The journal of climate change and health最新文献_第2页

Heat risk communication for older adults living in the community: A scoping review 居住在社区的老年人的热风险沟通：范围审查

IF 3.6

The journal of climate change and health

Pub Date : 2025-12-23 DOI: 10.1016/j.joclim.2025.100617

Kalissa Brooke-Cowden, Hania Rahimi-Ardabili, Enrico Coiera

Introduction

Older adults are at higher risk of adverse health outcomes from extreme heat events. Effective heat risk communication interventions offer opportunities to mitigate adverse health impacts by improving heat health literacy and heat adaptive behaviors in this population. This scoping review examined the impact of heat risk communication for independently living older adults on their adoption of heat protective behaviors and on preventable adverse health outcomes.

Methods

We searched three electronic databases (Medline, Embase, Scopus) and Google Scholar using terms for heat risk communication and older adults. Empirical research investigating heat warning interventions were deemed eligible if they reported changes in heat behavior or health outcomes for older adults. The review was conducted in accordance with the PRISMA-ScR guidelines.

Results

Of 19 empirical articles, 6 were interventional and 13 observational (qualitative and quantitative). Results showed that tailored risk communication interventions improved older adults’ knowledge of heat-related risks and had some positive influence on adaptive behaviors and health outcomes. However, despite good awareness of impending extreme heat conditions through risk communications, this knowledge did not consistently translate into behavioral action.

Conclusion

Publications on heat risk communication for independent older adults are limited, especially for developing countries. With aging populations and extreme heat events rising, mitigating heat exposure risk is crucial and can be addressed through relevant communications. Further research with robust designs would support effective heat risk communication for older adults.

老年人因极端高温事件而出现不良健康结果的风险更高。有效的热风险沟通干预措施提供了机会，通过提高这一人群的热健康素养和热适应行为来减轻不利的健康影响。本综述研究了独立生活的老年人热风险沟通对他们采用热保护行为和可预防的不良健康结果的影响。方法检索Medline、Embase、Scopus 3个电子数据库和谷歌Scholar，检索热风险沟通和老年人相关词汇。调查高温预警干预措施的实证研究如果报告了老年人的热行为或健康结果的变化，就被认为是合格的。审查是按照PRISMA-ScR指南进行的。结果19篇实证文章中，6篇为干预性，13篇为观察性（定性和定量）。结果表明，风险沟通干预提高了老年人对热相关风险的认识，并对适应行为和健康结果有一定的积极影响。然而，尽管通过风险沟通对即将到来的极端高温条件有很好的认识，但这种认识并没有始终转化为行为行动。结论关于独立老年人热风险沟通的出版物有限，特别是在发展中国家。随着人口老龄化和极端高温事件的增加，减轻热暴露风险至关重要，可以通过相关的沟通来解决。进一步的研究与稳健的设计将支持有效的热风险沟通老年人。

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引用次数: 0

Beyond rural: A time-based measure for urban, rural, remote, and geographically isolated response 超越农村：针对城市、农村、偏远地区和地理上孤立的应对措施的基于时间的措施

IF 3.6

The journal of climate change and health

Pub Date : 2025-12-23 DOI: 10.1016/j.joclim.2025.100616

Daryl Schaffer, Alec Bennett

In disaster doctrine, urban and rural definitions are typically based on population size and distance (kilometers or miles) from urban, road-accessible locations. Associated guidelines and assumptions are challenging to apply for islands and off-the-road locations. Disaster response models have become stagnant despite advances in transportation modes and climate change adaptations. With no consistent definition of rural, a gap exists on what is considered remote and the reality of being geographically isolated. Proposed here are time-based guidelines on four geographic settings correlated to the arrival of the initial disaster emergency response at a location deemed "urban" as under 10 minutes, "rural" under an hour, "remote" under 24 hours, and "geographically isolated" over 24 hours.

