The journal of climate change and health最新文献

{"title":"Building capacities in the Andean region: Training health professionals on climate change and health","authors":"Gilma Mantilla ,&nbsp;Bertha Pineda ,&nbsp;Cecilia Sorensen ,&nbsp;Haley Campbell ,&nbsp;Nicola Hamacher ,&nbsp;Karen Glatfelter","doi":"10.1016/j.joclim.2025.100551","DOIUrl":"10.1016/j.joclim.2025.100551","url":null,"abstract":"<div><h3>Introduction</h3><div>As the impacts of climate change increase, health professionals must understand its impact on disease and public health risks. Building capacity across various regions is essential for enhancing decision-making within the health sector and mitigating climate-related risks. In response, the Organismo Andino de Salud (ORAS-CONHU), the Global Consortium on Climate and Health Education (GCCHE) and the Panamerican Health Organization (PAHO) collaborated to launch the first virtual Andean regional course on Climate and Health.</div></div><div><h3>Case Presentation</h3><div>This five-week course featured twice-weekly 90-minute live virtual sessions, followed by Q&amp;A. Participants were administered pre- and post-surveys to evaluate the course's effectiveness. Out of 950 registered individuals, 767 attended at least one session, and 418 attended six or more sessions.</div><div>Results indicate increased capacity among health professionals to address climate resilience, including skills in vulnerability assessment, risk management, adaptation strategies<strong>,</strong> and effective communication.</div></div><div><h3>Discussion</h3><div>This program is the first Spanish-language live virtual training targeting regional health officials from the Ministries of Health, National Institutes of Health, and international agencies involved in health promotion, disease surveillance and control, disaster management, health service provision, public health program management, and the evaluation of climate-sensitive diseases. While other institutions offer climate and health courses, these programs are primarily conducted in English and are mostly not tailored to regional challenges.</div></div><div><h3>Conclusion</h3><div>The strong turnout of participants underscores a significant interest in this educational format and highlights the need for broader engagement in climate and health education.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"25 ","pages":"Article 100551"},"PeriodicalIF":3.6,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144886831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of early pregnancy warm season exposure and neighborhood heat vulnerability with adverse maternal outcomes: A retrospective cohort study","authors":"Melissa Blum ,&nbsp;Donato DeIngeniis ,&nbsp;Daniela K. Shill ,&nbsp;Joanne Stone ,&nbsp;Perry Sheffield ,&nbsp;Yoko Nomura","doi":"10.1016/j.joclim.2025.100524","DOIUrl":"10.1016/j.joclim.2025.100524","url":null,"abstract":"<div><h3>Introduction</h3><div>Rising ambient temperatures threaten vulnerable populations such as pregnant women, with urban populations bearing a greater risk due to the urban heat island effect. Here, we assessed the independent effects of trimester-specific warm season exposure during pregnancy and neighborhood heat vulnerability on maternal outcomes, including gestational diabetes, hypertensive disorders of pregnancy, genitourinary infections, and operative delivery.</div></div><div><h3>Methods</h3><div>This retrospective study analyzed 819 participants from the Stress in Pregnancy Study (2009–2014), a longitudinal birth cohort study in New York City. Generalized linear models examined associations between trimester-specific warm season exposure, New York City Heat Vulnerability Index (ranging 1-5), and adverse maternal outcomes, adjusting for demographics, parity, and substance use.</div></div><div><h3>Results</h3><div>First trimester warm season exposure was associated with increased odds of gestational hypertension (adjusted odds ratio [AOR] 4.50, 95%CI 1.17-17.27), preeclampsia (AOR 4.38, 95%CI 1.51-12.75), and genitourinary infection (AOR 2.27, 95%CI 1.14-4.51). Each unit increase in heat vulnerability index was associated with increased odds of preeclampsia (AOR 1.38, 95%CI 1.05-1.81) and genitourinary infection (AOR 1.32, 95%CI 1.11-1.57).</div></div><div><h3>Conclusions</h3><div>Both early pregnancy warm weather exposure and neighborhood vulnerability independently increased the risk of adverse maternal complications. Our findings provide evidence in support of targeted heat mitigation strategies to limit heat exposure in at-risk communities as climate change progresses.