The journal of climate change and health最新文献_第8页

Climate-sensitive maternal and child health outcomes: A scoping review and policy implications for Kiribati 对气候敏感的妇幼保健成果：范围审查和对基里巴斯的政策影响

The journal of climate change and health

Pub Date : 2025-07-01 Epub Date: 2025-07-23 DOI: 10.1016/j.joclim.2025.100479

Teanibuaka Tabunga , Sarah Medcalf , Annabelle Workman

Background

Kiribati is situated in the central Pacific Ocean with a population of over 119,000 people. It is facing numerous health and other challenges from climate change, with adverse impacts on priority populations including women and children. Limited capacity and data gaps create challenges for responsive approaches to protect the health of priority populations. This scoping review surveys the peer-reviewed literature on several climate-sensitive maternal and child health outcomes, and considers this evidence in the context of Kiribati’s current climate and health policy landscape.

Methods

A search of PubMed, Web of Science and Scopus was conducted in August 2024 to identify peer-reviewed articles published in English between 2000 and 2024 examining climate-sensitive child and maternal health outcomes in the Pacific and developing countries. The search returned 463 results. Following abstract and full text screening, 34 articles were included in the review. Kiribati’s climate- and health-related policies were also identified and examined.

Results

Most (91 %) eligible articles have been published since 2010. Diarrheal disease and malnutrition are the commonest outcomes studied, with temperature and rainfall being key climatic factors affecting disease prevalence. Both outcomes are highly relevant for Kiribati. The limited evidence on climate-related maternal and adverse pregnancy outcomes also suggests temperature and rainfall are influential climatic factors.

Conclusion

There is increasing evidence across developing contexts that climate change adversely impacts maternal and child health outcomes. An opportunity exists to proactively identify and implement targeted interventions for women and children to reduce the prevalence of climate-sensitive maternal and child health outcomes.

基里巴斯位于太平洋中部，人口超过11.9万。它正面临气候变化带来的许多健康和其他挑战，对包括妇女和儿童在内的重点人群产生不利影响。有限的能力和数据缺口为保护重点人群健康的反应性办法带来挑战。这次范围审查调查了同行评议的关于若干对气候敏感的孕产妇和儿童健康结果的文献，并在基里巴斯当前气候和卫生政策格局的背景下审议了这些证据。方法于2024年8月对PubMed、Web of Science和Scopus进行了检索，以确定2000年至2024年间发表的同行评议的英文文章，这些文章研究了太平洋和发展中国家对气候敏感的儿童和孕产妇健康结果。搜索返回了463个结果。摘要和全文筛选后，共纳入34篇文献。还确定和审查了基里巴斯的气候和健康相关政策。大多数（91%）符合条件的文章发表于2010年以后。腹泻病和营养不良是研究中最常见的结果，温度和降雨是影响疾病流行的关键气候因素。这两项结果都与基里巴斯高度相关。与气候有关的孕产妇和不良妊娠结局的有限证据也表明，温度和降雨是有影响的气候因素。越来越多的证据表明，在发展中国家，气候变化对孕产妇和儿童健康结果产生不利影响。现在有机会主动确定和实施针对妇女和儿童的有针对性的干预措施，以减少对气候敏感的妇幼保健结果的流行。

{"title":"Climate-sensitive maternal and child health outcomes: A scoping review and policy implications for Kiribati","authors":"Teanibuaka Tabunga , Sarah Medcalf , Annabelle Workman","doi":"10.1016/j.joclim.2025.100479","DOIUrl":"10.1016/j.joclim.2025.100479","url":null,"abstract":"<div><h3>Background</h3><div>Kiribati is situated in the central Pacific Ocean with a population of over 119,000 people. It is facing numerous health and other challenges from climate change, with adverse impacts on priority populations including women and children. Limited capacity and data gaps create challenges for responsive approaches to protect the health of priority populations. This scoping review surveys the peer-reviewed literature on several climate-sensitive maternal and child health outcomes, and considers this evidence in the context of Kiribati’s current climate and health policy landscape.</div></div><div><h3>Methods</h3><div>A search of PubMed, Web of Science and Scopus was conducted in August 2024 to identify peer-reviewed articles published in English between 2000 and 2024 examining climate-sensitive child and maternal health outcomes in the Pacific and developing countries. The search returned 463 results. Following abstract and full text screening, 34 articles were included in the review. Kiribati’s climate- and health-related policies were also identified and examined.</div></div><div><h3>Results</h3><div>Most (91 %) eligible articles have been published since 2010. Diarrheal disease and malnutrition are the commonest outcomes studied, with temperature and rainfall being key climatic factors affecting disease prevalence. Both outcomes are highly relevant for Kiribati. The limited evidence on climate-related maternal and adverse pregnancy outcomes also suggests temperature and rainfall are influential climatic factors.</div></div><div><h3>Conclusion</h3><div>There is increasing evidence across developing contexts that climate change adversely impacts maternal and child health outcomes. An opportunity exists to proactively identify and implement targeted interventions for women and children to reduce the prevalence of climate-sensitive maternal and child health outcomes.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"24 ","pages":"Article 100479"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144697009","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

“Beyond the flood: Exploring the psychosocial consequences and resilience challenges in the aftermath of “El Niño” in Tumbes, Peru” “超越洪水：探索秘鲁Tumbes“El Niño”灾后的社会心理后果和复原力挑战”

The journal of climate change and health

Pub Date : 2025-07-01 Epub Date: 2025-06-21 DOI: 10.1016/j.joclim.2025.100477

Elaine C. Flores , Daniela C. Fuhr , Victoria Simms , Andres G. Lescano , Nicki Thorogood

Background

El Niño's impacts on health are widespread, but evidence of its psychosocial effects on historically affected communities is limited. We aimed to describe perceived mental health impacts, local barriers to psychological well-being, and challenges in accessing support post-El Niño in Tumbes, Peru.

Methods

Between May-June 2017, we conducted 27 semi-structured interviews and three focus groups in Spanish with 24 adult residents, including local authorities and residents from heavily and minimally El Niño affected areas. Data were analyzed thematically.

