• Energy Research
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Connections between substance use, impairment, and road safety have been frequently researched. Yet, little is known about how simultaneous use of opioids and alcohol affects road safety outcomes, which is an increasingly critical link within the current landscape of the substance use environment and public health. Lack of this understanding is partly due to testing complications and data limitations. We define polysubstance use here as alcohol and opioids consumed together or within a small-time window such that both are present in the system. This polysubstance use is on the rise and produces greater health risks than when the substances are consumed separately. Given the increasing rate of opioid use, high prevalence of alcohol use, and dangers of polysubstance use, we aim to synthesize literature on the prevalence and impact of this polysubstance on road safety-related outcomes. We performed a systematic review of studies published between 1974 and 2020 that examined opioid and alcohol use exposures and road safety-related outcomes. Out of 644 initial findings, 20 studies were included in this review. Outcomes included motor vehicle crash injuries, deaths, or driver culpability; suspected driving under the influence; and simulated driving performance. Evidence from multiple sources showed a significant rise, approximately 1% to 7%, in the prevalence of opioids among fatally injured drivers in the U.S. from 1995 to 2016. Information published on the simultaneous presence of opioids and alcohol in people involved in crashes was scarce. The limited available findings point toward an overlap where up to 30% of opioid-positive people involved in a crash were also positive for alcohol. Studies also suggest a possibly elevated risk presented by this polysubstance use relative to the substances used alone, though the majority of identified studies did not estimate this association. The synthesized research indicates that alcohol and opioid use is not uncommon and may be increasing among people involved in adverse driving events. More research and better data are needed to improve estimates of association with road traffic-related outcomes, potentially improving substance testing in current surveillance systems or using linked data sets and other novel data sources to improve estimates.

The year 2016 could turn out to be a turning point for global health, new political realities and global insecurities will test governance and financing mechanisms in relation to both people and planet. But most importantly political factors such as the global power shift and "the rise of the rest" will define the future of global health. A new mix of health inequity and security challenges has emerged and the 2015 humanitarian and health crises have shown the limits of existing systems. The global health as well as the humanitarian system will have to prove their capacity to respond and reform. The challenge ahead is deeply political, especially for the rising political actors. They are confronted with the consequences of a model of development that has neglected sustainability and equity, and was built on their exploitation. Some direction has been given by the path breaking international conferences in 2015. Especially the agreement on the Sustainable Development Goals (SDGs) and the Paris agreement on climate change will shape action. Conceptually, we will need a different understanding of global health and its ultimate goals - the health of people can no longer be seen separate from the health of the planet and wealth measured by parameters of growth will no longer ensure health.

Following the Paris Agreement, green and low-carbon development has entered into a new stage. China’s international responsibility to combat climate change is consistent with the inherent sustainable development needs of the country. In this paper, the reasonability of China’s Intended Nationally Determined Contributions (INDC) is examined and the fact that lowcarbon development can lead to modernization is demonstrated based on data analysis of energy economics from developed countries. Considering the fact that such an energy revolution forms the basis for China’s low-carbon transition, a roadmap of the China’s energy utilization is presented. Based on research results from the Chinese Academy of Engineering, the three historical stages of China’s energy structure reform are analyzed. Promoting a low-carbon transition through an energy revolution is a long-term and arduous process that requires a genuine transformation of development outlook and patterns. By empirically analyzing situations at home and abroad, a conclusion is made that economic development and a lowcarbon transition can be achieved simultaneously; specifically, low-carbon development fosters new points of economic growth and gives rise to different development paths.

In the backdrop of the ‘dual carbon goal’, which aims to promote sustainable development of China, adoption of new energy vehicles (NEVs) is an important measure to help improve the environment, so it is of great significance to investigate the purchase intention of NEVs. Previous studies have established that subsidies and various product attributes could affect consumers’ purchase intention toward NEVs. As government subsidies have been on the decline in recent years, product attributes of NEVs need to be given more attention. However, there have been limited studies that quantitatively analyze the impact of product attributes of NEVs on purchase intention. Therefore, to fill this gap and help further expand the NEV market, this study investigated consumers’ adoption of NEVs empirically from the perception of product attributes. A questionnaire survey and structural equation model (SEM) were used for data collection and analysis. The results indicate that (1) both the functional and symbolic attributes of NEVs had a significant positive impact on consumers’ purchase intention; (2) both the functional and symbolic attributes of NEVs had a significant positive impact on consumers’ purchase intention through consumers’ perceived value; and (3) citizens’ environmental awareness positively moderated the relationship between products attributes and purchase intention. According to the results, to meet consumers’ needs of daily driving and self-image expression, new energy vehicle enterprises need to focus on improving the products in both functional and symbolic aspects by using various marketing strategies.

