The journal of climate change and health最新文献_第4页

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。

{"title":"Rising Waters, Rising Risks: Childhood undernutrition in flood-prone areas of Alappuzha, Kerala","authors":"Priya Babu, Antony Paul Payyappilly, Manju Nair R","doi":"10.1016/j.joclim.2025.100622","DOIUrl":"10.1016/j.joclim.2025.100622","url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Materials and Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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).</div></div><div><h3>Conclusion</h3><div>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<strong>.</strong></div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"27 ","pages":"Article 100622"},"PeriodicalIF":3.6,"publicationDate":"2025-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145792216","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

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。

{"title":"Exploring the interconnections between health, climate crisis, food insecurity and institutional neglect in Alta Verapaz region, Guatemala","authors":"Esteban Sabbatasso , Jeannie Samuel , Benilda Batzin , Rosaura Medina , Karin Slowing , Walter Flores","doi":"10.1016/j.joclim.2025.100603","DOIUrl":"10.1016/j.joclim.2025.100603","url":null,"abstract":"<div><h3>Introduction</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"26 ","pages":"Article 100603"},"PeriodicalIF":3.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145747692","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

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。

{"title":"Leveraging digitization to decarbonize healthcare - medication prescribing information as an exemplar","authors":"Nazneen Rahman, for the National Academy of Medicine Action Collaborative on Decarbonizing the U.S. Health Sector and the Sustainable Medicines Partnership","doi":"10.1016/j.joclim.2025.100554","DOIUrl":"10.1016/j.joclim.2025.100554","url":null,"abstract":"<div><div>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 CO<sub>2</sub>e—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.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"26 ","pages":"Article 100554"},"PeriodicalIF":3.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145474447","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

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。

{"title":"National action on climate and health: developing a strategy – a case report from Argentina","authors":"Antonella Risso , Sol Saliva , Melina García Luciani , Carla Moretti , Cecilia Nicolini , Carla Vizzotti","doi":"10.1016/j.joclim.2025.100588","DOIUrl":"10.1016/j.joclim.2025.100588","url":null,"abstract":"<div><h3>Introduction</h3><div>National policies on climate and health were developed and strengthened on the public policy agenda between 2016 and 2023 in Argentina.</div></div><div><h3>Case presentation</h3><div>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.</div></div><div><h3>Discussion</h3><div>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.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"26 ","pages":"Article 100588"},"PeriodicalIF":3.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145424883","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

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

Specialist physicians’ and management personnel's views on climate change mitigation and adaptation in German healthcare facilities: A nationwide survey on attitudes, implementation, and barriers 专家医生和管理人员对德国医疗机构减缓和适应气候变化的看法：一项关于态度、实施和障碍的全国性调查

IF 3.6

The journal of climate change and health

Pub Date : 2025-11-01 DOI: 10.1016/j.joclim.2025.100602

Sophie-Charlotte Sasse , Frederick Schneider , Neal Conway , Claudia Doblinger , Kai Kolpatzik , Christian M Schulz , Adrian A W Baumann , Nikolaus Christian Simon Mezger

Background

Climate change poses major challenges for health systems, making mitigation and adaptation measures in healthcare facilities urgent. However, little is known about how this is viewed at a healthcare facility leadership level in Germany.

Methods

In September 2022, a nationwide survey was conducted among a representative subset of specialist physicians and healthcare facility management personnel in Germany. As decision-makers in healthcare, this group was surveyed to assess personal attitudes toward climate change and climate-related actions, and healthcare facility-based implementation of mitigation and adaptation measures, as well as possible barriers.

Results

Most of the 514 respondents expressed confidence in their ability to contribute to climate change mitigation and a sense of responsibility to do so. Participants indicated that several structural barriers prevented them from taking necessary climate change mitigation and adaptation action at their facilities. A lack of specifically allocated staff, funding, and poorly defined implementation strategies were the most frequently mentioned constraints. Additionally, the respondents indicated a number of measures which their respective facilities had thus far failed to introduce, such as facility-based heat action plans, education programs, and the integration of sustainability into quality control.

Conclusion

Despite high awareness and willingness among healthcare decision-makers, climate change mitigation and adaptation measures are poorly implemented in German healthcare facilities. Limited strategies, expertise, staff, and funding may be key barriers. The results highlight the need for stronger governance, funding, and performance metrics to support climate action in German healthcare.

