Household Energy Insecurity and COVID-19 Have Independent and Synergistic Health Effects on Vulnerable Populations.

Household Energy Insecurity and COVID-19 Have Independent and Synergistic Health Effects on Vulnerable Populations.
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家庭能源不安全感和共同性19对弱势群体具有独立和协同的健康影响。

DOI:
10.3389/fpubh.2020.609608
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发表时间:
2020
影响因子:
5.2
通讯作者:
Armah FA
Armah FA
中科院分区:
医学3区
文献类型:
--
作者:
Boateng GO;Phipps LM;Smith LE;Armah FA

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家庭能源不安全 (HEINS) 不利于资源匮乏地区穷人和最弱势群体的健康。然而,新冠肺炎 (COVID-19) 大流行的影响以及限制措施执行不均衡可能会给低收入和中等收入国家最弱势群体带来疾病和健康风险的协同负担,从而加剧健康公平差距。基于现有文献,本文提出了三个关键论点:(1)COVID-19 增加了能源不安全的健康风险; (2) HEINS 增加传播 COVID-19 的风险; (3) COVID-19 和 HEINS 同时出现将对健康产生复杂的影响。这些论点使得针对具体情况的干预措施,而不是不利用现有脆弱性的通用全球卫生方法,对于减少 COVID-19 的传播和减轻能源不安全的影响至关重要。旨在资助和支持资源安全、有效检测、接触者追踪以及公平分配疫苗和个人防护设备的有针对性的国际努力有可能改善 HEINS 和 COVID-19 在资源匮乏国家的协同效应。
Household energy insecurity (HEINS) is detrimental to the health of the poor and most vulnerable in resource-poor settings. However, this effect amidst the COVID-19 pandemic and the uneven implementation of restrictions can create a synergistic burden of diseases and health risks for the most vulnerable in low- and middle-income countries, exacerbating the health equity gap. Based on existing literature, this paper develops three key arguments: (1) COVID-19 increases the health risks of energy insecurity; (2) HEINS increases the risk of spreading COVID-19; and (3) the co-occurrence of COVID-19 and HEINS will have compounding health effects. These arguments make context-specific interventions, rather than a generic global health approach without recourse to existing vulnerabilities critical in reducing the spread of COVID-19 and mitigating the effects of energy insecurity. Targeted international efforts aimed at financing and supporting resource security, effective testing, contact tracing, and the equitable distribution of vaccines and personal protective equipment have the potential to ameliorate the synergistic effects of HEINS and COVID-19 in resource-poor countries.
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