Global health engagement in the Scottish health service: A journey towards global citizenship.

For most of its history, the contribution of the Scottish health service towards health needs outside of Scotland has been informal, ad hoc, and viewed as incidental to its core functions. A more globalised view is emerging, and in recent years, NHS Scotland has begun formalising the principles and mechanisms by which it will contribute towards health and human flourishing around the world. This article provides a brief historical overview of how Scottish medical personnel became involved in the introduction of Western medicine and public health in less developed countries, originally in parallel with colonial expansion and Christian mission outreaches. Following devolution in 1999 of many political powers from the UK Parliament to a newly-formed Scottish Parliament, Scotland's own international development strategy has been evolving. In 2016, the Scottish Government articulated a commitment to 'global citizenship', a pan-governmental, pan-societal engagement towards domestic and international achievement of the UN's Sustainable Development Goals. Following a consideration of the risks and benefits of international volunteering to the Scottish health service, an NHS Scotland Global Citizenship Programme was established, which has catalysed policy development, created networking opportunities, the promulgation of best practice in international health work and the development of novel contracts which facilitate global health work in tandem with a Scottish employment contract. This article also outlines the various benefits of global health engagement for a health service in a high income country such as Scotland.

Shark Interactions With Directed and Incidental Fisheries in the Northeast Pacific Ocean: Historic and Current Encounters, and Challenges for Shark Conservation.

For over 100 years, sharks have been encountered, as either directed catch or incidental catch, in commercial fisheries throughout the Northeast Pacific Ocean. A long-standing directed fishery for North Pacific Spiny Dogfish (Squalus suckleyi) has occurred and dominated shark landings and discards. Other fisheries, mainly for shark livers, have historically targeted species including Bluntnose Sixgill Shark (Hexanchus griseus) and Tope Shark (Galeorhinus galeus). While incidental catches of numerous species have occurred historically, only recently have these encounters been reliably enumerated in commercial and recreational fisheries. In this chapter we present shark catch statistics (directed and incidental) for commercial and recreational fisheries from Canadian waters (off British Columbia), southern US waters (off California, Oregon, and Washington), and northern US waters (off Alaska). In total, 17 species of sharks have collectively been encountered in these waters. Fishery encounters present conservation challenges for shark management, namely, the need for accurate catch statistics, stock delineation, life history parameter estimates, and improved assessments methods for population status and trends. Improvements in management and conservation of shark populations will only come with the further development of sound science-based fishery management practices for both targeted and incidental shark fisheries.