气候变化给卫生系统带来了重大挑战，迫切需要在卫生保健机构采取减缓和适应措施。然而，人们对德国医疗机构领导层如何看待这一点知之甚少。方法：在2022年9月，对德国具有代表性的专科医生和医疗机构管理人员进行了一项全国性调查。作为医疗保健领域的决策者，对这一群体进行了调查，以评估个人对气候变化和气候相关行动的态度，以及基于医疗机构的缓解和适应措施的实施情况，以及可能存在的障碍。结果514个答复者中，大多数人对自己为减缓气候变化作出贡献的能力表示有信心，并有这样做的责任感。与会者指出，一些结构性障碍阻碍了他们在其设施内采取必要的气候变化减缓和适应行动。缺乏专门分配的工作人员、资金和定义不明确的实施战略是最经常提到的制约因素。此外，受访者还指出了一些他们各自的设施迄今未能采取的措施，如基于设施的热行动计划、教育计划以及将可持续性纳入质量控制。结论尽管医疗保健决策者有很高的意识和意愿，但德国医疗保健机构的气候变化减缓和适应措施实施不力。有限的战略、专业知识、人员和资金可能是主要障碍。结果表明，需要加强治理、资金和绩效指标，以支持德国医疗保健领域的气候行动。

{"title":"Specialist physicians’ and management personnel's views on climate change mitigation and adaptation in German healthcare facilities: A nationwide survey on attitudes, implementation, and barriers","authors":"Sophie-Charlotte Sasse , Frederick Schneider , Neal Conway , Claudia Doblinger , Kai Kolpatzik , Christian M Schulz , Adrian A W Baumann , Nikolaus Christian Simon Mezger","doi":"10.1016/j.joclim.2025.100602","DOIUrl":"10.1016/j.joclim.2025.100602","url":null,"abstract":"<div><h3>Background</h3><div>Climate change poses major challenges for health systems, making mitigation and adaptation measures in healthcare facilities urgent<strong>.</strong> However, little is known about how this is viewed at a healthcare facility leadership level in Germany.</div></div><div><h3>Methods</h3><div>In September 2022, a nationwide survey was conducted among a representative subset of specialist physicians and healthcare facility management personnel in Germany. As decision-makers in healthcare, this group was surveyed to assess personal attitudes toward climate change and climate-related actions, and healthcare facility-based implementation of mitigation and adaptation measures, as well as possible barriers.</div></div><div><h3>Results</h3><div>Most of the 514 respondents expressed confidence in their ability to contribute to climate change mitigation and a sense of responsibility to do so. Participants indicated that several structural barriers prevented them from taking necessary climate change mitigation and adaptation action at their facilities. A lack of specifically allocated staff, funding, and poorly defined implementation strategies were the most frequently mentioned constraints. Additionally, the respondents indicated a number of measures which their respective facilities had thus far failed to introduce, such as facility-based heat action plans, education programs, and the integration of sustainability into quality control.</div></div><div><h3>Conclusion</h3><div>Despite high awareness and willingness among healthcare decision-makers, climate change mitigation and adaptation measures are poorly implemented in German healthcare facilities. Limited strategies, expertise, staff, and funding may be key barriers. The results highlight the need for stronger governance, funding, and performance metrics to support climate action in German healthcare.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"26 ","pages":"Article 100602"},"PeriodicalIF":3.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145474418","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

Climate education as adaptation: A scoping review of programs advancing maternal and newborn health 气候教育作为适应：促进孕产妇和新生儿健康方案的范围审查

IF 3.6

The journal of climate change and health

Pub Date : 2025-11-01 DOI: 10.1016/j.joclim.2025.100609

Cara Schulte , Blake Erhardt-Ohren , Yasmine Baker , Simone Gramling , Ndola Prata

Background

Climate change is a growing threat to maternal and newborn health (MNH). Alongside urgent emissions reductions, effective efforts to address climate-driven health disparities – both in MNH and more broadly – will require a stronger collective understanding of climate impacts on health. This will necessitate further investment not only in climate and health research, but also in climate and health education and literacy. Critically, the extent to which climate education can or is being used to advance MNH remains unknown.

Methods

We conducted a scoping review of climate education programs specifically focused on MNH. We searched PubMed, Embase, and gray literature through May 2025 and consulted relevant experts. All programs were screened independently and in duplicate, with discrepancies resolved via discussion.

Findings

We screened 2,138 papers and programs, 45 of which underwent full text review. Seventeen programs were included in our sample. The majority were implemented in low and middle income countries (LMICs) (n = 9) and the United States (n = 6). Most aimed to improve healthcare provider and/or patient understanding of climate-specific risks to MNH. Nearly half were embedded into existing MNH care pathways. Four programs conducted formal evaluations, all of which reported positive outcomes; two programs that assessed health impacts found significant reductions in adverse climate-related health outcomes following MNH-specific climate education.

