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Unlike other waste streams, municipal solid waste (MSW) is collected manually, and MSW collection has recently been found to be among the highest‐risk occupations in the United States. However, as for other occupational groups, actual total injury rates, including the great majority of injuries not compensated and those compensated by other insurance, are not known. In this article a predictive Bayesian method of assessing total injury rates from available information without computation is presented, and used to assess the actual numbers of musculoskeletal and dermal injuries requiring clinical care of MSW workers in Florida. Closed‐form predictive Bayesian distributions that narrow progressively in response to information, representing both uncertainty and variability, are presented. Available information included workers' compensation (WC) data, worker population data, and safety records for one private and one public collection agency. Subjective input comprised epidemiological and medical judgment based on a review of 165 articles. The number of injuries was assessed at 3,146 annually in Florida, or 54 ± 18 injuries per 100 workers per year with 95% confidence. Further, WC data indicate that the injury rate is 50% higher for garbage collectors specifically, indicating a rate of approximately 80 per 100 workers. Results, though subject to uncertainty in worker numbers and classification and reporting bias, agreed closely with a survey of 251 MSW collectors, of whom 75% reported being injured (and 70% reported illness) within the past 12 months. The approach is recommended for assessment of total injury rates and, where sufficient information exists, for the more difficult assessment of occupational disease rates.

Involving and engaging stakeholders is crucial for studying and managing the complex interactions between marine ecosystems and human health and wellbeing. The Oceans and Human Health Chair was founded in the town of Roses (Catalonia, Spain, NW Mediterranean) in 2018, the fruit of a regional partnership between various stakeholders, and for the purpose of leading the way to better health and wellbeing through ocean research and conservation. The Chair is located in an area of the Mediterranean with a notable fishing, tourist, and seafaring tradition and is close to a marine reserve, providing the opportunity to observe diverse environmental conditions and coastal and maritime activities. The Chair is a case study demonstrating that local, collaborative, transdisciplinary, trans-sector, and bottom-up approaches offer tremendous opportunities for engaging coastal communities to help support long-lasting solutions that benefit everyone, and especially those living by the sea or making their living from the goods and services provided by the sea. Furthermore, the Chair has successfully integrated most of its experts in oceans and human health from the most prestigious institutions in Catalonia. The Chair focuses on three main topics identified by local stakeholders: Fish and Health; Leisure, Health, and Wellbeing; and Medicines from the Sea. Led by stakeholder engagement, the Chair can serve as a novel approach within the oceans and human health field of study to tackle a variety of environmental and public health challenges related to both communicable and non-communicable diseases, within the context of sociocultural issues. Drawing on the example provided by the Chair, four principles are established to encourage improved participatory processes in the oceans and human health field: bottom-up, "think local", transdisciplinary and trans-sectorial, and "balance the many voices". ; The Chair is supported by the Town Council of Roses, the Fisher's Association of Roses, the Fishmongers Guild of Catalonia, and the University of Girona. Mireia Gascon holds a Miguel Servet fellowship (Grant CP19/00183) funded by Acción Estratégica de Salud—Instituto de Salud Carlos III, co-funded by the European Social Fund "Investing in your future". The research was supported in part by the European Union's Horizon 2020 research and innovation programme under grant agreement No 774567 (H2020 SOPHIE Project) and No 666773 (H2020 BlueHealth Project); the UK Natural Environment Research Council (NERC) and the UK Research and Innovation's Global Challenges Research Fund (GCRF) for the Blue Communities Project and NERC Case PhD. Arnau Carreño holds a doctoral fellowship funded by the Town Council of Tossa de Mar and the Chair.

"This book presents an evidence-based approach to landscape planning and design for urban blue spaces that maximises the benefits to human health and well-being while minimising the risks. Based on applied research and evidence from primary and secondary data sources stemming from the EU funded BlueHealth project, the book presents nature-based solutions to promote sustainable and resilient cites. Numerous cities around the world are located alongside bodies of water in the form of coastlines, lakes, rivers and canals, but the relationship between city inhabitants and these water sources has often been ambivalent. In many cities, water has been polluted, engineered or ignored completely. But, due to an increasing awareness of the strong connections between city, people, nature and water, and health, this paradigm is shifting. The international editorial team, consisting of researchers and professionals across several disciplines, leads the reader through theoretical aspects, evidence, illustrated case studies, risk assessment and a series of validated tools to aid planning and design, before finishing with overarching planning and design principles for a range of blue-space types. Over 200 full colour illustrations accompany the case study examples from geographic locations all over Europe including Portugal, UK, Norway, and Estonia. With green and blue infrastructure now at the forefront of current policies and trends to promote healthy, sustainable cities, Urban Blue Spaces is a must-have for professionals and students in landscape planning, urban design and environmental design"--

