Creating sustainable environmental health conditions by redefining municipal roles and responsibilities: experiences from Tunisia and Ecuador

The multiple and interlinked problems that plague most peri-urban communities can only be successfully addressed and resolved if roles and responsibilities of all actors in the urban setting are redistributed. This will require fundamental changes in the way municipalities work and define their accomplishments. Behaviour needs to change at all levels, beginning with public sector institutions responsible for communities. Without changes at the municipal level, requisite changes at the community level to remedy the root causes of environment-related illness, do not occur. Public sector institutions and communities, working as partners with clearly defined roles and responsibilities, and, most importantly, with mutual trust, can together make real progress toward improving health and well-being in peri-urban settlements. This article discusses two recent projects sponsored by the Environmental Health Project of the U.S. Agency for International Development (USAID): an 18-month pilot project to improve peri-urban environmental health in two cities in Tunisia, and a project in Ecuador to support the Ministry of Health in combating cholera in affected provinces. The following examples, methodology, and results may be useful to officials and donor organizations in designing environmental health projects.     

SPATIAL AND TEMPORAL DYNAMICS OF WOOD IN HEADWATER STREAMS OF THE PACIFIC NORTHWEST1

This paper synthesizes information on the spatial and temporal dynamics of wood in small streams in the Pacific Northwest region of North America. The literature on this topic is somewhat confused due to a lack of an accepted definition of what constitutes “small” streams and what is the relative size of woody debris contained within the channel. This paper presents a matrix that defines woody debris relative to channel size and then discusses the components of a wood budget. Headwater streams are in close proximity to wood sources and, in steeplands, are often tightly constrained by steep hillslopes. Special consideration is given to ecosystem characteristics and to management practices that affect the wood dynamics in this context. Knowledge gaps and uncertainties that can be used to guide future research are identified. Very little is currently known about the role of mass wasting in wood recruitment and storage relative to other processes, such as bank erosion and mortality, in larger streams. Further, very little work has addressed the relative importance of different wood depletion processes, especially those associated with wood transport. The effect of other ecosystem variables on wood dynamics locally across a watershed (from valley bottom to mountaintop) and regionally across the landscape (from maritime to continental climates) is not addressed. Finally, the scientific community has only begun to deal with the effects of management practices on wood quantity, structure, and movement in small streams.     

Understanding non-compliance in small-scale fisheries: Shark fishing in Myanmar’s Myeik Archipelago

Achieving fisheries compliance is challenging in contexts where enforcement capacity is limited and the incentives for rule-breaking are strong. This challenge is exemplified in Myanmar, where an active shark fishery exists despite a nationwide ban on targeted shark fishing. We used the Kipling method (5W1H) to gather a complete story of non-compliance in five small-scale fishing communities in the Myeik Archipelago. Among 144 fishers surveyed, 49% were aware of the nationwide ban. Shark fishers (24%) tended to be younger individuals who did not own a boat and perceived shark fishing to be prevalent. Compliant fishers were motivated by a fear of sharks and lack of capacity (equipment, knowledge), whereas food and income were cited as key motivations for non-compliance. The results of our study emphasize that in resource-dependent communities, improving compliance for effective shark conservation may require addressing broader issues of poverty, food security and the lack of alternatives.Electronic supplementary materialThe online version of this article (10.1007/s13280-020-01400-1) contains supplementary material, which is available to authorized users.     

Efficacy and safety of doravirine in treatment-naive HIV-1-infected adults: a systematic review and meta-analysis

Environmental Science and Pollution Research - This research aims to study the safety and efficacy of doravirine in the treatment of HIV-1 (human immunodeficiency virus) patients. We conducted an...     

Circulating trophoblast in maternal blood

This review describes the status of circulating trophoblast, but is considered in the perspective that only a specific subset of trophoblast cells circulates in the maternal blood. The consequences for isolation, identification and clinical potential are described. Copyright © 2003 John Wiley & Sons, Ltd.