The journal of climate change and health最新文献

{"title":"Gendered effects of climate change and health inequities among forcibly displaced populations: Displaced Rohingya women foster resilience through technology","authors":"Roseanne C. Schuster ,&nbsp;Karin Wachter ,&nbsp;Faheem Hussain ,&nbsp;Meredith L. Gartin","doi":"10.1016/j.joclim.2024.100303","DOIUrl":"https://doi.org/10.1016/j.joclim.2024.100303","url":null,"abstract":"<div><p>Climate change interacts with social and biological factors to exacerbate the vulnerabilities and health inequities of people in displacement, with particularly severe implications for women and girls. In 2022, over 100 million people –1 in every 78 people in the world – were forced to flee their homes to a location within or beyond their country's borders, due to climatic or other man-made catastrophes. Most displaced people are housed in communities already experiencing climatic stress, exacerbating the risk of water insecurity, food insecurity, disease, struggles over resources, marginalization, and conflict between host and displaced populations. Amid the social upheaval caused by displacement, we call for a gendered approach to fostering resilience, with a particular emphasis on women. In this perspective piece, we advocate for policy and program changes that respond to the unique challenges and circumstances of displaced women and locally derived solutions that promote resilience. We start by providing an overview of health inequities during displacement, exacerbated by climate change, and then examine how gender interacts with displacement to shape women's health and wellbeing. We close with an illustrative example of Rohingya women displaced in Bangladesh who have adapted technology to combat climate change and mitigate social and health inequities to build resilience, even under severe restrictions. Gender-informed research on health, climate change, and resilience in contexts of humanitarian disasters and mass population displacement can elucidate the effectiveness of culturally- and contextually- specific interventions over the short- and long-term.</p></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"18 ","pages":"Article 100303"},"PeriodicalIF":0.0,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667278224000063/pdfft?md5=b3952417c7a7e9b87d0e778f036aec71&pid=1-s2.0-S2667278224000063-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141289644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing mortality associated with heatwaves in the cool climate region of Tasmania, Australia","authors":"Sharon L. Campbell ,&nbsp;Nicolas Borchers-Arriagada ,&nbsp;Grant J. Williamson ,&nbsp;Fay H. Johnston","doi":"10.1016/j.joclim.2024.100302","DOIUrl":"https://doi.org/10.1016/j.joclim.2024.100302","url":null,"abstract":"<div><p>Background: Anthropogenic climate change is causing a rise in global temperatures, with this trend projected to increase into the future. Heatwaves are associated with a rise in preventable deaths, however this association is less well understood in regions experiencing cooler climates. Methods: We used a space-time-stratified conditional Poisson (-quasi) regression analysis to assess if heatwaves were associated with all-cause mortality in Tasmania, Australia, for the period 2010–2018. Results: We found that across Tasmania, low-intensity heatwaves were relatively common, with less occurrence of severe and extreme heatwaves. We found that for all heatwave types combined, there was a rise in mortality of 8 % (RR=1.08, 95 %CI 1.01–1.16). For low-intensity heatwaves, we found mortality increased by 9 % (RR=1.09, 95 %CI 1.02–1.17). Conclusion: These results have health promotion and health protection policy and practice implications for Tasmanian healthcare services, and potentially other cooler climate regions around the world.</p></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"17 ","pages":"Article 100302"},"PeriodicalIF":0.0,"publicationDate":"2024-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667278224000051/pdfft?md5=aecc7c1f01a517c9bad32cb50c85095c&pid=1-s2.0-S2667278224000051-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140347287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Climate conscious health equity is essential to achieve climate-resilient digital healthcare","authors":"Zerina Lokmic-Tomkins ,&nbsp;Ann Borda ,&nbsp;Helen Skouteris","doi":"10.1016/j.joclim.2024.100301","DOIUrl":"10.1016/j.joclim.2024.100301","url":null,"abstract":"<div><p>This short communication highlights the role of digital health equity in supporting climate-resilient digital healthcare pathways for global communities experiencing the health crisis exacerbated by climate change and environmental degradation. Specifically, to design digital health responsibly to support climate change adaptation as an inclusive, equitable, human-centered process means acknowledging the interconnectedness of human health and the health of the natural environment. In this process, we recommend a more integrated and participatory approach to the dimensions of ecological and environmental determinants of health and ethical representation of diverse and vulnerable voices.