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Historically, human uses of land have transformed and fragmented ecosystems1,2, degraded biodiversity3,4, disrupted carbon and nitrogen cycles5,6 and added prodigious quantities of greenhouse gases (GHGs) to the atmosphere7,8. However, in contrast to fossil-fuel carbon dioxide (CO2) emissions, trends and drivers of GHG emissions from land management and land-use change (together referred to as 'land-use emissions') have not been as comprehensively and systematically assessed. Here we present country-, process-, GHG- and product-specific inventories of global land-use emissions from 1961 to 2017, we decompose key demographic, economic and technical drivers of emissions and we assess the uncertainties and the sensitivity of results to different accounting assumptions. Despite steady increases in population (+144 per cent) and agricultural production per capita (+58 per cent), as well as smaller increases in emissions per land area used (+8 per cent), decreases in land required per unit of agricultural production (-70 per cent) kept global annual land-use emissions relatively constant at about 11 gigatonnes CO2-equivalent until 2001. After 2001, driven by rising emissions per land area, emissions increased by 2.4 gigatonnes CO2-equivalent per decade to 14.6 gigatonnes CO2-equivalent in 2017 (about 25 per cent of total anthropogenic GHG emissions). Although emissions intensity decreased in all regions, large differences across regions persist over time. The three highest-emitting regions (Latin America, Southeast Asia and sub-Saharan Africa) dominate global emissions growth from 1961 to 2017, driven by rapid and extensive growth of agricultural production and related land-use change. In addition, disproportionate emissions are related to certain products: beef and a few other red meats supply only 1 per cent of calories worldwide, but account for 25 per cent of all land-use emissions. Even where land-use change emissions are negligible or negative, total per capita CO2-equivalent land-use emissions remain near 0.5 tonnes per capita, suggesting the current frontier of mitigation efforts. Our results are consistent with existing knowledge-for example, on the role of population and economic growth and dietary choice-but provide additional insight into regional and sectoral trends.
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Agricultura/estadística & datos numéricos , Dióxido de Carbono/análisis , Combustibles Fósiles , Actividades Humanas , Internacionalidad , Metano/análisis , Óxido Nitroso/análisis , África del Sur del Sahara , Animales , Asia Sudoriental , Productos Agrícolas/provisión & distribución , Grano Comestible/provisión & distribución , Mapeo Geográfico , Historia del Siglo XX , Historia del Siglo XXI , América Latina , Estiércol , Oryza , Carne Roja/provisión & distribución , Suelo , Desarrollo Sostenible/tendencias , MaderaRESUMEN
Effective policies for adaptation to climate change require understanding how impacts are related to exposures and vulnerability, the dimensions of the climate system that will change most and where human impacts will be most draconian, and the institutions best suited to respond. Here, we propose a simple method for more credibly pairing empirical statistical damage estimates derived from recent weather and outcome observations with projected future climate changes and proposed responses. We first analyze agricultural production and loan repayment data from Brazil to understand vulnerability to historical variation in the more predictable components of temperature and rainfall (trend and seasonality) as well as to shocks (both local and over larger spatial scales). This decomposed weather variation over the past two decades explains over 50% of the yield variation in major Brazilian crops and, critically, can be constructed in the same way for future climate projections. Combining our estimates with bias-corrected downscaled climate simulations for Brazil, we find increased variation in yields and revenues (including more bad years and worse outcomes) and higher agricultural loan default at midcentury. Results in this context point to two particularly acute dimensions of vulnerability: Intensified seasonality and local idiosyncratic shocks both contribute to worsening outcomes, along with a reduced capacity for spatially correlated ("covariate") shocks to ameliorate these effects through prices. These findings suggest that resilience strategies should focus on institutions such as water storage, financial services, and reinsurance.