Results

Initially, participants minimized El Niño's mental health impact, claiming to be "accustomed" to it. However, most described specific cases of suffering, including socioeconomic struggles, feelings of lack of support, unfairness, and helplessness. Local authorities acknowledged inadequate support availability. Psychosocial distress was exacerbated by poverty, scarce work opportunities, and disproportionate effects on vulnerable groups. Contextual factors like corruption, underfunding of prevention, and lack of reconstruction led to despair and distrust of authorities. Participants identified responsibility gaps at different levels but rarely acknowledged their responsibility or suggested alternatives. Psychosocial problems, therapy availability, or community support programs were seldom mentioned, though mutual collaboration was highlighted as useful but non-existent.

Conclusions

We found multiple interrelated issues in under-resourced post-disaster communities, highlighting the psychological burden of living "between disasters" and how socioeconomic distress and lack of support contribute to suffering. Beyond emergency aid, these communities require integrated care considering contextual and community-level distress, improving access to prevention and reconstruction activities, and addressing ongoing anxiety about future disasters to foster long-term resilience.

背景：Niño对健康的影响是广泛的，但其对历史上受影响社区的心理社会影响的证据有限。我们的目的是描述秘鲁Tumbes的感知心理健康影响、当地心理健康障碍以及在el Niño之后获得支持的挑战。方法在2017年5月至6月期间，我们用西班牙语对24名成年居民进行了27次半结构化访谈和3次焦点小组访谈，其中包括来自El Niño严重和轻微影响地区的地方当局和居民。数据按主题进行分析。最初，参与者尽量减少El Niño对心理健康的影响，声称自己已经“习惯”了它。然而，大多数人描述了具体的痛苦案例，包括社会经济斗争、缺乏支持的感觉、不公平和无助。地方当局承认支持不足。贫困、缺乏工作机会以及对弱势群体的不成比例的影响加剧了社会心理困扰。腐败、预防资金不足和缺乏重建等背景因素导致人们对当局感到绝望和不信任。参与者确定了不同层次的责任差距，但很少承认自己的责任或提出替代方案。社会心理问题、治疗方法或社区支持计划很少被提及，尽管相互合作被强调是有用的，但并不存在。结论：我们在资源不足的灾后社区发现了多个相互关联的问题，突出了生活在“灾害之间”的心理负担，以及社会经济困境和缺乏支持是如何导致痛苦的。除了紧急援助外，这些社区还需要综合护理，考虑到环境和社区层面的困境，改善参与预防和重建活动的机会，并消除对未来灾害的持续焦虑，以培养长期的复原力。

{"title":"“Beyond the flood: Exploring the psychosocial consequences and resilience challenges in the aftermath of “El Niño” in Tumbes, Peru”","authors":"Elaine C. Flores , Daniela C. Fuhr , Victoria Simms , Andres G. Lescano , Nicki Thorogood","doi":"10.1016/j.joclim.2025.100477","DOIUrl":"10.1016/j.joclim.2025.100477","url":null,"abstract":"<div><h3>Background</h3><div>El Niño's impacts on health are widespread, but evidence of its psychosocial effects on historically affected communities is limited. We aimed to describe perceived mental health impacts, local barriers to psychological well-being, and challenges in accessing support post-El Niño in Tumbes, Peru.</div></div><div><h3>Methods</h3><div>Between May-June 2017, we conducted 27 semi-structured interviews and three focus groups in Spanish with 24 adult residents, including local authorities and residents from heavily and minimally El Niño affected areas. Data were analyzed thematically.</div></div><div><h3>Results</h3><div>Initially, participants minimized El Niño's mental health impact, claiming to be \"accustomed\" to it. However, most described specific cases of suffering, including socioeconomic struggles, feelings of lack of support, unfairness, and helplessness. Local authorities acknowledged inadequate support availability. Psychosocial distress was exacerbated by poverty, scarce work opportunities, and disproportionate effects on vulnerable groups. Contextual factors like corruption, underfunding of prevention, and lack of reconstruction led to despair and distrust of authorities. Participants identified responsibility gaps at different levels but rarely acknowledged their responsibility or suggested alternatives. Psychosocial problems, therapy availability, or community support programs were seldom mentioned, though mutual collaboration was highlighted as useful but non-existent.</div></div><div><h3>Conclusions</h3><div>We found multiple interrelated issues in under-resourced post-disaster communities, highlighting the psychological burden of living \"between disasters\" and how socioeconomic distress and lack of support contribute to suffering. Beyond emergency aid, these communities require integrated care considering contextual and community-level distress, improving access to prevention and reconstruction activities, and addressing ongoing anxiety about future disasters to foster long-term resilience.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"24 ","pages":"Article 100477"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144335812","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

Implementation of a heat alert system for clinical staff in an ambulatory setting: A pilot project 在门诊环境中为临床工作人员实施热警报系统：试验项目

The journal of climate change and health

Pub Date : 2025-07-01 Epub Date: 2025-07-22 DOI: 10.1016/j.joclim.2025.100478

Paul F Dellaripa , Candace Feldman , Lydia Gedmintas , Susan Ritter , Caleb Dresser

Introduction

Climate change leads to an increasing risk of heat exposure and pre-emptive alerting to patients may be an important intervention to limit health risks related to heat. The process of providing counseling and resources related to impending dangerous heat in an ambulatory clinic setting has not been described. In this pilot project utilizing an electronic heat alert system, we describe the implementation of a clinic-level protocol for providing alert-based heat health information and proactively educating rheumatology patients in an ambulatory setting on dangerous heat conditions.

Methods

Physicians, nurses and medical assistants received electronic notifications of dangerous heat forecasts via a external heat alert system (Realtime Climate Heat Risk). Participating staff completed surveys at the midpoint and end of the heat season. The primary endpoint was a self-reported estimate of the percentage of patients engaged regarding heat safety on days where heat alerts were issued.

