Search Results (151)

Housing stock is observed to be associated with high carbon emissions, high fuel poverty and low comfort levels in the UK. Retrofitting the housing stock is one of the best solutions to address these problems. This paper directly corresponds with human and planetary health in terms of climate change, human health and mental health by addressing the challenges of housing retrofit at scale. Retrofitting houses can also contribute to social equity, reduced use of planetary resources and better financial and physical comfort. Despite the availability of the right technology, government grants and the potential to acquire supply chain and skilled labour, the progress of retrofit is extremely poor. Importantly, the UK is off track to achieve net zero by 2050, and the housing stock contributes 18.72% of the total emissions. The problem is further exacerbated by the 30.4 million units of housing stock. Robust strategies are required to retrofit the housing stock at scale. The study uses a qualitative modelling method under the diffusion of innovations theory to formulate a retrofit-at-scale strategy for the UK. Findings recommend focusing on skill development, show homes, research and innovation, supply chain development, business models, government grants and regulatory tools in a trajectory from 2025 to 2050. The proposed strategy is aligned with the segments of the diffusion of innovation theory. Although the analysis was performed with reference to the UK, the findings are transferable, considering the broader and urgent concerns related to human and planetary health. Full article

A large and growing empirical literature documents that privatization, deregulation, financialization, and under-regulation of harmful industries are associated with adverse health outcomes in the United States. However, this evidence remains fragmented across sectors and rarely articulates a unifying causal framework. This paper advances the literature by integrating findings across health care, harmful-product industries, and economic and social policy to demonstrate that corporate profit maximization functions as a cross-cutting driver of health disparities and premature mortality in the United States. We synthesize evidence showing that profit-driven incentives shape insurance markets, hospital and physician practice ownership, pharmaceutical marketing, and the aggressive promotion of tobacco, alcohol, ultra-processed foods, opioids, firearms, and fossil fuels—together contributing to more than one million deaths annually. We further document how corporate influence over public policy has increased poverty, economic inequality, and discrimination, all of which are powerful social determinants of health. In contrast to sector-specific analyses, this paper presents a unified, systems-level account of how profit-first governance undermines population health. We conclude by describing how a social movement to achieve a single payer system that provides Medicare for All would not only vastly improve public health, it would be a catalyst for numerous other reforms that enhance the general wellbeing. Full article

Background/Objectives: Tuberculosis (TB) remains a major global health challenge influenced by social determinants of health (SDHs) such as poverty, overcrowding, malnutrition, and limited healthcare access. Although Central Asia (CA) has achieved progress through vaccination, screening, and treatment, the region continues to face severe disease consequences, unstable incidence patterns, and an escalating challenge of TB resistant to first-line drugs. This study aimed to analyze TB incidence dynamics in Kazakhstan, Tajikistan, the Kyrgyz Republic, Turkmenistan, and Uzbekistan from 2000–2023, forecast trends to 2030, and identify key SDHs shaping the epidemic. Methods: Data on TB incidence were obtained from the World Bank DataBank for 2000–2023. Of 61 socioeconomic, environmental, and health-related indicators, 29 were included in the analysis. Statistical procedures in SPSS (v24.0) involved time-series forecasting through 2030, calculation of average annual percentage change (AAPC), correlation testing, and linear regression, with significance set at p < 0.05. Results: TB incidence generally declined across CA during 2000–2023, though trends varied by country. Forecasts suggest continued decreases in Turkmenistan and Uzbekistan, while Kazakhstan, Tajikistan, and the Kyrgyz Republic display fluctuating or nonsignificant patterns, likely influenced by SDHs. Regression analyses indicated that anemia, undernourishment, and population density showed a positive relationship with TB incidence, while clean fuel access, physician density, and Gross Domestic Product per capita (GDP) were inversely related. Conclusions: The findings highlight the heterogeneous nature of TB dynamics in CA and the possible role of SDHs. Enhanced surveillance, nutritional and social interventions are required to sustain progress toward End TB targets. Full article

