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Williams A, Aguilar MR, Pattiya Arachchillage KGG, Chandra S, Rangan S, Ghosal Gupta S, Artes Vivancos JM. Biosensors for Public Health and Environmental Monitoring: The Case for Sustainable Biosensing. ACS SUSTAINABLE CHEMISTRY & ENGINEERING 2024; 12:10296-10312. [PMID: 39027730 PMCID: PMC11253101 DOI: 10.1021/acssuschemeng.3c06112] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/21/2023] [Revised: 05/17/2024] [Accepted: 05/28/2024] [Indexed: 07/20/2024]
Abstract
Climate change is a profound crisis that affects every aspect of life, including public health. Changes in environmental conditions can promote the spread of pathogens and the development of new mutants and strains. Early detection is essential in managing and controlling this spread and improving overall health outcomes. This perspective article introduces basic biosensing concepts and various biosensors, including electrochemical, optical, mass-based, nano biosensors, and single-molecule biosensors, as important sustainability and public health preventive tools. The discussion also includes how the sustainability of a biosensor is crucial to minimizing environmental impacts and ensuring the long-term availability of vital technologies and resources for healthcare, environmental monitoring, and beyond. One promising avenue for pathogen screening could be the electrical detection of biomolecules at the single-molecule level, and some recent developments based on single-molecule bioelectronics using the Scanning Tunneling Microscopy-assisted break junctions (STM-BJ) technique are shown here. Using this technique, biomolecules can be detected with high sensitivity, eliminating the need for amplification and cell culture steps, thereby enhancing speed and efficiency. Furthermore, the STM-BJ technique demonstrates exceptional specificity, accurately detects single-base mismatches, and exhibits a detection limit essentially at the level of individual biomolecules. Finally, a case is made here for sustainable biosensors, how they can help, the paradigm shift needed to achieve them, and some potential applications.
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Affiliation(s)
- Ajoke Williams
- Department
of Chemistry, University of Massachusetts
Lowell, Lowell, Massachusetts 01854, United States
| | - Mauricio R. Aguilar
- Departament
de Química Inorgànica i Orgànica, Diagonal 645, 08028 Barcelona, Spain
- Institut
de Química Teòrica i Computacional, Universitat de Barcelona, Diagonal 645, 08028 Barcelona, Spain
| | | | - Subrata Chandra
- Department
of Chemistry, University of Massachusetts
Lowell, Lowell, Massachusetts 01854, United States
| | - Srijith Rangan
- Department
of Chemistry, University of Massachusetts
Lowell, Lowell, Massachusetts 01854, United States
| | - Sonakshi Ghosal Gupta
- Department
of Chemistry, University of Massachusetts
Lowell, Lowell, Massachusetts 01854, United States
| | - Juan M. Artes Vivancos
- Department
of Chemistry, University of Massachusetts
Lowell, Lowell, Massachusetts 01854, United States
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Trickey A, Johnson LF, Bonifacio R, Kiragga A, Howard G, Biraro S, Wagener T, Low A, Vickerman P. Investigating the Associations between Drought, Poverty, High-Risk Sexual Behaviours, and HIV Incidence in Sub-Saharan Africa: A Cross-Sectional Study. AIDS Behav 2024; 28:1752-1765. [PMID: 38374246 PMCID: PMC11069459 DOI: 10.1007/s10461-024-04280-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/25/2024] [Indexed: 02/21/2024]
Abstract
Climate change is increasing the likelihood of drought in sub-Saharan Africa, where HIV prevalence is high. Drought could increase HIV transmission through various mediating mechanisms; we investigated these associations. We used data on people aged 15-59 from Population-Based HIV Impact Assessment surveys from 2016 in Eswatini, Lesotho, Tanzania, Uganda, and Zambia. Survey data were geospatially linked to precipitation data for 2014-2016, with local droughts defined as cumulative rainfall between 2014 and 2016 being in < 15th percentile of all 2-year periods over 1981-2016. Using multivariable logistic regression, stratified by sex and rural/urban residence, we examined associations between (a) drought and poverty, (b) wealth quintiles and sexual behaviours (transactional, high-risk, and intergenerational sex), (c) sexual behaviours and recently acquiring HIV, and (d) drought and recent HIV. Among 102,081 people, 31.5% resided in areas affected by drought during 2014-2016. Experiencing drought was positively associated with poverty for women and men in rural, but not urban, areas. For each group, increasing wealth was negatively associated with transactional sex. For rural women, intergenerational sex was positively associated with wealth. Women reporting each sexual behaviour had higher odds of recent HIV, with strong associations seen for high-risk sex, and, for urban women, intergenerational sex, with weaker associations among men. Women in rural areas who had been exposed to drought had higher odds of having recently acquired HIV (2.10 [95%CI: 1.17-3.77]), but not women in urban areas, or men. Droughts could potentially increase HIV transmission through increasing poverty and then sexual risk behaviours, particularly among women in rural areas.
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Affiliation(s)
- Adam Trickey
- Population Health Sciences, University of Bristol, Bristol, UK.
| | - Leigh F Johnson
- Centre for Infectious Disease Epidemiology and Research, School of Public Health and Family Medicine, University of Cape Town, Cape Town, South Africa
| | | | - Agnes Kiragga
- Research Department, Infectious Diseases Institute, College of Health Sciences, Makerere University, Kampala, Uganda
| | - Guy Howard
- Department of Civil Engineering and Cabot Institute of the Environment, University of Bristol, Bristol, UK
| | - Samuel Biraro
- ICAP at Columbia University, Nakasero, Kampala, Uganda
| | - Thorsten Wagener
- Institute of Environmental Science and Geography, University of Potsdam, Potsdam, Germany
| | - Andrea Low
- Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA
| | - Peter Vickerman
- Population Health Sciences, University of Bristol, Bristol, UK
- NIHR Health Protection Research Unit in Behavioural Science and Evaluation at University of Bristol, Bristol, UK
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Aguiar R, Keil R, Wiktorowicz M. The urban political ecology of antimicrobial resistance: A critical lens on integrative governance. Soc Sci Med 2024; 348:116689. [PMID: 38564956 DOI: 10.1016/j.socscimed.2024.116689] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2023] [Revised: 09/07/2023] [Accepted: 02/09/2024] [Indexed: 04/04/2024]
Abstract
The objective of this paper is to integrate Urban Political Ecology (UPE) as a theory for identifying under-exposed urban dimensions of Antimicrobial Resistance (AMR). A UPE lens allows us to conceptualize urbanization as a ubiquitous socio-ecological process and an interpretive frame that could inform AMR governance strategies across related contexts by: a) situating AMR risks in relation to urbanization processes shaping social and political co-determinants of such systemic threats as climate change; b) aligning UPE scholarship with One Health (OH) approaches that address AMR to reveal the under-exposed link of AMR to environmental threats and broader structural dimensions that influence these threats; and c) identifying shared AMR and environmental governance pathways that inform the rationale for more equitable governance arrangements. We delineate a context in which the speed and scale of human activity in the larger context of urbanization, driven by global market integration strategies, impacts human-animal-environmental health threats such as AMR. We demonstrate how UPE scholarship can be leveraged to offer theoretical depth to approaches considering the interdependencies of AMR and climate change threats. We then propose a strategic approach focused on identifying shared governance pathways and intersectoral accountability frameworks to address upstream structural drivers of AM-Environmental threats. The co-benefits of a UPE-informed framework to human-animal-environmental health that leverages enabling policy environments to foster a more collaborative, equitable and sustainable approach to address systemic global health threats are clarified. Just as the concept of "health in all policies" emphasized taking health implications into account in all public policy development, the integration of UPE in AMR governance arrangements would emphasize the need to take other sectors into account through an intersectoral whole-of-government approach that fosters shared AMR - climate change governance pathways.
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Affiliation(s)
- Raphael Aguiar
- Dahdaleh Institute for Global Health Research, York University, Toronto, Canada; Faculty of Health, York University, Toronto, Canada.
| | - Roger Keil
- Dahdaleh Institute for Global Health Research, York University, Toronto, Canada; Faculty of Environmental and Urban Change, York University, Toronto, Canada.
| | - Mary Wiktorowicz
- Dahdaleh Institute for Global Health Research, York University, Toronto, Canada; Faculty of Health, York University, Toronto, Canada.
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Huang S, Wang H, Li Z, Wang Z, Ma T, Song R, Lu M, Han X, Zhang Y, Wang Y, Zhen Q, Shui T. Risk effects of meteorological factors on human brucellosis in Jilin province, China, 2005-2019. Heliyon 2024; 10:e29611. [PMID: 38660264 PMCID: PMC11040064 DOI: 10.1016/j.heliyon.2024.e29611] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2023] [Revised: 04/10/2024] [Accepted: 04/10/2024] [Indexed: 04/26/2024] Open
Abstract
Background The impact of climate on zoonotic infectious diseases (or can be referred to as climate-sensitive zoonotic diseases) is confirmed. Yet, research on the association between brucellosis and climate is limited. We aim to understand the impact of meteorological factors on the risk of brucellosis, especially in northeastern China. Methods Monthly incidence data for brucellosis from 2005 to 2019 in Jilin province was obtained from the China Information System for Disease Control and Prevention (CDC). Monthly meteorological data (average temperature (°C), wind velocity (m/s), relative humidity (%), sunshine hours (h), air pressure (hPa), and rainfall (mm)) in Jilin province, China, from 2005 to 2019 were collected from the China Meteorological Information Center (http://data.cma.cn/). The Spearman's correlation was used to choose among the several meteorological variables. A distributed lag non-linear model (DLNM) was used to estimate the lag and non-linearity effect of meteorological factors on the risk of brucellosis. Results A total of 24,921 cases of human brucellosis were reported in Jilin province from 2005 to 2019, with the peak epidemic period from April to June. Low temperature and low sunshine hours were protective factors for the brucellosis, where the minimum RR values were 0.50 (95 % CI = 0.31-0.82) for -13.7 °C with 1 month lag and 0.61 (95 % CI = 0.41-0.91) for 110.5h with 2 months lag, respectively. High temperature, high sunshine hours, and low wind velocity were risk factors for brucellosis. The maximum RR values were 2.91 (95 % CI = 1.43-5.92, lag = 1, 25.7 °C), 1.85 (95 % CI = 1.23-2.80, lag = 2, 332.6h), and 1.68 (95 % CI = 1.25-2.26, lag = 2, 1.4 m/s). The trends in the impact of extreme temperature and extreme sunshine hours on the transmission of brucellosis were generally consistent. Conclusion High temperature, high sunshine hours, and low wind velocity are more conducive to the transmission of brucellosis with an obvious lag effect. The results will deepen the understanding of the relationship between climate and brucellosis and provide a reference for formulating relevant public health policies.
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Affiliation(s)
- Shanjun Huang
- Department of Epidemiology and Biostatistics, Key Laboratory of Zoonosis, Ministry of Education, School of Public Health, Jilin University, Changchun, Jilin, PR China
- State Key Laboratory for Diagnosis and Treatment of Severe Zoonotic Infectious Diseases, Key Laboratory for Zoonoses Research of the Ministry of Education, Changchun, PR China
| | - Hao Wang
- Department of Epidemiology and Biostatistics, Key Laboratory of Zoonosis, Ministry of Education, School of Public Health, Jilin University, Changchun, Jilin, PR China
| | - Zhuo Li
- Department of Epidemiology and Biostatistics, Key Laboratory of Zoonosis, Ministry of Education, School of Public Health, Jilin University, Changchun, Jilin, PR China
| | - Zhaohan Wang
- Department of Epidemiology and Biostatistics, Key Laboratory of Zoonosis, Ministry of Education, School of Public Health, Jilin University, Changchun, Jilin, PR China
| | - Tian Ma
- Department of Epidemiology and Biostatistics, Key Laboratory of Zoonosis, Ministry of Education, School of Public Health, Jilin University, Changchun, Jilin, PR China
| | - Ruifang Song
- Department of Epidemiology and Biostatistics, Key Laboratory of Zoonosis, Ministry of Education, School of Public Health, Jilin University, Changchun, Jilin, PR China
| | - Menghan Lu
- Department of Epidemiology and Biostatistics, Key Laboratory of Zoonosis, Ministry of Education, School of Public Health, Jilin University, Changchun, Jilin, PR China
| | - Xin Han
- Department of Epidemiology and Biostatistics, Key Laboratory of Zoonosis, Ministry of Education, School of Public Health, Jilin University, Changchun, Jilin, PR China
| | - Yiting Zhang
- Department of Epidemiology and Biostatistics, Key Laboratory of Zoonosis, Ministry of Education, School of Public Health, Jilin University, Changchun, Jilin, PR China
| | - Yingtong Wang
- Department of Epidemiology and Biostatistics, Key Laboratory of Zoonosis, Ministry of Education, School of Public Health, Jilin University, Changchun, Jilin, PR China
| | - Qing Zhen
- Department of Epidemiology and Biostatistics, Key Laboratory of Zoonosis, Ministry of Education, School of Public Health, Jilin University, Changchun, Jilin, PR China
- State Key Laboratory for Diagnosis and Treatment of Severe Zoonotic Infectious Diseases, Key Laboratory for Zoonoses Research of the Ministry of Education, Changchun, PR China
| | - Tiejun Shui
- Yunnan Center for Disease Control and Prevention, Kunming, Yunnan, PR China
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Chitre SD, Crews CM, Tessema MT, Plėštytė-Būtienė I, Coffee M, Richardson ET. The impact of anthropogenic climate change on pediatric viral diseases. Pediatr Res 2024; 95:496-507. [PMID: 38057578 PMCID: PMC10872406 DOI: 10.1038/s41390-023-02929-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/06/2023] [Revised: 10/12/2023] [Accepted: 11/16/2023] [Indexed: 12/08/2023]
Abstract
The adverse effects of climate change on human health are unfolding in real time. Environmental fragmentation is amplifying spillover of viruses from wildlife to humans. Increasing temperatures are expanding mosquito and tick habitats, introducing vector-borne viruses into immunologically susceptible populations. More frequent flooding is spreading water-borne viral pathogens, while prolonged droughts reduce regional capacity to prevent and respond to disease outbreaks with adequate water, sanitation, and hygiene resources. Worsening air quality and altered transmission seasons due to an increasingly volatile climate may exacerbate the impacts of respiratory viruses. Furthermore, both extreme weather events and long-term climate variation are causing the destruction of health systems and large-scale migrations, reshaping health care delivery in the face of an evolving global burden of viral disease. Because of their immunological immaturity, differences in physiology (e.g., size), dependence on caregivers, and behavioral traits, children are particularly vulnerable to climate change. This investigation into the unique pediatric viral threats posed by an increasingly inhospitable world elucidates potential avenues of targeted programming and uncovers future research questions to effect equitable, actionable change. IMPACT: A review of the effects of climate change on viral threats to pediatric health, including zoonotic, vector-borne, water-borne, and respiratory viruses, as well as distal threats related to climate-induced migration and health systems. A unique focus on viruses offers a more in-depth look at the effect of climate change on vector competence, viral particle survival, co-morbidities, and host behavior. An examination of children as a particularly vulnerable population provokes programming tailored to their unique set of vulnerabilities and encourages reflection on equitable climate adaptation frameworks.
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Affiliation(s)
- Smit D Chitre
- Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA
| | - Cecilia M Crews
- Heilbrunn Department of Population & Family Health, Columbia University Mailman School of Public Health, New York, NY, USA
| | - Mesfin Teklu Tessema
- Heilbrunn Department of Population & Family Health, Columbia University Mailman School of Public Health, New York, NY, USA.
