Search

In response to the COVID-19 outbreak, the UK Government provided public health advice to stay at home from 16 March 2020, followed by instruction to stay at home (full lockdown) from 24 March 2020. We use data with high temporal resolution from utility sensors installed in 280 homes across social housing in Cornwall, UK, to test for changes in domestic electricity, gas and water usage in response to government guidance. Gas usage increased by 20% following advice to stay at home, the week before full lockdown, although no difference was seen during full lockdown itself. During full lockdown, morning electricity usage shifted to later in the day, decreasing at 6 a.m. and increasing at midday. These changes in energy were echoed in water usage, with a 17% increase and a one-hour delay in peak morning usage. Changes were consistent with people getting up later, spending more time at home and washing more during full lockdown. Evidence for these changes was also observed in later lockdowns, but not between lockdowns. Our findings suggest more compliance with an enforced stay-at-home message than with advice. We discuss implications for socioeconomically disadvantaged households given the indication of inability to achieve increased energy needs during the pandemic.

Introduction As the amount of time people spend indoors increases globally, exposure to indoor air pollutants has become an important public health concern. Asthma is a complex disease caused and/or exacerbated by increased exposure to diverse chemical, physical and biological exposures from multiple indoor and outdoor sources. This review aims to investigate the relationship between increased indoor PM and VOC concentrations (i.e. objectively measured) and the risk of adult asthma in higher-income countries. Methods Eleven databases were systematically searched on the February 1, 2019 and again on the February 2, 2020. Articles were limited to those published since 1990. Reference lists were independently screened by three reviewers and authors were contacted to identify relevant articles. Backwards and forward citation chasing was used to identify further studies. Data were extracted from included studies meeting our eligibility criteria by three reviewers and assessed for quality using the Newcastle-Ottawa scale designed for case-control and cohort studies. Results Twelve studies were included in a narrative synthesis. We found insufficient evidence to determine the effect of PM2.5 on asthma in the indoor home environment. However, there was strong evidence to suggest that VOCs, especially aromatic compounds, and aliphatic compounds, were associated with increased asthma symptoms. Discussion & conclusion: Although no single exposure appears to be responsible for the development of asthma or its associated symptoms, the use of everyday products may be associated with increased asthma symptoms. To prevent poor health outcomes among the general population, health professionals and industry must make a concerted effort to better inform the general population of the importance of appropriate use of and storage of chemicals within the home as well as better health messaging on product labelling.

Electric vehicles (EVs) are the most popular alternative to petrol and diesel vehicles and are becoming a central part of climate change mitigation strategies. This paper draws attention to how publics engage with communication strategies relating to EVs. By focusing on the interlinked relationships between an individual’s location, socio-demographic characteristics and their experiences with media sources, the paper demonstrates how EV-related knowledges are publicly engaged with and perceived by individuals. By using systems thinking as a critical analytical lens, we examine how these individuals use knowledges and/or refer to hegemonic framings of alternative technologies to discuss EVs. These constructs focus predominantly on consumerist framings of EVs and how they compare to petrol and diesel vehicles as a commodity. In this context, the paper provides an understanding of how to improve public engagement with EV-related communications by using a systems thinking approach. In doing so, the paper further offers a critical perspective on the relevance of EVs to publics beyond being a consumer product. These considerations can provide researchers with valuable insights into effective and more engaging communication strategies for particular contexts.

Background Research and policy have identified social cohesion as a potentially modifiable determinant of health and wellbeing that could contribute to more sustainable development. However, the function of social cohesion appears to vary between communities. The aim of this study was to analyse the levels of, and associations, between social cohesion, mental wellbeing, and physical and mental health-related quality of life among a cohort of social housing residents from low socioeconomic status communities in Cornwall, UK. Social housing is below market-rate rental accommodation made available to those in certain health or economic circumstances. These circumstances may impact on the form and function of social cohesion. Methods During recruitment, participants in the Smartline project completed the Short Warwick-Edinburgh Mental Wellbeing Scale, SF-12v2 and an eight item social cohesion scale. Cross sectional regression analyses of these data adjusted for gender, age, national identity, area socioeconomic status, rurality, education, employment, and household size were undertaken to address the study aim. Results Complete data were available from 305 (92.7%) participants in the Smartline project. Univariable analyses identified a significant association between social cohesion, mental wellbeing and mental health-related quality of life. Within fully adjusted multivariable models, social cohesion only remained significantly associated with mental wellbeing. Sensitivity analyses additionally adjusting for ethnicity and duration of residence, where there was greater missing data, did not alter the findings. Conclusions Among a relatively homogeneous cohort, the reported level of social cohesion was only found to be significantly associated with higher mental wellbeing, not physical or mental health-related quality of life. The efforts made by social housing providers to offer social opportunities to all their residents regardless of individual physical or mental health state may support the development of a certain degree of social cohesion. Sense of control or safety in communities may be more critical to health than social cohesion. Additional observational research is needed before attempts are made to alter social cohesion to improve health.

Within the next century we will likely witness the introduction on earth of living organisms originally designed in large part by humans, but with the capability to reproduce and evolve just as natural organisms do.

Alan Turing’s development of a theory of universal computation in the 1930s [293], followed by the appearance of the first digital computers in the 1940s, allowed people to experiment with processes of logical self-reproduction—that is, self-reproduction implemented in software without the extra difficulties entailed by physical self-reproduction. The 1940s and, in particular, the 1950s saw the emergence of the first rigorous theoretical work on the design of self-reproducing machines, and of the first implementations of artificial self-reproducing systems in software (logical self-reproduction) and in hardware (physical self-reproduction).

