A framework for assessing and predicting the environmental health impact of infectious diseases: a case study of leptospirosis

A framework for assessing and predicting the environmental health impact of infectious diseases: a case study of leptospirosis
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DOI:
10.1515/reveh-2012-0023
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发表时间:
2012-12-01
影响因子:
3.9
通讯作者:
Jagals, Paul
Jagals, Paul
中科院分区:
医学4区
文献类型:
--
作者:
Lau, Colleen;Jagals, Paul

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本文展示了综合环境健康影响评估(IEHIA)方法的实际应用,以调查传染病(钩端螺旋体病)和使用这种方法来估计未来的健康影响的价值。该评估描述了当前的健康影响(使用钩端螺旋体病血清阳性率作为替代措施),并根据包括不同风险因素指标的假设情况估计了未来的健康影响。应用国际环境卫生影响评估方法评估传染病的健康影响,通过考虑传播的环境驱动因素、人类行为、社会经济因素以及暴露和感染可能发生的多种途径,提高了量化疾病病原体及其健康影响之间关联的能力。
This article demonstrates the practical application of an integrated environmental health impact assessment (IEHIA) methodology to investigate an infectious disease (leptospirosis) and the value of using such an approach to estimate future health impact. The assessment described the current health impact (using leptospirosis seroprevalence as a proxy measure) and estimated the future health impact based on scenarios that included indicators of different risk factors. The application of an IEHIA methodology to assess the health impact of an infectious disease was shown to enhance the ability to quantify associations between a disease agent and its health impact by taking into account the environmental drivers of transmission, human behaviour, socioeconomic factors, and the multiple pathways through which exposure and infection could occur.