Results

There were 4 heat alert days during the study period. Half of participating staff members reported they had engaged 50 % or more of their patients on this topic. Self-reported levels of engagement by medical assistants were significantly higher than those of physicians and nurses, (W = 4.5, p-value = 0.036).

Conclusions

Heat and other environmental exposures present risks to patients as the effects of climate change worsen. Heat alerts may help staff address health risks with their patients. This pilot study demonstrates that an external heat alert system can be implemented utilizing providers of different skill levels and at all points of patient interaction in an ambulatory clinic setting.

气候变化导致热暴露风险增加，对患者进行先发制人的警告可能是限制与热有关的健康风险的重要干预措施。提供咨询的过程和资源有关迫在眉睫的危险热在门诊设置没有被描述。在这个利用电子热警报系统的试点项目中，我们描述了一个临床级协议的实施，该协议提供基于警报的热健康信息，并在门诊环境中主动教育风湿病患者危险的热状况。方法通过外部热警报系统（Realtime Climate heat Risk），医生、护士和医疗助理收到危险热预报的电子通知。参与调查的工作人员在炎热季节的中点和结束时完成了调查。主要终点是自我报告的估计患者在发布热警报的日子里参与热安全的百分比。结果研究期间共出现4个热警报日。半数参与调查的医务人员报告说，他们有50%或更多的病人参与了这个话题。医疗助理自我报告的敬业度水平显著高于医生和护士（W = 4.5， p值= 0.036）。结论随着气候变化影响的加剧，空气和其他环境暴露对患者存在风险。高温警报可以帮助工作人员解决病人的健康风险。这项试点研究表明，外部热警报系统可以在门诊设置中利用不同技能水平的提供者和患者互动的所有点来实施。

{"title":"Implementation of a heat alert system for clinical staff in an ambulatory setting: A pilot project","authors":"Paul F Dellaripa , Candace Feldman , Lydia Gedmintas , Susan Ritter , Caleb Dresser","doi":"10.1016/j.joclim.2025.100478","DOIUrl":"10.1016/j.joclim.2025.100478","url":null,"abstract":"<div><h3>Introduction</h3><div>Climate change leads to an increasing risk of heat exposure and pre-emptive alerting to patients may be an important intervention to limit health risks related to heat. The process of providing counseling and resources related to impending dangerous heat in an ambulatory clinic setting has not been described. In this pilot project utilizing an electronic heat alert system, we describe the implementation of a clinic-level protocol for providing alert-based heat health information and proactively educating rheumatology patients in an ambulatory setting on dangerous heat conditions.</div></div><div><h3>Methods</h3><div>Physicians, nurses and medical assistants received electronic notifications of dangerous heat forecasts via a external heat alert system (Realtime Climate Heat Risk). Participating staff completed surveys at the midpoint and end of the heat season. The primary endpoint was a self-reported estimate of the percentage of patients engaged regarding heat safety on days where heat alerts were issued.</div></div><div><h3>Results</h3><div>There were 4 heat alert days during the study period. Half of participating staff members reported they had engaged 50 % or more of their patients on this topic. Self-reported levels of engagement by medical assistants were significantly higher than those of physicians and nurses, (<em>W</em> = 4.5, p-value = 0.036).</div></div><div><h3>Conclusions</h3><div>Heat and other environmental exposures present risks to patients as the effects of climate change worsen. Heat alerts may help staff address health risks with their patients. This pilot study demonstrates that an external heat alert system can be implemented utilizing providers of different skill levels and at all points of patient interaction in an ambulatory clinic setting.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"24 ","pages":"Article 100478"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144678963","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

Practical tools to align planetary health objectives within the current Liaison Committee on Medical Education accreditation Process 在当前医学教育联络委员会认证过程中协调全球卫生目标的实用工具

The journal of climate change and health

Pub Date : 2025-07-01 Epub Date: 2025-06-19 DOI: 10.1016/j.joclim.2025.100468

Elizabeth Gillespie , Cecilia Sorensen , Sheetal Rao , Arnab K. Ghosh , Holly Rosencranz , Joanne Bernstein , Barbara Erny , Rebecca Philipsborn

The preparedness of health professionals to address the climate crisis is increasingly important for the health and well-being of society at large. As society grapples with mounting health consequences of a changing climate, the crisis also presents an opportunity to emphasize planetary health principles in medicine and care delivery. The preparedness of physicians to address climate change and apply principles of planetary health will shape strategies to optimize individual and population health, healthcare delivery, and the health sector. The Liaison Committee on Medical Education (LCME) accreditation standards do not currently reference climate change nor planetary health explicitly. LCME has a vested interest in improving physician workforce preparedness to meet the needs of patients and society, and consideration of climate change and planetary health in these standards is an important future step for LCME. In the meantime, the current accreditation standards offer some opportunity for students and faculty to align curricular efforts or initiatives on climate change and planetary health at their institution. The authors present practical tools highlighting multiple avenues for integrating planetary health concepts into medical education such as sustainability, resilience, and curriculum. Using existing LCME standards and data collection instruments, the authors showcase how medical students, instructors, and other leaders can incorporate planetary health concepts into the accreditation process. This approach aims to leverage accreditation to advocate for planetary health efforts and build momentum for grassroots policy change within physician training programs.

