects of cold and heat on years of life lost (YLL) in Lanzhou, a city with temperate continental climate. We compiled a daily dataset including deaths, weather variables, and air pollutants in Lanzhou, China, from 2014–2017. We used a distributed lag non-linear model to estimate single-day and cumulative effects of heat and cold on daily YLL. Results indicated that both cold and heat were associated with increased YLL for registered residents in Lanzhou. Estimated heat effects appeared immediately in the first two days, while estimated cold effects lasted over a longer period (up to 30 days). Cold significantly increased the YLL of all residents except for males and those with respiratory diseases (≥65 years). Our results showed that both heat and cold had more pronounced effects on cardiovascular diseases compared to respiratory diseases. Males might be more vulnerable to heat, while females might suffer more YLL from cold. The effects of cold or heat on the elderly might appear earlier and last longer than those for other age groups.
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Affiliation(s)
- Jiangtao Liu
- Institute of Occupational Health and Environmental Health, School of Public Health, Lanzhou University, Lanzhou 730000, Gansu, China.
| | - Yueling Ma
- Institute of Occupational Health and Environmental Health, School of Public Health, Lanzhou University, Lanzhou 730000, Gansu, China.
| | - Yuhong Wang
- Lanzhou Municipal Center for Disease Control, Lanzhou 730000, Gansu, China.
| | - Sheng Li
- Lanzhou Municipal Center for Disease Control, Lanzhou 730000, Gansu, China.
| | - Shuyu Liu
- Gansu Provincial Center for Disease Control and Prevention, Lanzhou 730000, Gansu, China.
| | - Xiaotao He
- Institute of Occupational Health and Environmental Health, School of Public Health, Lanzhou University, Lanzhou 730000, Gansu, China.
| | - Lanyu Li
- Institute of Occupational Health and Environmental Health, School of Public Health, Lanzhou University, Lanzhou 730000, Gansu, China.
| | - Lei Guo
- Institute of Occupational Health and Environmental Health, School of Public Health, Lanzhou University, Lanzhou 730000, Gansu, China.
| | - Jingping Niu
- Institute of Occupational Health and Environmental Health, School of Public Health, Lanzhou University, Lanzhou 730000, Gansu, China.
| | - Bin Luo
- Institute of Occupational Health and Environmental Health, School of Public Health, Lanzhou University, Lanzhou 730000, Gansu, China.
- Shanghai Key Laboratory of Meteorology and Health, Shanghai Meteorological Service, Shanghai 200030, China.
| | - Kai Zhang
- Department of Epidemiology, Human Genetics and Environmental Sciences, School of Public Health, The University of Texas Health Science Center at Houston, Houston, TX 77030, USA.
- Southwest Center for Occupational and Environmental Health, School of Public Health, The University of Texas Health Science Center at Houston, Houston, TX 77030, USA.
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306
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White SM, Shelton CL. Abandoning inhalational anaesthesia. Anaesthesia 2019; 75:451-454. [DOI: 10.1111/anae.14853] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/20/2019] [Indexed: 11/28/2022]
Affiliation(s)
- S. M. White
- Department of Anaesthesia Sussex University Hospitals NHS Trust Brighton East Sussex UK
| | - C. L. Shelton
- Department of Anaesthesia Wythenshawe Hospital Manchester University NHS Foundation Trust Manchester UK
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307
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Ji JS. Time for health to enter China's climate action framework. Lancet Public Health 2019; 4:e442-e443. [PMID: 31493837 DOI: 10.1016/s2468-2667(19)30159-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2019] [Accepted: 07/31/2019] [Indexed: 12/12/2022]
Affiliation(s)
- John S Ji
- Duke Kunshan University, Kunshan, Jiangsu 215316, China.
