Learning lessons from the 2011 Van Earthquake to enhance healthcare surge capacity in Turkey

Historically, Turkey has adopted a reactive approach to natural hazards which resulted in significant losses. However, following the 1999 Kocaeli Earthquake, a more proactive approach has been adopted. This study aims to explore the way this new approach operates on the ground. A multinational and multidisciplinary team conducted a field investigation following the 2011 Van Earthquake to identify lessons to inform healthcare emergency planning in Turkey and elsewhere. The team interviewed selected stakeholders including, healthcare emergency responders, search and rescue services, ambulance services, and health authority representatives, in addition to conducting a focus group. Data were analysed according to an open coding process and SWOT (strength, weakness, opportunity, and threat) analysis. The findings suggest that the approach succeeded in developing a single vision by consolidating official efforts in a more structured way, mobilising many governmental and non-governmental organisations, securing significant amounts of resources including physical and human, and increasing the resilience and flexibility of infrastructure to expand its capacity. However, more attention is required to the development of stronger management procedures and acquisition of further resources.     

Sources of organisational resiliency during the Thailand floods of 2011: a test of the bonding and bridging hypotheses

Based on the Institutional Collective Action framework, this research tests the impact of two competing hypotheses—bonding and bridging—on enhancing organisational resiliency. The bonding hypothesis posits that organisational resiliency can be achieved if an organisation works closely with others, whereas the bridging hypothesis argues that such a structure places considerable stress on an organisation and advocates for an organisation to position itself as a central actor to gain access to novel resources from a diverse set of entities to achieve resiliency. The paper analyses data gathered from semi‐structured interviews with 44 public, private, and non‐profit organisations serving communities affected by the Great Floods of 2011 in the Thai capital, Bangkok (urban), and in Pathum Thani (suburban) and Ayutthaya (rural) provinces. The findings suggest that: organisational resiliency was associated with the bridging effect; organisations in the rural province were more resilient than those in the suburban and urban centres; and private and non‐governmental organisations generally were more resilient than public sector organisations. The findings highlight the importance of fostering multi‐sector partnerships to enhance organisational resiliency for disaster response.     

Dendrochemical record of historical lead contamination sources, Wells G&H Superfund site, Woburn, Massachusetts

Laser-ablation inductively coupled-plasma mass-spectrometry analysis of red oak (Quercus rubra) from a well documented heavy metal contaminated United States Environmental Protection Agency superfund site in Woburn, Massachusetts reveals decade-long trends in Pb contaminant sources. Lead isotope ratios (207Pb/206Pb and 208Pb/206Pb) in tree rings plot along a linear trend bracketed by several local and regional contamination sources. Statistically significant interannual variations in 207Pb/206Pb suggest that atmospheric Pb is rapidly incorporated into wood, with minimal mobility subsequent to deposition in annual growth rings. We interpret the decadal trends in our record as a changing mixture of local pollution sources and gasoline-derived Pb. Between 1940 and 1970, Pb was predominantly derived from remobilization of local industrial Pb sources. An abrupt shift in 207Pb/206Pb may indicate that local Pb sources were overwhelmed by gasoline-derived Pb during the peak of leaded gasoline emissions in the late 1960s and early 1970s.     

The effectiveness of forecast-based humanitarian assistance in anticipation of extreme winters: a case study of vulnerable herders in Mongolia

This paper presents evidence relating to a forecast-based cash and non-food item distribution among vulnerable herder households during the 2017–18 dzud (extreme winter) season in Mongolia, and analyses the results of a quasi-experimental study evaluating its impacts. An innovative approach in disaster risk reduction, forecast-based financing (FbF) can have short- and long-term benefits to vulnerable households but remains understudied. The paper contributes information on a multimodal FbF programme offering one-off cash grants and in-kind veterinary kits. The data found significant effects of reduced mortality and increased offspring survival in some types of livestock, and that the timing of FbF assistance is crucial, as reported early assistance correlated to positive outcomes in terms of reduced animal mortality. These findings can be used to design more effective FbF interventions, to understand better the appropriateness of FbF designs, and to use early warnings and early actions to help people prepare and withstand disasters such as dzuds.     

