Impacts of climate change on human health in humanitarian settings: Evidence gaps and future research needs

L. McIver, Emma Beavon, Alexandra Malm, Amr Awad, Angela Uyen, Carol Devine, Caroline Voûte, Léo Tremblay, Louisa Baxter, J. E. Dewez, Maria Guevara, Monica Rull
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Abstract

This mixed-methods study focuses on the evidence of the health impacts of climate change on populations affected by humanitarian crises, presented from the perspective of Médecins Sans Frontières (MSF)–the world’s largest emergency humanitarian medical organisation. The Sixth Assessment Report from the Intergovernmental Panel on Climate Change (IPCC) was used as the basis of a narrative review, with evidence gaps highlighted and additional literature identified relevant to climate-sensitive diseases and health problems under-reported in–or absent from–the latest IPCC report. An internal survey of MSF headquarters staff was also undertaken to evaluate the perceived frequency and severity of such problems in settings where MSF works. The findings of the survey demonstrate some discrepancies between the health problems that appear most prominently in the IPCC Sixth Assessment Report and those that are most relevant to humanitarian settings. These findings should be used to guide the direction of future research, evidence-based adaptations and mitigation efforts to avoid the worst impacts of climate change on the health of the world’s most vulnerable populations.
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气候变化对人道主义环境中人类健康的影响:证据差距和未来研究需求
这项混合方法研究侧重于气候变化对受人道主义危机影响人群健康影响的证据,从无国界医生组织(MSF)--世界上最大的紧急人道主义医疗组织--的角度进行阐述。政府间气候变化专门委员会(IPCC)的第六次评估报告被用作叙述性审查的基础,同时强调了证据差距,并确定了与 IPCC 最新报告中未报告或未提及的气候敏感性疾病和健康问题相关的其他文献。此外,还对无国界医生总部员工进行了内部调查,以评估无国界医生工作环境中此类问题的发生频率和严重程度。调查结果显示,在IPCC第六次评估报告中出现最多的健康问题与那些与人道主义环境最相关的健康问题之间存在一些差异。这些发现应当用于指导未来的研究方向、循证适应和缓解工作,以避免气候变化对世界上最脆弱人群的健康造成最严重的影响。
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