Physical scientists, social scientists, humanities scholars, and journalists have all framed Antarctica as a place of global importance—as a laboratory for scientific research, as a strategic site for geopolitical agendas, and more recently as a source of melting ice that could catastrophically inundate populations worldwide. Yet, the changing cryosphere impacts society within Antarctica as well, and this article expands the focus of Antarctic ice research to include human activities on and around the continent. It reframes Antarctica as a place with human history and local activities that are being affected by melting ice, even if the consequences are much smaller in scale than the effects of global sea level rise. Specifically focused on tourism and conservation along the west Antarctica Peninsula (wAP), this article demonstrates the impacts of changing glaciers and sea ice on the timing, location, and type of tourism as well as the ability of changing ice to mediate human experiences through conservation agendas. As future ice conditions influence Antarctic tourism and conservation, an attention to issues emerging within the wAP region offers a new perspective on climate change impacts and the management of Antarctic activities in the 21st-century Anthropocene.

My aim is twofold. Highlighting the value and importance of African archives in the construction of postcolonial African histories, I first reject what I call ‘postcolonial African archival pessimism’: the argument that postcolonial African archives are too disorganized or ill-kept to be of much, if any, value in configuring postcolonial African histories. Second, primarily through petition and complaint letters, I examine how Ghanaian workers protested racist and abusive workplace environments, government malfeasance, stagnating wages, and unfair dismissals in Kwame Nkrumah's Ghana. These archival gems illuminate how workers made claims to and performances of citizenship and reminded the state of their importance, politically and practically, to building the Ghanaian project. From Ghanaian and British archives, I seek to complement histories that highlight the centrality of African workers — through their letters and feet — in articulating the contradictions and aspirations of postcolonial African states.

Our study plans to quantify the effect of higher temperatures on different critical Turkish health outcomes mainly to chart future developments and to identify locations in Turkey that may be potential vulnerable hotspots. The general structure of the temperature mortality function was estimated with different fixed-level effects, with a specific focus on the mortality effect of maximum apparent temperature. Regional models were fitted to pinpoint the thresholds where the temperature–mortality relation changes, thus investigating whether the thresholds are determined nationally or regionally. The future patterns were estimated by extrapolating from future temperature trends: analyzing possible future mortality trends under the restricting assumption of minimal acclimation. Using the fixed effect regression structure, social and developmental variables acting as heat effect modifiers were also identified. In the largest dataset, the initial fixed effect regression specification supports the hypothesis summarized by the U-shaped relationship between temperature and mortality. This is a first corroboration for Turkish climate and health research. In addition, intermediation effects were substantiated for the level of urbanization and population density, and the human development and health development within provinces. Regional heterogeneity is substantiated by the mortality–temperature relationship and the significant threshold deviations from the national average.

On the continental shelf of the Antarctic the major disturbance to benthic ecosystems is from iceberg scouring; however, this is based on observations from the Peninsula region. We combine observation and experimentation in the McMurdo Sound region of the Ross Sea to determine if community recovery patterns there are similar to those in better-studied Antarctic regions, and if local immigration is an important factor in recovery dynamics. We found that regardless of habitat differences in depth, substrate, and oceanographic setting, iceberg disturbance strongly impacted benthic communities in McMurdo Sound. Notably, in shallow water (<30 m) where anchor ice is an annual disturbance, both the benthic communities and recovery processes were more variable than at deeper locations. A manipulative experiment performed in a shallow area indicated that recruitment might be more important than immigration to infaunal community recovery. We conclude that whilst disturbance frequency influences dominant epifauna, recovery from iceberg disturbance is a slow ecological progression that is dependent on the extremely inconsistent recruitment processes of the high Antarctic benthic ecosystem.

Predictive interventions and practices are becoming a defining feature of medicine. The author points out that according to the inner logic and external supporters (i.e., state, industry, and media) of modern medicine, participating in healthcare increasingly means participating in knowing, sharing, and using of predictive information. At the same time, the author addresses the issue that predictive information may also have problematic side effects like overdiagnosis, health-related anxiety, and worry as well as impacts on personal life plans. The question is raised: Should we resort to stigmatization if doing so would increase participation in predictive interventions, and thereby save healthcare costs and reduce morbidity and premature death? The paper concludes that even if such a strategy cannot be ruled out in some forms and contexts, we ought to be very cautious about the dangers of shame and stigmatization.

The coronavirus disease (COVID-19) crisis provoked an organizational ethics dilemma: how to develop ethical pandemic policy while upholding our organizational mission to deliver relationship- and patient-centered care. Tasked with producing a recommendation about whether healthcare workers and essential personnel should receive priority access to limited medical resources during the pandemic, the bioethics department and survey and interview methodologists at our institution implemented a deliberative approach that included the perspectives of healthcare professionals and patient stakeholders in the policy development process. Involving the community more, not less, during a crisis required balancing the need to act quickly to garner stakeholder perspectives, uncertainty about the extent and duration of the pandemic, and disagreement among ethicists about the most ethically supportable way to allocate scarce resources. This article explains the process undertaken to garner stakeholder input as it relates to organizational ethics, recounts the stakeholder perspectives shared and how they informed the triage policy developed, and offers suggestions for how other organizations may integrate stakeholder involvement in ethical decision-making as well as directions for future research and public health work.