8 pages, 1 figures, 4 tables, supplementary material https://doi.org/10.1016/j.hal.2020.101901.-- This paper contributes to the implementation of the objectives of the IOC-SCOR GlobalHAB international programme (www.globalhab.info) concerning HABs and Human Health ; Exposure to harmful algal blooms (HABs) can lead to well recognised acute patterns of illness in humans. The objective of this scoping review was to use an established methodology and the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) reporting framework to map the evidence for associations between marine HABs and observed both acute and chronic human health effects. A systematic and reproducible search of publications from 1985 until May 2019 was conducted using diverse electronic databases. Following de-duplication, 5,301 records were identified, of which 380 were included in the final qualitative synthesis. The majority of studies (220; 57.9%) related to Ciguatera Poisoning. Anecdotal and case reports made up the vast majority of study types (242; 63.7%), whereas there were fewer formal epidemiological studies (35; 9.2%). Only four studies related to chronic exposure to HABs. A low proportion of studies reported the use of human specimens for confirmation of the cause of illness (32; 8.4%). This study highlighted gaps in the evidence base including a lack of formal surveillance and epidemiological studies, limited use of toxin measurements in human samples, and a scarcity of studies of chronic exposure. Future research and policy should provide a baseline understanding of the burden of human disease to inform the evaluation of the current and future impacts of climate change and HABs on human health ; The research was funded in part by the UK Natural Environment Research Council (NERC) Case PhD in Climate Change, Harmful Algal Blooms and Human Health; the UK National Institute for Health Research Health Protection Research Unit (NIHR HPRU) in Environmental Change and Health at the London School of Hygiene and Tropical Medicine in partnership with Public Health England (PHE), and in collaboration with the University of Exeter, University College London, and the Met Office; the UK Medical Research Council (MRC) and UK Natural Environment Research Council (NERC) for the MEDMI Project (https://www.data-mashup.org.uk); and the European Union's Horizon 2020, Grant/ Award Number: 774567 (SOPHIE Projecthttps://sophie2020.eu) and 666773 (BlueHealth Projecthttps://bluehealth2020.eu); UK Global Challenges Research Fund (GCRF) via the United Kingdom Research and Innovation (UKRI) under grant agreement reference NE/P021107/1 to the Blue Communities project; and the UKRI grants OFF-Aqua BB/S004246/, CAMPUS NE/R00675X/11 and the Atlantic Area Interreg project PRIMROSE

Harmful algal blooms (HABs) are a signifi­cant global environmental management challenge, especially with respect to micro­algae that produce dangerous natural toxins. Examples of HAB toxin diseases with major global health impact include: ciguatera poi­soning, paralytic shellfish poisoning (PSP), amnesic shellfish poisoning (ASP), diarrhetic shellfish poisoning (DSP), and neurotoxic (brevetoxin) shellfish poisoning (NSP). Such diseases affect communities globally and contribute to health inequalities within the United States and beyond. Sharing data and lessons learned about the factors deter­mining bloom occurrence and associated exposure to contaminated seafood across locations can reduce public health risks. Knowledge sharing is particularly important as ongoing global environmental changes seem to alter the intensity, location, and timing of toxic HAB events, reducing the reliability of conventional guidance where toxin risks have been endemic and leading to emerging challenges in new settings. Political changes that disrupt membership in knowledge-sharing networks may impede efforts to share scientific expertise and best practices. In this commentary, we stress the importance of community and expert knowledge sharing for reducing HAB risks, both for vulnerable communities in the United States and globally. Considering the impacts of political changes, we note the indirect engagement sometimes required for continued participation in international coordination programs. As an example, we highlight how lessons learned from a Native-led toxin monitoring and testing program (the Southeast Alaska Tribal Ocean Research partnership) can inform programs in other settings. We also describe how in­ternational knowledge is mutually valuable for this program in Southeast Alaska. Ethn Dis.2022;32(4):285-292; doi:10.18865/ed.32.4.285

The European Marine Board recently published a position paper on linking oceans and human health as a strategic research priority for Europe. With this position paper as a reference, the March 2014 Cornwall Oceans and Human Health Workshop brought together key scientists, policy makers, funders, business, and non governmental organisations from Europe and the US to review the recent interdisciplinary and cutting edge research in oceans and human health specifically the growing evidence of the impacts of oceans and seas on human health and wellbeing (and the effects of humans on the oceans). These impacts are a complex mixture of negative influences (e.g. from climate change and extreme weather to harmful algal blooms and chemical pollution) and beneficial factors (e.g. from natural products including seafood to marine renewable energy and wellbeing from interactions with coastal environments). Integrated approaches across disciplines, institutions, and nations in science and policy are needed to protect both the oceans and human health and wellbeing now and in the future. ; European Marine Board, Oostende, Belgium ; European Regional Development Fund Programme 2007 to 2013 ; European Social Fund Convergence Programme for Cornwall and the Isles of Scilly (European Centre for Environment and Human Health, the University of Exeter Medical School, Truro, Cornwall, UK) ; Plymouth Marine Laboratory (PML), Plymouth UK ; Scottish Association for Marine Sciences (SAMS), Oban, Scotland ; Institut Francais de Recherche Pour L'exploitation de la Mer (IFREMER), Nantes, France ; European Community's Seventh Framework Programme (FP7/2007 – 2013)

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.