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"25 ","pages":"Article 100524"},"PeriodicalIF":3.6,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144866354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Navigating the storm: Ethical consideration to climate justice and sustainable health equity in Africa","authors":"Adetayo Emmanuel Obasa","doi":"10.1016/j.joclim.2025.100465","DOIUrl":"10.1016/j.joclim.2025.100465","url":null,"abstract":"<div><div>Africa bears a disproportionate burden of climate change, despite contributing minimally to global greenhouse gas emissions. This article explores the ethical imperatives of addressing climate-induced health disparities in Africa, particularly through the lens of climate justice and the African philosophy of ubuntu<em>.</em> In Sub-Saharan Africa, approximately 700 million people live on less than $2.15 per day, falling below the extreme poverty line. Low-income communities disproportionately suffer from the negative impacts of climate change. These populations face a multifaceted crisis that requires clear, ethical, and specific solutions tailored to their unique needs. Drawing on theories of distributive, corrective, and participatory justice—as well as Rawlsian and utilitarian ethics—the paper critiques current global mitigation and adaptation strategies for their failure to adequately support African priorities. It further advances the case for integrating grassroots participation, community-based solutions, and inclusive governance. By prioritizing health equity, environmental justice, and ethical policymaking, the article proposes practical recommendations that align short-term needs with long-term sustainability. This article charts a pathway toward just and inclusive climate policies by arguing for a transformative response rooted in justice, solidarity, and African agency—prioritizing the needs of the most affected while fostering resilience and sustainability for future generations.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"25 ","pages":"Article 100465"},"PeriodicalIF":3.6,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144780357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Too hot and too humid in the Caribbean: Impacts of extreme heat events and non-accidental mortality in the tropical island of Puerto Rico (2015-2020)","authors":"Pablo A. Méndez-Lázaro ,&nbsp;Claudia Di Napoli ,&nbsp;Sona Rivas-Tumanyan ,&nbsp;Naydi Pérez-Ríos ,&nbsp;Lorena González Sepúlveda ,&nbsp;Ernesto Rodríguez ,&nbsp;Ernesto Morales ,&nbsp;Odalys Martínez ,&nbsp;Laura T. Cabrera-Rivera ,&nbsp;Mónica V. Sánchez-Sepúlveda ,&nbsp;Liza Milán","doi":"10.1016/j.joclim.2025.100484","DOIUrl":"10.1016/j.joclim.2025.100484","url":null,"abstract":"<div><h3>Background</h3><div>The complex interactions between heat and public health in tropical environments are not well understood, limiting the integrated understanding of heat-related impacts on the sustainability and resilience of the affected populations.</div></div><div><h3>Objectives</h3><div>To provide evidence on the impact of heat stress on mortality in Puerto Rico by means of indices that are based on physiologically relevant environmental factors.</div></div><div><h3>Methods</h3><div>Daily data on non-accidental mortality for the period of 2015-2020 were obtained from the Puerto Rico Department of Health. We obtained 2 meter ambient air temperature data across the whole geographical extent of Puerto Rico and for the 2015-2020 period at an hourly step from the ERA5 climate reanalysis dataset. We employed two indices derived from thermo-physiological models: the Universal Thermal Climate Index (UTCI) and the Heat Index (HI). Poisson regression models were fitted to explain the total number of deaths as a function of UTCI and HI while adjusting for sex and age.</div></div><div><h3>Results</h3><div>We observed an increase in overall non-accidental mortality in the days categorized as the highest tertile of both HI (IRR: 1.23, 95% CI: 1.21; 1.25) and UTCI (IRR:1.47, 95% CI: 1.44; 1.49) in the adjusted model. Myocardial infarction, ischemic heart disease, heart failure, and cerebrovascular disease were some of the primary causes of death.</div></div><div><h3>Conclusion</h3><div>Results will provide local decision-makers with sufficient evidence on heat stress impacts and valuable information on vulnerability that can be translated into heat adaptation strategies in Puerto Rico.