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国家气候中心最新数据显示，今年夏季全国平均气温达22.3℃，创下自1961年以来的历史新高。根据《2024年柳叶刀人群健康与气候变化倒计时中国报告》，中国正面临热浪、干旱和野火等极端天气事件所带来的健康威胁，且这些风险还在急剧攀升。从公共卫生的视角来看，气候变化对人群健康的影响究竟有多深远？在清华大学碳中和研究院等单位主办的清洁空气政策伙伴关系（CCAPP）2024年度会议上，复旦大学公共卫生学院副院长阚海东教授作了题为“气候变化与公共卫生的证据与挑战”的主旨报告。报告系统概述了气候变化与健康领域的最新科学证据进展，强调了减少气候变化对公共卫生的负面影响迫在眉睫。

温度与死亡风险

温度与发病风险

温度与精神健康

夜间高温与复合热浪

降雨、洪涝、台风与健康

气候变化健康效应的公平性挑战

[1] World Meteorological Organization. (2023). State of the Global Climate 2023. https://wmo.int/publication-series/state-of-global-climate-2023

[2] Zhang, Shihui et al. (2023). The 2023 China report of the Lancet Countdown on health and climate change: taking stock for a thriving future. The Lancet Public Health, Volume 8, Issue 12, e978 - e995

[3] IHME. GBD Compare. https://vizhub.healthdata.org/gbd-compare/

[4] Gasparrini, Antonio et al. (2015). Mortality risk attributable to high and low ambient temperature: a multicountry observational study. The Lancet, Volume 386, Issue 9991, 369 – 375

[5] Chen, R., Yin, P., Wang, L., Liu, C., Niu, Y., Wang, W., ... & Zhou, M. (2018). Association between ambient temperature and mortality risk and burden: time series study in 272 main Chinese cities. BMJ, 363.

[6] Jiang, Y., Hu, J., Peng, L., Li, H., Ji, J. S., Fang, W., ... & Chen, R. (2022). Non-optimum temperature increases risk and burden of acute myocardial infarction onset: a nationwide case-crossover study at hourly level in 324 Chinese cities. The Lancet Regional Health–EClinicalMedicine, 50.

[7] Zhu, X., Chen, R., Yuan, J., Liu, Y., Wang, Y., Ji, X., ... & Zhao, J. (2024). Hourly heat exposure and acute ischemic stroke. JAMA Network Open, 7(2), e240627-e240627.

[8] Zhang, Q., Peng, L., Hu, J., Li, H., Jiang, Y., Fang, W., ... & Kan, H. (2022). Low temperature and temperature decline increase acute aortic dissection risk and burden: a nationwide case crossover analysis at hourly level among 40,270 patients. The Lancet Regional Health–Western Pacific, 28.

[9] Zhu, X., Chen, R., Zhang, Y., Hu, J., Jiang, Y., Huang, K., ... & Kan, H. (2023). Low ambient temperature increases the risk and burden of atrial fibrillation episodes: A nationwide case-crossover study in 322 Chinese cities. Science of The Total Environment, 880, 163351.

[10] Zhou, L., Liu, C., He, C., Lei, J., Zhu, Y., Gao, Y., ... & Chen, R. (2024). Quantification of the heat-related risk and burden of hospitalizations for cause-specific injuries and contribution of human-induced climate change: a time-stratified case-crossover study in China. Environmental Health Perspectives, 132(5), 057005.

[11] Zhou, L., Chen, R., He, C., Liu, C., Lei, J., Zhu, Y., ... & Xuan, J. (2023). Ambient heat stress and urolithiasis attacks in China: implication for climate change. Environmental Research, 217, 114850.

[12] Zhu, Y., Li, L., Han, B., Sun, X., Chen, R., Lei, Y., & Kan, H. (2023). Low ambient temperature and temperature drop as novel risk factors of acute glaucoma: a case-crossover study. Environmental Science and Pollution Research, 30(19), 56513-56521.

[13] Zhu, Y., He, C., Gasparrini, A., Vicedo-Cabrera, A. M., Liu, C., Bachwenkizi, J., ... & Kan, H. (2023). Global warming may significantly increase childhood anemia burden in sub-Saharan Africa. One Earth, 6(10), 1388-1399.

[14] GBD 2019 Mental Disorders Collaborators. (2022). Global, regional, and national burden of 12 mental disorders in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. The Lancet Psychiatry, 9(2), 137-150.

[15] Zhou, Y., Gao, Y., Yin, P., He, C., Liu, W., Kan, H., ... & Chen, R. (2023). Assessing the burden of suicide death associated with nonoptimum temperature in a changing climate. JAMA Psychiatry, 80(5), 488-497.

[16] Zhu, Y., He, C., Bell, M., Zhang, Y., Fatmi, Z., Zhang, Y., ... & Kan, H. (2023). Association of ambient temperature with the prevalence of intimate partner violence among partnered women in low-and middle-income south Asian countries. JAMA Psychiatry, 80(9), 952-961.

[17] He, C., Kim, H., Hashizume, M., Lee, W., Honda, Y., Kim, S. E., ... & Kan, H. (2022). The effects of night-time warming on mortality burden under future climate change scenarios: a modelling study. The Lancet Planetary Health, 6(8), e648-e657.

[18] Liu, J., Qi, J., Yin, P., Liu, W., He, C., Gao, Y., ... & Zhou, M. (2024). Rising cause-specific mortality risk and burden of compound heatwaves amid climate change. Nature Climate Change, 1-9.

[19] He, C., Kim, H., Hashizume, M., Lee, W., Honda, Y., Kim, S. E., ... & Kan, H. (2024). The overlooked health impacts of extreme rainfall exposure in 30 East Asian cities. Nature Sustainability, 7(4), 423-431.

[20] He, C., Zhu, Y., Zhou, L., Bachwenkizi, J., Schneider, A., Chen, R., & Kan, H. (2024). Flood exposure and pregnancy loss in 33 developing countries. Nature Communications, 15(1), 20.

[21] Zhu, Y., He, C., Bachwenkizi, J., Fatmi, Z., Zhou, L., Lei, J., ... & Chen, R. (2024). Burden of infant mortality associated with flood in 37 African countries. Nature Communications, 15(1), 10171.

[22] He C, Chen R, Kim H, Hashizume M, Lee W, Honda Y, Kim SE, Guo YL, Schneider A, Ge W, Zhu Y, Zhou L, Kan H. (2023) Tropical cyclone and daily respiratory mortality across East Asia: a time series study. European Respiratory Journal. 62(1):2300546.

[23] Patz, J. A., Gibbs, H. K., Foley, J. A., Rogers, J. V., & Smith, K. R. (2007). Climate change and global health: quantifying a growing ethical crisis. EcoHealth, 4, 397-405.

[24] 全国主要城市空气健康指数AHI. https://www.airhealthindex.org/

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