Hydrologic Controls on Nitrogen and Phosphorous Dynamics in Relict Oxbow Wetlands Adjacent to an Urban Restored Stream

Although wetlands are known to be sinks for nitrogen (N) and phosphorus (P), their function in urban watersheds remains unclear. We analyzed water and nitrate (NO₃^?) and phosphate (PO₄^3?) dynamics during precipitation events in two oxbow wetlands that were created during geomorphic stream restoration in Baltimore County, Maryland that varied in the nature and extent of connectivity to the adjacent stream. Oxbow 1 (Ox1) received 1.6‐4.2% and Oxbow 2 (Ox2) received 4.2‐7.4% of cumulative streamflow during storm events from subsurface seepage (Ox1) and surface flow (Ox2). The retention time of incoming stormwater ranged from 0.2 to 6.7 days in Ox1 and 1.8 to 4.3 days in Ox2. Retention rates in the wetlands ranged from 0.25 to 2.74 g N/m²/day in Ox1 and 0.29 to 1.94 g N/m²/day in Ox2. Percent retention of the NO₃^?‐N load that entered the wetlands during the storm events ranged from 64 to 87% and 23 to 26%, in Ox1 and Ox2, respectively. During all four storm events, Ox1 and Ox2 were a small net source of dissolved PO₄^3? to the adjacent stream (i.e., more P exited than entered the wetland), releasing P at a rate of 0.23‐20.83 mg P/m²/day and 3.43‐24.84 mg P/m²/day, respectively. N and P removal efficiency of the oxbows were regulated by hydrologic connectivity, hydraulic loading, and retention time. Incidental oxbow wetlands have potential to receive urban stream and storm flow and to be significant N sinks, but they may be sources of P in urban watersheds.     

Impacts of experimental trampling on tall alpine herbfields and subalpine grasslands in the Australian Alps

The Australian Alps, which are of high conservation value, are popular summer bushwalking destinations. Experimental trampling trials using a standardized methodology were conducted to determine the resistance and resilience of the two common vegetation types: tall alpine herbfield and subalpine grasslands. Vegetation parameters were measured in lanes subject to control (no trampling), 30, 100, 200, 500 and 700 passes at five sites prior to trampling, immediately post trampling, 2 weeks, 6 weeks and 1 year post trampling. Vegetation height, cover of graminoids and herbs, as well as net species richness all declined with trampling, while litter cover increased. Thresholds for damage varied between the two communities and among the different vegetation parameters. The resistance indices for the two communities (number of passes resulting in 50% reduction in vegetation cover), however, were similar at around 440–450 passes indicating that these two communities are among the most resistant of the 19 alpine–subalpine communities that have been tested around the world, but only of moderate resistance compared to non-alpine communities. The two communities showed limited recovery with damage still evident 1 year post trampling. This indicates that they have only moderate tolerance to damage due to moderate resistance, but low resilience.     

An Edge Effect Caused by Adult Corn-Rootworm Beetles on Sunflowers in Tallgrass Prairie Remnants

Abstract: The once-extensive tallgrass prairie community of North America has been reduced to small remnants, many of which are surrounded by intensive corn (   Zea mays ) agriculture. We investigated adult corn-rootworm beetles (Chrysomelidae : Diabrotica spp.), important pests of corn, on sunflowers (Asteraceae : Helianthus spp . ) in prairie remnants in southeast Minnesota. Large numbers of beetles invaded the prairie from surrounding corn fields in late summer. D. barberi and D. virgifera were captured on sticky traps in all locations in the prairie, but abundance was much greater near the edge adjacent to corn. We observed D. barberi ( but not D. virgifera ) feeding extensively on sunflower pollen and occasionally on other flower parts, such as petals. Sunflowers located nearer corn fields sustained more floral damage than those farther from corn. To determine the effect of beetle damage on seed set, we enclosed sunflower heads in bags with either zero, two, or four D. barberi adults. Seed set was reduced in heads enclosed with D. barberi . Thus, this agricultural pest may interfere with the successful reproduction of sunflowers and possibly other prairie composites that flower in late summer. Given the small size of most prairie remnants and the abundance of this flower-feeding beetle in landscapes dominated by corn agriculture, D. barberi may affect the sustainability of prairie plant populations.     

Discordant fetal sex on NIPT and ultrasound

Prenatal diagnosis of sex discordance is a relatively new phenomenon. Prior to cell-free DNA testing, the diagnosis of a disorder of sexual differentiation was serendipitous, either through identification of ambiguous genitalia at the midtrimester morphology ultrasound or discovery of genotype-phenotype discordance in cases where preimplantation genetic diagnosis or invasive prenatal testing had occurred. The widespread integration of cfDNA testing into modern antenatal screening has made sex chromosome assessment possible from 10 weeks of gestation, and discordant fetal sex is now more commonly diagnosed prenatally, with a prevalence of approximately 1 in 1500-2000 pregnancies. Early detection of phenotype-genotype sex discordance is important as it may indicate an underlying genetic, chromosomal or biochemical condition and it also allows for time-critical postnatal treatment. The aim of this article is to review cfDNA and ultrasound diagnosis of fetal sex, identify possible causes of phenotype-genotype discordance and provide a systematic approach for clinicians when counseling and managing couples in this circumstance.