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Venier-Cambron C, Malek Ž, Verburg PH. Avoiding an unjust transition to sustainability: An equity metric for spatial conservation planning. Proc Natl Acad Sci U S A 2023; 120:e2216693120. [PMID: 37844239 PMCID: PMC10614950 DOI: 10.1073/pnas.2216693120] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2022] [Accepted: 04/05/2023] [Indexed: 10/18/2023] Open
Abstract
The need for rapid and ambitious conservation and restoration is widely acknowledged, yet concern exists that the widespread reallocation of land to nature would disproportionately affect the world's poor. Conservation and restoration may limit nutrition and livelihood options and thus negatively affect social development objectives. Although much research looks into global-scale scenarios and planning of conservation and restoration, spatial evaluations of these trade-offs in terms of equity remain limited. We fill this gap by identifying areas where conservation or restoration under different future scenarios and prioritization maps expand nature into landscapes that likely support land-dependent communities in their local food security. By contrasting the expansion of nature into areas supporting land-dependent communities vs. places where the food system is supported by regional to global markets, we highlight the need for disaggregated indicators that reflect the diversity of human land-use needs in order to identify more equitable pathways. Conservation prioritizations were found to result in more equitable land-use outcomes than the land-use outcomes of widely used socioeconomic scenarios. Accounting for differentiated social impacts in model-based conservation and restoration planning and global scale scenario assessment can help achieve a more inclusive transition to sustainability as well as reduce barriers to meaningful change.
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Affiliation(s)
- Camille Venier-Cambron
- Department of Environmental Geography, Instituut voor Milieuvraagstukken, Vrije Universiteit Amsterdam, 1081 HVAmsterdam, The Netherlands
| | - Žiga Malek
- Department of Environmental Geography, Instituut voor Milieuvraagstukken, Vrije Universiteit Amsterdam, 1081 HVAmsterdam, The Netherlands
| | - Peter H. Verburg
- Department of Environmental Geography, Instituut voor Milieuvraagstukken, Vrije Universiteit Amsterdam, 1081 HVAmsterdam, The Netherlands
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2
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Pat Y, Ogulur I, Yazici D, Mitamura Y, Cevhertas L, Küçükkase OC, Mesisser SS, Akdis M, Nadeau K, Akdis CA. Effect of altered human exposome on the skin and mucosal epithelial barrier integrity. Tissue Barriers 2023; 11:2133877. [PMID: 36262078 PMCID: PMC10606824 DOI: 10.1080/21688370.2022.2133877] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2022] [Revised: 08/23/2022] [Accepted: 08/27/2022] [Indexed: 10/24/2022] Open
Abstract
Pollution in the world and exposure of humans and nature to toxic substances is continuously worsening at a rapid pace. In the last 60 years, human and domestic animal health has been challenged by continuous exposure to toxic substances and pollutants because of uncontrolled growth, modernization, and industrialization. More than 350,000 new chemicals have been introduced to our lives, mostly without any reasonable control of their health effects and toxicity. A plethora of studies show exposure to these harmful substances during this period with their implications on the skin and mucosal epithelial barrier and increasing prevalence of allergic and autoimmune diseases in the context of the "epithelial barrier hypothesis". Exposure to these substances causes an epithelial injury with peri-epithelial inflammation, microbial dysbiosis and bacterial translocation to sub-epithelial areas, and immune response to dysbiotic bacteria. Here, we provide scientific evidence on the altered human exposome and its impact on epithelial barriers.
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Affiliation(s)
- Yagiz Pat
- Swiss Institute of Allergy and Asthma Research (SIAF), University of Zurich, Davos, Switzerland
- Department of Medical Microbiology, Faculty of Medicine, Aydin Menderes University, Turkey
| | - Ismail Ogulur
- Swiss Institute of Allergy and Asthma Research (SIAF), University of Zurich, Davos, Switzerland
| | - Duygu Yazici
- Swiss Institute of Allergy and Asthma Research (SIAF), University of Zurich, Davos, Switzerland
| | - Yasutaka Mitamura
- Swiss Institute of Allergy and Asthma Research (SIAF), University of Zurich, Davos, Switzerland
| | - Lacin Cevhertas
- Swiss Institute of Allergy and Asthma Research (SIAF), University of Zurich, Davos, Switzerland
- Department of Medical Immunology, Institute of Health Sciences, Bursa Uludag University, Turkey
| | - Ozan C Küçükkase
- Swiss Institute of Allergy and Asthma Research (SIAF), University of Zurich, Davos, Switzerland
| | - Sanne S Mesisser
- Swiss Institute of Allergy and Asthma Research (SIAF), University of Zurich, Davos, Switzerland
| | - Mübeccel Akdis
