珠江口表层水中多环芳烃的分布特征及健康风险评估

分别于2015年2、5、8、11月在珠江八大入海口采集表层水体样品,应用固相萃取富集法对该区域表层水体中16种USEPA优控多环芳烃(PAHs)的时空分布特征进行分析,并利用终生致癌风险增量模型(ILCR)对该区域的饮水健康风险进行评价。结果表明:珠江口4个季度所采集的水样中,∑15PAHs的浓度范围为18.0~50.3 ng/L,含量处于中等水平。其中7种强致癌性∑7PAHs的浓度范围为1.53~3.73 ng/L,占∑15PAHs的5.89%~11.1%,∑15PAHs和∑7PAHs在枯水期(2、11月)样品中明显高于丰水期(5、8月)。就组成特征而言,各采样点PAHs以3、4环为主。珠江口表层水中非致癌类PAHs的危害商数值为0.99×10~(-5)~2.73×10~(-5),远低于USEPA规定的阈值(1);致癌类PAHs产生的健康风险为6.50×10~(-8)~2.37×10~(-7),其中Ba P导致的饮水途径健康风险最高,所有点位致癌类PAHs的健康风险均低于USEPA推荐的对致癌物质最大可接受风险水平(10~(-6)),表明珠江口表层水中PAHs尚不具备严重的致癌风险,但是仍然存在潜在的健康风险,需要重点控制和管理。     

室外空气污染对成人呼吸系统健康影响的分析

报告在广州、武汉、兰州、重庆市 8所小学共 80 0 0余名学生父母患呼吸系统疾病的病症率受空气污染影响的分析结果。每个城市城区污染点的成人感冒咳嗽和咳痰、未感冒咳嗽和咳痰、支气管炎等病症的发生率均高于相应城市的郊区对照点 ,且男性比女性更高。呼吸系统的病症率与空气 PM1 0 、PM2 .5 污染呈正相关。调整了混杂因子的影响后 ,这种相关关系仍保持不变。结论是 :空气中 PM1 0 的污染与成人 (男女 )的感冒或未感冒时咳嗽、男性未感冒时咳痰、哮喘、支气管炎有明显正相关关系 ;空气 SO2 污染与成人 (男女 )感冒时咳嗽、咳痰呈显著正相关 ;空气中 NOx 污染对成人呼吸系统病症率的影响相对较弱     

Impact of Growing Income Inequality on Sustainable Development in China： A Provincial-level Analysis

A growing body of literature has documented the rapidly increasing income disparities that accompanied China＇s economic growth in the 1980s and 1990s, and the driving factors behind this. Growing income inequality in its turn may have important implications for the accumulation of physical capital, human capital, and natural capital and as a consequence for sustainable economic development. The purpose of this paper is to investigate the potential impact of income inequality on savings, human resources and the environment in China. It starts with an overview of the different causal mechanisms through which income inequality may affect the accumulation of physical capital, human capital, and natural capital, and discusses to what extent these causal relationships may be relevant in the case of China. Next, provincial data for the year 2002 are used to explore the relationship between income inequality and different elements of sustainable development in China. It is found that income inequality does not affect aggregate savings levels. Rising inequality, however, contributes to lower health and possibly also to higher fertility levels. It also lowers the use of chemical fertilizers in agriculture and therefore is likely to reduce water pollution. Other types of environmental degradation are not affected.     

极化区功能识别与评价指标研究

城市密集化地区中具有国家战略和拥有重要国际竞争力功能的区域被称之为极化区。在经济全球化、国家之间经济合作与竞争越来越加剧的背景下,各国都把加强极化区建设作为提高本国国际竞争力的重要途径。首先,介绍并评述了德国评价极化区功能的指标体系,包括决策和控制功能、创新和竞争力功能,以及门户功能;其次,针对我国发展阶段和特色,构建了识别我国极化区功能的指标体系;并以极化区理论为指导,分别对长江三角洲、珠江三角洲和京津冀区域规划的功能定位进行比较和评述。当前,为提高我国城市化水平、区域协调发展能力与国际竞争力,国务院批准了多个具有国家战略意义的区域规划,是从我国东中西和各省之间经济协调发展或作为新经济增长点、生态保护与建设的角度有国家意义的区域。通过比照极化区的功能含义,认为其中有的战略区功能定位与极化区的功能相一致,有的可作为新极化区培育,有可能发展为具有较强国际竞争力的极化区,这两种是今后我国极化区研究的主要区域     

