Vulnerability of Aboriginal health systems in Canada to climate change

Climate change has been identified as potentially the biggest health threat of the 21st century. Canada in general has a well developed public health system and low burden of health which will moderate vulnerability. However, there is significant heterogeneity in health outcomes, and health inequality is particularly pronounced among Aboriginal Canadians. Intervention is needed to prevent, prepare for, and manage climate change effects on Aboriginal health but is constrained by a limited understanding of vulnerability and its determinants. Despite limited research on climate change and Aboriginal health, however, there is a well established literature on Aboriginal health outcomes, determinants, and trends in Canada; characteristics that will determine vulnerability to climate change. In this paper we systematically review this literature, using a vulnerability framework to identify the broad level factors constraining adaptive capacity and increasing sensitivity to climate change. Determinants identified include: poverty, technological capacity constraints, socio-political values and inequality, institutional capacity challenges, and information deficit. The magnitude and nature of these determinants will be distributed unevenly within and between Aboriginal populations necessitating place-based and regional level studies to examine how these broad factors will affect vulnerability at lower levels. The study also supports the need for collaboration across all sectors and levels of government, open and meaningful dialogue between policy makers, scientists, health professionals, and Aboriginal communities, and capacity building at a local level, to plan for climate change. Ultimately, however, efforts to reduce the vulnerability of Aboriginal Canadians to climate change and intervene to prevent, reduce, and manage climate-sensitive health outcomes, will fail unless the broader determinants of socio-economic and health inequality are addressed.     

南阳市灰霾天气污染特征及其健康效应

利用南阳市1971—2007年地面气象站观测资料以及2004—2005年环境检测站提供的空气污染物监测数据和南阳市中心医院门诊逐日病例资料,统计分析了南阳市灰霾天气及其空气污染特征,并根据灰霾天气对应的门诊病历,分析了灰霾天气对人体健康的影响。结果表明:南阳市灰霾日数的年代际变化非常明显,37年来南阳市霾的发生频率和持续时间都呈持续增加的趋势。秋冬是灰霾的高发季节。灰霾天气出现时空气污染程度加剧,特别是PM10浓度在灰霾出现日明显升高。就诊人群以呼吸系统为主的疾病发生率在灰霾发生当天明显升高,呼吸系统疾病门诊例数与PM10浓度正相关。     

全球变化的生态系统适应性

全球变化的适应性研究已经成为全球变化研究的重点,亦是制定全球变化适应对策的关键。基于全球变化的定义,从生态系统对全球变化适应的4个方面：①对大气CO2浓度变化的适应性;②对气候变化的适应性;③对CO2浓度与气候变化协同作用的适应性;④对人为干扰的适应性,综述了当前的研究成果,进而提出了未来关于全球变化的生态系统适应性研究需要重视的方面,尤其是关于生态系统对全球变化响应的阈值研究应引起高度重视。     

小秦岭金矿区小麦和玉米重金属的健康风险评价

重金属污染引发的农产品质量安全问题已成为全社会关注的焦点。为了解小秦岭金矿开发引起的重金属污染风险,采集了同点位的农田土壤、小麦和玉米籽粒样品,测定了其中Hg、Pb、Cd、Cr、As、Cu和Zn的含量及其在土壤中的形态;采用指数法和RAC风险评价法分析了土壤重金属的污染风险,采用转移因子和目标风险指数法评价了小麦、玉米籽粒中重金属的健康风险。结果表明:小秦岭金矿区土壤中Hg、Pb、Cd、Cu、Zn含量受矿业活动影响强度大,在土壤中累积明显;土壤中Hg、Cd、Pb、Cu总量超过了国家限值,呈现污染;Cd、Hg、Cu具有潜在生态风险。小麦和玉米籽粒中Pb以及玉米籽粒中的Cd的平均含量高于国家标准,呈现一定程度的污染;部分小麦样品中的Hg、Cd和部分玉米样品中的Cd超过WHO/FAO安全限值,小麦和玉米籽粒中度Pb平均含量超过欧盟安全标准,说明具有潜在的健康风险。重金属的转移因子表明Cd、Zn及Cu比其他重金属更容易从土壤转移到小麦和玉米籽粒中;通过小麦对重金属的摄入量略高于玉米,远低于WHO/FAO推荐剂量;目标风险指数评价表明,只消费小麦或玉米基本不产生健康风险,但同时消费矿区生长的小麦和玉米具有较高的Pb健康风险。     

北京城乡接合部地表颗粒物中重金属污染负荷及健康风险评价

随着我国城市建设的不断推进,城市径流污染越来越受到关注。地表颗粒物(RDS)是重金属的重要载体,雨水径流对地表颗粒物的冲刷引起的径流重金属污染问题凸显。本研究选取北京市城乡接合部作为研究区域,研究区域内地表颗粒物中重金属(As、Cd、Cr、Cu、Mn、Pb、Zn)污染负荷并进行健康风险评估。结果表明,地表颗粒物含有的重金属中,除Mn外,As、Cd、Cr、Cu、Pb、Zn的平均浓度均超过背景值。其中,Cd的平均浓度是其背景值的3倍,Cr的平均浓度是其背景值的4倍之多。在径流冲刷条件下,Cr的污染负荷在各研究区域均最高,为其他重金属的3~4倍。暴露模型计算表明,重金属非致癌日平均暴露量为手口摄入量＞皮肤吸收量＞吸入空气量,经手口接触是人体地表灰尘暴露风险的主要途径。对于非致癌风险,在芦求路主路以及黄鹅路十字路口区域存在对于儿童的非致癌风险,整体区域内成人所受非致癌风险较低。各研究区域内重金属呼吸暴露途径的总致癌风险均低于环境阈值,致癌风险较低。     