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308
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Biodiesel production by lipases co-immobilized on the functionalized activated carbon. ACTA ACUST UNITED AC 2019. [DOI: 10.1016/j.biteb.2019.100248] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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309
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Mirmohamadsadeghi S, Karimi K, Tabatabaei M, Aghbashlo M. Biogas production from food wastes: A review on recent developments and future perspectives. ACTA ACUST UNITED AC 2019. [DOI: 10.1016/j.biteb.2019.100202] [Citation(s) in RCA: 78] [Impact Index Per Article: 13.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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310
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Sánchez-Arreola E, Bach H, Hernández LR. Biodiesel production from Cascabela ovata seed oil. ACTA ACUST UNITED AC 2019. [DOI: 10.1016/j.biteb.2019.100220] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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311
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Limaye VS, Max W, Constible J, Knowlton K. Estimating the Health-Related Costs of 10 Climate-Sensitive U.S. Events During 2012. GEOHEALTH 2019; 3:245-265. [PMID: 32159045 PMCID: PMC7007172 DOI: 10.1029/2019gh000202] [Citation(s) in RCA: 37] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/24/2019] [Revised: 06/30/2019] [Accepted: 07/25/2019] [Indexed: 05/14/2023]
Abstract
Climate change threatens human health, but there remains a lack of evidence on the economic toll of climate-sensitive public health impacts. We characterize human mortality and morbidity costs associated with 10 climate-sensitive case study events spanning 11 US states in 2012: wildfires in Colorado and Washington, ozone air pollution in Nevada, extreme heat in Wisconsin, infectious disease outbreaks of tick-borne Lyme disease in Michigan and mosquito-borne West Nile virus in Texas, extreme weather in Ohio, impacts of Hurricane Sandy in New Jersey and New York, allergenic oak pollen in North Carolina, and harmful algal blooms on the Florida coast. Applying a consistent economic valuation approach to published studies and state estimates, we estimate total health-related costs from 917 deaths, 20,568 hospitalizations, and 17,857 emergency department visits of $10.0 billion in 2018 dollars, with a sensitivity range of $2.7-24.6 billion. Our estimates indicate that the financial burden of deaths, hospitalizations, emergency department visits, and associated medical care is a key dimension of the overall economic impact of climate-sensitive events. We found that mortality costs (i.e., the value of a statistical life) of $8.4 billion exceeded morbidity costs and lost wages ($1.6 billion combined). By better characterizing health damages in economic terms, this work helps to shed light on the burden climate-sensitive events already place on U.S. public health each year. In doing so, we provide a conceptual framework for broader estimation of climate-sensitive health-related costs. The high health-related costs associated with climate-sensitive events highlight the importance of actions to mitigate climate change and adapt to its unavoidable impacts.
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Affiliation(s)
| | - Wendy Max
- Institute for Health & AgingUniversity of CaliforniaSan FranciscoCAUSA
| | | | - Kim Knowlton
- Natural Resources Defense CouncilNew YorkNYUSA
- Mailman School of Public HealthColumbia UniversityNew YorkNYUSA
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312
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Lawson JT. EcoHealth Action Over Lifetimes: Unity of Spirit, Voice, and Deeds. ECOHEALTH 2019; 16:399-401. [PMID: 31328243 DOI: 10.1007/s10393-019-01429-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/04/2018] [Revised: 05/27/2019] [Accepted: 06/23/2019] [Indexed: 06/10/2023]
Affiliation(s)
- Justin T Lawson
- Health Nature Sustainability Research Group, School of Health and Social Development, Deakin University, Burwood, VIC, Australia.
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313
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Chandy E. Carbon and Cancer. Clin Oncol (R Coll Radiol) 2019; 31:670-671. [DOI: 10.1016/j.clon.2019.05.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2019] [Accepted: 05/09/2019] [Indexed: 11/15/2022]
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314
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315
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Zhang J, Yang Z, Wu L, Yang K. Summer high temperature extremes over Northeastern China predicted by spring soil moisture. Sci Rep 2019; 9:12577. [PMID: 31467378 PMCID: PMC6715730 DOI: 10.1038/s41598-019-49053-9] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2019] [Accepted: 08/19/2019] [Indexed: 11/10/2022] Open
Abstract
Current seasonal climate predictions mainly reside in the ocean anomalies. However, the prediction skills are generally limited over many extra-tropical land areas where the oceanic effects are relatively weak. In this study, we address the potential of preceding spring soil moisture condition to predict summer hot days over Northeastern China, a typical Northern Hemisphere mid-latitude region. The results show that spring soil moisture condition over Central-Eastern China is closely related with following summer hot days over Northeastern China for the period of 1979-2017. The statistical model based on the preceding spring soil moisture condition yields temporal cross-validated correlation skill of 0.57 for summer hot days over Northeastern China. The spatial pattern correlation skills of independent hindcast experiments for 2009-2017 are also high, ranging from 0.87 to 0.94. Our results can be easily applied to practical prediction of summer hot days over Northeastern China, and help to provide better climate services and reduce the detrimental effects of extreme heat over this extra-tropical region.
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Affiliation(s)
- Jingyong Zhang
- Center for Monsoon System Research, Institute of Atmospheric Physics, Chinese Academy of Sciences, Beijing, 100029, China. .,College of Earth and Planetary Sciences, University of Chinese Academy of Sciences, Beijing, 100049, China.
