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ClimaWATCH: A new interactive tool for community heat-health vulnerability assessments
Pub Date : 2025-01-01 DOI: 10.1016/j.joclim.2024.100359
Aparna Keshaviah, Dheeya Rizmie, Huihua Lu, Mike Rudacille, Eric Morris, Colleen Psomas, Farid Qamar, Xindi C. Hu

Introduction

Extreme heat is the deadliest of all weather-related hazards, yet also the most preventable. To boost heat preparedness and response, officials need information on where heat-related health issues concentrate and how risks vary by demographic, social, environmental, and infrastructural factors. We present a tool for heat-health vulnerability assessments, called ClimaWATCH, which links large, diverse data to summarize county, state, and national exposure to heatwaves; susceptibility based on various factors; and heat-related health burdens.

Case presentation

Leveraging a case-crossover study design, the tool clarifies how heat-related excess healthcare utilization and spending varies by geography, year, diagnosis, subpopulation, and care setting. Nationally in 2020, excess Medicaid spending amounted to $18 million on heat stress, $15 million on electrolyte imbalance, $25 million on acute myocardial infarction, and $133 million on acute renal failure. Per-beneficiary levels of excess spending on these four acute diagnoses were highest in Massachusetts, Pennsylvania, and California.

Discussion

The dynamic functionality can improve emergency preparedness by facilitating exploration of the heterogeneity in heat-related health effects from year to year and by demographic or community feature, heatwave definition, and geographic region.

Conclusion

Chief heat officers, public health officials, philanthropic organizations, and others can use ClimaWATCH to develop data-driven, tailored heat action plans to address the needs of different vulnerable populations effectively and equitably, prioritize interventions based on their potential for impact, and improve community and health system resilience to extreme heat.
{"title":"ClimaWATCH: A new interactive tool for community heat-health vulnerability assessments","authors":"Aparna Keshaviah,&nbsp;Dheeya Rizmie,&nbsp;Huihua Lu,&nbsp;Mike Rudacille,&nbsp;Eric Morris,&nbsp;Colleen Psomas,&nbsp;Farid Qamar,&nbsp;Xindi C. Hu","doi":"10.1016/j.joclim.2024.100359","DOIUrl":"10.1016/j.joclim.2024.100359","url":null,"abstract":"<div><h3>Introduction</h3><div>Extreme heat is the deadliest of all weather-related hazards, yet also the most preventable. To boost heat preparedness and response, officials need information on where heat-related health issues concentrate and how risks vary by demographic, social, environmental, and infrastructural factors. We present a tool for heat-health vulnerability assessments, called ClimaWATCH, which links large, diverse data to summarize county, state, and national exposure to heatwaves; susceptibility based on various factors; and heat-related health burdens.</div></div><div><h3>Case presentation</h3><div>Leveraging a case-crossover study design, the tool clarifies how heat-related excess healthcare utilization and spending varies by geography, year, diagnosis, subpopulation, and care setting. Nationally in 2020, excess Medicaid spending amounted to $18 million on heat stress, $15 million on electrolyte imbalance, $25 million on acute myocardial infarction, and $133 million on acute renal failure. Per-beneficiary levels of excess spending on these four acute diagnoses were highest in Massachusetts, Pennsylvania, and California.</div></div><div><h3>Discussion</h3><div>The dynamic functionality can improve emergency preparedness by facilitating exploration of the heterogeneity in heat-related health effects from year to year and by demographic or community feature, heatwave definition, and geographic region.</div></div><div><h3>Conclusion</h3><div>Chief heat officers, public health officials, philanthropic organizations, and others can use ClimaWATCH to develop data-driven, tailored heat action plans to address the needs of different vulnerable populations effectively and equitably, prioritize interventions based on their potential for impact, and improve community and health system resilience to extreme heat.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"21 ","pages":"Article 100359"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143171952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring menstrual hygiene management practices among displaced coastal women in Kerala, India
Pub Date : 2025-01-01 DOI: 10.1016/j.joclim.2024.100375
Jessy Prabhakar , Aswin MG , Asmi Fathima Nazar , Adarsh MS , Jibin Job PJ , Nisam AP , Krishna Priya MJ , Mini GK

Introduction

During climate related displacement, women face additional challenges in safely managing menstrual hygiene. The aim of this study is to evaluate menstrual hygiene management practices among displaced women of reproductive age in the coastal areas of Kerala, India.

