{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T18:38:07Z","timestamp":1793471887107,"version":"4.5.0"},"reference-count":59,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Environ\ufffdHealth\ufffdInsights"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:p>\n                    This systematic review with meta-analysis examines mortality, disease burdens, and systemic public health challenges following climate-related hazards and climate-sensitive disasters in Latin America and the Caribbean (LAC) between 2007 and 2022. A comprehensive search across 6 databases and gray literature sources identified 673 articles, with 5 studies meeting criteria for quantitative meta-analysis and 3 additional reports incorporated for qualitative synthesis. Meta-analysis revealed substantial heterogeneity across studies (\n                    <jats:italic toggle=\"yes\">I<\/jats:italic>\n                    <jats:sup>2<\/jats:sup>\n                    = 81%,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; .001), with a pooled estimate of 6.2 excess deaths per 1000 population (95% CI: 2.1-10.3) following major disasters\u2014equivalent to an 84% increase in mortality risk compared to baseline. Individual studies documented over 4600 excess deaths following Hurricane Maria in Puerto Rico, with 78% of casualties concentrated in low-income municipalities. Age disparities were evident: 65.9% of earthquake-related deaths in Haiti occurred among children under 12 years, while 48% of tsunami victims in Chile were aged \u2a7e 80 years. Waterborne disease outbreaks surged post-disaster, including a 300% increase in cholera cases following Hurricane Matthew in Haiti and Legionella contamination in 86% of cisterns in St. Thomas. Critical gaps in standardized mortality reporting and longitudinal data hinder comprehensive risk assessment. Strengthening climate-resilient health infrastructure, integrating Indigenous knowledge, and establishing regional data standardization protocols are imperative to mitigate adverse health outcomes in LAC.\n                  <\/jats:p>","DOI":"10.1177\/11786302261432487","type":"journal-article","created":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T09:29:17Z","timestamp":1777022957000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Climate-Related Hazards and Public Health in Latin America and the Caribbean (LAC): A Systematic Review With Meta-Analysis"],"prefix":"10.1177","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1655-2873","authenticated-orcid":false,"given":"Danladi C.","family":"Husaini","sequence":"first","affiliation":[{"name":"Allied Health Department (Pharmacy Program), Faculty of Health Sciences, University of Belize, Central America"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carrie","family":"Garbutt","sequence":"additional","affiliation":[{"name":"Allied Health Department (Pharmacy Program), Faculty of Health Sciences, University of Belize, Central America"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dayana","family":"Marroquin","sequence":"additional","affiliation":[{"name":"Allied Health Department (Pharmacy Program), Faculty of Health Sciences, University of Belize, Central America"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-2445-2792","authenticated-orcid":false,"given":"Joel H.","family":"Chiroma","sequence":"additional","affiliation":[{"name":"Department of Nursing, University of Abuja Teaching Hospital, FCT, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,4,24]]},"reference":[{"key":"e_1_3_2_2_2","unstructured":"UNDRR. 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