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- Stanaway, Jeffrey D., et al.
(författare)
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Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks for 195 countries and territories, 1990-2017: A systematic analysis for the Global Burden of Disease Study 2017
- 2018
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Ingår i: The Lancet. - 1474-547X .- 0140-6736. ; 392:10159, s. 1923-1994
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Tidskriftsartikel (refereegranskat)abstract
- Background The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2017 comparative risk assessment (CRA) is a comprehensive approach to risk factor quantification that offers a useful tool for synthesising evidence on risks and risk-outcome associations. With each annual GBD study, we update the GBD CRA to incorporate improved methods, new risks and risk-outcome pairs, and new data on risk exposure levels and risk- outcome associations. Methods We used the CRA framework developed for previous iterations of GBD to estimate levels and trends in exposure, attributable deaths, and attributable disability-adjusted life-years (DALYs), by age group, sex, year, and location for 84 behavioural, environmental and occupational, and metabolic risks or groups of risks from 1990 to 2017. This study included 476 risk-outcome pairs that met the GBD study criteria for convincing or probable evidence of causation. We extracted relative risk and exposure estimates from 46 749 randomised controlled trials, cohort studies, household surveys, census data, satellite data, and other sources. We used statistical models to pool data, adjust for bias, and incorporate covariates. Using the counterfactual scenario of theoretical minimum risk exposure level (TMREL), we estimated the portion of deaths and DALYs that could be attributed to a given risk. We explored the relationship between development and risk exposure by modelling the relationship between the Socio-demographic Index (SDI) and risk-weighted exposure prevalence and estimated expected levels of exposure and risk-attributable burden by SDI. Finally, we explored temporal changes in risk-attributable DALYs by decomposing those changes into six main component drivers of change as follows: (1) population growth; (2) changes in population age structures; (3) changes in exposure to environmental and occupational risks; (4) changes in exposure to behavioural risks; (5) changes in exposure to metabolic risks; and (6) changes due to all other factors, approximated as the risk-deleted death and DALY rates, where the risk-deleted rate is the rate that would be observed had we reduced the exposure levels to the TMREL for all risk factors included in GBD 2017.
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| 3. |
- Shahbazi, Ali, et al.
(författare)
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Environmental Damage of Different Waste Treatment Scenarios by Considering Avoided Emissions Based on System Dynamics Modeling
- 2023
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Ingår i: Sustainability. - : MDPI AG. - 2071-1050. ; 15:23
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Tidskriftsartikel (refereegranskat)abstract
- This study aims to develop a comprehensive model for life cycle assessment and environmental damage cost calculations considering avoided emissions in different waste management scenarios using the system dynamics (SD) approach. Our analysis reveals that under the business-as-usual (BAU) scenario for the period 2020-2050, the total net greenhouse gas (GHG) emissions reach 12.5 Mt, with the highest environmental damage cost being USD 689 million. In contrast, an integrated management strategy encompassing recycling, composting, anaerobic digestion, and incineration results in a 195% reduction in net GHG emissions compared to the BAU Scenario. Concurrently, the environmental damage cost drops to USD 277 million, incorporating USD 347 million in savings, leading to a net environmental damage cost of USD -71 million. The findings affirm that accounting for emissions avoided across various treatment methods offers a more accurate estimate of environmental damage costs. Additionally, policies centered on integrated waste management are more likely to achieve sustainability. The study also demonstrates the utility of the SD approach in providing a holistic view of waste management systems and in evaluating the effectiveness of various policy strategies for sustainable waste management.
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