Materials and Methods

A cross-sectional study was conducted among displaced costal women in Kerala. We collected data on their socio-demographic factors, WaSH facilities, and menstrual hygiene practices following displacement, using a pre-tested semi-structured interview questionnaire. The participants also completed the Menstrual Hygiene Practice Needs Scale. We performed both univariate and bivariate analyses.

Results

The average age of the participants was 32 years (SD±8.5). Around 59 % had completed some school education, 41 % had completed college education, 30 % were employed, and 59 % belonged to lower socioeconomic status. Over half of the participants had poor menstrual hygiene practices (55 %). Older women (OR:1.72, 95 % CI:1.08–2.72) and those with lower education (OR:2.22, 95 % CI:1.38–3.56) were more likely to have poor menstrual hygiene practices. Disposal of menstrual materials is problematic. Self-reported physician-diagnosed urinary tract infection (UTI) was 46 %, and reproductive tract infection was 8.4 %.

Conclusion

The research highlights the need to improve menstrual hygiene practices and address UTI prevalence through better facilities during sea invasions. Collaboration with local authorities to address related concerns is recommended.
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引用次数: 0
Innovative use of space-based technologies to address climate change and related global health crises
Pub Date : 2025-01-01 DOI: 10.1016/j.joclim.2024.100406
Farhan M. Asrar , Helena J. Chapman
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引用次数: 0
Erratum to discussing linkages between climate change, human mobility and health in the Caribbean: The case of Dominica. A qualitative study
Pub Date : 2025-01-01 DOI: 10.1016/j.joclim.2024.100358
Patrick Cloos , Maeva Belloiseau , Nickez McPherson , Fiona Harris-Glenville , Debra D. Joseph , Kate Zinszer
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引用次数: 0
A review of studies assessing the benefits of clean air and climate mitigation policies for child and adult health
Pub Date : 2025-01-01 DOI: 10.1016/j.joclim.2024.100369
Frederica Perera, Kathleen Lau

Objective

We sought to review the body of evidence on the health benefits of climate mitigation and clean air policies aimed at curbing emissions from fossil fuel sources.

Methods

We have built on and updated a prior review by Picetti et al. [1] of 16 peer-reviewed studies that focused primarily on child and adolescent health outcomes related to climate mitigation policies. We include the findings of 26 studies of the health benefits of clean air or climate policies, presenting estimates of the numbers of avoided cases of mortality or morbidity in infants, children, and/or adolescents, as well as adult illness or mortality when included in the same study. Where available, details on the economic savings associated with the avoidance of cases (13 studies) and distribution of benefits across racial/ethnic and socioeconomic groups (4 studies) are presented.

Results

All 26 studies found positive and substantial impacts of climate and clean air policies on the health of children and adults, along with substantial associated cost savings (reported in half of the studies). The benefits are likely to be serious undercounts as most studies included a limited suite of outcomes: economic savings generally considered only short-term costs; and the health benefits of climate policies were estimated as “co-benefits” of reduced air pollution, omitting those from fewer climate “shocks”.