| | - Zhanmei Yang
- Center for Monsoon System Research, Institute of Atmospheric Physics, Chinese Academy of Sciences, Beijing, 100029, China.,College of Earth and Planetary Sciences, University of Chinese Academy of Sciences, Beijing, 100049, China
| | - Lingyun Wu
- State Key Laboratory of Numerical Modeling for Atmospheric Sciences and Geophysical Fluid Dynamics (LASG), Institute of Atmospheric Physics, Chinese Academy of Sciences, Beijing, 100029, China
| | - Kai Yang
- State Key Laboratory of Numerical Modeling for Atmospheric Sciences and Geophysical Fluid Dynamics (LASG), Institute of Atmospheric Physics, Chinese Academy of Sciences, Beijing, 100029, China
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316
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Kotcher J, Maibach E, Choi WT. Fossil fuels are harming our brains: identifying key messages about the health effects of air pollution from fossil fuels. BMC Public Health 2019; 19:1079. [PMID: 31455278 PMCID: PMC6712833 DOI: 10.1186/s12889-019-7373-1] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2019] [Accepted: 07/25/2019] [Indexed: 12/29/2022] Open
Abstract
BACKGROUND Previous research suggests that providing generalized information about the health implications of air pollution from fossil fuels may be effective at promoting public support for a transition to cleaner sources of energy. We sought to extend that work by identifying the specific messages about the health implications of air pollution from fossil fuels that are most and least concerning to people, and whether rankings of concern vary among different audiences. We also hypothesized that reading the statements would influence people's attitudes and behavioral intentions in a manner supportive of a transition to cleaner sources of energy. METHODS We conducted a survey with a diverse sample of U.S. adults (n = 1644) from a non-probability internet panel. Using maximum difference scaling, participants ranked a set of ten statements that revealed which statements were the most and least concerning to them. We also measured attitudes about air pollution and energy use before and after the ranking exercise to assess changes in opinion caused by cumulative exposure to the messages. RESULTS Across all sub-groups examined, participants were most concerned by a message about the neurological impacts of air pollution on babies and children. After the ranking exercise, participants expressed increases in perceived health harm of air pollution and fossil fuels, a desire for more clean energy, and intention to engage in consumer advocacy to support clean energy. CONCLUSIONS To our knowledge, this study is the first to assess how people respond to information about the neurological health harms of air pollution from fossil fuels. While efforts to communicate the cardio-pulmonary health harms of air pollution are well established, our study suggests that efforts should now be organized to communicate the neurological effects of air pollution from fossil fuels, especially the neuro-developmental effects on babies and children.
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Affiliation(s)
- John Kotcher
- Center for Climate Change Communication, George Mason University, 4400 University Drive, MS6A8, Fairfax, VA 22030 USA
| | - Edward Maibach
- Center for Climate Change Communication, George Mason University, 4400 University Drive, MS6A8, Fairfax, VA 22030 USA
| | - Wen-Tsing Choi
- Prime Group, LLC, 888 16th St NW, Washington, DC 20006 USA
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317
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Affiliation(s)
- Renee N Salas
- From the Department of Emergency Medicine, Massachusetts General Hospital, and Harvard Medical School, Boston; and Harvard Global Health Institute, Cambridge, MA (R.N.S.)
| | - Debra Malina
- From the Department of Emergency Medicine, Massachusetts General Hospital, and Harvard Medical School, Boston; and Harvard Global Health Institute, Cambridge, MA (R.N.S.)
| | - Caren G Solomon
- From the Department of Emergency Medicine, Massachusetts General Hospital, and Harvard Medical School, Boston; and Harvard Global Health Institute, Cambridge, MA (R.N.S.)
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318
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Wasco JJ. Strategies for Teaching Online RN-to-BSN Students the Health Impacts of Climate Change. Creat Nurs 2019; 25:e1-e8. [DOI: 10.1891/1078-4535.25.3.e1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
The impact of climate change on human health is projected to worsen over the next century, threatening the world's population. Nurses need to be knowledgeable about the causes of climate change and its direct and indirect health consequences, to be able to provide appropriate care and to advocate for policy change. More now than ever, nursing faculty are charged with the responsibility to educate future health professionals about this important topic. This article provides an introduction to the impacts of climate change on nursing care delivery and shares the pedagogy of an introductory course developed for an online, postlicensure RN-BSN program based at a university with deep roots in environmental sustainability.
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319
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Capon A, Jay O, Ebi K, Lo S. Heat and health: a forthcoming Lancet Series. Lancet 2019; 394:551-552. [PMID: 31376990 DOI: 10.1016/s0140-6736(19)31759-3] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/08/2019] [Accepted: 07/17/2019] [Indexed: 11/26/2022]
Affiliation(s)
- Anthony Capon
- Sydney School of Public Health, Faculty of Medicine and Health, University of Sydney, Sydney, NSW 2006, Australia.
| | - Ollie Jay
- Thermal Ergonomics Laboratory, Faculty of Health Sciences, University of Sydney, Sydney, NSW, Australia
| | - Kristie Ebi
- Center for Health and the Global Environment, School of Public Health, University of Washington, Seattle, WA, USA
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321
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Ertuğrul Karatay S, Demiray E, Dönmez G. Efficient approaches to convert Coniochaeta hoffmannii lipids into biodiesel by in-situ transesterification. BIORESOURCE TECHNOLOGY 2019; 285:121321. [PMID: 30974382 DOI: 10.1016/j.biortech.2019.121321] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/12/2019] [Revised: 04/02/2019] [Accepted: 04/03/2019] [Indexed: 06/09/2023]
Abstract
Coniochaeta hoffmannii was isolated from soils contaminated with biscuit factory wastes showed the maximum lipid accumulation capacity in the study. Lipid production was optimized in terms of pH, carrot pomace loading, nitrogen type and amount, incubation time. Solvent, alcohol type and catalyst concentration, dried/wet biomass concentration, reaction approaches and time were optimized for lipid extraction and transesterification. The highest lipid accumulation was found as 52.0% at pH 4 in the presence of 10% carrot pomace, 0.5 g/L cheese whey at the end of the 48 h incubation. The maximum total C16 and C18 FAME rates were detected at the 25 °C, in the presence of 4 g/L dried C. hoffmannii biomass, methanol and 3% NaOH by using the in-situ transesterification process at the end of the 0.5 h as 96.3%. This is the first report about the usage of C. hoffmannii lipids obtained from carrot pomace for sustainable biodiesel production.