Conclusion

MNH-specific climate education may be an important element of effective climate adaptation, with the potential to enhance climate knowledge and perceived self-efficacy, and improve climate-mediated health outcomes in pregnancy and postpartum. Further research is needed to evaluate existing programs and guide the development of evidence-based policies and interventions.

气候变化对孕产妇和新生儿健康的威胁日益严重。除了紧急减排外，有效解决气候导致的健康差异——无论是在MNH还是在更广泛的范围内——还需要对气候对健康的影响有更深刻的集体理解。这不仅需要进一步投资于气候和健康研究，而且需要进一步投资于气候和健康教育和扫盲。至关重要的是，气候教育能够或正在用于推进MNH的程度仍然未知。方法：我们对气候教育项目进行了范围审查，特别关注MNH。我们检索了PubMed、Embase和2025年5月之前的灰色文献，并咨询了相关专家。所有节目都是独立筛选的，一式两份，差异通过讨论解决。我们筛选了2138篇论文和项目，其中45篇进行了全文综述。我们的样本中包括17个程序。大多数是在低收入和中等收入国家（n = 9）和美国（n = 6）实施的。大多数旨在提高医疗保健提供者和/或患者对气候特有的MNH风险的理解。其中近一半嵌入了现有的MNH护理途径。有四个项目进行了正式评估，所有评估都报告了积极的结果；两个评估健康影响的项目发现，在接受针对mnh的气候教育后，与气候相关的不良健康结果显著减少。结论针对产妇的气候教育可能是有效适应气候变化的重要组成部分，具有增强气候知识和自我效能感，改善妊娠和产后气候介导的健康结局的潜力。需要进一步的研究来评估现有的项目，并指导制定基于证据的政策和干预措施。

{"title":"Climate education as adaptation: A scoping review of programs advancing maternal and newborn health","authors":"Cara Schulte , Blake Erhardt-Ohren , Yasmine Baker , Simone Gramling , Ndola Prata","doi":"10.1016/j.joclim.2025.100609","DOIUrl":"10.1016/j.joclim.2025.100609","url":null,"abstract":"<div><h3>Background</h3><div>Climate change is a growing threat to maternal and newborn health (MNH). Alongside urgent emissions reductions, effective efforts to address climate-driven health disparities – both in MNH and more broadly – will require a stronger collective understanding of climate impacts on health. This will necessitate further investment not only in climate and health research, but also in climate and health education and literacy. Critically, the extent to which climate education can or is being used to advance MNH remains unknown.</div></div><div><h3>Methods</h3><div>We conducted a scoping review of climate education programs specifically focused on MNH. We searched PubMed, Embase, and gray literature through May 2025 and consulted relevant experts. All programs were screened independently and in duplicate, with discrepancies resolved via discussion.</div></div><div><h3>Findings</h3><div>We screened 2,138 papers and programs, 45 of which underwent full text review. Seventeen programs were included in our sample. The majority were implemented in low and middle income countries (LMICs) (<em>n</em> = 9) and the United States (<em>n</em> = 6). Most aimed to improve healthcare provider and/or patient understanding of climate-specific risks to MNH. Nearly half were embedded into existing MNH care pathways. Four programs conducted formal evaluations, all of which reported positive outcomes; two programs that assessed health impacts found significant reductions in adverse climate-related health outcomes following MNH-specific climate education.</div></div><div><h3>Conclusion</h3><div>MNH-specific climate education may be an important element of effective climate adaptation, with the potential to enhance climate knowledge and perceived self-efficacy, and improve climate-mediated health outcomes in pregnancy and postpartum. Further research is needed to evaluate existing programs and guide the development of evidence-based policies and interventions.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"26 ","pages":"Article 100609"},"PeriodicalIF":3.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145578621","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

Bridging health and global climate policy: Opportunities for policymakers and health systems 衔接卫生和全球气候政策：决策者和卫生系统的机遇

IF 3.6

The journal of climate change and health

Pub Date : 2025-11-01 DOI: 10.1016/j.joclim.2025.100607

Pranay Narang , Arianne Teherani

Health is increasingly recognized as a priority within global climate policy yet remains underrepresented in instruments such as Nationally Determined Contributions (NDCs). The 2025 NDC Revision Cycle, ahead of COP30, presents a critical opportunity to operationalize existing health-related recommendations by integrating measurable, health-focused commitments into NDCs. This article proposes a set of actionable commitments aligned with broader priorities to mobilize health-specific climate finance, phase out fossil fuels, integrate climate-health indicators, advance health-related mitigation and adaptation strategies, and synchronize with national health strategies, which are suitable for adoption in the 2025 NDC revisions and future policy processes.

