1
|
Romanello M, Napoli CD, Green C, Kennard H, Lampard P, Scamman D, Walawender M, Ali Z, Ameli N, Ayeb-Karlsson S, Beggs PJ, Belesova K, Berrang Ford L, Bowen K, Cai W, Callaghan M, Campbell-Lendrum D, Chambers J, Cross TJ, van Daalen KR, Dalin C, Dasandi N, Dasgupta S, Davies M, Dominguez-Salas P, Dubrow R, Ebi KL, Eckelman M, Ekins P, Freyberg C, Gasparyan O, Gordon-Strachan G, Graham H, Gunther SH, Hamilton I, Hang Y, Hänninen R, Hartinger S, He K, Heidecke J, Hess JJ, Hsu SC, Jamart L, Jankin S, Jay O, Kelman I, Kiesewetter G, Kinney P, Kniveton D, Kouznetsov R, Larosa F, Lee JKW, Lemke B, Liu Y, Liu Z, Lott M, Lotto Batista M, Lowe R, Odhiambo Sewe M, Martinez-Urtaza J, Maslin M, McAllister L, McMichael C, Mi Z, Milner J, Minor K, Minx JC, Mohajeri N, Momen NC, Moradi-Lakeh M, Morrissey K, Munzert S, Murray KA, Neville T, Nilsson M, Obradovich N, O'Hare MB, Oliveira C, Oreszczyn T, Otto M, Owfi F, Pearman O, Pega F, Pershing A, Rabbaniha M, Rickman J, Robinson EJZ, Rocklöv J, Salas RN, Semenza JC, Sherman JD, Shumake-Guillemot J, Silbert G, Sofiev M, Springmann M, Stowell JD, Tabatabaei M, Taylor J, Thompson R, Tonne C, Treskova M, Trinanes JA, Wagner F, Warnecke L, Whitcombe H, Winning M, Wyns A, Yglesias-González M, Zhang S, Zhang Y, Zhu Q, Gong P, Montgomery H, Costello A. The 2023 report of the Lancet Countdown on health and climate change: the imperative for a health-centred response in a world facing irreversible harms. Lancet 2023; 402:2346-2394. [PMID: 37977174 DOI: 10.1016/s0140-6736(23)01859-7] [Citation(s) in RCA: 99] [Impact Index Per Article: 99.0] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/05/2023] [Revised: 08/07/2023] [Accepted: 08/31/2023] [Indexed: 11/19/2023]
Affiliation(s)
- Marina Romanello
- Institute for Global Health, University College London, London, UK.
| | - Claudia di Napoli
- School of Agriculture, Policy and Development, University of Reading, Reading, UK
| | - Carole Green
- Department of Global Health, University of Washington, Washington, DC, USA
| | - Harry Kennard
- Center on Global Energy Policy, Columbia University, New York, NY, USA
| | - Pete Lampard
- Department of Health Sciences, University of York, York, UK
| | - Daniel Scamman
- Institute for Sustainable Resources, University College London, London, UK
| | - Maria Walawender
- Institute for Global Health, University College London, London, UK
| | - Zakari Ali
- Medical Research Council Unit The Gambia, London School of Hygiene and Tropical Medicine, London, UK
| | - Nadia Ameli
- Institute for Sustainable Resources, University College London, London, UK
| | - Sonja Ayeb-Karlsson
- Institute for Risk and Disaster Reduction, University College London, London, UK
| | - Paul J Beggs
- School of Natural Sciences, Macquarie University, Sydney, NSW, Australia
| | | | | | - Kathryn Bowen
- School of Population and Global Health, The University of Melbourne, Melbourne, VIC, Australia
| | - Wenjia Cai
- Department of Earth System Science, Tsinghua University, Beijing, China
| | - Max Callaghan
- Mercator Research Institute on Global Commons and Climate Change, Berlin, Germany
| | - Diarmid Campbell-Lendrum
- Department of Environment, Climate Change and Health, World Health Organisation, Geneva, Switzerland
| | - Jonathan Chambers
- Institute for Environmental Sciences, University of Geneva, Geneva, Switzerland
| | - Troy J Cross
- Heat and Health Research Incubator, University of Sydney, Sydney, NSW, Australia
| | | | - Carole Dalin
- Institute for Sustainable Resources, University College London, London, UK
| | - Niheer Dasandi
- International Development Department, University of Birmingham, Birmingham, UK
| | - Shouro Dasgupta
- Euro-Mediterranean Center on Climate Change Foundation, Lecce, Italy
| | - Michael Davies
- Institute for Risk and Disaster Reduction, University College London, London, UK
| | | | - Robert Dubrow
- School of Public Health, Yale University, New Haven, CT, USA
| | - Kristie L Ebi
- Department of Global Health, University of Washington, Washington, DC, USA
| | - Matthew Eckelman
- Department of Civil & Environmental Engineering, Northeastern University, Boston, MA, USA
| | - Paul Ekins
- Institute for Sustainable Resources, University College London, London, UK
| | - Chris Freyberg
- Department of Information Systems, Massey University, Palmerston North, New Zealand
| | - Olga Gasparyan
- Department of Political Science, Florida State University, Tallahassee, FL, USA
| | | | - Hilary Graham
- Department of Health Sciences, University of York, York, UK
| | - Samuel H Gunther
- Yong Loo Lin School of Medicine, National University of Singapore, Singapore
| | - Ian Hamilton
- Energy Institute, University College London, London, UK
| | - Yun Hang
- Gangarosa Department of Environmental Health, Emory University, Atlanta, GA
| | | | - Stella Hartinger
- Carlos Vidal Layseca School of Public Health and Management, Cayetano Heredia Pervuvian University, Lima, Peru
| | - Kehan He
- Bartlett School of Sustainable Construction, University College London, London, UK
| | - Julian Heidecke
- Interdisciplinary Center for Scientific Computing, Heidelberg University, Heidelberg, Germany
| | - Jeremy J Hess
- Centre for Health and the Global Environment, University of Washington, Washington, DC, USA
| | - Shih-Che Hsu
- Energy Institute, University College London, London, UK
| | - Louis Jamart
- Institute for Global Health, University College London, London, UK
| | - Slava Jankin
- Centre for AI in Government, University of Birmingham, Birmingham, UK
| | - Ollie Jay
- Heat and Health Research Incubator, University of Sydney, Sydney, NSW, Australia
| | - Ilan Kelman
- Institute for Global Health, University College London, London, UK
| | - Gregor Kiesewetter
- International Institute for Applied Systems Analysis Energy, Climate, and Environment Program, Laxenburg, Austria
| | - Patrick Kinney
- Department of Environmental Health, Boston University, Boston, MA, USA
| | - Dominic Kniveton
- School of Global Studies, University of Sussex, Brighton and Hove, UK
| | | | - Francesca Larosa
- Engineering Mechanics, KTH Royal Institute of Technology, Stockholm, Sweden
| | - Jason K W Lee
- Yong Loo Lin School of Medicine, National University of Singapore, Singapore
| | - Bruno Lemke
