10 research outputs found
Social-ecological outcomes of agricultural intensification
Land-use intensification in agrarian landscapes is seen as a key strategy to simultaneously feed humanity and use ecosystems sustainably, but the conditions that support positive social-ecological outcomes remain poorly documented. We address this knowledge gap by synthesizing research that analyses how agricultural intensification affects both ecosystem services and human well-being in low- and middle-income countries. Overall, we find that agricultural intensification is rarely found to lead to simultaneous positive ecosystem service and well-being outcomes. This is particularly the case when ecosystem services other than food provisioning are taken into consideration
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Prevalence, years lived with disability, and trends in anaemia burden by severity and cause, 1990-2021: findings from the Global Burden of Disease Study 2021
Background
Anaemia is a major health problem worldwide. Global estimates of anaemia burden are crucial for developing appropriate interventions to meet current international targets for disease mitigation. We describe the prevalence, years lived with disability, and trends of anaemia and its underlying causes in 204 countries and territories.
Methods
We estimated population-level distributions of haemoglobin concentration by age and sex for each location from 1990 to 2021. We then calculated anaemia burden by severity and associated years lived with disability (YLDs). With data on prevalence of the causes of anaemia and associated cause-specific shifts in haemoglobin concentrations, we modelled the proportion of anaemia attributed to 37 underlying causes for all locations, years, and demographics in the Global Burden of Disease Study 2021.
Findings
In 2021, the global prevalence of anaemia across all ages was 24·3% (95% uncertainty interval [UI] 23·9–24·7), corresponding to 1·92 billion (1·89–1·95) prevalent cases, compared with a prevalence of 28·2% (27·8–28·5) and 1·50 billion (1·48–1·52) prevalent cases in 1990. Large variations were observed in anaemia burden by age, sex, and geography, with children younger than 5 years, women, and countries in sub-Saharan Africa and south Asia being particularly affected. Anaemia caused 52·0 million (35·1–75·1) YLDs in 2021, and the YLD rate due to anaemia declined with increasing Socio-demographic Index. The most common causes of anaemia YLDs in 2021 were dietary iron deficiency (cause-specific anaemia YLD rate per 100 000 population: 422·4 [95% UI 286·1–612·9]), haemoglobinopathies and haemolytic anaemias (89·0 [58·2–123·7]), and other neglected tropical diseases (36·3 [24·4–52·8]), collectively accounting for 84·7% (84·1–85·2) of anaemia YLDs.
Interpretation
Anaemia remains a substantial global health challenge, with persistent disparities according to age, sex, and geography. Estimates of cause-specific anaemia burden can be used to design locally relevant health interventions aimed at improving anaemia management and prevention.
Funding
Bill & Melinda Gates Foundation
Land cover and land use analysis in coastal Bangladesh
Land cover and land use (LCLU) analysis is a central determinant of the current and future relationship between people and local ecosystem services. It provides the spatial basis for the integrated analysis of the study area. Historical change (1989–2010) is identified using classification techniques based on available satellite imagery supported by other data. Nine categories of LULC are identified; water, Bagda (brackish shrimp farming), Galda (freshwater prawn farming), agriculture (non-waterlogged), agriculture (waterlogged), wetlands and mudflats, mangrove, rural settlements and major urban areas. The analysis shows an increase in aquaculture (mainly replacing rice fields), with agriculture becoming more intermixed with settlements. Future LULC scenarios are determined based on stakeholder narratives
Integrative analysis for the Ganges-Brahmaputra-Meghna delta, Bangladesh
The Ganges-Brahmaputra-Meghna delta in Bangladesh is one of the world’s most dynamic deltas and supports high population densities based on large provisioning ecosystem services. Analysing the future of these ecosystem services and associated human livelihoods represents a complex multi-scale, multi-disciplinary problem. A conceptual framework aims to identify mechanisms that link physical processes (including climate change) with ecosystem services and social outcomes providing a shared basis for other analysis, including the design of an integrated model. This also allows the characteristics of co-production of ecosystem services at the landscape scale and significant trade-offs between types of ecosystem services to be incorporated. Adopting a systems-based approach of this scale is challenging but essential to support the effective management of coastal Bangladesh