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The United States government has indicated a desire to advance environmental justice through climate policy. As fossil fuel combustion produces both conventional pollutants and greenhouse gas (GHG) emissions, climate mitigation strategies may provide an opportunity to address historical inequities in air pollution exposure. To test the impact of climate policy implementation choices on air quality equity, we develop a broad range of GHG reduction scenarios that are each consistent with the US Paris Accord target and model the resulting air pollution changes. Using idealized decision criteria, we show that least cost and income-based emission reductions can exacerbate air pollution disparities for communities of color. With a suite of randomized experiments that facilitates exploration of a wider climate policy decision space, we show that disparities largely persist despite declines in average pollution exposure, but that reducing transportation emissions has the most potential to reduce racial inequities.
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Poor air quality is thought to be an important mortality risk factor globally1-3, but there is little direct evidence from the developing world on how mortality risk varies with changing exposure to ambient particulate matter. Current global estimates apply exposure-response relationships that have been derived mostly from wealthy, mid-latitude countries to spatial population data4, and these estimates remain unvalidated across large portions of the globe. Here we combine household survey-based information on the location and timing of nearly 1 million births across sub-Saharan Africa with satellite-based estimates5 of exposure to ambient respirable particulate matter with an aerodynamic diameter less than 2.5 µm (PM2.5) to estimate the impact of air quality on mortality rates among infants in Africa. We find that a 10 µg m-3 increase in PM2.5 concentration is associated with a 9% (95% confidence interval, 4-14%) rise in infant mortality across the dataset. This effect has not declined over the last 15 years and does not diminish with higher levels of household wealth. Our estimates suggest that PM2.5 concentrations above minimum exposure levels were responsible for 22% (95% confidence interval, 9-35%) of infant deaths in our 30 study countries and led to 449,000 (95% confidence interval, 194,000-709,000) additional deaths of infants in 2015, an estimate that is more than three times higher than existing estimates that attribute death of infants to poor air quality for these countries2,6. Upward revision of disease-burden estimates in the studied countries in Africa alone would result in a doubling of current estimates of global deaths of infants that are associated with air pollution, and modest reductions in African PM2.5 exposures are predicted to have health benefits to infants that are larger than most known health interventions.
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Contaminación del Aire/análisis , Contaminación del Aire/estadística & datos numéricos , Mapeo Geográfico , Mortalidad Infantil/tendencias , África/epidemiología , Contaminación del Aire/efectos adversos , Causas de Muerte/tendencias , Femenino , Humanos , Lactante , Masculino , Edad Materna , Material Particulado/efectos adversos , Material Particulado/análisis , Material Particulado/química , Infecciones del Sistema Respiratorio/mortalidad , Infecciones del Sistema Respiratorio/prevención & control , Riesgo , Vacunas Virales/uso terapéuticoRESUMEN
Solar radiation management is increasingly considered to be an option for managing global temperatures1,2, yet the economic effects of ameliorating climatic changes by scattering sunlight back to space remain largely unknown3. Although solar radiation management may increase crop yields by reducing heat stress4, the effects of concomitant changes in available sunlight have never been empirically estimated. Here we use the volcanic eruptions that inspired modern solar radiation management proposals as natural experiments to provide the first estimates, to our knowledge, of how the stratospheric sulfate aerosols created by the eruptions of El Chichón and Mount Pinatubo altered the quantity and quality of global sunlight, and how these changes in sunlight affected global crop yields. We find that the sunlight-mediated effect of stratospheric sulfate aerosols on yields is negative for both C4 (maize) and C3 (soy, rice and wheat) crops. Applying our yield model to a solar radiation management scenario based on stratospheric sulfate aerosols, we find that projected mid-twenty-first century damages due to scattering sunlight caused by solar radiation management are roughly equal in magnitude to benefits from cooling. This suggests that solar radiation management-if deployed using stratospheric sulfate aerosols similar to those emitted by the volcanic eruptions it seeks to mimic-would, on net, attenuate little of the global agricultural damage from climate change. Our approach could be extended to study the effects of solar radiation management on other global systems, such as human health or ecosystem function.