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"25 ","pages":"Article 100484"},"PeriodicalIF":3.6,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144772085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Medical education competency frameworks for climate and planetary health: A scoping review","authors":"Elizabeth Cerceo ,&nbsp;Hannah N.W. Weinstein ,&nbsp;Stefan Wheat ,&nbsp;James Sullivan ,&nbsp;James Bevan ,&nbsp;Cecilia Sorensen","doi":"10.1016/j.joclim.2025.100488","DOIUrl":"10.1016/j.joclim.2025.100488","url":null,"abstract":"<div><h3>Introduction</h3><div>Climate change threatens human health by exacerbating existing health inequities, increasing climate-related illnesses, and disrupting healthcare systems. Preparing future physicians to address these challenges is essential for resilient healthcare systems. While climate health education in medical schools is gaining traction globally, its integration remains inconsistent, with limited consensus on core competencies.</div></div><div><h3>Methods</h3><div>A systematic search of peer-reviewed and gray literature was conducted across databases including PubMed, ERIC, EMBASE, and CINAHL. Inclusion criteria required frameworks to address climate or planetary health in medical education and to reflect consensus-level guidance from national or regional bodies. Each framework was thematically assessed for competencies and domains.</div></div><div><h3>Results</h3><div>12 frameworks met inclusion criteria. Key competencies identified varied among the frameworks and included medical knowledge of climate change’s health impacts, skills in climate-informed clinical practice, advocacy for sustainable healthcare, and addressing health equity. Unique aspects of climate health, such as Indigenous knowledge and environmental justice, appeared in a few frameworks. While foundational knowledge was universally emphasized, domains such as health system sustainability and interprofessional skills were less consistently integrated.</div></div><div><h3>Conclusion</h3><div>Our findings underscore the paucity of globally aligned, evidence-based competency frameworks, especially in the Global South, needed to equip future physicians with the skills to address the health impacts of climate change. Establishing standardized competencies will support consistent education and preparedness among future physicians worldwide. This review reveals a need for standardized frameworks to ensure comprehensive climate-health education across diverse medical education systems. Current frameworks demonstrate progress, yet gaps remain, especially in practical, action-oriented skills and specific competencies for vulnerable populations.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"25 ","pages":"Article 100488"},"PeriodicalIF":3.6,"publicationDate":"2025-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144757582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding environmental decision making: The association between stages of decision making and decisional conflict","authors":"Letizia Richelli ,&nbsp;Eline L.F.M.G. Vissers ,&nbsp;Alessandra Gorini ,&nbsp;Marijn H.C. Meijers ,&nbsp;Eline S. Smit ,&nbsp;Thomas Gültzow","doi":"10.1016/j.joclim.2025.100467","DOIUrl":"10.1016/j.joclim.2025.100467","url":null,"abstract":"<div><div>Introduction: As research highlights how climate change impacts individual and planetary health, people might consider reducing their ecological footprint by acting pro-environmentally. However, their choice might depend on how far along they are in the process of deciding to act pro-environmentally (i.e., different stages of decision making) and on their experienced difficulty in deciding in favour of the environment and which behaviour to conduct (i.e., decisional conflict).</div><div>Methods: To explore in which stage participants find themselves (i.e., not yet thinking about choices, showing interest in doing so, actively considering options, approaching a decision, having already decided but remaining open to reconsideration, or being firmly committed to a decision with little chance of change) and whether their respective stages are correlated with their experienced decisional conflict, an online, cross-sectional questionnaire was distributed among a convenience sample of 418 English-, Dutch-, and Italian-speaking adults to measure participants’ demographics, stages, and extent to which they experience decisional conflict.</div><div>Results: Based on regression analyses, we observed that participants who were further along in the stages experienced less decisional conflict.</div><div>Conclusion: Therefore, we suggest that interventions (e.g., decision aids) take stages into account to better meet users’ needs and assist people in making environmental decisions.