The impact of refugees on the health status and health services of host communities: Compounding bad with worse?

Although there have been a number of recent developments in our understanding of refugee health problems that have influenced policies and action, the effects of refugees on the health status and services of host communities remain relatively neglected. This article sets out to explain why this is an important issue with implications for policy, planning surveillance and evaluation, training and research.
The first sections outline some of the problems facing host governments and communities in Africa and discuss the changing rhetoric between the first and second International Conferences for Assistance to Refugees in Africa. A number of possible ways in which refugees could affect the individual, agent and environmental causes of disease are considered, as are the characteristics of the refugees, the host communities and the response which may all modify this impact.
Policy implications of the impact of the refugees, both negative and positive, are discussed, and detailed consideration is given to the pros and cons of integrated and parallel approaches to health care provision. The need to monitor carefully the health status and services of host communities is emphasized and recommendations are made for this and other essential developments relating to training and research.     

我国能源资源税改革对城乡居民的收入分配效应——基于CGE模型的分析

通过构建包含7个城镇居民组和5个农村居民组的多收入阶层CGE模型,并将劳动力要素分为农业劳动力、技术工人和生产工人3类,在低税率、实际税率和高税率三种情景下模拟了煤炭、石油和天然气资源税改革单独实施和同时实施对城镇和农村居民的收入分配效应,并对税收补偿措施的效果进行分析.结果表明：单独实施煤炭资源税或天然气资源税改革对城镇居民组收入差距有正向的缩小作用,有利于收入分配公平,但对农村居民组收入差距起到负向的扩大作用,不利于收入分配公平;单独实施石油资源税改革则同时缩小了城镇和居民组的收入差距,有利于收入分配公平;同时实施三类能源资源税改革的收入分配效应与税率组合方式有关;将能源资源税收入以补贴的方式返还给农村居民可以缩小其收入差距,有利于收入分配公平.     

未来气候变化对武夷山自然保护区毛竹异戊二烯排放速率的影响

采用全球气候模式Nor ESM1-M产生的RCP2.6、RCP4.5、RCP6.0和RCP8.5气候变化情景数据和植物异戊二烯排放计算模型,模拟分析了未来气候变化对武夷山自然保护区毛竹(Phyllostachys pubescens)异戊二烯排放速率的影响.结果显示,气候变化下武夷山自然保护区气温上升,年降水量和辐射强度波动较大,呈增加或下降趋势.毛竹异戊二烯平均日排放速率在未来气候变化情景下比基准情景下高约30μg·g~(-1)·d~(-1),在RCP8.5情景下比基准情景下高约48μg·g~(-1)·d~(-1);毛竹异戊二烯日排放速率在未来气候变化情景与基准情景下的差异在1~90 d和301~365 d较小,在91~300 d差异较大;相比基准情景,未来气候变化情景下毛竹异戊二烯日排放速率在1~190 d(平均增加15%以上)和271~365 d(平均增加20%)增幅较大,在191~270 d增幅较小,在RCP8.5情景下增幅最大(平均增加17%).另外,毛竹异戊二烯年排放速率在未来气候变化情景下比基准情景下约高10000μg·g~(-1)·a~(-1)以上,在RCP8.5情景下比基准情景下约高13%.研究表明,未来气候变化将使毛竹异戊二烯排放速率增加.     

Effects of Na+ on Cu/SAPO-34 for ammonia selective catalytic reduction

Copper-exchanged chabazite (Cu/CHA) catalysts have been found to be affected by alkali metal and alkaline earth ions. However, the effects of Na⁺ ions on Cu/SAPO-34 for ammonia selective catalytic reduction (NH₃-SCR) are still unclear. In order to investigate the mechanism, five samples with various Na contents were synthesized and characterized. It was observed that the introduced Na⁺ ion-exchanges with H⁺ and Cu^2 + of Cu/SAPO-34. The exchange of H⁺ is easier than that of isolated Cu^2 +. The exchanged Cu^2 + ions aggregate and form “CuAl₂O₄-like” species. The NH₃-SCR activity of Cu/SAPO-34 decreases with increasing Na content, and the loss of isolated Cu^2 + and acid sites is responsible for the activity loss.     

Cumulative effect assessment in Canada: a regional framework for aquatic ecosystems

Sustainable development of the aquatic environment depends upon routine and defensible cumulative effects assessment (CEA). CEA is the process of predicting the consequences of development relative to an assessment of existing environmental quality. Theoretically, it provides an on-going mechanism to evaluate if levels of development exceed the environment's assimilative capacity; i.e., its ability to sustain itself. In practice, the link between CEA and sustainable development has not been realized because CEA concepts and methods have developed along two dichotomous tracks. One track views CEA as an extension of the environmental assessment (EA) process for project developments. Under this track, stressor-based (S-B) methods have been developed where the emphasis is on local, project-related stressors, their link with aquatic indicators, and the potential for environmental effects through stressor-indicator interactions. S-B methods focus on the proposed development and prediction of project-related effects. They lack a mechanism to quantify existing aquatic quality especially at scales broader than an isolated development. This limitation results in the prediction of potential effects relative to a poorly defined baseline state. The other track views CEA as a broader, regional assessment tool where effects-based (E-B) methods specialize in quantification of existing aquatic effects over broad spatial scales. However, the predictive capabilities of E-B methods are limited because they are retrospective, i.e., the stressor causing the effect is identified after the effect has been measured. When used in isolation, S-B and E-B methods do not address CEA in the context necessary for sustainable development. However, if the strengths of these approaches were integrated into a holistic framework for CEA, an operational mechanism would exist to better monitor and assess sustainable development of our aquatic resources. This paper reviews the existing conceptual basis of CEA in Canada including existing methodologies, limitations and strengths. A conceptual framework for integrating project-based and regional-based CEA is presented.     