在灾害理论中，城市和农村的定义通常基于人口规模和距离城市道路可达地点的距离（公里或英里）。相关的指导方针和假设对岛屿和非公路地点的申请具有挑战性。尽管交通方式和气候变化适应取得了进步，但灾害应对模式却停滞不前。由于对农村没有一致的定义，在什么是偏远地区和地理上孤立的现实之间存在差距。这里提出了关于四种地理环境的基于时间的准则，这些地理环境与初步灾害应急反应到达以下地点有关：“城市”不到10分钟，“农村”不到1小时，“偏远”不到24小时，“地理孤立”超过24小时。

引用次数: 0

Towards climate-responsive cities: developing a heat vulnerability index for Jodhpur City, India 面向气候响应型城市：为印度焦特布尔市制定热脆弱性指数

IF 3.6

The journal of climate change and health

Pub Date : 2025-12-22 DOI: 10.1016/j.joclim.2025.100614

Rachit Sharma , Ritika Kapoor , Abhiyant Tiwari , Kim Knowlton , Vijay S. Limaye

Introduction

Climate change intensifies heat risks in urban areas, and spatial vulnerability assessments are essential for informing targeted adaptation strategies. We developed a preliminary ward-level Heat Vulnerability Index (HVI) for Jodhpur City, India, integrating exposure, sensitivity, and adaptive capacity domains to characterize hyperlocal variation in heat vulnerability.

Methods

A two-step Principal Component Analysis (PCA) was applied to integrate 11 standardized socio-demographic and environmental indicators into composite scores. First, domain-specific PCA reduced dimensionality by identifying principal components that captured maximum variance within each domain. Second, standardized weights for individual indicators were derived from their loadings and contributions to variance within the retained components. Weighted domain scores were combined to calculate the overall HVI.

Results

Heat vulnerability varied across Jodhpur’s 80 wards, with 25 highly vulnerable, 35 moderately vulnerable, and 20 with low vulnerability. Exposure was driven by an inverse relationship between land surface temperature (LST) and population density. Wards with higher population density tended to have lower LST values owing to shaded streets and traditional adaptations such as reflective roofs, while sparsely populated wards had higher LST. Sensitivity findings highlighted demographic and socio-economic heat susceptibility factors, including higher proportions of children aged 0–6 years, females, and marginalized caste groups. Adaptive capacity was primarily shaped by higher literacy rates, proximity to urban health centers, greater green cover, and presence of water resources.

Conclusions

The preliminary HVI improves understanding of heat vulnerability at the ward-level. Our findings can inform decision-making to ensure equitable heat adaptation in Jodhpur City.

气候变化加剧了城市地区的热风险，空间脆弱性评估对于为有针对性的适应战略提供信息至关重要。我们为印度焦特布尔市开发了一个初步的预警级热脆弱性指数（HVI），综合暴露、敏感性和适应能力领域来表征热脆弱性的超局部变化。方法采用两步主成分分析（PCA），将11项标准化社会人口和环境指标整合为综合得分。首先，特定领域的PCA通过识别捕获每个领域内最大方差的主成分来降低维数。其次，单个指标的标准化权重是从它们的负载和对保留成分内方差的贡献中得出的。结合加权域得分计算总体HVI。结果焦特布尔80个病区的脆弱性各不相同，有25个病区高度脆弱性，35个病区中度脆弱性，20个病区低脆弱性。地表温度（LST）与人口密度呈负相关关系。人口密度高的地区由于街道荫蔽和传统的适应措施（如反射屋顶），LST值往往较低，而人口密度低的地区LST值较高。敏感性研究结果强调了人口统计学和社会经济的热易感性因素，包括0-6岁儿童、女性和边缘种姓群体的比例较高。适应能力主要由较高的识字率、靠近城市卫生中心、更大的绿色覆盖和水资源的存在形成。结论初步HVI提高了病区对热易损性的认识。我们的研究结果可以为决策提供信息，以确保焦特布尔市公平的热适应。

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引用次数: 0

The role of sensors for building individual climate resilience and mitigating the impact on health services from extreme weather events such as heatwaves: A perspective review 传感器在建立个人气候适应能力和减轻热浪等极端天气事件对卫生服务的影响方面的作用：观点综述