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"24 ","pages":"Article 100467"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144704054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Temperature extremes, climate change and multimorbidity: A rapid scoping review","authors":"Hajira Dambha-Miller,&nbsp;Uzayr Nagdi,&nbsp;Lucy Smith,&nbsp;Glenn Simpson","doi":"10.1016/j.joclim.2025.100452","DOIUrl":"10.1016/j.joclim.2025.100452","url":null,"abstract":"<div><h3>Introduction</h3><div>Exposure to extreme temperatures disproportionally impacts vulnerable populations, including those with multimorbidity (i.e., people living with two or more long-term health conditions). A greater frequency of temperature extremes such as heatwaves driven by climate change will likely increase adverse health outcomes in vulnerable populations. Therefore, it is important to understand the potential effects of temperature extremes on the health outcomes of multimorbidity populations to aid the planning of healthcare systems and preventive interventions. In this review, evidence was collated and summarised, describing the health outcomes of extreme temperatures amongst people with multimorbidity.</div></div><div><h3>Methods</h3><div>A rapid scoping review with searches on temperature extremes and outcomes in multimorbidity populations was conducted using Medline, CINAHL, Scopus and Wiley Library. These searches were supplemented with manual citation and Google Scholar searches. There were 1,225 titles screened, with data extracted by two independent reviewers. Eight papers were included in the final analysis.</div></div><div><h3>Results</h3><div>Relatively few studies were identified, indicating limited evidence on this topic. Existing evidence focused on the increased risk of mortality in the multimorbidity population from extreme heat. No studies were identified examining the impact of cold extremes on the health outcomes of those with multimorbidity.</div></div><div><h3>Conclusion</h3><div>There is a need for significant further research, including systematic review and/or empirical investigation, on a range of issues that can further understanding of the effects of temperature extremes on health outcomes of multimorbidity populations.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"24 ","pages":"Article 100452"},"PeriodicalIF":3.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144721107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Building resiliency and mitigating climate change – The case of the Unjani Clinic network","authors":"Harsha Davé","doi":"10.1016/j.joclim.2025.100454","DOIUrl":"10.1016/j.joclim.2025.100454","url":null,"abstract":"<div><h3>Introduction</h3><div>This case study explores the innovative strategies employed by the Unjani Clinic in South Africa to address climate change within the primary healthcare system. By integrating renewable energy and water conservation practices, it highlights the dual role of healthcare providers in climate change mitigation and adaptation, especially in resource-limited settings.</div></div><div><h3>Case Presentation</h3><div>Operational data from annual reports and supplier quotes were analysed to evaluate Unjani Clinic's practices. Currently, 19 % of clinics operate with hybrid or off-grid solar energy systems, reducing utility costs by as much as ZAR 164,512 ($ 9139) and 23, 000 kg carbon emissions. Climate-related disruptions, including flooding and a tornado, significantly impacted clinic operations, underlining the importance of emergency preparedness and network support.</div></div><div><h3>Discussion</h3><div>The Unjani model demonstrates the viability of sustainability efforts to enhance healthcare delivery and environmental resilience. Flexible implementation and leadership support were key enablers. This approach emphasizes the need for aligning investment and policy support to scale such initiatives.</div></div><div><h3>Conclusion</h3><div>The Unjani Clinics (<span><span>https://www.unjaniclinic.co.za/</span><svg><path></path></svg></span>) provide a replicable model of integrating climate resilience into primary healthcare. This study underscores the critical role of healthcare providers in advancing environmental sustainability and addressing health inequities in vulnerable communities.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"24 ","pages":"Article 100454"},"PeriodicalIF":3.