The impact of coastal realignment on the availability of ecosystem services: gains, losses and trade-offs from a local community perspective.

Coastal realignment is the procedure of repositioning or removing coastal defense structures to restore tidal flooding and facilitate the development of intertidal ecosystems in a previously reclaimed area from the sea. A key policy objective of coastal realignment is to increase ecosystem services provided by intertidal ecosystems and thereby contribute to human well-being. However, the social response to coastal realignment is often negative, raising the question as to what extent communities living nearby project locations recognize, value and benefit from the goods and services provided by restored intertidal ecosystems. In this study, we examine public perceptions of ecosystem services gains, losses and trade-offs associated with coastal realignment. We hereby focus on three coastal realignment case study locations in the Southwest delta, the Netherlands. Questionnaires were administered in nearby villages and the collected data (N = 261) were analyzed using random forest regression models. A notable outcome of this study is that local communities often consider coastal realignment interventions to decrease rather than increase the availability of ecosystem services. This points to a discrepancy between how coastal realignment is viewed from a policy perspective and a local community perspective. Changes in the availability of cultural ecosystem services were found to have the highest impact on the level of support for coastal realignment, while the importance attached to provisioning, regulating and supporting ecosystem services was notably lower. In consequence, to increase public support, it will be essential to minimize the loss of cultural ecosystem services, or better yet, find ways to increase cultural ecosystem services through coastal realignment, for instance by creating opportunities for recreation and tourism.

Improved general health of international adoptees, but immunization status still insufficient.

We studied the demographic and clinical data from 495 adopted children seen between January 2002 and January 2007 to evaluate the medical condition and immunization status of international adoptees. The data of children from Chinese origin (53.5%) were compared to children arriving from other countries. Medical problems requiring treatment were present in 42.8% of the children. Parasitic gastrointestinal infection (22.0%) and skin abnormalities (22.4%) were diagnosed most often. Hepatitis B (1.2%) and tuberculosis (1%) were documented in some children; HIV, hepatitis C, and syphilis were not seen in any of the children. Antibody levels against diphtheria and tetanus were insufficient in about half of all children, particularly in those from China. In conclusion, most adoptive children had a good general health, with only a few having major medical problems. Many adoptive children had an inadequate immunization status.