Precipitation and Aridity Constraints on Early Mars from Globally-Distributed Paleolakes

The widespread occurrence of fluvio-lacustrine features on Mars support long-lived flow and accumulation of water in a warmer, wetter past. However, martian climate models have been unable to recreate the necessary conditions required to support a persistent wet climate. Orbital and in-situ data sets have revealed the existence of > 400 paleolakes on Mars, which can be subdivided into open- and closed-basin lakes. Open-basin lakes require that sufficient water accumulated to fill and overtop the basin-confining topography, providing a minimum constraint on required water volumes. Conversely, closed-basin lakes provide maximum water volumes since the absence of an outlet breach generally implies they did not overflow. Importantly, a subset of both open- and closed-basin lakes are fed by valley networks inferred to have been sourced by precipitation during the era of valley network formation > 3.7 Ga and may be used to quantitatively constrain precipitation and aridity during early Mars

The Importance of Lake Overflow Floods for Early Martian Landscape Evolution: Insights From Licus Vallis

Open-basin lake outlet valleys are incised when water breaches the basin-confining topography and overflows. Outlet valleys record this flooding event and provide insight into how the lake and surrounding terrain evolved over time. Here we present a study of the paleolake outlet Licus Vallis, a >350 km long, >2 km wide, >100 m deep valley that heads at the outlet breach of an approx.30 km diameter impact crater. Multiple geomorphic features of this valley system suggest it records a more complex evolution than formation from a single lake overflow flood. This provides unique insight into the paleohydrology of lakes on early Mars, as we can make inferences beyond the most recent phase of activity.

The anatomy of exhumed river-channel belts: Bedform to belt‐scale river kinematics of the Ruby Ranch Member, Cretaceous Cedar Mountain Formation, Utah, USA

Many published interpretations of ancient fluvial systems have relied on observations of extensive outcrops of thick successions. This paper, in contrast, demonstrates that a regional understanding of palaeoriver kinematics, depositional setting and sedimentation rates can be interpreted from local sedimentological measurements of bedform and barform strata. Dune and bar strata, channel planform geometry and bed topography are measured within exhumed fluvial strata exposed as ridges in the Ruby Ranch Member of the Cretaceous Cedar Mountain Formation, Utah, USA. The ridges are composed of lithified stacked channel belts, representing at least five or six re‐occupations of a single‐strand channel. Lateral sections reveal well‐preserved barforms constructed of subaqueous dune cross‐sets. The topography of palaeobarforms is preserved along the top surface of the outcrops. Comparisons of the channel‐belt centreline to local palaeotransport directions indicate that channel planform geometry was preserved through the re‐occupations, rather than being obscured by lateral migration. Rapid avulsions preserved the state of the active channel bed and its individual bars at the time of abandonment. Inferred minimum sedimentation durations for the preserved elements, inferred from cross‐set thickness distributions and assumed bedform migration rates, vary within a belt from one to ten days. Using only these local sedimentological measurements, the depositional setting is interpreted as a fluvial megafan, given the similarity in river kinematics. This paper provides a systematic methodology for the future synthesis of vertical and planview data, including the drone‐equipped 2020 Mars Rover mission, to exhumed fluvial and deltaic strata

The effect of remote sensing resolution limits on aeolian sandstone measurements and the reconstruction of ancient dune fields on Mars: Numerical experiment using the Page Sandstone, Earth

The distribution of cross‐set thicknesses is important data for reconstructing ancient aeolian dune fields from the strata they accumulated, but most aeolian strata on Mars must be observed from satellite. We hypothesize that remote sensing resolution limits will affect cross‐set thickness measurements and the dune‐field reconstructions that follow. Here we test this hypothesis using a numerical experiment mimicking the effects of satellite image resolution limits performed on a distribution of aeolian cross‐set thicknesses measured in the field from the Jurassic Page Sandstone, Arizona, USA. Page set thicknesses are exponentially distributed, representing the accumulations of dry dune fields (no water table interactions with the dunes) in a state of net‐sediment bypass. When observed from satellite, set‐thickness measurements increase as adjacent sets become indistinguishable, based on the map‐view distance between their upper and lower bounding surfaces. This is termed the exposure distance of a cross set and is a function of (1) the set thickness, (2) the dip of the outcrop surface, and (3) the number of satellite image pixels required to detect a set (detection limit). By running experiments using outcrop dips from 1° to 60° and detection limits from 0.75 to 2.50 m (3 to 10 High‐Resolution Imaging Science Experiment pixels), we find that gently sloping surfaces (< 13°) at all detection limits are associated with the least blending of adjacent sets, conserving the net‐bypass interpretation made from the true set thicknesses. Although these results are specific to the Page, they can be used as a guide for future Mars work

