Sustainable transformation of Egypt's energy system : development of a phase model

A clear understanding of socio-technical interdependencies and a structured vision are prerequisites for fostering and steering a transition to a fully renewables-based energy system. To facilitate such understanding, a phase model for the renewable energy transition in MENA countries has been developed and applied to the country case of Egypt. It is designed to support the strategy development and governance of the energy transition and to serve as a guide for decision makers. Egypt, with its abundant solar and wind energy potential, has excellent preconditions to embark on the pathway towards a 100% renewable energy system. The country has successfully taken its first steps in this direction by attracting international finance and implementing several large-scale solar and wind projects. Yet, while Egypt has made significant progress, increased efforts are still required if the country aims to proceed towards a fully renewables-based system. The stronger system integration of renewable energies requires, for example, an alignment of regulations for the electricity, mobility and heat sectors. In this context, Egypt would be well advised to develop and implement an overall strategy for the energy transition that includes not only electricity generation but all sectors. By placing a stronger focus on renewable energy, also to decarbonise the industrial sector, Egypt, as Africa's second most industrialised country, could seize the opportunity for economic development within a decarbonising global economy. The results of the analysis along the transition phase model towards 100% renewable energy are intended to stimulate and support the discussion on Egypt's future energy system by providing an overarching guiding vision for the energy transition and the development of appropriate policies

Sustainable transformation of energy systems in MENA countries : comparative report

A clear understanding of socio-technical interdependencies and a structured vision are prerequisites for fostering and steering a transition to a fully renewables-based energy system. To facilitate such understanding, a phase model for the renewable energy (RE) transition in the Middle East and North Africa (MENA) countries has been developed and applied to ten countries: Algeria, Egypt, Iraq, Israel, Jordan, Lebanon, Morocco, Palestine, Tunisia, and Yemen. This report synthesises the results of these ten studies. The analysis shows that the state of the energy sector in the MENA region varies from country to country, but some underlying trends are present in all countries. In the majority of countries, energy prices are subsidised, and energy markets are mostly not liberalised. The energy demand in all analysed countries is growing and most grid systems are poorly interconnected across borders. Still, the expansion of RE in the MENA region can benefit from significant global progress and cost reductions in RE technologies. Reducing greenhouse gas (GHG) emissions is not the only key driver for energy transition. In fact, the main motives for transition are that RE can help to meet growing demand, reduce dependence on imports, increase energy security, and provide opportunities for economic development. All countries studied have RE targets. While some countries are on track to meet these targets, others need to increase their efforts to expand renewable electricity generation in order to meet their goals. Strong progress has been made in countries with limited fossil energy resources, while in some countries that produce and export large amounts of fossil energy resources, the energy transition is progressing rather slowly

Sustainable transformation of Iraq's energy system : development of a phase model

A clear understanding of socio-technical interdependencies and a structured vision are prerequisites for fostering and steering a transition to a fully renewables-based energy system. To facilitate such understanding, a phase model for the renewable energy transition in MENA countries has been developed and applied to the country case of Iraq. It is designed to support the strategy development and governance of the energy transition and to serve as a guide for decision makers. The transition towards renewable energies is still at a very early stage in Iraq. Despite the drop in renewable technology costs over the last decade and the increasing deployment of renewables in the MENA region, the pathway towards renewable energies seems to be challenging for Iraq. This is attributable to the country's political instability and the dominant economic role played by the fossil fuel sector. The most pressing concern for Iraq's electricity sector is the need to secure a constant electricity supply. At operational level, Iraq's electricity infrastructure requires significant investment to rebuilt, retro-fit and expand its overall capacity and to improve efficiencies. Yet, the need to rebuild the energy system after the war and the subsequent violent conflicts could offer an opportunity for a transition towards renewables that would benefit Iraq in the short term and also provide a long-term economic development perspective. To take advantage of this opportunity, Iraq needs to improve the framework conditions for renewable energies and raise awareness about the benefits it offers. Renewable energy regulations need to be introduced, market development supported, a realistic timeframe for the transition process established and an appropriate and reliable legal framework developed. The results of the analysis along the transition phase model towards 100% renewables are intended to stimulate and support the discussion about Iraq's future energy system by providing an overarching guiding vision for the energy transition and the development of appropriate policy strategies

Sustainable transformation of Tunisia's energy system : development of a phase model

