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Prioritizing climate-sensitive infectious diseases under a changing climate in Ghana: a multicriteria evaluation analysis approach

机译:在加纳的变化气候下优先考虑气候敏感的传染病:多轨道评估分析方法

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摘要

Globally, climate change is impacting the incidence and distribution of climate-sensitive infectious diseases (CSIDs). The effects of climate change on infectious diseases are an important public health concern and necessitate effective prioritizing of resources for optimal responses, especially for the developing economies context where basic health services and capacities are challenged. To develop a coherent response to the potential incidence of climate-related outbreaks, and to longer-term altering disease patterns, there is the need for improved information upon which to base the mainstreaming of climate change into health planning. An essential way through which such information can be generated is prioritizing disease risks vis-a-vis public health threats under climate change. Using Ghana as a case study, a multicriteria evaluation approach was used to assess CSIDs that present the greatest risks and threats to public health under climate change based on a set of disease prioritization criteria. Expert opinion, morbidity data on CSIDs, and data from literature were utilized to undertake the disease prioritization. From the assessment, it emerged that epidemic-prone CSIDs (diarrhea, cholera, and meningitis) pose the greatest risks to public health. This prioritization provides a glimpse of the risks and threats that prevailing CSIDs would pose to public health under climate change. Further, it provides a preliminary model that can guide public health decisions in Ghana and other similar contexts in the developing world.
机译:在全球范围内,气候变化正在影响气候敏感传染病(CSID)的发病率和分布。气候变化对传染病的影响是一个重要的公共卫生问题,需要有效地确定资源,以获得最佳反应,特别是对于基本卫生服务和能力受到挑战的发展中经济环境。为了对气候相关爆发的潜在发病率产生连贯的响应,并且长期改变疾病模式,有必要改进将气候变化纳入健康规划的主流。可以产生此类信息的重要方法是优先考虑疾病风险根据气候变化的公共卫生威胁。使用加纳作为案例研究,使用了一种基于一系列疾病优先级标准的气候变化,评估了对CSID的CSID来评估了对公共卫生的最大风险和威胁。专家意见,CSID的发病率数据以及文献的数据被利用来进行疾病优先考虑。从评估中,它出现了流行的易患CSID(腹泻,霍乱和脑膜炎)对公共卫生的最大风险构成了最大的风险。这种优先级排序提供了普遍存在的风险和威胁,使CSID在气候变化下对公共卫生带来的风险和威胁。此外,它提供了初步模型,可以指导加纳的公共卫生决策以及发展中国家的其他类似背景。

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