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Biomasa , Producción de Cultivos/estadística & datos numéricos , Productos Agrícolas/efectos de la radiación , Luz Solar , Erupciones Volcánicas/estadística & datos numéricos , Aerosoles/análisis , Atmósfera/química , Productos Agrícolas/crecimiento & desarrollo , Ecosistema , Oryza , Glycine max , Sulfatos/análisis , Triticum , Zea maysRESUMEN
Recent dramatic and deadly increases in global wildfire activity have increased attention on the causes of wildfires, their consequences, and how risk from wildfire might be mitigated. Here we bring together data on the changing risk and societal burden of wildfire in the United States. We estimate that nearly 50 million homes are currently in the wildland-urban interface in the United States, a number increasing by 1 million houses every 3 y. To illustrate how changes in wildfire activity might affect air pollution and related health outcomes, and how these linkages might guide future science and policy, we develop a statistical model that relates satellite-based fire and smoke data to information from pollution monitoring stations. Using the model, we estimate that wildfires have accounted for up to 25% of PM2.5 (particulate matter with diameter <2.5 µm) in recent years across the United States, and up to half in some Western regions, with spatial patterns in ambient smoke exposure that do not follow traditional socioeconomic pollution exposure gradients. We combine the model with stylized scenarios to show that fuel management interventions could have large health benefits and that future health impacts from climate-change-induced wildfire smoke could approach projected overall increases in temperature-related mortality from climate change-but that both estimates remain uncertain. We use model results to highlight important areas for future research and to draw lessons for policy.
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Incendios Forestales/prevención & control , Incendios Forestales/estadística & datos numéricos , Contaminación del Aire/análisis , Cambio Climático , Exposición a Riesgos Ambientales , Contaminación Ambiental , Incendios , Humanos , Modelos Estadísticos , Material Particulado/análisis , Factores de Riesgo , Humo/análisis , Estados UnidosRESUMEN
Smoke from wildfires is a growing health risk across the US. Understanding the spatial and temporal patterns of such exposure and its population health impacts requires separating smoke-driven pollutants from non-smoke pollutants and a long time series to quantify patterns and measure health impacts. We develop a parsimonious and accurate machine learning model of daily wildfire-driven PM2.5 concentrations using a combination of ground, satellite, and reanalysis data sources that are easy to update. We apply our model across the contiguous US from 2006 to 2020, generating daily estimates of smoke PM2.5 over a 10 km-by-10 km grid and use these data to characterize levels and trends in smoke PM2.5. Smoke contributions to daily PM2.5 concentrations have increased by up to 5 µg/m3 in the Western US over the last decade, reversing decades of policy-driven improvements in overall air quality, with concentrations growing fastest for higher income populations and predominantly Hispanic populations. The number of people in locations with at least 1 day of smoke PM2.5 above 100 µg/m3 per year has increased 27-fold over the last decade, including nearly 25 million people in 2020 alone. Our data set can bolster efforts to comprehensively understand the drivers and societal impacts of trends and extremes in wildfire smoke.
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Contaminantes Atmosféricos , Contaminación del Aire , Contaminantes Ambientales , Incendios Forestales , Contaminantes Atmosféricos/análisis , Contaminación del Aire/análisis , Contaminantes Ambientales/análisis , Humanos , Material Particulado/análisis , Humo/análisisRESUMEN
OBJECTIVE: To test the hypothesis that cases of Kawasaki disease within a temporal cluster have a similar pattern of host response that is distinct from cases of Kawasaki disease in different observed clusters and randomly constructed clusters. STUDY DESIGN: We designed a case-control study to analyze 47 clusters derived from 1332 patients with Kawasaki disease over a 17-year period (2002-2019) from a single clinical site and compared the cluster characteristics with those of 2 control groups of synthetic Kawasaki disease clusters. We defined a "true" Kawasaki disease cluster as at least 5 patients within a 7-day moving window. The observed and synthetic Kawasaki disease clusters were compared with respect to demographic and clinical characteristics and median values for standard laboratory data using univariate analysis and a multivariate, rotated empirical orthogonal function analysis. RESULTS: In a univariate analysis, the median values for age, coronary artery z-score, white blood cell count, erythrocyte sedimentation rate, C-reactive protein, and age-adjusted hemoglobin for several of the true Kawasaki disease clusters exceeded the 95th percentile for the 2 synthetic clusters. REOF analyses revealed distinct patterns of demographic and clinical measures within clusters. CONCLUSIONS: Cases of Kawasaki disease within a cluster were more similar with respect to demographic and clinical features and levels of inflammation than would be expected by chance. These observations suggest that different triggers and/or different intensities of exposures result in clusters of cases of Kawasaki disease that share a similar response pattern. Analyzing cases within clusters or cases who share demographic and clinical features may lead to new insights into the etiology of Kawasaki disease.
