Search Results (78)

Taxing multinational corporations raises significant government revenue to support progress towards the Sustainable Development Goals (SDGs).This study examines Philips, a multinational corporation that publicly reports country-by-country data on revenue, profits, taxes, employees and tangible assets, using the Government Revenue and Development Estimations (GRADE) econometric model to estimate the development impact of its corporate income tax contributions. Tax payments do not always reflect actual economic activity in host countries due to profit shifting. This study also assesses the degree to which reported profits align with economic activity. Results indicate Philips’ tax payments make a meaningful positive contribution to sustainable development: government revenue equivalent to these payments enables over 1100 additional children to attend school daily and advances SDG progress on basic water (8100 people), sanitation (13,400 people), clean fuels (28,000 people) and electricity (1700 people). However, analysis reveals some misalignment between reported profits and economic activity across countries, suggesting unrealised potential in Philips’ development contribution. Modelling a reallocation of taxing rights to host countries where economic activity occurs using unitary tax with formulary apportionment indicates that annual tax payments may average $78 million higher in constant 2015 USD, potentially enabling 900 more children to attend school and expanding access to basic water (6500 people), sanitation (9600 people), clean fuels (22,600 people) and electricity (7400 people). These findings highlight the value of transparent country-by-country reporting as a foundation for evidence-based tax policy reform and the significant development gains from Philips’ tax payments and greater gains if profits were better aligned with economic activity. Full article

While public sanitation is a fundamental component of urban infrastructure, it is often treated as a discretionary amenity rather than a core public service subject to legal standards of equality and dignity. This article challenges gender-blind approaches to urban planning by examining how inadequate public toilet provision constrains women’s everyday mobility and presence in public space, raising questions of indirect gender discrimination and regulatory responsibility. Drawing on an exploratory mixed-methods study (N = 97), the analysis combines quantitative assessment of access barriers, qualitative user narratives, and time-based measurement of total restroom use duration to examine patterns of use and waiting with particular attention to gender differences. The findings indicate that hygiene-related concerns are reported across both men and women, without clear evidence of a consistent gender-specific pattern, while women are disproportionately affected by throughput failures, long waiting times, and the absence of care-integrated facilities. At the same time, variation in support for gender-neutral toilet solutions suggests that user acceptance may not align with model-based proposals in the literature. These inequalities reflect an institutional accountability gap with legal implications in the governance of everyday public services. By shifting the focus from numerical potty parity to temporal inequality and responsibility, this article contributes to feminist legal scholarship by situating sanitation within questions of temporal inequality and institutional responsibility. While exploratory in nature, the findings offer empirically grounded insights into inequalities in everyday sanitation governance. Full article

Background: Health accessibility is a key determinant of equitable cancer care. In many countries, specialized oncology services are concentrated in urban and socioeconomically advantaged regions, forcing many patients to travel long distances for treatment. Consequently, geographic and social characteristics may be impactful in determining cancer healthcare outcomes. Objective: The aim of this study was to evaluate the association between the municipal-level Social Progress Index (SPI) and geographic travel burden, stage at diagnosis, treatment, and survival in patients with pancreatic cancer in São Paulo state, Brazil. Methods: We conducted a population-based study using data from “Fundação Oncocentro” on adults with pancreatic adenocarcinoma (2005–2025). The SPI (0–100 scale), a composite measure of municipal social and environmental development, was the primary exposure. It is structured into 3 dimensions and 12 components: Basic Human Needs (nutrition, medical care, water and sanitation, housing, safety); Foundations of Well-being (education, information access, health, environmental quality); and Opportunity (rights, freedom of choice, social inclusion, higher education). Municipal residence and cancer center locations were geocoded, and travel distance (km) was estimated. Multivariable Cox, logistic, and linear regression models assessed associations between SPI and overall survival, stage IV at diagnosis, surgery, and travel distance. Results: A total of 13,478 patients were included (mean follow-up 15.1 ± 27.2 months; mean age 62.3 years; 50.4% male). Stage IV disease was frequent (46.3%), and surgery was performed in 33% of cases. Over half of patients (53.2%) traveled more than 10 km for treatment. Increasing SPI was strongly associated with shorter travel distance (β −62.6 km per SPI unit; p < 0.001) and higher odds of surgery (OR 1.04; p < 0.001) and remained independently associated with a higher likelihood of undergoing surgical treatment (adjusted OR 1.04; p < 0.001). The proportion of stage IV disease did not decrease with increasing SPI and was slightly higher in the highest quartile (49.3%). In survival analysis, SPI demonstrated a protective effect in univariate modeling (HR 0.987; p < 0.001), but lost significance in multivariable analysis (p = 0.125). Travel burden was not retained as an independent predictor of survival after adjustment. Conclusions: Municipal-level SPI was a strong determinant of healthcare access and the likelihood of receiving surgical treatment for pancreatic cancer. Social and geographic vulnerability directly influence care pathways, revealing structural inequities in access to treatment. SPI-based stratification may serve as a practical tool to identify priority regions for transport support and equitable allocation of oncology services. Full article