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Affiliation(s)
- Sevgi Ertuğrul Karatay
- Department of Biology, Faculty of Science, Ankara University, 06100 Beşevler, Ankara, Turkey.
| | - Ekin Demiray
- Department of Biology, Faculty of Science, Ankara University, 06100 Beşevler, Ankara, Turkey
| | - Gönül Dönmez
- Department of Biology, Faculty of Science, Ankara University, 06100 Beşevler, Ankara, Turkey
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322
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Williams AA, Spengler JD, Catalano P, Allen JG, Cedeno-Laurent JG. Building Vulnerability in a Changing Climate: Indoor Temperature Exposures and Health Outcomes in Older Adults Living in Public Housing during an Extreme Heat Event in Cambridge, MA. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:E2373. [PMID: 31277359 PMCID: PMC6651653 DOI: 10.3390/ijerph16132373] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/14/2019] [Revised: 06/18/2019] [Accepted: 06/29/2019] [Indexed: 12/12/2022]
Abstract
In the Northeastern U.S., future heatwaves will increase in frequency, duration, and intensity due to climate change. A great deal of the research about the health impacts from extreme heat has used ambient meteorological measurements, which can result in exposure misclassification because buildings alter indoor temperatures and ambient temperatures are not uniform across cities. To characterize indoor temperature exposures during an extreme heat event in buildings with and without central air conditioning (AC), personal monitoring was conducted with 51 (central AC, n = 24; non-central AC, n = 27) low-income senior residents of public housing in Cambridge, Massachusetts in 2015, to comprehensively assess indoor temperatures, sleep, and physiological outcomes of galvanic skin response (GSR) and heart rate (HR), along with daily surveys of adaptive behaviors and health symptoms. As expected, non-central AC units (Tmean = 25.6 °C) were significantly warmer than those with central AC (Tmean = 23.2 °C, p < 0.001). With higher indoor temperatures, sleep was more disrupted and GSR and HR both increased (p < 0.001). However, there were no changes in hydration behaviors between residents of different buildings over time and few moderate/several health symptoms were reported. This suggests both a lack of behavioral adaptation and thermal decompensation beginning, highlighting the need to improve building cooling strategies and heat education to low-income senior residents, especially in historically cooler climates.
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Affiliation(s)
- Augusta A Williams
- Department of Environmental Health, Harvard TH Chan School of Public Health, Boston, MA 02115, USA
| | - John D Spengler
- Department of Environmental Health, Harvard TH Chan School of Public Health, Boston, MA 02115, USA
| | - Paul Catalano
- Department of Biostatistics, Harvard TH Chan School of Public Health, Boston, MA 02115, USA
| | - Joseph G Allen
- Department of Environmental Health, Harvard TH Chan School of Public Health, Boston, MA 02115, USA
| | - Jose G Cedeno-Laurent
- Department of Environmental Health, Harvard TH Chan School of Public Health, Boston, MA 02115, USA.
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323
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Cariappa M. Climate change vis-a-vis climate and change: the military public health paradigm. Med J Armed Forces India 2019; 75:237-239. [PMID: 31388223 PMCID: PMC6676462 DOI: 10.1016/j.mjafi.2019.07.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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324
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Schachtel A, Boos MD. Pediatric dermatology and climate change: An argument for the pediatric subspecialist as public health advocate. Pediatr Dermatol 2019; 36:564-566. [PMID: 30968450 DOI: 10.1111/pde.13819] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
The October 2018 report from the United Nations Intergovernmental Panel on Climate Change predicts significant threats to human health secondary to anthropogenic global warming; children have been and will continue to be disproportionately affected by these weather-related changes. Multiple physician groups have acknowledged climate change as a public health issue, calling upon providers to educate their communities about this looming health crisis while also reducing their individual carbon footprints. A significant body of literature has also documented the adverse dermatologic consequences of a warmer planet, highlighting the importance of pediatric dermatologists in addressing climate change. Here, we summarize the rationale for the pediatric dermatologist as public health advocate, providing specific actionable items through which our specialty can positively address the climate change crisis and in turn protect the health of our patients now and in the future.