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Síndrome Mucocutáneo Linfonodular/epidemiología , Distribución por Edad , Alanina Transaminasa/sangre , Sedimentación Sanguínea , Proteína C-Reactiva/análisis , California/epidemiología , Estudios de Casos y Controles , Niño , Preescolar , Punto Alto de Contagio de Enfermedades , Femenino , Humanos , Lactante , Recuento de Leucocitos , Ganglios Linfáticos/patología , Masculino , Método de Montecarlo , Fenotipo , Recuento de PlaquetasRESUMEN
Most studies quantifying the impacts of climatic variability and warming on crop production have focused on yields and have overlooked potential areal and frequency responses, potentially biasing future projections of food security in a warming world. Here we analyze US winter wheat production from 1970 to 2017 and find that harvest area ratio (harvested area/planted area, HAR) has declined while yields have risen, standing in stark contrast to other US staple crops. Although lower profitability due to declining wheat prices appears to explain the HAR trend, fluctuating wheat yields-largely explained by temperature exposure-drive the interannual variation of HAR. Our analysis suggests that warming-induced declines in HAR are comparable in magnitude to heat-related yield losses, and lower wheat prices amplify the sensitivity of HAR to warming and yield variation. Although irrigation mitigates some temperature-driven yield effects, it does little to change HAR, likely due to infrastructure cost and limited influence on relative profitability. Our results suggest that an accurate quantification of climate impacts on crop production must account for harvested area response, and that future adaptation strategies should not only target crop choice and management but also harvest incentives.
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Productos Agrícolas , Triticum , Cambio Climático , Producción de Cultivos , Estaciones del Año , TemperaturaRESUMEN
Using hourly measures across a full year of crowd-sourced data from over 1000 indoor and outdoor pollution monitors in the state of California, we explore the temporal and spatial relationship between outdoor and indoor particulate matter (PM) concentrations for different particle sizes. The scale of this study offers new insight into both average penetration rates and drivers of heterogeneity in the outdoor-indoor relationship. We find that an increase in the daily outdoor PM concentration of 10% leads to an average increase of 4.2-6.1% in indoor concentrations. The penetration of outdoor particles to the indoor environment occurs rapidly and almost entirely within 5 h. We also provide evidence showing that penetration rates are associated with building age and climatic conditions in the vicinity of the monitor. Since people spend a substantial amount of each day indoors, our findings fill a critical knowledge gap and have significant implications for government policies to improve public health through reductions in exposure to ambient air pollution.
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Contaminantes Atmosféricos , Contaminación del Aire Interior , Colaboración de las Masas , Contaminantes Atmosféricos/análisis , Contaminación del Aire Interior/análisis , Monitoreo del Ambiente , Humanos , Tamaño de la Partícula , Material Particulado/análisisRESUMEN
Surface deformation in California's Central Valley (CV) has long been linked to changes in groundwater storage. Recent advances in remote sensing have enabled the mapping of CV deformation and associated changes in groundwater resources at increasingly higher spatiotemporal resolution. Here, we use interferometric synthetic aperture radar (InSAR) from the Sentinel-1 missions, augmented by continuous Global Positioning System (cGPS) positioning, to characterize the surface deformation of the San Joaquin Valley (SJV, southern two-thirds of the CV) for consecutive dry (2016) and wet (2017) water years. We separate trends and seasonal oscillations in deformation time series and interpret them in the context of surface and groundwater hydrology. We find that subsidence rates in 2016 (mean -42.0 mm/yr; peak -345 mm/yr) are twice that in 2017 (mean -20.4 mm/yr; peak -177 mm/yr), consistent with increased groundwater pumping in 2016 to offset the loss of surface-water deliveries. Locations of greatest subsidence migrated outwards from the valley axis in the wetter 2017 water year, possibly reflecting a surplus of surface-water supplies in the lowest portions of the SJV. Patterns in the amplitude of seasonal deformation and the timing of peak seasonal uplift reveal entry points and potential pathways for groundwater recharge into the SJV and subsequent groundwater flow within the aquifer. This study provides novel insight into the SJV aquifer system that can be used to constrain groundwater flow and subsidence models, which has relevance to groundwater management in the context of California's 2014 Sustainable Groundwater Management Act (SGMA).
