Challenges doi: 10.3390/challe15010016
Authors: Cedric Kiplimo Ciira wa Maina Billy Okal
Forests are a vital source of food, fuel, and medicine and play a crucial role in climate change mitigation. Strategic and policy decisions on forest management and conservation require accurate and up-to-date information on available forest resources. Forest inventory data such as tree parameters, heights, and crown diameters must be collected and analysed to monitor forests effectively. Traditional manual techniques are slow and labour-intensive, requiring additional personnel, while existing non-contact methods are costly, computationally intensive, or less accurate. Kenya plans to increase its forest cover to 30% by 2032 and establish a national forest monitoring system. Building capacity in forest monitoring through innovative field data collection technologies is encouraged to match the pace of increase in forest cover. This study explored the applicability of low-cost, non-contact tree inventory based on stereoscopic photogrammetry in a recently reforested stand in Kieni Forest, Kenya. A custom-built stereo camera was used to capture images of 251 trees in the study area from which the tree heights and crown diameters were successfully extracted quickly and with high accuracy. The results imply that stereoscopic photogrammetry is an accurate and reliable method that can support the national forest monitoring system and REDD+ implementation.
]]>Challenges doi: 10.3390/challe15010015
Authors: Emma Apatu Poornima Goudar
This scoping review examines individual and societal use cases of Bitcoin in the peer-reviewed literature. Arksey and O’Malley’s scoping review methodology was used, and a comprehensive search strategy was employed using Web of Science and Engineering village databases. Articles were screened at the title and abstract and full-text levels by the authors. One author conducted data extraction to summarize the data. In total, 17 relevant articles were included in this review. Investment and savings were the most widely reported use cases at an individual level, with payments and international transfers less frequently reported in the studies. Only two studies reported on societal use cases of legal tender; however, only one country, El Salvador, executed its intention. Our study suggests that Bitcoin is being used by individuals around the world with little report of societal (e.g., country adoption) uses cases. For example, there is evidence on the internet and on a grass-roots level that Bitcoin is being used in circular economies; however, the peer-reviewed literature may not yet capture the extent and full benefits and challenges. As such, we provide ideas for future research to more comprehensively explore Bitcoin uses and its impacts on individuals and society.
]]>Challenges doi: 10.3390/challe15010014
Authors: Amirhossein Nazhand Alessandra Durazzo Massimo Lucarini Fabrizia Guerra Angélica Gomes Coêlho Eliana B. Souto Daniel Dias Rufino Arcanjo Antonello Santini
Since ancient times, medicinal plants have been a universal source of biologically active substances with high potential for the treatment of various diseases and disorders. For centuries, traditional communities have often relied on medicinal plants to treat health problems. Therefore, accurate information is required and knowledge about traditional medicinal plants requires evaluation, and great attention should be given to the possible integration of these plants as therapeutic agents or as complements to conventional pharmacological therapies in the healthcare system. Recently, Griffonia simplicifolia (DC.) Baill., initially used as a holistic remedy, has attracted attention from many researchers and consumers because of its multiple health-promoting effects. This growing interest prompted us to give an updated review of the botanical, geographical, historical, and therapeutic potentials of Griffonia simplicifolia (DC.) Baill. in terms of its in vitro and in vivo health effects, nutritional uses, and possible applications in line with biodiversity and sustainability concepts. This paper also presents a quantitative research analysis of the published studies related to this plant that are available in the literature. To retrieve the publications related to this plant, a bibliographic search was carried out using the Scopus database. The bibliometric data were extracted and processed using VOSviewer software (v.1.6.16, 2020). Technological possible applications in terms of patents request presented was also performed. A total of 1386 publications, from the year 1970 to the year 2021, were obtained by the literature search, and these had been collectively cited 38,805 times. The large amount of literature data available documents the interest in this plant’s use as a tool for integrating traditional holistic healing approach, e.g., using plants, herbs, and holistic remedies, into the healthcare system as supporting tools and/or therapeutic agents, which is a current worldwide challenge.
]]>Challenges doi: 10.3390/challe15010013
Authors: Jo Rose Claudia Milena Adler
In 2016, a localisation agenda was set across the international aid industry with the understanding that humanitarian interventions need to be led by local actors and local communities. Despite international agreements, the localisation efforts are largely failing. This paper demonstrates the challenges that prevent effective collaboration between international humanitarian agencies and crisis-affected communities. It draws on evaluation reports to highlight an inability to learn lessons or follow recommendations from previous crises. Based on the authors’ experiences, we present a novel framework for effectively collaborating with crisis-affected communities. The Communities Framework provides a pathway to establishing effective community collaboration and locally owned and led humanitarian interventions. The importance of local leadership, trust building, and local context are at the heart of the framework. In light of the need for a more localised and decolonial humanitarian response, this framework supports humanitarian actors and the affected communities in moving from a charity-led approach to one of mutual aid. The paper draws on alternative notions of compassion from the Global South of contemporary humanitarian interventions as a philosophical foundation for the framework. Caring for others and the world is central to implementing an appropriate and effective humanitarian response. There remains a largely unexplored scope regarding the outcome of resolving crises when both humanitarian actors and affected communities work as equal partners and how that will shape modern humanitarianism as we understand it today.
]]>Challenges doi: 10.3390/challe15010012
Authors: Ranaivo A. Rasolofoson
Forests are increasingly recognized for their beneficial roles in human health. However, there is a debate on how forest health benefits can be accessed equitably, particularly by vulnerable forest-dependent rural communities in low- and middle-income countries (LMICs). Access to forest health benefits is determined by a range of interconnected means, including property rights, as well as natural, physical, human, social, and financial capital. This paper presents a literature review of the roles of means of access in shaping human health effects of forests. Evidence suggests that variations in these means of access are associated with varying ability to access forest health benefits. However, existing evidence is thin, mixed, and weak. A conceptual model is then developed to provide a framework for understanding how means of access moderate the effects of forests on health in rural LMICs to guide the generation of strong evidence. The multiple interconnected factors moderating the health effects of forests at the core of the conceptual framework promote the multisectoral and transdisciplinary approaches needed to enhance equitable access to forest health benefits.
]]>Challenges doi: 10.3390/challe15010011
Authors: Jo Rose Eslam Elbaaly
This article explores localisation in humanitarian settings as an example of sustainability and inner development. Through a case study from Syria, we discuss how localisation and remote management can lead to the mutual flourishing of individuals, communities and planetary health in the most challenging settings. Through localisation, we can rethink and reframe humanitarianism and integrate sustainability and personal development. Learning from these collaborations that highlight the importance of trust and interpersonal relations, the humanitarian and global health communities can reflect on how local individuals and communities can be further supported in their personal development and the sustainability of interventions that promote planetary health.
]]>Challenges doi: 10.3390/challe15010010
Authors: Kira Jade Cooper Don G. McIntyre Dan McCarthy
The impetus for this paper emerges from the growing interest in leveraging inner transformations to support a global shift in ways of seeing and being. We caution that without sufficient individual and systemic maturity, inner transformations will be unable to hold the whole story and that attempts to drive paradigmatic shifts in ill-prepared systems will lead to insidious harms. As such, interventions for inner change will not have sufficient protected niche space to move beyond the boundaries of best practices towards wise practices. Drawing on Indigenous trans-systemics, we offer the metaphor of pearls as an invitation to recontextualize how inner transformations are conceived and approached in the metacrisis. To further develop this notion, we share a story of Wendigo and Moloch as a precautionary tale for the blind pursuit of inner and outer development. Weaving together metaphor, story, and scientific inquiry, we bring together Anishinaabe and Western knowledge systems for the purposes of healing and transformation. We hope that this paper will create space for wise practices—gifts from Creator to help sustain both Self and the World—to emerge, establish, and flourish. We invite readers on an exploration into the whole system of systems that are endemic to Anishinaabe cosmology, and a journey of reimagining new stories for collective flourishing amidst the metacrisis.
]]>Challenges doi: 10.3390/challe15010009
Authors: Rupert L. Matthews
Bitcoin is a complex phenomenon, whether in terms of the macro factors affecting its price or its role in the global energy infrastructure. However, extant literature pays too little attention to exploring the internal mechanisms of the protocol to be able to link them to how they affect the visible characteristics of Bitcoin. This paper uses secondary data from highly reputable Bitcoin-focused sources to systematically map the processes that enable Bitcoin to function as a peer-to-peer cash system. Novelty is achieved by applying the established and versatile “4I” organisational learning framework to provide a new lens through which to understand how the processes within Bitcoin enable and facilitate different types of changes to the protocol. Further insights are provided to organisational learning from Bitcoin, in relation to managing mission-critical changes to organisational systems. In addition, it presents an option for dealing with irreconcilable internal differences to “hard-fork” part of the organisation. While the scope of this paper is limited to secondary data, opportunities for further research, including primary data collection, are outlined to explore how Bitcoin knowledge disseminates within communities or companies.
]]>Challenges doi: 10.3390/challe15010008
Authors: Claudia Milena Adler
The physical conquest of European powers on the rest of the world for the imposition of an accumulation of wealth monopoly and the destruction of native societies remains the foundation of the current global economy. Despite concepts of human flourishing, a term connected to empowerment that acts as an architectural structure within the development and sustainability discourse, the destruction of our planet and collective human wellbeing is not at the forefront of international political agendas. Scholars argue that the development agenda is maldevelopment due to the unrequested interventions delivered to communities, mainly in the Global South. Thus, despite the Sustainable Development Goals (SDGs), the implementation of inner dimensions that facilitate empowerment and are an integral part of development is missing from these sophisticated global frameworks. This research article repositions empowerment and compassion at the centre of the sustainable development discourse by drawing on the Inner Development Framework, particularly goal one—Being—‘Relationship to Self’ and goal three—Relating—‘Caring for others and the World’ and the Capabilities Theory as a guiding theoretical underpinning. On this basis, this article presents a qualitative interpretative study that examines the lived experience of women and their journeys to empowerment. The key findings indicate an intricate relationship between wellbeing and empowerment and the realisation of inner development as a tool to re-imagine alternative futures. In addition, industries are profiteering from a sustainability and development agenda that is failing to address the disablement of communities by a paternalistic approach to empowerment.
]]>Challenges doi: 10.3390/challe15010007
Authors: Rupert L. Matthews
Much of the attention on bitcoin relates to its ability to store value over time or whether you will one day by able to buy a cup of coffee with it. Much less attention is given to bitcoin’s potential role as a unit of account. This opinion piece proposes that bitcoin has potential to provide a consistent unit of account for organisations to adopt, but also to assist them in making and measuring meaningful business developments. The paper draws from the business improvement philosophy of Theory of Constraints to propose that unit of account, particularly within high inflation environments, is critical to consider. An illustrative case of a well-known publicly traded company, Microstrategy, provides an example and logic for a company choosing to integrate bitcoin into a business. The paper also gives attention to how the adoption of bitcoin can promote the development of renewable energy infrastructure and provide staff with opportunities for personal development to support their well-being. Opportunities for further research are identified to explore the integration of bitcoin within a business as well as with Theory of Constraints.
]]>Challenges doi: 10.3390/challe15010006
Authors: Modan Goldman Aditya Vaidyam Sindhu Parupalli Holly Rosencranz Davendra Ramkumar Japhia Ramkumar
This is a report on an inaugural medical student elective, Microbiomes Matter: The Path to Regenerative Systems of Farm, Food, and Health, from the perspective of the student participants. Recognizing food as medicine is gaining support across many settings. However, little is known about how medical schools engage in this holistic approach. Integrating food systems and the connections to soil and human health through microbiomes into medical education represents a transformative shift towards more holistic healthcare practices. We describe the course content and impact of a medical school elective in food systems. This elective employed a systems lens and planetary health perspective to explore the impact of climatic factors and environmental degradation on farms, nutrition, and non-communicable lifestyle diseases. Through the two-week course, medical students gained insights into sustainable food systems, supply chains, and the importance of regenerative agriculture. The course also provided a comprehensive overview of the gut microbiome, nutrition, technologies, and the economics of food systems, including their impact on lifestyle diseases. By fostering a systems-oriented mindset, this elective better equips medical students to address the complex challenges of human and planetary health and promote regenerative, sustainable, culturally sensitive, and robust systems of farm, food, and health.
]]>Challenges doi: 10.3390/challe15010005
Authors: Daniel Keaney Brigid Lucey Karen Finn
Mars is a focus of New Space Age exploration and colonisation, but there are significant challenges to successful colonisation by humankind. Environmental microbes play a key role in supporting the ecosystems of Earth, especially within the biodegradation and bioremediation sectors. However, the repurposed roles of microbes on Mars and their associated uses to colonists remain incompletely defined. The aim of this review was to examine the key roles of microbes on Earth and how they have been employed by humans to tackle four pivotal environmental challenges associated with the colonisation of Mars, namely the physical environment, the creation of a hospitable environment via terraforming, environmental sustainability and life support, and finally, renewable processing technologies. Some species of microbes were found to be tolerant of the ever-changing physical environment on Mars (freeze–thaw and UVC exposure) making them useful for bioremediation applications. Employing perchlorate-remediating microbes for their ability to bioremediate the soils of sodium perchlorate, which is present in Martian soils, in addition to their innate ability to cycle nutrients through the biosphere showed promise in establishing sustained crops to support colonists. The employment of terrestrial environmental microbes is a necessary part of overcoming key environmental challenges to successfully colonise Mars. Without this, future New Space exploration is unlikely to be successful.
]]>Challenges doi: 10.3390/challe15010004
Authors: Daniel Keaney Venkata V. B. Yallapragada Liam O’Faolain Ganga Chinna Rao Devarapu Karen Finn Brigid Lucey
Sodium perchlorate is a toxic salt-based compound found both terrestrially, (due to pollution) and extraterrestrially on the surface of Mars. Perchlorate pollution poses a risk to agricultural-based activities as once it enters soils/waterways it can be passed through the food chain via bioaccumulation. The purpose of the current study was to observe the perchlorate reduction potential of putative candidate bioremediation strains; Escherichia coli 25922 and E. coli 9079, Paraburkholderia fungorum, Deinococcus radiodurans and Dechloromonas aromatica both independently and in co-cultures, when exposed to 3000 mg/L (0.3%) sodium perchlorate. This was carried out in both a minimal medium environment and within an environment void of nutrients, using Raman spectroscopy to assess their potential for the bioremediation of Martian soils. The perchlorate reducing potential of all strains was 16% higher in reverse osmosis deionised water than in minimal medium, the former having a total absence of Nitrate. It was found that E. coli 25922 is a perchlorate reducer, which has not been previously described. Additionally, co-culturing of bacterial strains was found to have a higher bioremediation potential than individual strains. These findings suggest that not only could perchlorate pollution be remediated, but that the perchlorate composition of the Martian surface may support bioremediation microbial life, aiding in future colonisation.
]]>Challenges doi: 10.3390/challe15010003
Authors: Rita Issa Chloe Wood Srivatsan Rajagopalan Roman Chestnov Heather Chesters Geordan Shannon
Planetary health is an emergent transdisciplinary field, focused on understanding and addressing the interactions of climate change and human health, which offers interventional challenges given its complexity. While various articles have assessed the use of blockchain (web3) technologies in health, little consideration has been given to the potential use of web3 for addressing planetary health. A scoping review to explore the intersection of web3 and planetary health was conducted. Seven databases (Ovid Medline, Global Health, Web of Science, Scopus, Geobase, ACM Digital Library, and IEEE Xplore) were searched for peer-reviewed literature using key terms relating to planetary health and blockchain. Findings were reported narratively. A total of 3245 articles were identified and screened, with 23 articles included in the final review. The health focus of the articles included pandemics and disease outbreaks, the health of vulnerable groups, population health, health financing, research and medicines use, environmental health, and the negative impacts of blockchain mining on human health. All articles included the use of blockchain technology, with others additionally incorporating smart contracts, the Internet of Things, artificial intelligence and machine learning. The application of web3 to planetary health can be broadly categorised across data, financing, identity, medicines and devices, and research. Shared values that emerged include equity, decentralisation, transparency and trust, and managing complexity. Web3 has the potential to facilitate approaches towards planetary health, with the use of tools and applications that are underpinned by shared values. Further research, particularly primary research into blockchain for public goods and planetary health, will allow this hypothesis to be better tested.