</p></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"16 ","pages":"Article 100301"},"PeriodicalIF":0.0,"publicationDate":"2024-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S266727822400004X/pdfft?md5=96fffc2041e56d41115547a4687b1c61&pid=1-s2.0-S266727822400004X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139639125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“No matter how hot it is, you just have to do the work”: Examining farmworkers’ experiences with heat and climate change in Idaho","authors":"Carly Hyland ,&nbsp;Delmy Flores ,&nbsp;Grace Augusto ,&nbsp;Irene Ruiz ,&nbsp;Marielena Vega ,&nbsp;Rulon Wood","doi":"10.1016/j.joclim.2024.100300","DOIUrl":"10.1016/j.joclim.2024.100300","url":null,"abstract":"<div><h3>Introduction</h3><p>Farmworkers are one of the populations most vulnerable to climate change. In addition to disproportionate exposure to climate-intensified hazards such as extreme heat and wildfire smoke, many farmworkers face situational and psychosocial stressors that also impact their health.</p></div><div><h3>Methods</h3><p>We conducted open-ended interviews with 16 farmworkers in Southcentral Idaho during June-August 2023 as part of a digital storytelling project in partnership with the Idaho Organization of Resource Councils (IORC). Interviews assessed participants’ experiences with climate change, perceived impacts on their health, and strategies and barriers to protecting themselves. Bilingual (English/Spanish) study staff translated and transcribed all video recordings verbatim, and we abstracted representative quotes from interviews.</p></div><div><h3>Results</h3><p>Participants primarily discussed the health impacts of heat, recounting personal experiences and stories of other farmworkers feeling dizzy, wanting to vomit, or passing out from occupational heat stress. Despite these experiences, they reported feeling like they needed to keep working regardless of the conditions in order to get paid and support their family. Experiences with climate change were underscored by participants’ discussions of co-exposure to situational and psychosocial stressors such as lack of access to healthcare, poor housing without air conditioning, and racism, discrimination, and fear of family separation.</p></div><div><h3>Discussion</h3><p>This project highlights farmworkers’ first-hand experiences regarding climate change and underscores the interconnected impacts of occupational, environmental, and psychosocial stressors on their health and wellbeing. These findings emphasize the importance of shifting the burden of climate resiliency from individual farmworkers to systemic workplace, residential, and community interventions.</p></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"16 ","pages":"Article 100300"},"PeriodicalIF":0.0,"publicationDate":"2024-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667278224000038/pdfft?md5=fb14f8b55a49ceaba5280440d37c7b1c&pid=1-s2.0-S2667278224000038-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139633949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hypotheses on environmental impacts of AI use in healthcare","authors":"Tanja Bratan,&nbsp;Nils B. Heyen,&nbsp;Bärbel Hüsing,&nbsp;Frank Marscheider-Weidemann,&nbsp;Jana Thomann","doi":"10.1016/j.joclim.2024.100299","DOIUrl":"10.1016/j.joclim.2024.100299","url":null,"abstract":"","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"16 ","pages":"Article 100299"},"PeriodicalIF":0.0,"publicationDate":"2024-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667278224000026/pdfft?md5=1c24bc47c7babc690107371f1c1d1c75&pid=1-s2.0-S2667278224000026-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139393637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The embodied carbon of paracetamol and the consumables associated with different routes of administration in pediatrics","authors":"Nicola Wilson ,&nbsp;Caroline Dalton","doi":"10.1016/j.joclim.2024.100298","DOIUrl":"10.1016/j.joclim.2024.100298","url":null,"abstract":"<div><h3>Background</h3><p>The aim of this study was to estimate the embodied carbon of different formulations of paracetamol, its packaging and the consumables used in administration within pediatrics.</p></div><div><h3>Methods</h3><p>A set dose of 750 mg was chosen to represent complex dosing seen in pediatrics and then two separate approaches to measuring the embodied carbon were taken. A top-down environmentally extended input-output analysis for the drug and a bottom-up approach using the emissions factors for the primary material was used for the packaging and consumables.</p></div><div><h3>Results</h3><p>All oral methods of administration have the lowest embodied carbon when accounting for the drugs, consumables, and packaging.</p></div><div><h3>Conclusion</h3><p>This study demonstrates how working across disciplines we can look for ways in which we can minimize the carbon cost of care. This study finds that when accounting for patient safety, acceptability within pediatrics and the embodied carbon, all non-IV methods are preferable.