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OBJECTIVE: To examine the impacts of a Solar Market Garden 1-year solar-powered drip irrigation (SMG) programme in Kalalé district of northern Benin on mothers' nutritional status and micronutrient levels. DESIGN: Using a quasi-experimental design, sixteen villages were assigned to four groups: (i) SMG women's groups (WG); (ii) comparison WG; (iii) SMG non-WG (NWG); and (iv) comparison NWG. Difference-in-differences (DID) estimates were used to assess impacts on mothers' food consumption, diversity, BMI, prevalence of underweight (BMI < 18·5 kg/m2) and anaemia, and deficiencies of iron (ID) and vitamin A (VAD). SETTING: Kalalé district, northern Benin. PARTICIPANTS: Non-pregnant mothers aged 15-49 years (n 1737). RESULTS: The SMG programme significantly increased mothers' intake of vegetables (DID = 25·31 percentage points (pp); P < 0·01), dietary diversity (DID = 0·74; P < 0·01) and marginally increased their intake of flesh foods (DID = 10·14 pp; P < 0·1). Mean BMI was significantly increased among SMG WG compared with the other three groups (DID = 0·44 kg/m2; P < 0·05). The SMG programme also significantly decreased the prevalence of anaemia (DID = 12·86 pp; P < 0·01) but no impacts were found for the prevalence of underweight, ID and VAD. CONCLUSIONS: Improving mothers' dietary intake and anaemia prevalence supports the need to integrate gender-based agriculture to improve nutritional status. However, it may take more than a year, and additional nutrition and health programmes, to impact the prevalence of maternal underweight, ID and VAD.
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Riego Agrícola/métodos , Anemia Ferropénica/epidemiología , Dieta/métodos , Energía Solar , Delgadez/epidemiología , Deficiencia de Vitamina A/epidemiología , Adolescente , Adulto , Benin/epidemiología , Femenino , Jardinería , Humanos , Hierro/sangre , Micronutrientes/sangre , Persona de Mediana Edad , Madres , Estado Nutricional , Encuestas y Cuestionarios , Verduras , Vitamina A/sangre , Adulto JovenRESUMEN
Accurate information on agricultural water needs and withdrawals at appropriate spatial and temporal scales remains a key limitation to joint water and land management decision-making. We use InVEST ecosystem service mapping to estimate water yield and water consumption as functions of land use in Fresno County, a key farming region in California's Central Valley. Our calculations show that in recent years (2010-2015), the total annual water yield for the county has varied dramatically from â¼0.97 to 5.37 km3 (all ±17%; 1 MAF ≈ 1.233 km3), while total annual water consumption has changed over a smaller range, from â¼3.37 to â¼3.98 km3 (±20%). Almost all of the county's water consumption (â¼96% of total use) takes place in Fresno's croplands, with discrepancy between local annual surface water yields and crop needs met by surface water allocations from outside the county and, to a much greater extent, private groundwater irrigation. Our estimates thus bound the amount of groundwater needed to supplement consumption each year (â¼1.76 km3 on average). These results, combined with trends away from field crops and toward orchards and vineyards, suggest that Fresno's land and water management have become increasingly disconnected in recent years, with the harvested area being less available as an adaptive margin to hydrological stress.