- International Rescue Committee, New York, NY, USA.
| | | | - Megan Coffee
- Heilbrunn Department of Population & Family Health, Columbia University Mailman School of Public Health, New York, NY, USA
- International Rescue Committee, New York, NY, USA
- New York University Grossman School of Medicine, New York, NY, USA
| | - Eugene T Richardson
- Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA
- Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA
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6
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Rahaman MA, Kalam A, Al-Mamun M. Unplanned urbanization and health risks of Dhaka City in Bangladesh: uncovering the associations between urban environment and public health. Front Public Health 2023; 11:1269362. [PMID: 37927876 PMCID: PMC10620720 DOI: 10.3389/fpubh.2023.1269362] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2023] [Accepted: 09/18/2023] [Indexed: 11/07/2023] Open
Abstract
Background Dhaka City, the capital of Bangladesh, has experienced rapid and unplanned urbanization over the past few decades. This process has brought significant challenges to public health as the urban environment has become a breeding ground for various health risks. Understanding the associations between unplanned urbanization, the urban environment, and public health in Dhaka City is crucial for developing effective interventions and policies. Objectives This review paper aims to uncover the associations between unplanned urbanization and health risks in Dhaka City, with a specific focus on the urban environment and its impact on public health. The objectives of this study are to examine the health challenges faced by the city's population, explore the specific urban environmental factors contributing to health risks, analyze the socioeconomic determinants of health in unplanned urban areas, evaluate existing policies and governance structures, identify research and data gaps, and provide recommendations for future interventions. Methods A comprehensive literature review was conducted to gather relevant studies, articles, reports, and policy documents related to unplanned urbanization, the urban environment, and public health in Dhaka City. Various databases and online resources were searched, and the selected literature was critically analyzed to extract key findings and insights. Results The findings reveal that unplanned urbanization in Dhaka City has led to a range of public health risks, including air pollution, inadequate water and sanitation, poor waste management, overcrowding, slums, and substandard housing conditions. These environmental factors are strongly associated with respiratory diseases, waterborne illnesses, and other adverse health outcomes. Socioeconomic determinants such as poverty, income inequality, and limited access to healthcare further exacerbate the health risks faced by the urban population. Conclusion Unplanned urbanization in Dhaka City has significant implications for public health. Addressing the associations between unplanned urbanization, the urban environment, and public health requires comprehensive policies and interventions. Improved urban planning, enhanced infrastructure, and better policy governance are essential for mitigating health risks. Furthermore, addressing socioeconomic disparities and ensuring equitable access to healthcare services are crucial components of effective interventions.
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Affiliation(s)
- Mohammad Anisur Rahaman
- College of Public Administration, Zhejiang University, Hangzhou, China
- Department of Sociology, Bangabandhu Sheikh Mujibur Rahman Science and Technology University, Gopalganj, Bangladesh
| | - Abul Kalam
- Department of Sociology, Bangabandhu Sheikh Mujibur Rahman Science and Technology University, Gopalganj, Bangladesh
| | - Md. Al-Mamun
- Department of Sociology, Bangabandhu Sheikh Mujibur Rahman Science and Technology University, Gopalganj, Bangladesh
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Fall P, Diouf I, Deme A, Diouf S, Sene D, Sultan B, Famien AM, Janicot S. Bias-Corrected CMIP5 Projections for Climate Change and Assessments of Impact on Malaria in Senegal under the VECTRI Model. Trop Med Infect Dis 2023; 8:310. [PMID: 37368728 DOI: 10.3390/tropicalmed8060310] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2022] [Revised: 05/19/2023] [Accepted: 05/29/2023] [Indexed: 06/29/2023] Open
Abstract
On the climate-health issue, studies have already attempted to understand the influence of climate change on the transmission of malaria. Extreme weather events such as floods, droughts, or heat waves can alter the course and distribution of malaria. This study aims to understand the impact of future climate change on malaria transmission using, for the first time in Senegal, the ICTP's community-based vector-borne disease model, TRIeste (VECTRI). This biological model is a dynamic mathematical model for the study of malaria transmission that considers the impact of climate and population variability. A new approach for VECTRI input parameters was also used. A bias correction technique, the cumulative distribution function transform (CDF-t) method, was applied to climate simulations to remove systematic biases in the Coupled Model Intercomparison Project Phase 5 (CMIP5) global climate models (GCMs) that could alter impact predictions. Beforehand, we use reference data for validation such as CPC global unified gauge-based analysis of daily precipitation (CPC for Climate Prediction Center), ERA5-land reanalysis, Climate Hazards InfraRed Precipitation with Station data (CHIRPS), and African Rainfall Climatology 2.0 (ARC2). The results were analyzed for two CMIP5 scenarios for the different time periods: assessment: 1983-2005; near future: 2006-2028; medium term: 2030-2052; and far future: 2077-2099). The validation results show that the models reproduce the annual cycle well. Except for the IPSL-CM5B model, which gives a peak in August, all the other models (ACCESS1-3, CanESM2, CSIRO, CMCC-CM, CMCC-CMS, CNRM-CM5, GFDL-CM3, GFDL-ESM2G, GFDL-ESM2M, inmcm4, and IPSL-CM5B) agree with the validation data on a maximum peak in September with a period of strong transmission in August-October. With spatial variation, the CMIP5 model simulations show more of a difference in the number of malaria cases between the south and the north. Malaria transmission is much higher in the south than in the north. However, the results predicted by the models on the occurrence of malaria by 2100 show differences between the RCP8.5 scenario, considered a high emission scenario, and the RCP4.5 scenario, considered an intermediate mitigation scenario. The CanESM2, CMCC-CM, CMCC-CMS, inmcm4, and IPSL-CM5B models predict decreases with the RCP4.5 scenario. However, ACCESS1-3, CSIRO, NRCM-CM5, GFDL-CM3, GFDL-ESM2G, and GFDL-ESM2M predict increases in malaria under all scenarios (RCP4.5 and RCP8.5). The projected decrease in malaria in the future with these models is much more visible in the RCP8.5 scenario. The results of this study are of paramount importance in the climate-health field. These results will assist in decision-making and will allow for the establishment of preventive surveillance systems for local climate-sensitive diseases, including malaria, in the targeted regions of Senegal.
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Affiliation(s)
- Papa Fall
- Laboratoire Environnement-Ingénierie-Télécommunication-Energies Renouvelables (LEITER), Unité de Formation et de Recherche de Sciences Appliquées et de Technologie, Université Gaston Berger de Saint-Louis, BP 234, Saint-Louis 32000, Senegal
| | - Ibrahima Diouf
- Laboratoire de Physique de l'Atmosphère et de l'Océan-Siméon Fongang, Ecole Supérieure Polytechnique de l'Université Cheikh Anta Diop (UCAD), BP 5085, Dakar-Fann, Dakar 10700, Senegal
| | - Abdoulaye Deme
- Laboratoire Environnement-Ingénierie-Télécommunication-Energies Renouvelables (LEITER), Unité de Formation et de Recherche de Sciences Appliquées et de Technologie, Université Gaston Berger de Saint-Louis, BP 234, Saint-Louis 32000, Senegal
| | - Semou Diouf
- Laboratoire Environnement-Ingénierie-Télécommunication-Energies Renouvelables (LEITER), Unité de Formation et de Recherche de Sciences Appliquées et de Technologie, Université Gaston Berger de Saint-Louis, BP 234, Saint-Louis 32000, Senegal
| | - Doudou Sene
- Programme National de Lutte Contre le Paludisme (PNLP), BP 5085, Dakar-Fann, Dakar 10700, Senegal
| | - Benjamin Sultan
- ESPACE-DEV, Université Montpellier, IRD, Université Guyane, Université Réunion, Université Antilles, Université Avignon, 34093 Montpellier, France
| | - Adjoua Moïse Famien
- Laboratoire d'Océanographie et du Climat: Expérimentations et Approches Numériques (LOCEAN), Sorbonne Université, IRD, CNRS, MNHN, 75005 Paris, France
- Département de Sciences et Techniques, Université Alassane Ouattara de Bouaké, Bouaké 01 BPV 18, Côte d'Ivoire
| | - Serge Janicot
- Laboratoire d'Océanographie et du Climat: Expérimentations et Approches Numériques (LOCEAN), Sorbonne Université, IRD, CNRS, MNHN, 75005 Paris, France
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Khalid A, Babry JA, Vearey J, Zenner D. TURNING UP THE HEAT: A CONCEPTUAL MODEL FOR UNDERSTANDING THE MIGRATION AND HEALTH IN THE CONTEXT OF GLOBAL CLIMATE CHANGE. J Migr Health 2023; 7:100172. [PMID: 37034244 PMCID: PMC10074782 DOI: 10.1016/j.jmh.2023.100172] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2022] [Revised: 02/23/2023] [Accepted: 03/08/2023] [Indexed: 03/22/2023] Open
Abstract
Background The triangular relationship between climate change-related events, patterns of human migration and their implications for health is an important yet understudied issue. To improve understanding of this complex relationship, a comprehensive, interdisciplinary conceptual model will be useful. This paper investigates relationships between these factors and considers their impacts for affected populations globally. Methods A desk review of key literature was undertaken. An open-ended questionnaire consisting of 11 items was designed focusing on three themes: predicting population migration by understanding key variables, health implications, and suggestions on policy and research. After using purposive sampling we selected nine experts, reflecting diverse regional and professional backgrounds directly related to our research focus area. All responses were thematically analysed and key themes from the survey were synthesised to construct the conceptual model focusing on describing the relationship between global climate change, migration and health implications and a second model focusing on actionable suggestions for organisations working in the field, academia and policymakers. Results Key themes which constitute our conceptual model included: a description of migrant populations perceived to be at risk; health characteristics associated with different migratory patterns; health implications for both migrants and host populations; the responsibilities of global and local governance actors; and social and structural determinants of health. Less prominent themes were aspects related to slow-onset migratory patterns, voluntary stay, and voluntary migration. Actionable suggestions include an interdisciplinary and innovative approach to study the phenomenon for academicians, preparedness and globalized training and awareness for field organisations and migrant inclusive and climate sensitive approach for policymakers. Conclusion Contrary to common narratives, participants framed the impacts of climate change-related events on migration patterns and their health implications as non-linear and indirect, comprising many interrelated individual, social, cultural, demographic, geographical, structural, and political determinants. An understanding of these interactions in various contexts is essential for risk reduction and preventative measures. The way forward broadly includes inclusive and equity-based health services, improved and faster administrative systems, less restrictive (im)migration policies, globally trained staff, efficient and accessible research, and improved emergency response capabilities. The focus should be to increase preventative and adaptation measures in the face of any environmental changes and respond efficiently to different phases of migration to aim for better "health for all and promote universal well-being" (WHO) (World Health Organization 1999).
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Williams PCM, Beardsley J, Isaacs D, Preisz A, Marais BJ. The impact of climate change and biodiversity loss on the health of children: An ethical perspective. Front Public Health 2023; 10:1048317. [PMID: 36743159 PMCID: PMC9895790 DOI: 10.3389/fpubh.2022.1048317] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2022] [Accepted: 12/13/2022] [Indexed: 01/22/2023] Open
Abstract
The reality of human induced climate change is no longer in doubt, but the concerted global action required to address this existential crisis remains inexcusably inert. Together with climate change, biodiversity collapse is increasingly driving the emergence and spread of infectious diseases, the consequences of which are inequitable globally. Climate change is regressive in its nature, with those least responsible for destroying planetary health at greatest risk of suffering the direct and indirect health consequences. Over half a billion of the world's children live in areas vulnerable to extreme weather events. Without immediate action, the health of today's children and future generations will be compromised. We consider the impact of biodiversity collapse on the spread of infectious diseases and outline a duty of care along a continuum of three dimensions of medical ethics. From a medical perspective, the first dimension requires doctors to serve the best interests of their individual patients. The second dimension considers the public health dimension with a focus on disease control and cost-effectiveness. The neglected third dimension considers our mutual obligation to the future health and wellbeing of children and generations to come. Given the adverse impact of our ecological footprint on current and future human health, we have a collective moral obligation to act.
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Affiliation(s)
- Phoebe C. M. Williams
- School of Public Health, Faculty of Medicine, The University of Sydney, Sydney, NSW, Australia
- Department of Immunology and Infectious Diseases, Sydney Children's Hospital Network, Sydney, NSW, Australia
- Sydney Infectious Diseases Institute (Sydney ID), The University of Sydney, Darlington, NSW, Australia
- School of Women and Children's Health, The University of NSW School of Women's and Children's Health, Sydney, NSW, Australia
| | - Justin Beardsley
- School of Public Health, Faculty of Medicine, The University of Sydney, Sydney, NSW, Australia
- Sydney Infectious Diseases Institute (Sydney ID), The University of Sydney, Darlington, NSW, Australia
| | - David Isaacs
- Clinical Ethics, Sydney Children's Hospital Network, Sydney, NSW, Australia
- Sydney Health Ethics, The University of Sydney, Sydney, NSW, Australia
| | - Anne Preisz
- Clinical Ethics, Sydney Children's Hospital Network, Sydney, NSW, Australia
- Sydney Health Ethics, The University of Sydney, Sydney, NSW, Australia
| | - Ben J. Marais
- School of Public Health, Faculty of Medicine, The University of Sydney, Sydney, NSW, Australia
- Sydney Infectious Diseases Institute (Sydney ID), The University of Sydney, Darlington, NSW, Australia
- Clinical Ethics, Sydney Children's Hospital Network, Sydney, NSW, Australia
- Sydney Health Ethics, The University of Sydney, Sydney, NSW, Australia
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10
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Neira M, Erguler K, Ahmady-Birgani H, Al-Hmoud ND, Fears R, Gogos C, Hobbhahn N, Koliou M, Kostrikis LG, Lelieveld J, Majeed A, Paz S, Rudich Y, Saad-Hussein A, Shaheen M, Tobias A, Christophides G. Climate change and human health in the Eastern Mediterranean and Middle East: Literature review, research priorities and policy suggestions. ENVIRONMENTAL RESEARCH 2023; 216:114537. [PMID: 36273599 PMCID: PMC9729515 DOI: 10.1016/j.envres.2022.114537] [Citation(s) in RCA: 12] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/01/2022] [Revised: 09/29/2022] [Accepted: 10/06/2022] [Indexed: 05/17/2023]
Abstract
Human health is linked to climatic factors in complex ways, and climate change can have profound direct and indirect impacts on the health status of any given region. Susceptibility to climate change is modulated by biological, ecological and socio-political factors such as age, gender, geographic location, socio-economic status, occupation, health status and housing conditions, among other. In the Eastern Mediterranean and Middle East (EMME), climatic factors known to affect human health include extreme heat, water shortages and air pollution. Furthermore, the epidemiology of vector-borne diseases (VBDs) and the health consequences of population displacement are also influenced by climate change in this region. To inform future policies for adaptation and mitigation measures, and based on an extensive review of the available knowledge, we recommend several research priorities for the region. These include the generation of more empirical evidence on exposure-response functions involving climate change and specific health outcomes, the development of appropriate methodologies to evaluate the physical and psychological effects of climate change on vulnerable populations, determining how climate change alters the ecological determinants of human health, improving our understanding of the effects of long-term exposure to heat stress and air pollution, and evaluating the interactions between adaptation and mitigation strategies. Because national boundaries do not limit most climate-related factors expected to impact human health, we propose that adaptation/mitigation policies must have a regional scope, and therefore require collaborative efforts among EMME nations. Policy suggestions include a decisive region-wide decarbonisation, the integration of environmentally driven morbidity and mortality data throughout the region, advancing the development and widespread use of affordable technologies for the production and management of drinking water by non-traditional means, the development of comprehensive strategies to improve the health status of displaced populations, and fostering regional networks for monitoring and controlling the spread of infectious diseases and disease vectors.
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Affiliation(s)
- Marco Neira
- Climate and Atmosphere Research Center (CARE-C), The Cyprus Institute, Nicosia, Cyprus.
| | - Kamil Erguler
- Climate and Atmosphere Research Center (CARE-C), The Cyprus Institute, Nicosia, Cyprus
| | | | | | - Robin Fears
- European Academies Science Advisory Council (EASAC), Halle (Saale), Germany
| | | | - Nina Hobbhahn
- European Academies Science Advisory Council (EASAC), Halle (Saale), Germany
| | - Maria Koliou
- University of Cyprus Medical School, Nicosia, Cyprus
| | - Leondios G Kostrikis
- Department of Biological Sciences, University of Cyprus, Nicosia, Cyprus; Cyprus Academy of Sciences, Letters, and Arts, Nicosia, Cyprus
| | - Jos Lelieveld
- Climate and Atmosphere Research Center (CARE-C), The Cyprus Institute, Nicosia, Cyprus; Max Planck Institute for Chemistry, Mainz, Germany
| | - Azeem Majeed
- Department of Primary Care & Public Health, Imperial College London, London, United Kingdom
| | - Shlomit Paz
- Department of Geography and Environmental Studies, University of Haifa, Haifa, Israel
| | - Yinon Rudich
- Department of Earth and Planetary Sciences, The Weismann Institute of Science, Rehovot, Israel
| | - Amal Saad-Hussein
- Environment and Climate Change Research Institute, National Research Centre, Cairo, Egypt
| | - Mohammed Shaheen
- Damour for Community Development - Research Department, Palestine
| | - Aurelio Tobias
- Institute of Environmental Assessment and Water Research (IDAEA), Spanish Council for Scientific Research (CSIC), Barcelona, Spain
| | - George Christophides
- Climate and Atmosphere Research Center (CARE-C), The Cyprus Institute, Nicosia, Cyprus; Department of Life Sciences, Imperial College London, London, United Kingdom.
