The challenge of achieving basal energy, iron and zinc provision for home consumption through family farming in the Andes: a comparison of coverage through contemporary production systems and selected agricultural interventions

Background Child undernutrition is persistently high in the central Andes of Peru, and numerous smallholder households fail to meet their basic needs of energy, iron and zinc. Food-based approaches assume household-level nutrition can be improved following agricultural interventions. This study assesses for the first time whether current Andean production systems provide sufficient energy, iron and zinc output to meet household-level requirements and explores the likely effect of commonly promoted food-based approaches. Across four communities, we determined the crop and livestock production output for each household (n = 165) during one growing season. The household-level nutritional demand or input was calculated as a function of household composition and daily requirements of energy, iron and zinc as established by FAO/WHO. We examined five scenarios, current practice or status quo and four food-based interventions: (1) increased potato yield, (2) introduced biofortified potatoes, (3) promotion of guinea pigs and (4) a mixed strategy combining all of the above. Results Under status quo, 86, 62 and 76 % of households obtained sufficient production output to meet energy, iron and zinc requirements, respectively. Considering the three parameters simultaneously, 59 % of households were able to meet their energy, iron and zinc requirements. The total crop production among households provided more than the necessary energy, iron and zinc output to meet the demand of all 165 households. Yet, significant differences between households account for individual deficits or surpluses in household-level output–input balances. Potato (Solanum spp.), barley (Hordeum vulgare) and faba (Vicia faba) production was particularly significant in determining the energy, iron and zinc output. Livestock did not make a substantial contribution. The main difference between households with negative versus positive coverage, in terms of household-level production output from agriculture meeting demand (=input), was available cropping area given household size. None of the explored food-based interventions closed the energy, iron and zinc deficit from production among households with negative coverage. Conclusions The smallholder production systems analyzed are only partially capable of providing sufficient production output to cover household-level energy, iron and zinc demands. Of the four interventions examined, a mixed strategy holds most potential for reducing nutrition gaps. Particularly potato yield increases had a positive effect. The carrying capacity of high-altitude Andean farming systems is strained for households with limited land. Food-based approaches to nutrition under scenarios similar to those reported in this study are advised to balance agricultural interventions with options to enhance off-farm access to food

Las mezclas de gramíneas y leguminosas muestran el potencial de aumentar la producción de biomasa aérea y subterránea en los barbechos andinos basados en el forraje

Descargue el texto completo en el portal de la revista Agronomy: https://doi.org/10.3390/agronomy12010142Los suelos altoandinos están amenazados por la intensificación de los sistemas de cultivo. Los barbechos mejorados basados en el forraje ofrecen una gran promesa para abordar este problema, pero es necesario investigar para entender mejor el potencial de las mezclas de especies frente a los monocultivos para apoyar múltiples objetivos de los agricultores, especialmente la producción de forraje y la conservación del suelo. Hemos utilizado un estudio en maceta para cuantificar la producción de biomasa aérea y subterránea, así como la absorción total de N de las mezclas de gramíneas y leguminosas entre cinco gramíneas: (1) avena (Avena sativa), (2) ryegrass (Lolium multiflorum), (3) festulolium (Lolium × Festuca genera), (4) bromo (Bromus catharticus), y (5) hierba de la huerta (Dactylis glomerata), y cuatro leguminosas: (1) veza (Vicia dasycarpa), (2) trébol rojo (Trifolium pratense), (3) medicago negro (Medicago lupulina), y (4) alfalfa (Medicago sativa) en relación al rendimiento de cada especie en monocultivo dentro de dos suelos de los Andes centrales peruanos. Los bicultivos de gramíneas y leguminosas demostraron un rendimiento superior, produciendo un 65% y un 28% más de biomasa seca total y de absorción total de N en promedio que los monocultivos. La biomasa aérea de los bicultivos estuvo significativamente influenciada por la especie de leguminosa presente, mientras que la biomasa subterránea estuvo más afectada por la especie de hierba en la mezcla. Al evaluar el crecimiento de cada especie por separado, nuestros resultados indican que el exceso de rendimiento fue impulsado más por el mayor crecimiento de las gramíneas en relación con las leguminosas. Nuestros resultados indican que la combinación de grupos funcionales clave (p. ej., gramíneas y leguminosas, anuales y perennes) es muy prometedora para el desarrollo de barbechos mejorados que apoyen la salud del suelo y la productividad en los agroecosistemas andinos.Soils of the Andean highlands are under threat from cropping system intensification. Improved forage-based fallows offer great promise to address this issue, but research is needed to better understand the potential of species mixtures vs. monocultures to support multiple farmer objectives, especially forage production and soil conservation. We used a pot study to quantify above- and belowground biomass production as well as the total N uptake of grass–legume pairs between five grasses: (1) oat (Avena sativa), (2) ryegrass (Lolium multiflorum), (3) festulolium (Lolium × Festuca genera), (4) brome grass (Bromus catharticus), and (5) orchard grass (Dactylis glomerata), and four legumes: (1) vetch (Vicia dasycarpa), (2) red clover (Trifolium pratense), (3) black medic (Medicago lupulina), and (4) alfalfa (Medicago sativa) relative to the performance of each species in monoculture within two soils from the central Peruvian Andes. Grass–legume bicultures demonstrated significant overyielding, producing 65% and 28% more total dry biomass and total N uptake on average than monocultures. Aboveground biomass of bicultures was significantly influenced by the species of legume present, while belowground biomass was more affected by the grass species in the mixture. When evaluating the growth of each species separately, our findings indicate that overyielding was driven more by the enhanced growth of grasses relative to legumes. Our findings indicate that combining key functional groups (e.g., grass and legume, annual and perennial) offers great promise for developing improved fallows for supporting soil health and productivity in Andean agroecosystems