The opening up of green spaces could provide significant benefits to society. This study develops a framework to assess the economic benefits and costs of public interventions providing citizen access to urban green spaces. The Thinking Fadura project in Getxo (Spain) was used as a case study. A method for participatory benefit-cost analysis is developed, where a stakeholder-participatory evaluation is combined with a standard cost-benefit analysis. The participatory evaluation followed a bottom-up approach in a sequential evaluation including three main focal points: key stakeholders and experts, visitors and the general public. The assessment demonstrates that the Thinking Fadura project&rsquo, s benefits outweigh the costs. The results suggest that projects designed with the purpose of improving green space accessibility to the general public can be beneficial from a societal perspective. The highest economic benefits were an increase in the amenity and recreational value and an increase in people&rsquo, s physical activity. The participatory evaluation indicates that giving access to people of lower socio-economic status and vulnerable groups and improving recreational use were perceived as the most beneficial. An increase in noise, dirt, and risk of criminal activities as well as potential conflicts between green space users were perceived as the most negative impacts of opening a previously restricted area to the general public. The economic assessment of Thinking Fadura project could serve as a model in the decision-making process in locations where the use of greenspaces is restricted.

By the climax of the British Industrial Revolution in the 1840s, the idea of machines making other machines was no longer quite such an “unexpected property” as it was when Paley wrote Natural Theology just decades earlier. Indeed, around this time we start to see more anxiety about the potential consequences of machine selfreproduction as the idea begins to seem a little less far-fetched.

Although the beneficial health effects of green areas are gaining recognition, epidemiological studies show mixed results with significance varying considerably by study and context, indicating that there is no unique and clear evidence. This relationship is influenced by multiple factors and characterised by high complexity not previously been incorporated in one single analysis. This study proposes a new application of the Heckman selection model to find evidence of key patterns emerging throughout the literature and identify main determinants affecting the relationship. The model aggregates outcomes of different studies and allows an assessment of both significant and non-significant results from the literature in order to correct for unobserved selection bias. Close attention is paid to the relevance of the background, particularly socioeconomic context. The results show significant health benefits associated with increased exposure to green areas, where higher risk reductions are observed for old and adult age groups, as well as in poorer countries, taking into account the correction for the publication bias. This last issue points towards a redistributive impact of green areas in terms of health and the importance of co-benefits arising from Ecosystem-based Adaptation, especially in poorer neighbourhoods, translating in health care savings and reduced productivity loss. © 2019 The Authors The authors would like to acknowledge three research projects for support: Horizon 2020 research project INHERIT (INter-sectoral Health and Environment Research for InnovaTion); ECOHEALTH (Adaptation to Climate Change in Spain: analysing Co-benefits among health, tourism, ecosystem and food) Fundación Biodiversidad ; and EU COST Action IS1204: Tourism, Wellbeing and Ecosystem Services (TObeWELL).

Marine plastic pollution is caused by humans and has become ubiquitous in the marine environment. Despite the widely acknowledged ecological consequences, the scientific evidence regarding detrimental human health impacts is currently debated, and there is no substantive evidence surrounding public opinion with respect to marine plastic pollution and human health. Results from a 15-country survey (n = 15,179) found that both the European and Australian public were highly concerned about the potential human health impacts of marine plastic pollution, and strongly supported the funding of research which aims to better understand its health/wellbeing implications. Multi-level modelling revealed that these perceptions varied across socio-demographic factors (e.g. gender), political orientation, marine contact factors (e.g. marine occupation and engagement in coastal recreation activities) and personality traits (e.g. openness, conscientiousness and agreeableness). Quantifying attitudes, as well as understanding how individual-level differences shape risk perception will enable policy makers and communicators to develop more targeted communications and initiatives that target a reduction in marine plastic pollution.

The participation of persons with a disability (PWDs) in tourism has received growing academic interest in recent years. This paper contributes to a reflection on how accessible tourism relates to the sustainable development paradigm. To investigate this relationship, it goes beyond the question of PWDs’ access to tourism services, and adopts an inclusiveness perspective. Inclusion is examined in terms of legislation, marketing and imagery, and representations of PWDs as consumers embedded within social units – and families in particular. These dimensions are explored empirically in a study of visitor attractions in Cornwall (England) based on a quantitative and qualitative content analysis of brochures and websites. The study shows that the marketing materials of Cornish visitor attractions mainly focus on access, and the imagery used largely projects quasi invisibility or provides ambiguous messages. Communication with PWDs rarely addresses the family unit, making the family tourism experience i...

The rise in greenhouse gas emissions from air travel could be reduced by individuals voluntarily abstaining from, or reducing, flights for leisure and recreational purposes. In theory, we might expect that people with pro-environmental value orientations and concerns about the risks of climate change, and those who engage in more pro-environmental household behaviours, would also be more likely to abstain from such voluntary air travel, or at least to fly less far. Analysis of two large datasets from the United Kingdom, weighted to be representative of the whole population, tested these associations. Using zero-inflated Poisson regression models, we found that, after accounting for potential confounders, there was no association between individuals' environmental attitudes, concern over climate change, or their routine pro-environmental household behaviours, and either their propensity to take non-work related flights, or the distances flown by those who do so. These findings contrasted with those for pro-environmental household behaviours, where associations with environmental attitudes and concern were observed. Our results offer little encouragement for policies aiming to reduce discretionary air travel through pro-environmental advocacy, or through ‘spill-over’ from interventions to improve environmental impacts of household routines.