卫生专业人员为应对气候危机做好准备，对整个社会的健康和福祉越来越重要。在社会努力应对气候变化对健康造成的日益严重的后果之际，这场危机也提供了一个机会，在医学和保健服务中强调全球健康原则。医生应对气候变化和应用地球健康原则的准备将形成战略，以优化个人和人口健康、医疗保健服务和卫生部门。医学教育联络委员会（LCME）的认证标准目前没有明确提及气候变化或地球健康。为了满足患者和社会的需求，提高医生队伍的准备水平是LCME的既得利益，在这些标准中考虑气候变化和地球健康是LCME未来的重要一步。与此同时，目前的认证标准为学生和教师提供了一些机会，使他们能够在自己的机构内协调有关气候变化和地球健康的课程努力或倡议。作者提出了实用的工具，突出了将地球健康概念纳入医学教育的多种途径，如可持续性、弹性和课程。利用现有的LCME标准和数据收集工具，作者展示了医学生、教师和其他领导者如何将行星健康概念纳入认证过程。这种方法旨在利用认证来倡导全球卫生工作，并在医生培训计划中为基层政策变革建立动力。

{"title":"Practical tools to align planetary health objectives within the current Liaison Committee on Medical Education accreditation Process","authors":"Elizabeth Gillespie , Cecilia Sorensen , Sheetal Rao , Arnab K. Ghosh , Holly Rosencranz , Joanne Bernstein , Barbara Erny , Rebecca Philipsborn","doi":"10.1016/j.joclim.2025.100468","DOIUrl":"10.1016/j.joclim.2025.100468","url":null,"abstract":"<div><div>The preparedness of health professionals to address the climate crisis is increasingly important for the health and well-being of society at large. As society grapples with mounting health consequences of a changing climate, the crisis also presents an opportunity to emphasize planetary health principles in medicine and care delivery. The preparedness of physicians to address climate change and apply principles of planetary health will shape strategies to optimize individual and population health, healthcare delivery, and the health sector. The Liaison Committee on Medical Education (LCME) accreditation standards do not currently reference climate change nor planetary health explicitly. LCME has a vested interest in improving physician workforce preparedness to meet the needs of patients and society, and consideration of climate change and planetary health in these standards is an important future step for LCME. In the meantime, the current accreditation standards offer some opportunity for students and faculty to align curricular efforts or initiatives on climate change and planetary health at their institution. The authors present practical tools highlighting multiple avenues for integrating planetary health concepts into medical education such as sustainability, resilience, and curriculum. Using existing LCME standards and data collection instruments, the authors showcase how medical students, instructors, and other leaders can incorporate planetary health concepts into the accreditation process. This approach aims to leverage accreditation to advocate for planetary health efforts and build momentum for grassroots policy change within physician training programs.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"24 ","pages":"Article 100468"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144322241","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

Preemptive hospital evacuation during the 2021 European floods: A qualitative study on factors influencing decision-making 2021年欧洲洪水期间的医院先发制人后送：影响决策因素的定性研究

The journal of climate change and health

Pub Date : 2025-07-01 Epub Date: 2025-06-20 DOI: 10.1016/j.joclim.2025.100460

Willemijn vd Wal , Dennis G. Barten , Linsay Ketelings , Frits H.M. van Osch , Madhura Rao , Luc Mortelmans , Joost Bierens

Introduction

In July 2021, several European countries were affected by severe floods, with water levels of the river Meuse reaching a record high. It was decided to completely evacuate VieCuri Medical Center (Venlo, The Netherlands), a hospital located directly adjacent to this river. The aim of this study was to explore the decision-making process of this emergency hospital evacuation.

Methods

This descriptive qualitative study assessed factors influencing the decision-making process of this hospital evacuation. Data were collected through semi-structured interviews with 11 key stakeholders. Data were analyzed by reflexive thematic analysis.

Results

Three themes were constructed from the interviews: risk-assessment and estimation; prior experience; and prerequisites for evacuation. The decision to evacuate was made when there was uncertainty regarding maximum water level forecasts. Therefore, the risks of a hospital evacuation were balanced against the risk of the loss of essential services in case of a dike breach. Prior experiences with crises played a major role, and the use of a national patient coordination center (NPCC), which was established during the COVID-19 pandemic, enabled rapid assessment of the capacity of destination hospitals and facilitated patient transfers. It was determined that prerequisites for evacuation include clear evacuation guidelines, concise communication and collaboration.

Conclusion

The decision to evacuate was made when there was uncertainty regarding maximum expected water levels, while administrators balanced the risk of hospital evacuation against the risk of essential services failure in case of a dike breach. Prior experience with crises and the availability of a NPCC were decisive factors in this evacuation procedure. The NPCC allowed for swift identification of available capacity in appropriate destination hospitals.

2021年7月，几个欧洲国家受到严重洪水的影响，默兹河的水位达到历史新高。决定完全撤离vieecuri医疗中心（荷兰Venlo），这是一家直接毗邻这条河的医院。本研究旨在探讨医院紧急后送的决策过程。方法采用描述性定性研究方法，对影响该医院后送决策过程的因素进行评价。通过与11个关键利益相关者的半结构化访谈收集数据。数据采用反身性专题分析。结果通过访谈构建了三个主题：风险评估与估计；经验;以及撤离的先决条件。撤离的决定是在最高水位预报不确定的情况下做出的。因此，医院后送的风险与发生决堤时失去基本服务的风险相平衡。以往应对危机的经验发挥了重要作用，利用在2019冠状病毒病大流行期间建立的国家患者协调中心（NPCC），可以快速评估目的地医院的能力，并为患者转移提供便利。确定疏散的先决条件包括明确的疏散准则、简明的沟通和协作。结论在对最大预期水位不确定的情况下做出疏散的决定，同时管理者要权衡医院疏散的风险和万一决堤时基本服务中断的风险。在这次疏散过程中，以往处理危机的经验和是否有应急中心是决定性因素。国家结核控制中心允许迅速确定适当目的地医院的可用能力。

