Recent research suggests that over 75% of resources extracted globally now go toward creating, maintaining, or operating material stocks (MS) to provide societal services like housing, transport,... Show moreRecent research suggests that over 75% of resources extracted globally now go toward creating, maintaining, or operating material stocks (MS) to provide societal services like housing, transport, education, and health. However, the integrity of current and future built environments, and the capacity of the system to continue providing services, are threatened by extreme events and sea-level rise (SLR). This is especially significant for the most disaster-prone countries in the world: Small Island Developing States. In the aftermath of disasters, complex rebuilding efforts require substantial material and economic resources, oftentimes incurring massive debt. Understanding the composition and dynamics of MS and environmental threats is essential for current and future sustainable development. Drawing on open-source OpenStreetMap (OSM) data, we conducted a spatially explicit material stock analysis (MSA) for The Bahamas for 2021, where we included buildings and transport MS, and SLR exposure scenarios. Total MS was estimated at 76 million tonnes (Mt) or 191 tonnes per capita (t/cap) of which transport comprises 43%. These MS are likely to increase by 36 Mt in the future. Simulations show that under 1-, 2-, or 3-m SLR scenarios, around 4, 6, and 9 Mt of current MS will be exposed, with transport MS at greatest risk, with over 80% of total exposure in each scenario. Our findings highlight the critical role that key MS play in sustainability and resilience, contributing to the emphasis on effective development planning and climate change adaptation strategies, and to the exploration of the use of OSM data for studying these objectives. Show less
Martin del Campo, F.; Singh, S.J.; Fishman, T.; Thomas, A.; Noll, D.; Drescher, M. 2023
Resource-use patterns may entail systemic risks and cascade effects, which consequently inhibit the ability to deliver socioeconomic services. Identifying resource-use patterns exhibiting systemic... Show moreResource-use patterns may entail systemic risks and cascade effects, which consequently inhibit the ability to deliver socioeconomic services. Identifying resource-use patterns exhibiting systemic risks and reshaping their combinations is a potential lever in realizing the transition to a sustainable, resilient, and resource-secure system. Using an island context to assess the quantity and composition of resource throughput enables a more comprehensive analysis of these risks. This article presents the first mass-balance account of socio-metabolic flows for The Bahamas in 2018, to identify socio-metabolic risks and cascading effects. Socio-metabolic risks are systemic risks related to critical resource availability, material circulation integrity, and (in)equities in cost and benefit distributions. We utilize the economy-wide material flow accounting framework to map the material flow patterns across the economy. In 2018, annual direct material input was estimated at 9.4 t/cap/yr, of which 60% were imports. High masses of waste (1.4 t/cap/yr) remained unrecovered due to the lack of recycling. Total domestic extraction (DE) were dominated by non-metallic minerals with more than 80%, while marine biomass makes up barely 1% of total DE. Due to its linear, undiversified metabolism, and heavy imports dependency, the system is susceptible to socio-metabolic risks and cascading effects including low levels of self-sufficiency, high vulnerability to shocks, commodity price fluctuations, threats to sensitive ecosystems, health impacts, and economic losses, among others. A holistic resource management strategy and nature-based solutions that consider the trade-offs and synergies between different resource-use patterns are critical when exploring potential plans for metabolic risk reduction. Show less
Respiratory diseases remain a significant cause of global morbidity and mortality and primary care plays a central role in their prevention, diagnosis and management. An e-Delphi process was... Show moreRespiratory diseases remain a significant cause of global morbidity and mortality and primary care plays a central role in their prevention, diagnosis and management. An e-Delphi process was employed to identify and prioritise the current respiratory research needs of primary care health professionals worldwide. One hundred and twelve community-based physicians, nurses and other healthcare professionals from 27 high-, middle- and low-income countries suggested 608 initial research questions, reduced after evidence review by 27 academic experts to 176 questions covering diagnosis, management, monitoring, self-management and prognosis of asthma, COPD and other respiratory conditions (including infections, lung cancer, tobacco control, sleep apnoea). Forty-nine questions reached 80% consensus for importance. Cross-cutting themes identified were: a need for more effective training of primary care clinicians; evidence and guidelines specifically relevant to primary care, adaption for local and low-resource settings; empowerment of patients to improve self-management; and the role of the multidisciplinary healthcare team. Show less
Respiratory diseases remain a significant cause of global morbidity and mortality and primary care plays a central role in their prevention, diagnosis and management. An e-Delphi process was... Show moreRespiratory diseases remain a significant cause of global morbidity and mortality and primary care plays a central role in their prevention, diagnosis and management. An e-Delphi process was employed to identify and prioritise the current respiratory research needs of primary care health professionals worldwide. One hundred and twelve community-based physicians, nurses and other healthcare professionals from 27 high-, middle- and low-income countries suggested 608 initial research questions, reduced after evidence review by 27 academic experts to 176 questions covering diagnosis, management, monitoring, self-management and prognosis of asthma, COPD and other respiratory conditions (including infections, lung cancer, tobacco control, sleep apnoea). Forty-nine questions reached 80% consensus for importance. Cross-cutting themes identified were: a need for more effective training of primary care clinicians; evidence and guidelines specifically relevant to primary care, adaption for local and low-resource settings; empowerment of patients to improve self-management; and the role of the multidisciplinary healthcare team. Show less