A clear understanding of socio-technical interdependencies and a structured vision are prerequisites for fostering and steering a transition to a fully renewables-based energy system. To facilitate such understanding, a phase model for the renewable energy (RE) transition in the Middle East and North Africa (MENA) countries has been developed and applied to the country case of Tunisia. It is designed to support the strategy development and governance of the energy transition and to serve as a guide for decision makers. The analysis shows that Tunisia has already taken important steps towards a RE transition. According to the MENA phase model, Tunisia can be classified as being in the "Take-Off Renewables" phase. Nevertheless, natural gas still plays the dominant role in Tunisia's highly subsidised electricity generation. In addition to the elevated political uncertainty, there are numerous structural, political, social, and economic challenges within the energy sector that hinder progress in the transition to REs. Strong support at all levels is needed to promote the breakthrough of RE. This includes more detailed long-term planning and improving the regulatory framework, as well as reducing offtaker risks to improve the bankability of RE projects in order to attract private investment. Furthermore, institutional buy-in needs to be increased and the engagement of key non-state stakeholders must be strengthened. In light of the growing domestic energy demand and with the on-going global decarbonisation efforts in favour of sustainable fuels, Tunisia would be well advised to embark on a sustainable energy path sooner rather than later to seize economic opportunities that can arise from RE development

Sustainable transformation of Lebanon's energy system : development of a phase model

A clear understanding of socio-technical interdependencies and a structured vision are prerequisites for fostering and steering a transition to a fully renewables-based energy system. To facilitate such understanding, a phase model for the renewable energy (RE) transition in the Middle East and North Africa (MENA) countries has been developed and applied to the country case of Lebanon. It is designed to support the strategy development and governance of the energy transition and to serve as a guide for decision makers. Lebanon's energy transition towards REs stands at a very early stage of the first transformation phase. Although abundant solar and wind energy potential does exist, the pathway towards a 100% renewables energy seems very challenging for Lebanon, as a consequence of highly unstable political conditions. The most pressing concern for Lebanon's electricity sector is combating the country's fiscal imbalance, while providing secure and reliable electricity supply. At the operational level, Lebanon's grid network requires significant investments to rebuild, retrofit, and expand the overall capacity and energy efficiency improvements. The need to strengthen the energy system after the political turmoil of the civil war is likely to offer several long-term opportunities, such as developing the economy, reducing environmental pollution, and increasing the energy security. In order to move forward into the first phase, Lebanon needs to improve the framework conditions for REs and implement its visions. It needs to support the market development in a realistic timeframe, where structural reforms represent the highest priority. The results of the analysis along the transition phase model towards 100% renewables energy are intended to stimulate and support the discussion on Lebanon's future energy system by providing an overarching guiding vision for the energy transition and the development of appropriate policies

Sustainable transformation of Israel's energy system : development of a phase model

By applying a phase model for the renewables-based energy transition in the MENA countries to Israel, the study provides a guiding vision to support the strategy development and steering of the energy transition process. The transition towards a renewable-based energy system can reduce import dependencies and increase the energy security in Israel. Key issues that need to be tackled in order to advance the energy transition in Israel are the expansion of flexibility options, discussion on the long-term role of natural gas, increasing participation and awareness, and exploring the future role of power-to-X in the energy system

Sustainable transformation of Yemen's energy system : development of a phase model

A clear understanding of socio-technical interdependencies and a structured vision are prerequisites for fostering and steering a transition to a fully renewables-based energy system. To facilitate such understanding, a phase model for the renewable energy (RE) transition in MENA countries has been developed and applied to the country case of Yemen. It is designed to support the strategy development and governance of the energy transition and to serve as a guide for decision makers. The transition towards REs is still at a quite early stage in Yemen. The military conflict has prevented the implementation of most of the planned large-scale renewable projects. The political instability, the high dependence on fossil fuels, and poor administrative performance are the most pressing concerns for Yemen's electricity sector. At an operational level, Yemen requires a total retrofit of the electricity infrastructure and needs to expand its overall capacity while improving its efficiencies. Despite these challenges, rebuilding the energy system after the political turmoil and the subsequent violent conflicts could offer Yemen the capability to transition towards renewables. This will provide short-term and long-term opportunities and avoid stranded investments in fossil-fuel capacities. The priority is to improve the framework conditions for RE in Yemen, starting with the development of a long-term strategy up to 2030 and beyond. Also, an appropriate and transparent legislation must be created. Furthermore, based on the legislation, clear regulations for REs must be introduced, and a realistic timeframe for expansion must be established in order to promote acceptance and market development on a large scale. The results of the analysis along the transition phase model towards 100% RE are intended to stimulate and support the discussion on Yemen's future energy system by providing an over-arching guiding vision for the energy transition and the development of appropriate policies

