The gap between experts, farmers and non-farmers on perceived environmental vulnerability and the influence of values and beliefs

COVID-19 vaccine coverage disparities in rural and farm children

BACKGROUND

The risks of severe outcomes associated with SARS-CoV-2 (COVID-19) are elevated in unvaccinated individuals. It remains crucial to understand patterns of COVID-19 vaccination, particularly in younger and remote populations where coverage often lags. This study examined disparities in COVID-19 vaccine coverage in farm children and adolescents.

METHODS

A cross-sectional analysis was conducted in patients of the Marshfield Clinic Health System (MCHS) in Wisconsin. The sample included children/adolescents age 5-17 years who were eligible for COVID-19 vaccine initiation for ≥ 90 days (as of September 30, 2022), stratified by those who lived vs did not live on a farm. Outcomes included COVID-19 vaccine initiation, series completion, and booster receipt. Multivariable regression was used to examine associations between COVID-19 vaccination and farm, as well as rural and non-rural, residence.

RESULTS

There were 47,104 individuals (5% farm residents) in the sample. Overall, 33% of participants initiated and 31% completed the COVID-19 vaccine series. After adjustment, farm residence was associated with significantly lower odds of COVID-19 vaccine initiation (aOR [95% CI] = 0.68 [0.61, 0.75], p < 0.001), series completion (aOR = 0.67 [0.60, 0.75], p < 0.001), and booster receipt (aOR = 0.73 [0.61, 0.88], p = 0.001). Secondary analyses found COVID-19 vaccine coverage was lowest in young children who lived on dairy farms.

CONCLUSIONS

COVID-19 vaccine coverage is low in north-central Wisconsin children and adolescents. Those who live on farms have significantly lower likelihood of COVID-19 vaccine initiation, series completion, and booster receipt compared to non-farm counterparts. Farm families are an underserved group and require more effective public health interventions designed to prevent COVID-19.

Integrating water science, economics, and policy for future climate adaptation

Water science, water economics, and water policy issues continue to rise in importance internationally as elevated population, income growth, and climate change magnify scarcity, shortages, and injustices in water access. Based on the unique physical, institutional, and economic characteristics of water, this work's first contribution is to characterize a road forward for research innovations that enable better integration of water science, water economics, and water policy. Meeting water's sustainable development and justice goals calls for several research innovations that humanity awaits. The advances called for in this work include deep uncertainty management, red team reviews, innovative water rights design, accelerating SDG achievement, valuing water infrastructure, valuing natural water retention, incentivizing water conservation, improving financial performance of rural water systems, water network modularization, non-price scarcity signals, optimization model calibration, remote sensing, transboundary benefit sharing, optimal growth, and water valuation. The work's second contribution is to present a prototype scalable basin scale hydroeconomic analysis (HEA) as a framework for integrating these above innovations when they occur. Results of the HEA show that losses from a 50% shortage in the basin's surface water supply can continue to protect 93% of total economic benefits across economic sectors if an efficient water trading system is established to move water from lower to higher valued uses when shortages occur. The work concludes by noting that great advances remain needed for better and longer lives.