A method for human health impact assessment in social LCA: lessons from three case studies

Purpose Improving human health is a long-lasting endeavour of mankind. In the field of social life cycle assessment (SLCA), the importance of human health is often highlighted, and further development of impact assessment methods has been recommended. The purpose of this article is to present a method for assessing human health impacts within SLCA. Methods By using a systematic combining approach, knowledge and experience about assessing human health impacts were obtained from three previously conducted case studies. The first case study was about an airbag system, the second about a catalytic converter and the third about gold jewellery. The disability-adjusted life years (DALY) indicator was used for impact assessment in all three case studies. Results and discussion Both positive and negative human health impacts associated with the products were identified and assessed in the three case studies. For the airbag system, avoided health impacts in the use phase outweighed health impacts during production. For the catalytic converter, whether health impacts avoided exceeded health impacts caused or not depended on which time perspective regarding impacts was employed. Gold jewellery does not help avoiding any health impacts but caused considerable health impacts when produced at a certain location. Based on experience from these case studies, a generic human health impact assessment method was developed, and a life cycle human health typology for products was developed based on the method. The method provides a basis for analysis and interpretation of health impacts along product life cycles, and it is therefore important to report both positive and negative health impacts separately for different actors. Conclusions The developed human health impact assessment method involves the assessment and comparison of both positive and negative human health impacts along product life cycles. In addition to the products assessed in the three case studies, we suggest additional products that could be particularly interesting to assess with the developed method, including medicines, seat belts, other conflict minerals, alcoholic beverages and products with a high chemical impact

Coronavirus disease 2019 and future pandemics: Impacts on livestock health and production and possible mitigation measures

The World Health Organization declared coronavirus disease 2019 (COVID-19) a pandemic on March 11, 2020. COVID-19, the current global health emergency, is wreaking havoc on human health systems and, to a lesser degree, on animals globally. The outbreak has continued since the first report of COVID-19 in China in December 2019, and the second and third waves of the outbreak have already begun in several countries. COVID-19 is expected to have adverse effects on crop production, food security, integrated pest control, tourism, the car industry, and other sectors of the global economy. COVID-19 induces a range of effects in livestock that is reflected economically since human health and livelihood are intertwined with animal health. We summarize the potentially harmful effects of COVID-19 on livestock and possible mitigation steps in response to this global outbreak. Mitigation of the negative effects of COVID-19 and future pandemics on livestock requires the implementation of current guidelines

Burnout among surgeons before and during the SARS-CoV-2 pandemic: an international survey

Background: SARS-CoV-2 pandemic has had many significant impacts within the surgical realm, and surgeons have been obligated to reconsider almost every aspect of daily clinical practice. Methods: This is a cross-sectional study reported in compliance with the CHERRIES guidelines and conducted through an online platform from June 14th to July 15th, 2020. The primary outcome was the burden of burnout during the pandemic indicated by the validated Shirom-Melamed Burnout Measure. Results: Nine hundred fifty-four surgeons completed the survey. The median length of practice was 10 years; 78.2% included were male with a median age of 37 years old, 39.5% were consultants, 68.9% were general surgeons, and 55.7% were affiliated with an academic institution. Overall, there was a significant increase in the mean burnout score during the pandemic; longer years of practice and older age were significantly associated with less burnout. There were significant reductions in the median number of outpatient visits, operated cases, on-call hours, emergency visits, and research work, so, 48.2% of respondents felt that the training resources were insufficient. The majority (81.3%) of respondents reported that their hospitals were included in the management of COVID-19, 66.5% felt their roles had been minimized; 41% were asked to assist in non-surgical medical practices, and 37.6% of respondents were included in COVID-19 management. Conclusions: There was a significant burnout among trainees. Almost all aspects of clinical and research activities were affected with a significant reduction in the volume of research, outpatient clinic visits, surgical procedures, on-call hours, and emergency cases hindering the training. Trial registration: The study was registered on clicaltrials.gov "NCT04433286" on 16/06/2020

Global, regional, and national burden of disorders affecting the nervous system, 1990–2021: a systematic analysis for the Global Burden of Disease Study 2021