Conclusions

The results of this review show positive and substantial benefits of climate and clean air policies and should incentivize and inform future policies to mitigate fossil-fuel related climate change and air pollution.
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引用次数: 0
Planetary health ethics: A Confucian alternative
Pub Date : 2024-12-18 DOI: 10.1016/j.joclim.2024.100404
Eric C. Ip
Planetary health acknowledges that the disruptions and deterioration of natural systems pose a significant and pressing threat to human beings and the interconnected network of life. The perceived dichotomy between anthropocentrism and ecocentrism is a human construct that reflects the binary thinking that has dominated Western philosophy. The anthropocosmic perspective of Confucian ethics highlights the interdependence between humans, their communities, the environment, and the cosmos, emphasizing that environmental well-being is vital to personal health and wellness. Confucianism also asserts that humans are a product of nature and should embody the principles of life and growth to become compassionate individuals in harmony with the universe. Consequently, human existence is inherently tied to nature, and the deterioration of the environment eventually harms humanity. A Confucian planetary health ethic prioritizes the concept of humanity's oneness with all things. Given that the Earth system now experiences less stable patterns than before, humans must assume accountability for anthropogenic climate change, pollution, and biodiversity loss. We must begin to appreciate that the rest of the biosphere is closely linked to our physical body.
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引用次数: 0
Climate change, modern slavery, and its impact on health – A youth perspective and global call to action 气候变化、现代奴隶制及其对健康的影响--青年视角与全球行动呼吁
Pub Date : 2024-11-01 DOI: 10.1016/j.joclim.2024.100327
Govind Srihari , Shah Ishaan , Stinchcombe Beth , Benslimane Yasmina , El Amouri Imen , Venté Coha Florencio , Kulesza Victoria , Sanghrajka Aryan , Luchs Aidan , Ho Celine
Short Communications - Emerging Issues include timely discussions of topics that may be too preliminary to have a relevant body of literature. They require an unstructured abstract with sections including Introduction, topic sections and Conclusion.
短篇通讯--新出现的问题包括对可能还太初步、没有相关文献的主题的及时讨论。短篇通讯要求提供非结构化摘要,包括引言、主题部分和结论。
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引用次数: 0
Millets: Small grains, big impact in climate action 小米:小谷物,对气候行动的大影响
Pub Date : 2024-11-01 DOI: 10.1016/j.joclim.2024.100345
Ratika Samtani, Sidharth Sekhar Mishra, Sutapa Bandyopadhyay Neogi

Introduction

There has been a global rise in land-surface air temperature by 1.53 °C which can pose a threat to agricultural yields, undermine food security, and exacerbate malnutrition. In India, modern agricultural systems heavily rely on cereal crops which are susceptible to climate-induced stressors, leading to potential yield losses; whereas millets, resilient to stress and nutritionally rich, offer a sustainable alternative.

Case presentation

Odisha's vulnerability to natural calamities like droughts, floods, and cyclones has significantly impacted crop production, particularly rice, prompting the reintroduction of millets. The Odisha Millets Mission (OMM), was launched to promote millets in tribal areas, revitalize traditional farming practices, increasing millet cultivation, yield rates, and gross value per household. Millets offer health benefits, environmental advantages, and potential solutions to combat malnutrition and climate change.

Discussion

Integrating millets into public diets and food security programs can enhance nutritional resilience and foster sustainable food systems nationwide. The success of OMM underscores the potential for replicating similar initiatives across India, thereby elevating livelihoods, nutritional well-being, and climate resilience among vulnerable populations.

Conclusion

The success of OMM highlights the potential for similar initiatives worldwide, benefiting livelihoods, nutrition, and climate resilience among vulnerable populations. Future research can prioritize enhancing millet productivity and profitability through improved varieties, enhanced agronomic practices, and modern technology adoption.
导言全球陆地表面气温上升了 1.53 °C,这可能对农业产量构成威胁,破坏粮食安全,并加剧营养不良。在印度,现代农业系统严重依赖谷类作物,而谷类作物易受气候引起的压力影响,导致潜在的产量损失;而黍类作物抗压力强、营养丰富,是一种可持续的替代作物。案例介绍奥迪沙邦易受干旱、洪水和飓风等自然灾害的影响,严重影响了作物产量,尤其是水稻产量,这促使人们重新引入黍类作物。奥迪沙黍子计划(OMM)旨在部落地区推广黍子,振兴传统耕作方式,提高黍子种植率、单产率和家庭总产值。讨论将黍谷纳入公共饮食和粮食安全计划可提高营养复原力,并在全国范围内促进可持续的粮食系统。OMM 的成功凸显了在印度全国推广类似举措的潜力,从而提高弱势群体的生计、营养福祉和气候适应能力。未来的研究可以优先考虑通过改良品种、加强农艺实践和采用现代技术来提高小米的生产力和盈利能力。
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引用次数: 0
Development and validation of the climate change-related reproductive concerns scale (CCRCS) 气候变化相关生殖问题量表(CCRCS)的编制与验证
Pub Date : 2024-11-01 DOI: 10.1016/j.joclim.2024.100351
Matteo Innocenti , Gabriele Santarelli , Chiara Comerci , Niccolò Carluccio , Enrico Anzaghi , Chiara Cadeddu

Introduction

As global concerns about climate change intensify, emerging research reveals a link between climate change anxiety and individuals' decisions regarding parenthood. More people are choosing not to have children due to worries about their carbon footprint or the future implications of climate change on their offspring. This trend emphasizes the critical necessity for a nuanced comprehension of how environmental concerns intertwine with reproductive intentions. To address this imperative, our study develops the Climate Change-related Reproductive Concerns Scale (CCRCS) and evaluates its psychometric properties.

