medigraphic.com
ISSN 1996-3521 (Electronic)

2021, Number 34

<< Back Next >>

INFODIR 2021; 17 (34)

The health management facing variability and climate change in Cuba

Mesa RG, Correa BI, Ortiz BPL

Language: Spanish
References: 50
Page: 1-17
PDF size: 423.43 Kb.


ABSTRACT

Introduction: At a global level, climate hazards have effects on individual health, population health and the health system, modulated by biological, psychological, socioeconomic, ecological and environmental determinants that add an additional burden to efforts to fulfill the social mandate of the health sector. Research in Cuba has revealed some of these changes, while highlighting the vulnerability to climate variability. Faced with this challenge, the health department must maintain efficiency in the management of institutions and services.
Objective: To reflect on the dangers associated with climate variability and change for human health.
Development: A review of journal articles, books and documents of international scientific production on variability and climate change, associated dangers and health effects, and results of the experience of Cuban authors and scientists reflected in reports, national communications was carried out. , documents of the implementation of the Life Task and governing bodies.
Conclusions: The management must take a practical, integrative and strategic approach, link disaster risk reduction with adaptation actions, and implement management preparation plans, in full link between teaching, research, medical assistance and university extension, existing Favorable conditions in the Cuban National Health System to successfully confront variability and climate change.


REFERENCES

  1. Solomon. Resumen Técnico. En: Cambios Climáticos: Base Física de la ciencia. Aportes del Grupo de Trabajo I al cuarto Informe de Evaluación del Panel Intergubernamental sobre Cambios Climáticos. Cambridge University Press. Cambridge, Reino Unido y Nueva York, NY. 2007 [acceso 08/12/2020]:77. Disponible en: http://www.ipcc.ch/ipccreports/climate-changes-2007-ar4-sp.htm

  2. IPCC. Climate Change 2014: Synthesis Report. Contribution of Working Groups I, II and III to the Fifth Assessment Report of the Intergovernmental Panel on Climate Change [Core Writing Team, R.K. Pachauri and L.A. Meyer (eds.)]. Geneva, Switzerland: IPCC. 2014 [acceso 08/12/2020]:15. Disponible en: https://archive.ipcc.ch/report/ar5/syr/

  3. Watts N, Amann M, Ayeb-Karlsson S, Belesova K, Bouley T. The Lancet countdown on health and climate change: from 25 years of inaction to a global transformation for public health. Lancet. 2018;391(10120):581–630.

  4. Pérez R, Fonseca C, Lapinel B. Variaciones y cambios en el clima. En: Planos E, Guevara AV, Rivero R. Impactos del cambio climático y medidas de adaptación en Cuba. La Habana: Programa de las Naciones Unidas para el Desarrollo, Instituto de Meteorología. 2013; p. 43-97

  5. Ortiz Bultó PL, Pérez EA, Rivero AV, Pérez AC, Vázquez JRC, Guevara AV, et al. Impactos de la variabilidad y el cambio climático en el sector de la salud, proyecciones al 2050 en Cuba. Rev Colomb Meteorol. 2010;40:79-91.

  6. República de Cuba, Consejo de Ministros. Tarea Vida. Plan de Estado para el enfrentamiento al cambio climático. La Habana: Ministerio de Ciencia, Tecnología y Medio Ambiente. 2017 [acceso 08/12/2020]. Disponible en: https://www.ecured.cu/Tarea_Vida

  7. McMichael AJ. Globalization, Climate Change, and Human Health. N Engl J Med. 2013;368:1335-43. DOI: https://doi:10.1056/NEJMra1109341

  8. Cuadros Cagua TA. El cambio climático y sus implicaciones en la salud humana. Revista de la Facultad de Derecho y Ciencia Política. 2017;XXI(40):159-70. DOI: https://doi.org/10.11144/Javeriana.ayd21-40.ccis

  9. Martínez-Carpio PA. Biometeorología y bioclimatología clínica: fundamentos, aplicaciones clínicas y estado actual de estas ciencias. Atención Primaria. 2003;32(5):300-5.