- School of Health, Nelson Marlborough Institute of Technology, Nelson, New Zealand
| | - Yang Liu
- Gangarosa Department of Environmental Health, Emory University, Atlanta, GA
| | - 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
- Catalan Institution for Research and Advanced Studies, Barcelona, Spain
| | | | - Jaime Martinez-Urtaza
- Department of Genetics and Microbiology, Autonomous University of Barcelona, Bellaterra, Spain
| | - Mark Maslin
- Department of Geography, University College London, London, UK
| | - Lucy McAllister
- Environmental Studies Program, Denison University, Granville, OH, USA
| | - Celia McMichael
- School of Geography, Earth and Atmospheric Sciences, The University of Melbourne, Melbourne, VIC, Australia
| | - Zhifu Mi
- Bartlett School of Sustainable Construction, University College London, London, UK
| | - James Milner
- Department of Public Health Environments and Society, London School of Hygiene and Tropical Medicine, London, UK
| | - Kelton Minor
- Data Science Institute, Columbia University, New York, NY, USA
| | - Jan C Minx
- Mercator Research Institute on Global Commons and Climate Change, Berlin, Germany
| | - Nahid Mohajeri
- Bartlett School of Sustainable Construction, University College London, London, UK
| | - Natalie C Momen
- Department of Environment, Climate Change and Health, World Health Organisation, Geneva, Switzerland
| | - Maziar Moradi-Lakeh
- Preventive Medicine and Public Health Research Center, Psychosocial Health Research Institute, Department of Community and Family Medicine, Iran University of Medical Sciences, Tehran, Iran
| | - Karyn Morrissey
- Department of Technology Management and Economics, Technical University of Denmark, Kongens Lyngby, Denmark
| | | | - Kris A Murray
- Medical Research Council Unit The Gambia, London School of Hygiene and Tropical Medicine, London, UK
| | - Tara Neville
- Department of Environment, Climate Change and Health, World Health Organisation, Geneva, Switzerland
| | - Maria Nilsson
- Department for Epidemiology and Global Health, Umeå University, Umeå, Sweden
| | | | - Megan B O'Hare
- Institute for Global Health, University College London, London, UK
| | - Camile Oliveira
- Institute for Global Health, University College London, London, UK
| | | | - Matthias Otto
- School of Health, Nelson Marlborough Institute of Technology, Nelson, New Zealand
| | - Fereidoon Owfi
- Iranian Fisheries Science Research Institute, Tehran, Iran
| | - Olivia Pearman
- Center for Science and Technology Policy, University of Colorado Boulder, Boulder, CO, USA
| | - Frank Pega
- Department of Environment, Climate Change and Health, World Health Organisation, Geneva, Switzerland
| | | | | | - Jamie Rickman
- Institute for Sustainable Resources, University College London, London, UK
| | - Elizabeth J Z Robinson
- Grantham Research Institute on Climate Change and the Environment, London School of Economics and Political Science, London, UK
| | - Joacim Rocklöv
- Interdisciplinary Center for Scientific Computing, Heidelberg University, Heidelberg, Germany
| | - Renee N Salas
- Harvard Medical School, Harvard University, Boston, MA, USA
| | - Jan C Semenza
- Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden
| | - Jodi D Sherman
- Department of Anesthesiology, Yale University, New Haven, CT, USA
| | | | - Grant Silbert
- Melbourne Medical School, The University of Melbourne, Melbourne, VIC, Australia
| | | | - Marco Springmann
- Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK
| | | | - Meisam Tabatabaei
- Institute of Tropical Aquaculture and Fisheries, Universiti Malaysia Terengganu, Terengganu, Malaysia
| | - Jonathon Taylor
- Department of Civil Engineering, Tampere University, Tampere, Finland
| | | | - Cathryn Tonne
- Barcelona Institute for Global Health, Barcelona, Spain
| | - Marina Treskova
- Interdisciplinary Center for Scientific Computing, Heidelberg University, Heidelberg, Germany
| | - Joaquin A Trinanes
- Department of Electronics and Computer Science, University of Santiago de Compostela, Santiago, Spain
| | - Fabian Wagner
- International Institute for Applied Systems Analysis Energy, Climate, and Environment Program, Laxenburg, Austria
| | - Laura Warnecke
- International Institute for Applied Systems Analysis Energy, Climate, and Environment Program, Laxenburg, Austria
| | - Hannah Whitcombe
- Institute for Global Health, University College London, London, UK
| | - Matthew Winning
- Institute for Sustainable Resources, University College London, London, UK
| | - Arthur Wyns
- Melbourne Climate Futures, The University of Melbourne, Melbourne, VIC, Australia
| | - Marisol Yglesias-González
- Centro Latinoamericano de Excelencia en Cambio Climatico y Salud, Cayetano Heredia Pervuvian University, Lima, Peru
| | - Shihui Zhang
- Department of Earth System Science, Tsinghua University, Beijing, China
| | - Ying Zhang
- School of Public Health, University of Sydney, Sydney, NSW, Australia
| | - Qiao Zhu
- Gangarosa Department of Environmental Health, Emory University, Atlanta, GA
| | - Peng Gong
- Department of Geography, University of Hong Kong, Hong Kong Special Administrative Region, China
| | - Hugh Montgomery
- Department of Experimental and Translational Medicine and Division of Medicine, University College London, London, UK
| | - Anthony Costello
- Institute for Global Health, University College London, London, UK
| |
Collapse
|
2
|
Chicmana-Zapata V, Arotoma-Rojas I, Anza-Ramírez C, Ford J, Galappaththi EK, Pickering K, Sacks E, Togarepi C, Perera CD, van Bavel B, Hyams K, Akugre FA, Nkalubo J, Dharmasiri I, Nakwafila O, Mensah A, Miranda JJ, Zavaleta-Cortijo C. Justice implications of health and food security policies for Indigenous peoples facing COVID-19: a qualitative study and policy analysis in Peru. Health Policy Plan 2023; 38:ii36-ii50. [PMID: 37995268 PMCID: PMC10680992 DOI: 10.1093/heapol/czad051] [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] [Received: 01/20/2023] [Revised: 06/22/2023] [Accepted: 07/05/2023] [Indexed: 11/25/2023] Open
Abstract
