Resilient Responses to Protect Lung Health in Nunavik

人为气候变化对肺部健康的潜在影响是“不亚于吸烟的威胁”。在魁北克努纳维克的因纽特努南加特地区，人们已经感受到了气候变化对肺部健康的影响。在努纳维克，减轻气候变化对肺部健康的影响的必要性尤为紧迫，因为该地区在呼吸系统疾病方面存在脆弱性-这种脆弱性植根于健康的社会决定因素和历史不公正，其影响因努纳维克与魁北克其他地区之间存在重大差距的卫生服务基础设施差距而扩大。我们的项目解决了CINUK呼吁研究提案的主题2，“缓解和适应弹性。“解决的两个跨领域问题是因纽特人社区的健康和福祉，以及复原力和可持续性。我们的研究人员和社区合作伙伴的多元化联盟将交织三个研究活动流，并行进行：（1）以社区为基础的参与性研究和实施科学方法，以设计社区肺部健康计划，社区成员通过整体生物社会范式解决肺部健康问题;（2）利用工程学、微生物学和流行病学方法来制定一项协议，社区肺部健康计划可以使用该协议来准确测量与肺部健康相关的建筑环境决定因素，并确定有风险的住房存量;（3）采用范围界定和系统审查方法以及试点研究，评价用于呼吸系统疾病的护理点诊断或监测的新兴技术，以减少区域外的医疗旅行。

The potential impact of anthropogenic climate change on lung health is a "threat no less consequential than cigarette smoking". 1The lung health-related impact of climate change is already being felt in the Inuit Nunangat region of Nunavik, Quebec. The need to mitigate impacts of climate change on lung health is particularly urgent in Nunavik due to the region's existing vulnerabilities with respect to respiratory diseases- vulnerabilities rooted in social determinants of health and historical injustices, and whose impact is amplified by health service infrastructure gaps that represent a major disparity between Nunavik and the rest of Quebec. Our project addresses Theme 2 of the CINUK Call for Research Proposals, "Mitigations & Adaptations for Resilience." The two cross-cutting issues addressed are Inuit community health & well-being, and Resilience and sustainability. Our diverse coalition of researchers and community partners will interweave three streams of research activities, taking place in parallel: (1) community-based participatory research and implementation science methods are applied to design a Community Lung Health Programme with community members addressing lung health through a holistic biosocial paradigm; (2) engineering, microbiology, and epidemiologic methods are leveraged to develop a protocol that the Community Lung Health Programme can use to accurately measure built-environment-relateddeterminants of lung health, and identify at-risk housing stock; (3) scoping and systematic review methods, and a pilot study, are applied to evaluate emerging technologies for point-of-care diagnosis or monitoring of respiratory diseases to reduce medical travel out of region.