Linking climate change and health outcomes: Examining the relationship between temperature,precipitation and birth weight in Africa

This paper examined the relationship between birth weight, precipitation, and temperature in 19 African countries. We matched recorded birth weights from Demographic and Health Surveys covering 1986 through 2010 with gridded monthly precipitation and temperature data derived from satellite and ground-based weather stations. Observed weather patterns during various stages of pregnancy were also used to examine the effect of temperature and precipitation on birth weight outcomes. In our empirical model we allowed the effect of weather factors to vary by the dominant food production strategy (livelihood zone) in a given region as well as by household wealth, mother's education and birth season. This allowed us to determine if certain populations are more or less vulnerable to unexpected weather changes after adjusting for known covariates. Finally we measured effect size by observing differences in birth weight outcomes in women who have one low birth weight experience and at least one healthy birth weight baby. The results indicated that climate does indeed impact birth weight and at a level comparable, in some cases, to the impact of increasing women's education or household electricity status.     

National-level factors affecting planned,public adaptation to health impacts of climate change

Our understanding of whether adaptive capacity on a national level is being translated into adaptation policies, programs, and projects is limited. Focusing on health adaptation in Annex I Parties to the UNFCCC, we examine whether statistically significant relationships exist between regulatory, institutional, financial, and normative aspects of national-level adaptive capacity and systematically measured adaptation. Specifically, we (i) quantify adaptation actions in Annex I nations, (ii) identify potential factors that might impact progress on adaptation and select measures for these factors, and (iii) calculate statistical relationships between factors and adaptation actions across countries. Statistically significant relationships are found between progress on adaptation and engagement in international environmental governance, national environmental governance, perception of corruption in the public sector, population size, and national wealth, as well as between responsiveness to health vulnerabilities, population size and national wealth. This analysis contributes two key early empirical findings to the growing literature concerning factors facilitating or constraining adaptation. While country size and wealth are necessary for driving higher levels of adaptation, they may be insufficient in the absence of policy commitments to environmental governance. Furthermore, governance and/or incentive frameworks for environmental governance at the national level may be an important indicator of the strength of national commitments to addressing health impacts of climate change.     

Occupational health and safety hazards in Atlantic Canadian aquaculture: Laying the groundwork for prevention

The growing aquaculture industry is projected to feature ever more prominently in the lives and economies of rural coastal communities in Atlantic Canada and around the world. Both private industry and government have a responsibility to ensure employment opportunities created in aquaculture take place in healthy, safe environments. However, systematic occupational health and safety (OHS) research within this industry, an important prevention tool, is still in its infancy. With particular emphasis on marine aquaculture in Atlantic Canada, we provide a detailed outline of the structure of the industry from feed production through to processing, identify potential OHS hazards associated with each of these activities and make recommendations for future research and action.     

Measuring the need for primary health care: an index of relative disadvantage

The prime objective of primary health care provision is the maintenance or improvement of the population's health. The equitable distribution of resources is paramount to this and measures of disadvantage are implemented to assess differential levels of need as a basis for calculating deprivation payments according to general practitioner workload. Despite research that highlights the benefits of measures of social disadvantage, indices have not been used to fundamentally shape resource allocation for health authorities. This paper uses the results from a patient survey into utilization behaviour to define and model the determinants of the need for health care based on components of relative need and accessibility. Proxy indicators are derived from routine sources of data to create an Index of Relative Disadvantage (IRD). A sensitivity analysis confirms the robustness of the index and shows that—although the index employs a wider range of variables than most previous deprivation indices—there is no gross data redundancy. Simplified versions of the index are also explored and evaluated. The IRD developed here is closely correlated with other indices of disadvantage, but its greater breadth and more logical construction mean that it may be more likely to be a more widely applicable instrument for health care planning of resource allocation.     

Gas and particle emissions from Soufrière Hills Volcano, Montserrat, West Indies: characterization and health hazard assessment

 The Soufrière Hills Volcano, Montserrat, erupting since 18 July 1995, intensified its degassing in early 1996 with the continuing growth of the lava dome inside the summit crater. During this period of increased activity, between 11 and 18 March 1996, we measured gases and particles within the visible plume to determine whether at that time it posed a health risk to the population of Plymouth, the capital town, which is 5 km southwest (downwind) and was then still occupied. Gravimetric measurements were made of total suspended particles (TSP) and particles having an aerodynamic diameter of less than 10 μm (PM₁₀). Measurements were made of sulphur dioxide (SO₂), hydrochloric acid (HCl), hydrofluoric acid (HF), nitric acid (HNO₃), acetic acid (CH₃COOH), formic acid (HCOOH), and particulate sulphate (SO₄ ^2–), chloride (Cl^–), nitrate (NO₃ ^–), fluoride (F^–), methanesulphonate (CH₃SO₃ ^–), acetate (CH₃COO^–), formate (HCOO^–), ammonium (NH₄ ⁺), sodium (Na⁺) and acidity (H⁺). Trace metals having human health implications [chromium (Cr), nickel (Ni), cobalt (Co), copper (Cu), zinc (Zn), arsenic (As), selenium (Se), cadmium (Cd), tin (Sn), mercury (Hg) and lead (Pb)] were also determined. Mean concentrations of HCl, SO₂ and HF obtained in the town of Plymouth were 14.0, 5.9 and 0.8 ppbv, respectively. Corresponding concentrations in the mixed plume on the crater edge were 533, 168 and 22 ppbv. There were no direct emissions of HNO₃, although nitrate was detected in coarse particles at the source. Higher concentrations of CH₃COOH and HCOOH were measured close to the crater. Mean TSP and PM₁₀ were 64 and 15 μg m^–3 in Plymouth, and 455 and 47 μg m^–3 on the upper volcano slope. Aerosols were highly acidic at the source but rapidly neutralised during transport. Trace metals were enriched in the aerosol relative to crater surface material. The concentrations of the acid gases, sulphur dioxide in particular, and particles were found to be too small to pose a health hazard at the time of these measurements, when relatively modest volcanic activity was occurring. Received: 9 September 1998 / Accepted: 29 August 1999     