The spread of COVID-19 in Peru resulted in the declaration of a national health emergency, in which Indigenous peoples were identified as being particularly vulnerable due to their pre-existing poor health indicators and disadvantaged social conditions. The aim of this paper is to examine how the Peruvian government responded to the health and food needs of the Shawi and Ashaninka Indigenous peoples of Peru during the first 18 months of the pandemic (March 2020-August 2021). This study uses both official policy documents and real-world experiences to evaluate policy responses in terms of their immediate impact and their longer-term sustainability and contribution to the improvement of health, well-being and justice for Indigenous communities. Four health and food security responses were evaluated: the Amazon Health Plan and Indigenous Command; food aid; cash aid; and COVID-19 vaccination. We employed the Multidimensional Injustice Framework to analyse the justice implications of the design and implementation of responses. Data collection included 71 interviews with government officials (n = 7), Indigenous leaders (n = 31) and community members (n = 33). The results show how national and regional governments released policies to address the health and food needs of Indigenous peoples directly or indirectly, as part of a broader focus on vulnerable people. However, justice implications were not sufficiently addressed in the design or implementation of the responses. On the distributive dimension, Indigenous communities were prioritized to receive health goods and services, nevertheless, the distribution had shortcomings that impeded their collection and Indigenous food systems and livelihoods were largely overlooked. On the procedural dimension, Indigenous representatives were included to provide culturally sensitive feedback on health interventions, but without funding, and furthermore, the community members had only passive participation. This paper points out the importance of considering and addressing justice implications for more effective and fairer health and food policy responses to current and future health crises.
Collapse
Affiliation(s)
- Victoria Chicmana-Zapata
- Universidad Peruana Cayetano Heredia, Av. Honorio Delgado 430, San Martín de Porres, Lima 15102, Perú
| | - Ingrid Arotoma-Rojas
- Priestley International Centre for Climate, University of Leeds, Woodhouse, Leeds LS2 9JT, United Kingdom
| | - Cecilia Anza-Ramírez
- CRONICAS-Universidad Peruana Cayetano Heredia, Av. Armendáriz 445, Miraflores, Lima, 15074, Perú
| | - James Ford
- Priestley International Centre for Climate, University of Leeds, Woodhouse, Leeds LS2 9JT, United Kingdom
| | - Eranga K Galappaththi
- Department of Geography, Virginia Polytechnic Institute and State University, 238 Wallace Hall, Blacksburg, VA 24060, USA
| | - Kerrie Pickering
- Environmental Sustainability Research Centre, Brock University, 1812 Sir Isaac Brock Way, St. Catharines, ON L2S 3A1, Canada
| | - Emma Sacks
- Johns Hopkins Bloomberg School of Public Health, 615 N Wolfe St., Baltimore, MD 21205, USA
| | - Cecil Togarepi
- University of Namibia, Ogongo Campus, Private Bag X5507, Eliander Mwatale Street, Oshakati, Namibia
| | - Chrishma D Perera
- Department of Geography, Virginia Polytechnic Institute and State University, 238 Wallace Hall, Blacksburg, VA 24060, USA
| | | | - Keith Hyams
- University of Warwick, Coventry CV4 7AL, United Kingdom
| | - Francis A Akugre
- Institute for Environment and Sanitation Studies, University of Ghana, MR39+C4X, Annie Jiagge Rd, Accra, Ghana
| | - Jonathan Nkalubo
- Mulago National Referral Hospital and Uganda National Health Research Organization, Mulago Hospital Complex, Mulago Hill, P.O. Box 7051, Kampala, Uganda
| | - Indunil Dharmasiri
- Department of Geography, Virginia Polytechnic Institute and State University, 238 Wallace Hall, Blacksburg, VA 24060, USA
| | - Olivia Nakwafila
- University of Namibia, 340 Mandume Ndemufayo Avenue, Pioneerspark, Namibia
| | - Adelina Mensah
- Institute for Environment and Sanitation Studies, University of Ghana, MR39+C4X, Annie Jiagge Rd, Accra, Ghana
| | - Jaime J Miranda
- CRONICAS-Universidad Peruana Cayetano Heredia, Av. Honorio Delgado 430, San Martín de Porres, Lima 15102, Perú
| | - Carol Zavaleta-Cortijo
- Unidad de Ciudadania Intercultural y Salud Indígena (UCISI), Facultad de Salud Pública y Administración, Universidad Peruana Cayetano Heredia, Av. Honorio Delgado 430, San Martín de Porres, Lima 15102, Perú
| |
Collapse
|
3
|
Guariguata L, Hickey GM, Murphy MM, Guell C, Iese V, Morrissey K, Duvivier P, Herberg S, Kiran S, Unwin N. Understanding the links between human health, ecosystem health, and food systems in Small Island Developing States using stakeholder-informed causal loop diagrams. PLOS GLOBAL PUBLIC HEALTH 2023; 3:e0001988. [PMID: 37725624 PMCID: PMC10508617 DOI: 10.1371/journal.pgph.0001988] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/08/2023] [Accepted: 08/22/2023] [Indexed: 09/21/2023]
Abstract
Globalized food systems are a major driver of climate change, biodiversity loss, environmental degradation, and the increasing prevalence of overweight and obesity in society. Small Island Developing States (SIDS) are particularly sensitive to the negative effects of rapid environmental change, with many also exhibiting a heavy reliance on food imports and high burdens of nutrition-related disease, resulting in calls to (re)localize their food systems. Such a transition represents a complex challenge, with adaptation interventions in one part of the food system contingent on the success of interventions in other parts. To help address this challenge, we used group model-building techniques from the science of system dynamics to engage food system stakeholders in Caribbean and Pacific SIDS. Our aim was to understand the drivers of unhealthy and unsustainable food systems in SIDS, and the potential role that increased local food production could play in transformative adaptation. We present two causal loop diagrams (CLDs) considered helpful in designing resilience-enhancing interventions in local food systems. These CLDs represent 'dynamic hypotheses' and provide starting points that can be adapted to local contexts for identifying food system factors, understanding the interactions between them, and co-creating and implementing adaptation interventions, particularly in SIDS. The results can help guide understanding of complexity, assist in the co-creation of interventions, and reduce the risk of maladaptive consequences.