The health sector gap in the southern Africa crisis in 2002/2003

The southern Africa crisis represents the first widespread emergency in a region with a mature HIV/AIDS epidemic. It provides a steep learning curve for the international humanitarian system in understanding and responding to the complex interactions between the epidemic and the causes and the effects of this crisis. It also provoked much debate about the severity and causes of this emergency, and the appropriateness of the response by the humanitarian community. The authors argue that the over-emphasis on food aid delivery occurred at the expense of other public health interventions, particularly preventative and curative health services. Health service needs were not sufficiently addressed despite the early recognition that ill-health related to HIV/AIDS was a major vulnerability factor. This neglect occurred because analytical frameworks were too narrowly focused on food security, and large-scale support to health service delivery was seen as a long-term developmental issue that could not easily be dealt with by short-term humanitarian action. Furthermore, there were insufficient countrywide data on acute malnutrition, mortality rates and performance of the public health system to make better-balanced evidence-based decisions. In this crisis, humanitarian organisations providing health services could not assume their traditional roles of short-term assistance in a limited geographical area until the governing authorities resume their responsibilities. However, relegating health service delivery as a long-term developmental issue is not acceptable. Improved multisectoral analytical frameworks that include a multidisciplinary team are needed to ensure all aspects of public health are dealt with in similar future emergencies. Humanitarian organisations must advocate for improved delivery and access to health services in this region. They can target limited geographical areas with high mortality and acute malnutrition rates to deliver their services. Finally, to address the underlying problem of the health sector gap, a long-term strategy to ensure improved and sustainable health sector performance can only be accomplished with truly adequate resources. This will require renewed efforts on part of governments, donors and the international community. Public health interventions, complementing those addressing food insecurity, were and are still needed to reduce the impact of the crisis, and to allow people to re-establish their livelihoods. These will increase the population's resilience to prevent or mitigate future disasters.     

流域经济增长空间分异研究——基于2001～2009年长江流域数据的面板计量分析

流域经济是以水系为轴线的区域经济,其发展状况对国民经济有重要影响,其研究为区域开发提供新视角。在理论方法上,根据内生经济增长理论,采用柯布 道格拉斯生产函数,构建一个包括技术进步、物质资本和人力资本作为内生要素的流域经济增长框架。在实践论证上,以长江为样本域,运用面板计量分析方法,测度生产要素对流域上中下游经济增长的影响。结果显示：不同生产要素对流域经济不同域段作用强度不同,且呈现出明显的梯度效应,即沿江而下,技术进步和人力资本对经济增长的贡献度逐渐加大,物质资本则恰好相反。在此基础上,提出缩小流域经济的不平衡程度的政策建议,主要包括促使流域上游地区人力资本开发、实施流域大开发战略和推进流域城市化等     

Supporting breastfeeding in emergencies: protecting women's reproductive rights and maternal and infant health

Women have the right to support that enables them to breastfeed. Supporting breastfeeding in emergencies is important because artificial feeding places mothers and children at risk. In emergencies, artificial feeding is dangerous to the infant, difficult and requires substantial resources. In contrast, breastfeeding guards infant health. It is also protective against postpartum haemorrhage, maternal depletion, maternal anaemia and closely spaced births and should therefore concern not only nutritionists, but also those involved in reproductive health. However, it is common for women's ability to breastfeed to be undermined in emergencies by the indiscriminate distribution of breast-milk substitutes and the absence of breastfeeding support. Controlling the distribution of breast-milk substitutes, providing supportive environments, and appropriate medical and practical assistance to breastfeeding women safeguards the health and well-being of mothers and babies. Greater collaboration between the nutrition and reproductive health sectors is required to promote best practice in protecting breastfeeding women and their children in emergencies.     

Establishing moral bearings: ethics and expatriate health care professionals in humanitarian work

Expatriate health care professionals frequently participate in international responses to natural disasters and humanitarian emergencies. This field of practice presents important clinical, logistical and ethical challenges for clinicians. This paper considers the ethics of health care practice in humanitarian contexts. It examines features that contribute to forming the moral landscape of humanitarian work, and discusses normative guidelines and approaches that are relevant for this work. These tools and frameworks provide important ethics resources for humanitarian settings. Finally, it elaborates a set of questions that can aid health care professionals as they analyse ethical issues that they experience in the field. The proposed process can assist clinicians as they seek to establish their moral bearings in situations of ethical complexity and uncertainty. Identifying and developing ethics resources and vocabulary for clinical practice in humanitarian work will help health care professionals provide ethically sound care to patients and communities.     

洪涝灾害评价的威布尔模型

首次将威布尔分布用于淮河流域水灾成灾面积研究,揭示了淮河流域洪涝灾害成灾面积形成的 内在规律,进而利用河南、安徽、江苏和山东4省的各自灾度对淮河流域的灾害风险建立了线性回归模型.实证分析表明,本方法切实可行,特别适用于大样本计算.     

天津市河流生态完整性评价

对河流生态健康状况进行评价,可为河流治理和生态修复提供依据.基于2018年8—9月天津市河流现场调查获取的物理、化学和生物群落指标（浮游动物、浮游植物、底栖动物、鱼类、水生大型植物、陆生植物）数据,构建包含物理完整性、化学完整性和生物完整性在内的河流IEI（index of ecological integrity,生态完整性指数）评价体系,对天津市河流生态健康状况进行评价.根据生物栖息地评分和水质状况确定参照点位,采用标准化方法筛选候选指标,应用层次分析法计算三部分指标权重,最终得出天津市河流生态健康评价结果.结果表明:①IEI评价结果显示,天津市河流生态健康状况等级为“健康”的样点占18.8%,“较好”的样点占28.1%,“一般”的样点占40.6%,“较差”的样点占6.3%,“差”的样点占6.3%,天津市河流生态健康状况整体处于“一般”水平.②相关性分析表明,ρ（NH₄+-N）和ρ（COD_Mn）超标是造成天津市水质达不到功能区标准的主要原因,同时也是影响河流生态健康的主要因素.研究显示,IEI评价法能够较为敏感地响应研究区面临的环境压力,适用于评价研究区河流生态健康.