- Swiss Institute of Allergy and Asthma Research (SIAF), University of Zurich, Davos, Switzerland
| | - Kari Nadeau
- Sean N. Parker Center for Allergy and Asthma Research, Stanford University and Division of Pulmonary, Allergy, and Critical Care Medicine, Stanford University, Stanford, CA, USA
- Division of Pulmonary, Allergy and Critical Care Medicine, Department of Medicine, Stanford University, Stanford, CA, USA
| | - Cezmi A Akdis
- Swiss Institute of Allergy and Asthma Research (SIAF), University of Zurich, Davos, Switzerland
- Christine Kühne-Center for Allergy Research and Education, Davos, Switzerland
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Sampath V, Shalakhti O, Veidis E, Efobi JAI, Shamji MH, Agache I, Skevaki C, Renz H, Nadeau KC. Acute and chronic impacts of heat stress on planetary health. Allergy 2023; 78:2109-2120. [PMID: 36883412 DOI: 10.1111/all.15702] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2022] [Revised: 02/28/2023] [Accepted: 03/02/2023] [Indexed: 03/09/2023]
Abstract
Heat waves are increasing in intensity, frequency, and duration causing significant heat stress in all living organisms. Heat stress has multiple negative effects on plants affecting photosynthesis, respiration, growth, development, and reproduction. It also impacts animals leading to physiological and behavioral alterations, such as reduced caloric intake, increased water intake, and decreased reproduction and growth. In humans, epidemiological studies have shown that heat waves are associated with increased morbidity and mortality. There are many biological effects of heat stress (structural changes, enzyme function disruption, damage through reactive oxygen or nitrogen species). While plants and animals can mitigate some of these effects through adaptive mechanisms such as the generation of heat shock proteins, antioxidants, stress granules, and others, these mechanisms may likely be inadequate with further global warming. This review summarizes the effects of heat stress on plants and animals and the adaptative mechanisms that have evolved to counteract this stress.
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Affiliation(s)
- Vanitha Sampath
- Sean N. Parker Center for Allergy and Asthma Research at Stanford University, California, Stanford, USA
| | - Omar Shalakhti
- Sean N. Parker Center for Allergy and Asthma Research at Stanford University, California, Stanford, USA
| | - Erika Veidis
- Center for Innovation in Global Health, Stanford University, California, Stanford, USA
| | - Jo Ann Ifeoma Efobi
- Sean N. Parker Center for Allergy and Asthma Research at Stanford University, California, Stanford, USA
| | - Mohamed H Shamji
- National Heart and Lung Institute, Imperial College London, London, UK
- NIHR Imperial Biomedical Research Centre, London, UK
| | - Ioana Agache
- Faculty of Medicine, Transylvania University, Brasov, Romania
| | - Chrysanthi Skevaki
- Institute of Laboratory Medicine, Member of the German Center for Lung Research (DZL), Philipps-University Marburg, Marburg, Germany
- German Center for Lung Research (DZL), Universities of Giessen and Marburg Lung Center (UGMLC), Philipps University Marburg, Marburg, Germany
| | - Harald Renz
- Institute of Laboratory Medicine, Member of the German Center for Lung Research (DZL), Philipps-University Marburg, Marburg, Germany
- German Center for Lung Research (DZL), Universities of Giessen and Marburg Lung Center (UGMLC), Philipps University Marburg, Marburg, Germany
- Department of Clinical Immunology and Allergology, Sechenov University, Moscow, Russia
- Kilimanjaro Christian Medical University College (KCMUCo), Moshi, Tanzania
| | - Kari C Nadeau
- Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA
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Luschkova D, Traidl-Hoffmann C, Ludwig A. [Not Available]. HNO-NACHRICHTEN 2023; 53:38-47. [PMID: 36811074 PMCID: PMC9934942 DOI: 10.1007/s00060-023-8490-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 06/18/2023]
Affiliation(s)
- Daria Luschkova
- Lehrstuhl und Hochschulambulanz für Umweltmedizin, Medizinische Fakultät, Universität Augsburg, Neusässer Straße 47, 86156 Augsburg, Deutschland
| | | | - Alika Ludwig
- Umweltmedizin, Universitätsklinikum Augsburg, Stenglinstr. 2, 86156 Augsburg, Deutschland
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Luschkova D, Traidl-Hoffmann C, Ludwig A. Klimawandel und Allergien. ALLERGO JOURNAL 2022; 31:44-53. [PMID: 35757154 PMCID: PMC9207859 DOI: 10.1007/s15007-022-5030-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Die Klimakrise stellt eine große Herausforderung für die menschliche Gesundheit sowie das Gesundheitssystem dar und droht, den medizinischen Fortschritt der letzten Jahrzehnte zu gefährden. In der Bewältigung des Klimawandels könnte jedoch auch die größte Chance für die globale Gesundheit im 21. Jahrhundert liegen. Die Klimakrise und ihre Folgen, wie steigende Temperaturen, Waldbrände, Überschwemmungen, Dürren, Veränderungen in der Qualität und Quantität von Nahrungsmitteln und des Wassers wirken sich direkt und indirekt auf die physische und psychische Gesundheit des Menschen aus. Intensivere und häufigere Hitzewellen