Collapse
Affiliation(s)
- Leonor Guariguata
- Department of Natural Resource Sciences, Faculty of Agricultural and Environmental Sciences, McGill University, Ste-Anne-de-Bellevue, QC, Canada
- George Alleyne Chronic Disease Research Centre, University of the West Indies, Bridgetown, Barbados
| | - Gordon M. Hickey
- Department of Natural Resource Sciences, Faculty of Agricultural and Environmental Sciences, McGill University, Ste-Anne-de-Bellevue, QC, Canada
| | - Madhuvanti M. Murphy
- George Alleyne Chronic Disease Research Centre, University of the West Indies, Bridgetown, Barbados
| | - Cornelia Guell
- European Centre for Environment and Human Health, University of Exeter, Exeter, United Kingdom
| | - Viliamu Iese
- Pacific Centre for Environment and Sustainable Development, University of the South Pacific, Suva, Fiji
| | - Karyn Morrissey
- Department of Technology, Management and Economics, Technical University of Denmark, Lyngby, Denmark
| | - Predner Duvivier
- Faculté d’Agronomie et de Médecine Vétérinaire, Université de d’État d’Haïti Port-au-Prince, Port-au-Prince, Haiti
| | - Stina Herberg
- Richmond Vale Academy, Richmond, St Vincent and The Grenadines
| | - Sashi Kiran
- Foundation for Rural Integrated Enterprises and Development (FRIEND), Lautoka, Fiji
| | - Nigel Unwin
- European Centre for Environment and Human Health, University of Exeter, Exeter, United Kingdom
- MRC Epidemiology Unit, University of Cambridge, Cambridge, United Kingdom
| |
Collapse
|
4
|
Deivanayagam TA, English S, Hickel J, Bonifacio J, Guinto RR, Hill KX, Huq M, Issa R, Mulindwa H, Nagginda HP, de Morais Sato P, Selvarajah S, Sharma C, Devakumar D. Envisioning environmental equity: climate change, health, and racial justice. Lancet 2023; 402:64-78. [PMID: 37263280 PMCID: PMC10415673 DOI: 10.1016/s0140-6736(23)00919-4] [Citation(s) in RCA: 22] [Impact Index Per Article: 22.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/08/2022] [Revised: 04/28/2023] [Accepted: 05/02/2023] [Indexed: 06/03/2023]
Abstract
Climate change has a broad range of health impacts and tackling climate change could be the greatest opportunity for improving global health this century. Yet conversations on climate change and health are often incomplete, giving little attention to structural discrimination and the need for racial justice. Racism kills, and climate change kills. Together, racism and climate change interact and have disproportionate effects on the lives of minoritised people both within countries and between the Global North and the Global South. This paper has three main aims. First, to survey the literature on the unequal health impacts of climate change due to racism, xenophobia, and discrimination through a scoping review. We found that racially minoritised groups, migrants, and Indigenous communities face a disproportionate burden of illness and mortality due to climate change in different contexts. Second, this paper aims to highlight inequalities in responsibility for climate change and the effects thereof. A geographical visualisation of responsibility for climate change and projected mortality and disease risk attributable to climate change per 100 000 people in 2050 was conducted. These maps visualise the disproportionate burden of illness and mortality due to climate change faced by the Global South. Our third aim is to highlight the pathways through which climate change, discrimination, and health interact in most affected areas. Case studies, testimony, and policy analysis drawn from multidisciplinary perspectives are presented throughout the paper to elucidate these pathways. The health community must urgently examine and repair the structural discrimination that drives the unequal impacts of climate change to achieve rapid and equitable action.
Collapse
Affiliation(s)
- Thilagawathi Abi Deivanayagam
- Institute for Global Health, University College London, London, UK; Lancaster Medical School, Faculty of Health and Medicine, Lancaster University, Lancaster, UK.