Jezero Crater, Mars, as a Compelling Site for Future In Situ Exploration

Jezero is a approximately 45 km diameter impact crater located in the Nili Fossae region of Mars. Jezero is an outstanding site to address key questions of ancient Mars climate, habitability, and volcanic history because: (a) It hosted an open-basin lake during the era of valley network formation [1,2], which ceased at approximately the Noachian-Hesperian boundary [3]. (b) It contains two delta deposits [1,4] with Fe/Mg-smectite and Mg-carbonate sediment [4-7] (the only exposure of lacus-trine shoreline carbonates seen so far on Mars). (c) The depositional environment and mineral assemblage of the delta are promising for the concentration and preservation of organic matter [5,8]. (d) The diverse geologic units in Jezero are in clear stratigraphic context [7]. The Jezero paleolake system has been thoroughly investigated at a variety of scales, including work on: the mineralogy of the delta deposits [4-6] and watershed [7], as well as the morphology and sedimentology of the basin [9] and delta deposits [1,4]. The geologic context of Jezero is also well-studied given the broad suite of alteration minerals exposed in the ancient stratigraphies of the Nili Fossae region [e.g., 6,10-13]. Here we present an overview of the units accessible for exploration in the Jezero basin, including questions and hypotheses that can be tested through analysis in situ and of returned samples. This is particularly timely given the upcoming Mars 2020 mission, for which Jezero is one of the final eight landing sites [14]. Primary science objectives for Mars 2020 are to: (1) characterize the geologic history of a site with "evidence of an astrobiologically-relevant ancient environment and geologic diversity"; (2) assess the habitability and "potential evidence of past life" in units with "high biosignature preservation potential"; and (3) cache scientifically compelling samples for potential return to Earth [15]

A cost-of-illness analysis of β-Thalassaemia major in children in Sri Lanka - experience from a tertiary level teaching hospital

Background Sri Lanka has a high prevalence of β-thalassaemia major. Clinical management is complex and long-term and includes regular blood transfusion and iron chelation therapy. The economic burden of β-thalassaemia for the Sri Lankan healthcare system and households is currently unknown. Methods A prevalence-based, cost-of-illness study was conducted on the Thalassaemia Unit, Department of Paediatrics, Kandy Teaching Hospital, Sri Lanka. Data were collected from clinical records, consultations with the head of the blood bank and a consultant paediatrician directly involved with the care of patients, alongside structured interviews with families to gather data on the personal costs incurred such as those for travel. Results Thirty-four children aged 2–17 years with transfusion dependent thalassaemia major and their parent/guardian were included in the study. The total average cost per patient year to the hospital was $US 2601 of which$US 2092 were direct costs and $US 509 were overhead costs. Mean household expenditure was$US 206 per year with food and transport per transfusion ($US 7.57 and$US 4.26 respectively) being the highest cost items. Nine (26.5%) families experienced catastrophic levels of healthcare expenditure (> 10% of income) in the care of their affected child. The poorest households were the most likely to experience such levels of expenditure. Conclusions β-thalassaemia major poses a significant economic burden on health services and the families of affected children in Sri Lanka. Greater support is needed for the high proportion of families that suffer catastrophic out-of-pocket costs

Universal health coverage from multiple perspectives: a synthesis of conceptual literature and global debates