Methods

CCRCS was developed and validated in a sample of 206 Italian adults aged 19 to 51. Ten items were created to evaluate climate change-related reproductive attitudes: 5 anti-reproductive items and 5 pro-reproductive, with their responses reversed for consistency in interpretation.

Results

Exploratory factor analysis revealed a single-factor structure, explaining 63.82 % of the variance, with the scale demonstrating good internal consistency (α = 0.85). The factor structure was replicated, and the scale's validity was examined through correlations with measures of eco-paralysis and climate change anxiety, with significant correlations supporting construct validity. Furthermore, the relationship between climate change-related reproductive concerns and adaptation responses was explored, assessing the impact of framing on CCRCS scores.

Conclusion

The CCRCS provides a reliable and valid measure of these concerns, highlighting the psychological impact of climate change anxiety on reproductive decision-making and emphasizing the need for nuanced understanding in this area.
随着全球对气候变化的担忧加剧,新兴研究揭示了气候变化焦虑与个人关于生育的决定之间的联系。越来越多的人选择不要孩子,因为他们担心自己的碳足迹或气候变化对后代的未来影响。这种趋势强调了细致入微地理解环境问题如何与生殖意图交织在一起的关键必要性。为了解决这一问题,本研究开发了气候变化相关生殖关注量表(CCRCS)并评估了其心理测量特性。方法开发sccrcs并在206名19 ~ 51岁的意大利成年人样本中进行验证。我们创建了10个项目来评估与气候变化相关的生殖态度:5个反对生殖的项目和5个支持生殖的项目,为了解释的一致性,他们的回答是相反的。结果探索性因子分析显示单因素结构,解释了63.82%的方差,量表具有良好的内部一致性(α = 0.85)。对因子结构进行了复制,并通过与生态麻痹和气候变化焦虑测度的相关性检验了量表的效度,结果表明量表的结构效度具有显著的相关性。此外,研究了气候变化相关生殖问题与适应响应之间的关系,评估了框架对CCRCS得分的影响。结论CCRCS为这些担忧提供了一个可靠而有效的衡量标准,突出了气候变化焦虑对生殖决策的心理影响,并强调了对这一领域细致理解的必要性。
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引用次数: 0
Climate change, poverty, and health: A scoping review of the Canadian context 气候变化、贫困与健康:加拿大背景范围审查
Pub Date : 2024-11-01 DOI: 10.1016/j.joclim.2024.100348
Mariya Bezgrebelna , Emil Aliyev , Yaa S.A. Amoah , Donna Atkinson , Susan Bell Chiblow , Mardi Daley , Julie L. Drolet , Amber Fletcher , Sherilee Harper , Glen P. Kenny , Leanne M. Lacap , Kwame McKenzie , Abhay Sachal , Pierre Valois , Gregor Wolbring , Edward C. Xie , Sean A. Kidd

Introduction

The understanding of the role of climate change in worsening health outcomes and social disparities is growing, highlighting poverty as a key factor amplifying exposure to environmental hazards and as a result of such exposure. However, there has been insufficient focus on the unique risks encountered in Canada, highlighting the necessity for targeted understanding to inform and evaluate effective responses. The question guiding the present scoping review is: In the Canadian context, what are the impacts and implications of climate change and weather extremes on the physical and mental health of those experiencing poverty, as evidenced in the peer-reviewed academic literature?

Methods

A systematic search was conducted within the following four databases: Scopus, PubMed, PsycINFO, and Google Scholar, using key terms related to poverty, climate change, and health and well-being in the Canadian context. Primary research and review articles published in English were included (n = 28).