Cutaneous Larva Migrans (CLM) is a neglected tropical disease (NTD) caused by zoonotic Ancylostomatidae larvae, mainly Ancylostoma braziliense and Ancylostoma caninum, which infect dogs and cats. Humans are accidental hosts, acquiring infection when L3 larvae in contaminated soil penetrate the skin, producing serpiginous, pruritic lesions. We report a 24-year-old female from Quito, Ecuador, who developed a pruritic lesion on her right foot nine days after walking barefoot on wet, potentially fecally contaminated sand at Atacames Beach. Initial self-treatment with benzyl benzoate and herbal washes, followed by misdiagnoses as scabies and plantar warts, delayed proper care. Lesions progressed over three weeks with intense pruritus and functional impairment. CLM was correctly diagnosed by a podiatric technician 26 days post-exposure. Oral albendazole (400 mg/day for 4 days) led to rapid symptomatic relief within three days, with complete resolution by day 50. A survey analyzed by the McNemar Test revealed difficulties in recognizing early-stage CLM, regardless of experience or region among participants. Prevention requires personal protection, environmental sanitation, and regular anthelmintic treatment of dogs and cats. This case underscores the clinical consequences of delayed or incorrect diagnosis and highlights the need for enhanced healthcare training and One Health measures to reduce zoonotic diseases in Ecuador. Full article

Background: Access to water, sanitation, and hygiene (WASH) services is internationally recognized as a fundamental human right and an essential determinant of health. Yet, many healthcare facilities in sub-Saharan Africa face persistent WASH deficits, undermining safe and effective care delivery. Aim: To explore how water (in)accessibility influences patient healthcare experiences and patient–provider relationships in Yendi Hospital, a major referral facility in northern Ghana. Methods: Using a qualitative design, we gathered data from patients (n = 21), caregivers (n = 11), and nurses (n = 11) through in-depth interviews, participant observation, and a focus group to document their lived experiences and perceptions. We transcribed and inductively coded the data for thematic analysis. Results: Our key findings reveal that water inaccessibility is not solely an infrastructural issue but also a pervasive challenge with profound implications for care delivery. Patients and caregivers often leave the hospital to bathe at home, resulting in missed ward rounds, delayed reviews, and/or refusal of admission. Nurses described how water inaccessibility disrupted clinical routines and strained relationships with patients and caregivers. These dynamics eroded trust, rapport, and professional morale, while exacerbating inequities in healthcare access and outcomes. Conclusions: This study underscores that addressing water challenges in the hospital is imperative not only for infection control but also for fostering equity, patient rights, and institutional resilience. We argue that policy interventions to strengthen WASH systems are urgently required to advance progress toward Sustainable Development Goal 6. Full article

Period poverty is a broad and complex issue that intersects with various areas, including health, education, infrastructure, and human rights, among others, affecting countless women and girls around the world. Despite remarkable technological, social, and economic advances this century, menstruation remains a taboo subject, which leads to widespread misinformation and stigma. Prejudice and a lack of access to knowledge and essential sanitation resources, such as clean water, hygiene products, and safe private spaces, heighten the vulnerability of those affected. Integrated and multisectoral approaches that involve legislature, health, education, and sanitation are necessary to face this public health issue effectively. These efforts involve developing and implementing comprehensive plans that unite government, society, and the private sector. Some examples of these actions include making information about menstruation and menstrual health available in schools, cutting taxes on feminine hygiene products, improving basic sanitation, building decent public restrooms, and providing free sanitary pads in schools and workplaces. These initiatives have the potential to promote menstrual health and dignity, ensuring that people who menstruate can manage their periods in healthy, safe, and supportive environments. This review aims to shed light on menstrual poverty in Brazil as a global issue and a human rights violation, especially when it comes to the rights to health, education, and dignity. It stresses that efforts to end this social stigma and align with the 2030 Agenda, which seeks to eliminate poverty and inequality worldwide, and provides a plan of action to tackle this stigma. Full article