The world&rsquo, s challenges of climate change, damage to ecosystems, and social and health inequalities require changes in human behaviours at every level of organisation, among governments, business, communities, and individuals. An important question is how behaviour change can be enabled and supported at the scale and speed required. The research reported in this paper describes important lessons for good practice in changing contexts to modify behaviours for a triple win for health, equity and environmental sustainability. Authors synthesised learning from qualitative, quantitative and cost benefit evaluations of 15 case studies conducted in 12 countries in Europe. The case studies address ways of living (green spaces and energy efficient housing), moving (active transport) and consuming (healthy and sustainable diets) that support the triple win. Ten lessons for good practice were identified. These include bringing a triple win mindset to policy and practice in planning interventions, with potential to improve environmental sustainability, health and equity at the same time. The lessons for good practice are intended to support governmental and non-governmental actors, practitioners and researchers planning to work across sectors to achieve mutual benefits for health and environmental sustainability and in particular to benefit poorer and more socio-economically disadvantaged groups.

Background: Indoor dampness is thought to affect around 16% of European homes. It is generally accepted that increased exposure to indoor dampness and mould contamination (e.g., spores and hyphae) increases the risk of developing and/or exacerbating asthma. Around 30% of people in the Western world have an allergic disease (e.g., allergy, wheeze and asthma). The role of indoor mould contamination in the risk of allergic diseases in older adults is yet to be fully explored. This is of interest because older people spend more time indoors, as well as facing health issues due to the ageing process, and may be at greater risk of developing and/or exacerbating asthma as a result of indoor dampness. Methods: Face-to-face questionnaires were carried out with 302 participants residing in social housing properties located in South West England. Self-reported demographic, mould contamination (i.e., presence of mould growth and mouldy odour) and health information was linked with the asset management records (e.g., building type, age and levels of maintenance). Multivariate logistic regression was used to calculate the odd ratios and confidence intervals of developing and/or exacerbating asthma, wheeze and allergy with exposure to reported indoor mould contamination. We adjusted for a range of factors that may affect asthma outcomes, which include age, sex, current smoking, presence of pets, education, and building type and age. To assess the role of mould contamination in older adults, we compared younger adults to those aged over 50 years. Results: Doctor-diagnosed adult asthma was reported by 26% of respondents, 34% had current wheeze while 18% had allergies. Asthma was common among subjects exposed to reported visible mould (32%) and reported mouldy odour (42%). Exposure to visible mould growth and mouldy odour were risk factors for asthma, but not for wheeze or allergy. Exposure to mouldy odour increased the risk of asthma in adults over the age of 50 years (odds ratio (OR) 2.4, 95% confidence interval (CI) 1.10&ndash, 5.34) and the risk was higher for females than for males (OR 3.5, 95% CI 1.37&ndash, 9.08). These associations were modified by a range of built environment characteristics. Conclusions: We found that older adults living in social (public) housing properties, specifically women, may be at higher risk of asthma when exposed to mouldy odour, which has a number of implications for policy makers and practitioners working in the health and housing sector. Additional measures should be put in place to protect older people living in social housing against indoor damp and mould contamination.

Environmental exposure to phthalates may contribute to an increased risk of asthma in children and adults. We aimed to assess the direction and strength of the association between urinary phthalates metabolites and current asthma in children and adults that participated in the National Health and Nutrition Examination Survey (NHANES) 2007–2012. Data on ten urinary phthalate metabolites, self-reported questionnaires, spirometry measures, and covariates were obtained from 7765 participants (28.1% were children aged 6–17 years) taking part in the NHANES 2007–2012. Asthma was assessed using self-reported questionnaires for children and adults, and via spirometry measures for adults alone. We used crude and adjusted logistic regression models to estimate the odds ratios (ORs) and 95% confidence interval (CI) per one log10 unit change in the concentration of phthalate metabolites. We further modeled the effect modification by sex. Out of 10 metabolites, only mono-benzyl phthalate (MBzP) was positively associated with the prevalence of self-reported asthma in children, after adjusting for a range of potential confounders (odds ratio 1.54; 95% confidence interval 1.05–2.27). No significant relationship was observed for adults. The association of mono-ethyl phthalate (MEP) was modified by sex, with significantly increased odds of asthma among males [boys (2.00; 1.14–3.51); adult males (1.32; 1.04–1.69)]. While no other phthalates showed a positive relationship with current asthma in males, mono-(carboxynonyl) phthalate (MCNP) and mono-(3-carboxylpropyl) phthalate (MCPP) were inversely associated with spirometrically defined asthma in adult females. A sex-specific relationship in adults was evident when spirometry, but not self-reported measures were used to define asthma. We found no clear association between exposure to phthalates and current asthma, except for a significant relationship between MBzP metabolites and self-reported asthma in children. As a result, exposure to phthalates and asthma development and/or exacerbations remains controversial, suggesting a need for a well-designed longitudinal study. Electronic supplementary material The online version of this article (10.1007/s11356-019-06003-2) contains supplementary material, which is available to authorized users.

Involving and engaging the public are crucial for effective prioritisation, dissemination and implementation of research about the complex interactions between environments and health. Involvement is also important to funders and policy makers who often see it as vital for building trust and justifying the investment of public money. In public health research, ‘the public’ can seem an amorphous target for researchers to engage with, and the short-term nature of research projects can be a challenge. Technocratic and pedagogical approaches have frequently met with resistance, so public involvement needs to be seen in the context of a history which includes contested truths, power inequalities and political activism. It is therefore vital for researchers and policy makers, as well as public contributors, to share best practice and to explore the challenges encountered in public involvement and engagement. This article presents a theoretically informed case study of the contributions made by the Health and Environment Public Engagement Group to the work of the National Institute for Health Research (NIHR) Health Protection Research Unit in Environmental Change and Health (HPRU-ECH). We describe how Health and Environment Public Engagement Group has provided researchers in the HPRU-ECH with a vehicle to support access to public views on multiple aspects of the research work across three workshops, discussion of ongoing research issues at meetings and supporting dissemination to local government partners, as well as public representation on the HPRU-ECH Advisory Board. We conclude that institutional support for standing public involvement groups can provide conduits for connecting public with policy makers and academic institutions. This can enable public involvement and engagement, which would be difficult, if not impossible, to achieve in individual short-term and unconnected research projects.