Results

The articles included 23 reports of primary research and five reviews, spanning 2000 to 2022. Six theme areas emerged at the climate change, poverty, and health intersection in Canada: heat, air pollution, food security, pollen, wildfire evacuation, and health systems.

Discussion

Addressing poverty reduction is identified as a critical lever for reducing environmental risks and enhancing resilience, although challenges remain in implementing evidence-based interventions due to significant gaps in knowledge. Future research should consider exploring outcomes disaggregated by sociodemographic factors, interconnections between heat and air pollution, and interventions targeting vulnerable groups.
导言:人们对气候变化在恶化健康结果和社会差距方面所起作用的认识日益加深,这突出表明贫困是扩大环境危害风险的一个关键因素,也是这种风险的结果。然而,人们对加拿大遇到的独特风险关注不够,这突出表明有必要进行有针对性的了解,以便为有效应对措施提供信息并对其进行评估。指导本次范围界定审查的问题是在加拿大,气候变化和极端天气对贫困人口的身心健康有哪些影响和意义?Scopus、PubMed、PsycINFO 和 Google Scholar,使用与加拿大背景下的贫困、气候变化、健康和幸福相关的关键术语。结果文章包括 23 篇主要研究报告和 5 篇综述,时间跨度为 2000 年至 2022 年。在加拿大,气候变化、贫困和健康的交叉点上出现了六个主题领域:高温、空气污染、食品安全、花粉、野火疏散和卫生系统。讨论尽管由于知识上的巨大差距,在实施循证干预措施方面仍存在挑战,但解决减贫问题被认为是降低环境风险和提高抗灾能力的关键杠杆。未来的研究应考虑探索按社会人口因素分类的结果、高温与空气污染之间的相互联系以及针对弱势群体的干预措施。
{"title":"Climate change, poverty, and health: A scoping review of the Canadian context","authors":"Mariya Bezgrebelna ,&nbsp;Emil Aliyev ,&nbsp;Yaa S.A. Amoah ,&nbsp;Donna Atkinson ,&nbsp;Susan Bell Chiblow ,&nbsp;Mardi Daley ,&nbsp;Julie L. Drolet ,&nbsp;Amber Fletcher ,&nbsp;Sherilee Harper ,&nbsp;Glen P. Kenny ,&nbsp;Leanne M. Lacap ,&nbsp;Kwame McKenzie ,&nbsp;Abhay Sachal ,&nbsp;Pierre Valois ,&nbsp;Gregor Wolbring ,&nbsp;Edward C. Xie ,&nbsp;Sean A. Kidd","doi":"10.1016/j.joclim.2024.100348","DOIUrl":"10.1016/j.joclim.2024.100348","url":null,"abstract":"<div><h3>Introduction</h3><div>The understanding of the role of climate change in worsening health outcomes and social disparities is growing, highlighting poverty as a key factor amplifying exposure to environmental hazards and as a result of such exposure. However, there has been insufficient focus on the unique risks encountered in Canada, highlighting the necessity for targeted understanding to inform and evaluate effective responses. The question guiding the present scoping review is: In the Canadian context, what are the impacts and implications of climate change and weather extremes on the physical and mental health of those experiencing poverty, as evidenced in the peer-reviewed academic literature?</div></div><div><h3>Methods</h3><div>A systematic search was conducted within the following four databases: Scopus, PubMed, PsycINFO, and Google Scholar, using key terms related to poverty, climate change, and health and well-being in the Canadian context. Primary research and review articles published in English were included (<em>n</em> = 28).</div></div><div><h3>Results</h3><div>The articles included 23 reports of primary research and five reviews, spanning 2000 to 2022. Six theme areas emerged at the climate change, poverty, and health intersection in Canada: heat, air pollution, food security, pollen, wildfire evacuation, and health systems.</div></div><div><h3>Discussion</h3><div>Addressing poverty reduction is identified as a critical lever for reducing environmental risks and enhancing resilience, although challenges remain in implementing evidence-based interventions due to significant gaps in knowledge. Future research should consider exploring outcomes disaggregated by sociodemographic factors, interconnections between heat and air pollution, and interventions targeting vulnerable groups.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"20 ","pages":"Article 100348"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142722904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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The journal of climate change and health
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