Enterovirus D68 (EV-D68) is an RNA virus that causes respiratory illnesses mainly in children. In severe cases, it can lead to neurological complications such as acute flaccid myelitis (AFM). EV-D68 belongs to the enterovirus genera of the Picornaviridae family, which also includes many other significant human pathogens such as poliovirus, enterovirus A71, and rhinovirus. There are currently no vaccines or antivirals against EV-D68. In this review, we present the current understanding of the link between EV-D68 and AFM, the mechanism of viral replication, and recent progress in developing EV-D68 antivirals by targeting various viral proteins and host factors that are essential for viral replication. The future directions of EV-D68 antiviral drug discovery and the criteria for drugs to reach clinical trials are also discussed.
Participatory research approaches address a range of problems in water research, including the under-valuation of local knowledge, exclusion of marginalized people, preferential treatment of elite and expert perspectives, and extractive and exploitative research practices. Beyond this, a number of participatory approaches to water research are designed to empower participants, democratize knowledge production, improve decision-making, and help bring about new environmental futures. In this primer, we map participatory research approaches and explain how they have been applied to advance water research. Our review focuses on the following eight approaches: participatory action research, community-based participatory research, participatory rural appraisal, stakeholder research, participatory modeling, photovoice, citizen science, and sustainable future scenarios. We conclude by discussing a new approach, Participatory Convergence research, including how it builds from other approaches and its prospects to advance water research.
Since the late 1970s, the term "colonias" (in English) has described low-income, peri-urban, and rural subdivisions north of the U.S.-Mexico border. These communities are in arid and semi-arid regions-now in a megadrought-and tend to have limited basic infrastructure, including community water service and sanitation. Recent scholarship has demonstrated how colonias residents experience unjust and inequitable dynamics that produce water insecurity in the Global North. In this review, we explain why U.S. colonias are an important example for theorizing water insecurity in the United States and beyond in the Global North. Tracing the history of water infrastructure development in U.S. colonias, we show how colonias are legally and socially defined by water insecurity. We draw on the published literature to discuss key factors that produce water insecurity in U.S. colonias: political exclusion, municipal underbounding, and failures in water quality monitoring. We show that water insecurity had led to negative outcomes-including poor water access, risks to physical health, and mental ill-health-in U.S. colonias. We present four possible approaches to improving water security in U.S. colonias: (1) soft paths & social infrastructure for water delivery, (2) decentralized water treatment approaches, such as pointof-use, point-of-entry, and fit-for-purpose systems; (3) informality, including infrastructural, economic, and socio-cultural innovations; and (4) political, policy, and law innovations and reforms. At the same time, we reflect seriously on how water security can be ethically achieved in partnership and aligning with the visions of U.S. colonias residents themselves.
U.S. border colonias are peri-urban settlements along the U.S.–Mexico border. Residents often face substandard housing, inadequate septic and sewer systems, and unsafe or inadequate household water. As of 2015, an estimated 30% of over 5 million U.S. colonia residents lacked access to clean drinking water, suggesting health complications. This scoping review identifies a very limited existing set of research on water and sanitation insecurity in U.S.–Mexico border colonias, and suggests value in additional focused research in this specific context to address health challenges. Preliminary health data indicates that due to water insecurity, colonia residents are more likely to contract gastrointestinal diseases, be exposed to carcinogenic compounds from contaminated water, and experience psychosocial distress. These widespread health issues surrounding in colonias are exacerbated by historical and ongoing socioenvironmental injustices in the U.S.–Mexico border region and their relation to the poor health outcomes.
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