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11
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Laney E, Nkusi A, Herrera C, Lane M, Sampath A, Kitron U, Fairley JK, Philipsborn R, White C. Intersections of climate change, migration, and health: experiences of first-generation migrants from Latin America to the Atlanta-metropolitan area. Glob Public Health 2023; 18:2261773. [PMID: 37750403 DOI: 10.1080/17441692.2023.2261773] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2022] [Accepted: 09/15/2023] [Indexed: 09/27/2023]
Abstract
Climate change is an important driver of migration, but little research exists on whether migrant communities in the U.S. identify climate change-related factors as reasons for migrating. In 2021, we conducted a multidisciplinary, collaborative project to better understand the nexus of climate change and immigrant health in the Atlanta area. This paper presents one arm of this collaboration that explored both the role of climate change in decisions to immigrate to Georgia and the ways that climate change intersects with other possible drivers of migration. First generation migrants from Latin America were recruited primarily through CPACS Cosmo Health Center and were invited to participate in an intake survey and an in-depth interview. Results were analyzed using descriptive statistics and thematic analysis. Findings suggest that while participants may not have explicitly identified climate change as a primary reason for migration, in both surveys and in-depth interviews, participants reported multiple and intersecting social, economic, political, and environmental factors that are directly or indirectly influenced by climate change and that are involved in their decisions to migrate. The narratives that emerged from in-depth interviews further contextualised survey data and elucidated the complex nexus of climate change, migration, and health.
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Affiliation(s)
- Emaline Laney
- School of Medicine, Emory University, Atlanta, GA, USA
| | - Alexis Nkusi
- Center for Pan Asian Community Services, Cosmo Health Center, Norcross, GA, USA
| | - Clary Herrera
- Rollins School of Public Health, Emory University, Atlanta, GA, USA
| | - Morgan Lane
- Rollins School of Public Health, Emory University, Atlanta, GA, USA
| | - Amitha Sampath
- Center for Pan Asian Community Services, Cosmo Health Center, Norcross, GA, USA
| | - Uriel Kitron
- Department of Environmental Sciences, Emory University, Atlanta, GA, USA
| | - Jessica K Fairley
- School of Medicine, Emory University, Atlanta, GA, USA
- Rollins School of Public Health, Emory University, Atlanta, GA, USA
| | - Rebecca Philipsborn
- Division of General Pediatrics and Adolescent Medicine, Emory University and Children's Healthcare of Atlanta, Atlanta, Georgia
- Gangarosa Department of Environmental Health, Rollins School of Public Health, Atlanta, Georgia
| | - Cassandra White
- Department of Anthropology, Georgia State University, Atlanta, GA, USA
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12
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A systematic review and global analysis of the seasonal activity of Phlebotomus (Paraphlebotomus) sergenti, the primary vectors of L. tropica. PLoS Negl Trop Dis 2022; 16:e0010886. [PMID: 36469546 PMCID: PMC9754588 DOI: 10.1371/journal.pntd.0010886] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2022] [Revised: 12/15/2022] [Accepted: 10/12/2022] [Indexed: 12/12/2022] Open
Abstract
BACKGROUND Phlebotomus (Paraphlebotomus) sergenti is a widespread proven vector of Leishmania pathogens causing anthroponotic cutaneous leishmaniasis (ACL), due to L. tropica, in the old world. The activity of P. (Par.) sergenti is seasonal and sensitive to general variations in climate. Phenological data sets can thus provide a baseline for continuing investigations on P. (Par.) sergenti population dynamics that may impact future leishmaniasis transmission and control scenarios. METHODS/PRINCIPAL FINDING A systematic review of the seasonality of P. (Par.) sergenti was undertaken globally. Six hundred eight scientific papers were identified, and data were extracted from 35 ones, with informative data on sand fly seasonal dynamics on trapping performed from 1992 to December 2021 on 63 sites from 12 countries. Morocco, Saudi Arabia, Iraq, Iran, Pakistan, Palestine, Turkey, Spain, Portugal, Italy, Cyprus, and Georgia. The data extracted from the literature survey were further normalized. Our analysis recorded that the highest P.(Par.) sergenti activity occurs during the hot and dry seasons, primarily in July and August, whatever the location studied. We noticed a relationship between the latitude of sites and sand fly presence (from early April to June) and the type of density trend, varying from a single peak to multiple peaks. On a geographical scale, P. (Par.) sergenti concentrates between 32-37° in latitude in a large interval following the longitude and the highest number of sites with high P. (Par.) sergenti activity is located at the latitude 32°. We also quoted a similar seasonal dynamic and geographic distribution with Phlebotomus (Phlebotomus) papatasi, a proven vector of L. major that causes cutaneous infection. No apparent risk for ACL occurred from December to March, at least in the years and geographic areas considered in this survey. Altogether, knowing that high P. (Par.) sergenti activity would be linked with an increased risk of leishmaniasis transmission, and our study provides information that can be used for control programs on ACL transmission. CONCLUSIONS Despite variations, we found a relatively homogeneous pattern of P. (Par.) sergenti potential behavior in sites whose data are published. A higher risk for L. tropica transmission was identified in the June-October period. Still, such risk was not equally distributed throughout the area since density waves of adults occurred earlier and were more frequent in some territories, like Saudi Arabia.
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13
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Farahat RA, Abdelaal A, Umar TP, El-Sakka AA, Benmelouka AY, Albakri K, Ali I, Al-Ahdal T, Abdelazeem B, Sah R, Rodriguez-Morales AJ. The emergence of SARS-CoV-2 Omicron subvariants: current situation and future trends. LE INFEZIONI IN MEDICINA 2022; 30:480-494. [PMID: 36482957 PMCID: PMC9714996 DOI: 10.53854/liim-3004-2] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/23/2022] [Accepted: 11/03/2022] [Indexed: 12/12/2022]
Abstract
The SARS-CoV-2 Omicron variant (B.1.1.529) has been the most recent variant of concern (VOC) established by the World Health Organization (WHO). Because of its greater infectivity and immune evasion, this variant quickly became the dominant type of circulating SARS-CoV-2 worldwide. Our literature review thoroughly explains the current state of Omicron emergence, particularly by comparing different omicron subvariants, including BA.2, BA.1, and BA.3. Such elaboration would be based on structural variations, mutations, clinical manifestation, transmissibility, pathogenicity, and vaccination effectiveness. The most notable difference between the three subvariants is the insufficiency of deletion (Δ69-70) in the spike protein, which results in a lower detection rate of the spike (S) gene target known as (S) gene target failure (SGTF). Furthermore, BA.2 had a stronger affinity to the human Angiotensin-converting Enzyme (hACE2) receptor than other Omicron sub-lineages. Regarding the number of mutations, BA.1.1 has the most (40), followed by BA.1, BA.3, and BA.3 with 39, 34, and 31 mutations, respectively. In addition, BA.2 and BA.3 have greater transmissibility than other sub-lineages (BA.1 and BA.1.1). These characteristics are primarily responsible for Omicron's vast geographical spread and high contagiousness rates, particularly BA.2 sub-lineages.
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Affiliation(s)
| | - Abdelaziz Abdelaal
- Harvard Medical School, Boston, MA,
USA,Boston University, MA,
USA,General Practitioner, Tanta University Hospitals,
Egypt
| | | | | | | | - Khaled Albakri
- Faculty of Medicine, The Hashemite University, Zarqa,
Jordan
| | - Iftikhar Ali
- Department of Pharmacy, Paraplegic Center, Peshawar,
Pakistan
| | - Tareq Al-Ahdal
- Institute of Global Health (HIGH), Heidelberg University, Heidelberg,
Germany
| | - Basel Abdelazeem
- Department of Internal Medicine, McLaren Health Care, Flint, Michigan,
USA,Department of Internal Medicine, Michigan State University, East Lansing, Michigan,
USA
| | - Ranjit Sah
- Department of Microbiology, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu,
Nepal,Dr. D.Y Patil Medical College, Hospital and Research Centre, Dr. D.Y. Patil Vidyapeeth, Pune, Maharashtra,
India
| | - Alfonso J. Rodriguez-Morales
- Grupo de Investigación Biomedicina, Faculty of Medicine, Fundación Universitaria Autónoma de Las Américas, Pereira, Risaralda,
Colombia,Faculty of Medicine, Institución Universitaria Vision de Las Americas, Pereira, Risaralda,
Colombia,Gilbert and Rose-Marie Chagoury School of Medicine, Lebanese American University, Beirut P.O. Box 36,
Lebanon,Master of Clinical Epidemiology and Biostatistics, Universidad Científica del Sur, Lima,
Perú
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14
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Kim K, Lee MK, Shin HK, Lee H, Kim B, Kang S. Development and application of survey-based artificial intelligence for clinical decision support in managing infectious diseases: A pilot study on a hospital in central Vietnam. Front Public Health 2022; 10:1023098. [PMID: 36438286 PMCID: PMC9683382 DOI: 10.3389/fpubh.2022.1023098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2022] [Accepted: 10/17/2022] [Indexed: 11/11/2022] Open
Abstract
Introduction In this study, we developed a simplified artificial intelligence to support the clinical decision-making of medical personnel in a resource-limited setting. Methods We selected seven infectious disease categories that impose a heavy disease burden in the central Vietnam region: mosquito-borne disease, acute gastroenteritis, respiratory tract infection, pulmonary tuberculosis, sepsis, primary nervous system infection, and viral hepatitis. We developed a set of questionnaires to collect information on the current symptoms and history of patients suspected to have infectious diseases. We used data collected from 1,129 patients to develop and test a diagnostic model. We used XGBoost, LightGBM, and CatBoost algorithms to create artificial intelligence for clinical decision support. We used a 4-fold cross-validation method to validate the artificial intelligence model. After 4-fold cross-validation, we tested artificial intelligence models on a separate test dataset and estimated diagnostic accuracy for each model. Results We recruited 1,129 patients for final analyses. Artificial intelligence developed by the CatBoost algorithm showed the best performance, with 87.61% accuracy and an F1-score of 87.71. The F1-score of the CatBoost model by disease entity ranged from 0.80 to 0.97. Diagnostic accuracy was the lowest for sepsis and the highest for central nervous system infection. Conclusion Simplified artificial intelligence could be helpful in clinical decision support in settings with limited resources.
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Affiliation(s)
- Kwanghyun Kim
- Department of Preventive Medicine, Yonsei University College of Medicine, Seoul, South Korea,Department of Public Health, Graduate School, Yonsei University, Seoul, South Korea,*Correspondence: Kwanghyun Kim
| | - Myung-ken Lee
- Graduate School of Public Health, Kosin University College of Medicine, Busan, South Korea
| | - Hyun Kyung Shin
- Acryl, Seoul, South Korea,FineHealthcare, Seoul, South Korea
| | | | | | - Sunjoo Kang
- Graduate School of Public Health, Yonsei University, Seoul, South Korea,Sunjoo Kang
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15
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Ellwanger JH, Fearnside PM, Ziliotto M, Valverde-Villegas JM, Veiga ABGDA, Vieira GF, Bach E, Cardoso JC, Müller NFD, Lopes G, Caesar L, Kulmann-Leal B, Kaminski VL, Silveira ES, Spilki FR, Weber MN, Almeida SEDEM, Hora VPDA, Chies JAB. Synthesizing the connections between environmental disturbances and zoonotic spillover. AN ACAD BRAS CIENC 2022; 94:e20211530. [PMID: 36169531 DOI: 10.1590/0001-3765202220211530] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2021] [Accepted: 03/03/2022] [Indexed: 11/22/2022] Open
Abstract
Zoonotic spillover is a phenomenon characterized by the transfer of pathogens between different animal species. Most human emerging infectious diseases originate from non-human animals, and human-related environmental disturbances are the driving forces of the emergence of new human pathogens. Synthesizing the sequence of basic events involved in the emergence of new human pathogens is important for guiding the understanding, identification, and description of key aspects of human activities that can be changed to prevent new outbreaks, epidemics, and pandemics. This review synthesizes the connections between environmental disturbances and increased risk of spillover events based on the One Health perspective. Anthropogenic disturbances in the environment (e.g., deforestation, habitat fragmentation, biodiversity loss, wildlife exploitation) lead to changes in ecological niches, reduction of the dilution effect, increased contact between humans and other animals, changes in the incidence and load of pathogens in animal populations, and alterations in the abiotic factors of landscapes. These phenomena can increase the risk of spillover events and, potentially, facilitate new infectious disease outbreaks. Using Brazil as a study model, this review brings a discussion concerning anthropogenic activities in the Amazon region and their potential impacts on spillover risk and spread of emerging diseases in this region.
