A Story About People and Porpoises: Consensus-Based Decision Making in the Shadow of Political Action.

Professionally facilitated multi-stakeholder meetings of marine mammal Take Reduction Teams, such as the Harbor Porpoise Take Reduction Team, are mandated by the U.S. Marine Mammal Protection Act of 1972. These meetings employ consensus-based decision-making to create policies to safeguard marine mammals. This opportunistic case study examines the history of the Harbor Porpoise Take Reduction Team multi-stakeholder group, and policy decisions the team made to address harmful interactions between harbor porpoises and the New England and mid-Atlantic groundfish fishery. For more than a decade, stakeholders regularly met to create regulations designed to mitigate the accidental entanglement of harbor porpoises in gillnets, called bycatch. A series of disruptions, including a new political appointee and the addition of new team members, altered how stakeholders interacted with one another and how regulations were implemented. These shocks to the formerly well-functioning team, placed the future of consensus-based policy creation at risk. Lessons from this case study can be applied to increase understanding of how multi-stakeholder methods, which are incorporated into many regulatory decision-making processes operate in practice and illustrate the fragile nature of long-standing consensus.

Global patterns of marine mammal, seabird, and sea turtle bycatch reveal taxa-specific and cumulative megafauna hotspots.

Recent research on ocean health has found large predator abundance to be a key element of ocean condition. Fisheries can impact large predator abundance directly through targeted capture and indirectly through incidental capture of nontarget species or bycatch. However, measures of the global nature of bycatch are lacking for air-breathing megafauna. We fill this knowledge gap and present a synoptic global assessment of the distribution and intensity of bycatch of seabirds, marine mammals, and sea turtles based on empirical data from the three most commonly used types of fishing gears worldwide. We identify taxa-specific hotspots of bycatch intensity and find evidence of cumulative impacts across fishing fleets and gears. This global map of bycatch illustrates where data are particularly scarce--in coastal and small-scale fisheries and ocean regions that support developed industrial fisheries and millions of small-scale fishers--and identifies fishing areas where, given the evidence of cumulative hotspots across gear and taxa, traditional species or gear-specific bycatch management and mitigation efforts may be necessary but not sufficient. Given the global distribution of bycatch and the mitigation success achieved by some fleets, the reduction of air-breathing megafauna bycatch is both an urgent and achievable conservation priority.

Factors influencing variation in prescribing of antidepressants by general practices in Scotland.

BACKGROUND: The prescribing of antidepressants has been rising dramatically in developed countries. AIM: As part of an investigation into the reasons for the rise and variation in the prescribing of antidepressants, this study aimed to describe, and account for, the variation in an age-sex standardised rate of antidepressant prescribing between general practices. DESIGN OF STUDY: Cross-sectional study involving analyses of routinely available data. SETTING: A total of 983 Scottish general practices. METHOD: Age-sex standardised prescribing rates were calculated for each practice. Univariate and multivariate regression analyses were undertaken to examine how the variation in prescribing was related to population, GP, and practice characteristics at individual practice level. RESULTS: There was a 4.6-fold difference between the first and ninth deciles of antidepressant prescribing, standardised for registered patients' age and sex composition. The multivariate model explained 49.4% of the variation. Significantly higher prescribing than expected was associated with more limiting long-term illness (highly correlated with deprivation and the single most influential factor), urban location, and a greater proportion of female GPs in the practices. Significantly lower prescribing than expected was associated with single-handed practices, a higher than average list size, a greater proportion of GP partners born outside the UK, remote rural areas, a higher proportion of patients from minority ethnic groups, a higher mean GP age, and availability of psychology services. None of the quality-of-care indicators investigated was associated with prescribing levels. CONCLUSION: Almost half of the variation in the prescription of antidepressants can be explained using population, GP, and practice characteristics. Initiatives to reduce the prescribing of antidepressants should consider these factors to avoid denying appropriate treatment to patients in some practices.