气候变化领域集成服务门户(CCPortal): Impacts of Climate Change and Air Pollution on Neurologic Health, Disease, and Practice A Scoping Review

CCPortal

DOI	10.1212/WNL.0000000000201630
	Impacts of Climate Change and Air Pollution on Neurologic Health, Disease, and Practice A Scoping Review
	Louis, Shreya; Carlson, Alise K.; Suresh, Abhilash; Rim, Joshua; Mays, MaryAnn; Ontaneda, Daniel; Dhawan, Andrew
发表日期	2023
ISSN	0028-3878
EISSN	1526-632X
起始页码	474
结束页码	483
卷号	100 期号:10
英文摘要	Background and ObjectivesAlthough the international community collectively seeks to reduce global temperature rise to less than 1.5 & DEG;C before 2100, irreversible environmental changes have already occurred, and as the planet warms, these changes will continue to occur. As we witness the effects of a warming planet on human health, it is imperative that neurologists anticipate how the epidemiology and incidence of neurologic disease may change. In this review, we organized our analysis around 3 key themes related to climate change and neurologic health: extreme weather events and temperature fluctuations, emerging neuroinfectious diseases, and pollutant impacts. Across each of these themes, we appraised and reviewed recent literature relevant to neurologic disease and practice.MethodsStudies were identified using search terms relating to climate change, pollutants, and neurologic disease in PubMed, OVID MEDLINE, EMBASE, PsycInfo, and gray literature. Studies published between 1990 and 2022 were included if they pertained to human incidence or prevalence of disease, were in English, and were relevant to neurologic disease.ResultsWe identified a total of 364 articles, grouped into the 3 key themes of our study: extreme weather events and temperature fluctuations (38 studies), emerging neuroinfectious diseases (37 studies), and pollutant impacts (289 studies). The included studies highlighted the relationships between neurologic symptom exacerbation and temperature variability, tick-borne infections and warming climates, and airborne pollutants and cerebrovascular disease incidence and severity.DiscussionTemperature extremes and variability both associated with stroke incidence and severity, migraine headaches, hospitalization in patients with dementia, and multiple sclerosis exacerbations. Exposure to airborne pollutants, especially PM2.5 and nitrates, associated with stroke incidence and severity, headaches, dementia risk, Parkinson disease, and MS exacerbation. Climate change has demonstrably expanded favorable conditions for zoonotic diseases beyond traditional borders and poses the risk of disease in new, susceptible populations. Articles were biased toward resource-rich regions, suggesting a discordance between where research occurs and where changes are most acute. As such, 3 key priorities emerged for further study: neuroinfectious disease risk mitigation, understanding the pathophysiology of airborne pollutants on the nervous system, and methods to improve delivery of neurologic care in the face of climate-related disruptions.
语种	英语
WOS研究方向	Clinical Neurology
WOS类目	Science Citation Index Expanded (SCI-EXPANDED)
WOS记录号	WOS:000971804700004
来源期刊	NEUROLOGY
文献类型	期刊论文
条目标识符	http://gcip.llas.ac.cn/handle/2XKMVOVA/280436
作者单位	University System of Ohio; Case Western Reserve University; Cleveland Clinic Foundation; Cleveland Clinic Foundation
推荐引用方式 GB/T 7714	Louis, Shreya,Carlson, Alise K.,Suresh, Abhilash,et al. Impacts of Climate Change and Air Pollution on Neurologic Health, Disease, and Practice A Scoping Review[J],2023,100(10).
APA	Louis, Shreya.,Carlson, Alise K..,Suresh, Abhilash.,Rim, Joshua.,Mays, MaryAnn.,...&Dhawan, Andrew.(2023).Impacts of Climate Change and Air Pollution on Neurologic Health, Disease, and Practice A Scoping Review.NEUROLOGY,100(10).
MLA	Louis, Shreya,et al."Impacts of Climate Change and Air Pollution on Neurologic Health, Disease, and Practice A Scoping Review".NEUROLOGY 100.10(2023).