Vietnam Climate Change and Health Vulnerability and Adaptation Assessment, 2018.

Autor:	Tuyet Hanh TT; Faculty of Environmental and Occupational Health, Hanoi University of Public Health, Hanoi, Vietnam., Huong LTT; Faculty of Environmental and Occupational Health, Hanoi University of Public Health, Hanoi, Vietnam., Huong NTL; Vietnam Health Environment Management Agency, Hanoi, Vietnam., Linh TNQ; Center for Environment and Population Health, School of Medicine, Griffith University, Brisbane, Queensland, Australia., Quyen NH; Climate research and Climate Forecasting Division, Institute of Hydrology and Meteorology Science and Climate Change, Hanoi, Vietnam., Nhung NTT; Department of Biostatistics, Hanoi University of Public Health, Hanoi, Vietnam., Ebi K; Center for Health and the Global Environment, University of Washington, Seattle, WA, USA., Cuong ND; ADB TA Project, Vietnam., Van Nhu H; Faculty of Environmental and Occupational Health, Hanoi University of Public Health, Hanoi, Vietnam., Kien TM; Climate Change Research Center, Institute of Hydrology and Meteorology Science and Climate Change, Hanoi, Vietnam., Hales S; Public Health Department, University of Otago, Otago, New Zealand., Cuong DM; Vietnam Health Environment Management Agency, Hanoi, Vietnam., Tho NTT; Department of Non-Communicable Diseases Prevention and Control, National Institute of Hygiene and Epidemiology, Hanoi, Vietnam., Toan LQ; Faculty of Environmental and Occupational Health, Hanoi University of Public Health, Hanoi, Vietnam., Bich NN; Faculty of Environmental and Occupational Health, Hanoi University of Public Health, Hanoi, Vietnam., Van Minh H; Vice-Rector, Hanoi University of Public Health, Hanoi, Vietnam.
Jazyk:	angličtina
Zdroj:	Environmental health insights [Environ Health Insights] 2020 Jun 22; Vol. 14, pp. 1178630220924658. Date of Electronic Publication: 2020 Jun 22 (Print Publication: 2020).
DOI:	10.1177/1178630220924658
Abstrakt:	Background: The Global Climate Risk Index 2020 ranked Vietnam as the sixth country in the world most affected by climate variability and extreme weather events over the period 1999-2018. Sea level rise and extreme weather events are projected to be more severe in coming decades, which, without additional action, will increase the number of people at risk of climate-sensitive diseases, challenging the health system. This article summaries the results of a health vulnerability and adaptation (V&A) assessment conducted in Vietnam as evidences for development of the National Climate Change Health Adaptation Plan to 2030. Methods: The assessment followed the first 4 steps outlined in the World Health Organization's Guidelines in conducting "Vulnerability and Adaptation Assessments." A framework and list of indicators were developed for semi-quantitative assessment for the period 2013 to 2017. Three sets of indicators were selected to assess the level of (1) exposure to climate change and extreme weather events, (2) health sensitivity, and (3) adaptation capacity. The indicators were rated and analyzed using a scoring system from 1 to 5. Results: The results showed that climate-sensitive diseases were common, including dengue fever, diarrheal, influenza, etc, with large burdens of disease that are projected to increase. From 2013 to 2017, the level of "exposure" to climate change-related hazards of the health sector was "high" to "very high," with an average score from 3.5 to 4.4 (out of 5.0). For "health sensitivity," the scores decreased from 3.8 in 2013 to 3.5 in 2017, making the overall rating as "high." For "adaptive capacity," the scores were from 4.0 to 4.1, which meant adaptive capacity was "very low." The overall V&A rating in 2013 was "very high risk" (score 4.1) and "high risk" with scores of 3.8 in 2014 and 3.7 in 2015 to 2017. Conclusions: Adaptation actions of the health sector are urgently needed to reduce the vulnerability to climate change in coming decades. Eight adaptation solutions, among recommendations of V&A assessment, were adopted in the National Health Climate Change Adaptation Plan. Competing Interests: Declaration of Conflicting Interests:The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. (© The Author(s) 2020.)
Databáze:	MEDLINE
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