Power outages, extreme events and health: a systematic review of the literature from 2011-2012.
Power outages, extreme events and health: a systematic review of the literature from 2011-2012.
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DOI：
10.1371/currents.dis.04eb1dc5e73dd1377e05a10e9edde673
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发表时间：
2014-01-02
期刊：
影响因子：
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通讯作者：
Murray, Virginia
中科院分区：
文献类型：
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作者：
Klinger, Chaamala;Landeg, Owen;Murray, Virginia
背景 极端事件（例如洪水）威胁着包括电力供应在内的关键基础设施。现代世界中的许多互连系统都依赖可靠的电源才能有效运行。卫生部门也不例外，但人们对断电对健康的影响知之甚少。加深了解至关重要，这样才能预防和/或减轻不良健康影响。方法 我们检索了 Medline、CINAHL 和 Scopus，查找 2011-2012 年发表的关于极端事件期间停电对健康影响的论文。对提取的信息进行了主题分析。 2013 年 1 月 1 日至 2013 年 3 月 31 日期间的英国公共卫生极端事件公报用于识别在这三个月期间导致停电的极端事件。结果 我们确定了 20 篇相关文章。研究发现，停电会在不同环境下的多个层面影响健康。反复出现的主题包括获得医疗保健、维持一线服务的困难以及社区医疗保健的挑战。我们发现 19 个国家发生了 52 次停电，这些停电是 2013 年前三个月极端事件的直接后果。 结论 据我们所知，这是对停电对健康影响的首次审查。我们发现当前的证据和知识基础很薄弱。科学界一致预测，气候变化导致极端事件的频率和严重程度都会增加，因此需要解决知识差距，以减轻停电对全球健康的影响。
Background Extreme events (e.g. flooding) threaten critical infrastructure including power supplies. Many interlinked systems in the modern world depend on a reliable power supply to function effectively. The health sector is no exception, but the impact of power outages on health is poorly understood. Greater understanding is essential so that adverse health impacts can be prevented and/or mitigated. Methods We searched Medline, CINAHL and Scopus for papers about the health impacts of power outages during extreme events published in 2011-2012. A thematic analysis was undertaken on the extracted information. The Public Health England Extreme Events Bulletins between 01/01/2013 - 31/03/2013 were used to identify extreme events that led to power outages during this three-month period. Results We identified 20 relevant articles. Power outages were found to impact health at many levels within diverse settings. Recurrent themes included the difficulties of accessing healthcare, maintaining frontline services and the challenges of community healthcare. We identified 52 power outages in 19 countries that were the direct consequence of extreme events during the first three months of 2013. Conclusions To our knowledge, this is the first review of the health impacts of power outages. We found the current evidence and knowledge base to be poor. With scientific consensus predicting an increase in the frequency and magnitude of extreme events due to climate change, the gaps in knowledge need to be addressed in order to mitigate the impact of power outages on global health.