Estimated Global Disease Burden From US Health Care Sector Greenhouse Gas Emissions
Estimated Global Disease Burden From US Health Care Sector Greenhouse Gas Emissions
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DOI：
10.2105/ajph.2017.303846
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发表时间：
2018-04-01
影响因子：
12.7
通讯作者：
Sherman, Jodi D.
中科院分区：
文献类型：
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作者：
Eckelman, Viatthewj;Sherman, Jodi D.
目标.为了量化2013年美国医疗保健部门生命周期温室气体（GHG）排放量6.14亿公吨二氧化碳当量造成的疾病负担增加。我们筛选了将温室气体排放与疾病负担联系起来的健康损害因素。我们选择了5个因素，基于适当的时间模型尺度，反映了一系列可能的温室气体排放情景。我们将这些因素应用于医疗保健部门的排放。我们预测，在美国，每年与医疗保健相关的温室气体排放将导致123000至381000残疾调整生命年的未来健康损害，营养不良是最大的损害类别。温室气体排放会加剧全球气候变化，从而对公众健康产生负面影响，因为极端天气、洪水、病媒传播疾病和其他影响的发生率会增加。作为全球健康的管理者，医疗保健专业人员必须认识到与医疗保健本身相关的温室气体排放量以及相关健康损害的严重性。
Objectives. To quantify the increased disease burden caused by US health care sector life cycle greenhouse gas (GHG) emissions of 614 million metric tons of carbon dioxide equivalents in 2013.Methods. We screened for health damage factors that linked GHG emissions to disease burdens. We selected 5 factors, based on appropriate temporal modeling scales, which reflect a range of possible GHG emissions scenarios. We applied these factors to health care sector emissions.Results. We projected that annual GHG emissions associated with health care in the United States would cause 123 000 to 381 000 disability-adjusted life-years in future health damages, with malnutrition being the largest damage category.Conclusions. Through their contribution to global climate change, GHG emissions will negatively affect public health because of an increased prevalence of extreme weather, flooding, vector-borne disease, and other effects. As the stewards of global health, it is important for health care professionals to recognize the magnitude of GHG emissions associated with health care itself, and the severity of associated health damages.