| | - Sonora English
- Institute for Global Health, University College London, London, UK
| | - Jason Hickel
- Institute for Environmental Science and Technology, Autonomous University of Barcelona, Barcelona, Spain; International Inequalities Institute, London School of Economics and Political Science, London, UK
| | - Jon Bonifacio
- Youth Advocates for Climate Action Philippines, Quezon City, Philippines
| | - Renzo R Guinto
- Planetary and Global Health Program, St Luke's Medical Center College of Medicine-William H Quasha Memorial, Quezon City, Philippines
| | - Kyle X Hill
- Department of Indigenous Health, School of Medicine and Health Sciences, University of North Dakota, Grand Forks, ND, USA
| | - Mita Huq
- Institute for Global Health, University College London, London, UK
| | - Rita Issa
- Institute for Global Health, University College London, London, UK; School of International Development, University of East Anglia, Norwich, UK
| | | | | | | | | | - Chetna Sharma
- Institute for Global Health, University College London, London, UK
| | - Delan Devakumar
- Institute for Global Health, University College London, London, UK
| |
Collapse
|
5
|
Zavaleta-Cortijo C, Cade J, Ford J, Greenwood DC, Carcamo C, Silvera-Ccallo R, Fernandez-Neyra C, Lancha-Rucoba G, Pizango-Tangoa M, Pizango-Inuma R, Chanchari-Huiñapi J, Velez-Quevedo J, Inuma-Tangoa N, Antazu T, Miranda-Cuadros M, Aparco JP, Aro-Guardia P, Verastegui M, Morales-Ancajima V, Bressan T, Miranda JJ. Does food biodiversity protect against malnutrition and favour the resilience to climate change-related events in Amazon Indigenous communities? A protocol for a mixed methods study. Wellcome Open Res 2023; 7:246. [PMID: 38463717 PMCID: PMC10924752 DOI: 10.12688/wellcomeopenres.18235.1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/15/2023] [Indexed: 03/12/2024] Open
Abstract
Background : Undernutrition is projected to be a major consequence of climate change. Biodiversity could enhance climate change resilience by improving nutritional outcomes and providing healthy food resources during and/or after climate-related events. For Indigenous populations who currently base their diet on local biodiversity, rapid climate changes may affect their ability to produce, access or gather food and consequently impact their nutritional status. There is a knowledge gap regarding whether nutritional status among Indigenous populations is better among those who consume a diet with greater biodiversity than those who have a diet with low biodiversity. Objective : This study aims to investigate the role of food biodiversity (FBD) in nutritional resilience to extreme flooding events of Shawi Amazon Indigenous adults living in Peruvian communities that have experienced extreme floods in the past five years. Methods : This study will use a mixed-method sequential explanatory design. The quantitative component includes a cross-sectional survey to assess the association between food biodiversity (FBD) and the prevalence of anaemia in adults aged 15 to 60 years old (n=365). Anaemia will be evaluated using blood hemoglobin and serum ferritin. FBD will be measured with a food frequency questionnaire and a 24-hour dietary recall. Soil-transmitted helminth infections, malaria, and inflammatory biomarkers will also be evaluated. The qualitative component will include a community-based participatory approach to investigate the role of FBD in the responses to extreme floods. Male (n=14) and female (n=14) participants, previously identified in the quantitative phase with high and low levels of FBD, will be invited to participate in a Photovoice activity and semi-structured interviews. A analytical framework for climate change resilience will be used to integrate the data. Discussion : Findings will be integrated to identify nutritional resilience indicators that can inform adaptative interventions to changing climatic conditions in the Amazon and that respect Indigenous worldviews.
Collapse
Affiliation(s)
- Carol Zavaleta-Cortijo
- Unidad de Ciudadanía Intercultural y Salud Indígena, Facultad de Salud Pública y Administración,, Universidad Peruana Cayetano Heredia, San Martín de Porres, Lima, 15102, Peru
| | - Janet Cade
- Nutritional Epidemiology Group, School of Food Science and Nutrition, University of Leeds, Leeds, LS 2 9JT, UK
| | - James Ford
- Priestley International Centre for Climate, University of Leeds, Leeds, LS 2 9JT, UK
| | | | - Cesar Carcamo
- Facultad de Salud Pública y Administración, Universidad Peruana Cayetano Heredia, San Martín de Porres, Lima, 15102, Peru
| | - Rosa Silvera-Ccallo
- Unidad de Ciudadanía Intercultural y Salud Indígena, Facultad de Salud Pública y Administración,, Universidad Peruana Cayetano Heredia, San Martín de Porres, Lima, 15102, Peru
| | | | | | | | | | | | - Jorge Velez-Quevedo
- Taller Verde, Caserio San Luis s/n , Carretera Munichis, San Rafael, Yurimaguas, Peru
| | - Nerita Inuma-Tangoa
- Comunidad de Palmiche, Pueblo Indígena Shawi, cuenca del río Sillay, Loreto, Peru
| | - Teresita Antazu
- Programa Mujer, Asociación Interétnica de Desarrollo de la Selva Peruana (AIDESEP), La Victoria, Lima, 15034, Peru
| | - Marianella Miranda-Cuadros
- Centro Nacional de Alimentación y Nutrición, Instituto Nacional de Salud, Jesús María, Lima, 15072, Peru
| | - Juan Pablo Aparco
- Centro Nacional de Alimentación y Nutrición, Instituto Nacional de Salud, Jesús María, Lima, 15072, Peru
| | - Pedro Aro-Guardia
- Centro de Hemoterapia y Banco de Sangre, Hospital Nacional Cayetano Heredia, San Martín de Porres, Lima, 15102, Peru
| | - Manuela Verastegui
- Infectious Diseases Research Laboratory of the LID, Faculty of Sciences and Philosophy, Universidad Peruana Cayetano Heredia, San Martín de Porres, Lima, 15102, Peru
| | - Valeria Morales-Ancajima
- Unidad de Ciudadanía Intercultural y Salud Indígena, Facultad de Salud Pública y Administración,, Universidad Peruana Cayetano Heredia, San Martín de Porres, Lima, 15102, Peru
| | - Tiana Bressan
- Department of Engineering, University of Guelph, Guelph, ON, N1G 2W1, Canada
| | - J. Jaime Miranda
- Facultad de Medicina, Universidad Peruana Cayetano Heredia, Miraflores, Lima, 15074, Peru
| |
Collapse
|
6
|
Ford JD, Zavaleta-Cortijo C, Ainembabazi T, Anza-Ramirez C, Arotoma-Rojas I, Bezerra J, Chicmana-Zapata V, Galappaththi EK, Hangula M, Kazaana C, Lwasa S, Namanya D, Nkwinti N, Nuwagira R, Okware S, Osipova M, Pickering K, Singh C, Berrang-Ford L, Hyams K, Miranda JJ, Naylor A, New M, van Bavel B. Interactions between climate and COVID-19. Lancet Planet Health 2022; 6:e825-e833. [PMID: 36208645 PMCID: PMC9534524 DOI: 10.1016/s2542-5196(22)00174-7] [Citation(s) in RCA: 17] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2021] [Revised: 06/25/2022] [Accepted: 07/12/2022] [Indexed: 05/22/2023]
Abstract
In this Personal View, we explain the ways that climatic risks affect the transmission, perception, response, and lived experience of COVID-19. First, temperature, wind, and humidity influence the transmission of COVID-19 in ways not fully understood, although non-climatic factors appear more important than climatic factors in explaining disease transmission. Second, climatic extremes coinciding with COVID-19 have affected disease exposure, increased susceptibility of people to COVID-19, compromised emergency responses, and reduced health system resilience to multiple stresses. Third, long-term climate change and prepandemic vulnerabilities have increased COVID-19 risk for some populations (eg, marginalised communities). The ways climate and COVID-19 interact vary considerably between and within populations and regions, and are affected by dynamic and complex interactions with underlying socioeconomic, political, demographic, and cultural conditions. These conditions can lead to vulnerability, resilience, transformation, or collapse of health systems, communities, and livelihoods throughout varying timescales. It is important that COVID-19 response and recovery measures consider climatic risks, particularly in locations that are susceptible to climate extremes, through integrated planning that includes public health, disaster preparedness, emergency management, sustainable development, and humanitarian response.