Fugitive methane emissions from the oil and gas sector are typically addressed through periodic leak detection and repair surveys. These surveys, conducted manually using handheld leak detection technologies, are time-consuming. To improve the speed and cost-effectiveness of leak detection, technology developers are introducing innovative solutions using mobile platforms, close-range portable systems, and permanent installations. Many of these new approaches promise faster, cheaper, or more effective leak detection than conventional methods. However, ensuring mitigation targets are achieved requires demonstrating that alternative approaches are at least as effective in reducing emissions as current approaches – a concept known as emissions reduction equivalence. Here, we propose a five-stage framework for demonstrating equivalence that combines controlled testing, simulation modeling, and field trials. The framework was developed in consultation with operators, regulators, academics, solution providers, consultants, and non-profit groups from Canada and the U.S. We present the equivalence framework and discuss challenges to implementation.

The translation of research findings into public realms has important implications for alternative technologies, such as electric vehicles (EVs). Much existing science communication research focuses on the agency of different publics in processes of scientific knowledge uptake. This study uses research related to the environmental and health impacts of EVs as a case study to explore how the individual agency of academic researchers can influence communication. Challenges to communication and opportunities to enhance the agency of researchers to engage in public dialogue are identified, with a focus on academics at different stages of their careers. This paper proposes a new way of understanding how these individualised nuances impact the communication of a particular researcher’s findings. These nuances are built through the researcher’s agency; a construct of their past experiences, professional and personal relationships with other actors and previous practices of communicating to publics. Commu...

Background Building on evidence that natural environments (e.g. parks, woodlands, beaches) are key locations for physical activity, we estimated the total annual amount of adult recreational physical activity in England's natural environments, and assessed implications for population health. Methods A cross-sectional analysis of six waves (2009/10–2014/5) of the nationally representative, Monitor of Engagement with the Natural Environment survey (n = 280,790). The survey uses a weekly quota sample, and population weights, to estimate nature visit frequency across England, and provides details on a single, randomly selected visit (n = 112,422), including: a) duration; b) activity; and c) environment type. Results Approximately 8.23 million (95% CIs: 7.93, 8.54) adults (19.5% of the population) made at least one ‘active visit’ (i.e. ≥ 30 min, ≥ 3 METs) to natural environments in the previous week, resulting in 1.23 billion (1.14, 1.32) ‘active visits’ annually. An estimated 3.20 million (3.05, 3.35) of these also reported meeting recommended physical activity guidelines (i.e. ≥ 5 × 30 min a week) fully, or in part, through such visits. Active visits by this group were associated with an estimated 109,164 (101,736, 116,592) Quality Adjusted Life Years (QALYs) annually. Assuming the social value of a QALY to be £20,000, the annual value of these visits was approximately £2.18 billion (£2.03, £2.33). Results for walking were replicated using WHO's Health Economic Assessment Tool. Conclusions Natural environments provide the context for a large proportion of England's recreational physical activity and highlight the need to protect and manage such environments for health purposes.

Objectives: To estimate the annual cost of Meniere’s disease and the cost per person in the UK population and to investigate the direct and indirect costs of the condition. Design: The authors utilized a multidata approach to provide the first estimate of the cost of Meniere’s. Data from the UK Biobank (a study of 500,000 individuals collected between 2007 and 2012), the Hospital Episode Statistics (data on all hospital admissions in England from 2008 to 2012) and the UK Meniere’s Society (2014) were used to estimate the cost of Meniere’s. Cases were self-reported in the UK Biobank and UK Meniere’s Society, within the Hospital Episode Statistics cases were clinician diagnosed. The authors estimated the direct and indirect costs of the condition, using count data to represent numbers of individuals reporting specific treatments, operations etc. and basic statistical analyses (χ2 tests, linear and logistic regression) to compare cases and controls in the UK Biobank. Results: Meniere’s was estimated to cost between £541.30 million and £608.70 million annually (equivalent to US $829.9 to $934.2 million), equating to £3,341 to £3,757 ($5112 to $5748) per person per annum. The indirect costs were substantial, with loss of earnings contributing to over £400 million per annum. Conclusions: For the first time, the authors were able to estimate the economic burden of Meniere’s disease. In the UK, the annual cost of this condition is substantial. Further research is required to develop cost–effective treatments and management strategies for Meniere’s to reduce the economic burden of the disease. These findings should be interpreted with caution due to the uncertainties inherent in the analysis.

Human consumption and activity are damaging the global ecosystem and the resources on which we rely for health, well-being and survival. The COVID-19 crisis is yet another manifestation of the urgent need to transition to more sustainable societies, further exposing the weaknesses in health systems and the injustice in our societies. It also underlines that many of the factors leading to environmental degradation, ill health and social and health inequities are interlinked. The current situation provides an unprecedented opportunity to invest in initiatives that address these common factors and encourage people to live more healthily and sustainably. Such initiatives can generate the positive feedback loops needed to change the systems and structures that shape our lives. INHERIT (January 2016–December 2019), an ambitious, multisectoral and transnational research project that involved 18 organisations across Europe, funded by the European Commission, explored such solutions. It identified, defined and analysed promising inter-sectoral policies, practices and approaches to simultaneously promote environmental sustainability, protect and promote health and contribute to health equity (the INHERIT “triple-win”) and that can encourage and enable people to live, move and consume more healthfully and sustainably. It also explored the facilitators and barriers to working across sectors and in public private cooperation. The insights were brought together in guidelines setting out how policy makers can help instigate and support local “triple-win” initiatives that influence behaviours as an approach to contributing to the change that is so urgently needed to stem environmental degradation and the interlinked threats to health and wellbeing. This article sets out this guidance, providing timely insights on how to “build back better” in the post pandemic era.

