Healthcare is a critical service sector with a sizable environmental footprint from both direct activities and the indirect emissions of related products and infrastructure. As in all other sectors, the “inside‐out” environmental impacts of healthcare (e.g., from greenhouse gas emissions, smog‐forming emissions, and acidifying emissions) are harmful to public health. The environmental footprint of healthcare is subject to upward pressure from several factors, including the expansion of healthcare services in developing economies, global population growth, and aging demographics. These factors are compounded by the deployment of increasingly sophisticated medical procedures, equipment, and technologies that are energy‐ and resource‐intensive. From an “outside‐in” perspective, on the other hand, healthcare systems are increasingly susceptible to the effects of climate change, limited resource access, and other external influences. We conducted a comprehensive scoping review of the existing literature on environmental issues and other sustainability aspects in healthcare, based on a representative sample from over 1,700 articles published between 1987 and 2017. To guide our review of this fragmented literature, and to build a conceptual foundation for future research, we developed an industrial ecology framework for healthcare sustainability. Our framework conceptualizes the healthcare sector as comprising “foreground systems” of healthcare service delivery that are dependent on “background product systems.” By mapping the existing literature onto our framework, we highlight largely untapped opportunities for the industrial ecology community to use “top‐down” and “bottom‐up” approaches to build an evidence base for healthcare sustainability.
The Arctic is an epicenter of complex environmental and socioeconomic change. Strengthened connections between Arctic and non-Arctic systems could threaten or enhance Arctic sustainability, but studies of external influences on the Arctic are scattered and fragmented in academic literature. Here, we review and synthesize how external influences have been analyzed in Arctic-coupled human and natural systems (CHANS) literature. Results show that the Arctic is affected by numerous external influences nearby and faraway, including global markets, climate change, governance, military security, and tourism. However, apart from climate change, these connections are infrequently the focus of Arctic CHANS analyses. We demonstrate how Arctic CHANS research could be enhanced and research gaps could be filled using the holistic framework of metacoupling (human–nature interactions within as well as between adjacent and distant systems). Our perspectives provide new approaches to enhance the sustainability of Arctic systems in an interconnected world.
more » « less- PAR ID:
- 10369741
- Publisher / Repository:
- Springer Science + Business Media
- Date Published:
- Journal Name:
- Ambio
- Volume:
- 51
- Issue:
- 10
- ISSN:
- 0044-7447
- Page Range / eLocation ID:
- p. 2061-2078
- Format(s):
- Medium: X
- Sponsoring Org:
- National Science Foundation
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Abstract This paper examines the literature on the Sustainability in the Arctic region, using a bibliometric analysis of 213 English-language articles published between 1980 and 2022 exploiting Bibliometrix, an R package. To find relevant literature using the Web of Science (WOS) database, we searched for documents using mesh terms based on the query of two terms, “Arctic & Sustainability”. We used the Boolean operator “AND” to combine the two terms and the Boolean operator “OR” to include synonyms of the terms. The articles retrieved were authored by 724 researchers, published in 98 journals, representing 132 countries, and growing at 5.08% annually. The findings reveal that a substantial portion of the Arctic sustainability literature placed significant emphasis on the examination of climate change, adaptation, and vulnerabilities affecting local communities. Furthermore, the more recent publications in this field concentrate predominantly on exploring perceptions and governance.
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Abstract Climate change poses critical challenges for population persistence in natural communities, for agriculture and environmental sustainability, and for food security. In this review, we discuss recent progress in climatic adaptation in plants. We evaluate whether climate change exerts novel selection and disrupts local adaptation, whether gene flow can facilitate adaptive responses to climate change, and whether adaptive phenotypic plasticity could sustain populations in the short term. Furthermore, we discuss how climate change influences species interactions. Through a more in‐depth understanding of these eco‐evolutionary dynamics, we will increase our capacity to predict the adaptive potential of plants under climate change. In addition, we review studies that dissect the genetic basis of plant adaptation to climate change. Finally, we highlight key research gaps, ranging from validating gene function to elucidating molecular mechanisms, expanding research systems from model species to other natural species, testing the fitness consequences of alleles in natural environments, and designing multifactorial studies that more closely reflect the complex and interactive effects of multiple climate change factors. By leveraging interdisciplinary tools (e.g., cutting‐edge omics toolkits, novel ecological strategies, newly developed genome editing technology), researchers can more accurately predict the probability that species can persist through this rapid and intense period of environmental change, as well as cultivate crops to withstand climate change, and conserve biodiversity in natural systems.
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Abstract Objective Human dimensions of climate change research in the Arctic often proposes ways for local communities to adapt to changes to their environment, foregrounding problems posed by climate change while treating social, political, and economic factors as background conditions. We explore the relevance of this research paradigm for Inuit by examining how Inuit from Kangiqsujuaq present and discuss the major issues facing their community.
Methods We thematically code and analyze the responses of 107 Inuit to three free‐response questions about the problems facing their community and the best things about their community. The data were collected as part of a questionnaire for a project focused on food security and food sharing conducted in Kangiqsujuaq, Nunavik, in 2013 to 2014.
Results Few respondents mentioned issues relating to climate change among the most pressing problems faced by their community. Rather, a suite of interconnected social and economic issues, particularly substance abuse and the cost of living, emerged as the main concerns of Kangiqsujuarmiut. However, the environment was a central theme in respondents' favorite thing about their community.
Conclusions In light of the concerns identified by Inuit, we argue that much research on climate change makes incorrect a priori assumptions and consequently fails to capture aspects of Arctic socioecological systems that are essential for how Inuit are responding to climate change. An inductive, open‐ended approach can help produce research more relevant to communities.
