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- Qin, Rennie X., et al.
(author)
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Building sustainable and resilient surgical systems : A narrative review of opportunities to integrate climate change into national surgical planning in the Western Pacific region
- 2022
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In: The Lancet Regional Health. Western Pacific. - : The Lancet Publishing Group ; Elsevier. - 2666-6065. ; 22
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Research review (peer-reviewed)abstract
- Five billion people lack access to surgical care worldwide; climate change is the biggest threat to human health in the 21st century. This review studies how climate change could be integrated into national surgical planning in the Western Pacific region. We searched databases (PubMed, Web of Science, and Global Health) for articles on climate change and surgical care. Findings were categorised using the modified World Health Organisation Health System Building Blocks Framework. 220 out of 2577 records were included. Infrastructure: Operating theatres are highly resource-intensive. Their carbon footprint could be reduced by maximising equipment longevity, improving energy efficiency, and renewable energy use. Service delivery Tele-medicine, outreaches, and avoiding desflurane could reduce emissions. Robust surgical systems are required to adapt to the increasing burden of surgically treated diseases, such as injuries from natural disasters. Finance: Climate change adaptation funds could be mobilised for surgical system strengthening. Information systems: Sustainability should be a key performance indicator for surgical systems. Workforce: Surgical providers could change clinical, institutional, and societal practices. Governance: Planning in surgical care and climate change should be aligned. Climate change mitigation is essential in the regional surgical care scale-up; surgical system strengthening is also necessary for adaptation to climate change. Copyright Crown Copyright (C) 2022 Published by Elsevier Ltd.
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- Yang, Ding, et al.
(author)
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Antimicrobial resistance in China across human, animal, and environment sectors : a review of policy documents using a governance framework
- 2024
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In: The Lancet Regional Health - Western Pacific. - : Elsevier. - 2666-6065. ; 48
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Research review (peer-reviewed)abstract
- Antimicrobial resistance (AMR) poses a multifaceted threat to the human, animal, and environment sectors. In response, China has formulated a series of policies since the 2000s. Thus far, there has been no comprehensive assessment of these policy documents. This study aims to review the content of AMR policy documents at the national level using a governance framework covering three areas: Policy Design; Implementation Tools; and Monitoring and Evaluation. We identified 44 AMR documents from 2003 to 2022 sourced from government agency websites. Our findings have revealed noticeable discrepancies across the three governance areas. The Policy Design and Monitoring and Evaluation areas should be strengthened, particularly in the domains of ‘Coordination’, ‘Accountability’, ‘Sustainability’, and ‘Effectiveness’. From a ‘One Health’ perspective, the environment sector has received less attention compared to the human and animal sectors. Effectively addressing these challenges requires a stronger commitment and widespread support from diverse stakeholders.
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