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Affiliation(s)
- April Schachtel
- Division of Dermatology, Department of Medicine, University of Washington School of Medicine, Seattle, Washington
| | - Markus D Boos
- Division of Dermatology, Department of Pediatrics, Seattle Children's Hospital, University of Washington School of Medicine, Seattle, Washington
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325
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In praise of Green Impact for Health. Br J Gen Pract 2019; 69:346. [PMID: 31249084 DOI: 10.3399/bjgp19x704369] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022] Open
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326
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Affiliation(s)
- Sascha Meyer
- Department of Pediatrics and Neonatology, University Children's Hospital of Saarland, Homburg 66 421, Germany.
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327
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328
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Affiliation(s)
- Timothy H Florin
- Mater Research, South Brisbane, QLD, Australia; Translational Research Institute, Woolloongabba, QLD 4102, Australia.
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329
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330
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Watts N, Gong P, Campbell-Lendrum D, Costello A, Robinson E. Health and climate change - Authors' reply. Lancet 2019; 393:2197-2198. [PMID: 31162076 DOI: 10.1016/s0140-6736(19)31134-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/05/2019] [Accepted: 04/26/2019] [Indexed: 11/25/2022]
Affiliation(s)
- Nick Watts
- Institute for Global Health, University College London, London WC1E 6BT, UK.
| | - Peng Gong
- Department of Earth System Science, Tsinghua University, Beijing, China
| | | | - Anthony Costello
- Office of the Vice-Provost (Research), University College London, London WC1E 6BT, UK
| | - Elizabeth Robinson
- School of Agriculture, Policy and Development, University of Reading, Reading, UK
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331
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Lo S, Horton R. Legal determinants of health: facing global health challenges. Lancet 2019; 393:1781-1782. [PMID: 31053304 PMCID: PMC9986055 DOI: 10.1016/s0140-6736(19)30808-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/27/2019] [Accepted: 03/27/2019] [Indexed: 11/27/2022]
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332
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The health effects of climate change: Know the risks and become part of the solutions. ACTA ACUST UNITED AC 2019; 45:114-118. [PMID: 31285701 DOI: 10.14745/ccdr.v45i05a01] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Climate change presents a clear and present danger to human health. Health impacts are already being demonstrated in Canada, which is warming at roughly twice the global rate. A recent United Nations Environment Emissions Gap Report noted that if countries maintain current emission efforts, emissions will exceed the targets laid out in the Paris Agreement and global warming will exceed 2ºC worldwide. An important consequence of global warming is an increase in health risks. Much can be done to prevent and mitigate the health impacts of climate change, and understanding and communicating these has been shown to be one of the best ways of motivating action. This editorial provides an overview of the some of the global and national initiatives underway to decrease emissions, and address the health risks of climate change in general, and highlights some of the national initiatives underway to mitigate the increased risk of infectious diseases in Canada in particular.
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333
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Maibach EW, Sarfaty M, Mitchell M, Gould R. Limiting global warming to 1.5 to 2.0°C-A unique and necessary role for health professionals. PLoS Med 2019; 16:e1002804. [PMID: 31086357 PMCID: PMC6516632 DOI: 10.1371/journal.pmed.1002804] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
In an Editorial, Edward Maibach and colleagues discuss the important role of health professionals in future responses to threats of climate change.
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Affiliation(s)
- Edward W. Maibach
- Center for Climate Change Communication, George Mason University, Fairfax, Virginia, United States of America
- * E-mail:
| | - Mona Sarfaty
- Center for Climate Change Communication, George Mason University, Fairfax, Virginia, United States of America
- Medical Society Consortium for Climate and Health, Fairfax, Virginia, United States of America
| | - Mark Mitchell
- Center for Climate Change Communication, George Mason University, Fairfax, Virginia, United States of America
- Medical Society Consortium for Climate and Health, Fairfax, Virginia, United States of America
| | - Rob Gould
- Center for Climate Change Communication, George Mason University, Fairfax, Virginia, United States of America
- Medical Society Consortium for Climate and Health, Fairfax, Virginia, United States of America
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Abstract
Within the extensive scientific and policy discussions about climate change migrants, detailed analyses continue to highlight the lack of evidence thus far for climate change directly causing migration. To understand better how climate change might or might not lead to migration, this paper explores possibilities for developing a robust, repeatable, and verifiable method to count or calculate the number of people migrating or not migrating due to climate change. The discussion starts by examining definitions of “climate change” and “migration”, then looking at how to determine numbers of climate change migrants based on those definitions. These points lead to descriptions of the subjectivity and arbitrariness of the decisions needed for counting or calculating climate change migrants and non-migrants. While the scientific study of working out numbers of climate change migrants and non-migrants is challenging and interesting, especially due to its complexity, changing baselines alongside legitimate concerns about necessary assumptions lead to questions regarding the usefulness of the calculations for policy and action. Ultimately, labelling, counting, and calculating climate change migrants and non-migrants depend on political choices, so any numbers reached might not be scientifically robust. Improved understanding of people’s motivations for migrating and not migrating under different circumstances, including under climate change and perceptions thereof, would be preferable to a starting point assuming that climate change inevitably causes migration.
