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Zmena klímy – možný dopad (nielen) na obyvateľstvo - Prohuman

Zmena klímy – možný dopad (nielen) na obyvateľstvo - Prohuman

Zmena klímy – možný dopad (nielen) na obyvateľstvo - Prohuman

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of HIV. The chapter concerning human health in the 4th recent report of the IPCC<br />

describes how drought (and by implication) other forms of CC-associated food<br />

insecurity increase the risk of acquiring and of dying from infectious diseases,<br />

including, again by implication, HIV. The chapter also observes the synergism<br />

between HIV and drought on nutrition. Its authors also allude to the HIV and<br />

CC complex (HACC) when they note, that in Africa and Asia the future course<br />

of the AIDS epidemic will significantly influence how well populations can cope<br />

with challenges from CC, such as the spread of climate-related infections (vectoror<br />

water-borne), food shortages, and increased frequency of storms, floods and<br />

droughts. Lastly, they observe that CC, especially if rapid and intense, is likely to<br />

delay progress in some regions towards achieving the Millennium Development<br />

Goals (MDGs) targets, one of which is to reduce the incidence and prevalence<br />

of HIV. There are many other papers which discuss emerging infectious diseases,<br />

including AIDS.<br />

In recent years the role of CC has frequently been mentioned in this lecture but<br />

the HACC is discussed rarely, if at all. Ebi et al. assess human health vulnerability<br />

under different CC sce<strong>na</strong>rios. They do not discuss HIV in their paper, but there is<br />

little discussion of specific diseases, and the principles they discuss could readily<br />

be adapted to examine the HACC. Campbell-Lendrum and Woodruff consider the<br />

BOD from CC. They cite the report by Gommes et al. (which specifically examined<br />

an aspect of the HACC) but they do not specifically discuss the HACC. Instead, they<br />

cite this report as supporting the observation that climate can influence a wide<br />

range of diseases through multiple pathways. Similarly, consideration of the AIDS<br />

literature also suggests that HACC has received little attention. A rare exception to<br />

the general rule of non-discussion of the HACC is provided by Tanser et al. These<br />

workers estimated an increase of 16–28% in person-months of exposure to malaria<br />

in Africa by 2100, on the assumption that future climates fall within simulated<br />

ranges, and they specifically commented on the link between HIV and malaria.<br />

The most recent World Disasters Report, which focuses on AIDS, does discuss<br />

some aspects of the HACC. It speculates that the shape of the global AIDS epidemic<br />

could be affected if CC causes significant population movement between areas<br />

with significantly different HIV prevalence levels.<br />

AIDS and climate change<br />

The distinctiveness of HIV is highlighted by several factors. One is its protean<br />

clinical manifestation. Because the virus compromises the immune system, its<br />

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