A scoping review on e-cigarette environmental impacts.

INTRODUCTION: The use of e-cigarettes has grown in popularity worldwide. From their manufacturing, use, and disposal, the environmental impacts of e-cigarettes present a novel public health concern that needs to be urgently investigated. However, very limited studies have focused on the subject matter. The present study aims to review available studies to identify the environmental impacts of e-cigarettes. METHODS: In this scoping review, we undertook a search in two databases (PubMed and Web of Science) from inception until 21 March 2023, and a gray literature search in Google Scholar. Reference lists of publications included in the scoping review were screened manually for additional relevant publications. Scientific publications that were in English and focused on the potential impacts of e-cigarettes on the environment were included. RESULTS: A total of 693 publications were identified, of which 33 were subjected to full-text review and 9 publications were finally included in the review. The impacts on air quality, water, land use, and animals, water and energy consumption, with associated environmental impacts, increased pollution and emissions due to greater e-cigarette production, having harmful and toxic components, creating pollution and waste issues, and global environmental impacts due to manufacturing and importing ingredients and components from low- and middle-income countries, were identified as the environmental impacts of e-cigarettes. CONCLUSIONS: Despite the emphasis on the environmental threat of e-cigarettes, there are limited scientific studies on the environmental impacts of the e-cigarette life cycle. Considering the rapid expansion of e-cigarette usage, there is an urgent need for a rigorous assessment of their life-cycle environmental burden of the various potential health, environmental, and other consequences.

Long life: Aging and the anxieties of longevity from the premodern to the present.

The COVID-19 pandemic has exposed concerns around life span and aging, but these tensions and anxieties around longevity are not new. Physicians, scientists, and philosophers have been meditating on the idea and consequences of life extension for many centuries. In this short article, we put into conversation some of the ways that people have understood longevity from the early modern period to the present. We trace the history of texts like Alvise Cornaro's Treatise on the Sober Life through present-day dieting manuals, consider accounts of extreme old age from Old Man Parr in the sixteenth century to Jeanne Calment in the twentieth, and reflect on the role of caretakers for older adults, from Gabriele Zerbi's fifteenth-century gerontocomos to graphic novel representations of aging parents in the present. Our goal is to represent the history of human longevity and aging as integrated, dynamic processes, helping us better explain and address the present treatment of elders and how to improve their care in the future.

Engaging the health sector in climate-resilient WASH development.

The impact of climate change on water, sanitation, and hygiene (WASH) has driven an increased focus on climate-resilient WASH development. Evidence suggests that adaptation in the WASH sector is underway, but the progress is limited in certain domains and the participation of the public health community may be lacking. Using the Lake Victoria Basin (LVB) as a climate vulnerability setting for this analysis, this study aimed to identify factors that impede full engagement of the health sector in climate-resilient WASH development. In-depth semi-structured interviews were conducted with 13 WASH sector stakeholders across lakeside urban centers in Kenya, Uganda, and Tanzania. Several barriers to health sector engagement were identified including factors related to donor-driven financing and priority setting, a relative neglect of climate vulnerabilities associated with sanitation and hygiene, ministerial siloes, and broader systems of adaptation governance which compromise health sector leadership in climate adaptation. These results suggest room for expansion of interdisciplinary collaborations and deepened involvement of the health sector in WASH-related climate adaptation, which starts with addressing these and other barriers to full health sector engagement.

Climate change and the public health imperative for supporting migration as adaptation.

In an era of accelerating global climate change, human mobility has reached unprecedented levels. While it is acknowledged that many cases of human migration in the context of climate change are forced or involuntary, particularly where adaptation measures have failed to achieve sufficient resiliency of communities against impending slow- and sudden-onset disasters. There are also many cases where migration is, itself, a voluntary adaptive measure to secure otherwise unattainable physical safety and life-sustaining resources. It is in these cases that migration can be viewed as adaptation. Under the right policy conditions, it is possible for such adaptive migration to save countless lives. Moreover, it can achieve remarkable health and well-being gains for otherwise vulnerable communities residing on environmentally degrading lands and disproportionately suffering from the health impacts of climate change. While several activists have spoken loudly on the topic of climate migration, emphasizing the human rights imperative for supportive global policy action, the public health community has not been equally vocal nor unanimous in its stance. This paper, a product of the World Federation of Public Health Associations (WFPHA) Environmental Health Working Group, aims to rectify this gap, by analyzing adaptive climate migration through a public health lens. In doing so, it argues that creating an enabling environment for adaptive climate migration is not just a human rights imperative, but also a public health one. This argument is supported by evidence demonstrating how creating such an enabling environment can synergistically support the fulfillment of key public health services and functions, as outlined under the internationally endorsed Global Charter for the Public's Health of the WFPHA.