IF 3.6

The journal of climate change and health

Pub Date : 2025-12-22 DOI: 10.1016/j.joclim.2025.100615

Jessica Rahman , Lucinda Jones , Alana Delaforce , David Silvera-Tawil , Hwan-Jin Yoon , Justin Boyle , Marlien Varnfield , Brett Sutton , Rajiv Jayasena

Climate change poses significant risks to human health, with increasing temperatures and extreme weather events linked to rising rates of heat-related illnesses, respiratory diseases, injuries, and even rising mortality. This review explores the potential of digital technologies leveraging diverse sensing devices, including individual wearable sensors and ambient sensors to monitor and mitigate heat exposure's adverse effects on individual health, health services and healthcare systems. While this approach is particularly relevant to health system responses, it also highlights the broader planning, prevention, and early intervention efforts that extend beyond the health sector, such as social services, education, housing, transport, community-based initiatives and environmental policies. As climate-related health challenges escalate, integrating sensing technologies into healthcare strategies could improve response timing and capacity, reduce healthcare costs, and ultimately safeguard public health. This perspective piece calls for further research to identify effective applications of sensing technologies in mitigating heat impacts, aiming to inform policy and enhance the resilience of health systems and related services in a changing climate.

气候变化对人类健康构成重大风险，气温上升和极端天气事件与热相关疾病、呼吸系统疾病、伤害甚至死亡率上升有关。本文探讨了数字技术利用各种传感设备的潜力，包括个人可穿戴传感器和环境传感器，以监测和减轻热暴露对个人健康、卫生服务和医疗保健系统的不利影响。虽然这种方法与卫生系统的应对特别相关，但它也强调了超出卫生部门的更广泛的规划、预防和早期干预工作，如社会服务、教育、住房、交通、社区行动和环境政策。随着与气候相关的卫生挑战不断升级，将传感技术纳入卫生保健战略可以改善响应时间和能力，降低卫生保健成本，并最终保障公众健康。这篇观点文章呼吁进一步研究，以确定传感技术在减轻热影响方面的有效应用，旨在为政策提供信息，增强卫生系统和相关服务在气候变化中的适应能力。

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引用次数: 0

Rising Waters, Rising Risks: Childhood undernutrition in flood-prone areas of Alappuzha, Kerala 水位上升，风险上升：喀拉拉邦Alappuzha洪水易发地区的儿童营养不良

IF 3.6

The journal of climate change and health

Pub Date : 2025-12-20 DOI: 10.1016/j.joclim.2025.100622

Priya Babu, Antony Paul Payyappilly, Manju Nair R

Background

Climate variability and extreme weather events pose growing public health risks, especially in geographically vulnerable regions. Kerala, a southern Indian state with an extensive coastline and dense river network, is increasingly affected by sea-level rise, heavy rainfall, and recurrent floods. Children in these flood-prone areas face heightened risks of adverse health outcomes, including undernutrition. However, limited studies have examined the link between flooding and child nutrition in this region. This study assessed the nutritional status of children aged 12–59 months in Alappuzha, one of the most flood-affected districts in Kerala.

Materials and Methods

A cross-sectional survey was conducted in five flood-prone panchayats in Alappuzha using a multi-stage sampling approach. Data collected included socio-demographics, flood-related exposures, and anthropometric measurements. WHO Anthro Survey Analyzer was used to calculate Z-scores for stunting, wasting, and underweight.

Results

The study found a high prevalence of undernutrition, with 28.25 % of children underweight, 31 % stunted, and 21 % wasted—figures exceeding recent state averages. Odds of undernutrition were higher among girls, children of less-educated mothers, and those whose fathers held elementary occupations. Children from families which were displaced to relief camps during floods had significantly higher odds of being underweight (AOR 8.43; 95 % CI: 3.87–21.3; p < 0.001) and experiencing anthropometric failure (AOR 1.84; 95 % CI: 1.13–3.04; p = 0.023).