In parallel, we outline how the healthcare sector can accelerate uptake of these health-focused commitments and advance national mitigation and adaptation goals by: (1) strengthening climate-health data infrastructure, (2) establishing multi-level platforms that connect health stakeholders with policymakers, and (3) implementing decarbonization strategies.

By embedding health-focused commitments into NDCs and positioning healthcare systems as data providers and decarbonization leaders, these measures can elevate the health sector’s influence on climate policy, enhance real-time awareness of health risks, and mobilize climate financing. We situate these recommendations within the live policy window of the 2025 NDC revision cycle, the 2028 Global Stocktake, and persistent financing gaps to foster more informed, coordinated engagement by the health sector in shaping global climate commitments.

健康日益被认为是全球气候政策中的一个优先事项，但在国家自主贡献（NDCs）等文书中的代表性仍然不足。在第三十届缔约方会议之前的2025年国家自主贡献修订周期提供了一个关键机会，可以通过将可衡量的、以健康为重点的承诺纳入国家自主贡献，来落实现有的卫生相关建议。本文提出了一套可付诸行动的承诺，这些承诺与更广泛的优先事项相一致，以调动与卫生相关的气候资金，逐步淘汰化石燃料，整合气候健康指标，推进与卫生相关的减缓和适应战略，并与国家卫生战略同步，这些战略适合在2025年国家自主贡献修订和未来政策进程中采用。与此同时，我们概述了医疗保健部门如何通过以下方式加速接受这些以健康为重点的承诺，并推进国家减缓和适应目标：(1)加强气候健康数据基础设施，(2)建立将卫生利益相关者与决策者联系起来的多层次平台，以及(3)实施脱碳战略。通过将以健康为重点的承诺纳入国家自主贡献，并将卫生保健系统定位为数据提供者和脱碳领导者，这些措施可以提升卫生部门对气候政策的影响，增强对健康风险的实时认识，并调动气候融资。我们将这些建议置于2025年国家自主贡献修订周期、2028年全球盘点和持续的资金缺口的实时政策窗口中，以促进卫生部门在制定全球气候承诺方面更加知情、协调地参与。

{"title":"Bridging health and global climate policy: Opportunities for policymakers and health systems","authors":"Pranay Narang , Arianne Teherani","doi":"10.1016/j.joclim.2025.100607","DOIUrl":"10.1016/j.joclim.2025.100607","url":null,"abstract":"<div><div>Health is increasingly recognized as a priority within global climate policy yet remains underrepresented in instruments such as Nationally Determined Contributions (NDCs). The 2025 NDC Revision Cycle, ahead of COP30, presents a critical opportunity to operationalize existing health-related recommendations by integrating measurable, health-focused commitments into NDCs. This article proposes a set of actionable commitments aligned with broader priorities to mobilize health-specific climate finance, phase out fossil fuels, integrate climate-health indicators, advance health-related mitigation and adaptation strategies, and synchronize with national health strategies, which are suitable for adoption in the 2025 NDC revisions and future policy processes.</div><div>In parallel, we outline how the healthcare sector can accelerate uptake of these health-focused commitments and advance national mitigation and adaptation goals by: (1) strengthening climate-health data infrastructure, (2) establishing multi-level platforms that connect health stakeholders with policymakers, and (3) implementing decarbonization strategies.</div><div>By embedding health-focused commitments into NDCs and positioning healthcare systems as data providers and decarbonization leaders, these measures can elevate the health sector’s influence on climate policy, enhance real-time awareness of health risks, and mobilize climate financing. We situate these recommendations within the live policy window of the 2025 NDC revision cycle, the 2028 Global Stocktake, and persistent financing gaps to foster more informed, coordinated engagement by the health sector in shaping global climate commitments.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"26 ","pages":"Article 100607"},"PeriodicalIF":3.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145528705","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

Assessing eco-anxiety across the lifespan: A systematic review of current global scales 评估整个生命周期的生态焦虑：当前全球尺度的系统回顾

IF 3.6

The journal of climate change and health

Pub Date : 2025-11-01 DOI: 10.1016/j.joclim.2025.100595

Sashka K. Samarawickrama , Sally Richmond , Nerelie C. Freeman , Hannah Kirk

Background

Eco-anxiety is a growing global concern. While research has sought to understand eco-anxiety and its impact on mental health, there is limited consensus regarding the validity and reliability of eco-anxiety assessment scales. Appropriate scales are needed to enable accurate assessment and effective management of eco-anxiety. The review aims to outline existing eco-anxiety scales across the lifespan, critically evaluate their content, development, psychometric properties, and cross-cultural validity, to identify the most robust scales, and propose recommendations for the future development of eco-anxiety scales.

