The Climate Emergency and the Health of Our Patients: The Role of the Rheumatologist.
The Climate Emergency and the Health of Our Patients: The Role of the Rheumatologist.
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气候紧急情况与我们患者的健康：风湿病学家的作用。
DOI：
10.1002/art.42279
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发表时间：
2023-01
影响因子：
13.3
通讯作者：
Feldman, Candace. H. H.
中科院分区：
文献类型：
--
作者：
Dellaripa, Paul. F. F.;Bush, Thomas;Miller, Frederick. W. W.;Feldman, Candace. H. H.
气候危机是对人类健康和地球健康的新威胁。自工业时代开始以来，平均气温上升了约1摄氏度，这主要是由于与化石燃料使用有关的人为温室气体排放。1896年首次描述了变暖温度和温室气体产生之间的联系，并在20世纪50年代末对大气CO2上升的测量中得到证实（1）。尽管多年来积累了科学证据，以及《联合国气候变化框架公约》的既定目标，但减缓和减少温室气体产生的全球一致努力仍然滞后。我们现在面临着这种不作为的后果，我们所说的气候危机现在已经成为气候紧急情况（2，3）。气温上升导致更多的极端天气事件和负面健康影响，其中包括更频繁和严重的热浪，更多的野火与更大的颗粒物（PM）暴露，更多的过敏和哮喘由于更长的花粉季节，更大范围和影响的病媒传播和其他传染病，以及温暖的海洋和海平面上升导致更严重的风暴（2，4）。这些变化，加上沿着日益严重的干旱和洪水，可能导致粮食无保障、人口流离失所、心理压力和心理健康紊乱增加以及内乱。作为卫生保健专业人员和风湿病学家，我们必须明白，这种气候紧急情况的新影响代表了一场公共卫生危机，将影响我们患者的健康。因此，我们必须让自己和风湿病患者做好准备，以适应不断变化的环境。作为相关的医生和研究人员，我们相信，在美国流变学学院（ACR）的支持下，所有的流变学家都必须面对气候紧急情况的现实，并代表我们患者现在和未来的健康和福祉采取行动。
The Climate Crisis represents an emerging threat to the health of humanity and to the health of our planet. Since the dawn of the Industrial Era the average air temperature has risen by about 1 degree Celsius, due mainly to human-caused emissions of greenhouse gases (GHG) related to the use of fossil fuels. The link between warming temperatures and GHG production was first described in 1896 and was confirmed by the measurement of rising atmospheric CO2 in the late 1950’s (1). Despite years of accumulating scientific evidence, and the stated objectives of the United Nations Framework Convention on Climate Change, a concerted global effort to slow and decrease GHG production has lagged (3). We are now faced with the consequences of this inaction where what we referred to as the Climate Crisis has now become a Climate Emergency (2, 3). Rising temperatures have led to more extreme weather events and negative health impacts, which include more frequent and severe heat waves, more wildfires with greater particulate matter (PM) exposure, more allergies and asthma due to longer pollen seasons, a greater range and impact of vector-borne and other infectious diseases, and warmer oceans and rising sea levels leading to more severe storms (2, 4). These changes, along with worsening droughts and flooding, can lead to food insecurity, population displacement, increased psychological stress and mental health disorders and civil unrest. As health care professionals and as rheumatologists, specifically, we must understand that emerging effects of this Climate Emergency represent a public health crisis that will affect the health of our patients. Thus, we must prepare ourselves and our patients with rheumatic disease to adapt to our changing environment. As concerned physicians and researchers, we believe that all rheumatologists, with the support of the American College of Rheumatology (ACR) must confront the reality of the Climate Emergency, and act on behalf of our patients’ health and well-being now and for the future.
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