Research has found that natural environments within urban areas are associated with benefits for human health and wellbeing. However, most studies have primarily focused on publically accessible green space. Less is known about domestic gardens, which in the UK comprise a high proportion of land cover in urban areas and could form a resource for health promotion. This study analysed secondary data from the Monitor of Engagement with the Natural Environment (MENE) survey, a representative survey of the English population (n = 7,814). We investigated the relationships between garden access and use and: general health; evaluative and eudaimonic wellbeing; meeting physical activity guidelines; and visiting nature in the last week. Statistical models included a range of individual and area-level socio-demographic variables. Compared to no garden access, access to a private garden was associated with better evaluative wellbeing, and people with access to a private space such as a balcony, yard or patio were more likely to meet physical activity guidelines. Respondents who reported both gardening and using a garden to relax also reported better health and wellbeing, more physical activity, and more nature visits than those who did not. These findings indicate that domestic gardens are a potential health resource and are not necessarily substituted for by other natural environments, highlighting the importance of their provision alongside green space in urban policy and planning.

Thirty-one ethnographic interviews were conducted with health and well-being sector businesses to examine the dynamics of innovation in the UK (Cornwall) and across Finland. The Nordic countries are at the leading edge of these types of public health nature-based interventions, consequently, Finland was chosen as a comparator to the UK. We found that the construction of natural environment based services for health and well-being follows a five-step model: (1) Services are specifically designed for individuals’ needs; (2) These services are based around routine behaviours of that individual and their personal and social habits; (3) This creates a process of normalisation that relates to former states of health prior to being ill; (4) These routines generally function at a habitual level if they are to be of use on a daily basis (we are not conscious of all of our actions all the time); and (5) nature is used to embed these new routines because it allows access to the latent forms of thought, not ones that require direct conscious learning. We found this emergent process closely resembles Pierre Bourdieu’s concept of habitus. A number of health and well-being businesses have moved towards mixed models of service provision– combining profit-making activities in the tourism and leisure markets with care services to create a sustainable service model in response to increasing pressures on funding sources. However, more still needs to be done in terms of training for public health and well-being businesses if this service model is to become financially sustainable for all.

Increasingly, the potential short and long-term impacts of climate change on human health and wellbeing are being demonstrated. However, other environmental change factors, particularly relating to the natural environment, need to be taken into account to understand the totality of these interactions and impacts. This paper provides an overview of ongoing research in the Health Protection Research Unit (HPRU) on Environmental Change and Health, particularly around the positive and negative effects of the natural environment on human health and well-being and primarily within a UK context. In addition to exploring the potential increasing risks to human health from water-borne and vector-borne diseases and from exposure to aeroallergens such as pollen, this paper also demonstrates the potential opportunities and co-benefits to human physical and mental health from interacting with the natural environment. The involvement of a Health and Environment Public Engagement (HEPE) group as a public forum of “critical friends” has proven useful for prioritising and exploring some of this research; such public involvement is essential to minimise public health risks and maximise the benefits which are identified from this research into environmental change and human health. Research gaps are identified and recommendations made for future research into the risks, benefits and potential opportunities of climate and other environmental change on human and planetary health.

The influence of Artificial Intelligence (AI) and Artificial Life (ALife) technologies upon society, and their potential to fundamentally shape the future evolution of humankind, are topics very mu...

This paper addresses the impact that changes in natural ecosystems can have on health and wellbeing focusing on the potential co-benefits that green spaces could provide when introduced as climate change adaptation measures. Ignoring such benefits could lead to sub-optimal planning and decision-making. A conceptual framework, building on the ecosystem-enriched Driver, Pressure, State, Exposure, Effect, Action model (eDPSEEA), is presented to aid in clarifying the relational structure between green spaces and human health, taking climate change as the key driver. The study has the double intention of (i) summarising the literature with a special emphasis on the ecosystem and health perspectives, as well as the main theories behind these impacts, and (ii) modelling these findings into a framework that allows for multidisciplinary approaches to the underlying relations between human health and green spaces. The paper shows that while the literature based on the ecosystem perspective presents a well-documented association between climate, health and green spaces, the literature using a health-based perspective presents mixed evidence in some cases. The role of contextual factors and the exposure mechanism are rarely addressed. The proposed framework could serve as a multidisciplinary knowledge platform for multi-perspecitve analysis and discussion among experts and stakeholders, as well as to support the operationalization of quantitative assessment and modelling exercises. © 2018 The Authors Authors would like to acknowledge the support provided by two research projects: Horizon 2020 research project INHERIT (INter-sectoral Health and Environment Research for InnovaTion); and EU COST Action IS1204: Tourism, Wellbeing and Ecosystem Services (TObeWELL).

This chapter aims to provide up-to-date quantitative estimates of the costs and benefits related to adaptation strategies for different sectors in Europe. This is done by critically evaluating modeling frameworks and contexts applied to adaptation and by describing new developments achieved in sectoral assessment models (water, agriculture, ecosystems, and health). Robust methodologies have been applied to deal with uncertainty and an advanced discussion is included on the challenges learnt to better address the upscaling issue from bottom-up adaptation processes. Costs and benefits are explored with respect to present and future climate scenarios, different socioeconomic development pathways and different adaptation strategies. In all models, the Shared Socioeconomic Pathways 2 (“middle of the road”), 3 (“fragmented world”), and 5 (“market-driven development”) are considered for comparative assessment as well as the climate scenarios according to remote concentration pathway 4.5 (average climate change) and 8.5 (high climate change) at 2050 (also see Chapter 2: Storylines and Pathways for Adaptation in Europe).