Safe and adequate water supply, sanitation, and hygiene (WASH) in schools are prerequisites within the right to basic education. WASH facilities across schools in developing nations, particularly in Africa, are unsatisfactory and expose children to risks of disease and infection. This study aims to gather insights into the WASH status of secondary schools in Ibadan, Nigeria, to develop a sustainable water management framework for schools. A concurrent mixed-method design (questionnaires and interviews) was adopted to benchmark water management in schools and inform the design of a framework. Results reveal a wealth of issues and concerns that include infrastructure challenges accessing reliable and safe water supplies, rundown and unhygienic toilet/urinal facilities, and dilapidated sinks/taps, plus resource challenges, such as an absence of tissue paper and soap. These issues are exposing schoolchildren to unnecessary health risks, further supported by reported illnesses and reduced school attendance. Based on these findings, and guided by the UN SDG#6 targets, a water improvement framework has been created and validated by school officials. The framework identifies both short-term and long-term guidance/actions to improve water management in schools across Sub-Saharan Africa. These form crucial steps toward better WASH, building healthier communities and enhancing educational environments and outcomes for schoolchildren. Full article

This paper examines a donor-funded development project in the rural mountainous districts of Vietnam aimed at improving water, sanitation, and hygiene (WASH) services for vulnerable households, particularly those with disabilities. The study investigates the project’s impact on disability inclusion at the household and community levels and identifies factors that support or hinder progress towards inclusion for people with disabilities. Data from a survey of 600 households and interviews with household members and village chiefs provide insights into the perceptions and attitudes towards persons with disabilities (PWDs), and practices of disability-inclusive WASH. While progress has been made in changing attitudes towards the rights of PWDs, there is still room to improve practices, especially in engaging with PWDs, offering affordable disability-inclusive WASH services, and including them in WASH policy decisions. This paper highlights the need for a comprehensive approach that extends beyond household interventions and emphasizes a shift in mindset towards disability inclusion at all societal levels. Full article

Access to safe drinking water is a fundamental human right, yet it remains a global challenge affecting nearly 2 billion people, particularly in Africa in regions such as Guinea-Bissau. This study investigated the microbiological and physicochemical quality of drinking water in four rural areas of the Oio region of Guinea-Bissau—Cangha N’Tchugal, Cajaque, Infaidi and Insanha—over a one-year period (October 2022–September 2023) to assess water safety and seasonal variations. During this period, eight water samples were collected and analysed from each site, split evenly between the dry and wet seasons. The results showed widespread faecal coliform contamination, with concentrations escalating during the wet season (2 to 39 CFU/100 mL), posing a health risk. Physicochemical analysis showed consistently acidic pH values (from 4.93 to 6.58) and seasonal variations in phosphate and iron concentrations, with a marked decrease in iron concentrations during the wet season. These results indicated that the water from the four sampling points was unfit for human consumption. In light of these findings, there is an urgent need for the regular monitoring of water sources used for drinking and for improved access to resources and basic sanitation in the future. Full article

Background and Clinical Significance: Lophomonas is a multiflagellate anaerobic protozoan that usually inhabits the intestines of insects, mainly cockroaches. However, bronchopulmonary infections caused by this parasite have been increasingly reported worldwide in recent decades. We provide important information for the diagnosis of this disease, which often goes undetected and frequently leads to misdiagnosis and inadequate treatment. It is noteworthy that this is the third case reported in Mexico. Case Presentation: A 37-year-old male patient was hospitalized several times for pneumonia with a persistent granuloma in the right bronchial lobe. After extensive testing, the patient was diagnosed with bronchopulmonary lophomoniasis and successfully treated with metronidazole. Conclusions: Clinicians worldwide should be aware of the existence of lophomoniasis, especially in low-income regions with poor sanitation and high insect exposure. This parasitic infection, although rare, may be underestimated due to its nonspecific respiratory symptoms, which may mimic other infections. Full article