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Affiliation(s)
- Joel Henrique Ellwanger
- Universidade Federal do Rio Grande do Sul/UFRGS, Laboratório de Imunobiologia e Imunogenética, Departmento de Genética, Campus do Vale, Avenida Bento Gonçalves, 9500, Agronomia, 91501-970 Porto Alegre, RS, Brazil.,Programa de Pós-Graduação em Genética e Biologia Molecular/PPGBM, Universidade Federal do Rio Grande do Sul/UFRGS, Departmento de Genética, Campus do Vale, Avenida Bento Gonçalves, 9500, Agronomia, 91501-970 Porto Alegre, RS, Brazil
| | - Philip Martin Fearnside
- Instituto Nacional de Pesquisas da Amazônia/INPA, Avenida André Araújo, 2936, Aleixo, 69067-375 Manaus, AM, Brazil
| | - Marina Ziliotto
- Universidade Federal do Rio Grande do Sul/UFRGS, Laboratório de Imunobiologia e Imunogenética, Departmento de Genética, Campus do Vale, Avenida Bento Gonçalves, 9500, Agronomia, 91501-970 Porto Alegre, RS, Brazil.,Programa de Pós-Graduação em Genética e Biologia Molecular/PPGBM, Universidade Federal do Rio Grande do Sul/UFRGS, Departmento de Genética, Campus do Vale, Avenida Bento Gonçalves, 9500, Agronomia, 91501-970 Porto Alegre, RS, Brazil
| | - Jacqueline María Valverde-Villegas
- Institut de Génétique Moléculaire de Montpellier/IGMM, Centre National de la Recherche Scientifique/CNRS, Laboratoire coopératif IGMM/ABIVAX, 1919, route de Mende, 34090 Montpellier, Montpellier, France
| | - Ana Beatriz G DA Veiga
- Universidade Federal de Ciências da Saúde de Porto Alegre/UFCSPA, Departamento de Ciências Básicas de Saúde, Rua Sarmento Leite, 245, Centro Histórico, 90050-170 Porto Alegre, RS, Brazil
| | - Gustavo F Vieira
- Programa de Pós-Graduação em Genética e Biologia Molecular/PPGBM, Universidade Federal do Rio Grande do Sul/UFRGS, Departmento de Genética, Campus do Vale, Avenida Bento Gonçalves, 9500, Agronomia, 91501-970 Porto Alegre, RS, Brazil.,Universidade Federal do Rio Grande do Sul/UFRGS, Laboratório de Imunoinformática, Núcleo de Bioinformática do Laboratório de Imunogenética/NBLI, Departmento de Genética, Campus do Vale, Avenida Bento Gonçalves, 9500, Agronomia, 91501-970 Porto Alegre, RS, Brazil.,Programa de Pós-Graduação em Saúde e Desenvolvimento Humano, Universidade La Salle, Laboratório de Saúde Humana in silico, Avenida Victor Barreto, 2288, Centro, 92010-000 Canoas, RS, Brazil
| | - Evelise Bach
- Universidade Federal do Rio Grande do Sul/UFRGS, Laboratório de Imunobiologia e Imunogenética, Departmento de Genética, Campus do Vale, Avenida Bento Gonçalves, 9500, Agronomia, 91501-970 Porto Alegre, RS, Brazil.,Programa de Pós-Graduação em Genética e Biologia Molecular/PPGBM, Universidade Federal do Rio Grande do Sul/UFRGS, Departmento de Genética, Campus do Vale, Avenida Bento Gonçalves, 9500, Agronomia, 91501-970 Porto Alegre, RS, Brazil
| | - Jáder C Cardoso
- Centro Estadual de Vigilância em Saúde/CEVS, Divisão de Vigilância Ambiental em Saúde, Secretaria da Saúde do Estado do Rio Grande do Sul, Avenida Ipiranga, 5400, Jardim Botânico, 90610-000 Porto Alegre, RS, Brazil
| | - Nícolas Felipe D Müller
- Centro Estadual de Vigilância em Saúde/CEVS, Divisão de Vigilância Ambiental em Saúde, Secretaria da Saúde do Estado do Rio Grande do Sul, Avenida Ipiranga, 5400, Jardim Botânico, 90610-000 Porto Alegre, RS, Brazil
| | - Gabriel Lopes
- Fundação Oswaldo Cruz/FIOCRUZ, Casa de Oswaldo Cruz, Avenida Brasil, 4365, Manguinhos, 21040-900 Rio de Janeiro, RJ, Brazil
| | - Lílian Caesar
- Programa de Pós-Graduação em Genética e Biologia Molecular/PPGBM, Universidade Federal do Rio Grande do Sul/UFRGS, Departmento de Genética, Campus do Vale, Avenida Bento Gonçalves, 9500, Agronomia, 91501-970 Porto Alegre, RS, Brazil.,Indiana University/IU, Department of Biology, 915 East 3rd Street, Bloomington, IN 47405, USA
| | - Bruna Kulmann-Leal
- Universidade Federal do Rio Grande do Sul/UFRGS, Laboratório de Imunobiologia e Imunogenética, Departmento de Genética, Campus do Vale, Avenida Bento Gonçalves, 9500, Agronomia, 91501-970 Porto Alegre, RS, Brazil.,Programa de Pós-Graduação em Genética e Biologia Molecular/PPGBM, Universidade Federal do Rio Grande do Sul/UFRGS, Departmento de Genética, Campus do Vale, Avenida Bento Gonçalves, 9500, Agronomia, 91501-970 Porto Alegre, RS, Brazil
| | - Valéria L Kaminski
- Programa de Pós-Graduação em Biotecnologia, Universidade Federal de São Paulo/UNIFESP, Instituto de Ciência e Tecnologia/ICT, Laboratório de Imunologia Aplicada, Rua Talim, 330, Vila Nair, 12231-280 São José dos Campos, SP, Brazil
| | - Etiele S Silveira
- Programa de Pós-Graduação em Genética e Biologia Molecular/PPGBM, Universidade Federal do Rio Grande do Sul/UFRGS, Departmento de Genética, Campus do Vale, Avenida Bento Gonçalves, 9500, Agronomia, 91501-970 Porto Alegre, RS, Brazil.,Universidade Federal do Rio Grande do Sul/UFRGS, Laboratório de Imunoinformática, Núcleo de Bioinformática do Laboratório de Imunogenética/NBLI, Departmento de Genética, Campus do Vale, Avenida Bento Gonçalves, 9500, Agronomia, 91501-970 Porto Alegre, RS, Brazil
| | - Fernando R Spilki
- Universidade Feevale, Laboratório de Saúde Única, Instituto de Ciências da Saúde/ICS, Rodovia ERS-239, 2755, Vila Nova, 93525-075 Novo Hamburgo, RS, Brazil
| | - Matheus N Weber
- Universidade Feevale, Laboratório de Saúde Única, Instituto de Ciências da Saúde/ICS, Rodovia ERS-239, 2755, Vila Nova, 93525-075 Novo Hamburgo, RS, Brazil
| | - Sabrina E DE Matos Almeida
- Universidade Feevale, Laboratório de Saúde Única, Instituto de Ciências da Saúde/ICS, Rodovia ERS-239, 2755, Vila Nova, 93525-075 Novo Hamburgo, RS, Brazil
| | - Vanusa P DA Hora
- Programa de Pós-Graduação em Ciências da Saúde, Universidade Federal do Rio Grande/FURG, Faculdade de Medicina, Rua Visconde de Paranaguá, 102, Centro, 96203-900, Rio Grande, RS, Brazil
| | - José Artur B Chies
- Universidade Federal do Rio Grande do Sul/UFRGS, Laboratório de Imunobiologia e Imunogenética, Departmento de Genética, Campus do Vale, Avenida Bento Gonçalves, 9500, Agronomia, 91501-970 Porto Alegre, RS, Brazil.,Programa de Pós-Graduação em Genética e Biologia Molecular/PPGBM, Universidade Federal do Rio Grande do Sul/UFRGS, Departmento de Genética, Campus do Vale, Avenida Bento Gonçalves, 9500, Agronomia, 91501-970 Porto Alegre, RS, Brazil
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16
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Vianna Franco MP, Molnár O, Dorninger C, Laciny A, Treven M, Weger J, Albuquerque EDME, Cazzolla Gatti R, Villanueva Hernandez LA, Jakab M, Marizzi C, Menéndez LP, Poliseli L, Rodríguez HB, Caniglia G. Diversity regained: Precautionary approaches to COVID-19 as a phenomenon of the total environment. THE SCIENCE OF THE TOTAL ENVIRONMENT 2022; 825:154029. [PMID: 35202694 PMCID: PMC8861146 DOI: 10.1016/j.scitotenv.2022.154029] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/22/2021] [Revised: 02/15/2022] [Accepted: 02/16/2022] [Indexed: 05/02/2023]
Abstract
As COVID-19 emerged as a phenomenon of the total environment, and despite the intertwined and complex relationships that make humanity an organic part of the Bio- and Geospheres, the majority of our responses to it have been corrective in character, with few or no consideration for unintended consequences which bring about further vulnerability to unanticipated global events. Tackling COVID-19 entails a systemic and precautionary approach to human-nature relations, which we frame as regaining diversity in the Geo-, Bio-, and Anthropospheres. Its implementation requires nothing short of an overhaul in the way we interact with and build knowledge from natural and social environments. Hence, we discuss the urgency of shifting from current to precautionary approaches to COVID-19 and look, through the lens of diversity, at the anticipated benefits in four systems crucially affecting and affected by the pandemic: health, land, knowledge and innovation. Our reflections offer a glimpse of the sort of changes needed, from pursuing planetary health and creating more harmonious forms of land use to providing a multi-level platform for other ways of knowing/understanding and turning innovation into a source of global public goods. These exemplary initiatives introduce and solidify systemic thinking in policymaking and move priorities from reaction-based strategies to precautionary frameworks.
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Affiliation(s)
- Marco P Vianna Franco
- Konrad Lorenz Institute for Evolution and Cognition Research, Martinstrasse 12, Klosterneuburg 3400, Austria
| | - Orsolya Molnár
- Konrad Lorenz Institute for Evolution and Cognition Research, Martinstrasse 12, Klosterneuburg 3400, Austria.
| | - Christian Dorninger
- Konrad Lorenz Institute for Evolution and Cognition Research, Martinstrasse 12, Klosterneuburg 3400, Austria; Institute of Social Ecology, University of Natural Resources and Life Sciences, Schottenfeldgasse 29, Vienna 1070, Austria
| | - Alice Laciny
- Konrad Lorenz Institute for Evolution and Cognition Research, Martinstrasse 12, Klosterneuburg 3400, Austria
| | - Marco Treven
- Konrad Lorenz Institute for Evolution and Cognition Research, Martinstrasse 12, Klosterneuburg 3400, Austria
| | - Jacob Weger
- Konrad Lorenz Institute for Evolution and Cognition Research, Martinstrasse 12, Klosterneuburg 3400, Austria
| | - Eduardo da Motta E Albuquerque
- Cedeplar, Universidade Federal de Minas Gerais, Av. Pres. Antônio Carlos, 6627 - Pampulha, Belo Horizonte, MG 31270-901, Brazil
| | - Roberto Cazzolla Gatti
- Department of Biological, Geological and Environmental Sciences, University of Bologna, Via Zamboni, 33, 40126 Bologna, BO, Italy
| | | | - Manuel Jakab
- Department for Academic Communication, Sigmund Freud University, Freudpl. 1, Vienna 1020, Austria
| | - Christine Marizzi
- BioBus, 1361 Amsterdam Avenue, Ste 340, New York, NY, 10027, United States
| | - Lumila Paula Menéndez
- Department of Anthropology of the Americas, University of Bonn, Regina-Pacis-Weg 3, 53113 Bonn, Germany; Department of Evolutionary Biology, University of Vienna, Universitätsring 1, 1010 Vienna, Austria
| | - Luana Poliseli
- Konrad Lorenz Institute for Evolution and Cognition Research, Martinstrasse 12, Klosterneuburg 3400, Austria
| | | | - Guido Caniglia
- Konrad Lorenz Institute for Evolution and Cognition Research, Martinstrasse 12, Klosterneuburg 3400, Austria
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17
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Birnie E, Biemond JJ, Wiersinga WJ. Drivers of melioidosis endemicity: epidemiological transition, zoonosis, and climate change. Curr Opin Infect Dis 2022; 35:196-204. [PMID: 35665713 PMCID: PMC10128909 DOI: 10.1097/qco.0000000000000827] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
PURPOSE OF REVIEW Melioidosis, caused by the soil-dwelling bacterium Burkholderia pseudomallei, is a tropical infection associated with high morbidity and mortality. This review summarizes current insights into melioidosis' endemicity, focusing on epidemiological transitions, zoonosis, and climate change. RECENT FINDINGS Estimates of the global burden of melioidosis affirm the significance of hot-spots in Australia and Thailand. However, it also highlights the paucity of systematic data from South Asia, The Americas, and Africa. Globally, the growing incidence of diabetes, chronic renal and (alcoholic) liver diseases further increase the susceptibility of individuals to B. pseudomallei infection. Recent outbreaks in nonendemic regions have further exposed the hazard from the trade of animals and products as potential reservoirs for B. pseudomallei. Lastly, global warming will increase precipitation, severe weather events, soil salinity and anthrosol, all associated with the occurrence of B. pseudomallei. SUMMARY Epidemiological transitions, zoonotic hazards, and climate change are all contributing to the emergence of novel melioidosis-endemic areas. The adoption of the One Health approach involving multidisciplinary collaboration is important in unraveling the real incidence of B. pseudomallei, as well as reducing the spread and associated mortality.
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Affiliation(s)
- Emma Birnie
- Amsterdam UMC location University of Amsterdam, Center for Experimental and Molecular Medicine
- Amsterdam UMC location University of Amsterdam, Division of Infectious Diseases, Meibergdreef 9, Amsterdam, Netherlands
| | - Jason J. Biemond
- Amsterdam UMC location University of Amsterdam, Center for Experimental and Molecular Medicine
| | - W. Joost Wiersinga
- Amsterdam UMC location University of Amsterdam, Center for Experimental and Molecular Medicine
- Amsterdam UMC location University of Amsterdam, Division of Infectious Diseases, Meibergdreef 9, Amsterdam, Netherlands
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18
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Agudelo-Higuita N, Suarez JA, Millender E, Garcia-Creighton E, Corbisiero MF, Freites CO, Cordero JH, Kousari A, Unterborn R, Marcos LA, Henao-Martinez AF, Jhangimal M, Pon AY, Tuells J, Diaz EG, Franco-Paredes C, Erausquin JT, Pinzon-Espinoza J, Baird M, Pachar M, Ordaz M, Cabezas-Talavero G, Katz J, Gonzalez JA, Obando R, Rodriguez F, Naranjo L, Madrid A, Pecchio I, Vistica G, Nakad C, Reina A, Diaz Y, Cheng R, Meng M, Alvarado YW, Baranyi S, Sanchez J, Rincὁn T, Viquez D, Owen D, Pascale JM, Gabster A. U.S. bound journey of migrant peoples InTransit across Dante's Inferno and Purgatory in the Americas. Travel Med Infect Dis 2022; 47:102317. [PMID: 35342009 DOI: 10.1016/j.tmaid.2022.102317] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2022] [Revised: 03/20/2022] [Accepted: 03/21/2022] [Indexed: 10/18/2022]
Abstract
Rapid rise of population migration is a defining feature of the 21st century due to the impact of climate change, political instability, and socioeconomic downturn. Over the last decade, an increasing number of migrant peoples travel across the Americas to reach the United States seeking asylum or cross the border undocumented in search of economic opportunities. In this journey, migrant people experience violations of their human rights, hunger, illness, violence and have limited access to medical care. In the 'Divine Comedy', the Italian poet Dante Alighieri depicts his allegorical pilgrimage across Hell and Purgatory to reach Paradise. More than 700 years after its publication, Dante's poem speaks to the present time and the perilious journey of migrant peoples to reach safehavens. By exploring the depths and heights of the human condition, Dante's struggles resonate with the multiple barriers and the unfathomable experiences faced by migrant peoples in transit across South, Central, and North America to reach the United States. Ensuring the safety of migrant peoples across the Americas and elsewhere, and attending to their health needs during their migratory paths represent modern priorities to reduce social injustices and achieving health equity.
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Affiliation(s)
- Nelson Agudelo-Higuita
- Department of Medicine, Section of Infectious Diseases, University of Oklahoma Health Science Center, USA
| | - Jose Antonio Suarez
- Investigador SNI Senacyt Panamá, Clinical Research Department, Instituto Conmemorativo Gorgas de Estudios de la Salud, Panamá City, Republic of Panama
| | - Eugenia Millender
- Center of Population Sciences for Health Equity, USA; College of Nursing, Florida State Univ, USA; College of Social Work, Dept of Behavioral Science and Social Medicine, College of Medicine, Florida State University, USA
| | | | | | - Christian Olivo Freites
- Division of Infectious Diseases, Department of Medicine, David Geffen School of Medicine at UCLA, California, USA
| | - Jose Henao Cordero
- Division of Infectious Diseases, University of Colorado, Anschutz Medical Campus, Denver, CO, USA
| | - Arianna Kousari
- Division of Infectious Diseases, University of Colorado, Anschutz Medical Campus, Denver, CO, USA
| | - Rebecca Unterborn
- Division of Infectious Diseases, University of Colorado, Anschutz Medical Campus, Denver, CO, USA
| | - Luis A Marcos
- Division of Infectious Diseases, Department of Medicine and Department of Microbiology and Immunology, Stony Brook University, New York, USA
| | - Andres F Henao-Martinez
- Division of Infectious Diseases, University of Colorado, Anschutz Medical Campus, Denver, CO, USA
| | - Monica Jhangimal
- Instituto Conmemorativo Gorgas de Estudios de la Salud, Panamá City, Republic of Panama
| | - Anyi Yu Pon
- Instituto Conmemorativo Gorgas de Estudios de la Salud, Panamá City, Republic of Panama
| | - Jose Tuells
- Department of Community Nursing, Preventive Medicine and Public Health and History of Science, University of Alicante, San Vicente del Raspeig, 03690, Alicante, Spain
| | | | - Carlos Franco-Paredes
- Investigador SNI Senacyt Panamá, Clinical Research Department, Instituto Conmemorativo Gorgas de Estudios de la Salud, Panamá City, Republic of Panama; Hospital Infantil de México, Federico Gómez, México City, Mexico.
