Brazil: Shadow WTO agricultural domestic support notifications

"This paper is devoted to better understanding of the Brazilian agricultural national policies towards domestic support and implications related to WTO rules. Domestic support has taken central stage in the last years and in light of a global economic crisis will play an even greater role in international trade politics. The paper focuses on Brazil and lays out the different domestic support policies used by the government. It is divided into five distinct parts for better comprehension. These parts are as follow: a synopsis of policies and recent studies; replication of official WTO support notifications; construction of consistent shadow notification; comparison and discussion of shadow notifications in relation to the WTO rules; and projected notifications through 2018. Also ethanol policies and the WTO rules were carefully analysed in order to better understand the Brazilian domestic support. Through this paper the reader will be able to have a better understanding of Brazilian agricultural domestic support policies with respect to WTO rules—a topic not well evaluated in the academic arena up to this time. A lot of scientific work has been done in the field of domestic support, but little has been done to better understand domestic support policies of specific countries in light of the WTO legal system." from authors' abstractAgricultural support, WTO Doha round, Notifications of domestic support, WTO compliance, Globalization,

Market Access

The negotiation of improved market access in agriculture is crucial to the success of the Doha Round. The depth of tariff cuts will be the main indication of the level of ambition of the agricultural talks and hence the Round as a whole. Agricultural tariffs remain five times higher than tariffs in industrial goods, and account for the bulk of the distortions in agricultural trade. Recent analysis indicates that 92 percent of the global gains from trade liberalization in agriculture result from removing market access barriers. The July Framework reaffirmed the objective of substantial improvements in market access. This is to be accomplished by a single approach, a tiered (or banded) formula for tariff cuts, with the higher tariff rates being subject to the highest cuts. Negotiations have centered on how many bands to select, where to place the thresholds, and how progressive to make the band-specific reductions. The issue of whether to impose a tariff cap was left undecided in the Framework Agreement. Tariff caps have the advantage of reducing tariffs that are so high that they are little different from an import ban. If the cap is set at a low enough level, real trade improvements may follow. The Framework Agreement specifies that each Member may identify in the schedule a number of products as "Sensitive Products." However, analysis has shown that even exempting as little as two percent of tariff lines from formula based cuts would substantially reduce the expected gains from market access improvements. This points up the need for significant increases in TRQs for Sensitive Products to achieve significant improvements in market access. All tariff lines subject to TRQs, whether or not they are classified as Sensitive Products, should be subject to quota volume expansion. Improving the administration of TRQs and reducing in-quota tariffs are both important objectives for the Doha Round. There is considerable scope to improve the efficiency and transparency of quota regimes. The continued availability of the Special Safeguard for Agriculture by WTO members "remains under negotiation." But abuse of such a safeguard in order to protect domestic producers thwarts the objective of improved market access. Some limitations will need to be introduced if the safeguard is to be continued under the new agreement. The Framework Agreement emphasizes that Special and Differential Treatment is to be an integral part of the market access outcome. This can be ensured by several provisions. Developing countries can specify a number of products as Special Products, based on criteria of food security, livelihood security and rural development needs. The difficulty is in devising concrete criteria for selecting these products. The Framework Agreement also endorses the creation of a Special Safeguard Mechanism for developing countries. Tariff cuts in the Doha Round can erode the value of preferences and can have important consequences for some countries. Preference-granting countries could offset the declining value of those preferences either through financial transfers or additional market access for all products from the current preferred exporters. Least Developed Countries (LDCs) should not be required to undertake any reduction commitments, though they might wish to do so for their own economic advantage. Developed countries should provide duty- and quota-free access to LDCs to encourage full integration into the trade system.International Relations/Trade,

Perspectives for sustainable aviation biofuels in Brazil

The aviation industry has set ambitious goals to reduce carbon emissions in coming decades. The strategy involves the use of sustainable biofuels, aiming to achieve benefits from environmental, social, and economic perspectives. In this context, Brazilian conditions are favorable, with a mature agroindustry that regularly produces automotive biofuel largely adopted by Brazilian road vehicles, while air transportation has been growing at an accelerating pace and a modern aircraft industry is in place. This paper presents the main conclusions and recommendations from a broad assessment of the technological, economic, and sustainability challenges and opportunities associated with the development of drop-in aviation biofuels in Brazil. It was written by a research team that prepared the initial reports and conducted eight workshops with the active participation of more than 30 stakeholders encompassing the private sector, government institutions, NGOs, and academia. The main outcome was a set of guidelines for establishing a new biofuels industry, including recommendations for (a) filling the identified research and development knowledge gaps in the production of sustainable feedstock; (b) overcoming the barriers in conversion technology, including scaling-up issues; (c) promoting greater involvement and interaction between private and government stakeholders; and (d) creating a national strategy to promote the development of aviation biofuels2015FUNDAÇÃO DE AMPARO À PESQUISA DO ESTADO DE SÃO PAULO - FAPESP2012/50009-

Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study

Background Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide.Methods A multimethods analysis was performed as part of the GlobalSurg 3 study-a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital.Findings Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3.85 [95% CI 2.58-5.75]; p<0.0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63.0% vs 82.7%; OR 0.35 [0.23-0.53]; p<0.0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery for cancer.Interpretation Hospitals with higher levels of infrastructure and resources have better outcomes after cancer surgery, independent of country income. Without urgent strengthening of hospital infrastructure and resources, the reductions in cancer-associated mortality associated with improved access will not be realised

Hyperoxemia and excess oxygen use in early acute respiratory distress syndrome : Insights from the LUNG SAFE study

Publisher Copyright: © 2020 The Author(s). Copyright: Copyright 2020 Elsevier B.V., All rights reserved.Background: Concerns exist regarding the prevalence and impact of unnecessary oxygen use in patients with acute respiratory distress syndrome (ARDS). We examined this issue in patients with ARDS enrolled in the Large observational study to UNderstand the Global impact of Severe Acute respiratory FailurE (LUNG SAFE) study. Methods: In this secondary analysis of the LUNG SAFE study, we wished to determine the prevalence and the outcomes associated with hyperoxemia on day 1, sustained hyperoxemia, and excessive oxygen use in patients with early ARDS. Patients who fulfilled criteria of ARDS on day 1 and day 2 of acute hypoxemic respiratory failure were categorized based on the presence of hyperoxemia (PaO2 > 100 mmHg) on day 1, sustained (i.e., present on day 1 and day 2) hyperoxemia, or excessive oxygen use (FIO2 ≥ 0.60 during hyperoxemia). Results: Of 2005 patients that met the inclusion criteria, 131 (6.5%) were hypoxemic (PaO2 < 55 mmHg), 607 (30%) had hyperoxemia on day 1, and 250 (12%) had sustained hyperoxemia. Excess FIO2 use occurred in 400 (66%) out of 607 patients with hyperoxemia. Excess FIO2 use decreased from day 1 to day 2 of ARDS, with most hyperoxemic patients on day 2 receiving relatively low FIO2. Multivariate analyses found no independent relationship between day 1 hyperoxemia, sustained hyperoxemia, or excess FIO2 use and adverse clinical outcomes. Mortality was 42% in patients with excess FIO2 use, compared to 39% in a propensity-matched sample of normoxemic (PaO2 55-100 mmHg) patients (P = 0.47). Conclusions: Hyperoxemia and excess oxygen use are both prevalent in early ARDS but are most often non-sustained. No relationship was found between hyperoxemia or excessive oxygen use and patient outcome in this cohort. Trial registration: LUNG-SAFE is registered with ClinicalTrials.gov, NCT02010073publishersversionPeer reviewe

Rationale, study design, and analysis plan of the Alveolar Recruitment for ARDS Trial (ART): Study protocol for a randomized controlled trial

Background: Acute respiratory distress syndrome (ARDS) is associated with high in-hospital mortality. Alveolar recruitment followed by ventilation at optimal titrated PEEP may reduce ventilator-induced lung injury and improve oxygenation in patients with ARDS, but the effects on mortality and other clinical outcomes remain unknown. This article reports the rationale, study design, and analysis plan of the Alveolar Recruitment for ARDS Trial (ART). Methods/Design: ART is a pragmatic, multicenter, randomized (concealed), controlled trial, which aims to determine if maximum stepwise alveolar recruitment associated with PEEP titration is able to increase 28-day survival in patients with ARDS compared to conventional treatment (ARDSNet strategy). We will enroll adult patients with ARDS of less than 72 h duration. The intervention group will receive an alveolar recruitment maneuver, with stepwise increases of PEEP achieving 45 cmH(2)O and peak pressure of 60 cmH2O, followed by ventilation with optimal PEEP titrated according to the static compliance of the respiratory system. In the control group, mechanical ventilation will follow a conventional protocol (ARDSNet). In both groups, we will use controlled volume mode with low tidal volumes (4 to 6 mL/kg of predicted body weight) and targeting plateau pressure &lt;= 30 cmH2O. The primary outcome is 28-day survival, and the secondary outcomes are: length of ICU stay; length of hospital stay; pneumothorax requiring chest tube during first 7 days; barotrauma during first 7 days; mechanical ventilation-free days from days 1 to 28; ICU, in-hospital, and 6-month survival. ART is an event-guided trial planned to last until 520 events (deaths within 28 days) are observed. These events allow detection of a hazard ratio of 0.75, with 90% power and two-tailed type I error of 5%. All analysis will follow the intention-to-treat principle. Discussion: If the ART strategy with maximum recruitment and PEEP titration improves 28-day survival, this will represent a notable advance to the care of ARDS patients. Conversely, if the ART strategy is similar or inferior to the current evidence-based strategy (ARDSNet), this should also change current practice as many institutions routinely employ recruitment maneuvers and set PEEP levels according to some titration method.Hospital do Coracao (HCor) as part of the Program 'Hospitais de Excelencia a Servico do SUS (PROADI-SUS)'Brazilian Ministry of Healt

