Impact of the increased adoption of prenatal cfDNA screening on non-profit patient advocacy organizations in the United States

The ‘Stakeholder Perspectives on Noninvasive Prenatal Genetic Screening’ Symposium was held in conjunction with the 2015 annual meeting of the International Society for Prenatal Diagnosis. During the day-long meeting, a panel of patient advocacy group (PAG) representatives discussed concerns and challenges raised by prenatal cell-free DNA (cfDNA) screening, which has resulted in larger demands upon PAGs from concerned patients receiving prenatal cfDNA screening results. Prominent concerns included confusion about the accuracy of cfDNA screening and a lack of patient education resources about genetic conditions included in cfDNA screens. Some of the challenges faced by PAGs included funding limitations, lack of consistently implemented standards of care and oversight, diverse perspectives among PAGs and questions about neutrality, and lack of access to training and genetic counselors. PAG representatives also put forward suggestions for addressing these challenges, including improving educational and PAG funding and increasing collaboration between PAGs and the medical community. © 2016 John Wiley & Sons, Ltd.     

Rapid assessment of environmental health risks posed by mining operations in low- and middle-income countries: selected case studies

Previous studies have evaluated associated health risks and human exposure pathways at mining sites. Others have provided estimates of the scale of the issue based in part on surveys. However, a global census of mining-related hazardous waste sites has been lacking. The Toxic Sites Identification Program (TSIP) implemented by Blacksmith Institute (New York, NY, USA) since 2009 is an ongoing effort to catalogue a wide range of chemically contaminated sites with a potential human health risk (Ericson et al., Environ Monit Assess doi:10.1007/s 10661-012-2665-2, 2012). The TSIP utilizes a rapid assessment instrument, the Initial Site Screening (ISS), to quickly and affordably identify key site criteria including human exposure pathways, estimated populations at risk, and sampling information. The resulting ISS allows for comparison between sites exhibiting different contaminants and pollution sources. This paper explores the results of a subset of ISSs completed at 131 artisanal and small-scale gold mining areas and 275 industrial mining and ore processing sites in 45 countries. The authors show that the ISS captures key data points, allowing for prioritization of sites for further investigation or remedial activity.     

Asthma and Air Pollution in Two Inner City Areas in New York City

The preliminary analysis of four months of emergency room visits for asthma in two inner city areas containing populations of similar socioeconomic, racial, and ethnic compositions, with similar day to day weather conditions but differing in their day to day levels of air pollution was made, and the relationship of visits to emergency rooms to daily temperature and air pollution levels measured in the areas, are described.

In Harlem no relationship between daily visits to emergency rooms and daily levels of either smokeshade or sulfur dioxide have been observed whereas in Brooklyn a relatively strong correlation between daily visits for asthma and daily levels of sulfur dioxide but not with smokeshade have been observed over and above the effect of temperature. In both areas there was a strong relationship between daily visits for asthma and the first cold spells of the fall season. The average male/female ratio for asthma visits to hospital emergency rooms of both areas in the age group under thirteen years of age was 1.7 and for the over thirteen years of age group was 0.6.

It appears from the data that Brooklyn presents a different picture for the environmental influence on asthma attacks. Even though it has been shown by previous investigators that asthmatics are sensitive to sulfur dioxide, we feel that in our case sulfur dioxide is not necessarily the causative agent, but might rather implicate some other confounding variable (most likely an environmental agent) that is disseminated in the general Bedford-Stuyvesant area in a similar day to day pattern to sulfur dioxide. We infer this from the fact that levels of sulfur dioxide were somewhat higher on the average in the Harlem area than they were in the Brooklyn area.     

Compliance with ivory trade regulations in the United Kingdom among traders

Global demand for elephant ivory is contributing to illegal poaching and significant decline of African elephant (Loxondonta africana) populations. To help mitigate decline, countries with legal domestic ivory markets were recommended by the Convention on International Trade in Endangered Species of Wild Fauna and Flora to close domestic markets for commercial trade. However, implementing stricter regulations on wildlife trade does not necessarily mean compliance with rules will follow. Using an online questionnaire, we examined the relationship between self-reported compliance with ivory trade regulations among 115 ivory traders in the United Kingdom and 4 dimensions (control, deterrence, legitimacy, and social norms) hypothesized to influence compliance with conservation regulations. Although most traders supported regulations, a large number did not always check that they comply with them when trading objects containing ivory. The main factors influencing compliance with ivory trade regulations were traders’ ability to comply and their perceptions of the regulations and punishments to deter illegal trade. These findings demonstrate the utility of conservation criminology to improve wildlife trade regulations and identify opportunities to reduce illegal ivory entering the market in the United Kingdom. Compliance could be improved by clearer regulations that facilitate easier detection of illegal ivory products and stronger prosecution of violations.     