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Ecosistema , Agua , Agricultura/tendencias , Conservación de los Recursos Naturales , Productos Agrícolas , Agua Subterránea , Abastecimiento de AguaRESUMEN
OBJECTIVE: To identify the magnitude of anaemia and deficiencies of Fe (ID) and vitamin A (VAD) and their associated factors among rural women and children. DESIGN: Cross-sectional, comprising a household, health and nutrition survey and determination of Hb, biochemical (serum concentrations of ferritin, retinol, C-reactive protein and α1-acid glycoprotein) and anthropometric parameters. Multivariate logistic regression examined associations of various factors with anaemia and micronutrient deficiencies. SETTING: Kalalé district, northern Benin. SUBJECTS: Mother-child pairs (n 767): non-pregnant women of reproductive age (15-49 years) and children 6-59 months old. RESULTS: In women, the overall prevalence of anaemia, ID, Fe-deficiency anaemia (IDA) and VAD was 47·7, 18·3, 11·3 and 17·7 %, respectively. A similar pattern for anaemia (82·4 %), ID (23·6 %) and IDA (21·2 %) was observed among children, while VAD was greater at 33·6 %. Greater risk of anaemia, ID and VAD was found for low maternal education, maternal farming activity, maternal health status, low food diversity, lack of fruits and vegetables consumption, low protein foods consumption, high infection, anthropometric deficits, large family size, poor sanitary conditions and low socio-economic status. Strong differences were also observed by ethnicity, women's group participation and source of information. Finally, age had a significant effect in children, with those aged 6-23 months having the highest risk for anaemia and those aged 12-23 months at risk for ID and IDA. CONCLUSIONS: Anaemia, ID and VAD were high among rural women and their children in northern Benin, although ID accounted for a small proportion of anaemia. Multicentre studies in various parts of the country are needed to substantiate the present results, so that appropriate and beneficial strategies for micronutrient supplementation and interventions to improve food diversity and quality can be planned.
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Anemia Ferropénica/epidemiología , Hierro/sangre , Población Rural , Deficiencia de Vitamina A/epidemiología , Adolescente , Adulto , Anemia Ferropénica/sangre , Antropometría , Benin/epidemiología , Proteína C-Reactiva , Preescolar , Estudios Transversales , Femenino , Ferritinas , Humanos , Lactante , Deficiencias de Hierro , Modelos Logísticos , Masculino , Persona de Mediana Edad , Ensayos Clínicos Controlados no Aleatorios como Asunto , Evaluación Nutricional , Encuestas Nutricionales , Estado Nutricional , Orosomucoide/metabolismo , Prevalencia , Factores Socioeconómicos , Encuestas y Cuestionarios , Vitamina A/sangre , Adulto JovenRESUMEN
Recent research on the agricultural impacts of climate change has primarily focused on the roles of temperature and precipitation. These studies show that India has already been negatively affected by recent climate trends. However, anthropogenic climate changes are a result of both global emissions of long-lived greenhouse gases (LLGHGs) and other short-lived climate pollutants (SLCPs). Two potent SLCPs, tropospheric ozone and black carbon, have direct effects on crop yields beyond their indirect effects through climate; emissions of black carbon and ozone precursors have risen dramatically in India over the past three decades. Here, to our knowledge for the first time, we present results of the combined effects of climate change and the direct effects of SLCPs on wheat and rice yields in India from 1980 to 2010. Our statistical model suggests that, averaged over India, yields in 2010 were up to 36% lower for wheat than they otherwise would have been, absent climate and pollutant emissions trends, with some densely populated states experiencing 50% relative yield losses. [Our point estimates for rice (-20%) are similarly large, but not statistically significant.] Upper-bound estimates suggest that an overwhelming fraction (90%) of these losses is due to the direct effects of SLCPs. Gains from addressing regional air pollution could thus counter expected future yield losses resulting from direct climate change effects of LLGHGs.
