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    A framework for managing infectious diseases in rural areas in low-and middle-income countries in the face of climate change—East Africa as a case study

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    Date
    2025-01-30
    Author
    Worsley-Tonks, Katherine
    Angwenyi, Shaleen
    Carlson, Colin
    Cissé, Guéladio
    Deem, Sharon
    Ferguson, Adam
    Fèvre, Eric
    Kimaro, Esther
    Kimiti, David
    Martins, Dino
    Merbold, Lutz
    Mottet, Anne
    Murray, Suzan
    Muturi, Mathew
    Potter, Teddie
    Prasad, Shailendra
    Wild, Hannah
    Hassell, James
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    Abstract
    Climate change is having unprecedented impacts on human health, including increasing infectious disease risk. Despite this, health systems across the world are currently not prepared for novel disease scenarios anticipated with climate change. While the need for health systems to develop climate change adaptation strategies has been stressed in the past, there is no clear consensus on how this can be achieved, especially in rural areas in low- and middle-income countries that experience high disease burdens and climate change impacts simultaneously. Here, we highlight the need to put health systems in the context of climate change and demonstrate how this can be achieved by taking into account all aspects of infectious disease risk (i.e., pathogen hazards, and exposure and vulnerability to these pathogen hazards). The framework focuses on rural communities in East Africa since communities in this region experience climate change impacts, present specific vulnerabilities and exposure to climate-related hazards, and have regular exposure to a high burden of infectious diseases. Implementing the outlined approach can help make health systems climate adapted and avoid slowing momentum towards achieving global health grand challenge targets.
    URI
    https://doi.org/10.1371/journal.pgph.0003892
    https://dspace.nm-aist.ac.tz/handle/20.500.12479/3026
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