]]>Challenges doi: 10.3390/challe15010002
Authors: Ofhani Prudance Musekwa Lufuno Makhado
The attitudes and behaviors towards people living with neurological conditions, such as epilepsy, have major implications for the quality of life of affected individuals and for human progress more broadly. Epilepsy is a common neurological disorder often associated with misconceptions leading to discrimination, stigma, and burden for people living with epilepsy (PLWE) and their families. Addressing these negative factors and improving the quality of life has become a crucial area of research. This conceptual framework paper explores the potential of attitude and behavior change to enhance the quality of life for PLWE and their families. The study was conducted in rural Limpopo and Mpumalanga provinces (South Africa), employing an explanatory sequential mixed method approach. Participants included were PLWE (n = 163), their family members and caregivers (n = 519), healthcare practitioners (n = 102), and community members (n = 4290). The findings revealed significant knowledge, awareness, and behavior disparities among participants, with PLWE showing better consistency. Furthermore, the study highlighted the impact of consistency and balance in knowledge, awareness, and behavior on the overall quality of life for PLWE and their families. It is important to have intentional epilepsy education and accurate information sharing to influence attitudes, positive behavior, and improved quality of life for PLWE and their families. While the primary emphasis of this study lies in epilepsy, its implications may extend to other stigmatized and discrimination-prone illnesses, especially those affecting the brain. This highlights the significance of addressing societal attitudes toward such conditions as a measure of social progress.
]]>Challenges doi: 10.3390/challe15010001
Authors: Ana Rita Farias Hakan Lane Jayanna Killingsworth Julia M. Warden Sara Wais
This research paper delves into the complex relationship between pro-environmental attitudes, dietary preferences, and packaging choices using a Virtual Reality (VR) restaurant scenario. The imperative is to address environmental concerns, particularly plastic waste and greenhouse gas emissions, as they pertain to sectors of the food service sector. This study seeks to understand the factors influencing environmental attitudes and behaviors, with a focus on dietary preferences and packaging choices using a VR restaurant scenario. This study explores connections between gender, education, interventions, and pro-environmental attitudes, as well as the correlation between vegetarian diets and sustainable behaviors. While the results suggest significant correlations between gender and pro-environmental attitudes and a potential connection between adopting vegetarian diets and pro-environmental attitudes, our study emphasizes the nuanced nature of these relationships. The findings underline the importance of interdisciplinary research and strategic interventions for fostering sustainable behaviors and reducing environmental impact. The use of VR simulation adds a novel dimension to understanding individuals’ choices in controlled environments, shedding light on the intricate dynamics of pro-environmental decision making. This paper contributes to the ongoing discourse on sustainable behavior by offering insights into the interplay between personal preferences, environmental awareness, and choices with significant environmental implications.
]]>Challenges doi: 10.3390/challe14040054
Authors: Sheena A. Stewart Katherine D. Arbuthnott David J. Sauchyn
Climate change (CC) poses a threat to agricultural sustainability, which is important in the Canadian Prairies, as agriculture is a major occupation and driver of the economy. Agriculture involves both the creation and mitigation of emissions related to CC. To implement adaptation and mitigation practices, producers should accept CC as fact. This study is based in Saskatchewan, Canada, where CC denial is prevalent in public comments. To assess the validity of this anecdotal impression, this study provided a snapshot of Saskatchewan agricultural producers’ perceptions and observations of CC and assessed whether views on CC are associated with characteristics of political orientation and affiliation, mental flexibility, systems thinking, time orientation, climate knowledge, climate observations, and demographic variables. A survey was developed with the following four sections: (1) individual characteristics; (2) observed changes in climate-related variables; (3) knowledge and perceptions about CC; and (4) demographic variables. The survey included multiple-choice questions and items scored on a Likert scale. The survey was completed by 330 Saskatchewan agricultural producers (i.e., farmers and ranchers). The results indicated more CC denial in Saskatchewan producers than in other Canadian samples. Individual and socioeconomic characteristics of lower levels of formal education, identifying as male, conservative political affiliation and ideation, low trust in science, and low mental flexibility were associated with less acceptance and concern of CC. It is therefore necessary to consider socioeconomic and individual characteristics of producers in measures aiming to increase the acceptance of the reality of CC. Future intervention research should target male producers with lower levels of formal education, low trust in science, low mental flexibility, and right-leaning political ideation for the improvement of CC perceptions and examine different teaching methods (e.g., lectures, workshops, webinars) and dissemination methods (e.g., online versus in-person sessions) to see how various techniques may influence learning, as well as the way the information is used by particular groups.
]]>Challenges doi: 10.3390/challe14040053
Authors: Vanessa de Araujo Goes Bwalya Lungu Menzi Maseko
The complexity of contemporary global challenges concerning biosocial–political wellbeing comprises humanity’s actions on many scales. Planetary Health and One Health are examples of broad fields emerging in the last decade to address these complexities. Scientific research has been focusing mainly on the biological aspect of the problem, and the role of indigenous knowledge systems (IKS) as drivers of change in Planetary Health is poorly explored. Transdisciplinary approaches are needed, and, thus, it is essential to highlight the social–political side of this reality by integrating social sciences and humanities in these research communities. The Africa Community of Planetary Partners for Health and Environment (ACOPPHE), through its Art and Indigenous action team, seeks to explore this integration by interrogating and engaging in research using self-study methodologies and arts-based research methods. In traditional scientific research, it is common practice that the researcher is positioned outside of their research. The results are expected to offer complex scientific answers that are often not useful for communities in need of solutions. Frequently, the arts have not received sufficient exploration as a means for research. Another aspect of this problem is that the indigenous peoples of many places in the world have often had their knowledge of human and planet health marginalized because it was practice-based and passed down through the embodiment of knowledge and not through modern-day written knowledge. Autoethnographic and arts-based methodologies have great potential here in bridging the communication between the scientific world and the lived experience of the communities through their cultural and traditional practices. They make room for intersectionality, as well as making the knowledge from research findings valuable and explicit to the layman. Self-study methodologies offer the space for sharing lived experiences, critical dialogue, and possible solutions for the biosocial and political issues that our world faces today.
]]>Challenges doi: 10.3390/challe14040052
Authors: Sabrina Simon Marcos Amaku Eduardo Massad
Given the ongoing migratory crisis in Latin America, we aimed to assess the relationship between human mobility and the spread of yellow fever (YF) in the Darién Gap forest. We investigated how the time taken to cross the forest affects the burden of a potential YF outbreak on people migrating through the forest, the burden on adjacent communities, and the risk to primate biodiversity. Using an SEIR-SEI deterministic compartmental model for humans, monkeys, and vectors, and numerical simulations, we considered the time taken to cross the forest as a measure of exposure. If an outbreak occurs, over 23,000 human cases are projected, with approximately 19,000 infected individuals leaving the forest. Monkeys would also be significantly affected, with the number of human deaths being determined by monkey-related parameters. The pace of crossing the forest is strongly related to the number of exposed and active cases leaving the forest. Panamanian communities must receive support to prepare themselves to protect residents and thousands of people arriving in their territory daily. It would also impact the non-human primate community within the forest, preventing a YF outbreak. This reinforces the importance of a planetary health perspective which reinforces the mutual benefits and connections between efforts to protect human health and conserve biodiversity.
]]>Challenges doi: 10.3390/challe14040051
Authors: Jason A. Hubbart Hodjat Ghadimi
National-level studies present the development techniques and challenges of sustaining energy-rich economies, particularly those in the developing world. However, examples of the application and interpolation of these broad-scale analyses to the regional level are scarce. Conversely, methods used at national levels are often infeasible when using higher-resolution regional or local data. Ultimately, progress in developing, managing, and advancing regional wealth databases and models is significantly missing from the literature. Herein, proposed pathways and general development frameworks are presented based on the presumptive constancy of total capital stock. Processes are outlined for acquiring information (data) and developing models to serve as a basis for qualitative and quantitative analyses of sustainable development policymaking decisions. We present a discussion around the sustainable wealth of energy-rich regions, and we suggest potential workflow methods for developing regional wealth knowledge bases and regional wealth models (RWMs). Structural scaffolding opportunities are presented for the validation of RWMs using pilot studies, followed by the process of disseminating modeling outcomes. Finally, we offer recommendations and needed innovations to advance the development of RWMs. The objectives of this article are not to provide a comprehensive literature review or consider all potential perspectives but rather to identify tools and necessary enhancements to established methods for assessing and modeling regional wealth and provide an inroad for readers wishing to learn more. The increased awareness generated through this article will mobilize assistance and generate new information that will strengthen this emergent area of research to intensify regional wealth sustainability for future generations.
]]>Challenges doi: 10.3390/challe14040050
Authors: Paula Regina Humbelino de Melo Péricles Vale Alves Tatiana Souza de Camargo
Planetary Health is an expanding scientific field around the world, and actions in different areas are essential to minimize the environmental damage that compromises the future of humanity. This project report aims to describe the development of Planetary Health actions in a rural school in the Brazilian Amazon, to understand and raise awareness of themes related to Planetary Health. To implement the educational activities, a booklet entitled “Planetary Health: Guide for Rural Education” was created. Subsequently, didactic sequences were applied to 37 ninth-grade students in the first semester of 2023. The activities were diversified, including: (1) investigative activities (pre-tests, interviews with family members, ecological footprint adapted to the Amazonian riverside context), (2) interpretative activities (image reading, identification and problem-solving for Planetary Health stories in the Amazon, educational cartoons, and graphs of the sectors with the highest pollution in Brazil and diseases associated with climate change), (3) audiovisual activities (educational videos), (4) playful activities (educational games), (5) practical and field activities (forest tracking, planting seedlings, sanitation trail, construction of a school garden, preparation of a healthy school snack, greenhouse effect simulation, and basic analysis of lake water with a probe). The results of the educational actions allowed students to undergo new experiences on Planetary Health themes, as well as understand the centrality of the Amazon for the planet and how the environmental impacts in this biome are compromising the future of humanity. The experiences during the educational actions showed that young riverside residents are concerned about the future of the Amazon, especially given the environmental destruction that is frequently evident, such as deforestation, fires, illegal mining, and land grabbing. Inserting these themes into riverside education makes it possible to look at the Amazon in a resilient, responsible way and to discuss scientific and local knowledge so that students can develop initiatives to face environmental challenges in their community. We conclude that Planetary Health education needs to be an effective part of the school curriculum, prioritizing reviewing the documents that guide education to prioritize transdisciplinary actions with children and young people, as they are the voices of the future and future leaders in emerging causes. Educational actions in Planetary Health in the Amazon region are an example that can inspire actions in other places with similar characteristics.
]]>Challenges doi: 10.3390/challe14040049
Authors: Remco Kort Koen Arts Josep M. Antó Matty P. Berg Gabrielle Cepella Jennifer Cole Amarylle van Doorn Tomás van Gorp Milo Grootjen Joyeeta Gupta Colin Hill Eva van der Heide Jef Huisman Jopke Janmaat Cristina O’Callaghan-Gordo Juliette Mattijsen Tulsi Modi Evanne Nowak Hans C. Ossebaard Jessica den Outer Bruno Pot Frederike Praasterink Marju Prass Alexandre Robert Michiel Roelse Jaap Seidell Hans Slabbekoorn Wouter Spek Ralf Klemens Stappen Marleen Stikker Jorieke van der Stelt Marian Stuiver Rembrandt Sutorius Jip van Trommel Martine Veenman Christian Weij Pim Martens
The First European Planetary Health Congress, held from 5 to 7 July 2023 at ARTIS in Amsterdam, represented a significant milestone in the global movement of Planetary Health. The event brought together 121 attendees from academia and the private sector dedicated to addressing the impact of human disruptions to natural systems on the well-being of life on Earth. Co-organized by Natura Artis Magistra (ARTIS) and the European Hub of the Planetary Health Alliance (PHA), the Congress featured five workshops: The Future of Planetary Health Cities, Impact through Synergy, Planetary Health Education, Movement Building, and Food and Microbes. Oral presentations addressed the theme of how human health and the health of human civilization depend on the natural environment, including subthemes on Earth, Water, and Food. Additionally, the subtheme of Humans reflected on how humanity can thrive within Planetary Boundaries and how to imagine a prosperous future for all life on Earth. The First European Planetary Health Congress offered a platform for fostering sustainable, just, and equitable societies within ecological limits. Accordingly, ARTIS and the European Hub aim to shape a hopeful future for generations to come.
]]>Challenges doi: 10.3390/challe14040048
Authors: Letizia Cremonini Teodoro Georgiadis Marianna Nardino Federica Rossi Alessandro Rossi Giovanna Pinca Massimiliano Fazzini
The purpose of this paper is to describe the process of building a coherent frame for the identification of local environmental urban vulnerabilities, coping with heat waves’ increasing threats, and adopting specific adaptation policies in the Emilia-Romagna region. A microclimate model (ENVI-met) was used to simulate temperature regimes in five areas of Bologna, providing ex ante maps enabling us to locate the most vulnerable areas. Adaptation measures were suggested with the support of WMO Guidance 1234 and included recommendations about the introduction of high-albedo building materials and nature-based solutions. The step-by-step methodology developed, coupling local vulnerabilities with adaptation recommendation, integrates a scientific methodology into a political decision. The results, allowing us to widely represent this city’s vulnerability, are considered outstanding with respect to supporting the city’s adaptation ambitions and are now part of the running Bologna General Urban Plan (PUG), which regulates building interventions, introducing the obligation for enterprises to respect or ameliorate the microclimate in all the areas in which they intervene. This tool can be replicated and adapted to any municipal area, as it integrates authoritative WMO solutions with accurate microclimate assessment, thus providing locally tailored adaptation interventions. This paper aims to support the vision, shared by both science and policy makers, of transforming cities into widely resilient systems.
]]>Challenges doi: 10.3390/challe14040047
Authors: Murray A. Rudd Lee Bratcher Simon Collins David Branscum Matthew Carson Shaun Connell Elliot David Magdalena Gronowska Sebastien Hess Austin Mitchell Matt Prusak Kyle Schneps Maxim Serezhin Scott A. Wolfe Dennis Porter
In this study, we used a combination of AI-assisted analysis of social media discourse and collaboration with industry experts to delve into the key research needs associated with the Bitcoin mining industry. We identified primary threats, opportunities, and research questions related to the Bitcoin mining industry and its wider impacts, focusing on its energy use and environmental footprint. Our findings spotlight the industry’s move towards increasingly greater energy efficiency and an emerging commitment to renewable energy, highlighting its potential to contribute to the coming energy transition. We underscore the transformative potential of emerging applications in the Bitcoin mining sector, especially regarding demand response, grid flexibility, and methane mitigation. We suggest that targeted research on Bitcoin can serve policymakers, private sector decision-makers, research funding agencies, environmental scientists, and the Bitcoin industry itself. We propose that filling key information gaps could help clarify the risks and benefits of Bitcoin mining by encouraging collaboration among researchers, policymakers, and industry stakeholders and conducting research that provides baseline peer-reviewed evidence surrounding Bitcoin’s production and impacts. A collaborative approach could help mitigate the risks and realize the benefits of Bitcoin mining, including potentially positive and substantive contributions in alignment with the Sustainable Development Goals.
