卫生安全规划(SSP),巴耶尔萨州抵御气候变化、卫生与健康之间的关系

Charles Oyibo, Walson Paminola, Wakedei Ere, Mary Osoru-Jenkins
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摘要

在有记载的人类历史上,与气候有关的危险事件一直存在;然而,气候变化已被证明有可能加剧这些事件的严重性,并有可能造成公共健康风险。据报道,在巴耶尔萨州,有相当一部分人患有肠胃疾病,尤其是腹泻,2021 年,一些儿童被诊断患有肠胃炎和螺旋体感染。同样,要防止接触人类排泄物,尤其是在人口密集的城市环境中,就需要对整个环卫服务链进行安全管理,其中涉及到环卫排泄物的收集、运输、处理、处置和最终使用等多个环节的参与者和接触群体。为此,我们对科学文献,特别是政府间气候变化专门委员会(IPCC)第五次评估报告(IPCC,2014 年)、世卫组织关于气候、环境卫生和健康的讨论文件(世卫组织,2019 年)以及巴耶尔萨州 2021 年 SSP 零草案进行了审查,以确保在环境卫生安全规划(SSP)风险评估、规划和管理过程中考虑到气候变化的结果。SSP 是世卫组织于 2006 年开发的基于风险的管理工具,用于安全使用和处置灰水、废水和排泄物,因为 2018 年世卫组织得出结论认为,卫生设施干预措施的健康结果低于预期。因此,巴耶尔萨州 2021 年战略规划零草案报告称,2021 年 3 月至 4 月间,30 多个社区报告了 200 多起疑似霍乱急性肠胃炎爆发的病例,伤亡人数超过 26 人。希望世卫组织在 2018 年推出第一份全面的《环境卫生与健康准则》,该准则旨在提供循证建议和指导,以确保国际、国家和地方的环境卫生政策和方案能够有效保护公众健康。它是一种基于风险的逐步方法,用于实施地方一级的风险评估,也是整个环卫服务链的管理工具,涵盖遏制、输送、处理和处置的最终用途。因此,在此建议巴耶尔萨州和尼日尔三角洲地区采用 SSP。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
SANITATION-SAFETY- PLANNING (SSP), THE NEXUS FOR CLIMATE RESILENCE, SANITION AND HEALTH IN BAYELSA STATE
In recorded human history, climate-related hazardous events have always existed; however, climate change has proved to have the potential to increase their severity and the likelihood of creating public health risks. In Bayelsa State, a sizable portion of the population has been reported to be suffering from gastrointestinal disorders particularly diarrhea and a number of children have been diagnosed of gastroenteritis and helminthes infections in the year 2021. Again, preventing exposure and contact to human waste, especially in dense urban settings requires the safe management of the entire sanitation service chain involving multiple actors and exposed groups in the collection, transport, treatment, disposal and end use of sanitation waste. To that end, a review of scientific literature, particularly the Intergovernmental Panel on Climate Change (IPCC) Fifth Assessment Report (IPCC, 2014), the WHO discussion Paper on Climate, Sanitation and Health (WHO, 2019) and the Bayelsa State SSP zero draft of 2021, is undertaken to ensure that climate change outcomes are considered within the Sanitation Safety Planning (SSP) risk assessment, planning and management processes. The SSP is a WHO risk based management tool for the safe use and disposal of grey water, wastewater and excreta developed in 2006 because in 2018 the WHO concluded that sanitation interventions have shown lower than expected health outcomes. Evidently therefore, the Bayelsa State SSP zero draft of 2021 reports that between March and April 2021, over 200 cases were reported from over 30 communities arising from the outbreak of acute-gastroenteritis suspected to be of cholera, and casualty figures were over 26. Hopefully, the first comprehensive Guidelines on Sanitation and Health which aim to provide evidence-based recommendations and offer guidance to ensure international, national and local sanitation policies and programmes that effectively protect public health, was launched by the WHO in 2018. It is a step-by-step risk based approach to implementing local level risks assessment and a management tool for the entire sanitation service chain covering containment, conveyance, treatment and end use of disposal. Consequently, the SSP is hereby recommended for adoption in Bayelsa State and Niger Delta Region.
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