724 research outputs found

    Gridded birth and pregnancy datasets for Africa, Latin America and the Caribbean

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    Understanding the fine scale spatial distribution of births and pregnancies is crucial for informing planning decisions related to public health. This is especially important in lower income countries where infectious disease is a major concern for pregnant women and new-borns, as highlighted by the recent Zika virus epidemic. Despite this, the spatial detail of basic data on the numbers and distribution of births and pregnancies is often of a coarse resolution and difficult to obtain, with no co-ordination between countries and organisations to create one consistent set of subnational estimates. To begin to address this issue, under the framework of the WorldPop program, an open access archive of high resolution gridded birth and pregnancy distribution datasets for all African, Latin America and Caribbean countries has been created. Datasets were produced using the most recent and finest level census and official population estimate data available and are at a resolution of 30 arc seconds (approximately 1 km at the equator). All products are available through WorldPop

    Modelling public health benefits of various emission control options to reduce NO2 concentrations in Guangzhou

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    The local government of the megacity of Guangzhou, China, has established an annual average NO2 concentration target of 40 ÎŒg m−3 to achieve by 2020. However, the Guangzhou Ambient Air Quality Compliance Plan does not specify what constitutes compliance with this target. We investigated a range of ambition levels for emissions reductions required to meet different possible interpretations of compliance using a hybrid dispersion and land-use regression model approach. We found that to reduce average annual-mean NO2 concentration across all current monitoring sites to below 40 ÎŒg m−3 (i.e. a compliance assessment approach that does not use modelling) would require emissions reductions from all source sectors within Guangzhou of 60%, whilst to attain 40 ÎŒg m−3 everywhere in Guangzhou (based on model results) would require all-source emissions reduction of 90%. Reducing emissions only from the traffic sector would not achieve either interpretation of the target. We calculated the impacts of the emissions reductions on NO2-atttributable premature mortality to illustrate that policy assessment based only on assessment against a fixed concentration target does not account for the full public health improvements attained. Our approach and findings are relevant for NO2 air pollution control policy making in other megacities

    Emission estimates and inventories of non-methane volatile organic compounds from anthropogenic burning sources in India

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    Comprehensive, spatially disaggregated emission inventories are required for many developing regions to evaluate the relative impacts of different sources and to develop mitigation strategies which can lead to effective emission controls. This study developed a 1 km2 non-methane volatile organic compound (NMVOC) emission model for the combustion of fuel wood, cow dung cake, municipal solid waste (MSW), charcoal, coal and liquefied petroleum gas (LPG) in India from 1993 to 2016. Inputs were selected from a range of detailed fuel consumption surveys and recent emission factors measured during comprehensive studies of local burning sources. For the census year of 2011, we estimated around 13 (5–47) Tg of NMVOCs were emitted from biomass and MSW combustion in India. Around 54% of these emissions were from residential solid biofuel combustion, 23% from open burning of MSW, 23% from crop residue burning on fields an

    Evaluating the collection, comparability and findings of six global surgery indicators

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    BACKGROUND: In 2015, six indicators were proposed to evaluate global progress towards access to safe, affordable and timely surgical and anaesthesia care. Although some have been adopted as core global health indicators, none has been evaluated systematically. The aims of this study were to assess the availability, comparability and utility of the indicators, and to present available data and updated estimates. METHODS: Nationally representative data were compiled for all World Health Organization (WHO) member states from 2010 to 2016 through contacts with official bodies and review of the published and grey literature, and available databases. Availability, comparability and utility were assessed for each indicator: access to timely essential surgery, specialist surgical workforce density, surgical volume, perioperative mortality, and protection against impoverishing and catastrophic expenditure. Where feasible, imputation models were developed to generate global estimates. RESULTS: Of all WHO member states, 19 had data on the proportion of the population within 2h of a surgical facility, 154 had data on workforce density, 72 reported number of procedures, and nine had perioperative mortality data, but none could report data on catastrophic or impoverishing expenditure. Comparability and utility were variable, and largely dependent on different definitions used. There were sufficient data to estimate that worldwide, in 2015, there were 2 038 947 (i.q.r. 1 884 916-2 281 776) surgeons, obstetricians and anaesthetists, and 266·1 (95 per cent c.i. 220·1 to 344·4) million operations performed. CONCLUSION: Surgical and anaesthesia indicators are increasingly being adopted by the global health community, but data availability remains low. Comparability and utility for all indicators require further resolution
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