{"title":"Preemptive hospital evacuation during the 2021 European floods: A qualitative study on factors influencing decision-making","authors":"Willemijn vd Wal , Dennis G. Barten , Linsay Ketelings , Frits H.M. van Osch , Madhura Rao , Luc Mortelmans , Joost Bierens","doi":"10.1016/j.joclim.2025.100460","DOIUrl":"10.1016/j.joclim.2025.100460","url":null,"abstract":"<div><h3>Introduction</h3><div>In July 2021, several European countries were affected by severe floods, with water levels of the river Meuse reaching a record high. It was decided to completely evacuate VieCuri Medical Center (Venlo, The Netherlands), a hospital located directly adjacent to this river. The aim of this study was to explore the decision-making process of this emergency hospital evacuation.</div></div><div><h3>Methods</h3><div>This descriptive qualitative study assessed factors influencing the decision-making process of this hospital evacuation. Data were collected through semi-structured interviews with 11 key stakeholders. Data were analyzed by reflexive thematic analysis.</div></div><div><h3>Results</h3><div>Three themes were constructed from the interviews: risk-assessment and estimation; prior experience; and prerequisites for evacuation. The decision to evacuate was made when there was uncertainty regarding maximum water level forecasts. Therefore, the risks of a hospital evacuation were balanced against the risk of the loss of essential services in case of a dike breach. Prior experiences with crises played a major role, and the use of a national patient coordination center (NPCC), which was established during the COVID-19 pandemic, enabled rapid assessment of the capacity of destination hospitals and facilitated patient transfers. It was determined that prerequisites for evacuation include clear evacuation guidelines, concise communication and collaboration.</div></div><div><h3>Conclusion</h3><div>The decision to evacuate was made when there was uncertainty regarding maximum expected water levels, while administrators balanced the risk of hospital evacuation against the risk of essential services failure in case of a dike breach. Prior experience with crises and the availability of a NPCC were decisive factors in this evacuation procedure. The NPCC allowed for swift identification of available capacity in appropriate destination hospitals.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"24 ","pages":"Article 100460"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144329771","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

Role of medicines dispensation data in city-based air-health surveillance and health preparedness 药物分配数据在城市空气卫生监测和卫生准备中的作用

The journal of climate change and health

Pub Date : 2025-07-01 Epub Date: 2025-07-24 DOI: 10.1016/j.joclim.2025.100483

Ritu Parchure , Santu Ghosh , Santosh Satam , Aparna Gokhale , Balasaheb Pawar , Vinay Kulkarni

Introduction

Air pollution in India is a significant public health issue. Air-health surveillance has been recently introduced in heavily polluted Indian cities, to inform relevant mitigation and health preparedness actions. The air-health surveillance tracks emergency room visits (ERV) for acute respiratory illnesses in select sentinel hospitals. Reporting from multiple facilities is necessary to get a representative picture, but expanding coverage poses challenges. In this context, pharmaceutical data can serve as an alternative data source to aid surveillance efforts.

Methods

We examined the potential role of data on sales of respules (a combination of corticosteroid and bronchodilator medicines, used in nebulizers) as an indicator in air-health surveillance. The association between daily respules sold at a trust-based hospital in Pune, India, and daily concentration of local ambient particulate matter (PM_2.5) was assessed using a time-stratified case-crossover design.

Results

A positive correlation, with a lag effect, was observed. A 10 µg/m³ increase in PM_2.5 level led to an 8 % and 6 % increase in respules sales after a lag of 3 and 4 days, respectively. The number of respules sold correlated well with ERV.

Discussion

The findings indicate that respules sold could serve as a reliable proxy for tracking health impacts from air pollution.

Conclusion

Our study provides a proof-of-concept analysis showing that pharmaceutical data can be used as a proxy measure to assess the short-term health impacts of air pollution. Further exploration is needed to evaluate its utility for air-health surveillance efforts in India.

印度的空气污染是一个重大的公共卫生问题。最近在污染严重的印度城市开展了空气健康监测，为相关的缓解和卫生准备行动提供信息。空气健康监测追踪了选定哨点医院急性呼吸道疾病的急诊室就诊情况。为了获得具有代表性的情况，从多个设施进行报道是必要的，但扩大报道范围带来了挑战。在这种情况下，制药数据可以作为辅助监测工作的另一种数据源。方法我们研究了呼吸道（一种用于雾化器的皮质类固醇和支气管扩张药物的组合）销售数据作为空气健康监测指标的潜在作用。使用时间分层病例交叉设计评估了印度浦那一家信托医院每日销售的血液与当地环境颗粒物（PM2.5）每日浓度之间的关系。结果两者呈正相关，且存在滞后效应。PM2.5浓度每增加10微克/立方米，在3天和4天后，汽车销量分别增长8%和6%。售出的汽车数量与ERV有很好的相关性。研究结果表明，所售气体可以作为追踪空气污染对健康影响的可靠指标。结论我们的研究提供了一个概念验证分析，表明药物数据可以作为评估空气污染短期健康影响的代理措施。需要进一步探索以评估其对印度空气健康监测工作的效用。

{"title":"Role of medicines dispensation data in city-based air-health surveillance and health preparedness","authors":"Ritu Parchure , Santu Ghosh , Santosh Satam , Aparna Gokhale , Balasaheb Pawar , Vinay Kulkarni","doi":"10.1016/j.joclim.2025.100483","DOIUrl":"10.1016/j.joclim.2025.100483","url":null,"abstract":"<div><h3>Introduction</h3><div>Air pollution in India is a significant public health issue. Air-health surveillance has been recently introduced in heavily polluted Indian cities, to inform relevant mitigation and health preparedness actions. The air-health surveillance tracks emergency room visits (ERV) for acute respiratory illnesses in select sentinel hospitals. Reporting from multiple facilities is necessary to get a representative picture, but expanding coverage poses challenges. In this context, pharmaceutical data can serve as an alternative data source to aid surveillance efforts.</div></div><div><h3>Methods</h3><div>We examined the potential role of data on sales of respules (a combination of corticosteroid and bronchodilator medicines, used in nebulizers) as an indicator in air-health surveillance. The association between daily respules sold at a trust-based hospital in Pune, India, and daily concentration of local ambient particulate matter (PM<sub>2.5</sub>) was assessed using a time-stratified case-crossover design.</div></div><div><h3>Results</h3><div>A positive correlation, with a lag effect, was observed. A 10 µg/m<sup>3</sup> increase in PM<sub>2.5</sub> level led to an 8 % and 6 % increase in respules sales after a lag of 3 and 4 days, respectively. The number of respules sold correlated well with ERV.</div></div><div><h3>Discussion</h3><div>The findings indicate that respules sold could serve as a reliable proxy for tracking health impacts from air pollution.</div></div><div><h3>Conclusion</h3><div>Our study provides a proof-of-concept analysis showing that pharmaceutical data can be used as a proxy measure to assess the short-term health impacts of air pollution. Further exploration is needed to evaluate its utility for air-health surveillance efforts in India.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"24 ","pages":"Article 100483"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144697020","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

Planetary health education in Indian medical curricula 印度医学课程中的行星健康教育

The journal of climate change and health

Pub Date : 2025-07-01 Epub Date: 2025-07-05 DOI: 10.1016/j.joclim.2025.100481

Prasoon Pattanaik , Anandita Pattnaik

Introduction

This study assesses the state of planetary health education in Indian medical schools and proposes actionable recommendations for enhancement.