Can health feasibly be considered as part of the planning process in Scotland?

The planning system is significant because of its capacity to determine the quality of the built environment as well as the health, well-being and quality of life of the individuals and communities therein. Development planning is especially important because of the long-term impact of the decisions. This paper was developed in response to increasing recognition amongst HIA practitioners in Scotland of the importance of planning for health. It focuses on the relationship between the planning system in Scotland, specifically the Development Planning element of it, and population health and considers how the health impact assessment (HIA) approach can facilitate and support joint working with planners. In particular, consideration is given to the potential impact of the introduction of Strategic Environmental Assessment (SEA) on the linkages between health, HIA and planning.     

Equity-focused health impact assessment: A tool to assist policy makers in addressing health inequalities

In Australasia (Australia and New Zealand) the use of health impact assessment (HIA) as a tool for improved policy development is comparatively new. The public health workforce do not routinely assess the potential health and equity impacts of proposed policies or programs. The Australasian Collaboration for Health Equity Impact Assessment was funded to develop a strategic framework for equity-focused HIA (EFHIA) with the intent of strengthening the ways in which equity is addressed in each step of HIA. The collaboration developed a draft framework for EFHIA that mirrored, but modified the commonly accepted steps of HIA; tested the draft framework in six different health service delivery settings; analysed the feedback about application of the draft EFHIA framework and modified it accordingly. The strategic framework shows promise in providing a systematic process for identifying potential differential health impacts and assessing the extent to which these are avoidable and unfair. This paper presents the EFHIA framework and discusses some of the issues that arose in the case study sites undertaking equity-focused HIA.     

The importance of temperature in assessing iron pipe corrosion in water distribution systems

Temperature is expected to play a significant role in the corrosion of iron pipes in drinking water distribution systems. Temperature impacts many parameters that are critical to pipe corrosion including biological activity, physical properties of the solution, thermodynamic and physical properties of corrosion scale, and chemical rates. Moreover, variations in temperature and temperature gradients may give rise to new corrosion phenomena worthy of consideration by water treatment personnel.     

An Evaluation of Selenium Concentrations in Water, Sediment, Invertebrates, and Fish from the Republican River Basin: 1997–1999

The Republican River Basin of Colorado,Nebraska, and Kansas lies in a valley which contains PierreShale as part of its geological substrata. Selenium is anindigenous constituent in the shale and is readily leached intosurrounding groundwater. The Basin is heavily irrigated throughthe pumping of groundwater, some of which is selenium-contaminated, onto fields in agricultural production. Water,sediment, benthic invertebrates, and/or fish were collected from46 sites in the Basin and were analyzed for selenium to determinethe potential for food-chain bioaccumulation, dietary toxicity,and reproductive effects of selenium in biota. Resultingselenium concentrations were compared to published guidelines orbiological effects thresholds. Water from 38% of the sites (n = 18) contained selenium concentrations exceeding 5 g L^-1, which is reported to be a high hazard for selenium accumulation into the planktonic food chain. An additional 12 sites (26% of the sites) contained selenium in water between 3–5 g L^-1, constituting a moderate hazard. Selenium concentrations in sedimentindicated little to no hazard for selenium accumulation fromsediments into the benthic food chain. Ninety-five percent ofbenthic invertebrates collected exhibited selenium concentrationsexceeding 3 g g^-1, a level reported as potentially lethal to fish and birds that consume them. Seventy-five percent of fish collected in 1997, 90% in 1998, and 64% in 1999 exceeded 4 g g^-1selenium, indicating a high potential for toxicity andreproductive effects. However, examination of weight profilesof various species of collected individual fish suggestedsuccessful recruitment in spite of selenium concentrations thatexceeded published biological effects thresholds for health andreproductive success. This finding suggested that universalapplication of published guidelines for selenium may beinappropriate or at least may need refinement for systems similarto the Republican River Basin. Additional research is needed todetermine the true impact of selenium on fish and wildliferesources in the Basin.     

Using environmental stressor information to predict the ecological status of Maryland non-tidal streams as measured by biological indicators

In Maryland, U.S., an interim framework has recentlybeen developed for using biologically based thresholds, or `biocriteria', to assess the health of nontidal streams statewide at watershed scales. The evaluation of impairment is based on indices of biological integrity from the Maryland Biological Stream Survey (MBSS). We applied logistic regression to quantify how the biotic integrity of streams at a local scale is affected by cumulative effects resulting from catchment land uses, point sources, and nearby transmission line rights-of-way. Indicators for land use were developed from the remote sensing National Land Cover Data and applied at different scales. We determined that the risk of local impairment in nontidal streams rapidly increases with increased urban land use in the catchment area. The average likelihood of failing biocriteria doubled with every 10% points increment in urban land, thus an increase in urban land use from 0 to 20% quadruples the risk of impairment. For the basins evaluated in this study, catchments with more than 40–50% urban land use had greater than 80% probability of failing biocriteria, on average. Inclusion of rights-of-way and point sources in the model did not significantly improve the fit for this data set, most likely because of their low numbers. The overall results indicate that our predictive modeling approach can help pinpoint stream ecosystems experiencing or vulnerable to degradation.