Climate change has a broad range of health impacts and tackling climate change could be the greatest opportunity for improving global health this century. Yet conversations on climate change and health are often incomplete, giving little attention to structural discrimination and the need for racial justice. Racism kills, and climate change kills. Together, racism and climate change interact and have disproportionate effects on the lives of minoritised people both within countries and between the Global North and the Global South. This paper has three main aims. First, to survey the literature on the unequal health impacts of climate change due to racism, xenophobia, and discrimination through a scoping review. We found that racially minoritised groups, migrants, and Indigenous communities face a disproportionate burden of illness and mortality due to climate change in different contexts. Second, this paper aims to highlight inequalities in responsibility for climate change and the effects thereof. A geographical visualisation of responsibility for climate change and projected mortality and disease risk attributable to climate change per 100 000 people in 2050 was conducted. These maps visualise the disproportionate burden of illness and mortality due to climate change faced by the Global South. Our third aim is to highlight the pathways through which climate change, discrimination, and health interact in most affected areas. Case studies, testimony, and policy analysis drawn from multidisciplinary perspectives are presented throughout the paper to elucidate these pathways. The health community must urgently examine and repair the structural discrimination that drives the unequal impacts of climate change to achieve rapid and equitable action.

中文翻译：

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展望环境公平：气候变化、健康和种族正义

气候变化对健康具有广泛的影响，应对气候变化可能是本世纪改善全球健康的最大机会。然而，关于气候变化和健康的对话往往是不完整的，很少关注结构性歧视和种族正义的必要性。种族主义杀人，气候变化杀人。种族主义和气候变化相互作用，对各国内部以及北半球和南半球之间的少数群体的生活产生不成比例的影响。本文有三个主要目标。首先，通过范围界定审查来调查有关气候变化因种族主义、仇外心理和歧视而造成的不平等健康影响的文献。我们发现，由于不同背景下的气候变化，少数种族群体、移民和原住民社区面临着不成比例的疾病和死亡负担。其次，本文旨在强调气候变化责任的不平等及其影响。对气候变化的责任以及 2050 年每 10 万人因气候变化造成的死亡和疾病风险进行了地理可视化。这些地图直观地展示了南半球国家因气候变化而承受的不成比例的疾病和死亡负担。我们的第三个目标是强调气候变化、歧视和健康在大多数受影响地区相互作用的途径。本文通篇提供了从多学科角度得出的案例研究、证词和政策分析，以阐明这些途径。卫生界必须紧急审查和修复导致气候变化不平等影响的结构性歧视，以采取迅速、公平的行动。