Climate-related health impact indicators for public health surveillance in a changing climate: a systematic review and local suitability analysis

IF 7 Q1 HEALTH CARE SCIENCES & SERVICES

Lancet Regional Health-Americas Pub Date : 2024-07-29 DOI:10.1016/j.lana.2024.100854

Yasna Palmeiro-Silva , Raúl Aravena-Contreras , José Izcue Gana , Rocío González Tapia , Ilan Kelman

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引用次数: 0

Abstract

Climate change challenges public health. Effective management of climate-related health risks relies on robust public health surveillance (PHS) and population health indicators. Despite existing global and country-specific indicators, their integration into local PHS systems is limited, impacting decision-making. We conducted a systematic review examining population health indicators relevant to climate change impacts and their suitability for national PHS systems. Guided by a registered protocol, we searched multiple databases and included 41 articles. Of these, 35 reported morbidity indicators, and 39 reported mortality indicators. Using Chile as a case study, we identified three sets of indicators for the Chilean PHS. The high-priority set included vector-, food-, and water-borne diseases, as well as temperature-related health outcomes indicators due to their easy integration into existing PHS systems. This review highlights the importance of population health indicators in monitoring climate-related health impacts, emphasising the need for local contextual factors to guide indicator selection.

Funding

This research project was partly funded by ANID Chile and University College London. None of these sources had any involvement in the research conceptualisation, design, or interpretation of the results.

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在不断变化的气候中进行公共卫生监测的与气候相关的健康影响指标：系统回顾和地方适用性分析

气候变化对公共卫生提出了挑战。有效管理与气候相关的健康风险有赖于强有力的公共卫生监测（PHS）和人口健康指标。尽管已有全球和特定国家的指标，但将其纳入当地公共卫生监测系统的程度有限，从而影响了决策。我们对与气候变化影响相关的人口健康指标及其在国家公共卫生监测系统中的适用性进行了系统回顾。在注册协议的指导下，我们搜索了多个数据库，共收录了 41 篇文章。其中 35 篇报告了发病率指标，39 篇报告了死亡率指标。以智利为例，我们为智利的公共卫生服务系统确定了三套指标。优先考虑的指标包括病媒、食物和水传播的疾病，以及与温度相关的健康结果指标，因为这些指标易于整合到现有的公共卫生服务系统中。本综述强调了人口健康指标在监测与气候相关的健康影响方面的重要性，并强调需要根据当地背景因素来指导指标的选择。这些机构均未参与研究的构思、设计或结果解释。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Lancet Regional Health-Americas Multiple-

CiteScore

8.00

自引率

0.00%

发文量

期刊介绍： The Lancet Regional Health – Americas, an open-access journal, contributes to The Lancet's global initiative by focusing on health-care quality and access in the Americas. It aims to advance clinical practice and health policy in the region, promoting better health outcomes. The journal publishes high-quality original research advocating change or shedding light on clinical practice and health policy. It welcomes submissions on various regional health topics, including infectious diseases, non-communicable diseases, child and adolescent health, maternal and reproductive health, emergency care, health policy, and health equity.