Materials and Methods

The Planetary Health Report Card (PHRC), an international student-driven metric-based tool, was used to evaluate planetary health content in six report cards from four prominent Indian medical schools. Five key categories were evaluated: planetary health curriculum, interdisciplinary research, community outreach and advocacy, support for student initiatives, and campus sustainability measures.

Results

Disparities were found in integrating planetary health into medical education among surveyed schools. While some topics like "the effect of extreme heat and pollution on health" were commonly integrated, critical topics such as "the carbon footprint of healthcare systems" were often overlooked. Limited interdisciplinary research and community engagement were noted, with insufficient support for student initiatives. However, all schools showed progress in campus sustainability. The National Medical Commission’s curriculum includes only limited content on planetary health. The absence of dedicated coursework and inconsistent implementation has resulted in uneven integration across the country, with much of it depending on individual faculty initiatives.

Conclusion

Recommendations include developing dedicated coursework with clear learning outcomes, promoting planetary health research, organizing outreach activities, making educational materials accessible, supporting student initiatives, and enhancing campus sustainability. These recommendations aim to equip future healthcare professionals with the knowledge and skills to address the relationship between human health and planetary well-being, fostering a sustainable healthcare system in India.

本研究评估了印度医学院的全球健康教育状况，并提出了可行的改进建议。材料和方法行星健康报告卡（PHRC）是一种国际学生驱动的基于度量的工具，用于评估来自印度四所著名医学院的六份报告卡中的行星健康内容。评估了五个关键类别：地球卫生课程、跨学科研究、社区外展和宣传、对学生倡议的支持以及校园可持续性措施。结果被调查学校在将行星健康纳入医学教育方面存在差异。虽然“极端高温和污染对健康的影响”等主题通常被纳入其中，但“医疗系统的碳足迹”等关键主题往往被忽视。注意到跨学科研究和社区参与有限，对学生倡议的支持不足。然而，所有学校在校园可持续性方面都取得了进步。国家医学委员会的课程只包括有限的关于地球健康的内容。缺乏专门的课程和不一致的实施导致了全国范围内整合的不平衡，其中很大程度上取决于个别教师的举措。建议包括开发具有明确学习成果的专门课程，促进地球健康研究，组织外展活动，使教育材料易于获取，支持学生倡议，增强校园可持续性。这些建议旨在为未来的卫生保健专业人员提供知识和技能，以解决人类健康与地球福祉之间的关系，促进印度可持续的卫生保健系统。

{"title":"Planetary health education in Indian medical curricula","authors":"Prasoon Pattanaik , Anandita Pattnaik","doi":"10.1016/j.joclim.2025.100481","DOIUrl":"10.1016/j.joclim.2025.100481","url":null,"abstract":"<div><h3>Introduction</h3><div>This study assesses the state of planetary health education in Indian medical schools and proposes actionable recommendations for enhancement.</div></div><div><h3>Materials and Methods</h3><div>The Planetary Health Report Card (PHRC), an international student-driven metric-based tool, was used to evaluate planetary health content in six report cards from four prominent Indian medical schools. Five key categories were evaluated: planetary health curriculum, interdisciplinary research, community outreach and advocacy, support for student initiatives, and campus sustainability measures.</div></div><div><h3>Results</h3><div>Disparities were found in integrating planetary health into medical education among surveyed schools. While some topics like \"the effect of extreme heat and pollution on health\" were commonly integrated, critical topics such as \"the carbon footprint of healthcare systems\" were often overlooked. Limited interdisciplinary research and community engagement were noted, with insufficient support for student initiatives. However, all schools showed progress in campus sustainability. The National Medical Commission’s curriculum includes only limited content on planetary health. The absence of dedicated coursework and inconsistent implementation has resulted in uneven integration across the country, with much of it depending on individual faculty initiatives.</div></div><div><h3>Conclusion</h3><div>Recommendations include developing dedicated coursework with clear learning outcomes, promoting planetary health research, organizing outreach activities, making educational materials accessible, supporting student initiatives, and enhancing campus sustainability. These recommendations aim to equip future healthcare professionals with the knowledge and skills to address the relationship between human health and planetary well-being, fostering a sustainable healthcare system in India.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"24 ","pages":"Article 100481"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144556615","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

Heat stress risk assessment of farmers working in a hot environment: What about in Zambia? 在炎热环境中工作的农民的热应激风险评估：赞比亚的情况如何？

The journal of climate change and health

Pub Date : 2025-07-01 Epub Date: 2025-07-23 DOI: 10.1016/j.joclim.2025.100457

Anayawa Nyambe , Edwell S Mwaanga , Allan Mayaba Mwiinde , Charles Michelo

Introduction

Farmers are vulnerable to heat stress due to the nature of their work and the environment. This cross-sectional study aimed to assess the heat stress risk among rural farmers in the Monze and Sioma districts of Zambia.

Method

Wet Bulb Globe Temperature (WBGT) readings were taken by trained farmers to assess environmental heat stress risk. Additionally, structured questionnaires on heat stress risk at the workplace were used to assess the personal experience of 200 farmers from September to November 2021.

