停电:儿童一氧化碳中毒的一个被低估的风险因素
Alexander J Northrop1,2,3, Vivian Do4, Nina M Flores4
1Vagelos College of Physicians and Surgeons, Columbia University, New York, NY.
medRxiv : the preprint server for health sciences
|July 29, 2024
概括
停电显著增加了儿童一氧化碳 (CO) 中毒的风险,特别是在城市地区. 四个小时的停电使CO中毒的几率在小停电时增加了50%以上,在大停电时增加了150%.
科学领域:
- 环境健康 环境健康
- 儿科急救医学 儿科急救医学
- 公共卫生政策 公共卫生政策
背景情况:
- 儿童在灾后面临高一氧化碳 (CO) 中毒风险,通常与停电期间不适当使用发电机有关.
- 了解电力中断对儿科CO暴露的具体影响对于公共卫生干预至关重要.
研究的目的:
- 评估停电与纽约州CO中毒的儿科急诊室 (ED) 访问之间的关联.
- 为了量化二氧化碳中毒的风险增加,在不同规模的停电后,ED访问.
主要方法:
- 利用了停电数据 (2017-2020年) 和从NYS SPARCS获得的儿科CO中毒ED访问数据.
- 采用了时间分层的案例交叉设计,将社区中断暴露与患者住所联系起来.
- 通过城市和农村环境对气象因素进行控制和分层分析.
主要成果:
- 在2017-2020年间,在纽约州确定了917名儿童CO中毒ED访问,其中83%在城市地区.
- 观察到停电 (各种规模和大规模) 和CO ED访问在停电后长达两天之间存在重大关联.
- 四个小时的停电增加了儿童CO中毒ED访问的几率≥50% (小规模) 和≥150% (大规模),在城市地区的影响更为强烈.
结论:
- 停电是纽约州儿童一氧化碳中毒紧急诊所的重要风险因素,特别是在城市环境中.
- 调查结果强调需要有针对性的公共卫生信息和改进的能源基础设施来保护儿童.
- 进一步研究中断对健康的影响和倡导可靠的能源获取对于气候变化适应至关重要.
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