Progress with the Learning Health System 2.0: a rapid review of Learning Health Systems’ responses to pandemics and climate change
Ontology highlight
ABSTRACT:
SUBMITTER: Smith C
PROVIDER: S-EPMC10960489 | biostudies-literature | 2024 Jan
REPOSITORIES: biostudies-literature
Similar Datasets
Project description:Climate change presents significant challenges to human health and health systems, and there is a critical need for health systems to adapt and become more resilient in order to effectively mediate the impacts of climate change on population health. This paper analyzes existing academic literature to identify key themes, trends, and research gaps at the intersection of climate change and health systems. Utilizing a scoping review of 179 studies, we explore how health systems can enhance their resilience through effective governance, sustainable financing, resource generation, and adaptive service delivery. Our findings emphasize the importance of integrating climate considerations into health system governance, mobilizing innovative financial resources, and adapting infrastructure and workforce capacities to address climate-related health challenges. The study highlights the need for continued interdisciplinary research and targeted interventions to ensure health systems are equipped to promote equity and protect vulnerable populations in the face of climate change. These insights contribute to the development of climate-resilient health systems and identify crucial areas for future research.
| S-EPMC11580064 | biostudies-literature
Project description:Plague, the causative agent of three devastating pandemics in history, is currently a re-emerging disease, probably due to climate change and other anthropogenic changes. Without understanding the response of plague systems to anthropogenic or climate changes in their trophic web, it is unfeasible to effectively predict years with high risks of plague outbreak, hampering our ability for effective prevention and control of the disease. Here, by using surveillance data, we apply structural equation modelling to reveal the drivers of plague prevalence in two very different rodent systems: those of the solitary Daurian ground squirrel and the social Mongolian gerbil. We show that plague prevalence in the Daurian ground squirrel is not detectably related to its trophic web, and that therefore surveillance efforts should focus on detecting plague directly in this ecosystem. On the other hand, plague in the Mongolian gerbil is strongly embedded in a complex, yet understandable trophic web of climate, vegetation, and rodent and flea densities, making the ecosystem suitable for more sophisticated low-cost surveillance practices, such as remote sensing. As for the trophic webs of the two rodent species, we find that increased vegetation is positively associated with higher temperatures and precipitation for both ecosystems. We furthermore find a positive association between vegetation and ground squirrel density, yet a negative association between vegetation and gerbil density. Our study thus shows how past surveillance records can be used to design and improve existing plague prevention and control measures, by tailoring them to individual plague foci. Such measures are indeed highly needed under present conditions with prevailing climate change.
| S-EPMC4298203 | biostudies-literature
Project description:Microbial communities of boreal peatlands under climate change conditions: Does community structure indicate the dynamics of ecosystem function?
| PRJEB25233 | ENA
Project description:Predicting the extent and direction of species' range shifts is a major priority for scientists and resource managers. Seminal studies have fostered the notion that biological systems responding to climate change-impacted variables (e.g., temperature, precipitation) should exhibit poleward range shifts but shifts contrary to that expectation have been frequently reported. Understanding whether those shifts are indeed contrary to climate change predictions involves understanding the most basic mechanisms determining the distribution of species. We assessed the patterns of ecologically relevant temperature metrics (e.g., daily range, min, max) along the European Atlantic coast. Temperature metrics have contrasting geographical patterns and latitude or the grand mean are poor predictors for many of them. Our data suggest that unless the appropriate metrics are analysed, the impact of climate change in even a single metric of a single stressor may lead to range shifts in directions that would otherwise be classified as "contrary to prediction".
| S-EPMC4526865 | biostudies-other
Project description: Not available
| S-EPMC7327359 | biostudies-literature
Project description:Climate change, local epidemics, future pandemics, and forced displacements pose significant public health threats worldwide. To cope successfully, people and communities are faced with the challenging task of developing resilience to these stressors. Our viewpoint is that the powerful capabilities of modern informatics technologies including artificial intelligence, biomedical and environmental sensors, augmented or virtual reality, data science, and other digital hardware or software, have great potential to promote, sustain, and support resilience in people and communities. However, there is no "one size fits all" solution for resilience. Solutions must match the specific effects of the stressor, cultural dimensions, social determinants of health, technology infrastructure, and many other factors.