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335
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Climate change: essential knowledge for developing holistic solutions to our climate crisis. Emerg Top Life Sci 2019; 3:245-256. [PMID: 33523148 DOI: 10.1042/etls20180116] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2018] [Revised: 04/04/2019] [Accepted: 04/05/2019] [Indexed: 11/17/2022]
Abstract
Understanding anthropogenic climate change is essential for anyone working in the life sciences. Firstly because climate change has already started to impact the Earth biosphere and human health and these changes need to be documented and acknowledged. Secondly, many of the solutions to climate change, both mitigation and adaptation, will be through the life sciences, everything from massive reforestation and sustainable agriculture to preventing the spread of disease and protecting individual human health. Anthropogenic climate change is, therefore, one of the defining challenges of the 21st century, along with poverty alleviation, environmental degradation and global security. Climate change is no longer just a scientific concern but encompasses economics, sociology, geopolitics, national and local politics, law and health to name a few. Hence, to understand climate change fully then not only does one have to review the science but also the politics and geopolitics, which have created the issue and can provide the solutions. Climate change ultimately makes us examine the whole basis of modern society and ultimately asks questions about humanity's relationship with the rest of the planet.
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336
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Coates SJ, McCalmont TH, Williams ML. Adapting to the Effects of Climate Change in the Practice of Dermatology—A Call to Action. JAMA Dermatol 2019; 155:415-416. [DOI: 10.1001/jamadermatol.2018.5863] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Affiliation(s)
- Sarah J. Coates
- Department of Dermatology, University of California, San Francisco
| | - Timothy H. McCalmont
- Department of Dermatology, University of California, San Francisco
- Department of Pathology, University of California, San Francisco
| | - Mary L. Williams
- Department of Dermatology, University of California, San Francisco
- Department of Pediatrics, University of California, San Francisco
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337
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The use of an 'acclimatisation' heatwave measure to compare temperature-related demand for emergency services in Australia, Botswana, Netherlands, Pakistan, and USA. PLoS One 2019; 14:e0214242. [PMID: 30921372 PMCID: PMC6438466 DOI: 10.1371/journal.pone.0214242] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2018] [Accepted: 03/09/2019] [Indexed: 11/23/2022] Open
Abstract
Background Heatwaves have been linked to increased risk of mortality and morbidity and are projected to increase in frequency and intensity due to climate change. The current study uses emergency department (ED) data from Australia, Botswana, Netherlands, Pakistan, and the United States of America to evaluate the impact of heatwaves on ED attendances, admissions and mortality. Methods Routinely collected time series data were obtained from 18 hospitals. Two separate thresholds (≥4 and ≥7) of the acclimatisation excess heat index (EHIaccl) were used to define “hot days”. Analyses included descriptive statistics, independent samples T-tests to determine differences in case mix between hot days and other days, and threshold regression to determine which temperature thresholds correspond to large increases in ED attendances. Findings In all regions, increases in temperature that did not coincide with time to acclimatise resulted in increases in ED attendances, and the EHIaccl performed in a similar manner. During hot days in California and The Netherlands, significantly more children ended up in the ED, while in Pakistan more elderly people attended. Hot days were associated with more patient admissions in the ages 5–11 in California, 65–74 in Karachi, and 75–84 in The Hague. During hot days in The Hague, patients with psychiatric symptoms were more likely to die. The current study did not identify a threshold temperature associated with particularly large increases in ED demand. Interpretation The association between heat and ED demand differs between regions. A limitation of the current study is that it does not consider delayed effects or influences of other environmental factors. Given the association between heat and ED use, hospitals and governmental authorities should recognise the demands that heat can place on local health care systems. These demands differ substantially between regions, with Pakistan being the most heavily affected within our study sample.
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338
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Floss M, Barros EF. Saúde planetária: conclamação para a ação dos médicos de família de todo o mundo. REVISTA BRASILEIRA DE MEDICINA DE FAMÍLIA E COMUNIDADE 2019. [DOI: 10.5712/rbmfc14(41)1992] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Abstract
A WONCA, em conjunto com a Planetary Health Alliance, lançou uma conclamação para a ação dos MFCs do mundo pela saúde planetária. Este comentário discute os efeitos das mudanças ambientais e a conclamação em relação o papel do médico de família na perspectiva da saúde planetária.
