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      COP27: The Prospects and Challenges for the Middle East and North Africa (MENA)

      editorial

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          Abstract

          In line with the global trend, the Middle East and North Africa (MENA) region has been growing vulnerable to the direct and indirect health effects of climate change including death tolls due to climatological disasters and diseases sensitive to climate change since the industrial revolution. Regarding the limited capacity of MENA countries to adapt and respond to these effects, and also after relative failures of the previous negotiation in Glasgow, in the upcoming COP27 in Egypt, the heads of the region’s parties are determined to take advantage of the opportunity to host MENA to mitigate and prevent the worst effects of climate change. This would be achieved through mobilizing international partners to support climate resilience, a major economic transformation, and put health policy and management in a strategic position to contribute to thinking and action on these pressing matters, at least to avoid or minimize the future adverse consequences.

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          “Our planet, our health”: saving lives, promoting health and attaining well-being by protecting the planet – the Eastern Mediterranean perspectives

          Ahmed Al-Mandhari, Ahmad Al-Yousf, Mazen Malkawi … (2022)
          Cognizant that every human has the right to the highest attainable standard of health, the World Health Organization (WHO) is promoting the health and well-being of all by all. To achieve this mission in the Eastern Mediterranean Region (EMR), a strategic vision was adopted calling on Member States and partners to anchor solidarity and action to achieve Health for All by All in the Region. The vision focuses on the need to address the environmental causes of diseases while targeting the Sustainable Development Goals (SDGs), and fulfilling the human rights to live in a healthy environment.
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            Climate change impacts in the Middle East and Northern Africa (MENA) region and their implications for vulnerable population groups

            Florent Baarsch, Katharina Waha, Linda Krummenauer … (2017)
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              Dengue in the Middle East and North Africa: A Systematic Review

              John Humphrey, Natalie Cleton, Chantal B. E. M. Reusken … (2016)
              Background Dengue virus (DENV) infection is widespread and its disease burden has increased in past decades. However, little is known about the epidemiology of dengue in the Middle East and North Africa (MENA). Methodology / Principal Findings Following Cochrane Collaboration guidelines and reporting our findings following PRISMA guidelines, we systematically reviewed available records across MENA describing dengue occurrence in humans (prevalence studies, incidence studies, and outbreak reports), occurrence of suitable vectors (Aedes aegypti and Aedes albopictus), and DENV vector infection rates. We identified 105 human prevalence measures in 13 of 24 MENA countries; 81 outbreaks reported from 9 countries from 1941–2015; and reports of Ae. aegypti and/or Ae. albopictus occurrence in 15 countries. The majority of seroprevalence studies were reported from the Red Sea region and Pakistan, with multiple studies indicating >20% DENV seroprevalence in general populations (median 25%, range 0–62%) in these subregions. Fifty percent of these studies were conducted prior to 1990. Multiple studies utilized assays susceptible to serologic cross-reactions and 5% of seroprevalence studies utilized viral neutralization testing. There was considerable heterogeneity in study design and outbreak reporting, as well as variability in subregional study coverage, study populations, and laboratory methods used for diagnosis. Conclusions / Significance DENV seroprevalence in the MENA is high among some populations in the Red Sea region and Pakistan, while recent outbreaks in these subregions suggest increasing incidence of DENV which may be driven by a variety of ecologic and social factors. However, there is insufficient study coverage to draw conclusions about Aedes or DENV presence in multiple MENA countries. These findings illustrate the epidemiology of DENV in the MENA while revealing priorities for DENV surveillance and Aedes control.
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                Author and article information

                Journal
                Journal ID (nlm-ta): Int J Health Policy Manag
                Journal ID (publisher-id): Int J Health Policy Manag
                Journal ID (publisher-id): Kerman University of Medical Sciences
                Title: International Journal of Health Policy and Management
                Publisher: Kerman University of Medical Sciences
                ISSN (Electronic): 2322-5939
                Publication date Collection: December 2022
                Publication date (Electronic): 05 November 2022
                Volume: 11
                Issue: 12
                Pages: 2776-2779
                Affiliations
                1Department of Global Health & Public Policy, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
                2Department Health Management, Policy & Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
                3Health Equity Research Center (HERC), Tehran University of Medical Sciences, Tehran, Iran.
                4Health Management and Economics Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
                5Centre for Global Chronic Conditions, London School of Hygiene and Tropical Medicine, London, UK.
                6Health Services Management Research Center, Institute for Futures Studies in Health Kerman University of Medical Sciences, Kerman, Iran.
                7School of Epidemiology, Public Health and Preventive Medicine, University of Ottawa, Ottawa, ON, Canada.
                8Ministry of Public Health, Nonthaburi, Thailand.
                9Department of Public Health and Epidemiology, Royal College of Surgeons in Ireland, Dublin 2, Ireland.
                10Vassar College, Poughkeepsie, NY, USA.
                11O’Neill Institute for National and Global Health Law, Georgetown University Law Center, Washington, DC, USA.
                12Faculty of Medicine, University of Oslo, Oslo, Norway.
                13School of Public Health, Rutgers, The State University of New Jersey, New Brunswick, NJ, USA.
                14Center for Population-Level Bioethics, Rutgers University, New Brunswick, NJ, USA.
                15Menzies Centre for Health Governance, The Australian National University, Canberra, ACT, Australia.
                16Wagner School of Public Service, New York University, New York City, NY, USA.
                17Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
                18School of Health Administration, Dalhousie University, Halifax, NS, Canada.
                19Keio University, Tokyo, Japan.
                20University of Global Health Equity, Kigali, Rwanda.
                21Graduate Institute for International and Development Studies, Geneva, Switzerland.
                22Iran University of Medical Sciences, Tehran, Iran.
                23Research Centre for Modelling in Health, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
                Author notes
                [* ] Correspondence to: Amirhossein Takian Email: takian@ 123456tums.ac.ir
                Author information
                https://orcid.org/0000-0001-7806-5558
                https://orcid.org/0000-0002-8837-3711
                https://orcid.org/0000-0002-0121-9683
                https://orcid.org/0000-0002-8009-470X
                https://orcid.org/0000-0002-0615-740X
                https://orcid.org/0000-0003-3235-0091
                https://orcid.org/0000-0003-0729-0197
                https://orcid.org/0000-0003-2592-2741
                https://orcid.org/0000-0001-5286-4044
                https://orcid.org/0000-0001-9455-110X
                https://orcid.org/0000-0003-1056-6609
                https://orcid.org/0000-0002-8345-5435
                https://orcid.org/0000-0002-2411-6185
                https://orcid.org/0000-0002-5748-5956
                https://orcid.org/0000-0002-4591-8531
                https://orcid.org/0000-0002-6779-3151
                https://orcid.org/0000-0002-2699-7166
                https://orcid.org/0000-0002-6695-227X
                https://orcid.org/0000-0003-4628-4849
                Article
                DOI: 10.34172/ijhpm.2022.7800
                PMC ID: 10105166
                PubMed ID: 37579348
                SO-VID: 7fdc8628-76b1-48fa-afae-adbe2ac574aa
                Copyright © © 2022 The Author(s); Published by Kerman University of Medical Sciences
                License:

                This is an open-access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 23 October 2022
                Date accepted : 02 November 2022
                Categories
                Subject: Editorial

                Keywords: cop27,climate change,mena region,health effects
                Data availability:
                Keywords: cop27, climate change, mena region, health effects

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