Background: The Bronx Community Research Review Board (BxCRRB) is a community–academic partnership (CAP) between the Albert Einstein College of Medicine and The Bronx Health Link (BHL). Rather than asking clinical investigators to create their own individual process de novo, we have developed an innovative, structural approach to achieve community consultation in research planning, implementation, and dissemination that involves and educates the public about research. Objectives: To collaboratively develop (1) an independent research review board of volunteer community residents and repre sentatives that tests a model of community consultation, dialogue, and “community-informed consent” by reviewing community-based research proposals; and (2) to increased understanding of and participation in clinical research in the Bronx. Methods: (1) Recruiting members from the Health and Human Services committees of community boards, focus groups, and community health events; (2) interviewing and selecting members based on community involvement, experiences, availability, and demographics of the Bronx; (3) training members in bioethics and research methods; and (4) facilitating meetings and discussions between clinical researchers and the BxCRRB for research review and consultation. Results: There is substantial interest among Bronx residents in participating in the BxCRRB. The BxCRRB provided feedback to researchers to ensure the protection of participants’ rights, to improve research design by promoting increased accountability to the community, and expanded its scope to include earlier stages of the research process. Conclusion: The BxCRRB is a viable model for community consultation in research, but more time for implementation and evolution is needed to improve its review practices and ensure community input at all stages of the research process.

Resource‐use patterns may entail systemic risks and cascade effects, which consequently inhibit the ability to deliver socioeconomic services. Identifying resource‐use patterns exhibiting systemic risks and reshaping their combinations is a potential lever in realizing the transition to a sustainable, resilient, and resource‐secure system. Using an island context to assess the quantity and composition of resource throughput enables a more comprehensive analysis of these risks. This article presents the first mass‐balance account of socio‐metabolic flows for The Bahamas in 2018, to identify socio‐metabolic risks and cascading effects. Socio‐metabolic risks are systemic risks related to critical resource availability, material circulation integrity, and (in)equities in cost and benefit distributions. We utilize the economy‐wide material flow accounting framework to map the material flow patterns across the economy. In 2018, annual direct material input was estimated at 9.4 t/cap/yr, of which 60% were imports. High masses of waste (1.4 t/cap/yr) remained unrecovered due to the lack of recycling. Total domestic extraction (DE) were dominated by non‐metallic minerals with more than 80%, while marine biomass makes up barely 1% of total DE. Due to its linear, undiversified metabolism, and heavy imports dependency, the system is susceptible to socio‐metabolic risks and cascading effects including low levels of self‐sufficiency, high vulnerability to shocks, commodity price fluctuations, threats to sensitive ecosystems, health impacts, and economic losses, among others. A holistic resource management strategy and nature‐based solutions that consider the trade‐offs and synergies between different resource‐use patterns are critical when exploring potential plans for metabolic risk reduction.

IntroductionSocio-metabolic risks (SMRs) are systemic risks associated with the availability of critical resources, the integrity of material circulation, and the distribution of their costs and benefits in a socio-ecological system. For resource-stressed systems like small island nations, understanding trade-offs and synergies between critical resources is not only crucial, but urgent. Climate change is already putting small islands at high risk through more frequent and intense extreme weather events, changing precipitation patterns, and threats of inundation with future sea-level rise.MethodsThis study compares the shifting resource-baseline for 14 Caribbean island nations for the year 2000 and 2017. We analyze water, energy, and food (WEF) and their nexus through the lens of SMRs, using indicators related to their availability, access, consumption, and self-sufficiency.ResultsOur findings point to the decreasing availability of all three resources within the Caribbean region. Meanwhile, between 2000 and 2017, consumption levels have increased by 20% with respect to water (from 230 to 275 m3/cap/yr) and primary energy (from 89 to 110 GJ/cap/yr), and 5% for food (from 2,570 to 2,700 kcal/cap/day). While universal access to these resources increased in the population, food and energy self-sufficiency of the region has declined.DiscussionCurrent patterns of resource-use, combined with maladaptive practices, and climate insensitive development—such as coastal squeeze, centralized energy systems, and trade policies—magnify islands' vulnerability. Disturbances, such as climate-induced extreme events, environmental changes, financial crises, or overexploitation of local resources, could lead to cascading dysfunction and eventual breakdown of the biophysical basis of island systems. This research is a first attempt at operationalizing the concept of SMRs, and offers a deeper understanding of risk-related resource dynamics on small islands, and highlights the urgency for policy response.

Recent research suggests that over 75% of resources extracted globally now go toward creating, maintaining, or operating material stocks (MS) to provide societal services like housing, transport, education, and health. However, the integrity of current and future built environments, and the capacity of the system to continue providing services, are threatened by extreme events and sea‐level rise (SLR). This is especially significant for the most disaster‐prone countries in the world: Small Island Developing States. In the aftermath of disasters, complex rebuilding efforts require substantial material and economic resources, oftentimes incurring massive debt. Understanding the composition and dynamics of MS and environmental threats is essential for current and future sustainable development. Drawing on open‐source OpenStreetMap (OSM) data, we conducted a spatially explicit material stock analysis (MSA) for The Bahamas for 2021, where we included buildings and transport MS, and SLR exposure scenarios. Total MS was estimated at 76 million tonnes (Mt) or 191 tonnes per capita (t/cap) of which transport comprises 43%. These MS are likely to increase by 36 Mt in the future. Simulations show that under 1‐, 2‐, or 3‐m SLR scenarios, around 4, 6, and 9 Mt of current MS will be exposed, with transport MS at greatest risk, with over 80% of total exposure in each scenario. Our findings highlight the critical role that key MS play in sustainability and resilience, contributing to the emphasis on effective development planning and climate change adaptation strategies, and to the exploration of the use of OSM data for studying these objectives.