The accumulation area ratio (AAR) of a glacier reflects its current state of equilibrium, or disequilibrium, with climate and its vulnerability to future climate change. Here, we present an inventory of glacier-specific annual accumulation areas and equilibrium line altitudes (ELAs) for over 3000 glaciers in Alaska and northwest Canada (88% of the regional glacier area) from 2018 to 2022 derived from Sentinel-2 imagery. We find that the 5 year average AAR of the entire study area is 0.41, with an inter-annual range of 0.25–0.49. More than 1000 glaciers, representing 8% of the investigated glacier area, were found to have effectively no accumulation area. Summer temperature and winter precipitation from ERA5-Land explained nearly 50% of the inter-annual ELA variability across the entire study region (${R}^2=0.47$). An analysis of future climate scenarios (SSP2-4.5) projects that ELAs will rise by ∼170 m on average by the end of the 21st century. Such changes would result in a loss of 25% of the modern accumulation area, leaving a total of 1900 glaciers (22% of the investigated area) with no accumulation area. These results highlight the current state of glacier disequilibrium with modern climate, as well as glacier vulnerability to projected future warming.

We reviewed infection prevention policies using an adapted Equity Impact Assessment tool. Thirty-one percent of policies had substantial potential to impact marginalized groups and create or sustain inequities, and most lacked existing equity considerations. Systematic policy review for equity implications can result in actions to improve care and quality.

Researchers would often like to leverage data from a collection of sources (e.g., meta-analyses of randomized trials, multi-center trials, pooled analyses of observational cohorts) to estimate causal effects in a target population of interest. However, because different data sources typically represent different underlying populations, traditional meta-analytic methods may not produce causally interpretable estimates that apply to any reasonable target population. In this article, we present the CausalMetaR R package, which implements robust and efficient methods to estimate causal effects in a given internal or external target population using multi-source data. The package includes estimators of average and subgroup treatment effects for the entire target population. To produce efficient and robust estimates of causal effects, the package implements doubly robust and non-parametric efficient estimators and supports using flexible data-adaptive (e.g., machine learning techniques) methods and cross-fitting techniques to estimate the nuisance models (e.g., the treatment model, the outcome model). We briefly review the methods, describe the key features of the package, and demonstrate how to use the package through an example. The package aims to facilitate causal analyses in the context of meta-analysis.