| | | | - Justo Pinzon-Espinoza
- Department of Public Health Education, University of North Carolina at Greensboro, NC, USA; Department of Mental Health, Parc Tauli, University Hospital, Sabadell Barcelona, Spain; Department of Medicine, School of Medicine, University of Barcelona, Spain; Department of Clinica Psychiatry, University of Panama, Republic of Panama
| | | | - Monica Pachar
- Hospital Santo Tomas, Panama City, Republic of Panama
| | - Michelle Ordaz
- Instituto Conmemorativo Gorgas de Estudios de la Salud, Panamá City, Republic of Panama
| | | | - Jennifer Katz
- Community Development Network of the Americas, Panama City, Republic of Panama
| | | | - Rosela Obando
- Hospital de Especialidades Pediátricas, Panama City, Republic of Panama
| | - Fatima Rodriguez
- Instituto Conmemorativo Gorgas de Estudios de la Salud, Panamá City, Republic of Panama
| | - Laura Naranjo
- GlaxoSmithKline Vacccines CARICAM, Investigador I SNI-Senacyt Panamá, Republic of Panama
| | - Alexandra Madrid
- Universidad de Panama, Centro Regional Universitario de Veraguas, Facultad de Farmacia, Republic of Panama
| | - Itabe Pecchio
- Universidad de Panama, Centro Regional Universitario de Veraguas, Facultad de Farmacia, Republic of Panama
| | - Grace Vistica
- University of Tulane School of Public Health and Tropical Medicine, Department of International Health and Sustainable Development New Orleans, LA, USA
| | - Candy Nakad
- Instituto de Medicina Tropical, Laboratorio de Protozoarios de Biología Molecular, Universidad Central de Venezuela, Caracas, Venezuela
| | - Adelys Reina
- Departmento de Investigación en Virología y Biotecnología, Instituto Conmemorativo Gorgas de Estudios de la Salud, Panamá City, Republic of Panama
| | - Yamilka Diaz
- Departmento de Investigación en Virología y Biotecnología, Instituto Conmemorativo Gorgas de Estudios de la Salud, Panamá City, Republic of Panama
| | - Roderick Cheng
- Ministerio de Salud de Panamá, Dirección Nacional de Dispositivos Médicos, Republic of Panama
| | - Michael Meng
- Ministerio de Salud de Panamá, Dirección Nacional de Dispositivos Médicos, Republic of Panama
| | | | | | - Joanne Sanchez
- Complejo Hospitalario Dr. Arnulfo Arias Madrid, Panama City, Republic of Panama
| | - Tomas Rincὁn
- Instituto Conmemorativo Gorgas de Estudios de la Salud, Panamá City, Republic of Panama
| | - Daniel Viquez
- Instituto Conmemorativo Gorgas de Estudios de la Salud, Panamá City, Republic of Panama
| | | | - Juan Miguel Pascale
- Instituto Conmemorativo Gorgas de Estudios de la Salud, Panamá City, Republic of Panama
| | - Amanda Gabster
- Investigador SNI Senacyt Panamá, Clinical Research Department, Instituto Conmemorativo Gorgas de Estudios de la Salud, Panamá City, Republic of Panama
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19
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Hauser N, Conlon KC, Desai A, Kobziar LN. Climate Change and Infections on the Move in North America. Infect Drug Resist 2022; 14:5711-5723. [PMID: 35002262 PMCID: PMC8722568 DOI: 10.2147/idr.s305077] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2021] [Accepted: 11/12/2021] [Indexed: 12/18/2022] Open
Abstract
Climate change is increasingly recognized for its impacts on human health, including how biotic and abiotic factors are driving shifts in infectious disease. Changes in ecological conditions and processes due to temperature and precipitation fluctuations and intensified disturbance regimes are affecting infectious pathogen transmission, habitat, hosts, and the characteristics of pathogens themselves. Understanding the relationships between climate change and infectious diseases can help clinicians broaden the scope of differential diagnoses when interviewing, diagnosing, and treating patients presenting with infections lacking obvious agents or transmission pathways. Here, we highlight key examples of how the mechanisms of climate change affect infectious diseases associated with water, fire, land, insects, and human transmission pathways in the hope of expanding the analytical framework for infectious disease diagnoses. Increased awareness of these relationships can help prepare both clinical physicians and epidemiologists for continued impacts of climate change on infectious disease in the future.
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Affiliation(s)
- Naomi Hauser
- Department of Medicine, Division of Infectious Disease, University of California Davis Health, Sacramento, CA, USA.,Climate Adaptation Research Center, University of California, Davis, CA, USA
| | - Kathryn C Conlon
- Climate Adaptation Research Center, University of California, Davis, CA, USA.,Department of Public Health Sciences, School of Medicine, University of California Davis, Davis, CA, USA.,Department of Veterinary Medicine & Epidemiology, School of Veterinary Medicine, University of California Davis, Davis, CA, USA
| | - Angel Desai
- Department of Medicine, Division of Infectious Disease, University of California Davis Health, Sacramento, CA, USA
| | - Leda N Kobziar
- Department of Natural Resources and Society, University of Idaho, Coeur d'Alene, ID, USA
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20
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Impact of Climate Change on Opportunistic Molds Infections. Fungal Biol 2022. [DOI: 10.1007/978-3-030-89664-5_9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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21
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Aslam B, Khurshid M, Arshad MI, Muzammil S, Rasool M, Yasmeen N, Shah T, Chaudhry TH, Rasool MH, Shahid A, Xueshan X, Baloch Z. Antibiotic Resistance: One Health One World Outlook. Front Cell Infect Microbiol 2021; 11:771510. [PMID: 34900756 PMCID: PMC8656695 DOI: 10.3389/fcimb.2021.771510] [Citation(s) in RCA: 161] [Impact Index Per Article: 53.7] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2021] [Accepted: 10/29/2021] [Indexed: 01/07/2023] Open
Abstract
Antibiotic resistance (ABR) is a growing public health concern worldwide, and it is now regarded as a critical One Health issue. One Health’s interconnected domains contribute to the emergence, evolution, and spread of antibiotic-resistant microorganisms on a local and global scale, which is a significant risk factor for global health. The persistence and spread of resistant microbial species, and the association of determinants at the human-animal-environment interface can alter microbial genomes, resulting in resistant superbugs in various niches. ABR is motivated by a well-established link between three domains: human, animal, and environmental health. As a result, addressing ABR through the One Health approach makes sense. Several countries have implemented national action plans based on the One Health approach to combat antibiotic-resistant microbes, following the Tripartite’s Commitment Food and Agriculture Organization (FAO)-World Organization for Animal Health (OIE)-World Health Organization (WHO) guidelines. The ABR has been identified as a global health concern, and efforts are being made to mitigate this global health threat. To summarize, global interdisciplinary and unified approaches based on One Health principles are required to limit the ABR dissemination cycle, raise awareness and education about antibiotic use, and promote policy, advocacy, and antimicrobial stewardship.
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Affiliation(s)
- Bilal Aslam
- Department of Microbiology, Government College University Faisalabad, Faisalabad, Pakistan
| | - Mohsin Khurshid
- Department of Microbiology, Government College University Faisalabad, Faisalabad, Pakistan
| | | | - Saima Muzammil
- Department of Microbiology, Government College University Faisalabad, Faisalabad, Pakistan
| | - Maria Rasool
- Department of Microbiology, Government College University Faisalabad, Faisalabad, Pakistan
| | - Nafeesa Yasmeen
- College of Veterinary Medicine, South China Agricultural University, Guangzhou, China
| | - Taif Shah
- Faculty of Life Science and Technology, Kunming University of Life Science and Technology, Kunming, China
| | - Tamoor Hamid Chaudhry
- Department of Microbiology, Government College University Faisalabad, Faisalabad, Pakistan.,Public Health Laboratories Division, National Institute of Health, Islamabad, Pakistan
| | | | - Aqsa Shahid
- Faculty of Rehabilitation and Allied Health Sciences, Riphah International University, Faisalabad, Pakistan
| | - Xia Xueshan
- Faculty of Life Science and Technology, Kunming University of Life Science and Technology, Kunming, China
| | - Zulqarnain Baloch
- Faculty of Life Science and Technology, Kunming University of Life Science and Technology, Kunming, China
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22
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Williams PC, Bartlett AW, Howard-Jones A, McMullan B, Khatami A, Britton PN, Marais BJ. Impact of climate change and biodiversity collapse on the global emergence and spread of infectious diseases. J Paediatr Child Health 2021; 57:1811-1818. [PMID: 34792238 DOI: 10.1111/jpc.15681] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/22/2021] [Accepted: 07/23/2021] [Indexed: 12/29/2022]
Abstract
The reality of climate change and biodiversity collapse is irrefutable in the 21st century, with urgent action required not only to conserve threatened species but also to protect human life and wellbeing. This existential threat forces us to recognise that our existence is completely dependent upon well-functioning ecosystems that sustain the diversity of life on our planet, including that required for human health. By synthesising data on the ecology, epidemiology and evolutionary biology of various pathogens, we are gaining a better understanding of factors that underlie disease emergence and spread. However, our knowledge remains rudimentary with limited insight into the complex feedback loops that underlie ecological stability, which are at risk of rapidly unravelling once certain tipping points are breached. In this paper, we consider the impact of climate change and biodiversity collapse on the ever-present risk of infectious disease emergence and spread. We review historical and contemporaneous infectious diseases that have been influenced by human environmental manipulation, including zoonoses and vector- and water-borne diseases, alongside an evaluation of the impact of migration, urbanisation and human density on transmissible diseases. The current lack of urgency in political commitment to address climate change warrants enhanced understanding and action from paediatricians - to ensure that we safeguard the health and wellbeing of children in our care today, as well as those of future generations.
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Affiliation(s)
- Phoebe Cm Williams
- The University of Sydney Institute for Infectious Diseases, The University of Sydney, Sydney, New South Wales, Australia.,Department of Infectious Diseases and Microbiology, Sydney Children's Hospital, Sydney, New South Wales, Australia.,The School of Women's and Children's Health, The University of New South Wales, Sydney, New South Wales, Australia
| | - Adam W Bartlett
- Department of Infectious Diseases and Microbiology, Sydney Children's Hospital, Sydney, New South Wales, Australia.,The School of Women's and Children's Health, The University of New South Wales, Sydney, New South Wales, Australia
| | - Annaleise Howard-Jones
- The University of Sydney Institute for Infectious Diseases, The University of Sydney, Sydney, New South Wales, Australia.,Department of Infectious Diseases and Microbiology, The Children's Hospital at Westmead, Sydney, New South Wales, Australia
| | - Brendan McMullan
- Department of Infectious Diseases and Microbiology, Sydney Children's Hospital, Sydney, New South Wales, Australia.,The School of Women's and Children's Health, The University of New South Wales, Sydney, New South Wales, Australia
| | - Ameneh Khatami
- The University of Sydney Institute for Infectious Diseases, The University of Sydney, Sydney, New South Wales, Australia.,Department of Infectious Diseases and Microbiology, The Children's Hospital at Westmead, Sydney, New South Wales, Australia
| | - Philip N Britton
- The University of Sydney Institute for Infectious Diseases, The University of Sydney, Sydney, New South Wales, Australia.,Department of Infectious Diseases and Microbiology, The Children's Hospital at Westmead, Sydney, New South Wales, Australia
| | - Ben J Marais
- The University of Sydney Institute for Infectious Diseases, The University of Sydney, Sydney, New South Wales, Australia.,Department of Infectious Diseases and Microbiology, The Children's Hospital at Westmead, Sydney, New South Wales, Australia
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23
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The Influence of War and Conflict on Infectious Disease: A Rapid Review of Historical Lessons We Have Yet to Learn. SUSTAINABILITY 2021. [DOI: 10.3390/su131910783] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
Armed conflicts degrade established healthcare systems, which typically manifests as a resurgence of preventable infectious diseases. While 70% of deaths globally are now from non-communicable disease; in low-income countries, respiratory infections, diarrheal illness, malaria, tuberculosis, and HIV/AIDs are all in the top 10 causes of death. The burden of these infectious diseases is exacerbated by armed conflict, translating into even more dramatic long-term consequences. This rapid evidence review searched electronic databases in PubMed, Scopus, and Web of Science. Of 381 identified publications, 73 were included in this review. Several authors indicate that the impact of infectious diseases increases in wars and armed conflicts due to disruption to surveillance and response systems that were often poorly developed to begin with. Although the true impact of conflict on infectious disease spread is not known and requires further research, the link between them is indisputable. Current decision-making management systems are insufficient and only pass the baton to the next unwary generation.
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24
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Toward Resilient Water-Energy-Food Systems under Shocks: Understanding the Impact of Migration, Pandemics, and Natural Disasters. SUSTAINABILITY 2021. [DOI: 10.3390/su13169402] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The historic pandemic faced by the international community today boldly demonstrates the complexity and interconnectedness of the resource challenges we must better understand and address in the future. Further complexity is observed when accounting for the impact of compounded shocks related to natural disasters and forced migration around the world. Effectively addressing these challenges requires the development of research that cuts across disciplines and innovates at their interfaces, in order to develop multifaceted solutions that respond to the social, economic, technological, and policy dimensions of these challenges. Water, energy, and food systems are tightly interconnected. They are faced with pressures of varying natures and levels of urgency which need to be better understood, especially as nations work toward achieving the UN 2030 Agenda’s Sustainable Development Goals by 2030. This paper will review existing models and knowledge gaps related to water-energy-food (WEF) nexus models, as well as models for quantifying the impact of migration, pandemics, and natural disasters on this resource nexus. Specifically, this paper will: (1) explore the WEF nexus literature and identify gaps in current assessment tools and models; (2) explore the literature on tools and models for predicting the shocks of migration, natural disasters, and pandemics; (3) identify interconnections between water, energy, and food systems and the identified shocks; (4) develop a common framework that provides a road map for integrating those shocks in WEF nexus analysis; (5) provide recommendations for future research and policies moving forward.
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25
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Tasker A, Braam D. Positioning zoonotic disease research in forced migration: A systematic literature review of theoretical frameworks and approaches. PLoS One 2021; 16:e0254746. [PMID: 34310626 PMCID: PMC8312951 DOI: 10.1371/journal.pone.0254746] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2021] [Accepted: 06/27/2021] [Indexed: 01/31/2023] Open
Abstract
BACKGROUND The emergence and transmission of zoonotic diseases are driven by complex interactions between health, environmental, and socio-political systems. Human movement is considered a significant and increasing factor in these processes, yet forced migration remains an understudied area of zoonotic research-due in part to the complexity of conducting interdisciplinary research in these settings. OBJECTIVES We conducted a systematic review to identify and analyze theoretical frameworks and approaches used to study linkages between forced migration and zoonotic diseases. METHODS We searched within eight electronic databases: ProQuest, SCOPUS, Web of Science, PubMed, PLoSOne, Science Direct, JSTOR, and Google Scholar, to identify a) research articles focusing on zoonoses considering forced migrants in their study populations, and b) forced migration literature which engaged with zoonotic disease. Both authors conducted a full-text review, evaluating the quality of literature reviews and primary data using the Critical Appraisal Skills Programme (CASP) model, while theoretical papers were evaluated for quality using a theory synthesis adapted from Bonell et al. (2013). Qualitative data were synthesized thematically according to the method suggested by Noblit and Hare (1988). RESULTS Analyses of the 23 included articles showed the increasing use of interdisciplinary frameworks and approaches over time, the majority of which stemmed from political ecology. Approaches such as EcoHealth and One Health were increasingly popular, but were more often linked to program implementation and development than broader contextual research. The majority of research failed to acknowledge the heterogeneity of migrant populations, lacked contextual depth, and insufficient acknowledgments of migrant agency in responding to zoonotic threats. CONCLUSIONS Addressing the emergence and spread of zoonoses in forced migration contexts requires more careful consideration and use of interdisciplinary research to integrate the contributions of social and natural science approaches. Robust interdisciplinary theoretical frameworks are an important step for better understanding the complex health, environment, and socio-political drivers of zoonotic diseases in forced migration. Lessons can be learned from the application of these approaches in other hard-to-reach or seldom-heard populations.
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Affiliation(s)
- Alex Tasker
- Department of Anthropology, University College London, London, United Kingdom
- * E-mail:
| | - Dorien Braam
- Disease Dynamics Unit, University of Cambridge, Cambridge, United Kingdom
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26
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Dayrit JF, Sugiharto A, Coates SJ, Lucero-Prisno DE, Davis MDD, Andersen LK. Climate change, human migration, and skin disease: is there a link? Int J Dermatol 2021; 61:127-138. [PMID: 33971021 DOI: 10.1111/ijd.15543] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/22/2019] [Revised: 02/22/2021] [Accepted: 02/26/2021] [Indexed: 02/06/2023]
Abstract
Climate change, exemplified by higher average global temperatures resulting in more frequent extreme weather events, has the potential to significantly impact human migration patterns and health. The consequences of environmental catastrophes further destabilize regions with pre-existing states of conflict due to social, political, and/or economic unrest. Migrants may carry diseases from their place of origin to their destinations and once there may be susceptible to diseases in which they had not been previously exposed to. Skin diseases are among the most commonly observed health conditions observed in migrant populations. To improve awareness among dermatologists of the burden of skin diseases among migrants, the group searched the English language scientific literature to identify articles linking climate change, migration, and skin disease. Skin diseases associated with human migration fall into three major categories: (i) communicable diseases, (ii) noncommunicable diseases, and (iii) environmentally mediated diseases. Adopting comprehensive global strategies to improve the health of migrants requires urgent attention.