Methods

PsycINFO, Web of Science, Scopus, PubMed, and Google Scholar were searched (up until May 2025). Articles that developed or validated an eco-anxiety or climate change anxiety scale were eligible. Information regarding the content, development process, psychometric properties, and cross-cultural validation were extracted.

Results

Sixty-seven articles were included in the review. Twelve scales were identified, assessing eco-anxiety (n = 4) and climate change anxiety (n = 8). Half of the scales were developed for adults (≥18 years) and most were developed in Western/European countries.

Conclusions

The Hogg Eco-Anxiety Scale and the climate anxiety subscale from the Inventory of Climate Emotions were identified as the most robust measures of eco-anxiety and climate change anxiety, respectively. Several limitations of existing eco-anxiety scales were identified, such as insufficient content captured by items, inadequate development processes, minimal reporting of psychometric properties, and poor consideration of participants’ demographic characteristics. We propose recommendations to refine the development of future scales to facilitate a more consolidated understanding of eco-anxiety.

deco焦虑是一个日益引起全球关注的问题。虽然研究试图了解生态焦虑及其对心理健康的影响，但关于生态焦虑评估量表的有效性和可靠性的共识有限。需要适当的量表来准确评估和有效管理生态焦虑。本综述旨在概述现有的生态焦虑量表，批判性地评估其内容、发展、心理测量特性和跨文化有效性，以确定最可靠的量表，并为生态焦虑量表的未来发展提出建议。方法检索spsycinfo、Web of Science、Scopus、PubMed、谷歌Scholar（截止到2025年5月）。开发或验证生态焦虑或气候变化焦虑量表的文章符合条件。提取了有关内容、开发过程、心理测量特性和跨文化验证的信息。结果共纳入67篇文献。共确定了12个量表，分别评估生态焦虑（n = 4）和气候变化焦虑（n = 8）。一半的量表是为成人（≥18岁）开发的，大多数是在西欧国家开发的。结论霍格生态焦虑量表和气候情绪量表中的气候焦虑子量表分别被认为是生态焦虑和气候变化焦虑的最有效测量方法。发现了现有生态焦虑量表的几个局限性，例如项目捕获的内容不足，开发过程不充分，心理测量属性的最小报告，以及对参与者人口统计学特征的考虑不足。我们提出建议，以完善未来量表的发展，以促进对生态焦虑的更巩固的理解。

{"title":"Assessing eco-anxiety across the lifespan: A systematic review of current global scales","authors":"Sashka K. Samarawickrama , Sally Richmond , Nerelie C. Freeman , Hannah Kirk","doi":"10.1016/j.joclim.2025.100595","DOIUrl":"10.1016/j.joclim.2025.100595","url":null,"abstract":"<div><h3>Background</h3><div>Eco-anxiety is a growing global concern. While research has sought to understand eco-anxiety and its impact on mental health, there is limited consensus regarding the validity and reliability of eco-anxiety assessment scales. Appropriate scales are needed to enable accurate assessment and effective management of eco-anxiety. The review aims to outline existing eco-anxiety scales across the lifespan, critically evaluate their content, development, psychometric properties, and cross-cultural validity, to identify the most robust scales, and propose recommendations for the future development of eco-anxiety scales.</div></div><div><h3>Methods</h3><div>PsycINFO, Web of Science, Scopus, PubMed, and Google Scholar were searched (up until May 2025). Articles that developed or validated an eco-anxiety or climate change anxiety scale were eligible. Information regarding the content, development process, psychometric properties, and cross-cultural validation were extracted.</div></div><div><h3>Results</h3><div>Sixty-seven articles were included in the review. Twelve scales were identified, assessing eco-anxiety (<em>n</em> = 4) and climate change anxiety (<em>n</em> = 8). Half of the scales were developed for adults (≥18 years) and most were developed in Western/European countries.</div></div><div><h3>Conclusions</h3><div>The Hogg Eco-Anxiety Scale and the climate anxiety subscale from the Inventory of Climate Emotions were identified as the most robust measures of eco-anxiety and climate change anxiety, respectively. Several limitations of existing eco-anxiety scales were identified, such as insufficient content captured by items, inadequate development processes, minimal reporting of psychometric properties, and poor consideration of participants’ demographic characteristics<em>.</em> We propose recommendations to refine the development of future scales to facilitate a more consolidated understanding of eco-anxiety.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"26 ","pages":"Article 100595"},"PeriodicalIF":3.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145474449","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