1,287 research outputs found

    Advocacy coalitions and flood insurance: power and policies in the Australian Natural Disaster Insurance Review

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    Insurance against flooding creates households and places that are protected against financial harm in the form of catastrophic losses. Contested here are questions surrounding the availability and affordability of private insurance cover, significantly affecting the lives of people in at-risk geographies by imposing costs either as insurance premiums or episodic flood damages. Policy choices and decisions (‘political/economic’) about such controversial place-based environmental/risk issues (‘spatial’) are often made “behind closed doors”. A public inquiry opens those doors, albeit briefly, so we can see “what goes on”. The Natural Disaster Insurance Review (NDIR), a public inquiry after the 2010/2011 Australian floods, was a major forum of debate about Australian flood insurance policy. We explore the intricate politics of the key advocacy coalitions involved, to understand NDIR’s role and outcomes. Our case study methodology uses content analysis of c. 100 NDIR submissions and reports, media coverage, and insurance industry and government statements, supported by in-depth interviews with people directly involved. We show that a well-resourced and powerful coalition of insurers was the dominant advocacy coalition in the NDIR and that consumers and their at-risk communities were represented by a relatively under-resourced coalition. The primary role of the inquiry as a problem-solving process was ultimately overridden during the post-inquiry implementation phase, during which the insurance coalition was dominant. Major NDIR recommendations were not implemented, and hence key spatial/political issues that the inquiry was established to address for the benefit of those at risk remained unresolved

    How We Live Now:Striving for Resilient Repertoires of Literacy

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    The risk of ill-informed reform: the future for English flood risk management

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    Flood risk in the UK is recognised by many as a major 21st century challenge. However Flood Risk Management (FRM) has become widely contested, with the Environment, Food and Rural Affairs (Efra) Committee recently calling for major governance reform. Engaging this debate, this commentary evaluates the extent to which such reform is necessary or wise when it appears that it may ironically, albeit inadvertently, exacerbate key criticisms of the current system

    Flood vulnerability, risk and social disadvantage: current and future patterns in the UK

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    Present day and future social vulnerability, flood risk and disadvantage across the UK are explored using the UK Future Flood Explorer. In doing so, new indices of neighbourhood flood vulnerability and social flood risk are introduced and used to provide a quantitative comparison of the flood risks faced by more and less socially vulnerable neighbourhoods. The results show the concentrated nature of geographic flood disadvantage. For example, ten local authorities account for fifty percent of the most socially vulnerable people that live in flood prone areas. The results also highlight the systematic nature of flood disadvantage. For example, flood risks are higher in socially vulnerable communities than elsewhere; this is shown to be particularly the case in coastal areas, economically struggling cities and dispersed rural communities. Results from a re-analysis of the Environment Agency’s Long-Term Investment Scenarios (for England) suggests a long-term economic case for improving the protection afforded to the most socially vulnerable communities; a finding that reinforces the need to develop a better understanding of flood risk in socially vulnerable communities if flood risk management efforts are to deliver fair outcomes. In response to these findings the paper advocates an approach to flood risk management that emphasizes Rawlsian principles of preferentially targeting risk reduction for the most socially vulnerable and avoids a process of prioritisation based upon strict utilitarian or purely egalitarian principles

    Mortality study of 18 000 patients treated with omeprazole.

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    Background: The long term safety of potent gastric acid suppressive therapy has yet to be established. Method: General practice record review at a median interval of 26 months followed by retrieval of details of all deaths within four years using the UK National Health Service Central Registers in 17 936 patients prescribed omeprazole in 1993–1995. Death rates were compared with general population rates. Results: Records of 17 489 patients (97.5%) were examined. A total of 12 703 patients received further scripts for antisecretory drugs, 8097 for omeprazole only (65.6%): 3097 patients have died. All cause mortality was higher in the first year (observed/expected (O/E) 1.44 (95% confidence intervals (CI) 1.34–1.55); p<0.0001) but had fallen to population expectation by the fourth year. There were significant mortality increases in the first year, falling to or below population expectation by the fourth year, for deaths ascribed to neoplasms (1.82 (95% CI 1.58–2.08); p<0.0001), circulatory diseases (1.27 (95% CI 1.13–1.43); p<0.0001), and respiratory diseases (1.37 (95% CI 1.12–1.64); p<0.001). Increased mortality ascribed to digestive diseases (2.56 (95% CI 1.87–3.43); p<0.0001) persisted, although reduced. Increased mortality rates for cancers of the stomach (4.06 (95% CI 2.60–6.04); p<0.0001), colon and rectum (1.40 (95% CI 0.84–2.18); p=0.075), and trachea, bronchus, and lung (1.64 (95% CI 1.19–2.19); p<0.01) seen in the first year had disappeared by the fourth year but that for cancer of the oesophagus had not (O/E 7.35 (95% CI 5.20–10.09) (p<0.0001) in year 1; 2.88 (95% CI 1.62–4.79) (p<0.001) in year 4). Forty of 78 patients dying of oesophageal cancer had the disease present at registration. Twenty seven of those remaining cases had clinical evidence of Barrett’s disease, stricture, ulcer, or oesophagitis at registration (O/E 3.30 (95% CI 2.17–4.80)). Six deaths occurred in patients with hiatal hernia or reflux only (O/E 1.02 (95% CI 0.37–2.22)) and five in patients without oesophageal disease (O/E 0.77 (95% CI 0.25–1.80)). No relationships were detected with numbers of omeprazole scripts received. Conclusions: Increases in mortality associated with treatment are due to pre- existing illness, including pre-existing severe oesophageal disease. There was no evidence of an increased risk of oesophageal adenocarcinoma in those without oesophageal mucosal damage recorded at registration

    Alone-together:intergenerational mapping of digital and analogue spaces of self

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    The project featured in this article experiments with mapping methods as part of a research-creation approach to exploring spaces, times, and movements within materialisations of self. Bringing together adults and children across two cities during lockdown, the project problematises a stance on ‘learning loss’ during the pandemic and instead focuses on the potential of the experiential blurriness of analogue and digital spaces. Rather than seeking to control and structure online learning – thereby denying and limiting its possibilities, explorations, and senses of self – three researchers set out on a speculative approach that acknowledges the dynamic complexity of physical and virtual ways of knowing and being. The article discusses the affordances and challenges that the methodology offers and concludes with the broader implications of this research for reimagined post-pandemic pedagogies. In the end, we advocate for mapping as a way of generously creating spaces and activating meaning-making in diverse learning contexts
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