Collapse
Affiliation(s)
- James D Ford
- Priestley International Centre for Climate, University of Leeds, Leeds, UK.
| | - Carol Zavaleta-Cortijo
- Intercultural Citizenship and Indigenous Health Unit, Cayetano Heredia University, Lima, Peru
| | - Triphini Ainembabazi
- Department of Geography, Geo-Informatics, and Climatic Sciences, Makerere University, Kampala, Uganda
| | - Cecilia Anza-Ramirez
- Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru
| | | | - Joana Bezerra
- Community Engagement, Rhodes University, Makhanda, South Africa
| | | | | | - Martha Hangula
- Department of Livestock Production, Agribusiness, and Economics, University of Namibia, Oshakati, Namibia
| | | | - Shuaib Lwasa
- Department of Geography, Geo-Informatics, and Climatic Sciences, Makerere University, Kampala, Uganda
| | | | - Nosipho Nkwinti
- Community Engagement, Rhodes University, Makhanda, South Africa
| | | | - Samuel Okware
- Uganda National Health Research Organisation, Entebbe, Uganda
| | - Maria Osipova
- Arctic State Institute of Culture and Arts, North-Eastern Federal University, Yakutsk, Russia
| | - Kerrie Pickering
- Sustainability Research Centre, University of the Sunshine Coast, Buderim, QLD, Australia
| | - Chandni Singh
- School of Environment and Sustainability, Indian Institute for Human Settlements, Bangalore, India
| | - Lea Berrang-Ford
- Priestley International Centre for Climate, University of Leeds, Leeds, UK
| | - Keith Hyams
- Department of Politics and International Studies, University of Warwick, Coventry, UK
| | - J Jaime Miranda
- Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru
| | - Angus Naylor
- School of Public Health and Social Policy, University of Victoria, Victoria, BC, Canada
| | - Mark New
- Environmental and Geographical Science, University of Cape Town, Cape Town, South Africa
| | - Bianca van Bavel
- Priestley International Centre for Climate, University of Leeds, Leeds, UK
| |
Collapse
|
7
|
Brown KA, Venkateshmurthy NS, Potubariki G, Sharma P, Cardwell JM, Prabhakaran D, Knai C, Mohan S. The role of dairy in healthy and sustainable food systems: community voices from India. BMC Public Health 2022; 22:806. [PMID: 35459172 PMCID: PMC9026048 DOI: 10.1186/s12889-022-13194-w] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2021] [Accepted: 04/05/2022] [Indexed: 11/17/2022] Open
Abstract
Background Managing the role of dairy foods in healthy and sustainable food systems is challenging. Milk production is associated with greenhouse gas emissions and milk-based processed foods can be high in fat, sugar and salt; yet, milk production provides income generating opportunities for farmers and dairy foods provide essential nutrients to young children, with a cultural significance in many communities. This is particularly relevant to India, the world’s largest producer of milk. The aim of this study was to use Photovoice, a participatory research method, to explore the experiences and perceptions of communities in India on the role of dairy products in local sustainable and healthy food systems. Methods Purposive sampling recruited two women’s self-help groups in Visakhapatnam, Andhra Pradesh: one in a rural area and one in an urban area. A total of 31 participants (10–17 urban group and 12–14 rural group), produced photographs with captions to represent their views on how dairy was produced, sold, and consumed in their community. A discussion workshop was held in each area, with prompts to consider health and the environment. Workshop transcripts, photographs and captions were analysed qualitatively using thematic analysis. Results A range of experiences and perceptions were discussed by the two women’s self help groups. Participants had an awareness of their local food system and how stages of dairy food supply chains were non-linear and inherently interconnected. Three main themes were identified: 1) Quality and value matters to producers and consumers; 2) The need to adapt to sustain dairy farmer livelihoods in water scarce areas; 3) It’s not only about health. Conclusions Moderate milk-producing states such as Andhra Pradesh will continue to develop their dairy industry through policy actions. Including communities in policy discussions through innovative methods like Photovoice can help to maximise the positive and minimise the negative role of dairy in evolving local food systems.
Collapse
Affiliation(s)
- Kerry Ann Brown
- College of Life & Environmental Sciences, University of Exeter, Exeter, UK. .,Faculty of Public Health & Policy, London School of Hygiene & Tropical Medicine, London, UK.
| | | | | | - Piyu Sharma
- Centre for Chronic Disease Control, New Delhi, India
| | - Jacqueline M Cardwell
- Department of Pathobiology & Population Sciences, Royal Veterinary College, London, UK
| | - Dorairaj Prabhakaran
- Centre for Chronic Disease Control, New Delhi, India.,Public Health Foundation of India, Gurugram, India.,Department of Epidemiology, London School of Hygiene & Tropical Medicine, London, UK
| | - Cecile Knai
- Faculty of Public Health & Policy, London School of Hygiene & Tropical Medicine, London, UK
| | - Sailesh Mohan
- Centre for Chronic Disease Control, New Delhi, India.,Public Health Foundation of India, Gurugram, India.,Faculty of Health, Deakin University, Burwood, Melbourne, Australia
| |
Collapse
|
8
|
Resilience-by-Design and Resilience-by-Intervention in supply chains for remote and indigenous communities. Nat Commun 2022; 13:1124. [PMID: 35236845 PMCID: PMC8891324 DOI: 10.1038/s41467-022-28734-6] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2021] [Accepted: 02/07/2022] [Indexed: 11/09/2022] Open
Abstract
Indigenous and remote communities face difficulties in times of supply chain disruption. Here the authors comment on challenges faced by the Tribal Population of Noepe (Martha’s Vineyard) and argue for the inclusion of Resilience-by-Design and Resilience-by-Intervention in supply chain management.