Results

Male (n = 92) and female (n = 108) respondents had a mean age of 45.4 years (SD = 13.75) with 97.5 % of respondents being crop farmers. WBGT readings of greater than 28 °C, which is considered an upper heat stress risk threshold for a heavy workload, were recorded. Results revealed 62.5 % of the farmers were at risk of developing heat stress, with multiple factors emerging as potential contributors to the risk.

Conclusions

There is a growing heat stress risk among farmers in Monze and Sioma, along with a need to investigate heat stress effects on productivity and specific drivers of heat stress that consider differential geographical and population demographic variations. Climate adaptive and mitigative measures, including Indigenous knowledge-based approaches used by communities in rural area's should be assessed.

由于农民的工作性质和环境，他们很容易受到热应激的影响。本横断面研究旨在评估赞比亚Monze和Sioma地区农村农民的热应激风险。方法由训练有素的农民采集湿球温度（WBGT）数据，评估环境热应激风险。此外，使用关于工作场所热应激风险的结构化问卷来评估200名农民在2021年9月至11月期间的个人经历。结果调查对象中男性92人，女性108人，平均年龄45.4岁（SD = 13.75）， 97.5%为种植户。记录了大于28°C的WBGT读数，这被认为是高工作量的热应激风险阈值。结果显示，62.5%的农民有发生热应激的风险，多种因素可能导致风险。结论：Monze和Sioma农民的热应激风险日益增加，同时需要调查热应激对生产力的影响以及考虑不同地理和人口统计学差异的热应激具体驱动因素。应评估气候适应和缓解措施，包括农村地区社区使用的基于本土知识的方法。

{"title":"Heat stress risk assessment of farmers working in a hot environment: What about in Zambia?","authors":"Anayawa Nyambe , Edwell S Mwaanga , Allan Mayaba Mwiinde , Charles Michelo","doi":"10.1016/j.joclim.2025.100457","DOIUrl":"10.1016/j.joclim.2025.100457","url":null,"abstract":"<div><h3>Introduction</h3><div>Farmers are vulnerable to heat stress due to the nature of their work and the environment. This cross-sectional study aimed to assess the heat stress risk among rural farmers in the Monze and Sioma districts of Zambia.</div></div><div><h3>Method</h3><div>Wet Bulb Globe Temperature (WBGT) readings were taken by trained farmers to assess environmental heat stress risk. Additionally, structured questionnaires on heat stress risk at the workplace were used to assess the personal experience of 200 farmers from September to November 2021.</div></div><div><h3>Results</h3><div>Male (<em>n</em> = 92) and female (<em>n</em> = 108) respondents had a mean age of 45.4 years (<em>SD</em> = 13.75) with 97.5 % of respondents being crop farmers. WBGT readings of greater than 28 °C, which is considered an upper heat stress risk threshold for a heavy workload, were recorded. Results revealed 62.5 % of the farmers were at risk of developing heat stress, with multiple factors emerging as potential contributors to the risk.</div></div><div><h3>Conclusions</h3><div>There is a growing heat stress risk among farmers in Monze and Sioma, along with a need to investigate heat stress effects on productivity and specific drivers of heat stress that consider differential geographical and population demographic variations. Climate adaptive and mitigative measures, including Indigenous knowledge-based approaches used by communities in rural area's should be assessed.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"24 ","pages":"Article 100457"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144697019","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

The spread of infectious diseases in migration routes between caravans and resident communities: Modelling yellow fever in Central America 传染病在大篷车队和居民社区之间的迁徙路线上的传播：模拟中美洲的黄热病

The journal of climate change and health

Pub Date : 2025-07-01 Epub Date: 2025-07-09 DOI: 10.1016/j.joclim.2025.100473

Sabrina Soares Simon , Marcos Amaku , Eduardo Massad

Introduction

Climate-sensitive diseases are significantly affected by weather patterns and the social consequences of a changing climate. In this context, epidemics and human mobility can interact, leading to unpredictable impacts on both human and planetary health.

Methods

To investigate the impact of yellow fever (YF) vaccination in the context of an outbreak and its association with migration, we use a SEIRV-SEI compartmental deterministic model for humans and vectors and numerical simulations applied to three coupled populations - caravans, endemic and disease-free communities. Two scenarios are evaluated with different vaccination coverage levels at endemic communities and in caravans.

Results

When communities endemic to YF are the source of migration, herd immunity is critical, but vaccinating caravans is by far the most significant intervention to protect migrants and disease-free communities upwards from the risk of YF introduction.

Conclusion

Preventing outbreaks of climate-sensitive infectious diseases in the context of migration must be a joint effort of common interest. Maintaining vaccination coverage at recommended levels combined with the continued effort to vaccinate people on the move is the only intervention that can prevent a health crisis. Therefore, vaccination against climate-sensitive diseases should be considered climate adaptation.

气候敏感型疾病受到天气模式和气候变化的社会后果的重大影响。在这种情况下，流行病和人类流动可能相互作用，对人类和地球健康产生不可预测的影响。方法为了调查黄热病（YF）疫苗接种在疫情背景下的影响及其与迁移的关系，我们使用了人类和媒介的SEIRV-SEI分区确定性模型，并应用于三个耦合种群-大篷车，地方病和无病社区的数值模拟。在流行社区和大篷车的不同疫苗接种覆盖率下，对两种情况进行了评估。结果当黄热病流行社区是移民来源地时，群体免疫至关重要，但为大篷车接种疫苗是迄今为止保护移民和无病社区免受黄热病传入风险的最重要干预措施。结论在移民背景下预防气候敏感传染病的暴发必须是一项共同利益的共同努力。将疫苗接种覆盖率保持在建议水平，并继续努力为流动人口接种疫苗，这是能够预防健康危机的唯一干预措施。因此，针对气候敏感疾病的疫苗接种应被视为气候适应。