  10. Lecha Estela L, Monteagudo Lima L. Estimación de la vulnerabilidad individual de los pacientes hipertensos ante la influencia de los efectos meteoro-trópicos. Convención Internacional de Salud, Cuba Salud 2018. 2018 [acceso 08/12/2020]. Disponible en: http://www.convencionsalud2017.sld.cu/index.php/connvencionsalud/2018/paper/viewFile/2077/799

  11. Gauer R, Meyers BK. Heat-Related Illnesses. Am Fam Physician. 2019;99(8):482-9.

  12. Portier CJ. A Human Health Perspective On Climate Change: A Report Outlining the Research Needs on the Human Health Effects of Climate Change. Research Triangle Park, NC: Environmental Health Perspectives/National Institute of Environmental Health Sciences. 2010 [acceso 08/12/2020]. Disponible en: www.niehs.nih.gov/climatereport

  13. Kindig D, Stoddart G. What Is Population Health? Am J Public Health. 2003;93:380–3.

  14. Rojas Ochoa F. Salud y Salud Pública: Conceptualización. En: Capítulo I. Salud y Salud Pública. Teoría y Práctica. Editorial Ciencias Médicas; 2020. p. 1-14.

  15. Limaye VS, Vargo J, Harkey M, Holloway T, Patz JA. Climate Change and Heat-Related Excess Mortality in the Eastern USA. EcoHealth. 2016;15:485–96. DOI: https://doi.org/10.1007/s10393-018-1363-0

  16. Luber G, McGeehin M. Climate change and extreme heat events. Am J Prev Med. 2008;35(5):429-35.

  17. Prüss-Ustün A, Wolf J, Corvalán C, Bos R, Neira M. Preventing disease through healthy environments. A global assessment of the burden of disease from environmental risks. World Health Organization; 2016.

  18. WHO. Ambient air pollution: a global assessment of exposure and burden of disease. Geneva: World Health Organization; 2016

  19. Steenland K. Alzheimer Dis assoc Disord. Research Triangle Park, NC: Environmental Health Perspectives/National Institute of Environmental Health Sciences. 2009 [acceso 08/12/2020];23(2):165-70. Disponible en: www.niehs.nih.gov/climatereport

  20. Ledit RF, Ardusso LRF, Neffen HE, Fernández-Caldas E, Saranz RJ, Parisi CAS, et al. Intervención ambiental en las enfermedades respiratorias. Artículo Especial. Buenos Aires: Medicina. 2019 [acceso 08/01/2020];79(2):123-36. Disponible en: http://www.medicinabuenosaires.com/revistas/vol79-19/n2/123-136-Med6871-Arduso-A.pdf

  21. Hoffman SF, Shandas F, Pendleton N. The Effects of Historical Housing Policies on Resident Exposure to Intra-Urban Heat: A Study of 108 US Urban Areas. Climate. 2020;8(12):49-59. DOI: https://doi:10.3390/cli8010012

  22. Vardoulakis S, Thornes J, Lai KM. Health effects of climate change in the indoor environment. Chapter 5. En: Vardoulakis S, Heaviside C. Health effects of climate change in the UK 2012. London: Health Protection Agency; 2012

  23. Patz J.A. Global climate change and emerging infectious diseases. Journal of the American Medical Association. 1996;275:217–223.

  24. Colwell R, Patz JA. Climate, infectious disease and Health. An interdisciplinary perspective. Washington; The American Academy of Microbiology; 1998.

  25. Mattiuzzi C, Lippi G. Which lessons shall we learn from the 2019 novel coronavirus outbreak? Column in Laboratory Medicine. Ann Transl Med. 2020. DOI: http://dx.doi.org/10.21037/atm.2020.02.06

  26. Theisen OM, Gleditsch NP, Buhaug H. Is climate change a driver of armed conflict? Climatic Change. 2013;117:613–25. DOI: https://doi.org/10.1007/s10584-012-0649-4

  27. Kozma C. Neonatal toxicity and transient neurodevelopmental deficits following prenatal exposure to lithium: Another clinical report and a review of the literature. Am J Med Genet A. 2005;132(4):441-44.

  28. Handal AJ. Neurobehavioral development in children with potential exposure to pesticides. Epidemiology. 2007;18(3):312-20.

  29. Tapsell SM. Vulnerability to flooding: health and social dimensions. Philos Transact A Math Phys Eng Sci. 2002;360(1796):1511-25.

  30. World Health Organization. Sistemas de salud: principios para una atención integrada Capítulo 7. En: Informe sobre la salud en el mundo 2000: Mejorar el desempeño de los sistemas de salud. Ginebra: Organización Mundial de la Salud; 2000. p. 115-46.

  31. Domínguez-Alonso E, Zacca E. Sistema de salud de Cuba. Salud pública Méx. 2011 [acceso 19/02/2020];53(Suppl2):s168-s76. Disponible en: http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0036-36342011000800012&lng=es

  32. World Health Organization. Chemical releases associated with floods. No. WHO/CED/PHE/EPE/18.02. World Health Organization; 2018.