Collapse
|
9
|
Lastra Landa DE, Grados Bueno CV. "Climate change might have caused our small harvest": indigenous vulnerability, livelihoods, and environmental changes in lowland and high jungle indigenous communities in Peru. JOURNAL OF ENVIRONMENTAL STUDIES AND SCIENCES 2021; 12:216-231. [PMID: 34540520 PMCID: PMC8442519 DOI: 10.1007/s13412-021-00722-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Accepted: 09/02/2021] [Indexed: 06/13/2023]
Abstract
The purpose of this article is to analyze how indigenous livelihoods are challenged by the global phenomenon of climate change while paying particular attention to how historically shaped, non-climatic factors influence how climate change is experienced in the Peruvian Amazon. In this sense, we will address indigenous people's lived experiences of climate variations using a theoretical framework based on concepts of vulnerability. Methodologically, we draw on both a recent literature review and fieldwork conducted during 2015 and 2016 with two Kukama Kukamiria communities in Loreto (low jungle) and three Ashaninka communities in Junín (high jungle). After describing our theoretical framework and qualitative methods, we discuss the economic history of the addressed areas and show how non-climatic factors, such as colonialism, influence these communities' experiences. This context allows us to better understand indigenous people's experience of seasonal variations, precipitations and climatic events, its effect on their livelihoods, and their adaptive strategies in response to challenges imposed by climate unpredictability and broader transformations in their territories. Our conclusions are twofold: (a) addressing climate change must incorporate multiple temporal and spatial scales and (b) non-climatic factors are integral to understanding the role of climate change vulnerability of indigenous population.
Collapse
|
10
|
Guta DD, Damene S, Assen M, Satyal P. Factors influencing household grass pea consumption and implication for lathyrism in Wollo Zone, Ethiopia. SCIENTIFIC AFRICAN 2021. [DOI: 10.1016/j.sciaf.2021.e00853] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
|
11
|
Aracena S, Barboza M, Zamora V, Salaverry O, Montag D. Health system adaptation to climate change: a Peruvian case study. Health Policy Plan 2021; 36:45-83. [PMID: 33263753 DOI: 10.1093/heapol/czaa072] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/29/2020] [Indexed: 11/14/2022] Open
Abstract
Despite mitigation attempts, the trajectory of climate change remains on an accelerated path, with devastating health impacts. As a response to the United Nations Framework Convention on Climate Change call for National Adaptation Plans, Peru has developed a national and decentralized regional adaptation plans. The purpose of this article is to understand the role and priority status of health within the adaptation planning and process. Peru was used as a case study to analyse the policy process in the creation of adaptation plans, encompassing the need to address climate change impacts on health with a particular focus on marginalized people. An actor, content and context policy analyses were conducted to analyse 17 out of 25 regional adaptation plans, which are available. The national adaptation plans (2002, 2015) do not include health as a priority or health adaptation strategies. In a decentralized health care system, regional plans demonstrate an increased improvement of complexity, systematization and structure over time (2009-17). In general, health has not been identified as a priority but as another area of impact. There is no cohesiveness between plans in format, content, planning and execution and only a limited consideration for marginalized populations. In conclusion, the regional departments of Peru stand on unequal footing regarding adapting the health sector to climate change. Findings in the strategies call into question how mitigation and adaption to climate change may be achieved. The lack of local research on health impacts due to climate change and a particular focus on marginalized people creates a policy vacuum. The Peruvian case study resembles global challenges to put health in the centre of national and regional adaptation plans. In-depth cross-country analysis is still missing but urgently needed to learn from other experiences.
Collapse
Affiliation(s)
- Stephanie Aracena
- Centre for Global Public Health, Queen Mary University of London, London, UK
| | - Marco Barboza
- Instituto Universitario de Investigación en Estudios Latinoamericanos, Madrid, España.,Centro de Investigaciones Tecnológicas, Biomédicas y Medioambientales - CITBM, Universidad Nacional Mayor de San Marcos, Lima, Peru
| | - Victor Zamora
- Facultad de Medicina, Universidad Nacional Mayor de San Marcos, Lima, Peru
| | - Oswaldo Salaverry
- Facultad de Medicina, Universidad Nacional Mayor de San Marcos, Lima, Peru
| | - Doreen Montag
- Centre for Global Public Health, Queen Mary University of London, London, UK
| |
Collapse
|
12
|
Bussalleu A, King N, Pizango P, Ford J, Carcamo CP, Harper SL. Nuya kankantawa (we are feeling healthy): Understandings of health and wellbeing among Shawi of the Peruvian Amazon. Soc Sci Med 2021; 281:114107. [PMID: 34153933 DOI: 10.1016/j.socscimed.2021.114107] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Revised: 04/19/2021] [Accepted: 06/02/2021] [Indexed: 11/25/2022]
Abstract
Promoting and supporting Indigenous health includes ensuring health services reflect local concepts of health. There is, therefore, a need to better understand context-specific Indigenous understandings of health in order to design culturally appropriate health services. To this end, this study characterized two Shawi communities' understandings of what it means to be healthy. Using a community-based participatory research approach, 40 semi-structured interviews and a series of informal interviews were conducted and analysed thematically, using a constant comparative method. The Shawi definition of health extended beyond individual physical welfare and focused on emotional, collective, and environmental wellbeing. The primary factors underlying Shawi perceptions of health and wellbeing included providing for the family, ensuring the welfare of others, maintaining positive social relationships, preserving traditional values and practices, and living harmoniously with the natural environment. Conversely, Shawi classified illnesses according to their cause or treatment. These included illnesses caused by sorcery, those caused by spirits of the forest, and 'new diseases,' that first appeared in the communities when they were contacted by the Western civilization, for which no traditional remedies existed. Consequently, according to Shawi, sociocultural, environmental, and climatic changes are posing imminent health threats. This study highlights the differences between biomedical and Indigenous Shawi health understandings, and therefore emphasizes the importance of acknowledging and embracing Shawi culture and beliefs within the formal healthcare system.
