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Water footprints have been proposed as sustainability indicators, relating the consumption of goods like food to the amount of water necessary for their production and the impacts of that water use in the source regions. We have further developed the existing water footprint methodology by globally resolving virtual water flows and import and source regions at 5 arc minutes spatial resolution, and by assessing local impacts of export production. Applying this method to three exemplary cities, Berlin, Delhi and Lagos, we find major differences in amounts, composition, and origin of green and blue virtual water imports, due to differences in diets, trade integration and crop water productivities in the source regions. While almost all of Delhi's and Lagos' virtual water imports are of domestic origin, Berlin on average imports from more than 4000 km distance, in particular soy (livestock feed), coffee and cocoa. While 42% of Delhi's virtual water imports are blue water based, the fractions for Berlin and Lagos are 2% and 0.5%, respectively, roughly equal to local drinking water abstractions of these cities. Some of the external source regions of Berlin's virtual water imports appear to be critically water scarce and/or food insecure. However for deriving recommendations on sustainable consumption and trade, further analysis of context-specific costs and benefits associated with export production will be required.
Water footprints have been proposed as sustainability indicators, relating the consumption of goods like food to the amount of water necessary for their production and the impacts of that water use in the source regions. We further developed the existing water footprint methodology, by globally resolving virtual water flows from production to consumption regions for major food crops at 5 arcmin spatial resolution. We distinguished domestic and international flows, and assessed local impacts of export production. Applying this method to three exemplary cities, Berlin, Delhi and Lagos, we find major differences in amounts, composition, and origin of green and blue virtual water imports, due to differences in diets, trade integration and crop water productivities in the source regions. While almost all of Delhi's and Lagos' virtual water imports are of domestic origin, Berlin on average imports from more than 4000 km distance, in particular soy (livestock feed), coffee and cocoa. While 42% of Delhi's virtual water imports are blue water based, the fractions for Berlin and Lagos are 2 and 0.5%, respectively, roughly equal to the water volumes abstracted in these two cities for domestic water use. Some of the external source regions of Berlin's virtual water imports appear to be critically water scarce and/or food insecure. However, for deriving recommendations on sustainable consumption and trade, further analysis of context-specific costs and benefits associated with export production will be required.
Market uptake of pegylated interferons for the treatment of hepatitis C in Europe : meeting abstract
(2008)
Introduction and Objectives Hepatitis C virus (HCV) infection is a leading cause of chronic liver disease with life threatening sequelae such as end-stage liver cirrhosis and liver cancer. It is estimated that the infection annually causes about 86,000 deaths, 1.2 million disability adjusted life years (DALYs), and ¼ of the liver transplants in the WHO European region. Presently, only antiviral drugs can prevent the progression to severe liver disease. Pegylated interferons combined with ribavirin are considered as current state-of-the-art treatment. Objective of this investigation was to assess the market uptake of these drugs across Europe in order to find out whether there is unequal access to optimised therapy. Material and Methods We used IMS launch and sales data (April 2000 to December 2005) for peginterferons and ribavirin for 21 countries of the WHO European region. Market uptake was investigated by comparing the development of country-specific sales rates. For market access analysis, we converted sales figures into numbers of treated patients and related those to country-specific hepatitis C prevalence. To convert sales figures into patient figures, the amount of active pharmaceutical ingredients (API) sold was divided by average total patient doses (ATPD), derived by a probability tree-based calculation algorithm accounting for genotype distribution, early stopping rules, body weight, unscheduled treatment stops and dose reductions Ntotal=APIPegIFNalpha-2a/ATPDPegIFNalpha-2a+APIPegIFN&alpha-2b/ATPDPegIFNalpha-2b For more concise result presentation the 21 included countries were aggregated into four categories: 1. EU founding members (1957): Belgium, France, Germany, Italy and Netherlands; 2. Countries joining EU before 2000: Austria (1995), Denmark (1973), Finland (1995), Greece (1981), Republic of Ireland (1973), Spain (1986), Sweden and UK (1973) 3. Countries joining EU after 2000: Czech Republic (2004), Hungary (2004), Poland (2004) and Romania (2007); 4. EU non-member states: Norway, Russia, Switzerland and Turkey. Results Market launch and market uptake of the investigated drugs differed considerably across countries. The earliest, most rapid and highest increases in sales rates were observed in the EU founding member states, followed by countries that joined the EU before 2000, countries that joined the EU after 2000, and EU non-member states. Most new EU member states showed a noticeable increase in sales after joining the EU. Market access analysis yielded that until end of 2005, about 308 000 patients were treated with peginterferon in the 21 countries. Treatment rates differed across Europe. The number of patients ever treated with peginterferon per 100 prevalent cases ranged from 16 in France to less than one in Romania, Poland, Greece and Russia. Discussion Peginterferon market uptake and prevalence adjusted treatment rates were found to vary considerably across 21 countries in the WHO European region suggesting unequal access to optimised therapy. Poor market access was especially common in low-resource countries. Besides budget restrictions, national surveillance and prevention policy should be considered as explanations for market access variation. Although our results allowed for the ranking of countries in order of market access, no final conclusions on over- or undertreatment can be drawn, because the number of patients who really require antiviral treatment is unknown. Further research based on pan-European decision models is recommended to determine the fraction of not yet successfully treated but treatable patients among those ever diagnosed with HCV. ...