As an integral part of the urban public health infrastructure, public toilets play a significant role in shaping a city’s image. With the advancement of the economy, people have increasingly higher expectations for public toilets. While existing standards primarily focus on physical indicators, there is still room to incorporate measures that prioritize humanistic care. Therefore, based on the Human Rights to Water and Sanitation in Public Spaces (HRWS-PS) standards, this study develops a comprehensive index system for public toilets with a specific emphasis on humanistic care, utilizing expert questionnaires and employing methods such as the analytic hierarchy process (AHP) and entropy weight, and highlights safety and quality as paramount concerns for users, followed by usability and accessibility as secondary needs. Acceptability, which encompasses additional amenities, depends on meeting these secondary needs through solid basic design and construction practices. Affordability, related to consumer costs, is comparatively less demanding. By applying this framework, an analysis of the current state of upgrading urban public toilets in Shijiazhuang was conducted, leading to recommendations for improvements across four key areas: environmental sanitation, architectural design, infrastructure development, and urban planning. The final results provide practical insights for evaluating and suggesting enhancements to ongoing toilet revolution initiatives and urban basic service facilities while also informing urban renewal efforts and designs. Full article

This paper analyzes the theoretical foundation and practical implications of recognizing the right to a stable climate as a fundamental human right. Further, it examines the intersection of human rights, right to climate, and the intensification of extreme climate events. Through a bibliometric analysis, the study highlights the increase in scholarly attention paid to this nexus. The intensification of extreme climate events, such as the Cumbre Vieja volcano in Spain, is also analyzed as a catalyst for recognizing the right to climate as a human right, as a fundamental requirement for its enactment. Indeed, it is argued that this recognition is necessary to achieve climate justice. These thoughts about the necessity of recognizing the right to climate as a human right are also based on a similar case, the enactment of the rights to water and sanitation, which is presented as a case study, demonstrating how specific environmental rights can be integrated into human rights discourse. The results and discussion section synthesizes these findings, highlighting the imperative of recognizing climate rights to ensure justice and sustainability amidst escalating climate challenges. Full article

The adoption of new energy vehicles (NEVs) is an effective strategy for pollution reduction, especially for high-emitting commercial vehicles. This paper systematically reviews the promotion policies and development status of zero-emission commercial vehicles (ZECVs) in China, with a focus on diverse application scenarios. Comprehensive policies, including subsidies, right-of-way, infrastructure development, and environmental protection incentives, have significantly advanced NEV adoption, as demonstrated by Shenzhen’s full electrification of buses and the extensive deployment of zero-emission trucks. Despite the overall slow development of ZECVs, regions in southern China and developed areas exhibit better progress. Medium and large passenger vehicles (MLPVs) have achieved a zero-emission rate of around 40%, contrasting with the significantly lower rates of 1.52% for mini and light trucks (MLTs) and 0.44% for medium and heavy trucks (MHTs). Electrification promotion varies significantly in different application scenarios, with buses leading at over 90% zero-emission rates, followed by the airport (24%) and port (16%) vehicles. The electrification of sanitation, logistics, and key industry transport, through lagging, is enhanced by targeted policies and local industry. Buses are designated as the highest priority (Level 1) for electrification transition while intercity logistics and vehicles in key industries are categorized as the lowest priority (Level 4). In addition, policy recommendations, including tailored strategies for ZECV promotion and emission reductions in traditional commercial vehicles, are put forward to provide guidance and reference for setting future zero-emission promotion goals and policy direction for commercial vehicles in subdivided application scenarios. Full article

This study presents a comprehensive analysis of the critical issue of water insecurity and its multifaceted impact on and relationship to the human rights and environmental justice conditions within Rohingya refugee camps located in New Delhi, India. A comprehensive mixed-methods approach was employed to investigate water-related challenges within a refugee camp in Madanpur Khadar, region in Delhi. Qualitative methods including focused group discussions and one-on-one household interviews were conducted to allow residents’ perceptions from diverse groups and examine their experiences. Structured surveys were administered to gather quantitative data on water access, sanitation, health, and socio-economic factors. Additionally,, literature surveys and document archival research provided contextual insights. This study underscores the pressing water, sanitation, and hygiene (WaSH) challenges faced by Rohingya refugees in the area, revealing irregular water supply, impacting residents’ daily lives and hygiene practices. The majority of families in the camp, with an average of 6 members in each family, can only collect 30–40 L of water to meet all their needs, from consumption to personal hygiene, which is significantly insufficient. This situation has resulted in severe health consequences for the camp residents. Alarmingly, over 90% of the female respondents reported experiencing issues such as urinary infections. This paper gives a comprehensive analysis of the multidimensionality of rights that intersect with and are affected by WaSH issues. The poor WaSH conditions in the camp directly hinder the fulfillment of fundamental human rights. It not only disrupts the basic sanitation need but has negative economic repercussions and causes mental distress. This study concludes by targeted recommendations aimed at improving the conditions prevailing within the camp. Full article