Shattering crystal with crystal: Galileo's rhetoric, lenses, and the epistemology of metaphor.

The terms that Galileo's contemporaries used for lenses (cristallo/i, lente/i, and vetro/i) have often been treated, and even translated, interchangeably. In this article, we argue that Galileo used references to crystals as lenses to embed epistemological and cosmological arguments in the material object of the telescope. Across Galileo's correspondence and letters, the term crystal had many uses and meanings. As a substance, crystal was a form of raw material, but crystal was also a substance that was central to scholastic cosmology and an explanatory device on which scholastics relied to explain first the appearance of the new star of 1604 and then Galileo's new telescopic discoveries. When Galileo began using the word crystals as a synonym for lenses, he endowed the material of his instrument with cosmological arguments. Galileo's choice of language was deliberate and polemical, serving as a joke at the expense of scholastics and as a linguistic marker of social proximity to Galileo and his intellectual agenda, especially among the members of the Academy of the Lincei. Rhetorically and linguistically, Galileo chose to refer to his lenses as crystals both because of the material from which they were made and because in so doing he signaled the epistemological work that the lenses would perform. Ultimately, the crystal lenses in Galileo's telescope and writings shattered the crystalline spheres, replacing explanatory metaphors with a polemical emphasis on the material and empirical realities of objects.

Knowing Old Age in the Renaissance: Medicine, Poetry, and Spirituality in Ulisse Aldrovandi's Encyclopedia of Old Age.

Over more than thirty years the Bolognese botanist, natural historian, and physician Ulisse Aldrovandi compiled his Pandechion epistemonicon-a manuscript encyclopedia composed of pasted note slips drawn from books he was reading. This article examines the 580 slips that comprise Aldrovandi's Pandechion entry on old age. The entry allows us to examine how an early modern physician and his intellectual community approached old age as an epistemological problem with medical, poetic, and spiritual dimensions. Aldrovandi's engagement with old age in the Pandechion presents a fluid set of disciplinary boundaries for how we understand old age in the past and present.

Legal implications of the climate-health crisis: A case study analysis of the role of public health in climate litigation.

BACKGROUND: Strong scientific evidence affirms that climate change is now a public health emergency. Increasingly, climate litigation brought against governments and corporations utilizes international human rights, environmental and climate laws and policies to seek accountability for climate-destructive and health-harming actions. The health impacts of climate change make litigation an important means of pursuing justice and strategically challenging legal systems. Yet there is scant documentation in the literature of the role that public health has played in climate litigation and the legal weight public health narratives are given in such contexts. Therefore, we assessed to what extent courts of law have used public health harm in legal adjudication and sought to provide practical recommendations to address barriers to positioning legal arguments in public health-centric frames. METHODS: We reviewed legal databases to identify all publicly reported, documented, cases of climate litigation filed in any country or jurisdiction between 1990 and September 2020. For the 1641 cases identified, we quantified the frequency of cases where health concerns were explicitly or implicitly raised. FINDINGS: Case numbers are trending upwards, notably in high income countries. Resolution remains pending in over half of cases as the majority were initiated in the past three years. Cases were primarily based in climate and human rights law and brought by a wide range of groups and individuals predominantly against governments. About half of the decided cases found in favour for the plaintiffs. Based on this, we selected the 65 cases that were directly linked to public health. We found economic forces and pricing of health risks play a key role, as courts are challenged by litigants to adjudicate on the responsibility for health impacts. CONCLUSIONS: While courts of law are receptive to public health science, significant legal reform is needed to enhance leveraging of public health evidence in legal judgements of climate litigation cases. The integration of a public health mandate into a new eco-centric legal paradigm will optimize its potential to promote human well-being-the core objective underpinning both international law, human rights, and public health. Existing legal doctrines and practices can be enhanced to increase the weight of public health arguments in climate legal action and consequently ensure legal rulings in climate litigation prioritize, protect and promote public health.

Barriers to Climate Disaster risk Management for Public Health: Lessons from a Pilot Survey of National Public Health Representatives.

