Got Milk?

This multidisciplinary study examines the liquid dairy and alternative milk markets through four different lenses, exploring the intersection of consumer sentiment, industry financial performance, nutritional science, and environmental implication using metrics compiled from industry financial and market research, consumer sentiment surveys, and empirical scientific research. Through our analysis we realized that our results were rife with contradictions. Consumers often pick non-dairy alternatives for health or environmental reasons, but this choice is often rooted in misinformation. Additionally, it is broadly perceived that alternative milks are the largest challenger to the dairy milk industry. However, the industry has been challenged since before alternative milks gained significant share

Reframing Non-Communicable Diseases and Injuries for Equity in the Era of Universal Health Coverage: Findings and Recommendations from the Kenya NCDI Poverty Commission.

Background: Kenya has implemented a robust response to non-communicable diseases and injuries (NCDIs); however, key gaps in health services for NCDIs still exist in the attainment of Universal Health Coverage (UHC). The Kenya Non-Communicable Diseases and Injury (NCDI) Poverty Commission was established to estimate the burden of NCDIs, determine the availability and coverage of health services, prioritize an expanded set of NCDI conditions, and propose cost-effective and equity-promoting interventions to avert the health and economic consequences of NCDIs in Kenya. Methods: Burden of NCDIs in Kenya was determined using desk review of published literature, estimates from the Global Burden of Disease Study, and secondary analysis of local health surveillance data. Secondary analysis of nationally representative surveys was conducted to estimate current availability and coverage of services by socioeconomic status. The Commission then conducted a structured priority setting process to determine priority NCDI conditions and health sector interventions based on published evidence. Findings: There is a large and diverse burden of NCDIs in Kenya, with the majority of disability-adjusted life-years occurring before age of 40. The poorest wealth quintiles experience a substantially higher deaths rate from NCDIs, lower coverage of diagnosis and treatment for NCDIs, and lower availability of NCDI-related health services. The Commission prioritized 14 NCDIs and selected 34 accompanying interventions for recommendation to achieve UHC. These interventions were estimated to cost $11.76 USD per capita annually, which represents 15% of current total health expenditure. This investment could potentially avert 9,322 premature deaths per year by 2030. Conclusions and Recommendations: An expanded set of priority NCDI conditions and health sector interventions are required in Kenya to achieve UHC, particularly for disadvantaged socioeconomic groups. We provided recommendations for integration of services within existing health services platforms and financing mechanisms and coordination of whole-of-government approaches for the prevention and treatment of NCDIs

Federalism in 3D: The Reimagination of Political Community in the European Union

In this paper, I consider the mixed virtue of the federal perspective in relation to certain key recent developments in the 3D (i.e. sub- -state, state, supranational) territorial politics of the EU. I argue that, on account of its statist legacy, the invocation of federalism considered either as a technique of government or as a direct expression of an affective relationship between people and supranational polity is of limited or even negative value in EU. Yet federalism, when drawing on its deeper historical roots and considered instead as a basis for imaginative reflection on the nature and proper trajectory of an unprecedented political configuration, fares rather better. Here, indeed, the federal imagination continues to provide a direct challenge to the sovereigntist perspective with its emphasis on the ultimate authority of either state or supranational levels, but does so with complex, unpredictable and as yet unresolved effects, given the still powerful drag of that sovereigntist perspective. In pursuing this point, I focus on a particularly topical and challenging part of the European federal puzzle. I concentrate on the third sub-state dimension of the EU’s 3D ‘federated’ structure, as evidenced in recent developments in Scotland and Catalonia in particular, and on how the development of the EU’s federal imaginative example should and can alter the spirit in which new sovereignty claims at this level are both made and received.No presente artigo, explanam-se as virtudes da perspetiva federal em relação a significativos e recentes desenvolvimentos na política territorial 3D da UE (ou seja, subestado, estado, supranacional). Defendo que, devido à sua herança estatista, a invocação do federalismo, considerada quer como uma técnica de governo ou como uma expressão direta de uma relação afetiva entre as pessoas e política supranacional, é limitada ou mesmo um valor negativo na UE. No entanto, o federalismo, uma vez exploradas as suas raízes históricas mais profundas e entendido como base de reflexão imaginativa sobre a natureza e trajetória de uma configuração política sem precedentes, afigura-se bastante melhor. Neste ponto, a imaginação federal continua a desafiar a perspetiva soberana com a sua ênfase na autoridade última dos níveis estaduais ou supranacionais, mas fá-lo com efeitos complexos, imprevisíveis e não definitivos, devido à forte atração que a perspetiva soberana ainda exerce. Relativamente a esta questão, focar-me-ei num tópico particular e numa parte desafiadora do puzzle federal europeu. Concentrar-me-ei na terceira dimensão subestadual da estrutura federal 3D da UE, tal como se tem vivenciado nos recentes desenvolvimentos na Escócia e na Catalunha, e sobre a forma como o desenvolvimento de exemplo federal imaginativo da UE deverá e poderá alterar o espírito em que as novas reivindicações de soberania realizadas e recebidas