Advancing Global Health through Environmental and Public Health Tracking

被引:19
作者
Lauriola, Paolo [1 ]
Crabbe, Helen [2 ]
Behbod, Behrooz [3 ]
Yip, Fuyuen [4 ]
Medina, Sylvia [5 ]
Semenza, Jan C. [6 ]
Vardoulakis, Sotiris [7 ]
Kass, Dan [8 ]
Zeka, Ariana [9 ,10 ]
Khonelidze, Irma [11 ]
Ashworth, Matthew [12 ]
de Hoogh, Kees [13 ,14 ]
Shi, Xiaoming [15 ]
Staatsen, Brigit [16 ]
Knudsen, Lisbeth E. [17 ]
Fletcher, Tony [2 ,18 ]
Houthuijs, Danny [16 ]
Leonardi, Giovanni S. [2 ,18 ]
机构
[1] CNR, Inst Clin Physiol, Unit Environm Epidemiol & Dis Registries, I-56124 Pisa, Italy
[2] Publ Hlth England, Ctr Radiat Chem & Environm Hazards, Didcot OX11 0RQ, Oxon, England
[3] Cardiff Univ, Ctr Med Educ, Cardiff CF14 4XW, Wales
[4] Ctr Dis Control & Prevent, Atlanta, GA 30341 USA
[5] Sante Publ France, Direct Environm & Occupat Hlth, F-94415 St Maurice, France
[6] European Ctr Dis Prevent & Control, Sci Assessment Sect, S-16973 Solna, Sweden
[7] Australian Natl Univ, Natl Ctr Epidemiol & Populat Hlth, Res Sch Populat Hlth, Canberra, ACT 2601, Australia
[8] Vital Strategies, New York, NY 10005 USA
[9] Brunel Univ, Environm Hlth & Epidemiol, London UB8 3PH, England
[10] Med Univ Ctr Nene Teresa, Rruga & Dibres 370, Tirana, Albania
[11] Natl Ctr Dis Control & Publ Hlth, Tbilisi 0198, Georgia
[12] Inst Environm Sci & Res Ltd, Porirua 5240C, Porirua, New Zealand
[13] Swiss Trop & Publ Hlth Inst, CH-4051 Basel, Switzerland
[14] Univ Basel, CH-4001 Basel, Switzerland
[15] Chinese Ctr Dis Control & Prevent, Natl Inst Environm Hlth, Beijing 100021, Peoples R China
[16] Natl Inst Publ Hlth & Environm, NL-3720 BA Bilthoven, Netherlands
[17] Univ Copenhagen, Dept Publ Hlth, DK-1353 Copenhagen, Denmark
[18] London Sch Hyg & Trop Med, London WC1E 7HT, England
关键词
environmental health; public health; global health; environmental public health tracking; surveillance; hazard; exposure and health outcomes; environmental epidemiology; health policy; prevention strategy; PLANETARY HEALTH; SURVEILLANCE; CHILDREN; IMPACT;
D O I
10.3390/ijerph17061976
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
Global environmental change has degraded ecosystems. Challenges such as climate change, resource depletion (with its huge implications for human health and wellbeing), and persistent social inequalities in health have been identified as global public health issues with implications for both communicable and noncommunicable diseases. This contributes to pressure on healthcare systems, as well as societal systems that affect health. A novel strategy to tackle these multiple, interacting and interdependent drivers of change is required to protect the population's health. Public health professionals have found that building strong, enduring interdisciplinary partnerships across disciplines can address environment and health complexities, and that developing Environmental and Public Health Tracking (EPHT) systems has been an effective tool. EPHT aims to merge, integrate, analyse and interpret environmental hazards, exposure and health data. In this article, we explain that public health decision-makers can use EPHT insights to drive public health actions, reduce exposure and prevent the occurrence of disease more precisely in efficient and cost-effective ways. An international network exists for practitioners and researchers to monitor and use environmental health intelligence, and to support countries and local areas toward sustainable and healthy development. A global network of EPHT programs and professionals has the potential to advance global health by implementing and sharing experience, to magnify the impact of local efforts and to pursue data knowledge improvement strategies, aiming to recognise and support best practices. EPHT can help increase the understanding of environmental public health and global health, improve comparability of risks between different areas of the world including Low and Middle-Income Countries (LMICs), enable transparency and trust among citizens, institutions and the private sector, and inform preventive decision making consistent with sustainable and healthy development. This shows how EPHT advances global health efforts by sharing recent global EPHT activities and resources with those working in this field. Experiences from the US, Europe, Asia and Australasia are outlined for operating successful tracking systems to advance global health.
引用
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页数:19
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