COP27 climate change conference: urgent action needed for Africa and the world

Zielinski, Chris

doi:10.1136/bmjgh-2022-010965

Cited by 1 publication

(2 citation statements)

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“…It is expected to increase the intensity and frequency of extreme weather events and induce natural disasters such as floods and drought, which can restrict access to healthcare, limit water and food systems, cause outbreaks of climate-sensitive diseases and lead to forced migration and internal displacement as living areas become inhabitable and livelihoods are destroyed 7 8. The African continent is extremely vulnerable to climate change 9. However, there is a major knowledge gap associated with its impact on NTD transmission and programme activities across highly endemic countries.…”

Section: Introductionmentioning

confidence: 99%

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Conflict-climate-displacement: a cross-sectional ecological study determining the burden, risk and need for strategies for neglected tropical disease programmes in Africa

et al. 2023

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ObjectivesComplex challenges such as political instability, climate change and population displacement are increasing threats to national disease control, elimination and eradication programmes. The objective of this study was to determine the burden and risk of conflict-related and climate-related internal displacements and the need for strategies for countries endemic with neglected tropical diseases (NTDs).Design, setting and outcome measuresA cross-sectional ecological study was conducted including countries that are endemic with at least one of five NTDs requiring preventive chemotherapy in the African region. For each country, the number of NTDs, population size and the number and rate per 100 000 of conflict-related and natural disaster-related internal displacements reported in 2021 were classified into high and low categories and used in unison to stratify and map the burden and risk.ResultsThis analysis identified 45 NTD-endemic countries; 8 countries were co-endemic with 4 or 5 diseases and had populations classified as ‘high’ totalling >619 million people. We found 32 endemic countries had data on internal displacements related to conflict and disasters (n=16), disasters only (n=15) or conflict only (n=1). Six countries had both high conflict-related and disaster-related internal displacement numbers totalling >10.8 million people, and five countries had combined high conflict-related and disaster-related internal displacement rates, ranging from 770.8 to 7088.1 per 100 000 population. Weather-related hazards were the main cause of natural disaster-related displacements, predominately floods.ConclusionsThis paper presents a risk stratified approach to better understand the potential impact of these complex intersecting challenges. We advocate for a ‘call to action’ to encourage national and international stakeholders to further develop, implement and evaluate strategies to better assess NTD endemicity, and deliver interventions, in areas at risk of, or experiencing, conflict and climate disasters, in order to help meet the national targets.

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Section: Introductionmentioning

confidence: 99%

“…7 8 The African continent is extremely vulnerable to climate change. 9 However, there is a major knowledge gap associated with its impact on NTD transmission and programme activities across highly endemic countries.…”

Section: Introductionmentioning

confidence: 99%