This paper addresses a dichotomy in the attitudes of some clinicians and bioethicists regarding whether there is a moral difference between deactivating a cardiac pacemaker in a highly dependent patient at the end of life, as opposed to standard cases of withdrawal of treatment. Although many clinicians hold that there is a difference, some bioethicists maintain that the two sorts of cases are morally equivalent. The author explores one potential morally significant point of difference between pacemakers and certain other life-sustaining treatments: specifically, that the former are biofixtures, which become part of the patient in a way that the latter do not. The concept of the pacemaker as biofixture grants pacemakers a unique moral status that gives reason to treat a pacemaker the same as other parts of the patient that are necessary to sustain life. The author employs this biofixture analysis to affirm the intuition that deactivating a pacemaker in a highly dependent patient at the end of life is, in moral terms, more analogous to active euthanasia than it is to standard cases of withdrawal of treatment. The paper concludes with consideration of potential implications for further implantable medical technologies, such as ventricular assist devices and total artificial hearts.

This paper raises three concerns regarding self-ownership rhetoric to describe autonomy within healthcare in general and reproductive justice in specific. First, private property and the notion of “ownership” embedded in “self-ownership,” rely on and replicate historical injustices related to the initial acquisition of property. Second, not all individuals are recognized as selves with equal access to self-ownership. Third, self-ownership only justifies negative liberties. To fully protect healthcare access and reproductive care in specific, we must also be able to make claims on others to respect, protect, and fulfill our positive rights. As much as nondomination remains an urgent demand for reproductive rights, it does not go far enough to ensure reproductive justice.

This paper addresses a question which is fundamental to the perceived legitimacy of the distribution of resources today: to what extent does unfairness in how assets came to be acquired in the past affect incomes and wealth now? To answer that question requires two things: first, a principle to determine what is, and what is not, a just acquisition of wealth or a just source of income; second, a means of using that principle to estimate what fraction of wealth and income is now unjust. I use a principle put forward by Robert Nozick to provide the first of these things and then use a model of wealth accumulation and economic growth to illustrate its implications for the scale of unfairness today. The greater is depreciation of assets, the higher are saving rates out of labour income and the less important is human capital the more transient are the effects of past economic injustices. I use data on the perceived unfairness of economic outcomes to see if there is any evidence that those features which the model implies should influence the durability of injustice help explain cross-country differences in attitudes towards unfairness.

In many African societies, gender roles and sexuality are intensely scrutinized, policed, and often enforced. Frequently, this situation results in perceived deviations being characterized in very strong terms. Many Africans across religious and denominational boundaries seem united in their opposition and criticism of same-sex relationships. In the twenty-first century, criminalization of same-sex relationships has witnessed an uptick across the continent. In Nigeria, same-sex union was criminalized in 2014, an act that witnessed massive support from Protestant, especially Pentecostal, Christian communities. Prominent Pentecostal leaders spearheaded the campaign in support and defense of the anti-gay laws in the country. Reasoned opposition to a practice based on religious faith, doctrine, and scriptural prescriptions is an integral aspect of the protection for the practice of religion. However, there is a palpable tension in the debates around rights to free sexual expression as a fundamental element of legally protected human rights and the equally constitutionally embedded right to religious practice, expression, and exercise. At what point, therefore, does the respect for the free exercise of religion and religious expression come into conflict with the respect for, and protection of, minority rights such as claimed rights to sexual expression such as many LGBTQI persons are increasingly contesting? Framed differently, is the verbal and non-verbal promotion of hatred, violence, indignity, and insult or giving offence to a segment of the population based on sexual orientation a part of free religious expression? How do the Pentecostal arguments against same-sex relations in Nigeria approximate to hate speech, defined as a verbal attack on a person or group of persons based on their attributes such as gender and sexual orientation, religion, or ethnicity? To analyze these and related issues, this essay examines the arguments used by the leader of the largest Pentecostal organization in Nigeria—and by far, the most important Pentecostal voice in the country—in the wake of the legal prohibition of homosexuality in Nigeria in 2014.

This paper discusses the future of migrants with acute heart problems and without permanent permission to remain in the country where they are seeking asylum. What does the country they have traveled to owe them? Specifically, what healthcare services are they entitled to? This may seem a niche problem, but numbers of migrants with acute heart problems could increase in the future. Besides, similar problems could be raised by, for instance, traumatized migrants with acute needs for healthcare services for other serious conditions. The paper identifies the issues and some positions on them. Arguments for and against these positions are explored. This particular set of problems in healthcare ethics creates several challenges, at both national and international levels, concerning access to transplantation, public willingness to donate organs, optimal use of organs, justice and fairness, and potential conflicts of law, politics and ethics, as well as issues revolving around interaction and communication (or lack of it) between agencies and professions.

This paper intertwines the two historiographical concerns of migration and colonialism by exploring the case of Italian rule in North Africa from 1922 to 1943 and by adopting the analytic ground of the environment. The role played by the environment in targeting and shaping specific social groups, forming and grounding specific policies, creating and preventing social and natural transfers, has been overshadowed until now, particularly in relation to Italian colonialism. This study articulates the Fascist agricultural enterprise in Libya around the watershed event of the colony's 1932 pacification. To illustrate its development, it looks at the environment-making processes and transfers entailed in the transformation of the Italian colonial project. This reconstruction contributes to the environmental history subfields of migration and colonialism and invites historians to further explore the first decade of Italian rule in Libya and not to limit historical explorations to the lens of settler colonialism.