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Affiliation(s)
- Johannes F Dayrit
- De La Salle University Medical and Health Sciences Institute, Dasmarinas City, Philippines.,Department of Dermatology, Research Institute for Tropical Medicine, Muntinlupa City, Philippines
| | - Audi Sugiharto
- Department of Dermatology, Research Institute for Tropical Medicine, Muntinlupa City, Philippines
| | - Sarah J Coates
- Department of Dermatology, University of California San Francisco, San Francisco, CA, USA
| | - Don Eliseo Lucero-Prisno
- Department of Global Health and Development, London School of Hygiene and Tropical Medicine, London, UK
| | | | - Louise K Andersen
- Department of Dermatology, Aleris-Hamlet Private Hospitals, Esbjerg, Denmark
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27
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Iira T, Ruth ML, Hannele T, Jouni J, Lauri K. Finnish nurses' perceptions of the health impacts of climate change and their preparation to address those impacts. Nurs Forum 2021; 56:365-371. [PMID: 33330979 DOI: 10.1111/nuf.12540] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2020] [Revised: 11/01/2020] [Accepted: 12/04/2020] [Indexed: 06/12/2023]
Abstract
BACKGROUND Climate change has a direct and indirect impact on human health that include health impacts from rising temperatures and poor air quality. This challenges the health sector in many ways. Nurses should be aware of these health effects and the patients who are particularly vulnerable to the health impacts caused by climate change. PURPOSE The objective of the study was to identify the health issues that Finnish registered nurses associate with climate change and to determine nurses' perception of their preparation to address the health impacts of climate change. METHODS A qualitative descriptive study was conducted through semi-structured focus group interviews. RESULTS Nurses reported observing changes in health of their patient populations. The nurses attributed some changes in their patients' health to climate change. Interviewed nurses felt that climate change was not adequately addressed in their basic nursing education and in staff development. CONCLUSIONS It is important to include climate change and its impact on human health in the nurses' curriculum and in continuing education for practicing nurses.
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Affiliation(s)
- Tiitta Iira
- Department of Nursing Science, University of Eastern Finland, Kuopio, Finland
| | - McDermott-Levy Ruth
- Center for Global & Public Heatlh, M. Louise Fitzpatrick, College of Nursing, Villanova University, Villanova, Pennsylvania, USA
| | - Turunen Hannele
- Department of Nursing Science, University of Eastern Finland, Kuopio, Finland
| | - Jaakkola Jouni
- Center for Environmental and Respiratory Health Research (CERH), Faculty of Medicine, University of Oulu, Oulu, Finland
| | - Kuosmanen Lauri
- Department of Nursing Science, University of Eastern Finland, Kuopio, Finland
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28
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Global Crises: Gendered Vulnerabilities of Structural Inequality, Environmental Performance, and Modern Slavery. HUMAN ARENAS 2021. [PMCID: PMC7937546 DOI: 10.1007/s42087-020-00154-2] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Climate change and modern slavery are two of the most significant human rights crises of our time. Women and children are disproportionately vulnerable to such crises, which are intensified under inequitable social conditions and driven by structural barriers to female equality. No research has yet looked at the complex relationship between climate crisis, structural gender inequality, human insecurity, and vulnerability to modern slavery. Our research examined the relationship between environmental stressors associated with climate change, selected structural inequalities, and the estimated prevalence of modern slavery cases across 180 countries. Regression analysis revealed significant results. These findings suggest that indicators of poor environmental health may exacerbate structural social inequalities and increase women’s risk of falling victim to modern slavery. Results showed that women’s share of seats in parliament, education for women, tree cover loss, agricultural management, and air quality assumed more substantial roles in this prediction. Awareness of the unique relationship between environmental indicators of climate change, gender inequality, and modern slavery provides a meaningful contribution to our understanding of factors driving human exploitation. Additionally, we propose a gender analysis of environmental stressors to address both the climate crisis and structural inequalities that increases female vulnerability to insecurity.
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Watts N, Amann M, Arnell N, Ayeb-Karlsson S, Beagley J, Belesova K, Boykoff M, Byass P, Cai W, Campbell-Lendrum D, Capstick S, Chambers J, Coleman S, Dalin C, Daly M, Dasandi N, Dasgupta S, Davies M, Di Napoli C, Dominguez-Salas P, Drummond P, Dubrow R, Ebi KL, Eckelman M, Ekins P, Escobar LE, Georgeson L, Golder S, Grace D, Graham H, Haggar P, Hamilton I, Hartinger S, Hess J, Hsu SC, Hughes N, Jankin Mikhaylov S, Jimenez MP, Kelman I, Kennard H, Kiesewetter G, Kinney PL, Kjellstrom T, Kniveton D, Lampard P, Lemke B, Liu Y, Liu Z, Lott M, Lowe R, Martinez-Urtaza J, Maslin M, McAllister L, McGushin A, McMichael C, Milner J, Moradi-Lakeh M, Morrissey K, Munzert S, Murray KA, Neville T, Nilsson M, Sewe MO, Oreszczyn T, Otto M, Owfi F, Pearman O, Pencheon D, Quinn R, Rabbaniha M, Robinson E, Rocklöv J, Romanello M, Semenza JC, Sherman J, Shi L, Springmann M, Tabatabaei M, Taylor J, Triñanes J, Shumake-Guillemot J, Vu B, Wilkinson P, Winning M, Gong P, Montgomery H, Costello A. The 2020 report of The Lancet Countdown on health and climate change: responding to converging crises. Lancet 2021; 397:129-170. [PMID: 33278353 DOI: 10.1016/s0140-6736(20)32290-x] [Citation(s) in RCA: 693] [Impact Index Per Article: 231.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/05/2020] [Revised: 08/03/2020] [Accepted: 08/04/2020] [Indexed: 01/18/2023]
Abstract
For the Chinese, French, German, and Spanish translations of the abstract see Supplementary Materials section.
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Affiliation(s)
- Nick Watts
- Institute for Global Health, University College London, London, UK.
| | - Markus Amann
- Air Quality and Greenhouse Gases Program, International Institute for Applied Systems Analysis, Laxenburg, Austria
| | - Nigel Arnell
- Department of Meteorology, University of Reading, Reading, UK
| | - Sonja Ayeb-Karlsson
- Institute for Environment and Human Security, United Nations University, Bonn, Germany
| | - Jessica Beagley
- Institute for Global Health, University College London, London, UK
| | - Kristine Belesova
- Centre on Climate Change and Planetary Health, London School of Hygiene & Tropical Medicine, London, UK
| | - Maxwell Boykoff
- Environmental Studies Program, University of Colorado Boulder, Boulder, CO, USA
| | - Peter Byass
- Department of Epidemiology and Global Health, Umeå University, Umeå, Sweden
| | - Wenjia Cai
- Department of Earth System Science, Tsinghua University, Beijing, China
| | - Diarmid Campbell-Lendrum
- Environment, Climate Change and Health Department, World Health Organization, Geneva, Switzerland
| | | | - Jonathan Chambers
- Institute for Environmental Sciences, University of Geneva, Geneva, Switzerland
| | - Samantha Coleman
- Institute for Global Health, University College London, London, UK
| | - Carole Dalin
- Institute for Sustainable Resources, University College London, London, UK
| | - Meaghan Daly
- Department of Environmental Studies, University of New England, Biddeford, ME, USA
| | - Niheer Dasandi
- School of Government, University of Birmingham, Birmingham, UK
| | - Shouro Dasgupta
- Centro Euro-Mediterraneo sui Cambiamenti Climatici, Venice, Italy
| | - Michael Davies
- Institute for Environmental Design and Engineering, University College London, London, UK
| | - Claudia Di Napoli
- School of Agriculture, Policy, and Development, University of Reading, Reading, UK
| | - Paula Dominguez-Salas
- Department of Population Health, London School of Hygiene & Tropical Medicine, London, UK
| | - Paul Drummond
- Institute for Sustainable Resources, University College London, London, UK
| | - Robert Dubrow
- Yale Center on Climate Change and Health, Yale University, New Haven, CT, USA
| | - Kristie L Ebi
- Department of Global Health, University of Washington, Seattle, WA, USA
| | - Matthew Eckelman
- Department of Civil & Environmental Engineering, Northeastern University, Boston, MA, USA
| | - Paul Ekins
- Institute for Sustainable Resources, University College London, London, UK
| | - Luis E Escobar
- Department of Fish and Wildlife Conservation, Virginia Polytechnic Institute and State University, Blacksburg, VA, USA
| | | | - Su Golder
- Department of Health Sciences, University of York, York, UK
| | - Delia Grace
- CGIAR Research Program on Agriculture for Human Nutrition and Health, International Livestock Research Institute, Nairobi, Kenya
| | - Hilary Graham
- Department of Environmental Studies, University of New England, Biddeford, ME, USA
| | - Paul Haggar
- School of Psychology, Cardiff University, Cardiff, UK
| | - Ian Hamilton
- Energy Institute, University College London, London, UK
| | - Stella Hartinger
- School of Public Health and Administration, Universidad Peruana Cayetano Heredia, Lima, Peru
| | - Jeremy Hess
- Center for Health and the Global Environment, University of Washington, Seattle, WA, USA
| | - Shih-Che Hsu
- Energy Institute, University College London, London, UK
| | - Nick Hughes
- Institute for Sustainable Resources, University College London, London, UK
| | | | - Marcia P Jimenez
- Department of Epidemiology, Harvard TH Chan School of Public Health, Harvard University, Boston, MA, USA
| | - Ilan Kelman
- Institute for Global Health, University College London, London, UK
| | - Harry Kennard
- Energy Institute, University College London, London, UK
| | - Gregor Kiesewetter
- Air Quality and Greenhouse Gases Program, International Institute for Applied Systems Analysis, Laxenburg, Austria
| | - Patrick L Kinney
- Department of Environmental Health, Boston University, Boston, MA, USA
| | - Tord Kjellstrom
- Health and Environment International Trust, Nelson, New Zealand
| | | | - Pete Lampard
- Department of Health Sciences, University of York, York, UK
| | - Bruno Lemke
- School of Health, Nelson Marlborough Institute of Technology, Nelson, New Zealand
| | - Yang Liu
- Rollins School of Public Health, Emory University, Atlanta, GA, USA
| | - Zhao Liu
- Department of Earth System Science, Tsinghua University, Beijing, China
| | - Melissa Lott
- Center on Global Energy Policy, Columbia University, New York, NY, USA
| | - Rachel Lowe
- Centre for Mathematical Modelling of Infectious Diseases, London School of Hygiene & Tropical Medicine, London, UK
| | - Jaime Martinez-Urtaza
- Department of Genetics and Microbiology, Universitat Autònoma de Barcelona, Barcelona, Spain
| | - Mark Maslin
- Department of Geography, University College London, London, UK
| | - Lucy McAllister
- Center for Energy Markets, Technical University of Munich, Munich, Germany
| | - Alice McGushin
- Institute for Global Health, University College London, London, UK
| | - Celia McMichael
- School of Geography, University of Melbourne, Melbourne, VIC, Australia
| | - James Milner
- Department of Public Health, Environments, and Society, London School of Hygiene & Tropical Medicine, London, UK
| | - Maziar Moradi-Lakeh
- Preventive Medicine and Public Health Research Center, Psychosocial Health Research Institute, Iran University of Medical Sciences, Tehran, Iran
| | - Karyn Morrissey
- European Centre for Environment and Human Health, University of Exeter, Exeter, UK
| | | | - Kris A Murray
- Medical Research Council Centre for Global Infectious Disease Analysis, Department of Infectious Disease Epidemiology, Imperial College London, London, UK; Medical Research Council Unit The Gambia at London School of Hygiene & Tropical Medicine, Bakau, The Gambia
| | - Tara Neville
- Environment, Climate Change and Health Department, World Health Organization, Geneva, Switzerland
| | - Maria Nilsson
- Department of Epidemiology and Global Health, Umeå University, Umeå, Sweden
| | | | | | - Matthias Otto
- Department of Arts, Media and Digital Technologies, Nelson Marlborough Institute of Technology, Nelson, New Zealand
| | - Fereidoon Owfi
- Iranian Fisheries Science Research Institute, Agricultural Research, Education, and Extension Organisation, Tehran, Iran
| | - Olivia Pearman
- Environmental Studies Program, University of Colorado Boulder, Boulder, CO, USA
| | - David Pencheon
- Medical and Health School, University of Exeter, Exeter, UK
| | - Ruth Quinn
- Department of Civil and Structural Engineering, University of Sheffield, Sheffield, UK
| | - Mahnaz Rabbaniha
- Iranian Fisheries Science Research Institute, Agricultural Research, Education, and Extension Organisation, Tehran, Iran
| | - Elizabeth Robinson
- School of Agriculture, Policy, and Development, University of Reading, Reading, UK
| | - Joacim Rocklöv
- Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden
| | - Marina Romanello
- Institute for Global Health, University College London, London, UK
| | - Jan C Semenza
- Scientific Assessment Section, European Centre for Disease Prevention and Control, Solna, Sweden
| | - Jodi Sherman
- Department of Anesthesiology, Yale University, New Haven, CT, USA
| | - Liuhua Shi
- Gangarosa Department of Environmental Health, Atlanta, GA, USA
| | | | - Meisam Tabatabaei
- Institute of Tropical Aquaculture and Fisheries, Universiti Malaysia Terengganu, Kuala Terengganu, Malaysia
| | - Jonathon Taylor
- Department of Civil Engineering, Tampere University, Tampere, Finland
| | - Joaquin Triñanes
- Department of Electronics and Computer Science, CRETUS Institute, Universidade de Santiago de Compostela, Santiago, Spain
| | | | - Bryan Vu
- Rollins School of Public Health, Emory University, Atlanta, GA, USA
| | - Paul Wilkinson
- Department of Public Health, Environments, and Society, London School of Hygiene & Tropical Medicine, London, UK
| | - Matthew Winning
- Institute for Sustainable Resources, University College London, London, UK
| | - Peng Gong
- Department of Earth System Science, Tsinghua University, Beijing, China
| | - Hugh Montgomery
- Institute for Human Health and Performance, University College London, London, UK
| | - Anthony Costello
- Office of the Vice Provost for Research, University College London, London, UK
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Cao H, Li B, Gu T, Liu X, Meng K, Zhang L. Associations of Ambient Air Pollutants and Meteorological Factors With COVID-19 Transmission in 31 Chinese Provinces: A Time Series Study. INQUIRY : A JOURNAL OF MEDICAL CARE ORGANIZATION, PROVISION AND FINANCING 2021; 58:469580211060259. [PMID: 34809490 PMCID: PMC8613882 DOI: 10.1177/00469580211060259] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/25/2021] [Revised: 10/27/2021] [Accepted: 10/28/2021] [Indexed: 12/23/2022]
Abstract
Evidence regarding the effects of environmental factors on COVID-19 transmission is mixed. We aimed to explore the associations of air pollutants and meteorological factors with COVID-19 confirmed cases during the outbreak period throughout China. The number of COVID-19 confirmed cases, air pollutant concentrations, and meteorological factors in China from January 25 to February 29, 2020, (36 days) were extracted from authoritative electronic databases. The associations were estimated for a single-day lag as well as moving averages lag using generalized additive mixed models. Region-specific analyses and meta-analysis were conducted in 5 selected regions from the north to south of China with diverse air pollution levels and weather conditions and sufficient sample size. Nonlinear concentration-response analyses were performed. An increase of each interquartile range in PM2.5, PM10, SO2, NO2, O3, and CO at lag4 corresponded to 1.40 (1.37-1.43), 1.35 (1.32-1.37), 1.01 (1.00-1.02), 1.08 (1.07-1.10), 1.28 (1.27-1.29), and 1.26 (1.24-1.28) ORs of daily new cases, respectively. For 1°C, 1%, and 1 m/s increase in temperature, relative humidity, and wind velocity, the ORs were 0.97 (0.97-0.98), 0.96 (0.96-0.97), and 0.94 (0.92-0.95), respectively. The estimates of PM2.5, PM10, NO2, and all meteorological factors remained significantly after meta-analysis for the five selected regions. The concentration-response relationships showed that higher concentrations of air pollutants and lower meteorological factors were associated with daily new cases increasing. Higher air pollutant concentrations and lower temperature, relative humidity and wind velocity may favor COVID-19 transmission. Controlling ambient air pollution, especially for PM2.5, PM10, NO2, may be an important component of reducing risk of COVID-19 infection. In addition, as winter months are arriving in China, the meteorological factors may play a negative role in prevention. Therefore, it is significant to implement the public health control measures persistently in case another possible pandemic.
