Climate change and emergency care in Africa: A scoping review

Introduction: Climate change is a global public health emergency with implications for access to care and emergency care service disruptions. The African continent is particularly vulnerable to climate-related extreme weather events due to an already overburdened health system, lack of early warning...

Full description

Bibliographic Details
Main Authors: Elzarie Theron, Corey B Bills, Emilie J Calvello Hynes, Willem Stassen, Caitlin Rublee
Format: Article
Language:English
Published: Elsevier 2022-06-01
Series:African Journal of Emergency Medicine
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2211419X22000064
_version_ 1811303083004657664
author Elzarie Theron
Corey B Bills
Emilie J Calvello Hynes
Willem Stassen
Caitlin Rublee
author_facet Elzarie Theron
Corey B Bills
Emilie J Calvello Hynes
Willem Stassen
Caitlin Rublee
author_sort Elzarie Theron
collection DOAJ
description Introduction: Climate change is a global public health emergency with implications for access to care and emergency care service disruptions. The African continent is particularly vulnerable to climate-related extreme weather events due to an already overburdened health system, lack of early warning signs, poverty, inadequate infrastructure, and variable adaptive capacity. Emergency care services are not only utilized during these events but also threatened by these hazards. Considering that the effects of climate change are expected to increase in intensity and prevalence, it is increasingly important for emergency care to prepare to respond to the changes in presentation and demand. The aim of this study was to perform a scoping review of the available literature on the relationship between climate change and emergency care on the African continent. Methods: A scoping review was completed using five databases: Pubmed, Web of Science, GreenFILE, Africa Wide Information, and Google Scholar. A ‘grey’ literature search was done to identify key reports and references from included articles. Two independent reviewers screened articles and a third reviewer decided conflicts. A total of 1,382 individual articles were initially screened with 17 meeting full text review. A total of six articles were included in the final analysis. Data from four countries were represented including Uganda, Ghana, Tanzania, and Nigeria. Results: Analysis of the six articles yielded three key themes that were identified: climate-related health impacts that contribute to surges in demand and resource utilization, opportunities for health sector engagement, and solutions to improve emergency preparedness. Authors used the outcomes of the review to propose 10 recommendations for decision-makers and leaders. DXDiscussion: Incorporating these key recommendations at the local and national level could help improve preparedness and adaptation measures in highly vulnerable, populated areas on the African continent.
first_indexed 2024-04-13T07:40:14Z
format Article
id doaj.art-7f1ea469e2574680958fdfd7155089a3
institution Directory Open Access Journal
issn 2211-419X
language English
last_indexed 2024-04-13T07:40:14Z
publishDate 2022-06-01
publisher Elsevier
record_format Article
series African Journal of Emergency Medicine
spelling doaj.art-7f1ea469e2574680958fdfd7155089a32022-12-22T02:55:55ZengElsevierAfrican Journal of Emergency Medicine2211-419X2022-06-01122121128Climate change and emergency care in Africa: A scoping reviewElzarie Theron0Corey B Bills1Emilie J Calvello Hynes2Willem Stassen3Caitlin Rublee4Division of Emergency Medicine, University of Cape Town, Cape Town, South Africa; Corresponding author at:Department of Emergency Medicine, University of Colorado School of Medicine, Aurora, CO, USADepartment of Emergency Medicine, University of Colorado School of Medicine, Aurora, CO, USADivision of Emergency Medicine, University of Cape Town, Cape Town, South AfricaDepartment of Emergency Medicine, Medical College of Wisconsin, Milwaukee, WI, USAIntroduction: Climate change is a global public health emergency with implications for access to care and emergency care service disruptions. The African continent is particularly vulnerable to climate-related extreme weather events due to an already overburdened health system, lack of early warning signs, poverty, inadequate infrastructure, and variable adaptive capacity. Emergency care services are not only utilized during these events but also threatened by these hazards. Considering that the effects of climate change are expected to increase in intensity and prevalence, it is increasingly important for emergency care to prepare to respond to the changes in presentation and demand. The aim of this study was to perform a scoping review of the available literature on the relationship between climate change and emergency care on the African continent. Methods: A scoping review was completed using five databases: Pubmed, Web of Science, GreenFILE, Africa Wide Information, and Google Scholar. A ‘grey’ literature search was done to identify key reports and references from included articles. Two independent reviewers screened articles and a third reviewer decided conflicts. A total of 1,382 individual articles were initially screened with 17 meeting full text review. A total of six articles were included in the final analysis. Data from four countries were represented including Uganda, Ghana, Tanzania, and Nigeria. Results: Analysis of the six articles yielded three key themes that were identified: climate-related health impacts that contribute to surges in demand and resource utilization, opportunities for health sector engagement, and solutions to improve emergency preparedness. Authors used the outcomes of the review to propose 10 recommendations for decision-makers and leaders. DXDiscussion: Incorporating these key recommendations at the local and national level could help improve preparedness and adaptation measures in highly vulnerable, populated areas on the African continent.http://www.sciencedirect.com/science/article/pii/S2211419X22000064Climate changeDisaster preparednessClimate change adaptationClimate change resilienceEmergency medicine
spellingShingle Elzarie Theron
Corey B Bills
Emilie J Calvello Hynes
Willem Stassen
Caitlin Rublee
Climate change and emergency care in Africa: A scoping review
African Journal of Emergency Medicine
Climate change
Disaster preparedness
Climate change adaptation
Climate change resilience
Emergency medicine
title Climate change and emergency care in Africa: A scoping review
title_full Climate change and emergency care in Africa: A scoping review
title_fullStr Climate change and emergency care in Africa: A scoping review
title_full_unstemmed Climate change and emergency care in Africa: A scoping review
title_short Climate change and emergency care in Africa: A scoping review
title_sort climate change and emergency care in africa a scoping review
topic Climate change
Disaster preparedness
Climate change adaptation
Climate change resilience
Emergency medicine
url http://www.sciencedirect.com/science/article/pii/S2211419X22000064
work_keys_str_mv AT elzarietheron climatechangeandemergencycareinafricaascopingreview
AT coreybbills climatechangeandemergencycareinafricaascopingreview
AT emiliejcalvellohynes climatechangeandemergencycareinafricaascopingreview
AT willemstassen climatechangeandemergencycareinafricaascopingreview
AT caitlinrublee climatechangeandemergencycareinafricaascopingreview