]]>Challenges doi: 10.3390/challe14040046
Authors: Mona Said El-Sherbini Yusuf Amuda Tajudeen Habeebullah Jayeola Oladipo Iyiola Olatunji Oladunjoye Aminat Olaitan Adebayo Jemilah Mahmood
The Anthropocene epoch marks a critical phase in the history of humanity, where anthropogenic activities have profoundly impacted our planet. Alongside remarkable ecological crises, the Anthropocene worldview has raised existential questions, with a cultural and ethical discourse that recognizes the intrinsic value and calls for more responsible sustainable living. Addressing these collective challenges necessitates a broader perspective guided by a unified sense of purpose toward personal and planetary health. In this context, the role of religious leaders in shaping the social and environmental worldviews of their followers cannot be underestimated. Religious teachings provide a moral framework for promoting climate action, global ethics, the rights of Indigenous peoples, peace, and justice, and other aspects of planetary health. By examining the global ecological crises through the lens of Islam, the Religion of Nature, or Din al-Fitrah, and its environmental and spiritual teachings, we can gain valuable insights into humanity’s connection to the fabric of creation and its interaction with the world. These principles, rich in moral values, are intertwined with accountability and social cohesiveness. Therefore, the role of Muslim religious leaders considering the planetary-scale threats warrants further elucidation, recognizing that many other faiths and faith leaders can similarly contribute together for the common good.
]]>Challenges doi: 10.3390/challe14040045
Authors: Muhammad Asaduzzaman Tual Sawn Khai Vergil de Claro Farzana Zaman
The advent of the COVID-19 vaccine signified a historic milestone in the field of vaccinology, showcasing remarkable scientific collaboration and global solidarity. However, the most prominent hurdle in maximizing the global public health impact of vaccines remains the absence of comprehensive and inclusive health systems in both high- and low-resource settings. Our discussion centers around the major contributing factors that played a key role in formulating the rapid and efficacious COVID-19 vaccines. Simultaneously, we illuminate the disparities that have marred the vaccine delivery process throughout the pandemic. In particular, we highlight the case scenarios of two minority and vulnerable communities from the Global South and North—the undocumented migrants in Thailand and the Roma community in Europe—who continue to experience inequitable vaccine access regardless of their location. We note that a crucial programmatic solution that is rooted in inclusive and equitable global public health policy, characterized by empathy and trust and bolstered by digital innovation, is lacking. These examples underscore the significance of establishing a comprehensive and integrated health system at multiple levels across countries and the entire world. Furthermore, we highlight the need for both local and global actors to collaboratively engage in vaccine distribution efforts. By gaining a concise grasp of these intricacies, the global community will be better poised to effectively combat future pandemics and emerging health challenges.
]]>Challenges doi: 10.3390/challe14040044
Authors: Deolfa Josè Moisès Nnenesi Kgabi Olivia Kunguma
The United Nations Office for Disaster Risk Reduction (UNDRR) resolutely endorses the development of people-centred early warning systems. Moreover, several scientific studies have deprecated the vast technology-driven technocratic approaches to implementing these systems, contending the prioritisation of communities and their contextualised needs for systems that ensure effective risk protection and resilience building. However, both the UNDRR and the scientific literature have failed to define appropriate means of implementation (MoI) for community-based early warning system (CBEWS) development. Floods are a major hazard annually impacting several communities in rural sub-Saharan Africa, and though several opportunities for participatory systems have been identified, investment in developing countries is often lagging, and no defined mechanism for developing these systems exists. Adopting a modified Integrated Emergency Management Framework, this study demonstrates that an impact-based CBEWS can be established by leveraging existing resources, institutions and stakeholders, essentially merging last-mile and first-mile approaches. The study further reveals that directly linking technical capacities with community-based efforts allows communities to define system development parameters, strengthen risk knowledge and response, and build resilience for improved physical, economic and environmental protection, essentially bridging the gap between first and last-mile approaches. The study also highlights the need for governments to appropriately streamline DRR to improve coordination and communication.
]]>Challenges doi: 10.3390/challe14040043
Authors: Michael F. Royer Christopher Wharton
Food insecurity is an economic and social condition involving limited or uncertain access to food. The problem of food insecurity in communities is influenced by economic conditions, food deserts, and barriers to accessing healthy food. Individuals experiencing food insecurity often endure concurrent problems of financial instability, hunger, and poor mental and physical health. Public and non-profit services in the U.S., such as the federally supported Supplemental Nutrition Assistance Program (SNAP) and community food banks, provide food-related assistance to individuals who are at a high risk of experiencing food insecurity. Unfortunately, many individuals who qualify for these services still experience food insecurity due to barriers preventing them from accessing food. Effective approaches for removing barriers that prevent individuals from accessing food are needed to mitigate the increased risk of chronic disease among vulnerable populations. This study tested a novel food insecurity intervention called FINDING-Food, which stands for Frequent Informational Nudges Directing Individuals to Needed Goods. Informational nudges were used to promote food security through the removal of information barriers to accessing food. The intervention used in this mixed-methods feasibility study consisted of informational nudges in the form of weekly text messages that were sent to food pantry clients experiencing food insecurity (n = 24). The study aims were to test the efficacy and acceptability of the intervention by examining whether the informational nudges could enhance food pantry utilization, increase SNAP registration, and promote food security. Quantitative study results showed a lower prevalence of food insecurity in the intervention group than the control group at the end of the study. Qualitative findings revealed how intervention group participants who completed the study (n = 9) found the text messages to be helpful and informative. These study findings can enhance future food insecurity interventions aiming to eliminate barriers that prevent individuals who are food insecure from accessing healthy food.
]]>Challenges doi: 10.3390/challe14040042
Authors: Johannah Bjorgaard Teddie Potter
(1) Background: Human-generated greenhouse gas (GHG) emissions are the largest contributor to climate change worldwide. Climate change negatively impacts human and planetary health, threatening the existence of life on earth. The healthcare industry is responsible for approximately 8.5% of carbon emissions in the United States. Measuring baseline GHG emissions is the first step in emissions reduction. However, very few models of measurement exist for health care organizations. This project aimed to develop and implement a program to measure and track GHG emissions at a midwestern academic medical center (MAMC) and to educate staff on how to manage the process. (2) Methods: A Plan, Do, Study, Act (PDSA) cycle and Quality Improvement methodology were used to develop, implement, and assess a standardized GHG emission inventory process to measure Scope 1 and Scope 2 baseline emissions and provide virtual training and education to the accountable staff. A pre- and post-survey design was used to measure the knowledge and readiness of the staff after the implementation of the GHG inventory training. (3) Results: The GHG inventory process was validated through an external verification process, and the measurement of Scope 1 and Scope 2 baseline GHG emissions was completed and verified for accuracy through a data comparison review. The pre-post-training survey showed an increase in the knowledge and readiness of staff to maintain a GHG inventory. (4) Conclusions: This work shows the feasibility of obtaining baseline GHG emissions data at large medical centers. It represents the initial phase of the overarching goal to develop site-wide and system-wide carbon reduction strategies and a climate action plan within this health system.
]]>Challenges doi: 10.3390/challe14040041
Authors: Daniel Östergren Ute Walter Bernt Gustavsson Inger M. Jonsson
This article explores sustainable development from a gastronomic perspective. Humanistic perspectives on food offered by gastronomy are explored as an asset in cultivating self-awareness capacities needed for sustainable transformations of society. The purpose is to explore how gastronomes can cultivate understandings and explanations of sustainability to be conveyed to individuals via meals. In semi-annually recurring dialogic interviews, four university-educated gastronomes cultivated their understandings and explanations of sustainability, and modeled how these could be communicated to other individuals. The dialogues gradually brought the ideas of the researcher and the participants toward a common explanation of the potential ways gastronomic competency could advance sustainable development. The results highlight two ways of understanding gastronomic sustainability: functionally as practical communication, and formally as a cultural issue. Based on H.G. Gadamer’s idea of bildung as hermeneutic interpretation, we argue that self-awareness is a process which is rooted in how knowledge is interpreted, understood, and explained by the individual. Practical participation in culturally influenced meals makes gastronomy a bridge between individual and societal issues, whereby gastronomic competencies can cultivate sustainable commitment, judgment, and community. In this way, gastronomic sustainability represents an approach to sustainable development that, significantly, also involves the cultivation of sustainable meaning.
]]>Challenges doi: 10.3390/challe14040040
Authors: Michael F. Royer Christopher Wharton
Food insecurity is an ongoing problem in the U.S. with implications for health problems and social disadvantages. Past food insecurity intervention studies have targeted barriers to accessing healthy food. However, information barriers have not been adequately addressed by food insecurity interventions. This research included the first phase of a two-phase feasibility study that involved testing a text message as an informational nudge through interviews among a small, preliminary sample of adults in the southwest U.S. (n = 10). Interview questions focused on the message content, persuasiveness, relevancy, clarity, and details that participants liked and disliked. A qualitative content analysis of interview responses then highlighted any necessary modifications to the text message. Interview responses highlighted that the message conveyed details about how to access food assistance resources. The message was perceived as informative, clear, and friendly. Participants highlighted the need for better spacing in the message layout, more details about the Supplemental Nutrition Assistance Program (SNAP), and a better explanation for why SNAP is relevant. Text message readability, relevancy, and informativeness were common concerns raised during interviews. Participant-informed modifications to the text message were applied in preparation for using the message in a food insecurity intervention. This research is a novel contribution to the extant literature on nudges, as no known intervention study has used informational nudges to exclusively promote food security. Future food insecurity research efforts should similarly test novel interventions to ensure the intervention is acceptable and relevant for the target population.
]]>Challenges doi: 10.3390/challe14040039
Authors: Geordan Shannon Alix Faddoul Alexander Lai Tony Lai Jeremy Lauer Srivatsan Rajagopalan Rita Issa
Planet.Health addresses imagination and coordination challenges for planetary health through innovative approaches to social organising. This report presents the findings from the inaugural Planet.Health event in 2022, including the Planet.Health unconference. An unconference is a participant-driven event format that provides flexibility for emergent ideas and connections. In this (un)conference report, we share the challenges, achievements, and lessons learned during the initial year of activities in the leadup to and following the Planet.Health unconference event. We also discuss how the intersection of web3 and planetary health—a major focus of the first year—provides an alternative lens for envisioning, innovating, and coordinating beyond conventional social and institutional frameworks. We explore the potential impact of web3 technologies and decentralised social, economic, and financial networks and highlight the implications of these approaches for addressing planetary crises and supporting a flourishing human–environment relationship. As a new contribution to the planetary health field, this work emphasises the importance of building decentralised systems to foster creative actions and inspire global engagement for planetary wellbeing. The report concludes with some practical insights on how we begin to build and sustain decentralised social networks, including a discussion of the benefits and limitations of these approaches.
]]>Challenges doi: 10.3390/challe14030038
Authors: Xolisiwe Sinalo Grangxabe Thabang Maphanga Benett Siyabonga Madonsela Babalwa Gqomfa Takalani Terry Phungela Karabo Concelia Malakane Kgabo Humphrey Thamaga Daniel Angwenyi
Illegal disposal of solid waste is a significant issue in many parts of the world, particularly in urban areas. Because of unprecedented urbanization, these areas are crowded, putting pressure on the already inadequate municipal services such as waste management. As municipalities fail to provide adequate and effective waste management services, the expansion and proliferation of informal settlements contribute to the problem of illegal dumping. Apartheid spatial planning produced environmentally unsustainable cities characterized by glaring disparities in municipal resource allocation, disturbingly inefficient transportation systems, and widespread urban insecurity. Therefore, this study examines how the expansion of informal settlement at an unprecedented rate contributes to illegal dumping post-apartheid by conducting a systematic review. Using the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines, a literature search from 1994 to 2023 was conducted in the field of waste management. The review focuses on three key aspects: (1) factors that contribute to illegal dumping in townships; (2) waste management laws during apartheid and post apartheid; and (3) waste collection system in townships and spatial planning. South Africa’s inequality is a major contributor to environmental degradation. The situation was exacerbated by efforts to prevent urban migration and forcefully remove black people from cities; apartheid ideology justified the dormitory-like nature of urban townships. In the South African context, the literature reveals that there is a research gap in the application of technologies and effective waste management plans to keep up with the growing number of informal settlements. Furthermore, despite progressive environmental policies, implementation has been ineffective. This study offers valuable evidence on the spatial and temporal dynamics of informal settlements, addressing both the location and time aspects. A robust government-led Community Participation in Solid Waste Management program is required immediately.
]]>Challenges doi: 10.3390/challe14030037
Authors: Alan C. Logan Stephen J. Schoenthaler
In the ongoing series of interviews, Challenges Advisory Board member and Nova Institute for Health Fellow Alan C. Logan meets with thought leaders, scientists, scholars, healthcare professionals, artisans, and visionaries concerned about health at the scales of persons, places, and the planet. Here, Dr Stephen J. Schoenthaler of California State University, Stanislaus, responds to a set of questions posed by Challenges. For over forty years, Dr. Schoenthaler has been at the forefront of the research connecting nutrition to behavior and mental health. In particular, Dr. Schoenthaler’s work has examined relationships between dietary patterns, nutritional support, and behaviors that might otherwise be associated with criminality and aggression. Although the idea that nutrition is a factor in juvenile delinquency was popularized in the 1950s, the area received little scientific attention. In the 1970s, the idea that nutrition could influence behavior gained national attention in the US but was largely dismissed as “fringe”, especially by those connected to the ultra-processed food industries. Today, relationships between diet and behavior are part of the robust field called “nutritional psychiatry”; emerging studies demonstrate clear societal implications, including those within the criminal justice system. Here, Dr. Schoenthaler discusses how we got here and updates Challenges on where the field has moved, with an eye toward future possibilities. Dr. Schoenthaler reflects on the early influences that shaped his interest in the field and discusses the ways in which this research, especially in the context of criminal justice, is related to the many interconnected challenges of our time.
]]>Challenges doi: 10.3390/challe14030036
Authors: Kristina Monteiro Ciciely Davy Jesse Maurier Katherine F. Smith
Will a warmer world be a sicker world? What is it about the New England landscape that supports the proliferation of Lyme disease? How are local wildlife trade and global species invasions contributors to emerging diseases such as the 2003 outbreak of monkey pox virus in the midwestern United States? Undergraduate students explore these and related questions in BIOL 1455 Planetary Health: global environmental change and emerging infectious disease—a new online asynchronous course at Brown University. Planetary health is gaining traction in the curricula of institutions of higher learning and online asynchronous courses offer the promise of scaling up to make grand challenges education accessible to many. In our new course, we assessed student learning outcomes (LOs) and sentiment towards the health of humans and the planet using a mixed-methods approach. Students demonstrated competency in each of the LOs after course completion as measured in a pre–post assessment scored with a standardized rubric. Student sentiment was analyzed with an immersion–crystallization qualitative analysis to elucidate themes in responses to the assessments. Many themes on the pre-assessment focused on barriers and problems associated with the health of humans and the planet, while themes on the post-assessment centered on more solutions-based thinking. Collectively, these findings indicate that this online asynchronous course successfully educated students about the myriad challenges facing human and planetary health, broadened knowledge of environmental changes (beyond climate change) that impact health, formalized understanding of now common terms such as “emerging infectious diseases”, and bolstered hope by offering solutions and peer community (even when virtual). Future efforts to integrate planetary health into higher education should focus on broadly accessible and scalable courses, full programs of study (i.e., majors/scholarly concentrations), and extension into institutional programs focused on ensuring equity and wellness for all.
]]>Challenges doi: 10.3390/challe14030035
Authors: Juan Ignacio Ibañez Alexander Freier
While blockchain and distributed ledger technology offer immense potential for applications in transparency, security, efficiency, censorship resistance, and more, they have been criticized due to the energy-intensive nature of the proof of work consensus algorithm, particularly in the context of Bitcoin mining. We systematically explore the state-of-the-art regarding the relationship between Bitcoin mining and grid decarbonization. We specifically focus on the role of flexible load response through proof of work mining as a potential contributor to renewable energy penetration and net decarbonization of the energy grid. The existing literature has not comprehensively examined this area, leading to conflicting views. We address the gap, analyzing the capabilities and limitations of Bitcoin mining in providing flexible load response services. Our findings show that renewable-based mining could potentially drive a net-decarbonizing effect on energy grids, although key adaptations in mining practices are needed to fully realize this potential. Overall, the paper suggests a re-evaluation of the environmental impact of Bitcoin mining, highlighting its potential role as a facilitator for renewable energy expansion, and decarbonization more broadly.
