How Climate Change May Threaten Progress in Neonatal Health in the African Region
How Climate Change May Threaten Progress in Neonatal Health in the African Region
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DOI：
10.1159/000525573
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发表时间：
2022-07-18
期刊：
影响因子：
2.5
通讯作者：
Kovats, Sari
中科院分区：
文献类型：
--
作者：
Nakstad, Britt;Filippi, Veronique;Kovats, Sari
气候变化可能对非洲孕产妇和新生儿健康产生广泛影响。资源贫乏地区的人口已经遭受极端天气的不利影响、环境暴露造成的高疾病负担以及获得高质量临床护理的机会有限。气候变化已经导致当地气温升高。由于其独特的新陈代谢、生理、生长和发育特征，新生儿面临热应激和脱水的高风险。由于住房设计和经济实惠的空间制冷机会有限，低收入环境中的婴儿可能无法抵御酷热。气候变化可能会增加天气灾害对新生儿健康的风险，降低粮食安全并促进传染病传播。减少高温风险的有效干预措施包括对母亲、护理人员和临床医生进行有关高温风险的健康教育；基于自然的解决方案，减少城市热岛效应；卫生设施中的空间冷却；住房质量和粮食系统的公平改善。减少温室气体排放对于减少气候变化的长期影响至关重要，气候变化的长期影响将进一步破坏降低新生儿死亡率的全球卫生战略。
Climate change is likely to have wide-ranging impacts on maternal and neonatal health in Africa. Populations in low-resource settings already experience adverse impacts from weather extremes, a high burden of disease from environmental exposures, and limited access to high-quality clinical care. Climate change is already increasing local temperatures. Neonates are at high risk of heat stress and dehydration due to their unique metabolism, physiology, growth, and developmental characteristics. Infants in low-income settings may have little protection against extreme heat due to housing design and limited access to affordable space cooling. Climate change may increase risks to neonatal health from weather disasters, decreasing food security, and facilitating infectious disease transmission. Effective interventions to reduce risks from the heat include health education on heat risks for mothers, caregivers, and clinicians; nature-based solutions to reduce urban heat islands; space cooling in health facilities; and equitable improvements in housing quality and food systems. Reductions in greenhouse gas emissions are essential to reduce the long-term impacts of climate change that will further undermine global health strategies to reduce neonatal mortality.