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339
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Ting J. Is it possible to make a meaningful environmental difference in the emergency department? Yes. Emerg Med Australas 2019; 31:276-277. [PMID: 30806002 DOI: 10.1111/1742-6723.13272] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2019] [Accepted: 02/12/2019] [Indexed: 11/30/2022]
Affiliation(s)
- Joseph Ting
- School of Public Health and Social Work, Queensland University of Technology, Brisbane, Queensland, Australia.,Emergency Department, Mater Hospital Brisbane and Ipswich Hospital, Brisbane, Queensland, Australia
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340
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Kleinert S, Horton R. Obesity needs to be put into a much wider context. Lancet 2019; 393:724-726. [PMID: 30700379 DOI: 10.1016/s0140-6736(18)33192-1] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/10/2018] [Accepted: 12/10/2018] [Indexed: 12/01/2022]
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341
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Mögliche Auswirkungen des Klimawandels auf die Luftqualität in Innenräumen. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2019; 62:232-234. [DOI: 10.1007/s00103-018-2870-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Affiliation(s)
- Andy Haines
- From the Departments of Public Health, Environments, and Society and of Population Health, London School of Hygiene and Tropical Medicine, London (A.H.); and the Departments of Global Health and of Environmental and Occupational Health Sciences, University of Washington, Seattle (K.E.)
| | - Kristie Ebi
- From the Departments of Public Health, Environments, and Society and of Population Health, London School of Hygiene and Tropical Medicine, London (A.H.); and the Departments of Global Health and of Environmental and Occupational Health Sciences, University of Washington, Seattle (K.E.)
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344
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Cirillo F, Wu FJ, Solmaz G, Kovacs E. Embracing the Future Internet of Things. SENSORS 2019; 19:s19020351. [PMID: 30654571 PMCID: PMC6359451 DOI: 10.3390/s19020351] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/15/2018] [Revised: 01/10/2019] [Accepted: 01/11/2019] [Indexed: 01/09/2023]
Abstract
All of the objects in the real world are envisioned to be connected and/or represented, through an infrastructure layer, in the virtual world of the Internet, becoming Things with status information. Services are then using the available data from this Internet-of-Things (IoT) for various social and economical benefits which explain its extreme broad usage in very heterogeneous fields. Domain administrations of diverse areas of application developed and deployed their own IoT systems and services following disparate standards and architecture approaches that created a fragmentation of things, infrastructures and services in vertical IoT silos. Coordination and cooperation among IoT systems are the keys to build “smarter” IoT services boosting the benefits magnitude. This article analyses the technical trends of the future IoT world based on the current limitations of the IoT systems and the capability requirements. We propose a hyper-connected IoT framework in which “things” are connected to multiple interdependent services and describe how this framework enables the development of future applications. Moreover, we discuss the major limitations in today’s IoT and highlight the required capabilities in the future. We illustrate this global vision with the help of two concrete instances of the hyper-connected IoT in smart cities and autonomous driving scenarios. Finally, we analyse the trends in the number of connected “things” and point out open issues and future challenges. The proposed hyper-connected IoT framework is meant to scale the benefits of IoT from local to global.
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Affiliation(s)
- Flavio Cirillo
- NEC Laboratories Europe, 69115 Heidelberg, Germany.
- Department of Electrical Engineering and Information Technology, University of Naples Federico II, 80138 Naples, Italy.
| | - Fang-Jing Wu
- Department of Electrical Engineering and Information Technology, TU Dortmund University, 44227 Dortmund, Germany.
| | | | - Ernö Kovacs
- NEC Laboratories Europe, 69115 Heidelberg, Germany.
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Ridde V, Benmarhnia T, Bonnet E, Bottger C, Cloos P, Dagenais C, De Allegri M, Nebot A, Queuille L, Sarker M. Climate change, migration and health systems resilience: Need for interdisciplinary research. F1000Res 2019; 8:22. [PMID: 32983410 PMCID: PMC7506192 DOI: 10.12688/f1000research.17559.2] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 03/25/2019] [Indexed: 12/31/2022] Open
Abstract
Climate change is one of today's major challenges, and among the causes of population movement and international migration. Climate migrants impact health systems and how their ability to respond and adapt to their needs and patterns. To date, the resilience of health systems in the context of climate change has barely been explored. The purpose of this article is to show the importance of studying the relationship between climate change, migration, and the resilience of health systems from an interdisciplinary perspective. Resilience is an old concept, notably in the field of psychology, and is increasingly applied to the study of health systems. Yet, no research has analysed the resilience of health systems in the context of climate change. While universal health coverage is a major international goal, little research to date focused on the existing links between climate, migration, health systems and resilience. We propose an interdisciplinary approach relying on the concept of health system resilience to study adaptive and transformative strategies to articulate climate change, migration and health systems.