Background: There is an emerging global consensus on the importance of universal health coverage (UHC), but no unanimity on the conceptual definition and scope of UHC, whether UHC is achievable or not, how to move towards it, common indicators for measuring its progress, and its long-term sustainability. This has resulted in various interpretations of the concept, emanating from different disciplinary perspectives. This paper discusses the various dimensions of UHC emerging from these interpretations and argues for the need to pay attention to the complex interactions across the various components of a health system in the pursuit of UHC as a legal human rights issue. Discussion: The literature presents UHC as a multi-dimensional concept, operationalized in terms of universal population coverage, universal financial protection, and universal access to quality health care, anchored on the basis of health care as an international legal obligation grounded in international human rights laws. As a legal concept, UHC implies the existence of a legal framework that mandates national governments to provide health care to all residents while compelling the international community to support poor nations in implementing this right. As a humanitarian social concept, UHC aims at achieving universal population coverage by enrolling all residents into health-related social security systems and securing equitable entitlements to the benefits from the health system for all. As a health economics concept, UHC guarantees financial protection by providing a shield against the catastrophic and impoverishing consequences of out-of-pocket expenditure, through the implementation of pooled prepaid financing systems. As a public health concept, UHC has attracted several controversies regarding which services should be covered: comprehensive services vs. minimum basic package, and priority disease-specific interventions vs. primary health care. Summary: As a multi-dimensional concept, grounded in international human rights laws, the move towards UHC in LMICs requires all states to effectively recognize the right to health in their national constitutions. It also requires a human rights-focused integrated approach to health service delivery that recognizes the health system as a complex phenomenon with interlinked functional units whose effective interaction are essential to reach the equilibrium called UHC

What Martian Meteorites Reveal About the Interior and Surface of Mars

Martian meteorites are the only direct samples from Mars, thus far. Currently, there are a total of 262 individual samples originating from at least 11 ejection events. Geochemical analyses, through techniques that are also used on terrestrial rocks, provide fundamental insights into the bulk composition, differentiation and evolution, mantle heterogeneity, and role of secondary processes, such as aqueous alteration and shock, on Mars. Martian meteorites display a wide range in mineralogy and chemistry, but are predominantly basaltic in composition. Over the past 6 years, the number of martian meteorites recovered has almost doubled allowing for studies that evaluate these meteorites as suites of igneous rocks. However, the martian meteorites represent a biased sampling of the surface of Mars with unknown ejection locations. The geology of Mars cannot be unraveled solely by analyzing these meteorites. Rocks analyzed by rovers on the surface of Mars are of distinct composition to the meteorites, highlighting the importance of Mars missions, especially sample return. The Mars 2020 Perseverance rover will collect and cache—for eventual return to Earth—over 30 diverse surface samples from Jezero crater. These returned samples will allow for Earth‐based state‐of‐the‐art analyses on diverse martian rocks with known field context. The complementary study of returned samples and meteorites will help to constrain the evolution of the martian interior and surface. Here, we review recent findings and advances in the study of martian meteorites and examine how returned samples would complement and enhance our knowledge of Mars

Young and vulnerable: Spatial-temporal trends and risk factors for infant mortality in rural South Africa (Agincourt), 1992-2007

<p>Abstract</p> <p>Background</p> <p>Infant mortality is an important indicator of population health in a country. It is associated with several health determinants, such as maternal health, access to high-quality health care, socioeconomic conditions, and public health policy and practices.</p> <p>Methods</p> <p>A spatial-temporal analysis was performed to assess changes in infant mortality patterns between 1992-2007 and to identify factors associated with infant mortality risk in the Agincourt sub-district, rural northeast South Africa. Period, sex, refugee status, maternal and fertility-related factors, household mortality experience, distance to nearest primary health care facility, and socio-economic status were examined as possible risk factors. All-cause and cause-specific mortality maps were developed to identify high risk areas within the study site. The analysis was carried out by fitting Bayesian hierarchical geostatistical negative binomial autoregressive models using Markov chain Monte Carlo simulation. Simulation-based Bayesian kriging was used to produce maps of all-cause and cause-specific mortality risk.</p> <p>Results</p> <p>Infant mortality increased significantly over the study period, largely due to the impact of the HIV epidemic. There was a high burden of neonatal mortality (especially perinatal) with several hot spots observed in close proximity to health facilities. Significant risk factors for all-cause infant mortality were mother's death in first year (most commonly due to HIV), death of previous sibling and increasing number of household deaths. Being born to a Mozambican mother posed a significant risk for infectious and parasitic deaths, particularly acute diarrhoea and malnutrition.</p> <p>Conclusions</p> <p>This study demonstrates the use of Bayesian geostatistical models in assessing risk factors and producing smooth maps of infant mortality risk in a health and socio-demographic surveillance system. Results showed marked geographical differences in mortality risk across a relatively small area. Prevention of vertical transmission of HIV and survival of mothers during the infants' first year in high prevalence villages needs to be urgently addressed, including expanded antenatal testing, prevention of mother-to-child transmission, and improved access to antiretroviral therapy. There is also need to assess and improve the capacity of district hospitals for emergency obstetric and newborn care. Persisting risk factors, including inadequate provision of clean water and sanitation, are yet to be fully addressed.</p