| S-EPMC11533760 | biostudies-literature
Project description:The role of adaptation in determining resistance to climatic change in ecological communities
| PRJEB36441 | ENA
Project description:Understanding the fates of organisms and ecosystems under global change requires consideration of the organisms' rapid adaptation potential. In the Arctic, the recent temperature increase strongly impacts freshwater ecosystems which are important sentinels for climate change. However, a mechanistic understanding of the adaptive capacity of their key zooplankton grazers, among them polyploid, obligate parthenogenetic Daphnia, is lacking. Theory suggests low adaptation potential of asexual animals, yet examples exist of asexuals persisting through marked environmental changes. Here, we studied asexual Daphnia pulicaria from a meromictic lake in South-West Greenland. Its oxycline hosts purple sulfur bacteria (PSB), a potential food source for Daphnia. We tested two key phenotypic traits: (1) thermal tolerance as a response to rapid regional warming and (2) hypoxia tolerance tied to grazing of PSB in the hypoxic/anoxic transition zone. To assess Daphnia's adaptive capacity, we resurrected Daphnia from dormant eggs representing a historical subpopulation from 2011, sampled modern subpopulation representatives in 2022, and measured phenotypic variation of thermal (time to immobilization-Timm) and hypoxia tolerance (respiration rate and critical oxygen limit-Pcrit) in clonal lineages of both subpopulations. Whole genome sequencing of the tested clonal lineages identified three closely related genetic clusters, one with clones from both subpopulations and two unique to each subpopulation. We observed significantly lower Timm and a trend for higher Pcrit and respiration rates in the modern subpopulation, indicating a lower tolerance to both high temperature and hypoxia in comparison with the historical subpopulation. As these two traits share common physiological mechanisms, the observed phenotypic divergence might be driven by a relaxed selection pressure on hypoxia tolerance linked to variation in PSB abundance. Our results, while contrary to our expectation of higher thermal tolerance in the modern subpopulation, provide evidence for phenotypic change within a decade in this asexual Daphnia population.
| S-EPMC11915199 | biostudies-literature
Project description:BackgroundThe role played by regional organisations in climate change adaptation and health is growing in Southeast Asia, with the Asian Development Bank and the Asia-Pacific Regional Forum on Health and Environment both supporting health and adaptation initiatives. There is, however, a lack of empirical research on the value that regional organisations add to national health-related adaptation. This qualitative research compares regional project and governance-based models of adaptation and health support in Southeast Asia, providing an analysis of strengths and weaknesses of each, as well as possibilities for improvement.MethodsAn existing adaptation assessment framework was modified for this research, and used as a guide to gather and analyse data from academic and grey literature, policy documents and interviews in order to qualitatively assess two organisations and their different models of adaptation and health support.ResultsThis research found differing strengths in the approaches to climate change and health used by the Asian Development Bank and by the Asia-Pacific Regional Forum on Health and Environment. The regional forum has vision, high levels of perceived legitimacy, and access to 'in-house' expertise in public health and climate change. Conversely, the Asian Development Bank has strengths in project management and access to significant financial resources to support work in climate change and health.ConclusionWhen regional organisations, such as the Asian Development Bank and the Asia-Pacific Regional Forum on Health and Environment, have membership and mandate overlaps, their work will likely benefit from well designed, institutionalised and incentivised coordination mechanisms. Coordination can reduce redundancies as well as the administrative workload on partner government agencies. In the case-study examined, the Asian Development Bank's project management expertise complements the vision and high levels of perceived legitimacy of the Asia-Pacific Regional Forum on Health and Environment, thus a coordinated approach could deliver improved adaptation and health outcomes.
| S-EPMC6091073 | biostudies-literature
Project description:Many species have experienced dramatic changes in their abundance and distribution during recent climate change, but it is often unclear whether such ecological responses are accompanied by evolutionary change. We used targeted exon sequencing of 294 museum specimens (160 historic, 134 modern) to generate independent temporal genomic contrasts spanning a century of climate change (1911-2012) for two co-distributed chipmunk species: an endemic alpine specialist (Tamias alpinus) undergoing severe range contraction and a stable mid-elevation species (T. speciosus). Using a novel analytical approach, we reconstructed the demographic histories of these populations and tested for evidence of recent positive directional selection. Only the retracting species showed substantial population genetic fragmentation through time and this was coupled with positive selection and substantial shifts in allele frequencies at a gene, Alox15, involved in regulation of inflammation and response to hypoxia. However, these rapid population and gene-level responses were not detected in an analogous temporal contrast from another area where T. alpinus has also undergone severe range contraction. Collectively, these results highlight that evolutionary responses may be variable and context dependent across populations, even when they show seemingly synchronous ecological shifts. Our results demonstrate that temporal genomic contrasts can be used to detect very recent evolutionary responses within and among contemporary populations, even in the face of complex demographic changes. Given the wealth of specimens archived in natural history museums, comparative analyses of temporal population genomic data have the potential to improve our understanding of recent and ongoing evolutionary responses to rapidly changing environments.
| S-EPMC6519841 | biostudies-literature