]]>Challenges doi: 10.3390/challe14030034
Authors: Ans Vercammen Sandhya Kanaka Yatirajula Mercian Daniel Sandeep Maharaj Michael H. Campbell Natalie Greaves Renzo Guinto John Jamir Benzon Aruta Criselle Angeline Peñamante Britt Wray Emma L. Lawrance
As climate change continues unabated, research is increasingly focused on capturing and quantifying the lesser-known psychological responses and mental health implications of this humanitarian and environmental crisis. There has been a particular interest in the experiences of young people, who are more vulnerable for a range of reasons, including their developmental stage, the high rates of mental health conditions among this population, and their relative lack of agency to address climate threats. The different geographic and sociocultural settings in which people are coming of age afford certain opportunities and present distinct challenges and exposures to climate hazards. Understanding the diversity of lived experiences is vitally important for informing evidence-based, locally led psychosocial support and social and climate policies. In this Project Report we describe the design and implementation of the “Changing Worlds” study, focusing on our experiences and personal reflections as a transdisciplinary collaboration representing the UK, India, Trinidad and Tobago, Guyana, Barbados, the Philippines, and the USA. The project was conceived within the planetary health paradigm, aimed at characterizing and quantifying the impacts of human-mediated environmental systems changes on youth mental health and wellbeing. With input from local youth representatives, we designed and delivered a series of locally adapted surveys asking young people about their mental health and wellbeing, as well as their thoughts, emotions, and perceived agency in relation to the climate crisis and the global COVID-19 pandemic. This project report outlines the principles that guided the study design and describes the conceptual and practical hurdles we navigated as a distributed and interdisciplinary research collaboration working in different institutional, social, and research governance settings. Finally, we highlight lessons learned, specify our recommendations for other collaborative research projects in this space, and touch upon the next steps for our work. This project explicitly balances context sensitivity and the need for quantitative, globally comparable data on how youth are responding to and coping with environmental change, inspiring a new vision for a global community of practice on mental health in climate change.
]]>Challenges doi: 10.3390/challe14030033
Authors: Remco Kort Jeremy Pivor Josep M. Antó Annemarie Bergsma Peter J. Blankestijn Olette Bollen Egid van Bree Joyce L. Browne Judith de Bruin Jasper Buikx Chiara Cadeddu Jennifer Cole Francesca Costabile Aimée de Croon Anneliese Depoux Ian Fussell Bernhard Goodwin Arte Groenewegen Milo Grootjen Jaana I. Halonen Riitta-Maija Hämäläinen Pieter ten Have Martin Herrmann Pauline de Heer Godelieve van Heteren Jopke Janmaat Marija Jevtic Hans Mulder Nathalie Lambrecht Vincenzo Lionetti Camilla Alay Llamas Maarten Manten Pim Martens Ariadna Moreno Francine Müller Cristina O’Callaghan-Gordo Sara Muller Cecilia Manosa Nyblon Juliette Mattijsen Hans Ossebaard Karlien Pijnenborg Nynke Postma Lisa Pörtner Marju Prass Lekha Rathod Alexandre Robert Andrée Rochfort Alexis Roig Anja Schoch Eva-Maria Schwienhorst-Stich Ralf Klemens Stappen Ingrid Stegeman Jorieke van der Stelt Peter Stenvinkel Rembrandt Sutorius Valesca Venhof Martine Veenman Leonardo Villani Maike Voss Michiel de Vries Laura van der Zande Andreea Zotinca Arnau Queralt-Bassa Samuel S. Myers
A new network of over 72 organizations from 12 countries was activated during a convening at ARTIS in Amsterdam on 26–27 September 2022. Representatives are aligned with the transdisciplinary field and social movement of Planetary Health, which analyzes and addresses the impacts of human disruptions to natural systems on human health and all life on Earth. The new European Planetary Health Hub consists of organizations from various sectors, including universities, healthcare, youth, business, and civil society. The Convening, co-organized by the Planetary Health Alliance (PHA), the European Environment and Sustainable Development Advisory Councils Network (EEAC), and Natura Artis Magistra (ARTIS), aimed to develop Planetary Health Working Groups for Education, Policy Engagement, Research, and Movement Building. The Convening resulted in an outline for each of the Working Group’s aims, visions, missions, priorities, and activities, and set the framework for sustaining their activities in the future through the establishment of the European Planetary Health Hub Secretariat in the Netherlands. The Hub members shared lessons learned, built relationships, and developed artwork-inspired perspectives on Planetary Health. In conclusion, the Convening led to the establishment of a strong European foundation to contribute to the transformations needed for sustainable, just, and equitable societies that flourish within the limits of our ecosystems.
]]>Challenges doi: 10.3390/challe14030032
Authors: David Gunnarsson Sofia Larsson Linda Vikdahl
As the number of refugees in the world is increasing and it is known that social inequality negatively impacts mental health, it is important to study integration policies, such as labour market measures. In this article, the strategic interventions of the Swedish Public Employment Service are analysed to determine how the agency’s management handled and implemented the legal changes in the new support document for its case workers. The focus is on the effects of the changes in the legal text that transferred the responsibility for establishment initiatives for newly arrived migrants to the agency and, as a result, changed the conditions for newly arrived refugees’ mental health in the new establishment programme. Eight people representing different management functions at the agency were interviewed. The results show that the intention in the new programme to view newly arrived refugees in the same way as all other unemployed people, rather than as a special category, has meant that less attention is paid to the refugees’ mental health, and the opportunities for the agency’s street-level bureaucrats to help clients have decreased. In the face of predicted growing numbers of people having to abandon their homes due to conflicts and climate changes, governmental strategies such as these needs to be revisited in order for societies worldwide to be better prepared for that challenge.
]]>Challenges doi: 10.3390/challe14030031
Authors: Susan L. Prescott
Healthy social connections—belongingness and relatedness to others—are considered to be basic human needs [...]
]]>Challenges doi: 10.3390/challe14030030
Authors: Yuri Nakai Hisao Nakai
Deinstitutionalization of psychiatric care has been associated with increased homelessness, crime, and suicide, partly owing to insufficient, adequate, and accessible community resources. Therefore, appropriate resource placement is a key deinstitutionalization issue. The study’s aim was to identify residential group homes for people with mental illness in Kochi Prefecture, Japan, and the social resources necessary for social reintegration using a geographic information system (GIS). Everyday living areas (ELAs), as defined by the Japanese Community-Based Integrated Care System for People with Mental Illness (CICSM), were assessed using ELA location simulations. We used GIS to determine the spatial distribution of group homes, visiting nursing stations, psychiatric hospitals, daycare centers, and employment support offices. Following the CICSM definition of ELAs, we identified areas that people with mental illness could reach within 30 min on foot/by bicycle and counted the number of social resources in them. The ELA location simulation results suggest that policymakers should avoid uniform distribution of ELAs according to the CICSM definition. Establishing ELAs in suburban areas requires careful consideration of the available community resources, number of people with mental illness, existing support systems, and feasibility of the location.
]]>Challenges doi: 10.3390/challe14020029
Authors: Given Chipili Averalda Van Graan Carl J. Lombard Evette Van Niekerk
Fish is a good source of Animal Source Proteins (ASP). Families from low-income countries with limited access to other animal source proteins can utilize it to improve the nutrition status of infants and young children. The objective of the study was to assess if fish fed during the early complementary feeding period had an effect on improved head circumference (HC) and mid-upper arm circumference (MUAC) among infants aged 6–7 months. A randomised controlled trial was conducted from April 2019 to January 2020 in the Samfya district, Luapula Province, Zambia. The infants (238) were randomised to either the fish group (intervention) or the sorghum group (control). Every week for a period of 6 months, infants received seven sachets of fish powder and sorghum powder, respectively. Compliance was also monitored during the fish powder distribution. The head circumference measurements were conducted at baseline and once each follow-up month for a period of six months while the MUAC measurements were conducted twice (at baseline and endline). Using statistical software for data science (STATA) (version 16), a linear mixed effect model was used to analyse the data. The results showed that fish improved head circumference for age z score (HCZ) by 0.53 (95% CI: 0.23–0.82), p-value < 0.001, and MUAC by 0.36 (95% CI: 0.13–0.59) p-value < 0.002. Therefore, fish can be used as the main source of protein in complementary foods for infants and young children in low-income communities with limited access to meat.
]]>Challenges doi: 10.3390/challe14020028
Authors: Henrik Haller Lesya Pronoza Mark Dyer Maya Ahlgren Louise Bergqvist Ginnette Flores-Carmenate Anders Jonsson
Soil pollution is a threat to food security and ecological and human health. Cd is one of the most common pollutants in agricultural soil and, due its human toxicity, one of the most hazardous. Amaranth is a documented hyperaccumulator of Cd and other pollutants, and it is commonly grown in Asia and South America. A considerable amount of amaranth is grown in suboptimal conditions, including nutrient-poor acidic soils. The objective of this experimental study was to examine the capacity of Amaranthus hypochondriacus to extract Cd from a nutrient-poor, acidic substrate that was spiked with different concentrations of Cd (2 and 20 mg kg−1 dw) during a period of 180 days. The plants grown in the substrate that was spiked with 20 mg Cd kg−1 dw did not develop into mature plants, but the plants grown in substrate that was spiked with 2 mg Cd kg−1 dw extracted a significant amount of Cd from the substrate by accumulating it into the above-ground biomass. The Cd levels varied from 113 to 176 mg kg−1 in the stems at the four measuring points, and from 64 to 94 mg kg−1 in the leaves. The concentrations in the plants increased with time and reached a maximal concentration of 176 ± 45 mg kg−1 dw for stems and 94 ± 41 mg kg−1 dw for leaves after 180 days. The mean bioaccumulation factor in the plants was 86 ± 15 after 90 days, 72 ± 12 after 120 days, 105 ± 37 after 150 days, and 99 ± 31 after 180 days, which confirms the previously reported capacity of Amaranthus hypochondriacus to hyperaccumulate Cd. Amaranthus hypochondriacus may, thus, be used to improve ecological and human health by remediating moderately Cd-polluted soils, even in nutrient-poor acidic soils.
]]>Challenges doi: 10.3390/challe14020027
Authors: Murray A. Rudd
Bitcoin has been embraced by many individuals with strong right-leaning views on freedom, property rights, and self-sovereignty. Among left-leaning progressives, Bitcoin is often quickly dismissed as irrelevant or a major source of carbon emissions. Bitcoin seems, however, to be full of surprises. A rapidly advancing body of anecdotal evidence suggests that its adoption may affect causes important to progressives, mitigating greenhouse gas emissions, accelerating electrification of economies, alleviating poverty, and supporting human rights for people living under political repression, even though scientific confirmation is lagging. In this paper, I highlight how a Pragmatist perspective can be applied to Bitcoin, a technological and financial innovation that may well reshape how humans perceive and use money, preserve wealth, and structure governance. I first cover Bitcoin’s technological and financial fundamentals and some core concepts of Pragmatism, before outlining how Bitcoin might surprise progressives. Pragmatism offers a philosophical and political grounding for left-leaning “progressive Bitcoiners” who prioritize environmental and social well-being and view inclusive deliberative democracy as the preferred form of governance.
]]>Challenges doi: 10.3390/challe14020026
Authors: Kira J. Cooper Robert B. Gibson
While there is growing optimism for inner transformations to catalyse systemic shifts towards more sustainable ways of being, no study so far has attempted to assess how well current interventions for inner development address core requirements for collective wellbeing. In this article, we apply a novel assessment framework to examine how mindfulness-based interventions address inner and outer sustainability criteria during a global health emergency. This inquiry informs a growing field of study concerned with leveraging inner transformations for systemic shifts towards sustainability progress. Using three prominent online mindfulness-based offerings as a case study, we demonstrate that mindfulness-based interventions have a broad range of potential desirable to detrimental implications for social and biophysical systems. We conclude by discussing how normative conceptions of inner interventions might be contextualised anew to effectively support more viable, just, and inclusive transformations towards long-term viability.
]]>Challenges doi: 10.3390/challe14020025
Authors: Vivianna Rodriguez Carreon
Change Starts Within is the welcome title to the Inner Development Goals (IDGs) toolkit. The tools are resources to support the inner growth of individuals and organizations committed to the Sustainable Development Goals (SDGs). This reflection article emerged from reviewing my earlier experiences in inner development while collaborating in the development of the IDGs. Years of continuing inner growth involved going through the liminal stage several times. Evolution is ongoing. Liminality has been conceptualized through different ways of embodying knowing by anthropologists, phenomenologists, psychologists, philosophers, scientists, and spiritual teachers, among others working in transformational processes. Through a lived experience approach, I explore my relationship with the liminal stage. Learning and practicing the “unseen” inner muscle leads to becoming “sensitive” to the subtle qualities. It involves perceiving the world through sensorial qualities, which leads to a conscious action to purposefully commit to what lies along the path to sustainable humanity. At the same time, I notice the limitations for understanding the language of the inner world. The inner world communicates through dynamic manifestations of the lived experience, and when conceptualized in a logical and structured way, it constrains how the animacy of the inner being can be described. The invitation to understand spaces of inner transformation in liminality is to learn to manifest the state of being. The effects of understanding inner development accelerate wisdom and human evolution.
]]>Challenges doi: 10.3390/challe14020024
Authors: Mirjana Mikulić Ivan Ćavar Darija Jurišić Ivana Jelinčić Dunja Degmečić
Addiction is a complex psychosocial problem that has significant psychosocial effects on family members. The aim of this study is to gain insight into the burden and psychological distress suffered by caregivers of drug abusers. Ninety-nine caregivers of hard drug addicts participated in this study. The test group consisted of 50 participants and the control group had 49 participants. The participants filled out the General Demographic Questionnaire; Caregiving and the Experience of Subjective and Objective Burden; SCL-90-R; and WHOQOL-BREF. Caregivers of addicts who were preparing to join the community exhibited a significantly higher objective burden, subjective burden, subjective stress burden and greater psychological distress in comparison to caregivers of addicts in the community, and their quality of life was poorer (p < 0.001). The following showed to be risk factors for psychological distress: families with a greater number of children, marital, employment and economic status and duration of addiction. The protective factors were better quality of life, long-term marriage and higher education level of caregivers. Caring for addicts who are living with their families is a significant responsibility and burden for caregivers.
]]>Challenges doi: 10.3390/challe14020023
Authors: Andrew G. Cervantes Patricia T. Vega Gutierrez Seri C. Robinson
Environmental degradation in Paraguayan ecosystems relates to anthropogenic intervention and has intensified with wildfires and drought. To help mitigate forest cover loss, the local government created laws, parceled land to private owners, and established protected areas. How differences in land tenure regimes affect dendrology and biodiversity remain to be answered. This preliminary study examined the differences and similarities between three protected area forests (National Park Ybycuí, and Natural Monuments Cerro Koi, Cerro Chorori) and three family-owned forests in Guairá, Central, and Paraguarí of eastern Paraguay. Forty-three transects were established following FAO protocols to examine tree diversity, floristic composition, and complementary vegetation structure information using two biodiversity indexes. Nine hundred and three individuals were registered, representing 92 species, 80 genera, and 35 families. The most abundant families were Fabaceae, Rutaceae, Myrtaceae, and Rhamnaceae; and the most abundant genera were Pilocarpus, Columbrina, Acrocomia, Plina, and Astronium. The most important species were Parapiptadenia rigida, Peltophorum dubium, and Astronium fraxinifolium. Results showed higher species richness and significantly greater tree diversity, but a nonsignificantly larger diameter in private forests compared to protected areas studied. Detected differences were small, indicating a need for additional research of forests with differing land tenure regimes as climate dynamics continually shift and management strategies show effects.