 Climate change presents an unprecedented and urgent threat to human health and survival. South Africa's health response will require a strong and effective intersectoral organisational effort. Exploratory interview outcomes are used to advance practice and policy recommendations, as well as for broad input in the development of a draft national framework for a health risk and vulnerability assessment (RVA) for national departments. Nationally in South Africa. Twenty key expert interviews were conducted with South African experts in the field of climate change and health. Interview data was analysed by means of thematic content analysis. Findings suggest that previously poor communities are most at risk to the impacts of climate change on health, as well as those with underlying medical conditions. Climate change may also serve as a catalyst for improving the healthcare system overall and should serve as the conduit to do so. A draft climate change and health RVA should take into account existing frameworks and should be implemented by local government. It is also critical that the health and health system impacts from climate change are well understood, especially in light of the plans to implement the (South African) National Health Insurance (NHI) scheme. Practice and policy initiatives should be holistic in nature. Consideration should be given to forming a South African National Department of Climate Change, or a similar coordinating body between the various national departments in South Africa, as health intercepts with all other domains within the climate change field.

Increasing health and wellbeing in cities that experience water scarcity presents challenges, but can be done, say Howard Frumkin and colleagues

Cultural heritage of a country represents an array of monuments, historic buildings, arts and crafts, indigenous skills and traditions. The emerging threats to the cultural resources by way of decay, loss or destruction, has become a prime concern today. Heritage has become one of the vital components of tourism industry. It is being considered as cultural capital. The process of valuation of this capital is very complex since Heritage is basically a nonmarketed good. Different techniques used for valuating environmental resources which are similar in nature to Heritage, have led to the development of economic valuation models especially for valuation of Heritage as cultural assets. This economic approach has helped to derive the real value of heritage sites by way of consumer’s surplus and consumer’s willingness to pay for the use of cultural heritage assets and sustain sites for future generations.

AbstractClimate change is one of the major global health threats to the world's population. It is brought on by global warming due in large part to increasing levels of greenhouse gases resulting from human activity, including burning fossil fuels (carbon dioxide), animal husbandry (methane from manure), industry emissions (ozone, nitrogen oxides, sulfur dioxide), vehicle/factory exhaust, and chlorofluorocarbon aerosols that trap extra heat in the earth's atmosphere. Resulting extremes of weather give rise to wildfires, air pollution, changes in ecology, and floods. These in turn result in displacement of populations, family disruption, violence, and major impacts on water quality and availability, food security, public health and economic infrastructures, and limited abilities for civil society to maintain citizen safety. Climate change also has direct impacts on human health and well‐being. Particularly vulnerable populations are affected, including women, pregnant women, children, the disabled, and the elderly, who comprise the majority of the poor globally. Additionally, the effects of climate change disproportionally affect disadvantaged communities, including low income and communities of color, and lower‐income countries that are at highest risk of adverse impacts when disasters occur due to inequitable distribution of resources and their socioeconomic status. The climate crisis is tilting the risk balance unfavorably for women's sexual and reproductive health and rights as well as newborn and child health. Obstetrician/gynecologists have the unique opportunity to raise awareness, educate, and advocate for mitigation strategies to reverse climate change affecting our patients and their families. This article puts climate change in the context of women's reproductive health as a public health issue, a social justice issue, a human rights issue, an economic issue, a political issue, and a gender issue that needs our attention now for the health and well‐being of this and future generations. FIGO joins a broad coalition of international researchers and the medical community in stating that the current climate crisis presents an imminent health risk to pregnant people, developing fetuses, and reproductive health, and recognizing that we need society‐wide solutions, government policies, and global cooperation to address and reduce contributors, including fossil fuel production, to climate change.