</p></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"16 ","pages":"Article 100298"},"PeriodicalIF":0.0,"publicationDate":"2024-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667278224000014/pdfft?md5=d8987a505f9bdbbaab39e2395c8780a0&pid=1-s2.0-S2667278224000014-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139395633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A scoping review of current climate change and vector-borne disease literacy and implications for public health interventions","authors":"Meghan Matlack ,&nbsp;Hannah Covert ,&nbsp;Arti Shankar ,&nbsp;Wilco Zijlmans ,&nbsp;Firoz Abdoel Wahid ,&nbsp;Ashna Hindori-Mohangoo ,&nbsp;Maureen Lichtveld","doi":"10.1016/j.joclim.2023.100295","DOIUrl":"10.1016/j.joclim.2023.100295","url":null,"abstract":"<div><p>Climate literacy assesses general understanding of climate, climate change, and its effects on the environment as well as human health. Despite vast scientific evidence to support climate change and its associated consequences, particularly with regards to vector-borne diseases, climate change knowledge, attitudes, and behaviors among the general population is relatively poor. In this study, we conducted a thorough review of the current literature to evaluate the scope of global climate and health literacy studies and identify key areas for improvement. We found that very few climate and health literacy studies were based in low- and middle-income countries, and those that were did not make mention of significant regional climate change impacts and specifically those that increase mosquito-borne disease transmission in high-risk areas. We also noted that of the twenty-three studies included in our final review, most focused their assessments on general climate and climate change knowledge, and not on literacy of the relationships between climate change and environmental impacts or subsequent health outcomes. Our findings make it clear that moving forward, there is a major need for climate and health literacy research to expand upon existing climate literature to include additional assessments of the relationships between certain climate change impacts and infectious diseases in particular, as well as to make available a more comprehensive overview of climate and health information to the public in the future.</p></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"15 ","pages":"Article 100295"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667278223000949/pdfft?md5=c38606a1ec635820459ed52484f1b174&pid=1-s2.0-S2667278223000949-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138993122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impacts of climate change on ocular health: A scoping review","authors":"Yee Ling Wong ,&nbsp;Shiao Wei Wong ,&nbsp;Darren S.J. Ting ,&nbsp;Alankrita Muralidhar ,&nbsp;Sagnik Sen ,&nbsp;Olivia Schaff ,&nbsp;Hannah Istre-Wilz ,&nbsp;Barbara Erny","doi":"10.1016/j.joclim.2023.100296","DOIUrl":"10.1016/j.joclim.2023.100296","url":null,"abstract":"<div><p>Climate change represents a significant global health crisis, characterized by a complex interplay of environmental shifts and interconnected phenomena. These alterations have given rise to a multitude of health implications, notably impacting ocular health. Our comprehensive review delineates a spectrum of eye conditions associated with climate change-related variables. Extremes in temperature and weather events have been observed to affect the ocular surface, resulting in an increased incidence of conjunctivitis, keratitis, dry eye disease, and pterygium. Furthermore, climate change is linked to a rising occurrence of cataracts, glaucoma, periocular tumors, and infections. Prolonged food insecurity, stemming from droughts, has been associated with nutritional optic neuropathies and consequent vision loss. Elevated temperatures have also been correlated with a heightened risk of retinal detachments necessitating urgent surgical intervention to enhance prognostic outcomes.</p><p>This review also outlines the influence of climate-warming pollutants on a diverse array of eye conditions, manifesting as ocular surface infections, degenerative changes like pterygium, cataracts, refractive errors (myopia), blepharitis, meibomian gland infections, glaucoma, and vascular retinal occlusions.</p><p>Mitigating the effects of climate change is an urgent global imperative necessitating collaborative efforts, encompassing research and education, to devise sustainable solutions that safeguard human health and well-being. This review seeks to delineate the current extent of available research, identify gaps in the existing literature, and chart the course for future studies in this intriguing association.</p></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"15 ","pages":"Article 100296"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667278223000950/pdfft?md5=cde3504b487465e5c8770dd92e042a09&pid=1-s2.0-S2667278223000950-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139193625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Complex adaptive systems-based framework for modeling the health impacts of climate change","authors":"Byomkesh Talukder ,&nbsp;Jochen E. Schubert ,&nbsp;Mohammadali Tofighi ,&nbsp;Patrick J. Likongwe ,&nbsp;Eunice Y. Choi ,&nbsp;Gibson Y. Mphepo ,&nbsp;Ali Asgary ,&nbsp;Martin J. Bunch ,&nbsp;Sosten S. Chiotha ,&nbsp;Richard Matthew ,&nbsp;Brett F. Sanders ,&nbsp;Keith W. Hipel ,&nbsp;Gary W. vanLoon ,&nbsp;James Orbinski","doi":"10.1016/j.joclim.2023.100292","DOIUrl":"10.1016/j.joclim.2023.100292","url":null,"abstract":"<div><h3>Introduction</h3><p>Climate change is a global phenomenon with far-reaching consequences, and its impact on human health is a growing concern. The intricate interplay of various factors makes it challenging to accurately predict and understand the implications of climate change on human well-being. Conventional methodologies have limitations in comprehensively addressing the complexity and nonlinearity inherent in the relationships between climate change and health outcomes.