Traditional soil fertility management ameliorates climate change impacts on traditional Andean crops within smallholder farming systems

Global changes, particularly rising temperatures, threaten food security in smallholder mountain communities by impacting the suitability of cultivation areas for many crops. Land-use intensification, associated with agrochemical use and tillage threaten soil health and overall agroecosystem resilience. In the Andean region, farmers often cultivate crops at multiple elevations. Warming climates have led to a shift in cultivation upslope, but this is not feasible in many areas. Traditional soil fertility management practices together with a focus on traditional (orphan) crops offers promise to cope with rapid climate warming in the region. To understand the impacts of warming and changing nutrient management, we established two side-by-side experiments using the traditional Andean crops Oxalis tuberosa (Oca) and Lupinus mutabilis (Tarwi) at three elevations, each with two fertility treatments (organic and synthetic). Soil and climate data (i.e., temperature and precipitation) were collected throughout the growing season, and crop performance was evaluated through impacts on yield and other growth metrics (e.g., biomass, pest incidence). We used two-way ANOVA to assess the influence of site (elevation) and management type (organic vs. synthetic) on crop performance. Results indicated that warmer climates (i.e., lowest elevation) negatively impact the production and performance of O. tuberosa, but that organic fertilization (sheep manure) can help maintain crop yield and biomass production in warmer conditions relatively to synthetic nutrient inputs. In contrast, L. mutabilis showed accelerated growth in warmer conditions, but grain yield and biomass production were not significantly affected by site and showed no interaction with nutrient management. Our findings highlight that climate warming represents a serious threat to small-scale crop production in the Peruvian Andes and could cause severe declines in the production of locally important crops. Additionally, the continued reliance traditional crops with organic inputs, instead of synthetic fertilizers, may help support agricultural productivity and resilience under climate change

Hybridization between wild and cultivated potato species in the Peruvian Andes and biosafety implications for deployment of GM potatoes

The nature and extent of past and current hybridization between cultivated potato and wild relatives in nature is of interest to crop evolutionists, taxonomists, breeders and recently to molecular biologists because of the possibilities of inverse gene flow in the deployment of genetically-modified (GM) crops. This research proves that natural hybridization occurs in areas of potato diversity in the Andes, the possibilities for survival of these new hybrids, and shows a possible way forward in case of GM potatoes should prove advantageous in such areas

Drivers of growth and establishment of the invasive plant Rumex acetosella within Andean fallow systems

