<p>Climate change is amplifying the frequency, severity, and geographic reach of hazards, including heatwaves, coastal flooding, vector-borne diseases, and complex multi-hazard events. Understanding how risks are assessed, governed, and managed across diverse contexts is essential for advancing equitable and effective adaptation strategies. This study conducted a scoping review following PRISMA and AMSTAR-2 standards. Searches of Web of Science, Pubmed and Scopus (completed 26 March 2025) yielded 35 eligible studies, synthesized using the PICOS framework. The literature spans multiple regions and methodological approaches (quantitative, qualitative, and mixed-methods) addressing hazards, vulnerabilities, governance, and adaptation strategies. Four thematic domains emerged: (i) heatwaves and urban heat stress, where emergency planning, climate refuges, and governance frameworks are progressing yet social inequities persist; (ii) sea-level rise, flooding, and coastal hazards, where projection-informed modeling and participatory governance are advancing but implementation remains uneven; (iii) vector-borne diseases and health integration, where frontline health workers, particularly nurses and midwives in Small Island Developing States, play critical roles but face resource and training gaps; and (iv) governance and multi-hazard adaptation, where resilience frameworks and adaptive pathways are evolving yet undermined by institutional fragmentation and inequities. Despite methodological advances, persistent governance and social barriers constrain adaptation effectiveness. Strengthening climate resilience requires bridging technical innovation with social equity, embedding health and mental well-being into disaster planning, and institutionalizing participatory, anticipatory governance. Future research should prioritize integrative, cross-sectoral approaches that advance both scientific rigor and climate justice.</p>

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From heatwaves to coastal risks: a scoping review of climate hazards, health effects, and governance mechanisms

  • Ana Paula Oliveira,
  • Clara Martinez-Perez

摘要

Climate change is amplifying the frequency, severity, and geographic reach of hazards, including heatwaves, coastal flooding, vector-borne diseases, and complex multi-hazard events. Understanding how risks are assessed, governed, and managed across diverse contexts is essential for advancing equitable and effective adaptation strategies. This study conducted a scoping review following PRISMA and AMSTAR-2 standards. Searches of Web of Science, Pubmed and Scopus (completed 26 March 2025) yielded 35 eligible studies, synthesized using the PICOS framework. The literature spans multiple regions and methodological approaches (quantitative, qualitative, and mixed-methods) addressing hazards, vulnerabilities, governance, and adaptation strategies. Four thematic domains emerged: (i) heatwaves and urban heat stress, where emergency planning, climate refuges, and governance frameworks are progressing yet social inequities persist; (ii) sea-level rise, flooding, and coastal hazards, where projection-informed modeling and participatory governance are advancing but implementation remains uneven; (iii) vector-borne diseases and health integration, where frontline health workers, particularly nurses and midwives in Small Island Developing States, play critical roles but face resource and training gaps; and (iv) governance and multi-hazard adaptation, where resilience frameworks and adaptive pathways are evolving yet undermined by institutional fragmentation and inequities. Despite methodological advances, persistent governance and social barriers constrain adaptation effectiveness. Strengthening climate resilience requires bridging technical innovation with social equity, embedding health and mental well-being into disaster planning, and institutionalizing participatory, anticipatory governance. Future research should prioritize integrative, cross-sectoral approaches that advance both scientific rigor and climate justice.