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Agricultura/tendencias , Contaminantes Atmosféricos/toxicidad , Contaminación del Aire , Cambio Climático , Productos Agrícolas/efectos de los fármacos , Efecto Invernadero , Oryza/efectos de los fármacos , Triticum/efectos de los fármacos , Agricultura/estadística & datos numéricos , Carbono/toxicidad , Productos Agrícolas/crecimiento & desarrollo , Formaldehído/toxicidad , India , Metano/toxicidad , Modelos Teóricos , Dióxido de Nitrógeno/toxicidad , Oryza/crecimiento & desarrollo , Ozono/toxicidad , Lluvia , Estaciones del Año , Temperatura , Triticum/crecimiento & desarrolloRESUMEN
Distributed irrigation systems are those in which the water access (via pump or human power), distribution (via furrow, watering can, sprinkler, drip lines, etc.), and use all occur at or near the same location. Distributed systems are typically privately owned and managed by individuals or groups, in contrast to centralized irrigation systems, which tend to be publicly operated and involve large water extractions and distribution over significant distances for use by scores of farmers. Here we draw on a growing body of evidence on smallholder farmers, distributed irrigation systems, and land and water resource availability across sub-Saharan Africa (SSA) to show how investments in distributed smallholder irrigation technologies might be used to (i) use the water sources of SSA more productively, (ii) improve nutritional outcomes and rural development throughout SSA, and (iii) narrow the income disparities that permit widespread hunger to persist despite aggregate economic advancement.
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Riego Agrícola/economía , Abastecimiento de Alimentos/economía , Abastecimiento de Agua/economía , África del Sur del Sahara , HumanosRESUMEN
Importance: The etiology of Kawasaki disease (KD) remains elusive, with immunologic and epidemiologic data suggesting different triggers in individuals who are genetically susceptible. KD remains the most common cause of acquired heart disease in pediatric patients, and Japan is the country of highest incidence, with an increasing number of cases. Objective: To investigate whether an analysis of the epidemiologic KD record in Japan stratified by age and prefecture (subregion) may yield new clues regarding mechanisms of exposure to etiologic agents associated with KD. Design, Setting, and Participants: This cross-sectional study was conducted using a dataset of patients with KD with detailed information on location and age at onset created through nationwide surveys of hospitals caring for pediatric patients with KD throughout Japan. Pediatric patients hospitalized in Japan for KD from 1970 to 2020 were included. Data were analyzed from January 2022 to January 2024. Exposure: Pediatric patients with KD. Main Outcomes and Measures: The KD dataset was analyzed by patient age (infants [aged <6 months], toddlers [aged 6 to <24 months], children aged 2 years [aged 24 to <36 months], and children and adolescents aged 3 years or older [aged ≥36 months]), with investigations of seasonal cycles, interannual variations, and correlations across regions. Results: Among 422â¯528 pediatric patients (243â¯803 males [57.7%] and 178â¯732 females [42.3%]; median [IQR] age, 23.69 [11.96-42.65] months), infants, toddlers, and patients aged 3 years or older exhibited different rates of increase in KD incidence, seasonality, and degrees of coherence of seasonality across prefectures. Although the mean (SD) incidence of KD among infants remained relatively stable over the past 30 years compared with older patients (1.00 [0.07] in 1987-1992 to 2.05 [0.11] in 2011-2016), the mean (SD) incidence rate for children and adolescents aged 3 years or older increased 5.2-fold, from 1.00 (0.08) in 1987 to 1992 to 5.17 (0.46) in 2014 to 2019. Patients aged 3 years or older saw a reduction in mean (SD) incidence, from peaks of 5.71 (0.01) in October 2014 through June 2015 and July 2018 through March 2019 to 4.69 (0.11) in 2016 to 2017 (17.8% reduction) not seen in younger children. The seasonal cycle varied by age group; for example, mean (SD) incidence peaked in July and August (5.63 [0.07] cases/100â¯000 individuals) for infants and in December and January (4.67 [0.13] cases/100â¯000 individuals) for toddlers. Mean (SD) incidence changed dramatically for toddlers beginning in the early 2010s; for example, the normalized mean (SD) incidence among toddlers for October was 0.74 (0.03) in 1992 to 1995 and 1.10 (0.01) in 2016 to 2019. Across Japan, the seasonal cycle of KD incidence of older children and adolescents exhibited mean (SD) correlation coefficients between prefectures as high as 0.78 (0.14) for prefecture 14 among patients aged 3 years or older, while that of infants was much less (highest mean [SD] correlation coefficient, 0.43 [0.23]). Conclusions and Relevance: This study found distinct temporal signatures and changing spatial consistency of KD incidence across age groups, suggesting different age-related mechanisms of exposure. Some results suggested that social factors may modulate exposure to etiologic agents of KD; however, the increase in KD incidence in older children coupled with the correlation across prefectures of KD incidence suggest that the intensity of an environmental exposure that triggers KD in this age group may have increased over time.
