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A new integrative perspective on early warning systems for health in the context of climate change

机译：气候变化背景下健康预警系统的新一体化视角

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Climate change causes or aggravates a wide range of exposures with multiple impacts on health, both direct and indirect. Early warning systems have been established to act on the risks posed by these exposures, permitting the timely activation of action plans to minimize health effects. These plans are usually activated individually. Although they show good results from the point of view of minimizing health impacts, such as in the case of high temperature plans, they commonly fail to address the synergies across various climate-related or climate-aggravated exposures. Since several of those exposures tend to occur concurrently, failure to integrate them in prevention efforts could affect their effectiveness and reach. Thus, there is a need to carry out an integrative approach for the multiple effects that climate change has on population health. This article presents a proposal for how these plans should be articulated. The proposed integrated plan would consist of four phases. The first phase, based on early warning systems, would be the activation of different existing individual plans related to the health effects that can be caused by certain circumstances and when possible corrective measures would be implemented. The second phase would attempt to quantify the health impact foreseen by the event in terms of the different health indicators selected. The third phase would be to activate measures to minimize the impact on health, via population alerts and advisories, and additional social and health services, based on the provisions in phase two. Phase four would be related to epidemiological surveillance that permits evaluation of the effects of activating the plan. We believe that this integrative approach should be extended to all of the public health interventions related to climate change.
机译：气候变化导致或加剧各种曝光，对健康有多次影响，都是直接和间接的。已建立预警系统以对这些暴露所带来的风险作用，允许及时激活行动计划以最大限度地减少健康效果。这些计划通常单独激活。虽然它们从最小化健康影响的观点来看出了良好的结果，例如在高温计划的情况下，它们通常未能解决各种与气候相关或气候加重曝光的协同作用。由于这些曝光的几个曝光往往会同时发生，因此未能将它们整合在预防努力中可能会影响其有效性和达到。因此，需要对气候变化对人口健康的多种影响进行综合方法。本文提出了应如何阐明这些计划的提案。拟议的综合计划将包括四个阶段。基于预警系统的第一阶段将激活与某些情况可能引起的健康效果相关的不同现有的单独计划，以及当将实施可能的纠正措施。第二阶段将试图通过所选择的不同健康指标的事件来定量预见的健康影响。第三阶段是通过基于第二阶段的规定，激活措施，以通过人口警报和建议，通过人口警报和建议，以及额外的社会和保健服务。第四阶段将与流行病学监测有关，允许评估激活计划的影响。我们认为，这种综合方法应扩展到与气候变化有关的所有公共卫生干预措施。

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