Market Access

The negotiation of improved market access in agriculture is crucial to the success of the Doha Round. The depth of tariff cuts will be the main indication of the level of ambition of the agricultural talks and hence the Round as a whole. Agricultural tariffs remain five times higher than tariffs in industrial goods, and account for the bulk of the distortions in agricultural trade. Recent analysis indicates that 92 percent of the global gains from trade liberalization in agriculture result from removing market access barriers. The July Framework reaffirmed the objective of substantial improvements in market access. This is to be accomplished by a single approach, a tiered (or banded) formula for tariff cuts, with the higher tariff rates being subject to the highest cuts. Negotiations have centered on how many bands to select, where to place the thresholds, and how progressive to make the band-specific reductions. The issue of whether to impose a tariff cap was left undecided in the Framework Agreement. Tariff caps have the advantage of reducing tariffs that are so high that they are little different from an import ban. If the cap is set at a low enough level, real trade improvements may follow. The Framework Agreement specifies that each Member may identify in the schedule a number of products as "Sensitive Products." However, analysis has shown that even exempting as little as two percent of tariff lines from formula based cuts would substantially reduce the expected gains from market access improvements. This points up the need for significant increases in TRQs for Sensitive Products to achieve significant improvements in market access. All tariff lines subject to TRQs, whether or not they are classified as Sensitive Products, should be subject to quota volume expansion. Improving the administration of TRQs and reducing in-quota tariffs are both important objectives for the Doha Round. There is considerable scope to improve the efficiency and transparency of quota regimes. The continued availability of the Special Safeguard for Agriculture by WTO members "remains under negotiation." But abuse of such a safeguard in order to protect domestic producers thwarts the objective of improved market access. Some limitations will need to be introduced if the safeguard is to be continued under the new agreement. The Framework Agreement emphasizes that Special and Differential Treatment is to be an integral part of the market access outcome. This can be ensured by several provisions. Developing countries can specify a number of products as Special Products, based on criteria of food security, livelihood security and rural development needs. The difficulty is in devising concrete criteria for selecting these products. The Framework Agreement also endorses the creation of a Special Safeguard Mechanism for developing countries. Tariff cuts in the Doha Round can erode the value of preferences and can have important consequences for some countries. Preference-granting countries could offset the declining value of those preferences either through financial transfers or additional market access for all products from the current preferred exporters. Least Developed Countries (LDCs) should not be required to undertake any reduction commitments, though they might wish to do so for their own economic advantage. Developed countries should provide duty- and quota-free access to LDCs to encourage full integration into the trade system

Jet biofuels in Brazil: sustainability challenges

Sustainability is a fundamental topic to be addressed in the establishment of a market for jet biofuels in Brazil. The objective of this paper is to enhance the discussion on sustainability of biofuels, and to discuss the main gaps to meet the requirements of sustainability for four groups of feedstock: sugars and starch, oil, lignocelluloses, and wastes. Some general common conclusions can be made for all the analyzed feedstock. In the social sphere, the main positive impacts are the high potential for job creation, income generation and regional development. Regarding the gaps for compliance with sustainability requirements, the following aspects were common to all groups of feedstock: great number of laws and rules; different interpretations and lack of knowledge on how to apply some laws; certain labor laws not adapted to the rural context. The main potential positive impact generated by compliance with requirements is greenhouse gas (GHG) emissions reductions compared to fossil fuels.4071672