Simple swept-sine analyzer for excitation and measurement of dynamic response in ocean structures

We present the design of a simple, low cost swept-sine analyzer. Based on direct digital synthesis, the analyzer can generate high purity tones with a linear resolution of 0.000931 Hz up to 1 MHz. Details of the circuit are discussed, and the performance of the system is demonstrated by a simple application to the dynamical characterization of cracked cantilever beams. It is felt that the device may find application in the design, construction and monitoring of structural systems such as offshore platforms and other marine structures.     

Risk tolerance measure for decision-making in fuzzy analysis: a health risk assessment perspective

In risk assessment studies it is important to determine how uncertain and imprecise knowledge should be included into the simulation and assessment models. Thus, proper evaluation of uncertainties has become a major concern in environmental and health risk assessment studies. Previously, researchers have used probability theory, more commonly Monte Carlo analysis, to incorporate uncertainty analysis in health risk assessment studies. However, in conducting probabilistic health risk assessment, risk analyst often suffers from lack of data or the presence of imperfect or incomplete knowledge about the process modeled and also the process parameters. Fuzzy set theory is a tool that has been used in propagating imperfect and incomplete information in health risk assessment studies. Such analysis result in fuzzy risks which are associated with membership functions. Since possibilistic health risk assessment studies are relatively new, standard procedures for decision-making about the acceptability of the resulting fuzzy risk with respect to a crisp standard set by the regulatory agency are not fully established. In this paper, we are providing a review of several available approaches which may be used in decision-making. These approaches involve defuzzification techniques, the possibility and the necessity measures. In this study, we also propose a new measure, the risk tolerance measure, which can be used in decision making. The risk tolerance measure provides an effective metric for evaluating the acceptability of a fuzzy risk with respect to a crisp compliance criterion. Fuzzy risks with different membership functions are evaluated with respect to a crisp compliance criterion by using the possibility, the necessity, and the risk tolerance measures and the results are discussed comparatively.     

Social and environmental regulation in rural China: bringing the changing role of local government into focus

China’s rapid economic growth following the 1978 reforms has resulted in significant economic, social and environmental change. These reforms and their outcomes have been subjected to considerable scrutiny. However, relatively little research has been directed towards the relationship between the changing role of local government, which has itself been subject to substantial restructuring, and the local mediation of the social and environmental impacts of rapid economic growth. This paper investigates the local manifestation of social and environmental change in Zhejiang Province. In particular, it considers the changing role of local government in the regulatory process, and features a case study of Huzhou Municipality. A synthesis of the factual knowledge and perceptions of 48 key-informants from government and public institutions and rural industries is used as the platform for an analysis of the changing nature of local regulation with respect to the provision of key public services (health care and education) and environmental protection (water pollution control). The results reveal the ability of local government to selectively implement national and provincial policies in light of local priorities, which is taken as indicative of the emergence of local agency within local development processes. The case study suggests a need to re-evaluate conventional wisdom on the absence of autonomy at local levels of government in China, particularly as it relates to the continued devolution of administrative responsibility and the emergence of increasingly powerful economic interests.     

地下水中的钾及其与人群健康的关系

钾在自然界主要以硅酸盐、硫酸盐化合物和卤化物存在,在表生带具有较强的迁移能力,因此在地下水中分布较广。钾是人体中的必需元素,正常情况下需摄入３ｇ／ｄ,过量摄入钾或缺钾都可能导致疾病的发生。饮用水中的钾是人体所需钾的主要来源。因此,寻找和开发含钾量较高的地下水作为生活饮用水,将有利人群健康。     

Groundwater Defluoridation with Raw Bauxite,Gypsum, Magnesite,and Their Composites

Breakthrough characteristics, kinetics, and dose‐effect in defluoridation with bauxite, gypsum, magnesite, and their composites were determined. The aim was to identify optimum filter and configuration viable for groundwater defluoridation. Bed depth service time (BDST) design model and empty bed residence time (EBRT) optimization model were employed to characterize breakthrough. Higher doses obtained lower loading capacities but higher sorption percentages and breakthrough times. Breakthrough times obtained were 50 400, 32 400, 25 200, and 19 800 s for 150, 120, 75, and 45 g, respectively. The equation ? = 1.0 × 10^?4 δ² ?0.022 δ + 1.5053 defined the operating line with ?, adsorbent exhaustion rate, in g L^?1 and δ, EBRT, in seconds. A critical bed depth (Z_o) of 6.56 cm was obtained. Second order kinetic rate constants were 0.73, 1.17, and 1.81 g mg^?1 s^?1 for magnesite, gypsum, and bauxite, respectively. The composite, gypsum and bauxite decreased water pH but magnesite increased pH in water defluoridation. Experimental data did not fit the two‐parameter logistics model; model values were significantly different from experimental values. Optimum defluoridation characteristics were obtained in fixed bed. Despite high residual sulphates and apparent color, fixed‐bed defluoridation with raw composites of these materials, treated in this manner, is viable.