Sustainable transformation of Palestine's energy system : development of a phase model

A clear understanding of socio-technical interdependencies and a structured vision are prerequisites for fostering and steering a transition to a fully renewables-based energy system. To facilitate such understanding, a phase model for the renewable energy transition in MENA countries has been developed and applied to the case of Palestine. It is designed to support the strategy development and governance of the energy transition and to serve as a guide for decision-makers. The transition towards renewable energies is still at a very early stage in Palestine. The long-standing political conflict between Palestine and Israel has prevented the large-scale deployment of renewable energy due to land restrictions. Palestine's political instability, its geographically fragmented territories, and its high dependence on Israel's imports are the most pressing concerns for Palestine’s electricity sector. At the operational level, particularly the transmission and distribution infrastructure need to be better interconnected, renewed and expanded to accommodate larger volumes of renewable electricity and at the same time improve efficiency. The modelled demand development shows that Palestine will most likely have to continue importing electricity even if the potential of renewable energy is fully exploited. This underlines the importance of sustainable energy partnerships for Palestine. The results of the analysis along the transition phase model towards 100% renewable energy are intended to stimulate and support the discussion on Palestine's future energy system by providing an overarching guiding vision for the energy transition and the development of appropriate policies

Epidemiology of surgery associated acute kidney injury (EPIS-AKI): a prospective international observational multi-center clinical study

Purpose: The incidence, patient features, risk factors and outcomes of surgery-associated postoperative acute kidney injury (PO-AKI) across different countries and health care systems is unclear. Methods: We conducted an international prospective, observational, multi-center study in 30 countries in patients undergoing major surgery (> 2-h duration and postoperative intensive care unit (ICU) or high dependency unit admission). The primary endpoint was the occurrence of PO-AKI within 72 h of surgery defined by the Kidney Disease: Improving Global Outcomes (KDIGO) criteria. Secondary endpoints included PO-AKI severity and duration, use of renal replacement therapy (RRT), mortality, and ICU and hospital length of stay. Results: We studied 10,568 patients and 1945 (18.4%) developed PO-AKI (1236 (63.5%) KDIGO stage 1500 (25.7%) KDIGO stage 2209 (10.7%) KDIGO stage 3). In 33.8% PO-AKI was persistent, and 170/1945 (8.7%) of patients with PO-AKI received RRT in the ICU. Patients with PO-AKI had greater ICU (6.3% vs. 0.7%) and hospital (8.6% vs. 1.4%) mortality, and longer ICU (median 2 (Q1-Q3, 1-3) days vs. 3 (Q1-Q3, 1-6) days) and hospital length of stay (median 14 (Q1-Q3, 9-24) days vs. 10 (Q1-Q3, 7-17) days). Risk factors for PO-AKI included older age, comorbidities (hypertension, diabetes, chronic kidney disease), type, duration and urgency of surgery as well as intraoperative vasopressors, and aminoglycosides administration. Conclusion: In a comprehensive multinational study, approximately one in five patients develop PO-AKI after major surgery. Increasing severity of PO-AKI is associated with a progressive increase in adverse outcomes. Our findings indicate that PO-AKI represents a significant burden for health care worldwide

Sustainable transformation of Algeria's energy system : development of a phase model

A clear understanding of socio-technical interdependencies and a structured vision are prerequisites for fostering and steering a transition to a fully renewables-based energy system. To facilitate such understanding, a phase model for the renewable energy transition in MENA countries has been developed and applied to the country case of Algeria. It is designed to support the strategy development and governance of the energy transition and to serve as a guide for decision makers. The analysis shows that Algeria has already taken first steps towards a renewable energy transition. According to the MENA phase model, Algeria can be classified as entering the "Take-Off Renewables" phase. Nevertheless, fossil fuels still play a dominant role in the Algerian energy sector and in the economy as a whole. To support the renewables take-off, strong support is therefore needed at all levels. Only then can the necessary framework conditions be created to encourage participation and to attract investment from the private sector. To this end, a long-term energy strategy should to be developed that takes into account the renewable energy potential to support an efficient transformation of the Algerian energy supply and enables a smooth transition