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Systematic Review
Adverse health effects of climate change and air pollution in people with disabilities: a systematic review
Nakyung Rhim, Seohyun Lee, Kyung-Hwa Choi
Epidemiol Health. 2024;46:e2024080.   Published online September 27, 2024
DOI: https://doi.org/10.4178/epih.e2024080
  • 1,138 View
  • 129 Download
AbstractAbstract AbstractSummary PDF
Abstract
Global warming and air pollution adversely affect the health of the entire human population, particularly older adults, people with disabilities (PWDs), and children. In this systematic review, we investigated the adverse health effects of climate change and air pollution in PWDs. We conducted a comprehensive literature search of the PubMed database using the terms “disab*,” “air pollution,” and “climate change” on July 4, 2023, and August 8, 2023 and searched the Web of Science (WOS) database on December 28, 2023. We identified 425 and 1,169 studies on climate change cited in PubMed and WOS, respectively, as well as 333 studies on air pollution in PubMed and 495 studies on air pollution in WOS. The studies were classified by type of exposure, and full-text screening was conducted to confirm that the population, intervention or exposure, comparator, outcome statement, and inclusion and exclusion criteria were met. The Newcastle-Ottawa Scale was used to assess the quality of the included cohort and case-control studies and for data analysis. In extreme temperatures, PWDs experienced higher rates of injury, heat-related illness, functional impairment, heart disease, mental disorders, and mortality than people who were non-disabled (ND). Exposure to air pollution resulted in higher rates of obesity, cardiovascular disease, poststroke neurological and functional disability, and mortality in PWDs than in people who were ND. Therefore, because PWDs were more affected by climate change and air pollution than people who were ND, sensitive policies and preparedness measures should be developed for PWDs.
Summary
Korean summary
전체 인구, 특히 취약 계층의 건강은 기후 변화와 대기 오염으로 인해 부정적인 영향을 받을 수 있습니다. 본 체계적 고찰 연구는 장애인이 비장애인에 비해 환경적 요인에 노출되어 더 심각한 신체적, 정신적 건강 문제를 겪는다는 것을 보여줍니다.
Key Message
The health of the entire human population, especially vulnerable people, might be negatively impacted by climate change and air pollution. This systematic review study implies that people with disabilities (PWDs) suffer more severe physical and mental health consequences from exposure to environmental challenges compared to non-disabled individuals.
Original Article
Quantifying the effects of anomalies of temperature, precipitation, and surface water storage on diarrhea risk in Taiwan
Gerry Andhikaputra, Ayushi Sharma, Amir Sapkota, Hao He, Yu-Kai Lin, Li-Wen Deng, Yu-Chun Wang
Epidemiol Health. 2023;45:e2023024.   Published online February 15, 2023
DOI: https://doi.org/10.4178/epih.e2023024
  • 5,753 View
  • 119 Download
  • 3 Web of Science
  • 4 Crossref
AbstractAbstract AbstractSummary PDFSupplementary Material
Abstract
OBJECTIVES
Diarrheal disease continues to be a significant cause of morbidity and mortality. We investigated how anomalies in monthly average temperature, precipitation, and surface water storage (SWS) impacted bacterial, and viral diarrhea morbidity in Taiwan between 2004 and 2015.
METHODS
A multivariate analysis using negative binomial generalized estimating equations was employed to quantify age-specific and cause-specific cases of diarrhea associated with anomalies in temperature, precipitation, and SWS.
RESULTS
Temperature anomalies were associated with an elevated rate of all-cause infectious diarrhea at a lag of 2 months, with the highest risk observed in the under-5 age group (incidence rate ratio [IRR], 1.03, 95% confidence interval [CI], 1.01 to 1.07). Anomalies in SWS were associated with increased viral diarrhea rates, with the highest risk observed in the under-5 age group at a 2-month lag (IRR, 1.27; 95% CI, 1.14 to 1.42) and a lesser effect at a 1-month lag (IRR, 1.18; 95% CI, 1.06 to 1.31). Furthermore, cause-specific diarrheal diseases were significantly affected by extreme weather events in Taiwan. Both extremely cold and hot conditions were associated with an increased risk of all-cause infectious diarrhea regardless of age, with IRRs ranging from 1.03 (95% CI, 1.02 to 1.12) to 1.18 (95% CI, 1.16 to 1.40).
CONCLUSIONS
The risk of all-cause infectious diarrhea was significantly associated with average temperature anomalies in the population aged under 5 years. Viral diarrhea was significantly associated with anomalies in SWS. Therefore, we recommend strategic planning and early warning systems as major solutions to improve resilience against climate change.
Summary
Key Message
New study reveals the impact of climate on diarrheal diseases in Taiwan. Anomalies have been adopted to represent the changes in the historical context of climate. Temperature anomaly was linked to increased infectious diarrhea, especially in the young population. Anomaly in surface water storage (SWS) was associated with higher rates of viral diarrhea. Extreme weather events further contribute to the risks. Urgent need for strategic planning and early warning systems to combat climate change and improve resilience are recommended.

Citations

Citations to this article as recorded by  
  • The impact of climate variability on dengue fever risk in central java, Indonesia
    Bima Sakti Satria Wibawa, Yu-Chun Wang, Gerry Andhikaputra, Yu-Kai Lin, Lin-Han Chiang Hsieh, Kun-Hsien Tsai
    Climate Services.2024; 33: 100433.     CrossRef
  • Rainfall and Temperature Influences on Childhood Diarrhea and the Effect Modification Role of Water and Sanitation Conditions: A Systematic Review and Meta-Analysis
    Gorfu Geremew, Oliver Cumming, Alemayehu Haddis, Matthew C. Freeman, Argaw Ambelu
    International Journal of Environmental Research and Public Health.2024; 21(7): 823.     CrossRef
  • El Niño southern oscillation, weather patterns, and bacillary dysentery in the Yangtze River Basin, China
    Caiji Li, Xiaowen Wang, Zehua Liu, Liangliang Cheng, Cunrui Huang, Jing Wang
    Global Health Research and Policy.2024;[Epub]     CrossRef
  • Characteristics and related factors of waterborne and foodborne infectious disease outbreaks before and after the onset of the COVID-19 pandemic (2017–2021) in the Republic of Korea: a descriptive study
    Eunkyoung Kim, Bryan Inho Kim
    Osong Public Health and Research Perspectives.2023; 14(6): 483.     CrossRef
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