]]>Challenges doi: 10.3390/challe14020022
Authors: Nzube Ekpunobi Oluwamayowa Akinsuyi Theresa Ariri Temitope Ogunmola
The emergence and reemergence of infectious diseases caused by viruses continue to be a major public health concern globally, affecting both humans and animals. One such disease is monkeypox, a zoonotic infection caused by the monkeypox virus (MPXV) that has recurred in sub-Saharan Africa over several decades. Notably, the 2022 outbreak of monkeypox in Nigeria follows a deadly outbreak in 2017, which was preceded by the disease’s first recorded outbreak in 1978. Epidemiological investigations in 2017 showed no apparent link between human monkeypox cases and the outbreak that year, indicating the potential existence of multiple sources of the virus and limited human-to-human transmission. This underscores the presence of an alternative ecological niche in humans. Furthermore, in some communities in Nigeria, monkeys are regarded as sacred and not hunted or consumed, leading to their proliferation and increased likelihood of MPXV transmission. This mini-review focuses on the occurrence, epidemiological distribution, geographical distribution, endemicity, and possible solutions to reduce the spread of human monkeypox in Nigeria. The implications of this reemergence and the need for effective public health measures to prevent and control outbreaks of monkeypox are also discussed.
]]>Challenges doi: 10.3390/challe14020021
Authors: Bruce Mang YeonJae Oh Chabelly Bonilla Jennifer Orth
The healthcare sector is struggling to become more environmentally friendly compared to other industries, evidently seen by the contribution to global emissions. These struggles have elicited some research on sustainable methods regarding the lifecycle of medical devices. Indeed, the World Health Organization (WHO) encourages the reuse of equipment and ethical donations, namely for the sake of the environment and sustainable global health. However, there is a lack of synthesis–multiple greener alternatives to the current healthcare system are developing without a connection to each other, hindering an increase in sustainability. Thus, there is a lack of global organization and standardization in medical equipment lifecycles. Inspired by the findings and guidelines of the Safe and Sustainable Medical Equipment Supply Subgroup (SASMES) of the International Rotary Fellowship of Healthcare Professionals, we created the Re-processing Medical Equipment: Rotarian Research Group for the Environment (Re-MERGE) to expand on these challenges. Re-MERGE follows the life cycle of medical devices in the United States of America through its initial stages of classification and various regulatory pathways, the middle stage of post-market requirements, and the end stage of disposal or donation and reprocessing. Our findings indicate that current medical device end-stages are inefficient, damaging to the environment, and burdensome to donation recipients; however, existing processes can provide improvements to medical device end-stage methods by drastically reducing environmental damage, improving healthcare globally, and increasing sustainability in the field. We identify that more research is needed to connect the implications of different medical device end stages. Additionally, we encourage the findings to be implemented to create more sustainable, effective methods of medical device disposal, donation, and reprocessing.
]]>Challenges doi: 10.3390/challe14020020
Authors: Habeebullah Jayeola Oladipo Yusuf Amuda Tajudeen Emmanuel O. Taiwo Abdulbasit Opeyemi Muili Rashidat Onyinoyi Yusuf Sarat Ayomide Jimoh Muhammad Kamaldeen Oladipo Iyiola Olatunji Oladunjoye Oluwaseyi Muyiwa Egbewande Yusuff Inaolaji Sodiq Abdulhakeem Funsho Ahmed Mona Said El-Sherbini
The rise of globalization and industrialization has driven the demand for rare earth metals (REMs). These metals are widely used in various sectors of the global economy with various applications in medicine, renewable energy, electronics, agriculture, and the military. REMs are likely to remain an important part of our global future, and, as production increases, areas contaminated by REMs are expected to expand over the coming decades. Thus, triggering significant adverse environmental, animal, and human health impacts. Despite increased attention on REMs outside China in recent years, there are limited studies exploring REM production, deposits, and associated health impacts in the African context. Proper mine management, adequate safety protocols, sustainable processing methods, and waste handling systems have been identified and proposed globally; however, the nature and scale of implementing these management protocols on the African continent have been less clear. Therefore, planetary health-centered solutions are urgently needed to be undertaken by researchers, policy makers, and non-governmental actors in Africa and across the globe. This is with the overarching aim of ensuring eco-friendly alternatives and public health consciousness on REM exploitations and hazards for future generations to come.
]]>Challenges doi: 10.3390/challe14010019
Authors: Patrick Mukumba Shylet Y. Chivanga
Despite technological innovation and vast renewable energy sources in rural areas, a significant number of rural households are living in energy poverty, and there is a pressing need to come up with strategies to mitigate this. This paper presents an overview of the energy sources in the Eastern Cape Province, the status of renewable energy technologies and the household energy poverty coping strategies in rural areas. The analysis of this study is based on conducted studies on renewable technologies in the Eastern Cape. This paper aims to help to provide a deeper understanding in the selection of the most appropriate renewable energy technologies suited to rural households’ energy needs and to fill the knowledge gap existing in renewable energy technologies to make it easier to map a way forward into the households’ energy poverty coping strategies in the Eastern Cape.
]]>Challenges doi: 10.3390/challe14010018
Authors: Saidatul Maisarah Faiesall Sarah Hanani Ahmad Tajuddin Andrew Jason George Nur Hazirah Marzuki Oliver Lacey-Hall Jemilah Mahmood Gopalasamy Reuben Clements Renzo Guinto
With planetary health gaining traction as a global movement and problem-solving approach, this trans-disciplinary field is well-placed to provide an exciting and dynamic platform to promote engagement with young people. Previous studies have shown that although there is great energy and passion from youth, the global planetary health community struggles in sustaining young people’s motivations and engagement in today’s crowded physical and online environments. Planetary health advocates are also dealing with an increase in climate anxiety that has taken a toll on the emotional and mental wellbeing of young people. Here, we review our experience in engaging youth groups and networks in Malaysia through a four-pronged approach (consultation, facilitation, capacity-sharing, and evidence-building), as well as challenges commonly faced by the planetary health community in educating and building a youth movement. After a year of engagement, we found that mobilising the next generation of planetary health leaders requires a change in existing power dynamics to a capacity-sharing model, an emphasis on clear, simplified, and effective communications that utilise the mainstream youth spaces (e.g., social media), and hopeful messages to counter apathy and anxiety into action.
]]>Challenges doi: 10.3390/challe14010017
Authors: Michael Xie Vanessa Góes Melissa Lem Kristin Raab Tatiana Souza de Camargo Enrique Falceto de Barros Sandeep Maharaj Teddie Potter
Climate change, biodiversity loss, and other environmental changes are rapidly impacting the health of people worldwide, but many clinicians and other health professionals feel unprepared to deal with this burgeoning issue. During the Planetary Health Annual Meeting held in Boston in late 2022, the Clinicians for Planetary Health (C4PH) working group hosted a workshop that highlighted the latest findings of clinicians’ attitudes towards climate change, connections with the related fields of lifestyle medicine and integrative health, lessons learned from implementing “one minute for the planet” in a rural Brazilian clinic, and the benefits of clinicians prescribing time in nature for their patients. This article ends with a few suggestions for healthcare providers to begin implementing planetary health into their professional practice.
]]>Challenges doi: 10.3390/challe14010016
Authors: John Zelenski Sara Warber Jake Robinson Alan Logan Susan Prescott
The vast and growing challenges for human health and all life on Earth require urgent and deep structural changes to the way in which we live. Broken relationships with nature are at the core of both the modern health crisis and the erosion of planetary health. A declining connection to nature has been implicated in the exploitative attitudes that underpin the degradation of both physical and social environments and almost all aspects of personal physical, mental, and spiritual health. It is increasingly clear that the entwined challenges of biodiversity loss, climate change, and human health cannot be addressed without addressing selfishness, greed, apathy, and the value systems that created these global problems. Calls for a spiritual and cultural transformation recognize that “inner” development is important and necessary for meaningful “outward” transitions with a shared purpose for wiser, more sustainable societies. Many of these emotional and spiritual assets appear to be facilitated by a connection to nature, which is also strongly associated with community cohesion, prosocial attitudes, and pro-environmental actions. Restoring the human connection to nature may therefore provide a critical common pathway to promote the physical and spiritual wellbeing of individuals and communities as well as personal and social environmental responsibility. In this paper, we summarize and reflect on the discussions of the Nova Network planetary health community with respect to nature-based solutions as pathways to promote both personal and planetary health with a more mutualistic mindset. These discussions spanned biological to psychological interactions with nature—including the critical relationships with environmental microbes that influence the physical, emotional, and behavioral aspects of health. We consider the ways in which stronger relationships with nature promote “inner assets” to support “outward actions” for personal and planetary health.
]]>Challenges doi: 10.3390/challe14010015
Authors: Carol Nash
Burnout, a negative job-related psychological state common with health professionals, results in valuable healthcare research loss. Team mindfulness, promoting work engagement, represents an aspect effective in reducing burnout. In a series of diverse-membership academic meetings intended to reduce research burnout—employing writing prompts, doodling, and continuous developmental feedback—team mindfulness was demonstrated when conducted in person. Therefore, whether team mindfulness is evident when meetings are held online is relevant. During the first eighteen months of COVID-19 limitations requiring these meetings to be online, it was previously reported that team mindfulness was diminished. Question-asking, submitted doodles, and feedback responses were analyzed for the following year of the same group, both quantitively and qualitatively, and with respect to COR theory, to determine if the result persisted. Team mindfulness was also compromised in the second year with respect to the entire group but not regarding the individual relationship with the facilitator. For a diverse-membership group to demonstrate team mindfulness, it is suggested that creating and using avatars similar to those used in online games might be effective. To continue the successful aspect of team mindfulness found online for this group or similarly designed groups, a one-on-one meeting between participant and facilitator is recommended.
]]>Challenges doi: 10.3390/challe14010014
Authors: Jason A. Hubbart Nathan Blake Ida Holásková Domingo Mata Padrino Matthew Walker Matthew Wilson
Estimates of global population growth are often cited as a significant challenge for global food production. It is estimated that by 2050 there will be approximately two- billion additional people on earth, with the greatest proportion of that growth occurring in central Africa. To meet recommended future protein needs (60 g/d), approximately 120 million kg of protein must be produced daily. The production of ruminant meat (particularly beef cattle) offers the potential to aid in reaching increased global protein needs. However, advancements in beef cattle production are necessary to secure the industry’s future sustainability. This article draws attention to a subset of sustainable beef cattle production challenges, including the role of ruminant livestock in meeting global human protein needs, the environmental relationships of advanced beef cattle production, and big data and machine learning in beef cattle production. Considering the significant quantities of resources necessary to produce this form of protein, such advancements are not just a moral imperative but critical to developing advanced beef cattle production practices and predictive models that will reduce costs and liabilities and advance industry sustainability.
]]>Challenges doi: 10.3390/challe14010013
Authors: Marianne Levesque Mariame Ouedraogo Romina Fakhraei Alysha Dingwall Harvey Elizabeth Bratton Mark Walker Linda Dodds Laura Gaudet
Persistent organic pollutants (POPs) are toxic chemicals with demonstrable effects on pregnancy and neonatal outcomes. The associations of early pregnancy body mass index (BMI) and antenatal weight changes with circulating POP concentrations are poorly understood in the Canadian context. The aim of this study was to explore the relationship between maternal BMI in the first trimester, weight change from pre-pregnancy to 6–13 weeks of pregnancy, and first-trimester plasma POP concentrations among Canadian pregnant women. We analyzed data collected as part of the Maternal-Infant Research on Environmental Chemicals (MIREC) study and evaluated POP concentrations based on first-trimester BMI and early gestational weight change categories. We tested for overall differences using Kruskal-Wallis tests. The associations between first-trimester maternal BMI, weight change, and plasma concentrations of 41 POPs were evaluated using censored regression models. After controlling for potential confounders, first-trimester plasma levels of multiple POPs differed significantly across BMI categories, with the highest concentrations in underweight/normal-weight individuals and the lowest in class III obese individuals. Our findings provide preliminary evidence of higher circulating POP levels in individuals with obesity and align with previous findings of an inverse relationship between circulating POP concentrations and BMI in pregnancy. Future studies should prospectively evaluate the interplay between weight change and POP concentrations throughout pregnancy to inform gestational weight gain recommendations for pregnant individuals with obesity.
]]>Challenges doi: 10.3390/challe14010012
Authors: Yanbo Huang Gary Feng Haile Tewolde Mark W. Shankle
Remote sensing monitoring of crop growth began from airborne photography to assist in crop pest management and has evolved into monitoring from satellites, manned aircraft, unmanned aerial vehicles (UAVs), and ground-based systems for crop production process modeling, optimization, and control. In recent years, for crop growth remote sensing monitoring, apart from satellites, manned aircrafts, and ground-based systems, UAVs have been developed and widely used for low-altitude remote sensing of crop fields to uniquely provide a cost-effective, flexible tool for field crop growth remote sensing. Additionally, their data create a critical layer between all other remote sensing platforms. This paper overviews the use of remote sensing from difference sources, especially airborne remote sensing from manned aircraft and UAVs, to monitor crop growth in the area of the lower northern Mississippi from the Mississippi Delta to the Black Prairie, one of the most important agricultural areas in the U.S. In this paper, three sites typical in the area are demonstrated for remote sensing monitoring of crop growth, and the issues and challenges are identified and discussed for future opportunities to integrate remote sensing data from different sources to improve crop monitoring in this area and surrounding areas.
]]>Challenges doi: 10.3390/challe14010011
Authors: Llinos Haf Spencer Mary Lynch Gwenlli Mair Thomas Rhiannon Tudor Edwards
Grŵp Cynefin, a social housing association in North Wales, United Kingdom (UK) with other partner organisations, had a vision to create a community Hub in the Nantlle Valley to strengthen and support the health and well-being of the local community through the provision of a range of traditional and preventative services. Social prescribing (SP), which is a non-medical support using community assets, would be a part of this new innovative Hub. SP activities would be co-designed and co-produced by current community members. Drawing on the principles of citizens’ assembly deliberations and Future Design, four focus groups (n = 16) were conducted to develop sustainable strategies for SP activities as part of the proposed Hub. Deliberations on the perspectives of future generations were considered along with current community needs. Findings from the focus groups imply that current members of society are open to the concept of taking an inter-generational approach when designing SP activities to address the social and economic needs of the community along with integration of traditional and preventative community health services. Deliberations highlighted that the proposed Hub could strengthen communities and support community health and well-being, by providing a place to socialise and acting as a single point of access for community services, which could promote social cohesion in line with the Well-being for Future Generations (Wales) Act. Applying a long-term thinking approach to citizens’ assembly deliberation design offers a voice to the interests of future generations, providing inter-generational equity.
]]>Challenges doi: 10.3390/challe14010010
Authors: Susan L. Prescott
Most people know the fabled story of the elephant and the “six blind men”, with each of them separately examining a different portion of the mysterious object before them and drawing a different conclusion without awareness of the whole picture—which could have been gleaned by sharing information with their neighbours (Figure 1) [...]
]]>Challenges doi: 10.3390/challe14010009
Authors: Daniela Soleri David Arthur Cleveland Flavio Aragón Cuevas Violeta Jimenez May C. Wang
We are in the midst of an unprecedented public and planetary health crisis. A major driver of this crisis is the current nutrition transition—a product of globalization and powerful multinational food corporations promoting industrial agriculture and the consumption of environmentally destructive and unhealthy ultra-processed and other foods. This has led to unhealthy food environments and a pandemic of diet-related noncommunicable diseases, as well as negative impacts on the biophysical environment, biodiversity, climate, and economic equity. Among migrants from the global south to the global north, this nutrition transition is often visible as dietary acculturation. Yet some communities are defying the transition through selective resistance to globalization by recreating their traditional foods in their new home, and seeking crop species and varieties customarily used in their preparation. These communities include Zapotec migrants from the Central Valleys of the southern Mexican state of Oaxaca living in greater Los Angeles, California. Focusing on the traditional and culturally emblematic beverage tejate, we review data from our research and the literature to outline key questions about the role of traditional foods in addressing the public and planetary health crisis. We conclude that to answer these questions, a transnational collaborative research partnership between community members and scientists is needed. This could reorient public and planetary health work to be more equitable, participatory, and effective by supporting a positive role for traditional foods and minimizing their harms.
