Pre- and post-production processes along supply chains increasingly dominate GHG emissions from agri-food systems globally and in most countries

We present results from the FAOSTAT agri-food systems emissions database, relative to 236 countries and territories and over the period 1990-2019. We find that in 2019, world-total food systems emissions were 16.5 billion metric tonnes (Gt CO2eq yr-1), corresponding to 31 % of total anthropogenic emissions. Of the agri-food systems total, global emissions within the farm gate -from crop and livestock production processes including on-farm energy use--were 7.2 Gt CO2eq yr-1;emissions from land use change, due to deforestation and peatland degradation, were 3.5 Gt CO2eq yr-1;and emissions from pre- and post-production processes -manufacturing of fertilizers, food processing, packaging, transport, retail, household consumption and food waste disposal--were 5.8 Gt CO2eq yr-1. Over the study period 1990-2019, agri-food systems emissions increased in total by 17 %, largely driven by a doubling of emissions from pre- and post-production processes. Conversely, the FAO data show that since 1990 land use emissions decreased by 25 %, while emissions within the farm gate increased only 9 %. In 2019, in terms of single GHG, pre- and post-production processes emitted the most CO2 (3.9 Gt CO2 yr-1), preceding land use change (3.3 Gt CO2 yr-1) and farm-gate (1.2 Gt CO2 yr-1) emissions. Conversely, farm-gate activities were by far the major emitter of methane (140 Mt CH4 yr-1) and of nitrous oxide (7.8 Mt N2O yr-1). Pre-and post-processes were also significant emitters of methane (49 Mt CH4 yr-1), mostly generated from the decay of solid food waste in landfills and open-dumps. The most important trend over the 30-year period since 1990 highlighted by our analysis is the increasingly important role of food-related emissions generated outside of agricultural land, in pre- and post-production processes along food supply chains, at all scales from global, regional and national, from 1990 to 2019. In fact, our data show that by 2019, food supply chains had overtaken farm-gate processes to become the largest GHG component of agri-food systems emissions in Annex I parties (2.2 Gt CO2eq yr-1). They also more than doubled in non-Annex I parties (to 3.5 Gt CO2eq yr-1), becoming larger than emissions from land-use change. By 2019 food supply chains had become the largest agri-food system component in China (1100 Mt CO2eq yr-1);USA (700 Mt CO2eq yr-1) and EU-27 (600 Mt CO2eq yr-1). This has important repercussions for food-relevant national mitigation strategies, considering that until recently these have focused mainly on reductions of non-CO2 gases within the farm gate and on CO2 mitigation from land use change. The information used in this work is available as open data at: https://zenodo.org/record/5615082 (Tubiello et al., 2021d). It is also available to users via the FAOSTAT database (FAO, 2021a), with annual updates. [ABSTRACT FROM AUTHOR] Copyright of Earth System Science Data Discussions is the property of Copernicus Gesellschaft mbH and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Electrical impedance tomography clues to detect pulmonary thrombosis in a teenager with COVID-19.

We report a case of pulmonary thrombosis in a teenager during a hypercoagulable state associated with COVID-19 (coronavirus disease 2019) caused by SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2). A condition rare in children and adolescents, pulmonary thrombosis underdiagnosis likely increases morbidity and mortality. A pulmonary thrombosis diagnosis requires a high level of suspicion and relies on the combination of clinical presentation, D-dimer elevation, and computed tomography (CT) pulmonary angiography or ventilation/perfusion scans, imaging techniques that are difficult to perform. Electrical impedance tomography (EIT) has gained attention, as it provides real-time ventilation distribution analysis. In addition, lung pulsatility images can be obtained through this technique using electrocardiogram gating to filter out ventilation. In this case report, the reduced EIT pulsatility corresponded to the perfusion defect found on the CT scan, information that was obtained at the bedside without radiation or contrast exposure.

Follow-up of a hospital cohort during the first 3,530 suspected cases of COVID-19 in Sao Jose do Rio Preto, Sao Paulo, Brazil (preprint)

Introduction: In a global context, COVID-19 is the most significant health threat in the present days, evidenced by the fact that, in just over four months, SARS-CoV-2 has spread to 171 countries, reaching a Pandemic status. Most patients with COVID-19 have a mild course of the disease. However, approximately 20% develop severe illness with a high mortality rate which is associated with age, comorbidities, and immunosuppression. Epidemiological studies are used to reveal the extent of viral spread in homes, communities, and hospitals. Thus, preventive and control measures can be established by the authorities. Objective: In this study, patients with suspect COVID-19 symptoms who search for hospital care at the city of Sao Jose do Rio Preto (Sao Paulo, Brazil) were monitored, in order to identify the first case of this new disease in the region. In the first two months (March and April), more than 3000 individuals looked for the public and private health system with suspected respiratory symptoms, but only 164 (8.4%) were COVID-19 confirmed. Results: From those, males (56.1%) and patients of the age distribution of 16-59 (91.2%), with diarrhea (22.2%), runny nose (25%), altered taste (15.9%), and anosmia (11.6%) presented statistical significance, although none comorbidities were related with COVID-19 occurrence. The odds ratio analysis supports this finding. Days of onset of symptoms are positively associated with whit viral load, and the same happens with the occurrence of symptoms (dyspnea and low saturation).