Seasonal and annual dynamics of harmful algae and algal toxins revealed through weekly monitoring at two coastal ocean sites off southern California, USA

Reports of toxic harmful algal blooms (HABs) attributed to the diatom Pseudo-nitzschia spp. have been increasing in California during the last several decades. Whether this increase can be attributed to enhanced awareness and monitoring or to a dramatic upswing in the development of HAB events remains unresolved. Given these uncertainties, the ability to accurately and rapidly identify an emerging HAB event is of high importance. Monitoring of HAB species and other pertinent chemical/physical parameters at two piers in southern California, Newport and Redondo Beach, was used to investigate the development of a site-specific bloom definition for identifying emerging domoic acid (DA) events. Emphasis was given to abundances of the Pseudo-nitzschia seriata size category of Pseudo-nitzschia due to the prevalence of this size class in the region. P. seriata bloom thresholds were established for each location based on deviations from their respective long-term mean abundances, allowing the identification of major and minor blooms. Sixty-five percent of blooms identified at Newport Beach coincided with measurable DA concentrations, while 36 % of blooms at Redondo Beach coincided with measurable DA. Bloom definitions allowed for increased specificity in multiple regression analysis of environmental forcing factors significant to the presence of DA and P. seriata. The strongest relationship identified was between P. seriata abundances 2 weeks following upwelling events at Newport Beach.     

Depth and muscle temperature of Pacific bluefin tuna examined with acoustic and pop-up satellite archival tags

Six Pacific bluefin tuna were tracked with ultrasonic telemetry and two with pop-up satellite archival tags (PSATs) in the eastern Pacific Ocean in 1997, 1998, and 1999. Both pressure and temperature ultrasonic transmitters were used to examine the behavior of the 2- to 4-year-old bluefin tuna. The bluefin spent over 80% of their time in the top 40 m of the water column and made occasional dives into deeper, cooler water. The mean slow-oxidative muscle temperatures of three fish instrumented with pressure and temperature transmitters were 22.0–26.1 °C in water temperatures that averaged 15.7–17.5 °C. The thermal excesses in slow-oxidative muscle averaged 6.2–8.6 °C. Variation in the temperature of the slow-oxidative muscle in the bluefin was not correlated with water temperature or swimming speeds. For comparison with the acoustic tracking data we examined the depth and ambient temperature of two Pacific bluefin tagged with pop-up satellite archival tags for 24 and 52 days. The PSAT data sets show depth and temperature distributions of the bluefin tuna similar to the acoustic data set. Swimming speeds calculated from horizontal distances with the acoustic data indicate the fish mean speeds were 1.1–1.4 fork lengths/s (FL s⁻¹). These Pacific bluefin spent the majority of their time in the top parts of the water column in the eastern Pacific Ocean in a pattern similar to that observed for yellowfin tuna. Received: 4 April 2000 / Accepted: 25 October 2000     

Use of handheld X-ray fluorescence spectrometry units for identification of arsenic in treated wood

The objective of this study was to evaluate the performance of handheld XRF analyzers on wood that has been treated with a preservative containing arsenic. Experiments were designed to evaluate precision, detection limit, effective depth of analysis, and accuracy of the XRF arsenic readings. Results showed that the precision of the XRF improved with increased sample concentration and longer analysis times. Reported detection limits decreased with longer analysis times to values of less than 1mg/kg or 18 mg/kg, depending on the model used. The effective depth of analysis was within the top 1.2 cm and 2.0 cm of sample for wood containing natural gradients of chemical preservative and concentration extremes, respectively. XRF results were found to be 1.5-2.3 times higher than measurements from traditional laboratory analysis. Equations can be developed to convert XRF values to results which are consistent with traditional laboratory testing.     

Mechanism-based explanations of impasses in the governance of ecosystem-based adaptation

Many climate change adaptation scholars recognise the complexities in the governance of adaptation. Most have used the concept of ‘barriers to adaptation’ in an attempt to describe why governance of adaptation is challenging. However, these studies have recently been critiqued for over simplifying complex governance processes by referring to the static concept of barriers, thereby ignoring dynamic complexity as a root explanatory cause. This paper builds the argument that how barriers are currently used in the literature is insufficient to explain why the governance of adaptation often proves difficult. We adopt a so-called mechanism-based approach to investigate how and why the governance of ecosystem-based adaptation (EbA) reaches impasses in five cases in Thailand and the Netherlands. Our findings show six causal mechanisms that explain impasses in the five case studies: (1) frame polarisation, (2) timing synchronisation, (3) risk innovation, (4) rules of the game, (5) veto players and (6) lost in translation. Several of these causal mechanisms are recurring and emerge under specific contextual conditions or are activated by other mechanisms. Our findings provide valuable insights into the impasses in the governance of EbA and allow for critical reflections on the analytical value of the mechanism-based approach in explaining why the governance of adaptation proves difficult and how this can be overcome.