]]>Challenges doi: 10.3390/challe14010008
Authors: Habeebullah Jayeola Oladipo Yusuf Amuda Tajudeen Iyiola Olatunji Oladunjoye Sheriff Taye Mustapha Yusuff Inaolaji Sodiq Rashidat Onyinoyi Yusuf Oluwaseyi Muyiwa Egbewande Abdulbasit Opeyemi Muili Taofeekat Oluwatosin Adigun Emmanuel O. Taiwo Mona Said El-Sherbini
Arbovirus control depends on accurate projections of likely changes in the arthropod vector species, essential to inform local and global public health authorities. According to the WHO Assembly and the Global Vector Control Response (GVCR), by 2030, the burden of vector-borne diseases, particularly arbovirus infections, is expected to be greatly decreased. However, anthropogenic drivers, including climate change, insecticide resistance, and a lack of operational local databases for risk management of emerging and re-emerging arboviruses, hinders effective implementation plans. This article presents a statistical, mechanistic, integrated surveillance, thermal biology, and holistic framework (termed SMITH) to discuss how temperature variations affect the biological transmission, replication, extrinsic incubation period, nutritional behavior, distribution, and survival (TRENDS) of arboviruses. Future transdisciplinary research that involves knowledge translation between local and global communities is required for early detection and risk management of the growing threat posed by arboviruses for human, animal, and planetary health.
]]>Challenges doi: 10.3390/challe14010007
Authors: Challenges Editorial Office Challenges Editorial Office
High-quality academic publishing is built on rigorous peer review [...]
]]>Challenges doi: 10.3390/challe14010006
Authors: Jennifer B. Rasmussen
As our planet faces more frequent and severe environmental threats due to climate change (including threats to biodiversity), environmental justice will be essential to ensure that the costs and burdens of combating these threats are shared equally, borne by all people worldwide in a fair and equitable manner. If the past is any indicator, however, environmental problems—and their “solutions”—disproportionately affect poor communities and communities of color, including Indigenous communities. Despite these past injustices, Indigenous lands, which make up only 20 percent of the Earth’s territory, contain 80 percent of the world’s remaining biodiversity—evidence that Indigenous peoples are among the most effective stewards of the environment. A primary reason for this remarkable statistic is the use and practice of Indigenous Traditional Ecological Knowledge; ecological wisdom which has been passed down for generations and has been shown to strengthen community resilience in response to the multiple stressors of global environmental change. While the United States government has been slow to acknowledge the value of Traditional Ecological Knowledge, it has recently begun to incorporate that knowledge into environmental policy in response to the worldwide climate crisis. Continuing the integration of Traditional Ecological Knowledge into government environmental policy will ensure that such policies will be more effective at the federal, state, and local levels and more equitable in their application. Western scientists, government officials, and global leaders need to build trusting and co-equal relationships with Indigenous communities by actively listening to all cultures and respecting the many kinds of knowledge systems required to conserve the natural world and all living beings. This paper will address how incorporating Traditional Ecological Knowledge into U.S. policy would help safeguard the environment from further biodiversity loss and other ecological destruction, and advance environmental justice to ensure the fair treatment of all.
]]>Challenges doi: 10.3390/challe14010005
Authors: Elin Pöllänen Walter Osika Eva Bojner Horwitz Christine Wamsler
Researchers and practitioners increasingly emphasise the need to complement dominant external, technological approaches with an internal focus to support transformation toward sustainability. However, knowledge on how this internal human dimension can support transformation across individual, collective, and systems levels is limited. Our study addresses this gap. We examined the narratives of participants in the sustainability course “One Year in Transition”, using micro-phenomenology and thematic analysis. Our results shed light on the dynamics of inner–outer change and action and the necessary capacities to support them. This related to changes regarding participants’ perspectives, which became more relational and interconnected. We also showed that participants increasingly seek an inner space that provides direction and freedom to act. The data suggested that this, over time, leads to increasing internalisation, and the embodiment of a personal identity as a courageous and principled change agent for sustainability. Our results complement extant quantitative research in the field by offering a nuanced picture of the entangled nature of inner–outer transformation processes and associated influencing factors. In addition, they point towards ways in which inner dimensions can be leveraged to achieve change, thus filling existing knowledge gaps for reaching sustainability and associated goals across all levels.
]]>Challenges doi: 10.3390/challe14010004
Authors: Mahin Al Nahian
Bangladesh, one of the most disaster-prone countries in the world is also severely exposed to climate change (CC) impacts with a multitude of health complexities. Health adaptation to CC is thus a serious issue in Bangladesh, but not explored properly from a health system and policy environment perspective. In order to address this gap and provide a holistic picture of the overall scenario, this scoping review explores CC impacts on the population health in Bangladesh and discusses the policy environment and health system preparedness against such climatic challenges. A total of 28 articles were reviewed following Arksey and O’Malley’s scoping review framework. A “5-point scale” was devised to assess CC integration in the health sector Operational Plans (OPs). Though the country made significant progress in different health indicators, poverty and income inequality have kept marginal communities out of many health provisions. There are four major stakeholders in the health system. The government sector is handicapped by poor governance, bureaucratic processes, and staff shortages; and primarily focuses on the public sector only. National Health Policy (NHP) governs the health system through 29 sectoral OPs, that put CC as a major cross-cutting issue. About 25% of the OPs have fully integrated CC and other OPs have significant CC co-benefits. In Bangladesh CC was linked to increased morbidity and mortality, diarrhea, cholera, skin problems, respiratory infections, malaria, dengue, kala azar, pre-eclampsia, and hypertension. Significant research gaps exist on child health, migrant health, and mental health. Integration of research evidence into policy, planning and program design is largely absent. However, prioritizing health for the National Adaptation Plan is an essential step towards establishing a climate-resilient health system.
]]>Challenges doi: 10.3390/challe14010003
Authors: Kate C. Tilleczek Mark Terry Deborah MacDonald James Orbinski James Stinson
This paper presents data and analyses from our Planetary Health Film Lab (PHFL) and its sister project the Youth Climate Report. Qualitative data include semi-structured interviews with youth and their educators and content analysis of films produced by young people (ages 19–25) from six countries (Australia, Columbia, Ecuador, Italy, India, Canada). The educative processes designed for the Planetary Health Film Lab are illustrative of our work to build the field of planetary health education that is with/for young people whose educative projects are mobilized in turn to educate wider audiences and for policy change. The analyses show how youth document and record planetary health concerns alongside responsive projects that are embedded in awareness of climate justice and their interconnected ecological systems. The qualitative content analyses of selected films resulted in three themes: (1) Anthropogenic footprints, (2) Ecological and climate justice, and (3) Collective local/global solutions. Data also illustrates how young people’s participation in educative film projects contribute to the education of others and address related intergenerational justice issues. Implications for the knowledge, ethics and practices of youth-centred planetary health education are discussed as they augment the Framework for Planetary Health. Youth are crucial but overlooked collaborators in redressing planetary health education, an error we begin to correct through transdisciplinary approaches with/for young people who could help define the field.
]]>Challenges doi: 10.3390/challe14010002
Authors: Christina M. Gant
The Finnish Kalevala epic contains a world-creation myth that exemplifies the essential cooperation between humans and the nature spirits that inhabit the land. These stories not only reflect the culture’s animistic worldview, they also contain a remarkable awareness of how humans depend on the wisdom of nature to survive and illustrate how that coexistence benefits both humans and nature—a perspective that can be increasingly valuable in the modern era.
]]>Challenges doi: 10.3390/challe14010001
Authors: Murray A. Rudd
Bitcoin critics have argued that energy-intensive Bitcoin production and adoption will exacerbate global warming. Conversely, Bitcoin advocates have been dismayed by critics’ apparent lack of willingness to scrutinize Bitcoin’s potential role in helping to improve the economics of renewable energy investments, reduce net emissions from methane venting and flaring, increase electricity grid efficiency, and provide higher-order environmental, social, and governance (ESG) benefits. Given the disparate views, there is a pressing need to identify key knowledge needs regarding Bitcoin’s net energy use, carbon emissions, and direct and indirect ESG impacts. I used a variation on the ‘key questions’ horizon scanning approach to identify 100 questions that, if answered, could help provide credible evidence to support policymakers’, investors’, and research funders’ decision-making on issues relating to the impact of Bitcoin production and adoption. The questions are distributed across 13 themes (ranging from energy use to social impacts). The breadth of knowledge required to answer key questions highlights the need to build research capacity, encourage collaborative cross-sectoral and -disciplinary research, and develop a prioritized research agenda. Defensible evidence for investors, regulators, and policymakers needs to consider Bitcoin’s complex net impacts on energy use and environmental, social, and governance benefits.
]]>Challenges doi: 10.3390/challe13020067
Authors: Francis Gyapong Ethel Debrah Maame Oforiwaa Abiola Isawumi Lydia Mosi
Background: The use of face masks was a significant part of the WHO COVID-19 preventive protocols. While their usage has been effective, lack of adherence by individuals has been associated with discomfort and adverse side effects. This might facilitate unnecessary exposure to the SARS-CoV-2 virus, thereby increasing the incidence of COVID-19. This study assessed the side effects of prolonged mask-wearing and offers recommendations for present and future pandemics. Methods: Adverse side effects of face masks were evaluated from November 2021 to February 2022 with a structured Google Forms online questionnaire. The survey targeted regular and occasional face mask users around the world. All responders anonymously completed the survey, which included ten structured questions with a sub-section on the effects of the continuous use of face masks. The information obtained was analyzed using descriptive statistics, and the data were presented in graphs. Results: Almost 60% (1243) of the 2136 participants indicated discomfort while using face masks. Breathing difficulties and pain around the ears were cited as major causes of discomfort, accounting for 32% and 22%, respectively, of responses. Headaches were reported by 26.8% (572) of the respondents, with 44.6% experiencing one within 1 h of wearing a mask. Nine hundred and eight (908) respondents experienced nasal discomfort, while 412 individuals reported various skin-related discomfort, including excessive sweating around the mouth and acne. Conclusions: This study provides baseline data as to why there was less adherence to face mask use which includes headaches, skin irritation, ear pains, breathing difficulties, sore throat, dry eyes, and increased sweating around the mouth. As a result, this may contribute to an increased risk of infection. While COVID-19 lingers and the management of its undesirable effects persists into the future, it is vital that a superior mask design, concentrating on safety, comfort, and tolerability, be developed.
]]>Challenges doi: 10.3390/challe13020068
Authors: David Duindam
Background: Climate change is one of the largest threats to human health and well-being globally. The healthcare industry itself currently contributes to fueling the climate crisis with its emissions and material consumption. There has been much research on decarbonising hospitals ecological/carbon footprints but very limited study on ways to assist healthcare clinics in transitioning to a low-carbon healthcare system. Methods: A structured literature review was conducted, and the results analysed. Results: The literature review revealed four important areas to act upon to decarbonise a healthcare clinic most efficiently. These are: energy use, waste minimisation/management, the behaviors/attitudes of staff, and decarbonising the supply chain. Conclusions: The pooled literature reveals an evidence-based set of recommendations or guiding principles to decarbonise healthcare clinics the most effectively. To maximise operational effectiveness, how this is achieved will differ between clinics. Although this research is written with reference to Australia, these identified ini-tiatives are likely to be relatable to many other countries healthcare systems. Decarbonising health clinics will contribute to a sector-wide transition to more sustainable healthcare that will lead to improved environmental, social, economic and health outcomes.
]]>Challenges doi: 10.3390/challe13020066
Authors: Jennifer Cole Adam Eskdale Jonathan D. Paul
Antibiotic resistance is a pressing global, one health and planetary health challenge. Links between climate change, antibiotic use, and the emergence of antibiotic resistance have been well documented, but less attention has been given to the impact(s) of earth systems on specific bacterial livestock diseases at a more granular level. Understanding the precise impacts of climate change on livestock health—and in turn the use of antibiotics to address that ill-health—is important in providing an evidence base from which to tackle such impacts and to develop practical, implementable, and locally acceptable solutions within and beyond current antibiotic stewardship programs. In this paper, we set out the case for better integration of earth scientists and their specific disciplinary skill set (specifically, problem-solving with incomplete/fragmentary data; the ability to work across four dimensions and at the interface between the present and deep/geological time) into planetary health research. Then, using a case study from our own research, we discuss a methodology that makes use of risk mapping, a common methodology in earth science but less frequently used in health science, to map disease risk against changing climatic conditions at a granular level. The aim of this exercise is to argue that, by enabling livestock farmers, veterinarians, and animal health observatories to better predict future disease risk and risk impacts based on predicted future climate conditions, earth science can help to provide an evidence base from which to influence policy and develop mitigations. Our example—of climate conditions’ impact on livestock health in Karnataka, India—clearly evidences the benefit of integrating earth scientists into planetary health research.
]]>Challenges doi: 10.3390/challe13020065
Authors: Ofhani Prudance Musekwa Lufuno Makhado Angelina Maphula
Although epilepsy is a common non-communicable neurological disease, lack of knowledge, awareness, and negative attitudes of it abound. This study aimed to explore public awareness, knowledge, and attitudes towards epilepsy and people living with epilepsy (PLWE). RaoSoft software was used to calculate the sample size, and 4290 respondents were included. The researchers employed a non-experimental quantitative survey method. Data were collected using a questionnaire, and descriptive and regression analyses were performed. Most respondents had a secondary education without grade 12 (45.2%); 79.6% were unemployed in Limpopo and 70.5% in Mpumalanga. This study had a 95.3% response rate. Both provinces displayed low knowledge of epilepsy (48.2%; mean = 5.99; SD = 2.38). Only 41% demonstrated awareness, and 56.7% had a positive attitude towards epilepsy (mean= 4.67; SD = 1.90). The findings revealed positive correlations between demographic factors and overall knowledge, awareness, and attitude. In addition, demographic factors, such as level of education and employment status, may be associated with an individual’s knowledge, awareness, and attitudes towards epilepsy. This study concluded that, despite individuals’ awareness of epilepsy, their levels of knowledge were low, and many (43.3%) had a negative attitude regarding the disease. In the two provinces investigated, the study highlighted the need for epilepsy education to empower the public and improve the quality of life of PLWE and their families.
]]>Challenges doi: 10.3390/challe13020064
Authors: Kira J. Cooper Robert B. Gibson
Calls for systemic transformations have become prevalent throughout sustainability discourse. Increasingly, these calls point towards consciousness expanding practices and interventions, such as mindfulness, to support the development of individual understandings, skills, and capacities that are conducive to more sustainable ways of being and doing. The growing interest in leveraging inner capacities, including mindsets, worldviews, values, and beliefs for sustainability transformations emerges from concerns that conventional approaches are failing to align social and ecological systems towards long-term viability. Interest in these consciousness-driven transformations is spreading, particularly in governments and prominent organisations. Tempering this enthusiasm are concerns that untethered from moral and ethical guidelines as well as caring understanding of local and global prospects for lasting wellbeing, mindfulness programs, workshops, and interventions for inner transformation can inadvertently strengthen unsustainable systems and deepen inequities. Accordingly, this paper presents an exploratory assessment framework to increase understandings of how events focused on interventions for inner transformation align with broad sustainability requirements. Findings from application of the framework should help to elucidate how these offerings can disrupt normative ways of thinking and doing, and in turn, positively influence multi-scalar transformations. Furthermore, use of the assessment process to plan and/or evaluate inner development offerings is anticipated to help strengthen progress towards sustainability and reduce adverse trade-offs that might undermine positive systemic transformations.