Conclusion

Undernutrition among children in flood-prone areas of Kerala is elevated and linked to both socio-demographic and disaster-related factors. Findings underscore the need for longitudinal studies and targeted interventions in climate-vulnerable regions.

气候变率和极端天气事件构成越来越大的公共卫生风险，特别是在地理上脆弱的地区。喀拉拉邦是印度南部的一个邦，拥有广阔的海岸线和密集的河网，日益受到海平面上升、暴雨和经常性洪水的影响。这些洪水易发地区的儿童面临包括营养不良在内的不良健康后果的高风险。然而，有限的研究调查了该地区洪水与儿童营养之间的联系。本研究评估了喀拉拉邦受灾最严重的地区之一Alappuzha 12-59个月儿童的营养状况。材料与方法采用多阶段抽样方法，对阿拉普查五个洪灾易发的村务委员会进行了横断面调查。收集的数据包括社会人口统计学、洪水相关暴露和人体测量。使用WHO人类调查分析仪计算发育迟缓、消瘦和体重不足的z分数。结果研究发现营养不良的发生率很高，28.25%的儿童体重不足，31%的儿童发育迟缓，21%的儿童消瘦——这些数字超过了最近该州的平均水平。在女孩、母亲受教育程度较低的孩子以及父亲从事初级职业的孩子中，营养不良的几率更高。洪水期间被转移到救济营地的家庭的儿童体重不足的几率显著更高（AOR为8.43;95% CI: 3.87-21.3; p < 0.001），并且经历人体测量失败（AOR为1.84;95% CI: 1.13-3.04; p = 0.023）。结论喀拉拉邦洪水易发地区儿童营养不良发生率上升，与社会人口和灾害相关因素有关。研究结果强调了在气候脆弱地区进行纵向研究和有针对性干预的必要性。

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引用次数: 0

Driving cities to transformative climate change actions: The climate-health risk management project (CHARISMA) in India 推动城市采取变革性气候变化行动：印度气候健康风险管理项目（CHARISMA）

IF 3.6

The journal of climate change and health

Pub Date : 2025-12-20 DOI: 10.1016/j.joclim.2025.100621

Bejo Jacob Raju , Raf Theunissen , Jente Broeckx , Richa Sharma , Surender N. Sharma , Ibrahim Hafeezur Rehman , Cedric Marsboom , Alan Juache , Guy Hendrickx , Poornima Prabhakaran

Introduction

Rising vulnerability to heat waves and infectious diseases due to climate change necessitates urgent action in cities. Effectiveness of urban policies, tactfulness of city planning, infrastructure development and efficiency of urban expansion plans will shape the extent and impact of climate change on a city, and the vulnerability or resilience of citizens residing in it.

Case Presentation

The climate-health risk management project (CHARISMA) focuses on the development of a web-based climate-health information dashboard for 50 cities in India, aiming to aid the formulation of climate adaptation plans for managing health issues exacerbated by climate change. It offers the ability to download and visualize data and maps at city-level on urban climate conditions, including heat vulnerability and vector-borne diseases. The platform integrates simulated climate data for the periods 2011–2020 and 2041–2050, considering various climate change scenarios and accounting for urban growth based on city masterplans.

Discussion

The climate-health information dashboard is conceived as a guiding framework for urban planning to assist Indian cities in devising customized interventions for innovative and integrated climate action planning. This will allow city-planners and health officials to take timely and appropriate decisions in resource-constrained settings.

Conclusion

As cities frequently face limitations in technical expertise and capacity building for climate action, it is imperative to support policymakers in comprehending the realm of climate actions. Recognizing this opportunity, CHARISMA was designed to engage in research to guide effective policy by focusing cities as stakeholders in the national climate action agenda.