Background Hepatitis C virus (HCV) is a leading cause of chronic liver disease, end-stage cirrhosis, and liver cancer, but little is known about the burden of disease caused by the virus. We summarised burden of disease data presently available for Europe, compared the data to current expert estimates, and identified areas in which better data are needed. Methods Literature and international health databases were systematically searched for HCV-specific burden of disease data, including incidence, prevalence, mortality, disability-adjusted life-years (DALYs), and liver transplantation. Data were collected for the WHO European region with emphasis on 22 countries. If HCV-specific data were unavailable, these were calculated via HCV-attributable fractions. Results HCV-specific burden of disease data for Europe are scarce. Incidence data provided by national surveillance are not fully comparable and need to be standardised. HCV prevalence data are often inconclusive. According to available data, an estimated 7.3–8.8 million people (1.1–1.3%) are infected in our 22 focus countries. HCV-specific mortality, DALY, and transplantation data are unavailable. Estimations via HCV-attributable fractions indicate that HCV caused more than 86000 deaths and 1.2 million DALYs in the WHO European region in 2002. Most of the DALYs (95%) were accumulated by patients in preventable disease stages. About one-quarter of the liver transplants performed in 25 European countries in 2004 were attributable to HCV. Conclusion Our results indicate that hepatitis C is a major health problem and highlight the importance of timely antiviral treatment. However, data on the burden of disease of hepatitis C in Europe are scarce, outdated or inconclusive, which indicates that hepatitis C is still a neglected disease in many countries. What is needed are public awareness, co-ordinated action plans, and better data. European physicians should be aware that many infections are still undetected, provide timely testing and antiviral treatment, and avoid iatrogenic transmission.
A data set of annual values of area equipped for irrigation for all 236 countries in the world during the time period 1900 - 2003 was generated. The basis for this data product was information available through various online data bases and from other published materials. The complete time series were then constructed around the reported data applying six statistical methods. The methods are discussed in terms of reliability and data uncertainties. The total area equipped for irrigation in the world in 1900 was 53.2 million hectares. Irrigation was mainly practiced in all the arid regions of the globe and in paddy rice areas of South and East Asia. In some temperate countries in Western Europe irrigation was practiced widely on pastures and meadows. The time series suggest a modest rate of increase of irrigated areas in the first half of the 20th century followed by a more dynamic development in the second half. The turn of the century is characterized by an overall consolidating trend resulting at a total of 285.8 million hectares in 2003. The major contributing countries have changed little throughout the century. This data product is regarded as a preliminary result toward an ongoing effort to develop a detailed data set and map of areas equipped for irrigation in the world over the 20th century using sub-national statistics and historical irrigation maps.
This paper provides global terrestrial surface balances of nitrogen (N) at a resolution of 0.5 by 0.5 degree for the years 1961, 1995 and 2050 as simulated by the model WaterGAP-N. The terms livestock N excretion (Nanm), synthetic N fertilizer (Nfert), atmospheric N deposition (Ndep) and biological N fixation (Nfix) are considered as input while N export by plant uptake (Nexp) and ammonia volatilization (Nvol) are taken into account as output terms. The different terms in the balance are compared to results of other global models and uncertainties are described. Total global surface N surplus increased from 161 Tg N yr-1 in 1961 to 230 Tg N yr-1 in 1995. Using assumptions for the scenario A1B of the Special Report on Emission Scenarios (SRES) of the International Panel on Climate Change (IPCC) as quantified by the IMAGE model, total global surface N surplus is estimated to be 229 Tg N yr-1 in 2050. However, the implementation of these scenario assumptions leads to negative surface balances in many agricultural areas on the globe, which indicates that the assumptions about N fertilizer use and crop production changes are not consistent. Recommendations are made on how to change the assumptions about N fertilizer use to receive a more consistent scenario, which would lead to higher N surpluses in 2050 as compared to 1995.