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Affiliation(s)
- Han Cao
- Department of Biostatistics, Peking University First Hospital, Beijing, China
- Department of Epidemiology and Health Statistics, School of Public Health, Capital Medical University, and Beijing Municipal Key Laboratory of Clinical Epidemiology, Beijing, China
| | - Bingxiao Li
- Department of Epidemiology and Health Statistics, School of Public Health, Capital Medical University, and Beijing Municipal Key Laboratory of Clinical Epidemiology, Beijing, China
| | - Tianlun Gu
- Department of Customer Advisory, SAS Institute Inc, Beijing, China
| | - Xiaohui Liu
- Department of Epidemiology and Health Statistics, School of Public Health, Capital Medical University, and Beijing Municipal Key Laboratory of Clinical Epidemiology, Beijing, China
| | - Kai Meng
- Department of Health Management and Policy, School of Public Health, Capital Medical University, Beijing, China
| | - Ling Zhang
- Department of Epidemiology and Health Statistics, School of Public Health, Capital Medical University, and Beijing Municipal Key Laboratory of Clinical Epidemiology, Beijing, China
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Shu Kurizky P, Dos Santos Neto LL, Barbosa Aires R, Henrique da Mota LM, Martins Gomes C. Opportunistic tropical infections in immunosuppressed patients. Best Pract Res Clin Rheumatol 2020; 34:101509. [PMID: 32299676 DOI: 10.1016/j.berh.2020.101509] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
Autoimmune and autoinflammatory diseases are associated with severe morbidity, and represent an impactful health and economic burden worldwide. The treatment of these diseases can include a course with detrimental side effects. Immunosuppression increases the risk of opportunistic infections, but in some cases, the abrupt discontinuation of these medications can result in immune reconstitution inflammatory syndrome. Special attention must be directed to endemic tropical infections, such as leishmaniasis, Chagas disease, malaria, arbovirosis, yellow fever, leprosy, paracoccidioidomycosis, disseminated strongyloidiasis, and ectoparasitosis. These endemic diseases of developing countries can be considered as possible emerging diseases in developed regions partially because of environmental factors and migration. In the present article, we aim to review the evidence-based aspects of the most important opportunistic tropical infections in immunosuppressed patients. We also aim to review the important aspects of vaccination, chemical prophylaxis, and treatment for these infections in people with medication-induced immunosuppression.
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Affiliation(s)
- Patrícia Shu Kurizky
- Programa de Pós-graduação em Ciências Médicas, Hospital Universitário de Brasília, SGAN 605. Av. L2 Norte, CEP: 70910-900, Brasília, Distrito Federal, Brazil.
| | - Leopoldo Luiz Dos Santos Neto
- Programa de Pós-graduação em Ciências Médicas, SGAN 605. Av. L2 Norte, CEP: 70910-900, Brasília, Distrito Federal, Brazil.
| | - Rodrigo Barbosa Aires
- Programa de Pós-graduação em Ciências Médicas, SGAN 605. Av. L2 Norte, CEP: 70910-900, Brasília, Distrito Federal, Brazil.
| | - Licia Maria Henrique da Mota
- Programa de Pós-graduação em Ciências Médicas, Hospital Universitário de Brasília, SGAN 605. Av. L2 Norte, CEP: 70910-900, Brasília, Distrito Federal, Brazil.
| | - Ciro Martins Gomes
- Programa de Pós-graduação em Ciências Médicas, Programa de Pós-Graduação em Medicina Tropical, SGAN 605. Av. L2 Norte, CEP: 70910-900, Brasília, Distrito Federal, Brazil.
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Could Environment Affect the Mutation of H1N1 Influenza Virus? INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17093092. [PMID: 32365515 PMCID: PMC7246512 DOI: 10.3390/ijerph17093092] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/23/2020] [Revised: 04/23/2020] [Accepted: 04/25/2020] [Indexed: 12/12/2022]
Abstract
H1N1 subtype influenza A viruses are the most common type of influenza A virus to infect humans. The two major outbreaks of the virus in 1918 and 2009 had a great impact both on human health and social development. Though data on their complete genome sequences have recently been obtained, the evolution and mutation of A/H1N1 viruses remain unknown to this day. Among many drivers, the impact of environmental factors on mutation is a novel hypothesis worth studying. Here, a geographically disaggregated method was used to explore the relationship between environmental factors and mutation of A/H1N1 viruses from 2000-2019. All of the 11,721 geo-located cases were examined and the data was analysed of six environmental elements according to the time and location (latitude and longitude) of those cases. The main mutation value was obtained by comparing the sequence of the influenza virus strain with the earliest reported sequence. It was found that environmental factors systematically affect the mutation of A/H1N1 viruses. Minimum temperature displayed a nonlinear, rising association with mutation, with a maximum ~15 °C. The effects of precipitation and social development index (nighttime light) were more complex, while population density was linearly and positively correlated with mutation of A/H1N1 viruses. Our results provide novel insight into understanding the complex relationships between mutation of A/H1N1 viruses and environmental factors.
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Refugees at the Crossroads of Continents: A Molecular Approach for Cutaneous Leishmaniasis Among Refugees in Turkey. Acta Parasitol 2020; 65:136-143. [PMID: 31721060 DOI: 10.2478/s11686-019-00139-4] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2019] [Accepted: 10/29/2019] [Indexed: 11/20/2022]
Abstract
PURPOSE Due to mass population movements driven by internal conflicts and wars, cutaneous leishmaniasis (CL) is becoming increasingly important in Turkey. This study is aimed at determining the clinical aspects, diagnosis and genotyping of CL patients coming to Turkey from abroad. METHODS In our study, the clinical materials obtained from the patients or sent for diagnostic purposes from other centers to our laboratory between years 2012 and 2016 were assessed retrospectively. In total, there were 38 patients from Syria, Iraq, Afghanistan, Iran, and Turkmenistan. RESULTS 29 (76%), 28 (73%) and 33 (87%) samples were positive by light microscopy, Novy-McNeal-Nicolle(NNN), and enriched medium, respectively. By ITS-1 gene region PCR, 31 (81%) of the cases were positive. 35 of the patients were tested positive by at least one of the diagnostic methods. By genotyping, 21 Leishmania tropica, 8 Leishmania major, 3 Leismania infantum, 2 Leishmania donovani, and 1 Leishmania aethopica were detected. CONCLUSION This study is aimed at informing the clinicians working in the field for the import CL cases and recording the changing epidemiological features of CL in the region as well as discussing the possible focus for L. aethiopica infection which has not been shown in the region before.
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Nexus between Climate Change, Displacement and Conflict: Afghanistan Case. SUSTAINABILITY 2019. [DOI: 10.3390/su11205586] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The character, the motion and the proportion of environment-induced migration have radically changed in recent years. Environment-induced migration is an increasingly recognized fact and has become one of the main challenges of the 21st century, and needs to be focused on to ensure sustainable growth. This new stance is due to the changing character of environmental degradation. Global environmental issues, including climate change, loss of biodiversity, river and oceanic contamination, land degradation, drought, and the destruction of rainforests, are progressively stressing the earth’s ecosystems. Among these issues, climate change is one of the most severe threats. Climate change alone does not directly induce people to move but it generates harmful environmental effects and worsens present vulnerabilities. The current study aims to provide cornerstone links between the effects of climate change, migration decisions, displacement risk and conflicts in the example of Afghanistan, as a country that is extremely affected by both climate change and conflicts, and outline priority policy focuses to mitigate the current situation in the country.
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Zhang Y, Beggs PJ, Bambrick H, Berry HL, Linnenluecke MK, Trueck S, Alders R, Bi P, Boylan SM, Green D, Guo Y, Hanigan IC, Hanna EG, Malik A, Morgan GG, Stevenson M, Tong S, Watts N, Capon AG. The MJA-Lancet Countdown on health and climate change: Australian policy inaction threatens lives. Med J Aust 2019; 209:474. [PMID: 30521429 DOI: 10.5694/mja18.00789] [Citation(s) in RCA: 30] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2018] [Accepted: 10/22/2018] [Indexed: 01/17/2023]
Abstract
Climate plays an important role in human health and it is well established that climate change can have very significant impacts in this regard. In partnership with The Lancet and the MJA, we present the inaugural Australian Countdown assessment of progress on climate change and health. This comprehensive assessment examines 41 indicators across five broad sections: climate change impacts, exposures and vulnerability; adaptation, planning and resilience for health; mitigation actions and health co-benefits; economics and finance; and public and political engagement. These indicators and the methods used for each are largely consistent with those of the Lancet Countdown global assessment published in October 2017, but with an Australian focus. Significant developments include the addition of a new indicator on mental health. Overall, we find that Australia is vulnerable to the impacts of climate change on health, and that policy inaction in this regard threatens Australian lives. In a number of respects, Australia has gone backwards and now lags behind other high income countries such as Germany and the United Kingdom. Examples include the persistence of a very high carbon-intensive energy system in Australia, and its slow transition to renewables and low carbon electricity generation. However, we also find some examples of good progress, such as heatwave response planning. Given the overall poor state of progress on climate change and health in Australia, this country now has an enormous opportunity to take action and protect human health and lives. Australia has the technical knowhow and intellect to do this, and our annual updates of this assessment will track Australia's engagement with and progress on this vitally important issue.
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Affiliation(s)
- Ying Zhang
- School of Public Health, University of Sydney, Sydney, NSW
| | - Paul J Beggs
- Department of Environmental Sciences, Macquarie University, Sydney, NSW
| | - Hilary Bambrick
- School of Public Health and Social Work, Queensland University of Technology, Brisbane, QLD
| | - Helen L Berry
- School of Public Health, University of Sydney, Sydney, NSW
| | | | - Stefan Trueck
- Department of Applied Finance, Macquarie University, Sydney, NSW
| | - Robyn Alders
- International Rural Poultry Centre, Kyeema Foundation, Brisbane, QLD
| | - Peng Bi
- School of Public Health, University of Adelaide, Adelaide, SA
| | | | - Donna Green
- Climate Change Research Centre, ARC Centre of Excellence for Climate Extremes, University of New South Wales, Sydney, NSW
| | - Yuming Guo
- Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, VIC
| | - Ivan C Hanigan
- University Centre for Rural Health, University of Sydney, Sydney, NSW
| | - Elizabeth G Hanna
- Climate Change Institute, Australian National University, Canberra, ACT
| | - Arunima Malik
- School of Physics, University of Sydney, Sydney, NSW
| | - Geoffrey G Morgan
- University Centre for Rural Health, University of Sydney, Lismore, NSW
| | - Mark Stevenson
- Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC
| | - Shilu Tong
- Department of Clinical Epidemiology and Biostatistics, Shanghai Jiao Tong University, Shanghai, China
| | - Nick Watts
- Institute of Global Health, University College London, London, UK
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Xue Z, Yang Z, Sun H, Ren J, Sun M, Li J, Zhang A, Zheng P, Pan P, Dou J, Shen L, Chen Y, Li K, Feng T, Lv Y, Bi C, Jin L, Wang Z, Yao Y. Epidemiological analysis of respiratory and intestinal infectious diseases in three counties of Sichuan: the baseline survey of Disaster Mitigation Demonstration Area in western China. PeerJ 2019; 7:e7341. [PMID: 31372321 PMCID: PMC6659668 DOI: 10.7717/peerj.7341] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2018] [Accepted: 06/24/2019] [Indexed: 11/26/2022] Open
Abstract
Background Natural disasters can indirectly induce epidemics of infectious diseases through air and water pollution, accelerated pathogen reproduction, and population migration. This study aimed to explore the epidemiological characteristics of the main infectious diseases in Sichuan, a province with a high frequency of natural disasters. Methods Data were collected from the local Centers for Disease Control infectious disease reports from Lu, Shifang and Yuexi counties from 2011 to 2015 and from the baseline survey of the Disaster Mitigation Demonstration Area in Western China in 2016. Principal component regression was used to explore the main influencing factors of respiratory infectious diseases (RIDs). Results The incidence rates of RIDs and intestinal infectious diseases (IIDs) in 2015 were 78.99/100,000, 125.53/100,000, 190.32/100,000 and 51.70/100,000, 206.00/100,000, 69.16/100,000 in Lu, Shifang and Yuexi respectively. The incidence rates of pulmonary tuberculosis (TB) was the highest among RIDs in the three counties. The main IIDs in Lu and Shifang were hand-foot-mouth disease (HFMD) and other infectious diarrhea; however, the main IIDs in Yuexi was bacillary dysentery. The proportions of illiterate and ethnic minorities and per capita disposable income were the top three influencing factors of RIDs. Conclusions TB was the key point of RIDs prevention among the three counties. The key preventable IIDs in Lu and Shifang were HFMD and other infectious diarrhea, and bacillary dysentery was the major IIDs in Yuexi. The incidence rates of RIDs was associated with the population composition, the economy and personal hygiene habits.
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Affiliation(s)
- Zhiqiang Xue
- Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun, China
| | | | - Hui Sun
- UNICEF Office for China, BeiJing, China
| | - Jinghuan Ren
- Chinese Center for Disease Control and Prevention, BeiJing, China
| | - Mengzi Sun
- Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun, China
| | - Jiagen Li
- Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun, China
| | - Anning Zhang
- Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun, China
| | - Pingping Zheng
- Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun, China
| | - Pan Pan
- Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun, China
| | - Jing Dou
- Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun, China
| | - Li Shen
- Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun, China
| | - Yang Chen
- Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun, China
| | - Kexin Li
- Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun, China
| | - Tianyu Feng
- Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun, China
| | - Yaogai Lv
- Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun, China
| | - Chunli Bi
- Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun, China
| | - Lina Jin
- Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun, China
| | - Zhe Wang
- Chinese Center for Disease Control and Prevention, BeiJing, China
| | - Yan Yao
- Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun, China
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Semenza JC, Ebi KL. Climate change impact on migration, travel, travel destinations and the tourism industry. J Travel Med 2019; 26:5445924. [PMID: 30976790 PMCID: PMC7107585 DOI: 10.1093/jtm/taz026] [Citation(s) in RCA: 26] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/20/2019] [Revised: 04/02/2019] [Accepted: 04/05/2019] [Indexed: 12/19/2022]
Abstract
Background: Climate change is not only increasing ambient temperature but also accelerating the frequency, duration and intensity of extreme weather and climate events, such as heavy precipitation and droughts, and causing sea level rise, which can lead to population displacement. Climate change-related reductions in land productivity and habitability and in food and water security can also interact with demographic, economic and social factors to increase migration. In addition to migration, climate change has also implications for travel and the risk of disease. This article discusses the impact of climate change on migration and travel with implications for public health practice. Methods: Literature review. Results: Migrants may be at increased risk of communicable and non-communicable diseases, due to factors in their country of origin and their country of destination or conditions that they experience during migration. Although migration has not been a significant driver of communicable disease outbreaks to date, public health authorities need to ensure that effective screening and vaccination programmes for priority communicable diseases are in place.Population growth coupled with socio-economic development is increasing travel and tourism, and advances in technology have increased global connectivity and reduced the time required to cover long distances. At the same time, as a result of climate change, many temperate regions, including high-income countries, are now suitable for vector-borne disease transmission. This is providing opportunities for importation of vectors and pathogens from endemic areas that can lead to cases or outbreaks of communicable diseases with which health professionals may be unfamiliar. Conclusion: Health systems need to be prepared for the potential population health consequences of migration, travel and tourism and the impact of climate change on these. Integrated surveillance, early detection of cases and other public health interventions are critical to protect population health and prevent and control communicabledisease outbreaks.
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Affiliation(s)
- Jan C Semenza
- Scientific Assessment Section, European Centre for Disease Prevention and Control (ECDC), Gustav III:s boulevard 40, Solna, Sweden
| | - Kristie L Ebi
- Department of Global Health, University of Washington, PO Box 354695, Suite 2330, Seattle, WA, USA
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Rees EE, Ng V, Gachon P, Mawudeku A, McKenney D, Pedlar J, Yemshanov D, Parmely J, Knox J. Risk assessment strategies for early detection and prediction of infectious disease outbreaks associated with climate change. CANADA COMMUNICABLE DISEASE REPORT = RELEVE DES MALADIES TRANSMISSIBLES AU CANADA 2019; 45:119-126. [PMID: 31285702 PMCID: PMC6587687 DOI: 10.14745/ccdr.v45i05a02] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
A new generation of surveillance strategies is being developed to help detect emerging infections and to identify the increased risks of infectious disease outbreaks that are expected to occur with climate change. These surveillance strategies include event-based surveillance (EBS) systems and risk modelling. The EBS systems use open-source internet data, such as media reports, official reports, and social media (such as Twitter) to detect evidence of an emerging threat, and can be used in conjunction with conventional surveillance systems to enhance early warning of public health threats. More recently, EBS systems include artificial intelligence applications such machine learning and natural language processing to increase the speed, capacity and accuracy of filtering, classifying and analysing health-related internet data. Risk modelling uses statistical and mathematical methods to assess the severity of disease emergence and spread given factors about the host (e.g. number of reported cases), pathogen (e.g. pathogenicity) and environment (e.g. climate suitability for reservoir populations). The types of data in these models are expanding to include health-related information from open-source internet data and information on mobility patterns of humans and goods. This information is helping to identify susceptible populations and predict the pathways from which infections might spread into new areas and new countries. As a powerful addition to traditional surveillance strategies that identify what has already happened, it is anticipated that EBS systems and risk modelling will increasingly be used to inform public health actions to prevent, detect and mitigate the climate change increases in infectious diseases.
