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Aims: (1) To compare alcohol-attributed disease burden in four Nordic countries 1990–2013, by overall disability-adjusted life years (DALYs) and separated by premature mortality [years of life lost (YLL)] and health loss to non-fatal conditions [years lived with disability (YLD)]; (2) to examine whether changes in alcohol consumption informs alcohol-attributed disease burden; and (3) to compare the distribution of disease burden separated by causes. Design: A comparative risk assessment approach. Setting: Sweden, Norway, Denmark and Finland. Participants: Male and female populations of each country. Measurements: Age-standardized DALYs, YLLs and YLDs per 100 000 with 95% uncertainty intervals (UIs). Findings: In Finland, with the highest burden over the study period, overall alcohol-attributed DALYs were 1616 per 100 000 in 2013, while in Norway, with the lowest burden, corresponding estimates were 634. DALYs in Denmark were 1246 and in Sweden 788. In Denmark and Finland, changes in consumption generally corresponded to changes in disease burden, but not to the same extent in Sweden and Norway. All countries had a similar disease pattern and the majority of DALYs were due to YLLs (62–76%), mainly from alcohol use disorder, cirrhosis, transport injuries, self-harm and violence. YLDs from alcohol use disorder accounted for 41% and 49% of DALYs in Denmark and Finland compared to 63 and 64% in Norway and Sweden 2013, respectively. Conclusions: Finland and Denmark has a higher alcohol-attributed disease burden than Sweden and Norway in the period 1990–2013. Changes in consumption levels in general corresponded to changes in harm in Finland and Denmark, but not in Sweden and Norway for some years. All countries followed a similar pattern. The majority of disability-adjusted life years were due to premature mortality. Alcohol use disorder by non-fatal conditions accounted for a higher proportion of disability-adjusted life years in Norway and Sweden, compared with Finland and Denmark. publishedVersion

Aim To provide high-resolution local, regional, national and global estimates of annual mangrove forest area from 2000 through to 2012 with the goal of driving mangrove research questions pertaining to biodiversity, carbon stocks, climate change, functionality, food security, livelihoods, fisheries support and conservation that have been impeded until now by a lack of suitable data. Location Global, covering 99% of all mangrove forests. Methods We synthesized the Global Forest Change database, the Terrestrial Ecosystems of the World database and the Mangrove Forests of the World database to extract mangrove forest cover at high spatial and temporal resolutions. We then used the new database to monitor mangrove cover at the global, national and protected area scales. Results Countries showing relatively high amounts of mangrove loss include Myanmar, Malaysia, Cambodia, Indonesia and Guatemala. Indonesia remains by far the largest mangrove-holding nation, containing between 26% and 29% of the global mangrove inventory with a deforestation rate of between 0.26% and 0.66% per year. We have made our new database, CGMFC-21, freely available. Main conclusions Global mangrove deforestation continues but at a much reduced rate of between 0.16% and 0.39% per year. Southeast Asia is a region of concern with mangrove deforestation rates between 3.58% and 8.08%, this in a region containing half of the entire global mangrove forest inventory. The global mangrove deforestation pattern from 2000 to 2012 is one of decreasing rates of deforestation, with many nations essentially stable, with the exception of the largest mangrove-holding region of Southeast Asia. We provide a standardized spatial dataset that monitors mangrove deforestation globally at high spatio-temporal resolutions. These data can be used to drive the mangrove research agenda, particularly as it pertains to monitoring of mangrove carbon stocks and the establishment of baseline local mangrove forest inventories required for payment for ecosystem service initiatives.