按摩疗法加健康教育结合乳果糖口服液治疗便秘30 例疗效观察

目的：观察按摩疗法加健康教育结合乳果糖口服液治疗便秘的临床疗效。方法：将60 例便秘患者随机分为治疗组和对照组,每组各30 例。对照组给予乳果糖口服液治疗,治疗组在对照组基础上采用按摩疗法并结合健康教育。2组均以14 d为1个疗程,共治疗2个疗程。治疗结束后随访1个月,观察2组综合疗效、生活质量（PAC-QOL）评分及症状积分。结果：总有效率治疗组为93.33%（28/30）,高于对照组的76.67%（23/30）,差异有统计学意义（P<0.05）。2组治疗后PAC-QOL评分比较,差异有统计学意义（P<0.05）。治疗2周后,治疗组排便时间积分、症状总积分低于对照组（均P<0.05）;治疗4周后,治疗组排便困难、排便时间、排便感（下坠、不尽、胀感）、排便频度积分及症状总积分低于对照组（均P<0.05）;治疗结束后1个月,治疗组粪便性状、排便困难、排便时间、排便感（下坠、不尽、胀感）、排便频度积分及症状总积分低于对照组（均P<0.05）。结论：按摩疗法加健康教育结合乳果糖口服液治疗便秘效果优于单纯乳果糖口服液治疗,值得临床推广应用。     

Measuring fishery profitability: An index number approach

Tracking the financial well-being of vessels that depend on a marine fishery resource is an important function of regulators. This research demonstrates how simple indices can be constructed and utilized to track the economic well-being of vessels operating in the Northeast (USA) Multispecies (Groundfish) Fishery. The indices, which use both public and private data, can separately track trends in inputs, outputs, and prices. For the Northeast Multispecies Fishery, the indices reveal that the economic well-being of the groundfish fleet has improved under catch share management through gains in productivity.     

“一带一路”成员国居民健康状况的时空统计分析

健康是影响不同国家和地区发展的关键因素,全面了解“一带一路”成员国的居民健康状况,是探讨“一带一路”成员国之间健康医疗合作的重要基础。本文选择了4个代表性的健康状况指标（出生期望寿命、总生育率、过早非传染性疾病死亡率和结核病发病率）,利用Moran's I指数、Getis-Ord G指数对“一带一路”135个成员国的健康状况进行时空统计,分析了健康状况的空间相关性和空间分布模式,研究了健康状况的时空格局。研究发现：① 2000—2016年“一带一路”大部分成员国的各项健康状况指标均朝着改善和优化方向发展;健康状况指标均呈现显著的正空间自相关性;② 总体而言,在“一带一路”成员国中,欧洲国家的居民健康状况最好;南北美洲和大洋洲国家的居民健康状况良好;亚洲国家的居民健康状况总体良好,但东南亚部分国家的结核病发病率较高;非洲国家的居民健康状况虽有明显改善,但仍处于较低状态。因此,“一带一路”成员国应进一步加强健康医疗合作,共同推动健康丝绸之路的发展。     

中国城镇化对老年人健康的影响

基于2010年第六次全国人口普查微观数据和夜间灯光数据等,运用多层级logistic回归模型估计中国城镇化水平和速度与老年人自评健康的关联,分析城镇化健康效应在不同老年人群体间的差异,并运用倾向得分匹配方法,控制“自选择”机制对分析结果的干扰。结果表明：1）中国县区城镇化水平和速度与老年人自评健康呈显著正相关关系,居住于城镇化水平中等和城镇化速度较快县区的老年人更可能自评为健康;2）城镇化水平和速度与老年人自评健康的关系在不同受教育程度和户口状态的老年人群体间存在显著差异,城镇化水平和速度对受教育程度较低、持有本地户口老年人健康水平的提升效益更大;3）控制了老年人居住“自选择”的干扰后,县区城镇化水平和速度与老年人自评健康的正向关联依然稳健,表明“自选择偏误”对中国县区城镇化水平和速度与老年人自评健康的关系没有显著的影响。     

Ecosystem Health: Assessment Framework,Spatial Evolution,and Regional Optimization in Southwest China

Regional ecological health,the core of comprehensive ecosystem assessments,is an important foundation for regional exploration,environmental conservation,and sustainable development.The mountainous areas in southwest China are backward in economy,but industrialization and urbanization have been rapid in recent years.This study assessed the ecosystem health of the Sichuan and Yunnan provinces in China using a pressure-state-response(PSR)model.Spatiotemporal patterns of regional ecosystem health were analyzed from 2000 to 2016,including overall characteristics as well as local characteristics.Ecosystem health in most regions was improved over time(Y=0.0058 X–11.0132,R2=0.95,P<0.001),and areas with poorer ecosystem health decreased from half to one-third of the total area.Analysis of the primacy ratio and the variation coefficient confirmed that the gap in health scores between regions has gradually expanded since 2007,but there are more high quality regions overall(Z of Moran’s index<1.96,P>0.05).Overall,the regional ecosystems to the east of the Hu line-an imaginary line dividing east and west China into roughly equivalent parts-were healthier than those to the west.The pressure and state scores of ecosystems were determined by physiographic condition,and the response scores by government policies and social concern.The spatiotemporal patterns of ecosystem health were dominated to a greater extent by natural than anthropogenic factors,which explains why the shift in the patterns aligned with the direction of the Hu line.Dividing regions into key management areas based on natural geographical conditions and socioeconomic development could contribute to the formulation of a reasonable ecological and environmental protection policy,guaranteeing ecosystem services in the long run.