Widening the lens of population-based health research to climate change impacts and adaptation: the climate change and health evaluation and response system (CHEERS)

Frontiers in Public Health

Public Health

Ali Sié¹  Pascal Zabré¹  Valentin Boudo¹  Windpanga Aristide Ouédraogo¹  I Traoré¹  Sandra Barteit²  Rainer Sauerborn²  Klaus Blass²  Till Bärnighausen³  Tin Tin Su⁴  Osman Sankoh⁵  Stephen Munga⁶  David Obor⁶  Sammy Khagayi⁶  Erick Muok⁶  Jonas Franke⁷  Maximilian Schwarz⁷ 

[1] Centre de Recherche en Santé de Nouna, Nouna, Burkina Faso;Heidelberg Institute of Global Health (HIGH), Faculty of Medicine and University Hospital, Heidelberg University, Heidelberg, Germany;Heidelberg Institute of Global Health (HIGH), Faculty of Medicine and University Hospital, Heidelberg University, Heidelberg, Germany;Africa Health Research Institute (AHRI), KwaZulu-Natal, South Africa;Harvard Center for Population and Development Studies, Cambridge, MA, United States;Heidelberg Institute of Global Health (HIGH), Faculty of Medicine and University Hospital, Heidelberg University, Heidelberg, Germany;South East Asia Community Observatory (SEACO) and Global Public Health, Jeffrey Cheah School of Medicine and Health Sciences, Monash University, Bandar Sunway, Malaysia;Heidelberg Institute of Global Health (HIGH), Faculty of Medicine and University Hospital, Heidelberg University, Heidelberg, Germany;Statistics Sierra Leone, Freetown, Sierra Leone;School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa;Kenya Medical Research Institute, Kisumu, Kenya;Remote Sensing Solutions, Munich, Germany;

关键词: health impacts;    public health surveillance;    climate change;    digital health;    low and middle-income country;    climate change and health;    response system;   

DOI  :  10.3389/fpubh.2023.1153559

 received in 2023-02-02, accepted in 2023-05-05,  发布年份 2023

来源: Frontiers

【 摘 要 】

BackgroundClimate change significantly impacts health in low-and middle-income countries (LMICs), exacerbating vulnerabilities. Comprehensive data for evidence-based research and decision-making is crucial but scarce. Health and Demographic Surveillance Sites (HDSSs) in Africa and Asia provide a robust infrastructure with longitudinal population cohort data, yet they lack climate-health specific data. Acquiring this information is essential for understanding the burden of climate-sensitive diseases on populations and guiding targeted policies and interventions in LMICs to enhance mitigation and adaptation capacities.ObjectiveThe objective of this research is to develop and implement the Change and Health Evaluation and Response System (CHEERS) as a methodological framework, designed to facilitate the generation and ongoing monitoring of climate change and health-related data within existing Health and Demographic Surveillance Sites (HDSSs) and comparable research infrastructures.MethodsCHEERS uses a multi-tiered approach to assess health and environmental exposures at the individual, household, and community levels, utilizing digital tools such as wearable devices, indoor temperature and humidity measurements, remotely sensed satellite data, and 3D-printed weather stations. The CHEERS framework utilizes a graph database to efficiently manage and analyze diverse data types, leveraging graph algorithms to understand the complex interplay between health and environmental exposures.ResultsThe Nouna CHEERS site, established in 2022, has yielded significant preliminary findings. By using remotely-sensed data, the site has been able to predict crop yield at a household level in Nouna and explore the relationships between yield, socioeconomic factors, and health outcomes. The feasibility and acceptability of wearable technology have been confirmed in rural Burkina Faso for obtaining individual-level data, despite the presence of technical challenges. The use of wearables to study the impact of extreme weather on health has shown significant effects of heat exposure on sleep and daily activity, highlighting the urgent need for interventions to mitigate adverse health consequences.ConclusionImplementing the CHEERS in research infrastructures can advance climate change and health research, as large and longitudinal datasets have been scarce for LMICs. This data can inform health priorities, guide resource allocation to address climate change and health exposures, and protect vulnerable communities in LMICs from these exposures.

【 授权许可】

Unknown   
Copyright © 2023 Barteit, Sié, Zabré, Issouf, Ouédraogo, Boudo, Munga, Khagayi, Obor, Muok, Franke, Schwarz, Blass, Su, Bärnighausen, Sankoh and Sauerborn.

【 图 表 】

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