Many tropical islands and coastal communities suffer from high energy costs, unreliable electrical supplies, poverty, and underemployment, which are all exacerbated by climate change. Multi-use Ocean Thermal Energy Conversion (OTEC) systems could align with the goals and values of these underserved and remote communities. Developing multi-use OTEC systems could help meet the United Nations’ Sustainable Development Goals #7 (Affordable and Clean Energy) and #13 (Climate Action). Multiple uses of OTEC water and power are explored in this study, including seawater air conditioning, desalination, support for aquaculture in tropical regions, and other uses. A use case for an onshore OTEC plant at the location of the existing OTEC plant in Kona, Hawaii, is examined to determine if sufficient thermal resources exist for OTEC power generation year-round, and to determine the potential for each value-added use. Potential environmental effects are evaluated using a new open-source numerical model for determining the risk from the discharge of large volumes of cold deep seawater in the ocean. Companies currently using the cold deep seawater pumped ashore at the Kona location were surveyed to determine their dependence on and interest in expanded OTEC and cold-water availability at the site. The analysis indicates that multi-use OTEC is feasible, with seawater air conditioning (SWAC), aquaculture, and desalination being the most compatible immediate additions, while future potential exists for adding extraction of critical minerals from seawater and e-fuel generation. Full article

The United Kingdom’s (UK) retrofit revolution is at a crossroads and the efficacy of retrofit interventions is not solely a function of insulation thickness. To truly slash emissions and lift households out of fuel poverty, we must solve the persistent problem of thermal bridging (TB), i.e., the hidden flaws that cause heat to escape, dampness to form, and well-intentioned retrofits to fail. This review moves beyond basic principles to spotlight the emerging tools and transformative strategies to make a difference. We explore the role of advanced modelling techniques, including finite element analysis (FEA), in pinpointing thermal and moisture-related risks, and how emerging materials like vacuum-insulated panels (VIPs) offer high-performance solutions in tight spaces. Crucially, we demonstrate how an integrated fabric-first approach, guided by standards like PAS 2035, is essential to manage moisture, ensure durability, and deliver the comfortable, low-energy homes the UK desperately needs. Therefore, achieving net-zero targets is critically dependent on the systematic upgrade of the building envelope, with the mitigation of TB representing a fundamental prerequisite. The EnerPHit approach applies a rigorous fabric-first methodology to eliminate TB and significantly reduce the building’s overall heat demand. This reduction enables the use of a compact heating system that can be efficiently powered by renewable energy sources, such as solar photovoltaic (PV). Moreover, this review employs a systematic literature synthesis to critically evaluate the integration of TB mitigation within the PAS 2035 framework, identifying key technical interdependencies and research gaps in whole-house retrofit methodology. This article provides a comprehensive review of established FEA modelling methodologies, rather than presenting results from original simulations. Full article

Accelerating the diffusion of renewable energy requires clear evidence on which determinants enable or hinder deployment across contexts. This study aims to identify the most frequently discussed contemporary determinants of renewable energy deployment. To this end, we conduct a PRISMA-guided systematic review within the SALSA framework, complemented by VOSviewer bibliometric mapping, synthesizing 110 peer-reviewed studies published between 2013 and 2025. We group the most frequently examined determinants into eight domains (economic, environmental, energy, political, regulatory, regional, technological, and social) and summarize the prevalent direction of effect reported in the literature. Economic conditions (e.g., economic growth, financial development, green finance, and trade) and policy/regulation (e.g., institutional quality, instrument stringency, and feed-in and net-billing schemes) emerge as pivotal. Environmental co-benefits (emissions reduction and air quality improvements) and energy system factors (security and energy poverty) are influential, with context-dependent roles for fossil fuel prices and consumption. Regional context (e.g., geopolitical risk) and technological progress (eco-innovation, storage, and grid integration) shape outcomes, while public acceptance, awareness, perceived benefits/costs, and demographics condition uptake. We also document contradictory findings (e.g., foreign direct investment and oil price effects) and gaps (especially social/demographic determinants and causal evaluation of specific policies). Overall, the review offers a coherent synthesis of evidence and an actionable framework of determinants to inform policy design and investment targeting for large-scale diffusion of renewable energy technologies. Full article