Intensification of crop rotations and associated agricultural practices are reducing the capacity of traditional fallows to restore soil fertility and provide forage in Andean cropping systems. While the implementation of improved fallows offers great promise to enhance forage provision and maintain soil productivity, effects of these practices on the establishment of problematic weeds, including non-native plant species, remain poorly understood. To address this knowledge gap, we studied: i) how biotic and abiotic environmental factors influence the establishment and productivity of weeds in traditional fallows; and ii) to what extent improved fallows can help control weedy vegetation in smallholder rotations of the high Andes. Specifically, in this research, we focused on the invasive plant species Rumex acetosella L., which is a common concern of farmers throughout the central Peruvian Andes. We leveraged a multi-site, participatory research trial established in 2017 across eight communities in the region to understand the main drivers of R. acetosella presence and productivity. We used a total of 82 sites, each with paired treatments of traditional fallow (control with natural revegetation) and improved fallow (seeded with Vicia sativa L. and Avena sativa L.). Prior to treatment establishment we measured soil texture, pH, soil organic matter content as well as exchangeable macro-nutrients. Vegetation data was recorded in each treatment and divided into four categories: 1) A. sativa, 2) V. sativa, 3) R. acetosella, and 4) other weeds, and weighed to determine the relative biomass contribution of each. From these data, we calculated an index for R. acetosella pressure, weed pressure, and forage productivity. Our findings indicate that improved fallows greatly suppress weedy vegetation relative to unmanaged controls, including the invasive R. acetosella. Multivariate analyses suggested that R. acetosella abundance was associated with the presence of other non-planted weeds and predictors of soil fertility. The mean R. acetosella index in improved fallows was significantly lower compared to traditional fallows. We found R. acetosella biomass to be greater at lower productivity sites, i.e., those at higher elevations with cooler climates and sites with less fertile soils. Our findings indicate that if the fallow portion of a rotation is kept productive via adequate soil fertility inputs, the biomass of weeds, including the alien R. acetosella, is dramatically reduced

Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study

Background: The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on postoperative recovery needs to be understood to inform clinical decision making during and after the COVID-19 pandemic. This study reports 30-day mortality and pulmonary complication rates in patients with perioperative SARS-CoV-2 infection. Methods: This international, multicentre, cohort study at 235 hospitals in 24 countries included all patients undergoing surgery who had SARS-CoV-2 infection confirmed within 7 days before or 30 days after surgery. The primary outcome measure was 30-day postoperative mortality and was assessed in all enrolled patients. The main secondary outcome measure was pulmonary complications, defined as pneumonia, acute respiratory distress syndrome, or unexpected postoperative ventilation. Findings: This analysis includes 1128 patients who had surgery between Jan 1 and March 31, 2020, of whom 835 (74·0%) had emergency surgery and 280 (24·8%) had elective surgery. SARS-CoV-2 infection was confirmed preoperatively in 294 (26·1%) patients. 30-day mortality was 23·8% (268 of 1128). Pulmonary complications occurred in 577 (51·2%) of 1128 patients; 30-day mortality in these patients was 38·0% (219 of 577), accounting for 81·7% (219 of 268) of all deaths. In adjusted analyses, 30-day mortality was associated with male sex (odds ratio 1·75 [95% CI 1·28–2·40], p\textless0·0001), age 70 years or older versus younger than 70 years (2·30 [1·65–3·22], p\textless0·0001), American Society of Anesthesiologists grades 3–5 versus grades 1–2 (2·35 [1·57–3·53], p\textless0·0001), malignant versus benign or obstetric diagnosis (1·55 [1·01–2·39], p=0·046), emergency versus elective surgery (1·67 [1·06–2·63], p=0·026), and major versus minor surgery (1·52 [1·01–2·31], p=0·047). Interpretation: Postoperative pulmonary complications occur in half of patients with perioperative SARS-CoV-2 infection and are associated with high mortality. Thresholds for surgery during the COVID-19 pandemic should be higher than during normal practice, particularly in men aged 70 years and older. Consideration should be given for postponing non-urgent procedures and promoting non-operative treatment to delay or avoid the need for surgery. Funding: National Institute for Health Research (NIHR), Association of Coloproctology of Great Britain and Ireland, Bowel and Cancer Research, Bowel Disease Research Foundation, Association of Upper Gastrointestinal Surgeons, British Association of Surgical Oncology, British Gynaecological Cancer Society, European Society of Coloproctology, NIHR Academy, Sarcoma UK, Vascular Society for Great Britain and Ireland, and Yorkshire Cancer Research