气候变化导致城市越来越容易受到热浪和传染病的影响，因此有必要采取紧急行动。城市政策的有效性、城市规划的巧妙性、基础设施的发展和城市扩张计划的效率将决定气候变化对城市的程度和影响，以及居住在城市中的公民的脆弱性或复原力。案例介绍气候健康风险管理项目（CHARISMA）侧重于为印度50个城市开发一个基于网络的气候健康信息仪表板，旨在帮助制定气候适应计划，以管理因气候变化而加剧的健康问题。它提供了在城市一级下载和可视化城市气候条件数据和地图的能力，包括热脆弱性和媒介传播疾病。该平台整合了2011-2020年和2041-2050年期间的模拟气候数据，考虑了各种气候变化情景，并根据城市总体规划考虑了城市增长。讨论气候健康信息仪表板被设想为城市规划的指导框架，以协助印度城市为创新和综合气候行动规划设计定制的干预措施。这将使城市规划者和卫生官员能够在资源有限的情况下及时作出适当的决定。由于城市在气候行动的技术专长和能力建设方面经常面临限制，因此必须支持政策制定者理解气候行动领域。认识到这一机会，设计了“魅力”项目，通过将城市作为国家气候行动议程的利益相关者，参与研究，指导有效的政策。

{"title":"Driving cities to transformative climate change actions: The climate-health risk management project (CHARISMA) in India","authors":"Bejo Jacob Raju , Raf Theunissen , Jente Broeckx , Richa Sharma , Surender N. Sharma , Ibrahim Hafeezur Rehman , Cedric Marsboom , Alan Juache , Guy Hendrickx , Poornima Prabhakaran","doi":"10.1016/j.joclim.2025.100621","DOIUrl":"10.1016/j.joclim.2025.100621","url":null,"abstract":"<div><h3>Introduction</h3><div>Rising vulnerability to heat waves and infectious diseases due to climate change necessitates urgent action in cities. Effectiveness of urban policies, tactfulness of city planning, infrastructure development and efficiency of urban expansion plans will shape the extent and impact of climate change on a city, and the vulnerability or resilience of citizens residing in it.</div></div><div><h3>Case Presentation</h3><div>The <strong><u>c</u></strong>limate-<strong><u>h</u></strong>e<strong><u>a</u></strong>lth <strong><u>ris</u></strong>k <strong><u>ma</u></strong>nagement project (CHARISMA) focuses on the development of a web-based climate-health information dashboard for 50 cities in India, aiming to aid the formulation of climate adaptation plans for managing health issues exacerbated by climate change. It offers the ability to download and visualize data and maps at city-level on urban climate conditions, including heat vulnerability and vector-borne diseases. The platform integrates simulated climate data for the periods 2011–2020 and 2041–2050, considering various climate change scenarios and accounting for urban growth based on city masterplans.</div></div><div><h3>Discussion</h3><div>The climate-health information dashboard is conceived as a guiding framework for urban planning to assist Indian cities in devising customized interventions for innovative and integrated climate action planning. This will allow city-planners and health officials to take timely and appropriate decisions in resource-constrained settings.</div></div><div><h3>Conclusion</h3><div>As cities frequently face limitations in technical expertise and capacity building for climate action, it is imperative to support policymakers in comprehending the realm of climate actions. Recognizing this opportunity, CHARISMA was designed to engage in research to guide effective policy by focusing cities as stakeholders in the national climate action agenda.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"27 ","pages":"Article 100621"},"PeriodicalIF":3.6,"publicationDate":"2025-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145792215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exploring the interconnections between health, climate crisis, food insecurity and institutional neglect in Alta Verapaz region, Guatemala 探索危地马拉阿尔塔韦拉帕斯地区健康、气候危机、粮食不安全和机构忽视之间的相互联系

IF 3.6

The journal of climate change and health

Pub Date : 2025-11-01 DOI: 10.1016/j.joclim.2025.100603

Esteban Sabbatasso , Jeannie Samuel , Benilda Batzin , Rosaura Medina , Karin Slowing , Walter Flores

Introduction

Rural Indigenous communities in Alta Verapaz, Guatemala face escalating and multifaceted health risks due to recurrent extreme climate events. This article focuses on the deepening crisis of chronic food insecurity and malnutrition, driven both by acute shortages during climate shocks and the long-term degradation of local food systems. These harms are further compounded by entrenched structural inequalities and limited access to government emergency response systems and public institutions more broadly.