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144739419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prioritizing evidence for action from the 2024 small island developing states report of the Lancet Countdown on health and climate change","authors":"Stephanie Y Parker ,&nbsp;Kimalie F Parchment ,&nbsp;Maria Walawender ,&nbsp;Georgiana Gordon-Strachan","doi":"10.1016/j.joclim.2025.100482","DOIUrl":"10.1016/j.joclim.2025.100482","url":null,"abstract":"<div><h3>Introduction</h3><div>Small island developing states (SIDS) are vulnerable to the ill-health effects associated with unabated atmospheric warming driven by larger, more developed countries. Hence, the health-centered focus of the <em>Lancet</em> Countdown on Health and Climate Change has immense value for SIDS.</div></div><div><h3>Methods</h3><div>Given resource constraints and data limitations across the SIDS region, the inaugural 2024 SIDS report of the <em>Lancet</em> Countdown required a method of singling out the most regionally relevant indicators from 47 <em>Lancet</em> Countdown global indicators. A two-stage semi-qualitative method was designed for this purpose.</div></div><div><h3>Results</h3><div>The evaluation stage involved identifying two indicator sets from stakeholder consultation (<em>n</em> = 32) and a multi-criteria assessment (<em>n</em> = 11). Using both sets of indicators, only 11 met the criteria of being regionally representative and relevant, further confirming data limitations. To adjust for this challenge, 14 indicators were added to the final list based on relevance. Therefore, 25 <em>Lancet</em> Countdown indicators were selected for the 2024 SIDS report of the <em>Lancet</em> Countdown on Health and Climate Change. To further prioritize the wide range of evidence from these indicators, a qualitative multiplication matrix was used to define relationships between regional data coverage and differences from global benchmarks. Six indicators marked successes in adaptation, and 14 evidenced negative implications compared to global benchmarks.</div></div><div><h3>Conclusion</h3><div>The impact of heat on physical activity, food security, and economic development was of critical regional importance, as was the need for more research. The study identified critical areas where urgent climate action is needed, emphasizing the need for increased research and data collection in SIDS.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"24 ","pages":"Article 100482"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144697008","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Climate-sensitive maternal and child health outcomes: A scoping review and policy implications for Kiribati","authors":"Teanibuaka Tabunga ,&nbsp;Sarah Medcalf ,&nbsp;Annabelle Workman","doi":"10.1016/j.joclim.2025.100479","DOIUrl":"10.1016/j.joclim.2025.100479","url":null,"abstract":"<div><h3>Background</h3><div>Kiribati is situated in the central Pacific Ocean with a population of over 119,000 people. It is facing numerous health and other challenges from climate change, with adverse impacts on priority populations including women and children. Limited capacity and data gaps create challenges for responsive approaches to protect the health of priority populations. This scoping review surveys the peer-reviewed literature on several climate-sensitive maternal and child health outcomes, and considers this evidence in the context of Kiribati’s current climate and health policy landscape.</div></div><div><h3>Methods</h3><div>A search of PubMed, Web of Science and Scopus was conducted in August 2024 to identify peer-reviewed articles published in English between 2000 and 2024 examining climate-sensitive child and maternal health outcomes in the Pacific and developing countries. The search returned 463 results. Following abstract and full text screening, 34 articles were included in the review. Kiribati’s climate- and health-related policies were also identified and examined.</div></div><div><h3>Results</h3><div>Most (91 %) eligible articles have been published since 2010. Diarrheal disease and malnutrition are the commonest outcomes studied, with temperature and rainfall being key climatic factors affecting disease prevalence. Both outcomes are highly relevant for Kiribati. The limited evidence on climate-related maternal and adverse pregnancy outcomes also suggests temperature and rainfall are influential climatic factors.</div></div><div><h3>Conclusion</h3><div>There is increasing evidence across developing contexts that climate change adversely impacts maternal and child health outcomes. An opportunity exists to proactively identify and implement targeted interventions for women and children to reduce the prevalence of climate-sensitive maternal and child health outcomes.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"24 ","pages":"Article 100479"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144697009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}