  33. Llanes Burón C. El viento, la ingeniería, el cambio climático y los desastres: una mezcla explosiva. Citmatel. La Habana, Cuba; 2018.

  34. Field C, Barros V, StockerT, Qin D, Dokken D, Ebi K, et al. Managing the Risks of Extreme Events and Disasters to Advance Climate Change Adaptation. A Special Report of Working Groups I and II of the Intergovernmental Panel on Climate Change. Cambridge University Press; 2012. p. 582.

  35. Keim ME. Building human resilience. The role of public health preparedness and response as an adaptation to climate change. Am J Prev Med. 2008;35(5):508–16.

  36. Salas RN, Malina D, Solomon CG. Editorial. Prioritizing Health in a Changing Climate. N Engl J Med. 2019;381:773-4. DOI: https://doi:10.1056/NEJMe1909957

  37. Maxwell J, Blashki G. Teaching about climate change in medical education: An Opportunity. J Public Health Res. 2016;5(1):673. DOI: https://doi:10.4081/jphr.2016.673

  38. Climate-smart healthcare: low-carbon and resilience strategies for the health sector. Washington DC: World Bank. 2017 Disponible en: http://documents.worldbank.org/curated/en/322251495434571418/pdf/113572-WPPUBLIC-FINAL-WBG-Climate-smart-Healthcare-002.pdf

  39. Eckelman MJ, Sherman JD, MacNeill AJ. Life cycle environmental emissions and health damages from the Canadian healthcare system: An economic-environmental-epidemiological analysis. PLoS Med. 2018;15(7):e1002623. DOI: https://doi.org/10.1371/journal.pmed.1002623

  40. Ebi KL, Semenza JC. Community-Based Adaptation to the Health Impacts of Climate Change. Adaptation and Solutions. Am J Prev Med. 2008;35(5):0749-3797 DOI: https://doi:10.1016/j.amepre.2008.08.018

  41. Hewitt K. Preventable disasters: addressing social vulnerability, institutional risks and civil ethics. Geographisches Bundscahu. International Edition. 2007;3(1):43-52.

  42. Wisner B, Gaillard JC, Kellman I. Handbook of Hazards and Disaster Risk Reduction. Routledge: London, UK; 2011.

  43. McMichael AJ, Lindgren E. Climate Change Present and Future. The Association for the Publication of the Journal of Internal Medicine Journal of Internal Medicine. 2011;270:401–13. DOI: https://doi:10.1111/j.1365-2796.2011.02415.x

  44. Turnbull M, Sterrett ChL, Hilleboe A. Hacia la Resiliencia Una Guía para la Reducción del Riesgo de Desastres y Adaptación al Cambio Climático. Practical Action Publishing Ltd. The Schumacher Centre. Bourton on Dunsmore, Rugby, Warwickshire, UK. Catholic Relief Services – United States Conference of Catholic Bishops; 2013.

  45. Tschakert P, Dietrich K. Anticipatory learning for climate change adaptation and resilience. Ecology and Society. 2010;15(2):11.

  46. Parry ML, Canziani OF, Palutikof JP, Van der Linden PJ, Hanson CE. Climate Change 2007: Impacts, Adaptation and Vulnerability. Contribution of Working Group II to the Fourth Assessment Report of the Intergovernmental Panel on Climate Change. Cambridge: University Press; 2007.

  47. Morales Ojeda R, Mas Bermejo P, Castell-Florit Serrate P, Arocha Mariño C, Valdivia Onega NC, Druyet Castillo D, et al. Transformaciones en el sistema de salud en Cuba y estrategias actuales para su consolidación y sostenibilidad. Rev Panam Salud Pública. 2018;42:e25. DOI: https://doi.org/10.26633/RPSP.2018.25

  48. Ortiz Bultó PL, Rivero A, Linares Y, Pérez A. Spatial models for prediction and early warning of Aedes aegypti. Proliferation from data on climate change and variability in Cuba. MEDICC Review. 2015;17:20-8.

  49. Vega YL, Ramirez OV, Herrera BA, Ortiz Bulto PL. Impact of Climatic Variability in the Respiratory Syncytial Virus Pattern in Children Under 5 Years-Old Using the Bulto Climatic Index in Cuba. Int J Virol Infect Dis. 2017;2(1):013-4.

  50. Ortiz Bultó PL. Metodologías para el estudio de la salud y el cambio climático. En: La economía del cambio climático en Centroamérica. Salud y cambio climático: metodologías y políticas públicas, 2019. Cap. 5. In press: CEPAL; 2019.




2020     |     www.medigraphic.com