Collapse
Affiliation(s)
- Alejandra Bussalleu
- Faculty of Public Health and Administration, Universidad Peruana Cayetano Heredia, Honorio Delgado 430, Lima, Peru
| | - Nia King
- School of Medicine, Queen's University, 15 Arch Street, Kingston, Ontario, Canada; School of Public Health, University of Alberta, 116 St & 85 Ave, Edmonton, Alberta, Canada.
| | - Pedro Pizango
- Communidad Nativa Balsapuerto, Alto Amazonas, Loreto, Peru
| | - James Ford
- Priestly International Centre for Climate, University of Leeds, Leeds, UK; Indigenous Health Adaptation to Climate Change Research Team: Lea Berrang-Ford Cesar Carcamo Patricia Garcia Shuaib Lwasa Didacus B. Namanya, Canada
| | - Cesar P Carcamo
- Faculty of Public Health and Administration, Universidad Peruana Cayetano Heredia, Honorio Delgado 430, Lima, Peru; Indigenous Health Adaptation to Climate Change Research Team: Lea Berrang-Ford Cesar Carcamo Patricia Garcia Shuaib Lwasa Didacus B. Namanya, Canada
| | -
- Indigenous Health Adaptation to Climate Change Research Team: Lea Berrang-Ford Cesar Carcamo Patricia Garcia Shuaib Lwasa Didacus B. Namanya, Canada
| | - Sherilee L Harper
- School of Public Health, University of Alberta, 116 St & 85 Ave, Edmonton, Alberta, Canada; Indigenous Health Adaptation to Climate Change Research Team: Lea Berrang-Ford Cesar Carcamo Patricia Garcia Shuaib Lwasa Didacus B. Namanya, Canada
| |
Collapse
|
13
|
La Niña weather impacts dietary patterns and dietary diversity among children in the Peruvian Amazon. Public Health Nutr 2020; 24:3477-3487. [PMID: 33106207 PMCID: PMC8314922 DOI: 10.1017/s1368980020003705] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Objective: In 2011–2012, severe El Niño Southern Oscillation (ENSO) conditions (La Niña) led to massive flooding and temporarily displacement in the Peruvian Amazon. Our aims were to examine the impact of this ENSO exposure on child diets, in particular: (1) frequency of food consumption patterns, (2) the amount of food consumed (g/d), (3) dietary diversity (DD), (4) consumption of donated foods, among children aged 9–36 months living in the outskirts of City of Iquitos in the Amazonian Peru. Design: This was a longitudinal study that used quantitative 24-h recall dietary data collection from children aged 9–36 months from 2010 to 2014 as part of the MAL-ED birth cohort study. Setting: Iquitos, Loreto, Peru. Participants: Two hundred and fifty-two mother–child dyads. Results: The frequency of grains, rice, dairy and sugar in meals reduced by 5–7 %, while the frequency of plantain in meals increased by 24 % after adjusting for covariates. ENSO exposure reduced girl’s intake of plantains and sugar. Despite seasonal fluctuations in the availability of fruits, vegetables and fish, DD remained constant across seasons and as children aged. However, DD was significantly reduced under moderate La Niña conditions by 0·32 (P < 0·05) food groups. Adaptive social strategies such as consumption of donated foods were significantly higher among households with girls. Conclusions: This is the first empirical study to show differential effect of the ENSO on the dietary patterns of children, highlighting differences by gender. Public health nutrition programmes should be climate- and gender-sensitive in their efforts to safeguard the diets of vulnerable populations.
Collapse
|
14
|
Zavaleta-Cortijo C, Ford JD, Arotoma-Rojas I, Lwasa S, Lancha-Rucoba G, García PJ, Miranda JJ, Namanya DB, New M, Wright CJ, Berrang-Ford L, Harper SL. Climate change and COVID-19: reinforcing Indigenous food systems. Lancet Planet Health 2020; 4:e381-e382. [PMID: 32777205 PMCID: PMC7413660 DOI: 10.1016/s2542-5196(20)30173-x] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2020] [Accepted: 07/22/2020] [Indexed: 05/18/2023]
Affiliation(s)
- Carol Zavaleta-Cortijo
- Universidad Peruana Cayetano Heredia, Urbanización Ingeniería, San Martín de Porres, Lima 31, Peru.
| | - James D Ford
- Priestley International Centre for Climate, University of Leeds, Leeds, UK
| | | | - Shuaib Lwasa
- Department of Geography, Geo-Informatics and Climatic Sciences, Makerere University, Kampala, Uganda
| | | | - Patricia J García
- Universidad Peruana Cayetano Heredia, Urbanización Ingeniería, San Martín de Porres, Lima 31, Peru
| | - J Jaime Miranda
- Universidad Peruana Cayetano Heredia, Urbanización Ingeniería, San Martín de Porres, Lima 31, Peru
| | | | - Mark New
- African Climate Development Initiative, University of Cape Town, Rondebosch, South Africa; School of International Development, University of East Anglia, Norwich, UK
| | - Carlee J Wright
- School of Public Health, University of Alberta, Edmonton, AB, Canada
| | - Lea Berrang-Ford
- Priestley International Centre for Climate, University of Leeds, Leeds, UK
| | - Sherilee L Harper
- School of Public Health, University of Alberta, Edmonton, AB, Canada
| |
Collapse
|
15
|
Ford JD, King N, Galappaththi EK, Pearce T, McDowell G, Harper SL. The Resilience of Indigenous Peoples to Environmental Change. ACTA ACUST UNITED AC 2020. [DOI: 10.1016/j.oneear.2020.05.014] [Citation(s) in RCA: 76] [Impact Index Per Article: 19.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
|
16
|
Naylor A, Ford J, Pearce T, Van Alstine J. Conceptualizing Climate Vulnerability in Complex Adaptive Systems. ACTA ACUST UNITED AC 2020. [DOI: 10.1016/j.oneear.2020.04.011] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
|
17
|
Beveridge L, Whitfield S, Fraval S, van Wijk M, van Etten J, Mercado L, Hammond J, Davila Cortez L, Gabriel Suchini J, Challinor A. Experiences and Drivers of Food Insecurity in Guatemala's Dry Corridor: Insights From the Integration of Ethnographic and Household Survey Data. FRONTIERS IN SUSTAINABLE FOOD SYSTEMS 2019. [DOI: 10.3389/fsufs.2019.00065] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
|