Energy transition is crucial for climate change mitigation and Sustainable Development Goals (SDGs), and has been a key government focus in Colombia since 2022, which must carefully consider its energy roadmap. This study evaluates three potential scenarios for achieving nearly 100% renewable energy by 2035: replacing fossil fuels with biofuels, using hydrogen for transport and industrial heat, and relying entirely on renewable electricity. This paper discusses these scenarios’ technical, economic, and social challenges, including the need for substantial investments in renewable energy technologies and energy storage systems to replace fossil fuels. The discussion highlights the importance of balancing energy security, environmental concerns, and economic growth while addressing social priorities such as poverty eradication and access to healthcare and education. The results show that while the Colombian government’s energy transition goals are commendable, a rapid energy transition requires 4 to 8 times the government’s projected 34 billion USD investment, making it economically unfeasible. Notably, focusing on wind, photovoltaic, and green hydrogen systems, which need storage, is too costly. Furthermore, replacing fossil fuels in transport is impractical, though increasing biofuel production could partially substitute fossil fuels. Less energy-intensive alternatives like trains and waterway transport should be considered to reduce energy demand and carbon footprint. Full article

Achieving environmentally sustainable growth is a core challenge for developing economies, yet the welfare consequences of green development policies for vulnerable populations remain understudied. This article investigates the distributional impacts of one of the world’s largest development interventions: China’s energy transition. By integrating provincial-level energy metrics with a decade-long household panel survey (CFPS), we employ a fixed-effects model to provide a holistic assessment of the policy’s effects on household well-being. The analysis reveals a stark trade-off: a 10% increase in clean energy adoption generates significant non-monetary well-being gains, equivalent to a 190,000 CNY annual income rise, primarily through improved environmental quality and cleaner cooking fuel access. However, these benefits are partially offset by rising energy costs. Our heterogeneity analysis reveals a clear regressive burden: the transition significantly increases energy expenditures for rural and low-income households, while having a negligible or even cost-reducing effect on their urban and high-income counterparts. Our findings demonstrate that while the energy transition promotes aggregate welfare, its benefits are unevenly distributed, potentially exacerbating energy poverty and inequality. This underscores a critical development challenge: green growth is not automatically inclusive. We argue that for the energy transition to be truly pro-poor, it must be accompanied by robust social protection mechanisms, such as targeted subsidies, to shield the most vulnerable from the adverse economic shocks of the policy. Full article

Thursday Island, a remote administrative hub in Australia’s Torres Strait, exemplifies the socio-technical challenges of transitioning to sustainable energy amid diesel dependence and the intermittency of renewables. As Australia pursues Net Zero by 2050, innovative storage solutions are pivotal for enabling green innovation in isolated microgrids. This study evaluates Vanadium Redox Flow Batteries (VRFBs) and Lithium-Ion batteries as key enabling technologies, using a stochastic Monte Carlo simulation to assess their economic viability through Levelized Cost of Storage (LCOS), incorporating uncertainties in capital costs, operations, and performance over 20 years. Employing a stochastic Monte Carlo simulation with 10,000 iterations, this study provides a probabilistic assessment of LCOS, incorporating uncertainties in key parameters such as CAPEX, OPEX, efficiency, and discount rates, offering a novel, data-driven framework for evaluating storage viability in remote microgrids. Results indicate VRFBs’ superiority with a mean LCOS of 168.30 AUD/MWh versus 173.50 AUD/MWh for Lithium-Ion, driven by scalability, durability, and safety—attributes that address socio-economic barriers like high operational costs and environmental risks in tropical, off-grid settings. By framing VRFBs as an innovative green solution, this analysis highlights opportunities for new business models in remote energy sectors, such as reduced fossil fuel reliance (3.6 million litres diesel annually) and enhanced community resilience against energy poverty. It also underscores challenges, including capital uncertainties and policy needs for innovation uptake. This empirical case study contributes to the sustainable energy transition discourse, offering insights for policymakers on overcoming resistance to decarbonization in geographically constrained contexts, aligning with green innovation goals for systemic sustainability. Full article

