Environment and Health Research Unit, South African Medical Research Council, Durban, South Africa.
Environment and Health Research Unit, South African Medical Research Council, Johannesburg, South Africa.
BMC Public Health. 2019 Jan 11;19(1):54. doi: 10.1186/s12889-018-6378-5.
Vulnerable population groups in South Africa, especially those living in poverty, young children, women, the elderly and people with pre-existing diseases, are susceptible to new or exacerbated health threats resulting from climate change. Environmental Health Practitioners (EHPs) can play an important role in helping communities adapt to climate change health impacts, however, effective coordination of this requires further understanding of their roles in implementing climate change-related adaptation actions in communities.
A cross-sectional survey using convenience sampling was undertaken at the January 2017 conference for EHPs hosted by the South African Institute of Environmental Health in Cape Town. All EHPs who attended the conference were invited to complete a study questionnaire that requested information on participant demographics, as well as climate change related-knowledge, practices and perceptions.
Majority of participating EHPs (n = 48; 72.8%) had received formal or informal training on climate change and health. Thirty-nine percent of EHPs indicated that they had a climate change and health-related committee / working group in their department, a policy or strategy (41.0%) and budget allocated for climate change and health-related work (51.5%). A total of 33.3% had participated in climate change-related projects. Majority (62.2%) of EHPs believed that they should play a supportive role in addressing climate change while 37.8% believed that EHPs should play a leading role.
Recognising the need for raising awareness about climate change adaptation as well as implementing appropriate interventions to combat climate-related ill health effects, especially among vulnerable groups, EHPs are well-placed to adopt significant roles in helping communities to adapt to climate change.
南非的弱势群体,尤其是生活贫困的人群、儿童、妇女、老年人和患有慢性病的人群,更容易受到气候变化带来的新的或加剧的健康威胁。环境卫生工作者(EHPs)可以在帮助社区适应气候变化的健康影响方面发挥重要作用,然而,要有效地协调这一点,需要进一步了解他们在社区实施与气候变化相关的适应行动中的角色。
在 2017 年 1 月于开普敦举行的南非环境卫生研究所会议上,采用便利抽样法进行了一项横断面调查。邀请所有参加会议的环境卫生工作者填写一份研究问卷,该问卷要求提供参与者的人口统计学信息,以及与气候变化相关的知识、实践和看法。
大多数参加的环境卫生工作者(n=48;72.8%)接受过关于气候变化和健康的正式或非正式培训。39%的环境卫生工作者表示,他们所在部门有一个与气候变化和健康相关的委员会/工作组、一项政策或战略(41.0%)和为气候变化和健康相关工作分配的预算(51.5%)。共有 33.3%的人参与了与气候变化相关的项目。大多数(62.2%)环境卫生工作者认为他们应该在应对气候变化方面发挥支持作用,而 37.8%的人认为环境卫生工作者应该发挥主导作用。
认识到提高对气候变化适应意识的必要性,以及实施适当的干预措施来应对与气候相关的健康不良影响,特别是在弱势群体中,环境卫生工作者非常适合在帮助社区适应气候变化方面发挥重要作用。