]]>Challenges doi: 10.3390/challe13020063
Authors: Vanessa de Araujo Goes Yusuf Amuda Tajudeen Mona Said El-Sherbini
Being one of the most common foodborne protozoa worldwide, chronic toxoplasmosis caused by Toxoplasma gondii (T. gondii) could contribute significantly to the etiology of several mental disorders. The neurotropic parasite can directly influence the gut microbiota, causing inflammation with subsequent degradation of tryptophan required for parasite growth. Research in humans and animals shows that the gut microbiome is involved in the regulation of brain serotonergic pathways through the microbiota–gut–brain axis. Since the serotonin system is extensively interconnected with the body’s master clock through neuronal networks, the microbiota has been suggested as a potential mediator, fine-tuning circadian misalignment, following a reciprocal relationship with human eating patterns. Furthermore, adherence to an intermittent fasting diet can improve the serotonin biosynthesis pathway in the intestines and improve cognitive function. This review aims to explain the role of fasting in parasite-driven gut microbiome perturbation and the mechanisms by which Toxoplasma infection alters brain function. Due to its significant impact on social–economic status, diet patterns, microbiota disruption, circadian rhythm, chronic inflammation, and mental disorders, toxoplasmosis is an underestimated threat that could be prevented by simple lifestyle changes through educational actions. Furthermore, there are few research studies that address toxoplasmosis-induced mental disorders from a holistic perspective. Thus, a planetary health lens is needed to understand these correlations that directly relate to the promotion of a resilient and empathic civilization, crucial to enabling a flourishing healthy society on all scales.
]]>Challenges doi: 10.3390/challe13020062
Authors: Michelle McLean Georgia Behrens Hannah Chase Omnia El Omrani Finola Hackett Karly Hampshire Nuzhat Islam Sarah Hsu Natasha Sood
Climate change and the declining state of the planet’s ecosystems, due mainly to a global resource-driven economy and the consumptive lifestyles of the wealthy, are impacting the health and well-being of all Earth’s inhabitants. Although ‘planetary health’ was coined in 1980, it was only in the early 2000s that a call came for a paradigm shift in medical education to include the impact of ecosystem destabilization and the increasing prevalence of vector-borne diseases. The medical education response was, however, slow, with the sustainable healthcare and climate change educational agenda driven by passionate academics and clinicians. In response, from about 2016, medical students have taken action, developing much-needed learning outcomes, resources, policies, frameworks, and an institutional audit tool. While the initial medical education focus was climate change and sustainable healthcare, more recently, with wider collaboration and engagement (Indigenous voices, students, other health professions, community), there is now planetary health momentum. This chronological account of the evolution of planetary health in medical education draws on the extant literature and our (an academic, students, and recent graduates) personal experiences and interactions. Advancing this urgent educational agenda, however, requires universities to support inclusive transdisciplinary collaboration among academics, students and communities, many of whom are already champions and eco-ethical leaders, to ensure a just and sustainable future for all of Earth’s inhabitants.
]]>Challenges doi: 10.3390/challe13020061
Authors: Alan C. Logan Nalini M. Nadkarni
In the ongoing series of Nova Interviews, Challenges Advisory Board member Alan C. Logan meets with thought leaders, scientists, scholars, healthcare professionals, artisans and visionaries concerned about health at the scales of persons, places, and the planet. In this interview, Dr. Nalini M. Nadkarni, of the University of Utah, responds to a set of questions posed by Nova for Challenges. For over forty years, Dr. Nadkarni has been studying the fragility and resiliency of rainforest ecosystems. During this time, Dr. Nadkarni has prioritized science communication with an emphasis on highlighting the interdisciplinary relevancy of research findings. Dr. Nadkarni has worked to promote an integrative way of thinking about the various branches of science and medicine, with an eye toward shifting public policy. Her research career has taken her where only a small minority of scientists have traveled—from remote cloud forests to segregated housing within prison facilities. Dr. Nadkarni successfully challenged the Mattel Corporation to update their globally-recognized toy, Barbie, with women in science in mind. Here, Dr. Nadkarni reflects on the early influences that shaped her career, updates Challenges on the latest directions of her work, and discusses the ways in which the canopy ecosystem can help us understand the complex interconnected challenges of our time.
]]>Challenges doi: 10.3390/challe13020060
Authors: Yusuf Amuda Tajudeen Habeebullah Jayeola Oladipo Iyiola Olatunji Oladunjoye Rashidat Onyinoyi Yusuf Hammed Sodiq Abass Olawale Omotosho Damilola Samuel Adesuyi Sodiq Inaolaji Yusuff Mona Said El-Sherbini
Arboviruses are most prevalent in tropical and subtropical regions, where arthropods are widespread. The World Health Organization (WHO) estimated that the mortality burden of arbovirus diseases, such as yellow fever in Africa, was 84,000–170,000 severe cases and 29,000–60,000 deaths in 2013. These epidemics emphasize the urgent need for integrated control and prevention of arboviral diseases. Challenges in managing and controlling arboviral diseases in Africa are mainly attributed to poor insect vector control, insecticide resistance, and poor sanitation and solid waste management. The removal or reduction of mosquito populations amongst susceptible individuals is identified as the most effective measure to control many vector-borne diseases. Current public health needs call for efficient vector control programs and maintenance of adequate surveillance systems through the availability of trained personnel and rapid diagnostic facilities, providing an interdisciplinary response to control and mitigate the threats of emerging and re-emerging arboviruses. Furthermore, research priorities should focus on understanding the factors responsible for adaptation to other vectors, determinants of infection and transmission, and the development of high efficiency antiviral molecules or candidate vaccines. Here, we explore and review our current understanding of arboviruses of public health importance in Africa, with a focus on emerging arboviruses, their arthropod vectors, and the epidemiology of major arboviruses. Finally, we appraise the role of planetary health in addressing the threat of arboviruses and identify other priority areas of research for effective control.
]]>Challenges doi: 10.3390/challe13020059
Authors: Satu Kalliola Tuula Heiskanen
Since 2019, we have been living and working in close connection with the threat of an infectious disease caused by the SARS-CoV-2 virus [...]
]]>Challenges doi: 10.3390/challe13020058
Authors: Wendy Ellyatt
Debates about the true purpose of education have increased globally in recent years, with climate change and the COVID-19 pandemic accelerating interest in the subject. It has become clear that education systems play a vital role not only in shaping the values, mindsets and ethical behaviours that we need for caring and responsible societies, but also in influencing our everyday interactions with the environment. To that end, wellbeing always concerns the triple nature of self, others and the natural world and there is increasing recognition of the need to move from a primary focus on personal happiness and attainment to a more balanced interest in the optimisation of human flourishing within the context of sustainable and regenerative futures. This article introduces the educational work of the Flourish Project, exploring the degree to which schools need to be understood as living systems and the way curricular frameworks, as they currently stand, may be inadvertently contributing to human languishing rather than flourishing. It explains the thinking behind the Flourish Model and describes the way in which the educational aspect of the Flourish Project hopes to contribute not only to the ongoing debate concerning the role of flourishing in education, but also to the growing global interest in the Inner Development Goals (IDGs) as skills and qualities that are vital for purposeful, sustainable, and productive lives.
]]>Challenges doi: 10.3390/challe13020057
Authors: Madison Kircher Brenna Doheny Kristin Raab Emily Onello Stephanie Gingerich Teddie Potter
Climate change is an urgent public health issue that is impacting health locally and across the world. Healthcare professionals are on the front lines for public health, caring for people affected by climate change; yet few studies have assessed their knowledge and experiences of local climate change effects. The purpose of this study was to improve our understanding of the health impacts of climate change in Minnesota from the perspective of healthcare professionals. An electronic survey was administered by the Minnesota Department of Health (MDH) to a convenience sample of Board-certified nurses and physicians in Minnesota. Seventy-five percent of respondents agreed that climate change is happening, and 60% agreed that it is currently impacting the health of their patients. However, only 21% felt well prepared to discuss climate change, and only 4% discussed climate change with all or most of their patients. Similarly, results from open-ended questions highlighted the importance of climate change and acknowledged the challenges of discussing this topic. While most respondents recognized the health impacts of climate change, they also reported feeling uncomfortable discussing climate change with patients. Thus, there is an opportunity to develop targeted resources to support healthcare professionals in addressing climate change.
]]>Challenges doi: 10.3390/challe13020056
Authors: Alexandros A. Lavdas Nikos A. Salingaros
After decades of being ignored, the concept of beauty, as understood by the non-architect, has recently been making a comeback in architecture, not so much in the practice itself, as in appeals for design solutions that are more human-centered and not dictated by abstract principles. Architectural beauty needs to be evaluated from its effects on human health. This study discusses two diagnostic tools for measuring the degree of architectural “beauty” and presents the results of the pilot application of one of them. The goal is to use diagnostic imaging for evaluations. Analytical elements are introduced from disciplines with which practitioners are normally not familiar, such as artificial intelligence, medicine, neuroscience, visual attention and image-processing software, etc. In addition to the diagnostic tools, this paper ties related ideas on objective beauty into a novel synthesis. These results support the idea of a feasible, “objective” way to evaluate what the users will consider as beautiful, and set the stage for an upcoming larger study that will quantitatively correlate the two methods.
]]>Challenges doi: 10.3390/challe13020055
Authors: Annukka Tapani Merja Sinkkonen Kirsi Sjöblom Katrien Vangrieken Anne Mäkikangas
The aim of this study was to investigate experiences of relatedness among higher education staff during enforced remote work caused by the COVID-19 pandemic. Experiences were investigated both at the earliest stages of enforced remote work (April 2020) and in November/December 2021. Remote work experiences were analysed through the lens of Deci and Ryan’s self-determination theory, especially through the concept of relatedness. Within this framework, relatedness is described as one of three basic psychological needs affecting health, well-being, and productivity. The main research focus includes ascertaining which factors affect experiences of relatedness among employees in higher education at work at the beginning of enforced remote work and at the end of it. The study uses qualitative data collected from Finnish university employees, analysed using theory-driven content analysis. The analysis of the two datasets enabled us to identify three categories of relatedness: (1) interaction among co-workers, (2) feelings of care and (3) experiences of connectedness. The results showed that the experience of relatedness was severely challenged during the enforced work period. In the future, the need for relatedness needs to be addressed more deliberately in multi-locational work conditions because remote work is especially affecting the experiences of relatedness. Positive experiences of relatedness can be achieved even in remote work conditions with deliberate and thought-out actions, for example by developing good remote interaction practices within the team and remote leadership practices that convey care for the employees.
]]>Challenges doi: 10.3390/challe13020054
Authors: Znabu Hadush Kahsay Azeb Gebresilassie Tesema Ferehiwot Hailemariam Tesfa Bisrat Tewelde Gebretsadkan Welday Hagos Gebretsadik Maree L. Hackett
Background: Substance misuse is a public health concern among University students. Understanding the critical times and places for substance misuse among University students helps to inform effective preventive strategies. However, there is a dearth of studies in Ethiopian Universities on this topic. Here, we aimed to explore the patterns of psychoactive substance misuse, specifically about time and places, among undergraduate students at Mekelle University. Subject and Methods: An explorative qualitative study design was conducted in 2017. Five focus-group discussions among substance user students followed by eleven in-depth interviews with the user and non-user students, proctors, and a bar owners were conducted. In addition, four key informant researchers were involved. Participants were purposefully selected. The data were audio taped, transcribed verbatim and imported into Atlas.ti qualitative data analysis software version 7.5 for coding and analysis. Data were analyzed inductively to capture the emerging themes. Results: Our study showed that students consume alcohol in the evenings, on weekend days, holidays, after exams and at celebrations; smoke cigarettes after waking in the morning and after eating lunch. Concurrent substance use like smoking cigarettes, chewing Khat and drinking alcohol was evident. Khat chewing was reported mainly around noon, in the afternoon and on weekends. Substance use generally peaks at weekends, at the start and end of academic semesters, and when graduation approaches. However, students who become addicted may continue using substances. Students easily accessed and used substances around and inside the gates of the campuses. Conclusion: Event-specific celebrations are linked with substance misuse among University students. The ease with which students can access substances around the campuses increases the likelihood of substance misuse. Proactive interventions that include the provision of alcohol-free recreational alternatives to events on campus, high-risk substance misuse surveillance, tobacco cessation interventions, and promoting plain packaging are recommended.
]]>Challenges doi: 10.3390/challe13020053
Authors: KeChrist Obileke Golden Makaka Nwabunwanne Nwokolo
In the context of addressing the global challenge of facilitating a decision-making process based on methane production using a predictive model, the study seeks to evaluate the performance of a biogas digester in varying operating conditions for optimization purposes. One of the techniques for doing this is the application of constrained linear least-square optimization. This has been employed to optimize the input parameter with the corresponding measured desired response. The developed model was built from 430 measured data set points of all the predictors over an 18-day monitoring period with an interval of 30 min. The result showed that the difference between the optimized model and the general model output for methane production in the biogas digester was less than 4%. Hence, the performance of the model demonstrated a strong validity as the determination coefficient (R2) between the modeled, and optimized output was 0.968 for the volume of methane produced in the biogas digester. The obtained determination coefficient of the developed and optimized model suggests that the modeled value of the methane fits well with the measured value of methane for validation. Thus, from the test dataset, the optimized and modeled methane volume was reported as 28%. In this scenario, under the various operational parameters, an increase of 26.5% in methane was obtained when comparing the maximum volume of methane from the optimization process with the maximum methane volume (54.5%) produced in the real biogas digester. Interestingly, the biogas digester produced a maximum methane yield of 0.24 m3 and a methane composition of 60%. Evidently, methane yield was influenced by temperature as well as other meteorological factors in the developed model hence, these factors should be widely considered for sustainable biogas production.
]]>Challenges doi: 10.3390/challe13020052
Authors: Shahid Iqbal Jianchu Xu Sehroon Khan Sadia Nadir Yakov Kuzyakov
SARS-CoV-2 has been found in soil and aquatic environments in addition to aerosols. SARS-CoV-2 enters the soil from various sources, including organic amendments and waste irrigation water. The virus counts and virulence in soil depend on spillover routes and soil properties. Organic matter (OM) and clay minerals protect and enable SARS-CoV-2 to survive for longer periods in soil. Therefore, life forms residing in soil may be at risk, but there is a paucity of scientific interest in such interactions. With this perspective, we aim to provide a new viewpoint on the effects of SARS-CoV-2 on soil microbes. In particular, we present a conceptual model showing how successive mutations within soil animals having the SARS-CoV-2 receptor angiotensin-converting enzyme 2 (ACE2) may change its characteristics and, thus, enable it to infect micro- and macroorganisms and be transferred by them. SARS-CoV-2 particles could be adsorbed on mineral or OM surfaces, and these surfaces could serve as encounter sites for infectious attacks. SARS-CoV-2 accumulation in soil over time can perturb bacteria and other microbes, leading to imbalances in microbial diversity and activities. Thus, SARS-CoV-2 and its interactions with biotic and abiotic soil components should be a future research priority.
]]>Challenges doi: 10.3390/challe13020051
Authors: Alan C. Logan Christopher A. Lowry
In the ongoing series of spotlight interviews, Challenges Advisory Board member and Nova Institute for Health Fellow, Alan C. Logan, meets with thought leaders, scientists, scholars, healthcare professionals, artisans, and visionaries concerned about health at scales of persons, places, and the planet. Here in this interview, Dr. Christopher A. Lowry of the University of Colorado Boulder, responds to a set of questions posed by Challenges. For nearly twenty years, Dr. Lowry has been at the forefront of the research connecting the microbiome to mental health. Ten years ago, Dr. Lowry and his colleagues wrote a provocative article under the title ‘Can we vaccinate against depression?’; Dr. Lowry updates Challenges on where the field has moved, with its promises and possibilities. Dr. Lowry reflects on the early influences that shaped his interest in the field and discusses the ways in which microbiome sciences are casting light on the many interconnected challenges of our time.