und die abnehmende Luftqualität erhöhen nachweislich die Gesamtmortalität, insbesondere bei den am meisten vulnerablen Personen. Die Klimaerwärmung verändert die bestehenden Ökosysteme und begünstigt biologische Invasionen von Arten, die Wärme und Trockenheit besser tolerieren. Die Erregerprofile verändern sich, die Übertragung und Verbreitung von durch Vektoren übertragene Krankheiten nehmen zu. Durch die Ausbreitung von Neophyten in Europa, wie beispielsweise der Ambrosiapflanze, entstehen neue Pollenquellen, die die Allergenexposition für Allergiker*innen erhöhen. Darüber hinaus verändert die insgesamt mildere Witterung, gerade in Kombination mit der Luftverschmutzung und einem erhöhten CO2-Gehalt, die Produktion und Allergenität von Pollen. Das Phänomen Thunderstorm-Asthma tritt zudem häufiger auf. Angesichts der durch den Klimawandel zunehmenden Prävalenz von allergischen Erkrankungen ist eine frühzeitige kausale immunmodulierende Therapie umso wichtiger. Im Rahmen einer Klimasprechstunde können Patient*innen individuell bezüglich einer Klimaadaption und -resilienz und der Vorteile einer CO2-Reduzierung beraten werden - für die eigene und die planetare Gesundheit. Fast 5 % aller Treibhausgasemissionen in Europa stammen aus dem Gesundheitssektor. Er hat damit eine zentrale Verantwortung für eine klimaneutrale und nachhaltige Transformation. Zitierweise: Luschkova D, Traidl-Hoffmann C, Ludwig A. Climate change and allergies. Allergo J Int 2022;31:114-20 https://doi.org/10.1007/s40629-022-00212-x
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Berardy A, Egan B, Birchfield N, Sabaté J, Lynch H. Comparison of Plate Waste between Vegetarian and Meat-Containing Meals in a Hospital Setting: Environmental and Nutritional Considerations. Nutrients 2022; 14:1174. [PMID: 35334831 PMCID: PMC8950210 DOI: 10.3390/nu14061174] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2022] [Revised: 02/28/2022] [Accepted: 03/07/2022] [Indexed: 12/12/2022] Open
Abstract
Vegetarian diets can satisfy nutritional requirements and have lower environmental impacts than those containing meat. However, fruits and vegetables are wasted at higher rates than meat. Reducing both food waste (FW) and the environmental impacts associated with food production is an important sustainability goal. Therefore, the aim of this study was to examine potential tradeoffs between vegetarian meals’ lower impacts but potentially higher FW compared to meat-containing meals. To examine this, seven consecutive days of plate FW data from Loma Linda University Medical Center (LLUMC) patients were collected and recorded from 471 meals. Mean total FW and associated greenhouse gas emissions (GHGE) were higher among meat-containing meals (293 g/plate, 604 g CO2-eq/plate) than vegetarian meals (259 g/plate, 357 g CO2-eq/plate) by 34 g (p = 0.05) and 240 g CO2-eq (p < 0.001), respectively. Statistically significant differences were observed in both FW and associated GHGE across major food categories, except fruit, when comparing vegetarian and meat-containing meals. Overall, vegetarian meals were preferable to meat-containing meals served at LLUMC both in terms of minimizing FW and lowering environmental impacts. Other institutions serving vegetarian meal options could expect similar advantages, especially in reduced GHGE due to the high CO2 embodied in meat.
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Affiliation(s)
- Andrew Berardy
- Center for Nutrition, Lifestyle and Disease Prevention, School of Public Health, Loma Linda University, Loma Linda, CA 92350, USA; (B.E.); (J.S.)
| | - Brianna Egan
- Center for Nutrition, Lifestyle and Disease Prevention, School of Public Health, Loma Linda University, Loma Linda, CA 92350, USA; (B.E.); (J.S.)
| | - Natasha Birchfield
- Roche Diagnostic Solutions, Clinical Development Core, Clinical Development Medical Affairs, Tucson, AZ 85755, USA;
| | - Joan Sabaté
- Center for Nutrition, Lifestyle and Disease Prevention, School of Public Health, Loma Linda University, Loma Linda, CA 92350, USA; (B.E.); (J.S.)
| | - Heidi Lynch
- Department of Kinesiology, College of Health Sciences, Point Loma Nazarene University, San Diego, CA 92106, USA;
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Luschkova D, Traidl-Hoffmann C, Ludwig A. [Not Available]. CME (BERLIN, GERMANY) 2022; 19:65-74. [PMID: 36536648 PMCID: PMC9750725 DOI: 10.1007/s11298-022-3034-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
Die Klimakrise stellt eine große Herausforderung für die menschliche Gesundheit sowie das Gesundheitssystem dar und droht, den medizinischen Fortschritt der letzten Jahrzehnte zu gefährden. In der Bewältigung des Klimawandels könnte jedoch auch die größte Chance für die globale Gesundheit im 21. Jahrhundert liegen.![]()
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Affiliation(s)
- Daria Luschkova
- Lehrstuhl und Hochschulambulanz für Umweltmedizin, Medizinische Fakultät, Universität Augsburg, Neusässer Straße 47, 86156 Augsburg, Deutschland
| | | | - Alika Ludwig
- Umweltmedizin, Universität Augsburg, Augsburg, Deutschland
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