Methods

This study draws on participatory action research conducted with 16 Maya Q’eqchi’ communities and civil society partners. Data were collected through participatory mapping, group dialogues, and institutional analysis, and were analyzed using thematic methods grounded in the social determination of health framework.

Results

The study identifies two central concerns: the intensification of food insecurity driven by both climate change and the expansion of monoculture agriculture, and the inadequate institutional response to these interrelated crises. Community members reported crop loss, declining soil fertility, toxic contamination following floods, and ongoing encroachment on their habitats. National policy analysis reveals that, although the emergency response system appears adequate in design, its implementation is hindered by limited capacity and chronic under-resourcing at the community level.

Conclusion

The interplay of climate shocks, food system pressures, and institutional failure requires a rights-based, multilevel approach to health and climate justice. Public investment, decentralized emergency planning, and recognition of Indigenous knowledge are critical parts of addressing structural drivers of vulnerability. Community-led strategies must be supported by responsive, well-resourced public institutions.

由于反复出现的极端气候事件，危地马拉Alta Verapaz的农村土著社区面临着不断升级的多方面健康风险。本文重点关注日益加深的长期粮食不安全和营养不良危机，这是由气候冲击期间的严重短缺和当地粮食系统的长期退化造成的。根深蒂固的结构性不平等以及进入政府应急系统和更广泛的公共机构的机会有限，进一步加剧了这些危害。方法本研究借鉴了与16个玛雅Q ‘ eqchi ’社区和民间社会合作伙伴进行的参与式行动研究。通过参与式制图、小组对话和机构分析收集数据，并使用基于健康框架的社会决定的专题方法进行分析。该研究确定了两个主要问题：气候变化和单一农业扩张导致的粮食不安全加剧，以及对这些相互关联的危机的制度性反应不足。社区成员报告了作物损失、土壤肥力下降、洪水造成的有毒污染以及栖息地不断受到侵蚀。国家政策分析显示，虽然紧急反应系统在设计上似乎是适当的，但其执行受到社区一级能力有限和长期资源不足的阻碍。气候冲击、粮食系统压力和制度失灵之间的相互作用要求采取以权利为基础的多层次方法来实现健康和气候正义。公共投资、分散应急规划和承认土著知识是解决脆弱性结构性驱动因素的关键部分。社区主导的战略必须得到响应迅速、资源充足的公共机构的支持。

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引用次数: 0

Leveraging digitization to decarbonize healthcare - medication prescribing information as an exemplar 利用数字化使医疗保健脱碳——以药物处方信息为例

IF 3.6

The journal of climate change and health

Pub Date : 2025-11-01 DOI: 10.1016/j.joclim.2025.100554

Nazneen Rahman, for the National Academy of Medicine Action Collaborative on Decarbonizing the U.S. Health Sector and the Sustainable Medicines Partnership

The U.S. healthcare sector accounts for an estimated 8.5 % of national greenhouse gas emissions and addressing healthcare emissions is a critical priority to mitigate their negative impacts on human and planetary health. Most are indirect emissions from upstream supply chains such as construction and manufacturing, but downstream reforms can be easier to implement and can deliver meaningful, near-term reductions. For example, increased digitization and reduced dependency on paper in healthcare have potential to improve patient care, safety, equity, and experience while reducing environmental impacts and costs. If implemented at scale, the potential reductions are substantial. A promising area for decarbonization is the transition of Prescribing Information (PI) from a dual system to a digital-first system. In the dual system both digital and printed information must be provided with the 6.7 billion prescriptions dispensed by U.S. retailers annually. To produce printed PIs requires 1.8 million trees and generates 640 kt of CO₂e—equivalent to the annual emissions of 128,000 cars. In a digital-first system, digital information is always available and printed when needed, significantly reducing resources, waste, and emissions. Moreover, this transition would align the U.S. with the rest of the world, the recommendations of the Food and Drug Administration (FDA), and standard prescriber practice. Here, we discuss the background to the current policy, the challenges, opportunities, and impacts of changing to digital-first Prescribing Information, and outline a transition roadmap that includes provision of simplified, approved Patient Medication Information.

