The Impact of Natural Disasters on Child Health

自然灾害对儿童健康的影响

• 批准号: 10656155
• 负责人: Zachary Wagner
• 金额: $ 62.25万
• 依托单位: RAND CORPORATION
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-07-01 至 2027-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10656155
• 关键词: Affect; Africa; Area; Asia; Behavior; Birth; Birth Weight; Catalogs; Cells; Cessation of life; Child; Child Health; Child Mortality; Classification; Conflict (Psychology); Country; Data; Data Analyses; Data Set; Data Sources; Databases; Demographic and Health Surveys; Disasters; Epidemiology; Event; Exposure to; Floods; Food Contamination; Foundations; Frequencies; Geography; Goals; Health; Health system; Human; Hurricane; Imagery; Income; Infant; Infant Mortality; Infrastructure; Latin America; Life; Link; Location; Malnutrition; Measurement; Measures; Methods; Morbidity - disease rate; Natural Disasters; Outcome; Policies; Postnatal Care; Puerto Rico; Qualifying; Research Personnel; Resources; Risk; Risk Reduction; Sanitation; Services; Shock; Testing; Vaccination; Visit; Water; Work; antenatal; climate change; climate disaster; climate impact; contaminated water; design; econometrics; extreme storms; extreme weather; fighting; food insecurity; food security; global health; health data; health record; health service use; high risk; improved; insight; low and middle-income countries; mortality; neglect; population survey; programs; remote sensing; resilience

PROJECT SUMMARY/ABSTRACT Climate change is increasing the frequency, intensity, and human toll of extreme weather events such as floods and hurricanes. Children living in low and middle-income countries (LMICs) are particularly vulnerable to the health impacts of these disasters because many live in areas that lack the resources to mitigate, respond to, and recover from the devastation. Children might also be particularly sensitive to the indirect health effects from disasters—morbidity and mortality due to compromised conditions such as food security and clean water—as their health is more vulnerable to shocks. However, these indirect effects are typically not included in the estimates of disaster deaths. Getting estimates of the indirect burden of disasters on child health is therefore central for designing mitigation and adaptation strategies. Recent evidence from Hurricane Maria in Puerto Rico suggests that indirect mortality impacts could far outweigh the direct effects. In the proposed project we aim to improve measurement of the direct and indirect child mortality burden of floods and storms (i.e., hurricanes, cyclones, and typhoons) in over 50 LMICs. These disaster types are particularly impacted by climate change and have a devastating human toll. Specifically, we propose to (i) catalog the precise location and intensity of storms and floods in Africa, Asia, and Latin America; (ii) link disaster events to child health records, (iii) estimate the impact of these disasters on child mortality; and (iv) study the mechanisms and behaviors that contribute to disaster related mortality, which will help inform mitigation strategies. This study will provide the first wide-spanning empirical evidence of the indirect impacts of some of the most harmful disasters on child health in LMICs. Our results will guide efforts to mitigate the consequences from these tragic events.

项目摘要/摘要 气候变化正在增加极端天气事件的自由，强度和人类损失，例如 洪水和飓风。 容易受到这些灾难的健康影响的影响 减轻，响应并从破坏中恢复。 灾难的间接健康影响 - 因妥协条件而引起的多重性和死亡率，例如 粮食安全和清洁的水 - 由于健康更容易受到冲击 效果通常不包括在灾难死亡的估计中。 灾难负担在儿童健康方面是设计缓解和适应策略的中心。 波多黎各玛丽亚飓风的最新证据表明，北部的迫击犯影响可能遥不可及 超过支撑项目的直接效果。 洪水和风暴的间接儿童死亡率负担（即飓风，飓风和台风）超过50 LMICS。 收费 非洲，亚洲和拉丁美洲； 贡献的机制和行为 与灾难有关的死亡率，这将有助于ILP告知缓解策略。 最有害灾难对儿童的间接影响的广泛经验证据 LMICS的健康状况将指导屈服者减轻悲惨事件的后果。