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Síndrome Mucocutáneo Linfonodular , Adolescente , Femenino , Lactante , Masculino , Humanos , Niño , Adulto Joven , Adulto , Incidencia , Japón/epidemiología , Estudios Transversales , Síndrome Mucocutáneo Linfonodular/epidemiología , MorbilidadRESUMEN
As efforts to mitigate climate change increase, there is a need to identify cost-effective ways to avoid emissions of greenhouse gases (GHGs). Agriculture is rightly recognized as a source of considerable emissions, with concomitant opportunities for mitigation. Although future agricultural productivity is critical, as it will shape emissions from conversion of native landscapes to food and biofuel crops, investment in agricultural research is rarely mentioned as a mitigation strategy. Here we estimate the net effect on GHG emissions of historical agricultural intensification between 1961 and 2005. We find that while emissions from factors such as fertilizer production and application have increased, the net effect of higher yields has avoided emissions of up to 161 gigatons of carbon (GtC) (590 GtCO(2)e) since 1961. We estimate that each dollar invested in agricultural yields has resulted in 68 fewer kgC (249 kgCO(2)e) emissions relative to 1961 technology ($14.74/tC, or approximately $4/tCO(2)e), avoiding 3.6 GtC (13.1 GtCO(2)e) per year. Our analysis indicates that investment in yield improvements compares favorably with other commonly proposed mitigation strategies. Further yield improvements should therefore be prominent among efforts to reduce future GHG emissions.
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Meeting the food needs of Africa's growing population over the next half-century will require technologies that significantly improve rural livelihoods at minimal environmental cost. These technologies will likely be distinct from those of the Green Revolution, which had relatively little impact in sub-Saharan Africa; consequently, few such interventions have been rigorously evaluated. This paper analyzes solar-powered drip irrigation as a strategy for enhancing food security in the rural Sudano-Sahel region of West Africa. Using a matched-pair comparison of villages in northern Benin (two treatment villages, two comparison villages), and household survey and field-level data through the first year of harvest in those villages, we find that solar-powered drip irrigation significantly augments both household income and nutritional intake, particularly during the dry season, and is cost effective compared to alternative technologies.
RESUMEN
Use of improved (biomass) cookstoves (ICs) has been widely proposed as a Black Carbon (BC) mitigation measure with significant climate and health benefits. ICs encompass a range of technologies, including natural draft (ND) stoves, which feature structural modifications to enhance air flow, and forced draft (FD) stoves, which additionally employ an external fan to force air into the combustion chamber. We present here, under Project Surya, the first real-time in situ Black Carbon (BC) concentration measurements from five commercial ICs and a traditional (mud) cookstove for comparison. These experiments reveal four significant findings about the tested stoves. First, FD stoves emerge as the superior IC technology, reducing plume zone BC concentration by a factor of 4 (compared to 1.5 for ND). Indoor cooking-time BC concentrations, which varied from 50 to 1000 µg m(-3) for the traditional mud cookstove, were reduced to 5-100 µg m(-3) by the top-performing FD stove. Second, BC reductions from IC models in the same technology category vary significantly: for example, some ND models occasionally emit more BC than a traditional cookstove. Within the ND class, only microgasification stoves were effective in reducing BC. Third, BC concentration varies significantly for repeated cooking cycles with same stove (standard deviation up to 50% of mean concentration) even in a standardized setup, highlighting inherent uncertainties in cookstove performance. Fourth, use of mixed fuel (reflective of local practices) increases plume zone BC concentration (compared to hardwood) by a factor of 2 to 3 across ICs.