Elective cancer surgery in COVID-19-free surgical pathways during the SARS-CoV-2 pandemic: An international, multicenter, comparative cohort study

PURPOSE As cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective surgery is best performed. This study aimed to determine whether COVID-19–free surgical pathways were associated with lower postoperative pulmonary complication rates compared with hospitals with no defined pathway. PATIENTS AND METHODS This international, multicenter cohort study included patients who underwent elective surgery for 10 solid cancer types without preoperative suspicion of SARS-CoV-2. Participating hospitals included patients from local emergence of SARS-CoV-2 until April 19, 2020. At the time of surgery, hospitals were defined as having a COVID-19–free surgical pathway (complete segregation of the operating theater, critical care, and inpatient ward areas) or no defined pathway (incomplete or no segregation, areas shared with patients with COVID-19). The primary outcome was 30-day postoperative pulmonary complications (pneumonia, acute respiratory distress syndrome, unexpected ventilation). RESULTS Of 9,171 patients from 447 hospitals in 55 countries, 2,481 were operated on in COVID-19–free surgical pathways. Patients who underwent surgery within COVID-19–free surgical pathways were younger with fewer comorbidities than those in hospitals with no defined pathway but with similar proportions of major surgery. After adjustment, pulmonary complication rates were lower with COVID-19–free surgical pathways (2.2% v 4.9%; adjusted odds ratio [aOR], 0.62; 95% CI, 0.44 to 0.86). This was consistent in sensitivity analyses for low-risk patients (American Society of Anesthesiologists grade 1/2), propensity score–matched models, and patients with negative SARS-CoV-2 preoperative tests. The postoperative SARS-CoV-2 infection rate was also lower in COVID-19–free surgical pathways (2.1% v 3.6%; aOR, 0.53; 95% CI, 0.36 to 0.76). CONCLUSION Within available resources, dedicated COVID-19–free surgical pathways should be established to provide safe elective cancer surgery during current and before future SARS-CoV-2 outbreaks

Elective Cancer Surgery in COVID-19-Free Surgical Pathways During the SARS-CoV-2 Pandemic: An International, Multicenter, Comparative Cohort Study.

PURPOSE: As cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective surgery is best performed. This study aimed to determine whether COVID-19-free surgical pathways were associated with lower postoperative pulmonary complication rates compared with hospitals with no defined pathway. PATIENTS AND METHODS: This international, multicenter cohort study included patients who underwent elective surgery for 10 solid cancer types without preoperative suspicion of SARS-CoV-2. Participating hospitals included patients from local emergence of SARS-CoV-2 until April 19, 2020. At the time of surgery, hospitals were defined as having a COVID-19-free surgical pathway (complete segregation of the operating theater, critical care, and inpatient ward areas) or no defined pathway (incomplete or no segregation, areas shared with patients with COVID-19). The primary outcome was 30-day postoperative pulmonary complications (pneumonia, acute respiratory distress syndrome, unexpected ventilation). RESULTS: Of 9,171 patients from 447 hospitals in 55 countries, 2,481 were operated on in COVID-19-free surgical pathways. Patients who underwent surgery within COVID-19-free surgical pathways were younger with fewer comorbidities than those in hospitals with no defined pathway but with similar proportions of major surgery. After adjustment, pulmonary complication rates were lower with COVID-19-free surgical pathways (2.2% v 4.9%; adjusted odds ratio [aOR], 0.62; 95% CI, 0.44 to 0.86). This was consistent in sensitivity analyses for low-risk patients (American Society of Anesthesiologists grade 1/2), propensity score-matched models, and patients with negative SARS-CoV-2 preoperative tests. The postoperative SARS-CoV-2 infection rate was also lower in COVID-19-free surgical pathways (2.1% v 3.6%; aOR, 0.53; 95% CI, 0.36 to 0.76). CONCLUSION: Within available resources, dedicated COVID-19-free surgical pathways should be established to provide safe elective cancer surgery during current and before future SARS-CoV-2 outbreaks

Subnational governance strategies at the extractive frontier : collaboration and conflict in Peru

