Curvature and turning point of the environmental Kuznets curve in a global economy: the role of governance.

This study explores the role of governance in shaping the environmental Kuznets curve (EKC), especially focusing on its curvature and turning point. The study highlights the role of various governance indicators in the formulation, implementation, and enforcement of environmental regulations. However, the study asserts that since in developing countries poverty, infrastructure, and human development are valued above a clean environment, good governance is less likely to contribute to mitigating pollution in developing countries. Using a panel of 160 countries, the study finds that better governance helps bring down the critical level of per capita income at which the relationship between income and pollution turns negative. Furthermore, the EKC can be shifted downward by improving governance in the respective countries. The study, however, reveals that the dividends of better governance are more pronounced at higher income levels. Since good governance works only when the desired regulations are in place, it is recommended that for poor countries aid packages for governance reforms need to emphasize the enactment of specific environmental regulations. Investment in institutions is expected to yield maximum dividends in such countries that have gained high-income status but are still lacking in institutional development.

A cohort study analyzing the impact of socioeconomic and spatial characteristics alongside treatment regimens on the environmental-health outcomes of the MDR-TB treatment in Pakistan.

This study identifies and analyzes a number of factors that correlate with the environmental-health outcome of multi-drug resistance tuberculosis (MDR-TB) treatment in Pakistan. Survival analysis is carried out by applying the multivariable Cox Proportional Hazard model on secondary data of 369 patients registered at three main MDR-TB sites in Pakistan during 2012-2017. Results show that there is no difference in survival of patients between the two treatment arms, hospital and ambulatory care. Male gender and travel expenditure are found to be negatively associated with the environmental-health outcome, whereas spatial characteristic of time expenditure is positively related to it supporting distance bias approach. Medical expenditure is also positively related to the environmental-health outcome. The study concludes that availability of affordable and accessible health services, better environmental conditions, and ambulatory care based on WHO recommendation as well as health education along with social protection schemes should be ensured by the government to improve environmental-health outcome in the resource-scarce setting in Pakistan.