The need for analysis and action across the interrelated domains of human behaviors and lifestyles, environmental sustainability, health and inequality is increasingly apparent. Currently, these areas are often not considered in conjunction when developing policies or interventions, introducing the potential for suboptimal or conflicting outcomes. The INHERIT model has been developed within the EU-funded project INHERIT as a tool to guide thinking and intersectoral action towards changing the behaviors and lifestyles that play such an important role in today&rsquo, s multidisciplinary challenges. The model integrates ecological public health and behavioral change models, emphasizing inequalities and those parts of the causal process that are influenced by human behaviors and lifestyles. The model was developed through web-based and live discussions with experts and policy stakeholders. To test the model&rsquo, s usability, the model was applied to aspects of food consumption. This paper shows that the INHERIT model can serve as a tool to identify opportunities for change in important &minus, food-related behaviors and lifestyles and to examine how they impact on health, health inequalities, and the environment in Europe and beyond. The INHERIT model helps clarify these interrelated domains, creating new opportunities to improve environmental health and health inequality, while taking our planetary boundaries into consideration.

Human health is a key factor for population well-being, and depends on the conditions and functioning of the ecosystem and its ability to provide adequate and healthy flows of ecosystem services, as stated by the well-known approach of the Millennium Ecosystem Assessment (MEA). The aim of this paper is to provide an overview of the literature focusing on the links between ecosystem services and human well-being, starting from a reinterpretation of the MEA framework. In this process, we highlight the need to consider the mechanism of exposure through passive, consumptive and active behaviour, as well as contextual factors such as socio-economic, demographic and climatic factors. In this context, tourism, recreation and leisure are linked to active engagement. The literature at present uses different measures of health and well-being, which suggests the need to develop harmonized approaches and new methods to assess the influence of study design on measured outcomes. In conclusion, the analysed studies show moderate evidence towards a positive impact of green environment, though positive and significant effects are not found in all cases examined.

The convergence of technologies in a utility maximizes the synergies of an integrated architecture and shared information with numerous cost and operational benefits, such as reducing duplicate hardware and databases, and the improved exchange of information and process visibility. It is apparent that synergies in sharing and exchanging operating data can enhance integration of applications and drive toward a common platform of technologies. Enterprise Information Management (EIM) frameworks and strategies provide a clear roadmap for utilities to establish the necessary governance and technology solutions to drive and enable the convergence of OT and IT, which is key for the ultimate realization of a smart grid. The Design-Time Data Management enables business models to drive information service and persistence models. The information service models are collections of the services, operations, and messages utilized for information exchange. Effectively using data wherever they needed throughout the enterprise requires an architecture and strategy to deal with how utilities collect, use, and act upon it.

This chapter begins with some of the challenges in defining Heritage Building Information Modelling (HBIM), with the limited recent progress that has been made, while clearly outlining challenges yet to come. It discusses some of the gaps between 'parametric parts library based' commercial Building Information Modelling (BIM) and HBIM. The chapter outlines geospatial information and decision making, and the strengthening relationships between geographical information system and BIM in the context of heritage buildings, cultural landscapes and virtual and intangible heritage. It deals with indicating the demand for HBIM; proceeds to outline the cutting edge of practice and challenges to be met. The chapter points out that an integrated information model opens up the way for more automated intelligence in the model incorporating rules and best practices. Effective recording of potentially rapid change is highly resource intensive, justifying exploration of automated data capture.

Health services must provide safe, affordable clinical care whilst meeting efficiency, environmental and social targets. These targets include achieving reduced greenhouse gas emissions. A care pathway approach based on a decision-support tool can simultaneously reconfigure health services, improve productivity and reduce carbon emissions.Probabilistic modelling using secondary data analysis.Estimates of carbon emitted by a health service drew on a previous carbon accounting study which integrated bottom-up assessment of carbon emissions with top-down analysis of indirect emissions by Duane et al. (2012).(1) Using human resource information, estimates were applied in a decision-support model to measure the carbon footprint and service provision of theoretical scenarios. Using this model, sites with less than 60% utilisation were theoretically reconfigured to reduce carbon emissions and improve service provision.Clinic utilisation rates improved from 50% to 78%. Human resource savings were identified which could be re-directed towards improving patient care. Patient travel for health care was halved resulting in significant savings in carbon emissions.The proposed model is an effective health care service analysis tool, ensuring optimal utilisation of health care sites and human resources with the lowest carbon footprint.

Thermography is a non-destructive testing technique used to evaluate the thermal performance of buildings, typically post-construction. However, establishing objective criteria for the interpretation of test results is not straightforward and the process can appear subjective. In building design, computer modelling may be used to analyse the thermal performance of construction details, including the expected distribution of surface temperatures at junctions and openings. The objective of this paper is to explore how the two techniques may be used together to support the identification and assessment of insulation defects in the construction of building facades. Firstly, a literature review identifies the main parameters relevant to modelling heat transfer through construction details and also the parameters that influence the assessment of surface temperatures by thermography. Combining the two techniques can support thermal image interpretation and the assessment of defect severity. Procedures to ensure a consistent approach between the two techniques are developed. Two case studies demonstrate the application of these procedures and illustrate the complementary use of modelling and thermography in a practical context. The approach discussed in the paper could help to verify the as-built energy performance of new buildings by linking design predictions of thermal performance with thermographic testing.

