气候变化与肝病:微型综述

Tiago Ribeiro, Guilherme Macedo
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摘要

气候变化对人类健康和福祉的威胁与日俱增,新出现的证据表明,气候变化与肝脏疾病有着错综复杂的关系。事实上,气候变化通过各种直接和间接机制影响肝病。酒精相关肝病、代谢功能障碍相关肝病(MASLD)和病毒性肝炎是三种最常见的肝病病因,它们都容易受到气候变化的影响。食物供应的变化导致饮食习惯的改变,社会不稳定加剧了药物滥用,极端天气事件影响了医疗服务的获取,以及水传播感染的出现,这些都是加剧肝病发病率和严重程度的因素。另一方面,包括肝病科在内的医疗保健系统通过能源消耗、医疗废物和运输排放,对气候变化产生了重大影响。对可持续医疗实践、远程医疗和减少废物战略的需求日益明显。认识到这一错综复杂的相互作用,并解决气候变化与肝病之间的双重互动问题,对于保障人类健康和减少医疗机构的环境足迹至关重要。随着气候变化的不断发展,了解气候变化对肝病的影响对公共卫生和环境的可持续发展至关重要。
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Climate change and liver disease: a mini review
Climate change poses a growing threat to human health and well-being, with emerging evidence pointing to its intricate relationship with liver diseases. Indeed, climate change influences liver diseases through various direct and indirect mechanisms. Alcohol-related liver disease, Metabolic dysfunction-associated liver disease (MASLD), and viral hepatitis are the three most common causes of liver disease, and all are susceptible to the effects of climate change. Shifts in dietary habits driven by altered food availability, substance abuse exacerbated by social instability, extreme weather events affecting healthcare access, and the emergence of waterborne infections are among the factors exacerbating liver disease incidence and severity. On the flip side, healthcare systems, including liver units, significantly contribute to climate change through energy consumption, medical waste, and transportation emissions. The need for sustainable healthcare practices, telemedicine, and waste reduction strategies is becoming increasingly evident. Recognizing this intricate interplay and addressing the dual interaction between climate change and liver disease is imperative for safeguarding human health and reducing the environmental footprint of healthcare facilities. As climate change continues to unfold, understanding its implications for liver disease is critical for public health and environmental sustainability.
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