Background: Undergraduate nursing students (UNSs) often enter clinical training just as they are still mastering the emotional labor of the profession. In Nepal, where teaching hierarchies discourage upward dialogue and hospitals routinely struggle with overcrowding, supply shortages, and outward nurse migration, these learners confront a distinct, under-documented burden of psychological distress. Objective: This study examines how UNSs interpret, negotiate, and cope with the mental health challenges that arise at the intersection of cultural deference, resource scarcity, and migration-fueled uncertainty. Methods: A qualitative design employing reflexive thematic analysis (RTA), guided by the Reflexive Thematic Analysis Reporting Guidelines (RTARG), was used. Fifteen second-, third-, and fourth-year Bachelor of Science in Nursing students at a major urban tertiary institution in Nepal were purposively recruited via on-campus digital flyers and brief in-class announcements that directed students (by QR code) to a secure sign-up form. Participants then completed semi-structured interviews; audio files were transcribed verbatim and iteratively analyzed through an inductive, reflexive coding process to ensure methodological rigor. Results: Four themes portray a continuum from silenced struggle to systemic constraint. First, Shrouded Voices, Quiet Connections captures how students confide only in trusted peers, fearing that formal disclosure could be perceived as weakness or incompetence. Second, Performing Resilience: Masking Authentic Struggles describes the institutional narratives of “strong nurses” that drive students to suppress anxiety, adopting scripted positivity to satisfy assessment expectations. Third, Power, Hierarchy, and the Weight of Tradition reveals that strict authority gradients inhibit questions in classrooms and clinical placements, leaving stress unvoiced and unaddressed. Finally, Overshadowed by Systemic Realities shows how chronic understaffing, equipment shortages, and patient poverty compel students to prioritize patients’ hardships, normalizing self-neglect. Conclusions: Psychological distress among Nepalese UNSs is not an individual failing but a product of structural silence and resource poverty. Educators and policymakers must move beyond resilience-only rhetoric toward concrete reforms that dismantle punitive hierarchies, create confidential support avenues, and embed collaborative pedagogy. Institutional accountability—through regulated workloads, faculty-endorsed wellbeing forums, and systematic mentoring—can shift mental health care from a private struggle to a shared professional responsibility. Multi-site studies across low- and middle-income countries are now essential for testing such system-level interventions and building a globally resilient, compassionate nursing workforce. Full article

Energy poverty is a multidimensional phenomenon that impairs access to basic energy services and threatens social well-being, particularly in disadvantaged rural communities. This study investigates the extent and drivers of household energy poverty in a Hungarian village through a survey-based analysis (N = 257) conducted in early 2025. The sample is not nationally representative, however, it reflects approximately 20% of the total village population (1331 inhabitants). This study aims to identify vulnerable household profiles, explore correlations between socio-economic and housing factors and perceived thermal comfort, and compare the effectiveness of multiple measurement indicators the 10% rule, low income high cost, 2M, and M/2. We employ descriptive statistics, Pearson correlation, Fuzzy C-Means clustering, and linear regression, revealing that over half of the sample is energy poor according to the 10% rule, while the LIHC method identifies 29%. Our regression results confirm that cluster membership significantly influences perceived comfort levels (R² = 0.063, p = 0.002). We conclude that single-indicator approaches are insufficient to capture the nuanced realities of rural energy poverty, therefore, we recommend the development of a rural energy poverty index. Such a tool could help identify affected households and support the formulation of context-sensitive, evidence-based energy and social policy interventions. Full article

The generation of fine coal particles during mining and processing presents significant environmental and logistical challenges, particularly in coal-dependent, developing countries like South Africa (SA). This review critically evaluates the technical viability of fine coal briquetting as a sustainable waste-to-energy solution within a SA context, while drawing from global best practices and comparative benchmarks. It examines abundant feedstocks that can be used for valorization strategies, including fine coal and agricultural biomass residues. Furthermore, binder types, manufacturing parameters, and quality optimization strategies that influence briquette performance are assessed. The co-densification of fine coal with biomass offers a means to enhance combustion efficiency, reduce dust emissions, and convert low-value waste into a high-calorific, manageable fuel. Attention is also given to briquette testing standards (i.e., South African Bureau of Standards, ASTM International, and International Organization of Standardization) and end-use applications across domestic, industrial, and off-grid settings. Moreover, the review explores socio-economic implications, including rural job creation, energy poverty alleviation, and the potential role of briquetting in SA’s ‘Just Energy Transition’ (JET). This paper uniquely integrates technical analysis with policy relevance, rural energy needs, and practical challenges specific to South Africa, while offering a structured framework for bio-coal briquetting adoption in developing countries. While technical and economic barriers remain, such as binder costs and feedstock variability, the integration of briquetting into circular economy frameworks represents a promising path toward cleaner, decentralized energy and coal waste valorization. Full article