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Affiliation(s)
- Valéry Ridde
- IRD (French Institute For Research on Sustainable Development), CEPED (IRD-Université Paris Descartes), Universités Paris Sorbonne Cités, ERL INSERM SAGESUD, Paris, France
- University of Montreal Public Health Research Institute (IRSPUM), 7101 Avenue du Parc, Room 3060, Montreal, QC, Canada
- l’Institut Français des Migrations, Paris, France
| | - Tarik Benmarhnia
- Department of Family Medicine and Public Health & Scripps, Institution of Oceanography, University of California, California, USA
| | - Emmanuel Bonnet
- IRD (French Institute For Research on Sustainable Development), UMI Résiliences 236, Bondy, France
| | - Carol Bottger
- School of Public Health, University of Montreal (ESPUM), 7101 Avenue du Parc, Montreal, QC, Canada
| | - Patrick Cloos
- School of Social Work, Faculty of Arts and Sciences, University of Montreal, Montreal, QC, Canada
| | | | - Manuela De Allegri
- Heidelberg Institute of Global Health, Medical Faculty, Heidelberg University, Heidelberg, Germany
| | - Ariadna Nebot
- Independent Consultant, Pharmacist and Public Health Specialist, Paris, France
| | - Ludovic Queuille
- Pan American Health Organization, Haiti Office, Port-au-Prince, Haiti
| | - Malabika Sarker
- BRAC James P Grant School of Public Health, BRAC University, Dhaka, Bangladesh
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346
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Ridde V, Benmarhnia T, Bonnet E, Bottger C, Cloos P, Dagenais C, De Allegri M, Nebot A, Queuille L, Sarker M. Climate change, migration and health systems resilience: Need for interdisciplinary research. F1000Res 2019; 8:22. [PMID: 32983410 PMCID: PMC7506192 DOI: 10.12688/f1000research.17559.1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 12/28/2018] [Indexed: 11/13/2023] Open
Abstract
Climate change is one of today's major challenges, among the causes of population movements and international migration. Climate migrants impact health systems and how they respond and adapt to their needs and patterns. But to date, the resilience of health systems in the context of climate change has been little explored. The purpose of this article is to show the importance of studying, from an interdisciplinary perspective, the relationships between climate change, migration, and the resilience of health systems. Resilience is an old concept, notably in the field of psychology, and is increasingly applied to the study of health systems. Yet, no research has analysed the resilience of health systems in the context of climate change. While universal health coverage is a major international goal, little research has to date focused on the existing links between climate, migration, health systems and resilience. We propose an interdisciplinary approach relying on the concept of health system resilience to study adaptive and transformative strategies to articulate climate change, migration and health systems.
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Affiliation(s)
- Valéry Ridde
- IRD (French Institute For Research on Sustainable Development), CEPED (IRD-Université Paris Descartes), Universités Paris Sorbonne Cités, ERL INSERM SAGESUD, Paris, France
- University of Montreal Public Health Research Institute (IRSPUM), 7101 Avenue du Parc, Room 3060, Montreal, QC, Canada
- l’Institut Français des Migrations, Paris, France
| | - Tarik Benmarhnia
- Department of Family Medicine and Public Health & Scripps, Institution of Oceanography, University of California, California, USA
| | - Emmanuel Bonnet
- IRD (French Institute For Research on Sustainable Development), UMI Résiliences 236, Bondy, France
| | - Carol Bottger
- School of Public Health, University of Montreal (ESPUM), 7101 Avenue du Parc, Montreal, QC, Canada
| | - Patrick Cloos
- School of Social Work, Faculty of Arts and Sciences, University of Montreal, Montreal, QC, Canada
| | | | - Manuela De Allegri
- Heidelberg Institute of Global Health, Medical Faculty, Heidelberg University, Heidelberg, Germany
| | - Ariadna Nebot
- Independent Consultant, Pharmacist and Public Health Specialist, Paris, France
| | - Ludovic Queuille
- Pan American Health Organization, Haiti Office, Port-au-Prince, Haiti
| | - Malabika Sarker
- BRAC James P Grant School of Public Health, BRAC University, Dhaka, Bangladesh
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347
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Affiliation(s)
- Nelson A Rosario
- Departamento de Pediatria, Universidade Federal do Parana, Curitiba, PR, BR
- *Corresponding author. E-mail:
| | - Gennaro D'Amato
- Division of Respiratory and Allergic Diseases, Hospital A. Cardarelli, Naples, Italy
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348
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Costello A, Naimy Z. Maternal, newborn, child and adolescent health: challenges for the next decade. Int Health 2019; 11:349-352. [DOI: 10.1093/inthealth/ihz051] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2019] [Revised: 05/13/2019] [Accepted: 05/29/2019] [Indexed: 11/14/2022] Open
Abstract
Abstract
The Millennium Development Goals era achieved substantial improvements in the health of women and children. Yet progress was uneven and many women and children still suffer from preventable mortality and morbidity. The United Nations Secretary General’s Global Strategy for Women’s, Children’s and Adolescents’ Health (2016–2030) set out an ambitious ‘survive, thrive and transform’ agenda for countries as they accelerate progress towards the health-related Sustainable Development Goals. This review highlights aspects of ‘survive, thrive and transform’ that have had strong traction globally, namely quality of care and humanitarian settings for ‘survive’, early childhood development and adolescent health for ‘thrive’ and community engagement and a sustainable environment for ‘transform’.
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Affiliation(s)
| | - Zainab Naimy
- Department of Maternal, Newborn, Child and Adolescent Health, World Health Organization, Geneva, Switzerland
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349
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