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  • 1
    Oxford University Press
    In:  Journal of travel medicine
    Publication Date: 2019-06-05
    Description: Humans have a long history of mobility on a spectrum from voluntary migration to forced displacement in response to social, political and environmental change. While many migration drivers exist, climate change is likely to amplify the environmental drivers of migration. At least 1.5?C of warming above pre-industrial levels between 2030 and 2052 are projected if global warming continues to increase at the current rate. The associated impacts are diverse and include temperature and precipitation extremes in most inhabited regions and increased probability of drought and flood. Migration can be an important and useful adaptive response to climate impacts when it increases household resilience and reduces socio-economic vulnerabilities, and yet can also have negative health consequences. The climate?migration?health nexus entails complex interactions including the following: first, climate-related risks to health faced by migrants at all stages of the migration journey. Second, the impacts of migration itself on health with possible specific health implications of climate-related migration. This article provides a brief overview of climate-related migration, identifies climate hotspots where substantial migration and displacement are anticipated and explores the health implications of climate-related migration.
    Language: English
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  • 2
    Publication Date: 2019-06-17
    Language: English
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  • 3
    Publication Date: 2019
    Description: Many schools in low-income countries have inadequate access to water facilities, sanitation and hygiene promotion. A systematic review of literature was carried out that aimed to identify and analyse the impact of water, sanitation and hygiene interventions (WASH) in schools in low-income countries. Published peer reviewed literature was systematically screened during March to June 2018 using the databases PubMed, Embase, Web of Science, the Cochrane Library, Science Direct, and Google Scholar. There were no publication date restrictions. Thirty-eight peer reviewed papers were identified that met the inclusion criteria. The papers were analysed in groups, based on four categories of reported outcomes: (i) reduction of diarrhoeal disease and other hygiene-related diseases in school students; (ii) improved WASH knowledge, attitudes and hygiene behaviours among students; (iii) reduced disease burden and improved hygiene behaviours in students’ households and communities; (iv) improved student enrolment and attendance. The typically unmeasured and unreported ‘output’ and/or ‘exposure’ of program fidelity and adherence was also examined. Several studies provide evidence of positive disease-related outcomes among students, yet other assessments did not find statistically significant differences in health or indicated that outcomes are dependent on the nature and context of interventions. Thirteen studies provide evidence of changes in WASH knowledge, attitudes and behaviours, such as hand-washing with soap. Further research is required to understand whether and how school-based WASH interventions might improve hygiene habits and health among wider family and community members. Evidence of the impact of school-based WASH programs in reducing student absence from school was mixed. Ensuring access to safe and sufficient water and sanitation and hygiene promotion in schools has great potential to improve health and education and to contribute to inclusion and equity, yet delivering school-based WASH intervention does not guarantee good outcomes. While further rigorous research will be of value, political will and effective interventions with high program fidelity are also key.
    Print ISSN: 1661-7827
    Electronic ISSN: 1660-4601
    Topics: Energy, Environment Protection, Nuclear Power Engineering , Medicine
    Published by MDPI
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