Energy poverty, resulting from poor energy efficiency and economic and social barriers to accessing appropriate, modern, and sustainable energy services, remains a critical issue in Jordan, a country facing growing climate pressures, particularly given its history of rapid urbanization. This study examines energy poverty through a multidimensional lens, considering its spatial and socio-demographic variations across Jordan. Drawing on data from 19,475 households, we apply a novel energy poverty index and binary logistic regression to analyze key determinants of energy poverty and discuss their intersection with climate vulnerability. The energy poverty index (EPI) is structured around four pillars: housing, fuel, cooling, and wealth. The results show that 51% of households in Jordan are affected by energy poverty. Contributing factors include geographic location, gender, age, education level, dwelling type, ownership of cooling appliances, and financial stability. The results indicate that energy poverty is both a socio-economic and infrastructural issue, with the highest concentrations in the northern and southern regions of the country, areas also vulnerable to climate risks such as drought and extreme heat. Our findings emphasize the need for integrated policy approaches that simultaneously address income inequality, infrastructure deficits, and environmental stressors. Targeted strategies are needed to align social and climate policies for effective energy poverty mitigation and climate resilience planning in Jordan. Full article

Retrofitting the existing housing stock to a high level of energy efficiency will not be limited to achieving the decarbonisation of 80.3 MtCO2e residential emissions and reducing fuel poverty in 4.16 million households, but also improving the health and well-being of UK residents and their overall quality of life. The current progress of housing retrofitting is poor, at less than 1%. The UK expects to achieve net zero by 2050, and the challenge is immense as there are more than 30 million houses. The challenge is similar in other global contexts. Even if the required technology, supply chain, skilled labour, and finance could have been provided, the retrofitting would not move forward without positive engagement from the clients. Proper strategies are required to retrofit at scale. Focusing on the challenges of stakeholder engagement in housing retrofitting, this study focused on developing a hybrid one-stop shop solution through design science research. A theoretical artefact and an empirical system requirement specification document were developed to propose a one-stop shop solution. This was tested through retrofit industry stakeholders. Findings reveal that the one-stop shop model will be a good answer to retrofitting at scale, providing the resident engagement of 30.1 million households. The model can support residents with or without computer literacy due to its hybrid approach. The proposed theoretical and industrial models can be used as base models for developing one-stop shops for housing retrofitting by adapting them for context-specific requirements. Full article

The subtropics are affected by severe climate change, which may induce heat stress in animals. Moreover, the region is significantly seasonal; hence, mitigating climate risks and implementing climate adaptation measures are necessary. Sustainable Development Goals 1, 2, and 13 call for no poverty, zero hunger, and climate action. These are the most severe problems affecting food security in the modern world. Food security refers to a situation in which all people have physical, social, and economic access to sufficient, proper, and healthy food that satisfies their dietary requirements. Nevertheless, the projected increase in the human population implies a greater demand for employment opportunities; hence, developing countries are building more industrial areas. The burning of fossil fuels in various industries potentiates climate change and environmental pollution. It is predicted that the ecological temperature will increase by almost 2.3–4.8 °C by 2100 due to climate change. Agriculture and animal products remain vital in Africa as drivers of the economy and transformation for sustainable livelihood and development. Sheep production has long been used as a source of income and livelihood and provides jobs for people who live in rural areas. It is also sometimes used for ritual ceremonies and to pay penalties to local authorities. Nevertheless, sheep have been identified to be sensitive to heat stress, characterized by low reproductive performance, low microbiota quantities, and poor general health. There are different strategies for mitigating heat stress; however, many smallholder farmers have limited access to education and lack the financial support required to incorporate artificial shade and plant trees for shade to limit heat stress. In this review, we aim to understand the effects of environmental heat stress on sheep production and reproductive performance. Based on this review, it can be concluded that heat stress can threaten food security if not addressed, especially for farmers who depend on sheep rearing. As a result, future studies are recommended to understand different adaptation methods that can be used to mitigate the heat stress effect on sheep productivity, reproductivity, and general health. Full article