The past decade has witnessed profound transformations in subnational territories engendered by a dramatic increase in natural resource extraction. Research to date has concentrated largely on why the transfer of extractive revenues often reinforces a ‘local resource curse’; however, little work has been done on subnational governments’ attempts to maximize the benefits and minimize the costs of mining expansion. Drawing on the literature on subnational governance in the context of resource extraction and neoliberal reforms, this study analyses the strategies – confrontational or collaborative – subnational political leaders pursue and the reasons why they pursue them. The findings are based on in-depth field research in two Peruvian subnational regions that are highly dependent on mineral extraction. More specifically, we examine the collaborative strategy pursued in one region and compare it with a confrontational strategy in another. Our analysis indicates that an interplay between institutional capacity and supporting coalitions affects whether subnational leaders undertake a collaborative or a confrontational approach. Based on our findings, we consider the likely effects of these strategies for regional development. By shifting the focus to the agency of subnational leaders, we make an essential contribution to debates about subnational governance in the realm of resource extraction

Dataset associated with Vanek et al., 2020, "Participatory design of improved forage/fallow options across soil gradients with farmers of the central Peruvian Andes"

There are three files of which two are data files in .csv format and a file with variable descriptions and units in pdf format. These contain key data from a four-year long experiment at a number of sites in the Peruvian Andes, testing forage based fallows. One data file has growth data of forages and naturally occurring vegetation in fallow plots over the first three years of the experiment, in three community zones of the study (described in the publication). The second data file has potato yield data and baseline/endline soils data that was used to assess the effects of fallow practices on soils, from nine fields in one community zone where a followup, one year trial of potatoes was planted. More details can be found in the publication in Agriculture, Ecosystems and Environment.Land use intensity is increasing in Andean smallholder systems, and innovations are needed to sustain soil fertility and productivity of potato-cereal rotations with shortening fallow periods. In collaboration with farmers in central Peru, we assessed forage-based fallows in 58 fields across three production zones over three years. Fallow treatments selected with farmers tested grass-legume mixtures with different combinations of Vicia Sativa (vetch), Avena sativa (oats), Lupinus mutabilis (Andean lupine), Trifolium pratense (red clover), Medicago sativa (alfalfa), and Lolium multiflorum (ryegrass) compared to an unseeded control fallow with natural revegetation. The ability of fallows to quickly cover soil was tested, as was their biomass production in years one and three. Following the incorporation of fallow vegetation in a sub-set of nine fields, we also tested fallows' effects on soil pH, available phosphorus (P), permanganate-oxidizable carbon (POXC) and potato yield. In year one managed fallows produced from 1.9 to 5.4 Mg ha−1 of forage biomass compared to 0.5 to 1.1 Mg ha−1 in unseeded controls. Managed fallows also exceeded controls in nutrient uptake, soil cover, and forage quality (lower lignin and higher protein content). First-year biomass of vetch and Andean lupine responded differently to soil pH in fields, indicating that appropriate fallow options likely depend on soil context. After three years, total biomass did not differ among treatments. However, legumes had greater biomass in treatments employing perennial species (0.79–1.18 Mg ha−1 of legumes) than in controls (0.15 Mg ha−1). Potato yield and soil fertility was not reduced in managed fallows compared to the control, and an alfalfa + liming treatment yielded higher than the control (p < 0.05). Diseased tubers were also less prevalent in fallows containing ryegrass and clover, versus other treatments (2.7 % vs. 4.7 % diseased; p = 0.05). In a post-hoc analysis considering 41 treatment plots with contrasting cutting regimes, plots that were cut repeatedly throughout the fallow period had more negative changes in POXC than those cut initially and then left to regrow (p = 0.04). In evaluation workshops, farmers emphasized forage production, potato yield, and potato tuber health as evaluation criteria for the fallows, and ranked the alfalfa + liming treatment as the best. In Andean communities with shortening fallow periods, forage-based fallows represent a promising, multi-functional option to maintain soil health and productivity while generating additional sources of high-quality forage. However, future research should examine long-term nutrient and carbon balances under different forage removal scenarios, as well as designing fallows for varied agroecological contexts.We gratefully acknowledge funding from the McKnight Foundation, grant 13-305, to undertake this research