TRICHINELLOSIS EMERGENCY IN SARDINIA

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Excess mortality in Glasgow: further evidence of ‘political effects’ on population health

Objectives: The aim of the study was to update previous analyses of ‘excess mortality’ in Glasgow (Scotland) relative to the similar postindustrial cities of Liverpool and Manchester (England). The excess is defined as mortality after adjustment for socio-economic deprivation; thus, we sought to compare changes over time in both the deprivation profiles of the cities and the levels of deprivation-adjusted mortality in Glasgow relative to the other cities. This is important not only because the original analyses are now increasingly out of date but also because since publication, important (prepandemic) changes to mortality trends have been observed across all parts of the United Kingdom. Study design and methods: Replicating as far as possible the methods of the original study, we developed a three-city deprivation index based on the creation of spatial units in Glasgow that were of similar size to those in Liverpool and Manchester (average population sizes of approximately 1600, 1500 and 1700 respectively) and an area-based measure of ‘employment deprivation’. Mortality and matching population data by age, sex and small area were obtained from national agencies for two periods: 2003–2007 (the period covered by the original study) and 2014–2018. The rates of employment deprivation for each city's small areas were calculated for both periods. Indirectly standardised mortality ratios (SMRs) were calculated for Glasgow relative to Liverpool and Manchester, standardised by age and three-city deprivation decile. For context, city-level trends in age-standardised mortality rates by year, sex and city were also calculated. Results: There was evidence of a stalling of improvement in mortality rates in all three cities from the early 2010s. After adjustment for area deprivation, all-cause mortality in Glasgow in 2014–2018 was c.12% higher than in Liverpool and Manchester for all ages (SMR 112.4, 95% CI 111.1–113.6) and c.17% higher for deaths under 65 years (SMR 117.1, 95% CI 114.5–119.7). The excess was higher for males (17% compared with 9% for deaths at all ages; 25% compared with 5% for 0–64 years) and for particular causes of death such as suicide and drug-related and alcohol-related causes. The results were broadly similar to those previously described for 2003–2007, although the excess for premature mortality was notably lower. In part, this was explained by changes in levels of employment deprivation, which had decreased to a greater degree in the English cities: this was particularly true of Manchester (a reduction of −43%, compared with −38% in Liverpool and −31% in Glasgow) where the overall population size had also increased to a much greater extent than in the other cities. Conclusions: High levels of excess mortality persist in Glasgow. With the political causes recently established – the excess is a ‘political effect’, not a ‘Glasgow effect’ – political solutions are required. Thus, previously published recommendations aimed at addressing poverty, inequality and vulnerability in the city are still highly relevant. However, given the evidence of more recent, UK-wide, political effects on mortality – widening mortality inequalities resulting from UK Government ‘austerity’ measures – additional policies at UK Government level to protect, and restore, the income of the poorest in society are also urgently needed

Innovative Virtual Lab for Improving Safety and Port Operations

Computer simulation makes it possible to reproduce real systems and processes in a synthetic environment. In this way virtual analysis turn to be possible and it complex scenarios are suitable to be simulated. In the proposed paper is presented a port system where to study the behavior respect operations and accidents and to consider interaction among multiple players. The simulation is applied to create a Virtual Lab able to evaluate and investigate the development of new procedures, contingency plans during crises. The development of models to be used in simulations is clearly a critical aspect, since the consistency of the simulation depend on the quality of the models and their interaction; in this case the authors used their experience in the field to guarantee a successful Verification and Validation. In this case study, models are used for simulations of phenomena related to port accidents and crises with particular attention to dispersion system of liquid contaminant on sea surface and dispersion of toxic gases into atmosphere. These models have been tested in the Alacres2 simulator in order to create as an effective tool to observe and study the evolution and impact of dangerous situations, as well as a decision-making support to define response plans crises

Strong fisheries management and governance positively impact ecosystem status

Bundy, Alida ... et al.-- 28 pages, 6 figures, 8 tables, supporting information https://dx.doi.org/10.1111/faf.12184Fisheries have had major negative impacts on marine ecosystems, and effective fisheries management and governance are needed to achieve sustainable fisheries, biodiversity conservation goals and thus good ecosystem status. To date, the IndiSeas programme (Indicators for the Seas) has focussed on assessing the ecological impacts of fishing at the ecosystem scale using ecological indicators. Here, we explore fisheries ‘Management Effectiveness’ and ‘Governance Quality’ and relate this to ecosystem health and status. We developed a dedicated expert survey, focused at the ecosystem level, with a series of questions addressing aspects of management and governance, from an ecosystem-based perspective, using objective and evidence-based criteria. The survey was completed by ecosystem experts (managers and scientists) and results analysed using ranking and multivariate methods. Results were further examined for selected ecosystems, using expert knowledge, to explore the overall findings in greater depth. Higher scores for ‘Management Effectiveness’ and ‘Governance Quality’ were significantly and positively related to ecosystems with better ecological status. Key factors that point to success in delivering fisheries and conservation objectives were as follows: the use of reference points for management, frequent review of stock assessments, whether Illegal, Unreported and Unregulated (IUU) catches were being accounted for and addressed, and the inclusion of stakeholders. Additionally, we found that the implementation of a long-term management plan, including economic and social dimensions of fisheries in exploited ecosystems, was a key factor in successful, sustainable fisheries management. Our results support the thesis that good ecosystem-based management and governance, sustainable fisheries and healthy ecosystems go togetherThis is a contribution to the IndiSeas Working Group, which, by the time of the study, was cofunded by IOC-UNESCO (www.ioc-unesco.org), EuroMarine (http://www.euromarinenetwork.eu), the European FP7 MEECE research project, the European Network of Excellence Eur-Oceans and the FRB EMIBIOS project (contract n°212085)Peer Reviewe