Objective The objective of the research is to investigate the scope for testing the thermal performance of the building envelope during the construction process using thermography. The purpose of these tests is to enable early identification of performance issues in new residential buildings and support the management of construction quality on site. Methods The application of thermography at different stages during the construction process has been developed through field tests on housing projects in Wales, UK. Results The scope for four types of “in-construction” test have been identified: early stage checks on the installation of insulation; identifying air leakage through the building envelope; assessing insulation continuity and the severity of thermal bridges; and investigating the performance of building services. Conclusion Carrying out tests on a construction site brings practical challenges not usually encountered in thermographic inspections of a completed building. However, useful results can be obtained following the testing approach introduced in the article. Practice implications Early identification of performance issues in new buildings is advantageous so that remedial work can be carried out in a timely and appropriate way. Further research should establish guidelines for the conditions in which reliable results can be obtained using the “in-construction” thermography approach.

The preservation of important cultural collections in museums, galleries, libraries etc. provides a legacy for future generations to research and experience their heritage. Guidance and standards for the design of archival storage facilities have typically focused on the provision of a controlled, unfluctuating internal environment. However, the latest revision of PD5454 “Guide for the storage and exhibition of archival materials” published by the British Standards Institution encourages designers to consider passive design approaches to reduce energy consumption. This paper reviews the key elements of the PD5454 document relevant to the environmental design of archives, and temperature stability metrics are proposed for assessing alternative passive design options. Analysis of a case study building designed by Atkins is used to illustrate the application of the proposed metrics. The paper concludes by considering issues to consider for the future development of thermal performance metrics for archives.

Evidence continues to grow supporting the idea that restorative environments, green exercise, and nature-based activities positively impact human health. Nature-deficit disorder, a journalistic term proposed to describe the ill effects of people’s alienation from nature, is not yet formally recognized as a medical diagnosis. However, over the past decade, the phrase has been enthusiastically taken up by some segments of the lay public. Social media, such as Twitter, with its opportunities to gather “big data” related to public opinions, offers a medium for exploring the discourse and dissemination around nature-deficit disorder and other nature–health concepts. In this paper, we report our experience of collecting more than 175,000 tweets, applying sentiment analysis to measure positive, neutral or negative feelings, and preliminarily mapping the impact on dissemination. Sentiment analysis is currently used to investigate the repercussions of events in social networks, scrutinize opinions about products and services, and understand various aspects of the communication in Web-based communities. Based on a comparison of nature-deficit-disorder “hashtags” and more generic nature hashtags, we make recommendations for the better dissemination of public health messages through changes to the framing of messages. We show the potential of Twitter to aid in better understanding the impact of the natural environment on human health and wellbeing.

We present a survey of the first 21 years of web-based artificial life (WebAL) research and applications, broadly construed to include the many different ways in which artificial life and web technologies might intersect. Our survey covers the period from 1994—when the first WebAL work appeared—up to the present day, together with a brief discussion of relevant precursors. We examine recent projects, from 2010–2015, in greater detail in order to highlight the current state of the art. We follow the survey with a discussion of common themes and methodologies that can be observed in recent work and identify a number of likely directions for future work in this exciting area.

Purpose – The purpose of this paper is to discuss the methodology and results of using thermography for pre‐retrofit (pre‐R:T) and post‐retrofit (post‐R:T) surveys undertaken to qualitatively assess retrofitted external wall insulation (EWI) on pre‐1919 existing dwellings with solid exterior walls.Design/methodology/approach – This study involved undertaking qualitative thermography surveys before and after installation of EWI at two mid‐terrace dwellings in Swansea (UK). One dwelling was part of a whole‐street approach and the other was an isolated installation.Findings – The two case studies have provided evidence of potential thermal bridges created as a result of an incomplete covering of EWI. Whilst overall heat loss appears to have been reduced, further evidence is required to establish the extent to which these thermal bridges reduce overall thermal performance.Research limitations/implications – Only two schemes undertaken in Swansea (UK) are represented in this study and are therefore not a refle...

In this paper a random link activation–deletion (RLAD) model is proposed that gives rise to a stochastically evolving network. This dynamic network is then coupled to a simple susceptible-infectious-suceptible ( SIS ) dynamics on the network, and the resulting spectrum of model behaviour is explored via simulation and a novel pairwise model for dynamic networks. First, the dynamic network model is systematically analysed by considering link-type independent and dependent network dynamics coupled with globally constrained link creation. This is done rigorously with some analytical results and we highlight where such analysis can be performed and how these simpler models provide a benchmark to test and validate full simulations. The pairwise model is used to study the interplay between SIS -type dynamics on the network and link-type-dependent activation–deletion. Assumptions of the pairwise model are identified and their implications interpreted in a way that complements our current understanding. Furthermore, we also discuss how the strong assumptions of the closure relations can lead to disagreement between the simulation and pairwise model. Unlike on a static network, the resulting spectrum of behaviour is more complex with the prevalence of infections exhibiting not only a single steady state, but also bistability and oscillations.

Climate change is without doubt one of the major threats facing public health. While we are already experiencing extreme weather events worldwide,the longer term impacts on health will includeincreased heat-related mortality, increased foodborne disease, and increased risk of vector-borne and water-borne disease. it is important that sectors that are impacted by environmental change, such as health, take a proactive role in understanding their own environmental impact. Describing the carbon footprint of different elements of health care represents a small step in this direction. It is a necessary step, but we should be under no illusions. It is no longer sufficient to simply quantify the problems we face; health-care systems need to be much more effective stewards of the resources placed at their disposal.