]]>Challenges doi: 10.3390/challe13020050
Authors: Yusuf Amuda Tajudeen Habeebullah Jayeola Oladipo Iyiola Olatunji Oladunjoye Mutiat Oluwakemi Mustapha Sheriff Taye Mustapha Adam Aberi Abdullahi Rashidat Onyinoyi Yusuf Samuel Olushola Abimbola Aminat Olaitan Adebayo Joy Ginika Ikebuaso Damilola Samuel Adesuyi Blessed Okereke Abass Olawale Omotosho Abdulhakeem Funsho Ahmed Mona Said El-Sherbini
The ever-increasing global health impact of SARS-CoV-2—the etiological agent of coronavirus disease 2019 (COVID-19)—coupled with its socio-economic burden, has not only revealed the vulnerability of humanity to zoonotic pathogens of pandemic potential but also serves as a wake-up call for global health communities to rethink sustainable approaches towards preventing future pandemics. However, since the Intergovernmental Science-Policy Platform on Biodiversity and Ecosystem Services (IPBES) convened experts have declared that future pandemics are likely to be zoonotic in origin, it is imperative that we understand the key drivers of zoonosis such as biodiversity loss, climate change, wildlife consumption, and population mobility, as well as the scientific evidence underpinning them. In this article, we underscore the correlations of these drivers with the emergence and re-emergence of zoonosis. Consequently, we highlighted the need for multidisciplinary collaboration under the planetary health approach between researchers across the fields of environmental and human health to fill the knowledge and research gaps on key drivers of zoonosis. This is to prevent or limit future pandemics by protecting the natural systems of the Earth and its resources and safeguarding human and animal health.
]]>Challenges doi: 10.3390/challe13020049
Authors: Daniel Etongo Kelsy Gill
As a Small Island Developing State, Seychelles is disproportionately affected by climate change, and enhancing her adaptive capacity is a national priority. Identifying and integrating local capacity needs into policy measures can improve multilevel governance and the effective implementation of National Adaptation Plans (NAPs), given that local governments have contextual knowledge about their territories and the climate change challenges affecting them. Based on the Capital Approach Framework (CAF), this study carries out an analysis of local governance capacity needs for implementing climate change adaptation in Seychelles. Data were collected using two methods: (i) questionnaire-led interviews among twenty-four district administrators (DAs), and (ii) an interactive workshop involving thirty-one participants, of which twenty-six were DAs and five were members of the National Climate Change Committee. The CAF was measured in two ways: (i) through descriptive statistics such as frequencies based on interview data, and (ii) through the ranking of types of capital to assess their weightings across four categories using a consensus approach during the participatory workshop. The findings of this study indicate significant political, financial, and human resource capacity gaps, which collectively hinder local adaptation. The critical shortcomings identified include the low participation in national-level decision-making processes, the inability to access external funding sources, and the lack of technical know-how. Through a participatory approach involving the local government representatives and the National Climate Change Committee, ten recommendations for policy measures that can enhance the effectiveness of local governance in climate change adaptation were co-developed. Seven of these recommendations partly address issues related to political capital. These recommendations highlight that a siloed approach cannot effectively address the impacts of climate change. For example, one of the recommendations stated that land-use planning should be guided by location-specific vulnerabilities, as these differ across districts.
]]>Challenges doi: 10.3390/challe13020048
Authors: Hisao Nakai Ryo Horiike Tomoya Itatani Yukari Matsumoto
Following the Great East Japan Earthquake, vertical evacuation shelters (VES) were constructed to reduce tsunami risk. Childcare centers (CCs) in the inundation area are required to evacuate to the nearest VES in the event of a tsunami. The study aim was to identify CCs and VES predicted to be inundated by a Nankai Trough earthquake-generated tsunami, and to clarify CC inundation risk. We identified 52 (45.6%) CCs in the tsunami inundation area and found that 14 (25.9%) would evacuate toward the tsunami. If the walking speed was 2.24 km/h and a 0.3 m tsunami arrived in 10 min, nine (17.3%) CCs would be late to safe evacuation. If the tsunami arrival time was 20 min, four (7.7%) CCs would have late evacuation. At a walking speed of 1.00 km/h, 38 (73.1%) and 20 (38.5%) CCs would have late evacuation, with tsunami arrival times of 10 min and 20 min, respectively. Evacuation direction is important in avoiding tsunami damage. An evacuation strategy is needed that evacuates people away from the tsunami, and takes into account children’s age, walking speed, and evacuation method. The evaluation of tsunami risk in this study may support the development of tsunami countermeasures in other coastal areas with latent tsunami risks.
]]>Challenges doi: 10.3390/challe13020047
Authors: Alexander Fekete
New risk geographies are emerging with war and conflict resurfacing, including nuclear threats. This poses challenges to civil protection for conducting risk-informed preparedness planning. A spatial assessment of Germany and Europe is conducted using a geographic information system. Buffer circles of nuclear explosion effects and fallout buffers show potentially exposed areas around major cities. Different scenarios indicate shrinking areas safe from exposure. However, even in a densely populated country, rural areas and smaller cities can be identified that could provide sites for evacuation shelters. Changing wind directions poses a challenge for civil protection planning because fallout risk covers most German territory even when few cities are attacked. However, wind speeds and topography can help identify suitable shelter areas. More knowledge about the temporal development of a nuclear explosion and its specific forms of harm can also help to improve risk knowledge and planning. While nuclear warfare at first seems to render useless any option for safe areas and survival, the spatial risk assessment shows that exposure does not occur at all places at all times. Being safe from harm will be difficult in such a worst-case scenario, but avoiding large city perimeters and being informed can also help reduce risk.
]]>Challenges doi: 10.3390/challe13020046
Authors: Alice A. Gaughan Laura J. Rush Sarah R. MacEwan Ashish R. Panchal Ann Scheck McAlearney
The COVID-19 pandemic has profoundly affected the lives of almost every individual in every nation, with numbers of infections continuing to grow. Across these nations, first responders are essential in their roles addressing emergencies, despite their risk of exposure to COVID-19 in the course of their work. We sought to understand the impacts of the COVID-19 pandemic on the lives of volunteer firefighters in the United States, an understudied group of these first responders. Interviews were conducted with volunteer firefighters between September and November 2021. Interviews were analyzed using deductive dominant thematic analysis. Thirty-three firefighters were interviewed who had an average of 22 years of service and a mean age of 52 years. Interviewees described pandemic-related challenges including the fear of COVID exposure and frustrations with work and personal relationships. They also identified unexpected work-related benefits including a deepened commitment to serve and improvements to training and safety. Further, some volunteers noted personal benefits such as developing stronger connections with others, having a new outlook on life, and observing goodwill. Our findings provide insight into the multifaceted and complex impact of the COVID-19 pandemic on volunteer firefighters.
]]>Challenges doi: 10.3390/challe13020045
Authors: Carol Nash
The ability to self-direct a research program determines graduate degree completion. Yet, research on incompletion of science, technology, engineering, and mathematics (STEM) graduate programs assumes students’ present level of self-direction adequate and neglects to recognize a lack of self-directed learning (SDL) as key. This essay explores SDL for STEM, presenting the work of theoretical nuclear physicist David J. Rowe as a key example of applying a process of SDL in practice. Rowe focused on this challenge of physics graduate education by promoting SDL through the type of research flow that has been found to bring the greatest satisfaction to researchers regarding their insights. Strategies he explored involved his space, time, open mindedness and theoretical contributions with students and in collaboration with colleagues. A self-directed learner himself, Rowe developed methods of mentoring for encouraging physics graduate students to recognize symmetry as valuable in identifying solutions to problems quickly—helping students take the lead in finding insightful resolutions to complex, multidimensional, mathematical physics uncertainties. These strategies for supporting SDL in this context are examined here, with the use of narrative research to interpret the texts and conversations exchanged with the author. The process of SDL developed by Rowe is presented with recommendations on how Rowe’s methods may be modeled to improve self-direction in STEM graduate education more widely.
]]>Challenges doi: 10.3390/challe13020044
Authors: Farshad Amiraslani Andrew Cooper
The 1969 UN Report “Problems of the Human Environment” was a seminal work that first highlighted environmental problems at a global scale. This report underpinned a series of subsequent international summits and conventions of the 1992 Rio Earth Summit and the subsequent three global conventions on Biodiversity, Climate Change and Desertification. We assessed the report half a century after its publication to track changes in vocabulary and highlight critical lessons that could have been learned. The assessment contains several strengths and weaknesses that are pertinent to modern global-scale analyses. Many issues of that day have declined in importance or been superseded, and several major environmental problems (including climate change and plastic pollution) were not foreseen. Most of the report’s predictions proved to be much more conservative than proved by reality (a criticism that has also been levelled at contemporary IPCC reports). The report, however, did forewarn of global pandemics and stimulated thinking on a global scale that led to identification of the current climate crisis.
]]>Challenges doi: 10.3390/challe13020043
Authors: Meagan Reasoner Aritra Ghosh
As more nations move towards net-zero emission goals by 2050, research into the coupling of photovoltaics (PV) and agriculture has increased into a new sector of agrivoltaics (AV). Measurement of the Land Equivalent Ratio (LER) has allowed researchers to develop methods for optimizing the agrivoltaic system. Studies on innovative engineering technologies related to photovoltaic tracking along with new generation PV cells were reviewed to determine the factors that influence optimization. This review also considered AV farm layouts and how different spacing, height, and density impact the shading under the panels. As panels block the light from hitting the plants, the photosynthetically active radiation (PAR) changes and alters plant growth. The shading, however, also creates micro-climates that have beneficial qualities in terms of water usage and PV efficiency. The overall review investigated the research of the last five years into AV optimization and the implications for future AV developments.
]]>Challenges doi: 10.3390/challe13020042
Authors: Alan C. Logan Helene M. Langevin
In an ongoing series of spotlight interviews, Challenges Advisory Board Member and Nova Institute for Health Fellow, Alan C. Logan, meets with thought leaders, scientists, scholars, healthcare professionals, artisans and visionaries concerned about health at scales of persons, places and the planet. Here in the inaugural interview, the Director of the National Institutes of Health, National Center for Complementary and Integrative Health, Dr. Helene Langevin, responds to a set of questions posed by Challenges. Dr. Langevin discusses the emerging concept of whole person health, and in particular, how the concept intersects with the grand and interconnected challenges of our time.
]]>Challenges doi: 10.3390/challe13020041
Authors: Yusuf Amuda Tajudeen Iyiola Olatunji Oladunjoye Ousman Bajinka Habeebullah Jayeola Oladipo
Rapid deforestation and unprecedented wildlife trafficking are important factors triggering the rate of zoonotic spillover from animals to humans. Consequently, this leads to the emergence and re-emergence of zoonotic infectious diseases among the human population. Deforestation is an important ecological disruption that leads to the loss of biodiversity. The loss of biodiversity results in the persistence of highest-quality hosts of zoonotic pathogens dominating the low-diversity communities, a process termed the dilution effect. Activities like intensive farming and logging that resulted in deforestation bring vulnerable people in close contact with these highest-quality reservoir hosts (wildlife). As a result of this vulnerability, there is an increased risk of spillover, leading to zoonotic infection in humans and eventually disease outbreaks during human–human transmission. One prominent example of a disease of wildlife origin is the ongoing SARS-CoV-2 (Severe Acute Respiratory Syndrome-Coronavirus 2), even though the original source has not been found. Another important factor facilitating the risk of spillover and emergence of zoonotic infectious diseases is wildlife trafficking. This involves illegal hunting and trading of wildlife and their products, which increases the risk of spillover as a result of exchange of bodily fluids and bloodmeals between humans and wildlife during the hunting and butchering of animals’ carcasses. Consequently, little or no hygiene protocol and poor handling practices during the wildlife-trade chain expose poachers, consumers, and local market sellers to the risk of zoonotic diseases. Despite the interventions on deforestation-induced spillover and wildlife trafficking-associated spillover, there are still knowledge and research gaps that need to be addressed towards preventing the outbreaks of future zoonotic infectious diseases. In response to this, there is a need for interdisciplinary and intersectoral collaborations among researchers from various fields as well as sectors in minimizing the risk of zoonotic spillover driven by deforestation and wildlife trafficking at the human–animal–environmental nexus. In addition, there is a need for integrated and unified evidence-based policy formulation that puts an end to deforestation and wildlife trafficking, especially in tropical areas such as Africa and Asia.
]]>Challenges doi: 10.3390/challe13020040
Authors: Ugochinyere J. Njoga Ishmael F. Jaja Osita S. Onwuka Stanley U. Ilo Ifeanyi G. Eke Kenneth O. Abah Chike F. Oguejiofor Izuchukwu S. Ochiogu
In some African and Asian countries, Azadirachta indica (AI) has been fed to livestock for decades and traditionally used to treat certain animal and human diseases. Recently, there are suspicions that the plant may possess anti-reproductive properties and concerns that the continued use of AI as forage or for folkloric medicine may detrimentally affect reproduction in the subjects. To address these challenges, this work determined the reproductive and fertility effects of a methanolic seed extract of AI (MSEAI) using adult female albino rats (AFARs) as an experimental model. Sixty-four AFARs were randomly assigned into four groups (A–D) of sixteen rats each. Group A was the control while groups B, C and D were treated daily with 50, 100 and 200 mg/kg of MSEAI respectively, for 28 consecutive days via oral gavage. Blood samples were collected for hormonal and biochemistry assays. Ovarian samples from the experimental rats were harvested for histopathological studies. Thereafter, the remaining experimental rats were bred, and certain fertility indices determined. The mean serum FSH and LH levels were significantly decreased (p ≤ 0.05) in the 100 and 200 mg/kg groups. The histopathological studies revealed massive follicular degeneration in the 100 and 200 mg/kg treatment groups. The fertility indices indicated that the post-implantation survival index was 100% in the control and 0% in the 200 mg/kg treatment group. No abortion occurred in the control and 50 mg/kg groups, but 25% and 100% of the pregnant does aborted in the 100 and 200 mg/kg treatment groups, respectively. Considering that high doses (100 mg/kg and 200 mg/kg) of MSEAI had significant anti-reproductive and antifertility properties, the use of AI as forage or for ethnoveterinary medicine in breeding females may adversely affect their reproductive potentials. However, the anti-reproductive and antifertility effects could be utilized in rodent depopulation programs in animal agriculture and as a contraceptive to limit the proliferation of stray dogs, known to be reservoirs of the rabies virus in developing countries. Moreover, the MSEAI could be further refined for human use as an effective, cheap, eco-friendly and acceptable alternative to synthetic/modern contraceptives, the use of which is limited in developing nations due to superstitious beliefs and their multiple side effects.
]]>Challenges doi: 10.3390/challe13020039
Authors: Robert Richter Filip Maric
As planetary health education enters medical and health professional training, transversal implementation across curricula is critical in developing its full potential and enabling future health professionals to meet the social, environmental, and health challenges of current and future generations in an integrated manner. To advance the transversal implementation of planetary health education, our study proceeded through: (1) a sequence analysis of documents framing physiotherapy education to identify relevant nexus points; (2) an explorative implementation of planetary health into foundational anatomy and physiology modules identified as critical nexus points; (3) practical implementation during the 2021 autumn semester. Implementation in the operative foundations of healthcare education—anatomy and physiology—enables the emphasis of the ecological nature of human bodies and interconnection with our planetary environment. Musculoskeletal joints accentuate the relational nature of bodies highlighted across current research and traditional knowledges, as dynamically pervaded and in interaction with culture, technology, objects, ideas, plants, planets, etc. Teaching relational anatomies thus highlights planetary health as the transversal foundation of medical and healthcare education. Making this foundation more explicit will be critical for the transversal implementation of planetary health education and subsequent practice, as well as the fundamental shifts in our understanding of human lives and health they require.
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