The Land and Water Development Division of the Food and Agriculture Organization of the United Nations and the Johann Wolfgang Goethe University, Frankfurt am Main, Germany, are cooperating in the development of a global irrigation-mapping facility. This report describes an update of the Digital Global Map of Irrigated Areas for the continent of Asia. For this update, an inventory of subnational irrigation statistics for the continent was compiled. The reference year for the statistics is 2000. Adding up the irrigated areas per country as documented in the report gives a total of 188.5 million ha for the entire continent. The total number of subnational units used in the inventory is 4 428. In order to distribute the irrigation statistics per subnational unit, digital spatial data layers and printed maps were used. Irrigation maps were derived from project reports, irrigation subsector studies, and books related to irrigation and drainage. These maps were digitized and compared with satellite images of many regions. In areas without spatial information on irrigated areas, additional information was used to locate areas where irrigation is likely, such as land-cover and land-use maps that indicate agricultural areas or areas with crops that are usually grown under irrigation. Contents 1. Working Report I: Generation of a map of administrative units compatible with statistics used to update the Digital Global Map of Irrigated Areas in Asia 2. Working Report II: The inventory of subnational irrigation statistics for the Asian part of the Digital Global Map of Irrigated Areas 3. Working Report III: Geospatial information used to locate irrigated areas within the subnational units in the Asian part of the Digital Global Map of Irrigated Areas 4. Working Report IV: Update of the Digital Global Map of Irrigated Areas in Asia, Results Maps
Artificial drainage of agricultural land, for example with ditches or drainage tubes, is used to avoid water logging and to manage high groundwater tables. Among other impacts it influences the nutrient balances by increasing leaching losses and by decreasing denitrification. To simulate terrestrial transport of nitrogen on the global scale, a digital global map of artificially drained agricultural areas was developed. The map depicts the percentage of each 5’ by 5’ grid cell that is equipped for artificial drainage. Information on artificial drainage in countries or sub-national units was mainly derived from international inventories. Distribution to grid cells was based, for most countries, on the "Global Croplands Dataset" of Ramankutty et al. (1998) and the "Digital Global Map of Irrigation Areas" of Siebert et al. (2005). For some European countries the CORINE land cover dataset was used instead of the both datasets mentioned above. Maps with outlines of artificially drained areas were available for 6 countries. The global drainage area on the map is 167 Mio hectares. For only 11 out of the 116 countries with information on artificial drainage areas, sub-national information could be taken into account. Due to this coarse spatial resolution of the data sources, we recommended to use the map of artificially drained areas only for continental to global scale assessments. This documentation describes the dataset, the data sources and the map generation, and it discusses the data uncertainty.
Irrigation is the most important water use sector accounting for about 70% of the global freshwater withdrawals and 90% of consumptive water uses. While the extent of irrigation and related water uses are reported in statistical databases or estimated by model simulations, information on the source of irrigation water is scarce and very scattered. Here we present a new global inventory on the extent of areas irrigated with groundwater, surface water or non-conventional sources, and we determine the related consumptive water uses. The inventory provides data for 15 038 national and sub-national administrative units. Irrigated area was provided by census-based statistics from international and national organizations. A global model was then applied to simulate consumptive water uses for irrigation by water source. Globally, area equipped for irrigation is currently about 301 million ha of which 38% are equipped for irrigation with groundwater. Total consumptive groundwater use for irrigation is estimated as 545 km3 yr−1, or 43% of the total consumptive irrigation water use of 1 277 km3 yr−1. The countries with the largest extent of areas equipped for irrigation with groundwater, in absolute terms, are India (39 million ha), China (19 million ha) and the United States of America (17 million ha). Groundwater use in irrigation is increasing both in absolute terms and in percentage of total irrigation, leading in places to concentrations of users exploiting groundwater storage at rates above groundwater recharge. Despite the uncertainties associated with statistical data available to track patterns and growth of groundwater use for irrigation, the inventory presented here is a major step towards a more informed assessment of agricultural water use and its consequences for the global water cycle.
Irrigation is the most important water use sector accounting for about 70% of the global freshwater withdrawals and 90% of consumptive water uses. While the extent of irrigation and related water uses are reported in statistical databases or estimated by model simulations, information on the source of irrigation water is scarce and very scattered. Here we present a new global inventory on the extent of areas irrigated with groundwater, surface water or non-conventional sources, and we determine the related consumptive water uses. The inventory provides data for 15 038 national and sub-national administrative units. Irrigated area was provided by census-based statistics from international and national organizations. A global model was then applied to simulate consumptive water uses for irrigation by water source. Globally, area equipped for irrigation is currently about 301 million ha of which 38% are equipped for irrigation with groundwater. Total consumptive groundwater use for irrigation is estimated as 545 km3 yr−1, or 43% of the total consumptive irrigation water use of 1277 km3 yr−1. The countries with the largest extent of areas equipped for irrigation with groundwater, in absolute terms, are India (39 million ha), China (19 million ha) and the USA (17 million ha). Groundwater use in irrigation is increasing both in absolute terms and in percentage of total irrigation, leading in places to concentrations of users exploiting groundwater storage at rates above groundwater recharge. Despite the uncertainties associated with statistical data available to track patterns and growth of groundwater use for irrigation, the inventory presented here is a major step towards a more informed assessment of agricultural water use and its consequences for the global water cycle.