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Affiliation(s)
- EE Rees
- Public Health Risk Sciences Division, National Microbiology Laboratory, Public Health Agency of Canada, St. Hyacinthe, QC
| | - V Ng
- Public Health Risk Sciences Division, National Microbiology Laboratory, Public Health Agency of Canada, Guelph, ON
| | - P Gachon
- Centre pour l’Étude et la Simulation du Climat à l’Échelle Régionale (ESCER), Université du Québec à Montréal (UQAM), Montréal, QC
| | - A Mawudeku
- Office of Situational Awareness and Operations, Centre for Emergency Preparedness and Response, Public Health Agency of Canada, Ottawa, ON
| | - D McKenney
- Natural Resources Canada, Canadian Forest Service, Great Lakes Forestry Centre, Sault Ste. Marie, ON
| | - J Pedlar
- Natural Resources Canada, Canadian Forest Service, Great Lakes Forestry Centre, Sault Ste. Marie, ON
| | - D Yemshanov
- Natural Resources Canada, Canadian Forest Service, Great Lakes Forestry Centre, Sault Ste. Marie, ON
| | - J Parmely
- Canadian Wildlife Health Cooperative, University of Guelph, Guelph, ON
| | - J Knox
- Public Health Risk Sciences Division, National Microbiology Laboratory, Public Health Agency of Canada, St. Hyacinthe, QC
- Public Health Risk Sciences Division, National Microbiology Laboratory, Public Health Agency of Canada, Guelph, ON
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Zahlawi T, Roome AB, Chan CW, Campbell JJ, Tosiro B, Malanga M, Tagaro M, Obed J, Iaruel J, Taleo G, Tarivonda L, Olszowy KM, Dancause KN. Psychosocial support during displacement due to a natural disaster: relationships with distress in a lower-middle income country. Int Health 2019; 11:472-479. [DOI: 10.1093/inthealth/ihy099] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2018] [Revised: 12/11/2018] [Accepted: 12/20/2018] [Indexed: 11/12/2022] Open
Abstract
Abstract
Background
Past studies show relationships between disaster-related displacement and adverse psychosocial health outcomes. The development of psychosocial interventions following displacement is thus increasingly prioritized. However, data from low- and middle-income countries (LMICs) are lacking. In October 2017, the population of Ambae Island in Vanuatu, a lower-middle income country, was temporarily displaced due to volcanic activity. We analyzed distress among adults displaced due to the event and differences based on the psychosocial support they received.
Methods
Data on experiences during displacement, distress and psychosocial support were collected from 443 adults 2–3 wk after repatriation to Ambae Island. Four support categories were identified: Healthcare professional, Traditional/community, Not available and Not wanted. We analyzed differences in distress by sex and group using one-way ANOVA and generalized linear models.
Results
Mean distress scores were higher among women (1.90, SD=0.97) than men (1.64, SD=0.98) (p<0.004). In multivariate models, psychosocial support group was associated with distress among women (p=0.033), with higher scores among women who reported no available support compared with every other group. Both healthcare professional and traditional support networks were widely used.
Conclusions
Women might be particularly vulnerable to distress during disaster-related displacement in LMICs, and those who report a lack of support might be at greater risk. Both healthcare professional and traditional networks provide important sources of support that are widely used and might help to ameliorate symptoms.
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Affiliation(s)
- Tatiana Zahlawi
- Département des sciences de l’activité physique, Université du Québec à Montréal, Montréal, QC, Canada
| | - Amanda B Roome
- Binghamton University, Department of Anthropology, Binghamton, NY, USA
| | - Chim W Chan
- Island Malaria Group, Department of Microbiology, Tumor and Cell Biology (MTC), Karolinska Institutet, Stockholm, Sweden
| | | | - Bev Tosiro
- Lolowai Hospital, PMB 9009, Ambae, Republic of Vanuatu
| | - Max Malanga
- Lolowai Hospital, PMB 9009, Ambae, Republic of Vanuatu
| | | | - Jimmy Obed
- Vanuatu Ministry of Health, PMB 9042, Port Vila, Republic of Vanuatu
| | - Jerry Iaruel
- Vanuatu Ministry of Health, PMB 9042, Port Vila, Republic of Vanuatu
| | - George Taleo
- Vanuatu Ministry of Health, PMB 9042, Port Vila, Republic of Vanuatu
| | - Len Tarivonda
- Vanuatu Ministry of Health, PMB 9042, Port Vila, Republic of Vanuatu
| | - Kathryn M Olszowy
- Cleveland State University, Department of Criminology, Anthropology & Sociology, Cleveland, OH, USA
| | - Kelsey N Dancause
- Département des sciences de l’activité physique, Université du Québec à Montréal, Montréal, QC, Canada
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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: 1.2] [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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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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Abstract
Sub-Saharan Africa is home to several of the world’s least developed economies. Additionally, forty percent of the nearly one billion people in this region lack access to basic electricity. There are several initiatives and programs aimed at increasing electricity access, clean cooking fuel, and renewable energy around the world. Economic development efforts have traditionally relied on increasing an economy’s use of fossil fuels. However, global climate change agreements and mitigation efforts are in direct contrast with this approach. As such, future development efforts must fit into the larger energy–population–climate nexus of global sustainability. Here we utilise a quantitative approach to examine three scenarios for development in sub-Saharan Africa and compare the results to nine historical examples of economic development. While no perfect development analogue was found, there are several lessons that can be learned from the last half century of efforts. We find that UN projected population growth in the region is expected to outpace non-renewable energy availability. The population of sub-Saharan Africa, and subsequent projected growth (4 billion by 2100), will represent a significant energy and climate strain on the 21st century world. In a larger sense, the social and economic development of sub-Saharan Africa is likely to be tied to an increase in per capita energy consumption. This increase is not going to come from traditional fossil fuels and will therefore require significant investment in a renewable energy infrastructure.
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Noé A, Zaman SI, Rahman M, Saha AK, Aktaruzzaman MM, Maude RJ. Mapping the stability of malaria hotspots in Bangladesh from 2013 to 2016. Malar J 2018; 17:259. [PMID: 29996835 PMCID: PMC6042289 DOI: 10.1186/s12936-018-2405-3] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2018] [Accepted: 07/03/2018] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Malaria claims hundreds of thousands of lives each year, most of them children. A "malaria-free world" is the World Health Organization's vision, but elimination from the southeast Asian Region is hampered by factors including anti-malarial resistance and systematic underreporting. Malaria is a significant public health problem in Bangladesh and while there have been recent gains in control, there is large spatial and temporal heterogeneity in the disease burden. This study aims to determine the pattern and stability of malaria hotspots in Bangladesh with the end goal of informing intervention planning for elimination. RESULTS Malaria in Bangladesh exhibited highly seasonal, hypoendemic transmission in geographic hotspots, which remained conserved over time. The southeast areas of the Chittagong Hill Tracts were identified as malaria hotspots for all 4 years examined. Similarly, areas in Sunamganj and Netrakona districts in the Northeast were hotspots for 2013-2016. Highly stable hotspots from 1 year predicted the following year's hotspot locations in the southeast of Bangladesh. Hotspots did not appear to act as sources of spread with no evidence of consistent patterns of contiguous spread or recession of hotspots as high or low transmission seasons progressed. CONCLUSIONS Areas were identified with temporal and spatial clustering of high malaria incidence in Bangladesh. Further studies are required to understand the vector, sociodemographic and disease dynamics within these hotspots. Given the low caseloads occurring in the low transmission seasons, and the conserved nature of malaria hotspots, directing resources towards these areas may be an efficient way to achieve malaria elimination in Bangladesh.
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Affiliation(s)
- Andrés Noé
- Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine Research Building, University of Oxford, Old Road Campus, Roosevelt Drive, Oxford, OX3 7FZ, UK
- Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, 3/F, 60th Anniversary Chalermprakiat Building, 420/6 Rajvithi Road, Bangkok, 10400, Thailand
| | - Sazid Ibna Zaman
- Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine Research Building, University of Oxford, Old Road Campus, Roosevelt Drive, Oxford, OX3 7FZ, UK
- Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, 3/F, 60th Anniversary Chalermprakiat Building, 420/6 Rajvithi Road, Bangkok, 10400, Thailand
| | - Mosiqure Rahman
- National Malaria Elimination Programme, Directorate General of Health Services, Ministry of Health and Family Welfare, Dhaka, Bangladesh
| | - Anjan Kumar Saha
- National Malaria Elimination Programme, Directorate General of Health Services, Ministry of Health and Family Welfare, Dhaka, Bangladesh
| | - M M Aktaruzzaman
- National Malaria Elimination Programme, Directorate General of Health Services, Ministry of Health and Family Welfare, Dhaka, Bangladesh
| | - Richard James Maude
- Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine Research Building, University of Oxford, Old Road Campus, Roosevelt Drive, Oxford, OX3 7FZ, UK.
- Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, 3/F, 60th Anniversary Chalermprakiat Building, 420/6 Rajvithi Road, Bangkok, 10400, Thailand.
- Harvard TH Chan School of Public Health, Harvard University, Boston, USA.
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Tong MX, Hansen A, Hanson-Easey S, Xiang J, Cameron S, Liu Q, Liu X, Sun Y, Weinstein P, Han GS, Bi P. China's capacity of hospitals to deal with infectious diseases in the context of climate change. Soc Sci Med 2018; 206:60-66. [PMID: 29684649 PMCID: PMC7116943 DOI: 10.1016/j.socscimed.2018.04.021] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2017] [Revised: 02/22/2018] [Accepted: 04/13/2018] [Indexed: 02/07/2023]
Abstract
OBJECTIVES Infectious diseases are a major cause of morbidity and mortality in China. The capacity of hospitals to deal with the challenge from emerging and re-emerging infectious diseases due to climate change is of great importance to population health. This study aimed to explore the capacity of hospitals in China to deal with such challenges. METHODS A cross-sectional questionnaire survey was utilized to gauge information regarding capacity of hospitals to deal with infectious diseases in the context of climate change among 611 clinical professionals whose roles pertained to infectious disease diagnosis, treatment and management in Anhui Province of China. Descriptive analysis and logistic regression analysis were performed on the data. RESULTS More than 90% of participants believed climate change would have an adverse influence on population health and infectious disease control in China. Most indicated that their hospitals were well prepared for emerging infectious diseases at present, and they considered that logistical support in hospitals (e.g. administrative and maintenance services) should be strengthened for future capacity building. The majority of participants suggested that effective prevention and control measures, more interdisciplinary collaborations, more funding in rural areas for health care, and improved access to facilities enabling online reporting of infectious diseases, were extremely important strategies in building capacity to curb the population health impact of emerging and re-emerging infectious diseases due to climate change in China. CONCLUSIONS Clinical professionals recognized that climate change will likely increase the transmission of infectious diseases. Although rural health care and hospitals' logistical support need to be improved, most professionals believed their hospitals to be capable of dealing with emerging diseases. They thought that interdisciplinary and cross-regional collaborations, together with necessary resource support (e.g. improved facilities for rural health care) would be important control strategies.
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Affiliation(s)
- Michael Xiaoliang Tong
- School of Public Health, The University of Adelaide, Adelaide, South Australia, 5005, Australia.
| | - Alana Hansen
- School of Public Health, The University of Adelaide, Adelaide, South Australia, 5005, Australia.
| | - Scott Hanson-Easey
- School of Public Health, The University of Adelaide, Adelaide, South Australia, 5005, Australia.
| | - Jianjun Xiang
- School of Public Health, The University of Adelaide, Adelaide, South Australia, 5005, Australia.
| | - Scott Cameron
- School of Public Health, The University of Adelaide, Adelaide, South Australia, 5005, Australia.
| | - Qiyong Liu
- State Key Laboratory of Infectious Disease Prevention and Control, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, 102206, China.
| | - Xiaobo Liu
- State Key Laboratory of Infectious Disease Prevention and Control, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, 102206, China.
| | - Yehuan Sun
- Department of Epidemiology, Anhui Medical University, Hefei, Anhui, 230032, China.
| | - Philip Weinstein
- School of Biological Sciences, The University of Adelaide, Adelaide, South Australia, 5005, Australia.
| | - Gil-Soo Han
- Communications & Media Studies, School of Media, Film and Journalism, Monash University, Clayton, Victoria, 3800, Australia.
| | - Peng Bi
- School of Public Health, The University of Adelaide, Adelaide, South Australia, 5005, Australia.
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Abstract
PURPOSE OF REVIEW Melioidosis epidemiology is susceptible to climate change through direct and indirect effects on human encounter with the causative agent, Burkholderia pseudomallei. This review describes the current depth of knowledge and recent advances in the understanding of this relationship and applies it to observations of melioidosis in Western Australia. RECENT FINDINGS High maximum rainfall and dense cloud cover have been shown to predict environmental presence of B. pseudomallei and cases of melioidosis, probably through correspondingly high moisture levels in B. pseudomallei-receptive soils. Increased melioidosis cases have been observed following storms in Taiwan and cyclones in the Australian Northern Territory and strengthen the association between melioidosis and extreme weather events. Indirect weather effects contribute to bacterial exposure through mechanisms such as increasing B. pseudomallei output from water seeps after heavy rain or localised flooding. Climate and weather have been directly implicated in dissemination of B. pseudomallei and cases of melioidosis in several notable events in Western Australia. Over a 10-year surveillance period, the cases that lay in the path of a tropical cyclone co-located with cyclone systems that repeatedly crossed the Western Australian coast. Cyclone-associated cases were caused by different B. pseudomallei MLST genotypes, arguing against airborne dissemination from a common source. SUMMARY Predicted increases in temperature, changes in global precipitation patterns and an increased incidence of extreme weather events are expected to change melioidosis epidemiology. Further studies of the physical geographic drivers of melioidosis will deepen understanding of the impact of climate on melioidosis.
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Affiliation(s)
- Adam J. Merritt
- Department of Microbiology, PathWest Laboratory Medicine Western Australia, PP Building, QEII Medical Centre, Hospital Avenue, Nedlands, WA 6009 Australia
- School of Biomedical Sciences, Faculty of Health and Medical Sciences, The University of Western Australia (M504), 35 Stirling Highway, Crawley, WA 6009 Australia
| | - Timothy J. J. Inglis
- Department of Microbiology, PathWest Laboratory Medicine Western Australia, PP Building, QEII Medical Centre, Hospital Avenue, Nedlands, WA 6009 Australia
- School of Biomedical Sciences, Faculty of Health and Medical Sciences, The University of Western Australia (M504), 35 Stirling Highway, Crawley, WA 6009 Australia
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Abstract
This paper reviews how migration, both geographical and social, impacts on variation in some human biological traits. Migration and mobility are considered in relation to anthropometric traits and indices, psychometric traits, health, disease and nutrition, temperature regulation and metabolism, mental health and gene flow. It is well known that migration is important in disease transmission but, as this paper demonstrates, migration can have both positive and negative impacts on both donor and recipient populations for a wide range of human traits.
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Affiliation(s)
- C G N Mascie-Taylor
- a Department of Archaeology and Anthropology , University of Cambridge , Cambridge , UK
| | - M Krzyżanowska
- b Department of Human Biology , University of Wroclaw , Wroclaw , Poland
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Patrozou E. Our changing world: impacts on health and infectious diseases. Virulence 2016; 6:533-4. [PMID: 26151394 DOI: 10.1080/21505594.2015.1062961] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
Affiliation(s)
- Eleni Patrozou
- a Alpert Medical School of Brown University ; Providence , RI USA
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