Feature Article

The risk of tuberculosis outbreaks among people fleeing hardship for refuge in Europe is heightened. We describe the cross-border European response to an outbreak of multidrug-resistant tuberculosis among patients from the Horn of Africa and Sudan.

Original Source

Attribution of Antarctic ozone recovery to the Montreal protocol requires evidence that (1) Antarctic chlorine levels are declining and (2) there is a reduction in ozone depletion in response to a chlorine decline. We use Aura Microwave Limb Sounder measurements of O3, HCl, and N2O to demonstrate that inorganic chlorine (Cly) from 2013 to 2016 was 223 ± 93 parts per trillion lower in the Antarctic lower stratosphere than from 2004 to 2007 and that column ozone depletion declined in response.

Carbon stocks in vegetation have a key role in the climate system. However, the magnitude, patterns and uncertainties of carbon stocks and the effect of land use on the stocks remain poorly quantified. Here we show, using state-of-the-art datasets, that vegetation currently stores around 450 petagrams of carbon. In the hypothetical absence of land use, potential vegetation would store around 916 petagrams of carbon, under current climate conditions. This difference highlights the massive effect of land use on biomass stocks.

Noble gases trapped in ice cores are used to show that the mean global ocean temperature increased by 2.6 degrees Celsius over the last glacial transition and is closely correlated with Antarctic temperature.

The objective of the study was to investigate the kinetics and metabolism of caffeine in serum from patients with Parkinson disease (PD) and controls using liquid chromatography–mass spectrometry.

Original Source

There is a need to increase access to surgical treatments in African countries, but perioperative complications represent a major global health-care burden. There are few studies describing surgical outcomes in Africa.

Original Source

Predicted impacts of climate change on crops—including yield declines and loss of conservation lands—could be mitigated by exploiting existing diversity within crops. Here we examine this possibility for wine grapes. Across 1,100 planted varieties, wine grapes possess tremendous diversity in traits that affect responses to climate, such as phenology and drought tolerance. Yet little of this diversity is exploited. Instead many countries plant 70–90% of total hectares with the same 12 varieties—representing 1% of total diversity.

Socioeconomically disadvantaged groups tend to experience more harm from the same level of exposure to alcohol as advantaged groups. Alcohol has multiple biological effects on the cardiovascular system, both potentially harmful and protective. We investigated whether the diverging relationships between alcohol drinking patterns and cardiovascular disease (CVD) mortality differed by life course socioeconomic position (SEP).

Original Source

Much concern has been raised about the increasing threat to air quality and human health due to ammonia (NH3) emissions from agricultural systems, which is associated with the enrichment of reactive nitrogen (N) in southern Asia (SA), home of more than 60% the world's population (i.e., the people of West, central, East, South, and Southeast Asia). Southern Asia consumed more than half of the global synthetic N fertilizer and was the dominant region for livestock waste production since 2004.