OBJECTIVES: This study sought to examine current national disaster risk management capacities, and identify governance barriers to strengthening national preparedness for responding to public health emergencies, associated with the anticipated climate-driven intensification of natural disaster cycles. METHODS: A mixed-methods online survey, assessing broader governance constraints to climate change adaptation (CCA) for public health, was distributed to representatives of national public health associations, and societies of 82 member countries under the World Federation of Public Health Associations. Specific questions relevant to disaster risk management capacities and barriers were analyzed as part of a narrowed focus on the CCA subdomain of emergency preparedness. RESULTS: Existence of some technology, infrastructure, and/ or human resources, necessary to develop early warning and other surveillance systems for climate-related health risks was reported by 9 out of 11 responding countries. However, 7 reported persistent limitations and/ or regional discrepancies. Most significant identified barriers to strengthening emergency preparedness at the national level included governance coordination challenges, and, in the case of many developing countries, technical, medical, and human resource shortages. CONCLUSIONS: The development of new frameworks for intersectoral governance and large-scale resource mobilization will prove crucial to ongoing efforts to strengthen national climate-health resiliency and prepare for disaster-associated health threats.

Effect of Anemia on Work Productivity in Both Labor- and Nonlabor-Intensive Occupations: A Systematic Narrative Synthesis.

BACKGROUND: Anemia is highly prevalent particularly in low- and middle-income countries. Iron deficiency contributes to an estimated 50% of anemia cases. Iron interventions have become central to global anemia treatment and prevention; however, few iron interventions have been scaled up to the national level, despite their proven effectiveness. While both cross-sectional and interventional studies on the effect of anemia and iron supplementation on worker productivity have been conducted, there have been few systematic reviews conducted. As such, a synthesis of previously conducted primary research is warranted and may provide a more comprehensive overview of the strength of currently available evidence, potentially helping to inform national policy on matters relating to funding and legislation for population-level iron interventions. OBJECTIVES: The objective of this study was to synthesize available evidence on the effect of both anemia and therapeutic iron interventions on productivity in working adults. METHODS: All relevant English language studies were systematically obtained from both MEDLINE and EMBASE and assessed for evidence of differing productivity levels across groups stratified by iron intervention or anemia status. Potential mediating variables were reported, and the results were narratively summarized. RESULTS: The available data from 12 included studies provide strong evidence that anemia negatively impacts occupational performance and that therapeutic iron interventions can yield substantial productivity gains. CONCLUSIONS: Despite their limitations, these findings make an important contribution to the literature highlighting the impact of iron deficiency and population-wide iron interventions on work productivity and occupational performance.

The breakdown of Galileo's Roman network: Crisis and community, ca. 1633.

Rome has long been central to the story of Galileo's life and scientific work. Through an analysis of the metadata of Galileo's surviving letters, combined with a close reading of the letters themselves, we discuss how Galileo used correspondence to build a Roman network. Galileo initially assembled this network around the members of the Lincean Academy, a few carefully nurtured relationships with important ecclesiastics, and the expertise of well positioned Tuscan diplomats in the Eternal City. However, an analysis of Galileo's correspondence in the aftermath of the trial of 1633 provides us with a unique opportunity to interrogate how his altered circumstances transformed his social relations. Forced to confront the limitations on his activities imposed by Catholic censure and house arrest, Galileo experienced the effects of these restrictions in his relationships with others and especially in his plans for publication. In the years following 1633, Galileo turned his epistolary attention north to the Veneto and to Paris in order to publish his Two New Sciences. While Galileo's Lincean network and papal contacts in Rome were defunct after 1633, we see how Rome remained important to him as the site of a number of Roman disciples who would continue his intellectual project long after his own death.

Quality Nutrition Care: Measuring Hospital Staff's Knowledge, Attitudes, and Practices.

Understanding the knowledge, attitudes, and practices (KAP) of hospital staff is needed to improve care activities that support the detection/prevention/treatment of malnutrition, yet quality measures are lacking. The purpose was to develop (study 1) and assess the administration and discriminative potential (study 2) of using such a KAP measure in acute care. In study 1, a 27-question KAP questionnaire was developed, face validated (n = 5), and tested for reliability (n = 35). Kappa and Intraclass Correlation (ICC) were determined. In study 2, the questionnaire was sent to staff at five diverse hospitals (n = 189). Administration challenges were noted and analyses completed to determine differences across sites, professions, and years of practice. Study 1 results demonstrate that the knowledge/attitude (KA) and the practice (P) subscales are reliable (KA: ICC = 0.69 95% CI 0.45-0.84, F = 5.54, p < 0.0001; P: ICC = 0.84 95% CI 0.68-0.92, F = 11.12, p < 0.0001). Completion rate of individual questions in study 2 was high and suggestions to improve administration were identified. The KAP mean score was 93.6/128 (range 51-124) with higher scores indicating more knowledge, better attitudes and positive practices. Profession and years of practice were associated with KAP scores. The KAP questionnaire is a valid and reliable measure that can be used in needs assessments to inform improvements to nutrition care in hospital.