</p></div><div><h3>Objectives</h3><p>The primary objective of this paper is to develop a robust theoretical framework that can effectively analyze and interpret the intricate web of variables influencing the human health impacts of climate change. By doing so, we aim to overcome the limitations of conventional approaches and provide a more nuanced understanding of the complex relationships involved. Furthermore, we seek to explore practical applications of this theoretical framework to enhance our ability to predict, mitigate, and adapt to the diverse health challenges posed by a changing climate.</p></div><div><h3>Methods</h3><p>Addressing the challenges outlined in the objectives, this study introduces the Complex Adaptive Systems (CAS) framework, acknowledging its significance in capturing the nuanced dynamics of health effects linked to climate change. The research utilizes a blend of field observations, expert interviews, key informant interviews, and an extensive literature review to shape the development of the CAS framework.</p></div><div><h3>Results and discussion</h3><p>The proposed CAS framework categorizes findings into six key sub-systems: ecological services, extreme weather, infectious diseases, food security, disaster risk management, and clinical public health. The study employs agent-based modeling, using causal loop diagrams (CLDs) tailored for each CAS sub-system. A set of identified variables is incorporated into predictive modeling to enhance the understanding of health outcomes within the CAS framework. Through a combination of theoretical development and practical application, this paper aspires to contribute valuable insights to the interdisciplinary field of climate change and health. Integrating agent-based modeling and CLDs enhances the predictive capabilities required for effective health outcome analysis in the context of climate change.</p></div><div><h3>Conclusion</h3><p>This paper serves as a valuable resource for policymakers, researchers, and public health professionals by employing a CAS framework to understand and assess the complex network of health impacts associated with climate change. It offers insights into effective strategies for safeguarding human health amidst current and future climate challenges.</p></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"15 ","pages":"Article 100292"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667278223000913/pdfft?md5=f4aba55413bc860ade13f463e518f188&pid=1-s2.0-S2667278223000913-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138612468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Carbon footprints by stage of chronic kidney disease: The case of Japan","authors":"Kei Nagai ,&nbsp;Sho Hata ,&nbsp;Norihiro Itsubo ,&nbsp;Kunitoshi Iseki ,&nbsp;Kunihiro Yamagata ,&nbsp;Keisuke Nansai","doi":"10.1016/j.joclim.2023.100294","DOIUrl":"10.1016/j.joclim.2023.100294","url":null,"abstract":"<div><h3>Introduction</h3><p>The nexus between carbon footprints and chronic kidney disease (CKD) progression have not been clarified, so it has not been possible to examine the prevention of disease severity as a potential countermeasure for decarbonization.</p></div><div><h3>Material and methods</h3><p>The study included 70,627 subjects aged 40–74 years and diagnosed with CKD stage by specific health checkups in 2014–2015. Greenhouse gas (GHG) emissions in Japan were formulated with the 2015 environmental input–output model. The carbon footprints by CKD stage were calculated with annual treatment cost according to renal function indicators, namely estimated glomerular filtration rate (eGFR) and proteinuria.</p></div><div><h3>Results</h3><p>The annual carbon footprint per patient with induction of dialysis due to CKD was estimated to be 3.9 tCO₂e, in contrast to 0.31 tCO₂e in subjects without dialysis. Highlighting the relationship between the carbon footprint and the slope of eGFR as the CKD stage advances, the carbon footprint of care for patients with a stable eGFR in CKD stage G2 or better was 300 kgCO₂e in males and 280 kgCO₂e in females. Yet, in CKD stages G3a and G3b or worse, the carbon footprint for a rapid decrease in eGFR (30 % or greater per year) was 620 kgCO₂e and 1440 kgCO₂e in males and 430 kgCO₂e and 1270 kgCO₂e in females, respectively.</p></div><div><h3>Conclusion</h3><p>Effective interventional treatments to prevent disease severity in CKD contribute to both the health of the patient and the mitigation of GHG emissions.</p></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"15 ","pages":"Article 100294"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667278223000937/pdfft?md5=929004716b6e7884aa6113e4b480ec0b&pid=1-s2.0-S2667278223000937-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139013417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}