The promotion of physical activity through better urban design is one pathway by which health and well-being improvements can be achieved. This study aimed to quantify health and health-related economic impacts associated with physical activity in an urban riverside park regeneration project in Barcelona, Spain. We used data from Barcelona local authorities and meta-analysis assessing physical activity and health outcomes to develop and apply the "Blue Active Tool". We estimated park user health impacts in terms of all-cause mortality, morbidity (ischemic heart disease; ischemic stroke; type 2 diabetes; cancers of the colon and breast; and dementia), disability-adjusted life years (DALYs) and health-related economic impacts. We estimated that 5753 adult users visited the riverside park daily and performed different types of physical activity (walking for leisure or to/from work, cycling, and running). Related to the physical activity conducted on the riverside park, we estimated an annual reduction of 7.3 deaths (95% CI: 5.4; 10.2), and 6.2 cases of diseases (95% CI: 2.0; 11.6). This corresponds to 11.9 DALYs (95% CI: 3.4; 20.5) and an annual health-economic impact of 23.4 million euros (95% CI: 17.2 million; 32.8 million). The urban regeneration intervention of this riverside park provides health and health-related economic benefits to the population using the infrastructure. ; This work, which has been conducted within the BlueHealth Project (https://bluehealth2020.eu/), was supported by funding received from the European Union's Horizon 2020 research and innovation programme under grant agreement No. 666773. This work reflects only the authors' views and the European Commission is not responsible for any use that may be made of the information it contains. The authors declare no conflicts of interest.

ABSTRACTBackground Campylobacteriosis is a major public health concern. Despite evidence that climate factors influence the spatio-temporal patterns of the infections; their impact is not fully described and understood.
ObjectivesTo examine methods for determining the impact of rainfall and temperature on Campylobacter cases in England and Wales.
MethodsReported cases for England and Wales were linked to local temperature and rainfall at laboratory postcode locations in the 30 days before the specimen date. Descriptive, statistical and spatial methods included a novel Comparative Conditional Incidence (CCI), wavelet analysis, hierarchical clustering, generalized additive model (GAM) and generalized structural time series model (GEST).ResultsThe Campylobacter increase in late spring was linked to temperature two weeks prior, with an increase in CCI of 0.175 cases per 100,000 per week for weeks 17 to 24; the relationship was non-linear and changed through the year. GEST with penalized varying temperature coefficient found 33% of the seasonal change was attributable to temperature, while with a fixed temperature coefficient found 8%. Wavelet analysis showed a strong annual cycle, with harmonics at six and four months and no simple association with temperature or rainfall. Geographic clustering showed three clusters with geographic similarities, representing metropolitan, rural, and other areas.
ConclusionsOur analyses provide more robust and convincing associations than simple regression analysis. The association with temperature is likely to be indirect and the primary driver remains to be determined. Local-temporal linkage of weather parameters and cases is important in improving the resolution of climate associations with infectious diseases and provides methods which can improve disease predictions. Further examination of data from a wider geographic area and longer time series should improve the understanding of the epidemiology and drivers of human Campylobacter infections.

This manuscript is the result of an AZTI's Summer School, celebrated in San Sebastian (Spain), from 5th to 7th June, 2019.-- 19 pages, 3 figures, 2 tables, 1 box ; The integrated study of ocean health and human health is an emerging area of increasing global importance. Growing evidences demonstrate that the health of the ocean and the health of humans have always been and will continue to be, inextricably linked. Our actions toward the oceans will significantly influence the future of the whole planet and, in turn, our own health. The current review of these issues arose from a summer school in San Sebastian (Spain), from 5th to 7th June, 2019. An interdisciplinary group of researchers discussed key risks (e.g., microbial pollution, pharmaceuticals, harmful algal blooms, plastic pollution) and benefits (e.g., bathing waters, recreation, tourism) of the seas and global ocean for humanity; and debated the future priorities and potential actions for a joint Oceans and Human Health research and governance programme in Europe. The aim of this review is to contribute to the emerging scientific agenda on ocean health and human health, as well as coordinate efforts with stakeholders, policy makers and the general public. This agenda operates within the larger context of the upcoming United Nations Decade of Ocean Science for Sustainable Development: 2021–2030, which strives to achieve the Sustainable Development Goals (SDG), including healthy (human) lives and well-being (SDG3) and conserving and sustainably using the oceans (SDG14), among others. In addition to summarizing some of the key risks and benefits, therefore, we describe the governance of oceans and health interactions (especially in Europe), and we finish by proposing a list of elements for potential future research priorities on oceans and human health ; This manuscript is the result of an AZTI's Summer School, celebrated in San Sebastian (Spain), from 5th to 7th June, 2019, funded by AZTI (www.azti.es), the Aquarium of San Sebastian, European Union's Horizon 2020, Grant/Award Number: 774567 (SOPHIE Project https://sophie2020.eu) and 666773 (BlueHealth Project https://bluehealth2020.eu); SCOR and IOC/UNESCO GlobalHAB program (http://www.globalhab.info); the Oceans and Human Health Chair/University of Girona (www.oceanshealth.udg.edu); and the European Environment Agency (EEA). AB was supported through a convention between AZTI and the Basque Water Agency, for monitoring and assess marine waters.