Housing conditions have been an enduring focus for public health activity throughout the modern public health era. However, the nature of the housing and health challenge has changed in response to an evolution in the understanding of the diverse factors influencing public health. Today, the traditional public health emphasis on the type and quality of housing merges with other wider determinants of health. These include the neighbourhood, community, and “place„ where a house is located, but also the policies which make access to a healthy house possible and affordable for everyone. Encouragingly, these approaches to policy and action on housing have the potential to contribute to the “triple win„ of health and well-being, equity, and environmental sustainability. However, more effective housing policies (and in public health in general) that adopt more systemic approaches to addressing the complex interactions between health, housing, and wider environment are needed. This paper illustrates some of the key components of the housing and health challenge in developed countries, and presents a conceptual model to co-ordinate activities that can deliver the “triple win.„ This is achieved by offering a perspective on how to navigate more effectively, inclusively and across sectors when identifying sustainable housing interventions.

Eyetracking facilities are typically restricted to monitoring a single person viewing static images or pre-recorded video. In the present article, we describe a system that makes it possible to study visual attention in coordination with other activity during joint action. The software links two eyetracking systems in parallel and provides an on-screen task. By locating eye movements against dynamic screen regions, it permits automatic tracking of moving on-screen objects. Using existing SR technology, the system can also cross-project each participant's eyetrack and mouse location onto the other's on-screen work space. Keeping a complete record of eyetrack and on-screen events in the same format as subsequent human coding, the system permits the analysis of multiple modalities. The software offers new approaches to spontaneous multimodal communication: joint action and joint attention. These capacities are demonstrated using an experimental paradigm for cooperative on-screen assembly of a two-dimensional model. The software is available under an open source license.

Widespread use of the non-steroidal anti-inflammatory drug (NSAID) diclofenac to treat livestock has resulted in dramatic declines in the populations of vultures across India. This has become an issue of considerable concern as vultures are a keystone species and their decline has a range of socio-economic, as well as cultural and biodiversity impacts. In this paper, we review these impacts and estimate in detail the economic cost of one of them: the human health impacts of the vulture decline. Livestock carcasses provide the main food supply for vultures, and are also eaten by dogs. Dogs are the main source of rabies in humans in India, and their populations have increased substantially in parallel with the vulture decline. The potential human health impact of rabies associated with the vulture decline is found to be significant. This, and a wide range of other impacts suggest that significant resources should be put into (1) testing of pharmaceutical products to ensure that similar situations are not repeated, (2) helping vulture populations to recover through the use of alternative drugs to diclofenac that are of low toxicity to vultures, and (3) through conservation breeding programmes.

This paper examines existing measures taken to protect the coastal zones of the Mediterranean Sea and assesses their success. A summary of the main pressures facing this region is given, followed by an analysis of the legislation covering coastal zone development in ten countries: Algeria, Croatia, Egypt, France, Israel, Italy, Malta, Spain, Tunisia and Turkey. The paper finds that not all of these States have legislation specifically covering coastal zones, but there is concern in all areas that existing legislation is not working. The costs and benefits of controlling coastal development are examined. Firstly, a literature review of valuation studies identifies a range of values placed on the developed and undeveloped coastline for both users and local property owners. These values were then used in a model to evaluate policy options to control development of a stretch of coastline. The model indicates that a stricter control regime of coastal development may provide significant benefits.

The purpose of this study was to examine the leadership practices of principals identified as servant leaders. The conceptual framework used to access the leadership behaviours was the leadership practices advocated by Kouzes and Posner. Statistical analysis included a multivariate test to determine if the demographic variables were significantly related to the overall self‐assessed rating and a univariate analysis of variance (ANOVA) to determine which practices the servant leaders were utilising. The research findings revealed that no demographic variable was significantly related to the overall self‐assessment of servant leadership rating. The findings also revealed that public school principals identified as servant leaders were rated significantly higher by their teachers in the five leadership areas highlighted by the Leadership Practices Inventory. The implications for leadership preparatory programmes are significant.

Scientific investigations have progressively refined our understanding of the influence of the environment on human health, and the many adverse impacts that human activities exert on the environment, from the local to the planetary level. Nonetheless, throughout the modern public health era, health has been pursued as though our lives and lifestyles are disconnected from ecosystems and their component organisms. The inadequacy of the societal and public health response to obesity, health inequities, and especially global environmental and climate change now calls for an ecological approach which addresses human activity in all its social, economic and cultural complexity. The new approach must be integral to, and interactive, with the natural environment. We see the continuing failure to truly integrate human health and environmental impact analysis as deeply damaging, and we propose a new conceptual model, the ecosystems-enriched Drivers, Pressures, State, Exposure, Effects, Actions or 'eDPSEEA' model, to address this shortcoming. The model recognizes convergence between the concept of ecosystems services which provides a human health and well-being slant to the value of ecosystems while equally emphasizing the health of the environment, and the growing calls for 'ecological public health' as a response to global environmental concerns now suffusing the discourse in public health. More revolution than evolution, ecological public health will demand new perspectives regarding the interconnections among society, the economy, the environment and our health and well-being. Success must be built on collaborations between the disparate scientific communities of the environmental sciences and public health as well as interactions with social scientists, economists and the legal profession. It will require outreach to political and other stakeholders including a currently largely disengaged general public. The need for an effective and robust science-policy interface has never been more pressing. Conceptual models can facilitate this by providing theoretical frameworks and supporting stakeholder engagement process simplifications for inherently complex situations involving environment and human health and well-being. They can be tools to think with, to engage, to communicate and to help navigate in a sea of complexity. We believe models such as eDPSEEA can help frame many of the issues which have become the challenges of the new public health era and can provide the essential platforms necessary for progress. Crown Copyright © 2013.

The NHS identified 44 footprints throughout England to produce sustainability and transformation plans (STPs) to radically transform the NHS, rethink where most money is spent, and identify where action may see the biggest bang for our limited buck.123 The cost of men to the NHS is great, with higher …