A fetus with a parvovirus B19 infection and congenital anomalies

A fetus with multiple structural defects was seen at prenatal ultrasound examination. After termination of the pregnancy a bilateral cleft lip, alveolus, and palate; micrognathia; and webbed joints were seen. Fetal tissues showed indications of infection, intranuclear inclusion bodies, chronic stress, haemolysis, arterial wall damage, and profuse haemorrhage. Parvovirus B19 DNA was detected in fetal tissues by dot hybridization after polymerase chain reaction. The possibility of parvovirus B19 infection leading to congenital malformations is discussed.     

The adaptive capacity of institutions in the spatial planning,water, agriculture and nature sectors in the Netherlands

The climate change problem calls for a continuously responding society. This raises the question: Do our institutions allow and encourage society to continuously adapt to climate change? This paper uses the Adaptive Capacity Wheel (ACW) to assess the adaptive capacity of formal and informal institutions in four sectors in the Netherlands: spatial planning, water, agriculture and nature. Formal institutions are examined through an assessment of 11 key policy documents and informal institutions are analysed through four case studies covering each sector. Based on these ACW analyses, both sector-specific and more general strengths and weaknesses of the adaptive capacity of institutions in the Netherlands are identified. The paper concludes that the most important challenge for increasing institutional adaptive capacity lies in combining decentralized, participatory approaches with more top-down methods that generate leadership (visions, goals) standards, instruments, resources and monitoring.     

Tradeoffs,synergies and traps among ecosystem services in the Lake Victoria basin of East Africa

Lake Victoria is a crucial ecosystem for over 25 million people in Kenya, Uganda, Tanzania, Rwanda and Burundi who live in the basin, and for the greater Nile river system downstream of the lake. Ecosystem management in the Lake Victoria basin has been highly extractive for most of the last 60 years, with the 1990s a period of marked decline in food production, economic contraction, rising poverty, increased burden of human disease, and more frequent floods. Lake Victoria itself is becoming eutrophic, with related problems of species extinctions and invasive species. There is evidence of poverty–environment traps: some households and areas appear to be caught in vicious cycles of low income, low investment in soil management, declines in soil fertility, and soil loss, while other households and areas are able to achieve higher incomes and investments, maintain soil fertility, and conserve soil on their farms.Concepts and approaches from the Millenium Ecosystem Assessment (MA) were applied in a study of ecosystem service tradeoffs, synergies and traps in two of the river basins that flow into Lake Victoria from Kenya (Yala and Nyando). Hydrologic units are the main geographic unit used in the analysis, with predictions of sediment yield serving as the main measure of regulating services. Provisioning services are evaluated through a spatially disaggregated analysis of agricultural production, yield and area that combines spatial data from aerial photographs with division-level price and yield estimates.The results illustrate considerable year-to-year variation in land use, agricultural production and sediment yield in the two basins. While overall production appears to be relatively stable at the basin level, there have been shifts in the geographic locus of production toward the upper parts of both basins. A spatial overlay of production and sediment yield indicates that different parts of the basins exhibit tradeoffs, synergies and traps. Results from this study have multiple uses in rural planning, agricultural investment, and watershed management. The results also suggest that the poverty traps conceptual framework may help to enrich the interpretative content of the MA approach.