据估计，美国医疗保健部门的温室气体排放量占全国温室气体排放量的8.5%，解决医疗保健排放问题是减轻其对人类和地球健康的负面影响的关键优先事项。其中大部分是建筑和制造业等上游供应链的间接排放，但下游改革更容易实施，并能在短期内实现有意义的减排。例如，医疗保健中数字化程度的提高和对纸张的依赖程度的降低有可能改善患者护理、安全性、公平性和体验，同时减少对环境的影响和成本。如果大规模实施，潜在的减少是巨大的。处方信息（PI）从双系统到数字优先系统的过渡是脱碳的一个有前途的领域。在双重系统中，美国零售商每年开出的67亿张处方必须同时提供数字和印刷信息。生产印刷pi需要180万棵树，产生640千吨二氧化碳——相当于128,000辆汽车的年排放量。在数字优先的系统中，数字信息总是可用的，并在需要时打印，大大减少了资源、浪费和排放。此外，这种转变将使美国与世界其他地区、美国食品和药物管理局（FDA）的建议以及标准处方实践保持一致。在这里，我们讨论了当前政策的背景、挑战、机遇和向数字化优先处方信息转变的影响，并概述了一个过渡路线图，包括提供简化的、经批准的患者用药信息。

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引用次数: 0

National action on climate and health: developing a strategy – a case report from Argentina 气候与健康方面的国家行动：制定战略——来自阿根廷的案例报告

IF 3.6

The journal of climate change and health

Pub Date : 2025-11-01 DOI: 10.1016/j.joclim.2025.100588

Antonella Risso , Sol Saliva , Melina García Luciani , Carla Moretti , Cecilia Nicolini , Carla Vizzotti

Introduction

National policies on climate and health were developed and strengthened on the public policy agenda between 2016 and 2023 in Argentina.

Case presentation

This report examines the legal and policy framework established to connect the health sector to national and international climate change agendas, focusing on the strategies implemented by the Ministry of Health (MoH) and the State Secretary of Climate Change (SSCC) to develop joint policies on climate and health.

Discussion

The enabling conditions covered in this report include specific international funding available, political decisions as a fundamental requirement to ensure long-term commitment and institutionalization, leadership styles that encourage cooperation and cross-collaboration, national policies with a mandate to create the strategies and plans, and the technical capacity and legal framework already in place. In 2024, a deep political shift dismantled and dissolved a major part of the progress that had been made.

Conclusion

Political decisions and support, as well as transformational leadership and inclusive engagement, remain crucial for strengthening and maintaining effective climate and health policies. The lessons learnt from this experience are valuable for other countries in successfully developing and implementing a National Action Plan and strategy on Climate and Health.

2016年至2023年期间，阿根廷在公共政策议程中制定并加强了关于气候和健康的国家政策。案例介绍本报告审查了为将卫生部门与国家和国际气候变化议程联系起来而建立的法律和政策框架，重点关注卫生部和气候变化国务秘书为制定气候和卫生联合政策而实施的战略。本报告所述的有利条件包括可获得的具体国际资金、作为确保长期承诺和制度化的基本要求的政治决策、鼓励合作和交叉协作的领导风格、授权制定战略和计划的国家政策、以及已经到位的技术能力和法律框架。2024年，一场深刻的政治变革瓦解了已经取得的大部分进展。政治决策和支持，以及变革性领导和包容性参与，对于加强和维持有效的气候和卫生政策仍然至关重要。从这一经验中吸取的教训对其他国家成功制定和执行国家气候与健康行动计划和战略具有宝贵价值。

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引用次数: 0

Introduction to the special issue: Examining the ethical considerations at the intersection of climate change and health 特刊导言：审查气候变化与健康交叉领域的伦理考虑

IF 3.6

The journal of climate change and health

Pub Date : 2025-11-01 DOI: 10.1016/j.joclim.2025.100613

Ruth A. Etzel , Eva Rawlings Parker

引用次数: 0