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Vietnam Climate Change and Health Vulnerability and Adaptation Assessment, 2018

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 addit...

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Autores principales: Tuyet Hanh, Tran Thi, Huong, Le Thi Thanh, Huong, Nguyen Thi Lien, Linh, Tran Nu Quy, Quyen, Nguyen Huu, Nhung, Nguyen Thi Trang, Ebi, Kristie, Cuong, Nguyen Dinh, Van Nhu, Ha, Kien, Tran Mai, Hales, Simon, Cuong, Do Manh, Tho, Nguyen Thi Thi, Toan, Luu Quoc, Bich, Nguyen Ngoc, Van Minh, Hoang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7309337/
https://www.ncbi.nlm.nih.gov/pubmed/32612364
http://dx.doi.org/10.1177/1178630220924658
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author Tuyet Hanh, Tran Thi
Huong, Le Thi Thanh
Huong, Nguyen Thi Lien
Linh, Tran Nu Quy
Quyen, Nguyen Huu
Nhung, Nguyen Thi Trang
Ebi, Kristie
Cuong, Nguyen Dinh
Van Nhu, Ha
Kien, Tran Mai
Hales, Simon
Cuong, Do Manh
Tho, Nguyen Thi Thi
Toan, Luu Quoc
Bich, Nguyen Ngoc
Van Minh, Hoang
author_facet Tuyet Hanh, Tran Thi
Huong, Le Thi Thanh
Huong, Nguyen Thi Lien
Linh, Tran Nu Quy
Quyen, Nguyen Huu
Nhung, Nguyen Thi Trang
Ebi, Kristie
Cuong, Nguyen Dinh
Van Nhu, Ha
Kien, Tran Mai
Hales, Simon
Cuong, Do Manh
Tho, Nguyen Thi Thi
Toan, Luu Quoc
Bich, Nguyen Ngoc
Van Minh, Hoang
author_sort Tuyet Hanh, Tran Thi
collection PubMed
description 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.
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spelling pubmed-73093372020-06-30 Vietnam Climate Change and Health Vulnerability and Adaptation Assessment, 2018 Tuyet Hanh, Tran Thi Huong, Le Thi Thanh Huong, Nguyen Thi Lien Linh, Tran Nu Quy Quyen, Nguyen Huu Nhung, Nguyen Thi Trang Ebi, Kristie Cuong, Nguyen Dinh Van Nhu, Ha Kien, Tran Mai Hales, Simon Cuong, Do Manh Tho, Nguyen Thi Thi Toan, Luu Quoc Bich, Nguyen Ngoc Van Minh, Hoang Environ Health Insights Original Research 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. SAGE Publications 2020-06-22 /pmc/articles/PMC7309337/ /pubmed/32612364 http://dx.doi.org/10.1177/1178630220924658 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Original Research
Tuyet Hanh, Tran Thi
Huong, Le Thi Thanh
Huong, Nguyen Thi Lien
Linh, Tran Nu Quy
Quyen, Nguyen Huu
Nhung, Nguyen Thi Trang
Ebi, Kristie
Cuong, Nguyen Dinh
Van Nhu, Ha
Kien, Tran Mai
Hales, Simon
Cuong, Do Manh
Tho, Nguyen Thi Thi
Toan, Luu Quoc
Bich, Nguyen Ngoc
Van Minh, Hoang
Vietnam Climate Change and Health Vulnerability and Adaptation Assessment, 2018
title Vietnam Climate Change and Health Vulnerability and Adaptation Assessment, 2018
title_full Vietnam Climate Change and Health Vulnerability and Adaptation Assessment, 2018
title_fullStr Vietnam Climate Change and Health Vulnerability and Adaptation Assessment, 2018
title_full_unstemmed Vietnam Climate Change and Health Vulnerability and Adaptation Assessment, 2018
title_short Vietnam Climate Change and Health Vulnerability and Adaptation Assessment, 2018
title_sort vietnam climate change and health vulnerability and adaptation assessment, 2018
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7309337/
https://www.ncbi.nlm.nih.gov/pubmed/32612364
http://dx.doi.org/10.1177/1178630220924658
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