{"title":"The spread of infectious diseases in migration routes between caravans and resident communities: Modelling yellow fever in Central America","authors":"Sabrina Soares Simon , Marcos Amaku , Eduardo Massad","doi":"10.1016/j.joclim.2025.100473","DOIUrl":"10.1016/j.joclim.2025.100473","url":null,"abstract":"<div><h3>Introduction</h3><div>Climate-sensitive diseases are significantly affected by weather patterns and the social consequences of a changing climate. In this context, epidemics and human mobility can interact, leading to unpredictable impacts on both human and planetary health.</div></div><div><h3>Methods</h3><div>To investigate the impact of yellow fever (YF) vaccination in the context of an outbreak and its association with migration, we use a SEIRV-SEI compartmental deterministic model for humans and vectors and numerical simulations applied to three coupled populations - caravans, endemic and disease-free communities. Two scenarios are evaluated with different vaccination coverage levels at endemic communities and in caravans.</div></div><div><h3>Results</h3><div>When communities endemic to YF are the source of migration, herd immunity is critical, but vaccinating caravans is by far the most significant intervention to protect migrants and disease-free communities upwards from the risk of YF introduction.</div></div><div><h3>Conclusion</h3><div>Preventing outbreaks of climate-sensitive infectious diseases in the context of migration must be a joint effort of common interest. Maintaining vaccination coverage at recommended levels combined with the continued effort to vaccinate people on the move is the only intervention that can prevent a health crisis. Therefore, vaccination against climate-sensitive diseases should be considered climate adaptation.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"24 ","pages":"Article 100473"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144587746","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 cafés as a space for navigating climate emotions: A scoping review 气候咖啡厅作为引导气候情绪的空间：范围审查

The journal of climate change and health

Pub Date : 2025-07-01 Epub Date: 2025-06-19 DOI: 10.1016/j.joclim.2025.100466

Anna De Jong , Susan Harris , Christy Costanian , Harvey Skinner

Introduction

Climate change poses significant physical health risks, while its mental and emotional impacts are increasingly being recognized and researched. Although Climate Cafés have emerged as community-led interventions offering spaces to discuss climate-related thoughts and feelings, there is a paucity of literature describing their utility and impact. This scoping review maps the existing landscape of Climate Cafés and assesses their role in addressing climate-induced distress, and motivating action.

Methods

A literature review was conducted using academic literature published between 2015 and 2024 from the MEDLINE, PsychINFO, Public Health Database, and Web of Science databases. A grey literature search was also undertaken to capture information not published in the academic literature.

Results

No academic literature met inclusion criteria while the grey literature yielded 41 records. The grey literature depicted Climate Cafés as flexible, community-driven spaces for individuals to express and process emotions related to climate change. Programs varied: some were action-free spaces focused on emotional support while others promoted climate action. Participant feedback indicated reduced isolation, decreased anxiety, and increased hopefulness after attending sessions. Challenges identified include issues with inclusivity for marginalized communities, cultural barriers, logistical difficulties, and a lack of standardized evaluation methods.

Conclusions

Climate Cafés represent a promising yet under-researched approach to addressing the emotional impacts of climate change. Further research is needed to evaluate the effectiveness of Climate Cafés, which could inform their integration into strategies to support both individual well-being and community resilience.

气候变化带来重大的身体健康风险，而其心理和情感影响正日益被认识和研究。尽管气候咖啡厅已经成为社区主导的干预活动，为讨论与气候有关的想法和感受提供了空间，但描述其效用和影响的文献却很少。这一范围审查绘制了气候卡的现有景观，并评估了它们在应对气候引起的痛苦和激励行动方面的作用。方法采用MEDLINE、PsychINFO、Public Health Database和Web of Science数据库2015 - 2024年间发表的学术文献进行文献综述。还进行了灰色文献检索，以获取未在学术文献中发表的信息。结果无学术文献符合纳入标准，灰色文献41条。灰色文献将气候咖啡厅描述为灵活的、社区驱动的空间，供个人表达和处理与气候变化有关的情绪。项目各不相同：一些是专注于情感支持的无行动空间，而另一些则促进气候行动。参与者的反馈表明，参加会议后，孤独感减少，焦虑减少，希望增加。确定的挑战包括边缘化社区的包容性问题、文化障碍、后勤困难以及缺乏标准化的评估方法。气候变暖是解决气候变化对情感影响的一种很有前途但研究不足的方法。需要进一步的研究来评估气候卡的有效性，这可以为将其纳入支持个人福祉和社区恢复力的战略提供信息。

{"title":"Climate cafés as a space for navigating climate emotions: A scoping review","authors":"Anna De Jong , Susan Harris , Christy Costanian , Harvey Skinner","doi":"10.1016/j.joclim.2025.100466","DOIUrl":"10.1016/j.joclim.2025.100466","url":null,"abstract":"<div><h3>Introduction</h3><div>Climate change poses significant physical health risks, while its mental and emotional impacts are increasingly being recognized and researched. Although Climate Cafés have emerged as community-led interventions offering spaces to discuss climate-related thoughts and feelings, there is a paucity of literature describing their utility and impact. This scoping review maps the existing landscape of Climate Cafés and assesses their role in addressing climate-induced distress, and motivating action.</div></div><div><h3>Methods</h3><div>A literature review was conducted using academic literature published between 2015 and 2024 from the MEDLINE, PsychINFO, Public Health Database, and Web of Science databases. A grey literature search was also undertaken to capture information not published in the academic literature.</div></div><div><h3>Results</h3><div>No academic literature met inclusion criteria while the grey literature yielded 41 records. The grey literature depicted Climate Cafés as flexible, community-driven spaces for individuals to express and process emotions related to climate change. Programs varied: some were action-free spaces focused on emotional support while others promoted climate action. Participant feedback indicated reduced isolation, decreased anxiety, and increased hopefulness after attending sessions. Challenges identified include issues with inclusivity for marginalized communities, cultural barriers, logistical difficulties, and a lack of standardized evaluation methods.</div></div><div><h3>Conclusions</h3><div>Climate Cafés represent a promising yet under-researched approach to addressing the emotional impacts of climate change. Further research is needed to evaluate the effectiveness of Climate Cafés, which could inform their integration into strategies to support both individual well-being and community resilience.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"24 ","pages":"Article 100466"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144322240","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