BackgroundDisorders affecting the nervous system are diverse and include neurodevelopmental disorders, late-life neurodegeneration, and newly emergent conditions, such as cognitive impairment following COVID-19. Previous publications from the Global Burden of Disease, Injuries, and Risk Factor Study estimated the burden of 15 neurological conditions in 2015 and 2016, but these analyses did not include neurodevelopmental disorders, as defined by the International Classification of Diseases (ICD)-11, or a subset of cases of congenital, neonatal, and infectious conditions that cause neurological damage. Here, we estimate nervous system health loss caused by 37 unique conditions and their associated risk factors globally, regionally, and nationally from 1990 to 2021.MethodsWe estimated mortality, prevalence, years lived with disability (YLDs), years of life lost (YLLs), and disability-adjusted life-years (DALYs), with corresponding 95% uncertainty intervals (UIs), by age and sex in 204 countries and territories, from 1990 to 2021. We included morbidity and deaths due to neurological conditions, for which health loss is directly due to damage to the CNS or peripheral nervous system. We also isolated neurological health loss from conditions for which nervous system morbidity is a consequence, but not the primary feature, including a subset of congenital conditions (ie, chromosomal anomalies and congenital birth defects), neonatal conditions (ie, jaundice, preterm birth, and sepsis), infectious diseases (ie, COVID-19, cystic echinococcosis, malaria, syphilis, and Zika virus disease), and diabetic neuropathy. By conducting a sequela-level analysis of the health outcomes for these conditions, only cases where nervous system damage occurred were included, and YLDs were recalculated to isolate the non-fatal burden directly attributable to nervous system health loss. A comorbidity correction was used to calculate total prevalence of all conditions that affect the nervous system combined.FindingsGlobally, the 37 conditions affecting the nervous system were collectively ranked as the leading group cause of DALYs in 2021 (443 million, 95% UI 378–521), affecting 3·40 billion (3·20–3·62) individuals (43·1%, 40·5–45·9 of the global population); global DALY counts attributed to these conditions increased by 18·2% (8·7–26·7) between 1990 and 2021. Age-standardised rates of deaths per 100 000 people attributed to these conditions decreased from 1990 to 2021 by 33·6% (27·6–38·8), and age-standardised rates of DALYs attributed to these conditions decreased by 27·0% (21·5–32·4). Age-standardised prevalence was almost stable, with a change of 1·5% (0·7–2·4). The ten conditions with the highest age-standardised DALYs in 2021 were stroke, neonatal encephalopathy, migraine, Alzheimer's disease and other dementias, diabetic neuropathy, meningitis, epilepsy, neurological complications due to preterm birth, autism spectrum disorder, and nervous system cancer.InterpretationAs the leading cause of overall disease burden in the world, with increasing global DALY counts, effective prevention, treatment, and rehabilitation strategies for disorders affecting the nervous system are needed

Municipal Solid Waste to Energy Generation in Bangladesh: Possible Scenarios to Generate Renewable Electricity in Dhaka and Chittagong City

Increased generation of methane (CH4) from municipal solid wastes (MSW) alarms the world to take proper initiative for the sustainable management of MSW, because it is 34 times stronger than carbon dioxide (CO2). Mounting land scarcity issue around the world brands the waste to energy (WtE) strategy for MSW management in urban areas as a promising option, because WtE not only reduces the land pressure problem, but also generates electricity, heat, and green jobs. The goal of this study is to evaluate the renewable electricity generation potential and associated carbon reduction of MSW management in Bangladesh using WtE strategies. The study is conducted in two major cities of Bangladesh: Dhaka and Chittagong. Six different WtE scenarios are evaluated consisting of mixed MSW incineration and landfill gas (LFG) recovery system. Energy potential of different WtE strategy is assessed using standard energy conversion model and subsequent GHGs emissions models. Scenario A1 results in highest economic and energy potential and net negative GHGs emission. Sensitivity analysis by varying MSW moisture content reveals higher energy potential and less GHGs emissions from MSW possessing low moisture content. The study proposes mixed MSW incineration that could be a potential WtE strategy for renewable electricity generation in Bangladesh

Electrical Properties of Conductive Concrete Containing Graphite

Electrically conductive concrete has various potential non-structural functions such as self-sensing and electromagnetic shielding. Conventional concrete is a non-conductive composite, but electrical conductivity can be imparted and controlled by adding conductive additives. Since conductive concrete is a composite containing moisture and discrete conductive additives, the electrical properties of conductive concrete are very complex in nature. Understanding these properties are the fundamental requirements for developing its non-structural applications. In this research, graphite powder is used as a conductive additive for concrete with 3% by volume of cement paste. For characterizing the electrical properties, both AC (Alternating Current) impedance analysis and DC (Direct Current) measurement is performed in both wet and dry conditions, and their resistivities are calculated. The resistivity measured using DC increased with time of measurement. On the other hand, AC measurements show a consistent Bode diagram, but the resistivities decrease with the increase in AC frequency. These indicate conductive concrete with graphite is acting like a circuit containing a capacitor that stores electrical energy. Moisture plays a significant role in the electrical properties of concrete. The resistivity of concrete is lower in wet (saturated surface dry) conditions than in dry conditions. The results show that the electrical properties of conductive concrete cannot be represented by a single resistivity value and AC impedance spectroscopy is a useful method to characterize the electrical properties of concrete

Isolation and molecular detection of Avipoxvirus from field outbreaks in Mymensingh, Bangladesh

Objective: The present study was performed for isolation, identification, and molecular detection of Avipoxvirus [Turkeypox virus (TPV), Fowlpox virus (FPV), and Pigeonpox virus (PPV)] from field outbreaks in some selected areas of Mymensingh division, Bangladesh. Materials and Methods: A total of 60 suspected cutaneous nodular samples (10 TPV, 20 PPV, and 30 FPV) were collected. The samples were then subjected to isolation and identification by chicken embryo propagation followed by confirmation using polymerase chain reaction (PCR). Results: The TPV, FPV, and PPV were successfully isolated and identified from the nodular samples using embryo propagation and PCR technique targeting pox virus p4b gene. Out of 10 Turkeypox suspected field samples, five (50%) were positive for TPV. Similarly, among 30 Fowl pox suspected field samples, 12 (40%), and out of 20 Pigeonpox suspected field samples, eight (40%) were found to be positive for FPV and PPV, respectively. The overall prevalence of avipox (TPV, FPV, and PPV) virus infections in Mymensingh division was 41.67% (n = 25/60). Conclusion: This study has shown that TPV, FPV, and PPV are circulating in Mymensingh division. The isolated TPV, FPV, and PPV field isolates can be used as vaccine candidates to develop an effective vaccine for effective controlling of the avipox in Mymensingh division and surrounding areas. [J Adv Vet Anim Res 2019; 6(1.000): 54-59

Trends and socioeconomic factors associated with overweight/obesity among three reproductive age groups of women in Nepal

Introduction: Overweight/obesity represents a major and increasing burden in Nepal where women in reproductive-aged groups are highly affected. We aimed to explore the trends and association of overweight by socioeconomic position among the different reproductive-aged women in Nepal. Methods: We used datasets from five nationally representative surveys, Nepal Demographic and Health Survey conducted between 1996 and 2016. A sample of 33,503 nonpregnant women aged 15–49 was included. Markers of socioeconomic position were education level, occupation, and household wealth. Descriptive analysis, crude and adjusted prevalence trends, and multiple logistic regression models were carried out. Results: The prevalence of overweight/obesity increased fivefold (7.5–35.2%) among women of reproductive age between 1996 and 2016 in Nepal. The prevalence increase of overweight was higher among women aged 25 to < 35 and 35–49. The overweight prevalence increased from 5.2% to 42.3% among women involved in manual work. Women aged 35–49 from the richest households were more likely overweight (adjusted odds ratio 5.68; 95% CI 4.62–6.99). Women with higher education had higher body weight irrespective of reproductive age. Conclusion: In Nepal, women aged 35–49 from the richest households and women with higher education were the highest risk groups for being overweight in Nepal. To improve the situation of overweight in Nepal, strategies prioritizing the vulnerable groups should be incorporated into the National Nutrition Policy and Strategies