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In the Netherlands, an association was found between the prevalence of pneumonia and living near goat and poultry farms in 2007–2013. This association then led to regulatory decisions to restrict the building of new goat farms and to reduce emissions of poultry farms. Confirmation of these results, however, is required because the period of previous analyses overlapped a Q-fever epidemic in 2007–2010. To confirm the association, we performed a population-based study during 2014–2016 based on general practitioner (GP) data. Electronic medical records of 90,183 persons were used to analyze the association between pneumonia and the population living in the proximity (within 500–2000 m distance) of goat and poultry farms. Data were analyzed with three types of logistic regression (with and without GP practice as a random intercept and with stratified analyses per GP practice) and a kernel model to discern the influence of different statistical methods on the outcomes. In all regression analyses involving adults, a statistically significant association between pneumonia and residence within 500 meters of goat farms was found (odds ratio [OR] range over all analyses types: 1.33–1.60), with a decreasing OR for increasing distances. In kernel analyses (including all ages), a population-attributable risk between 6.0 and 7.8% was found for a distance of 2000 meters in 2014–2016. The associations were consistent across all years and robust for mutual adjustment for proximity to other animals and for several other sensitivity analyses. However, associations with proximity to poultry farms are not supported by the present study. As the causes of the elevated pneumonia incidence in persons living close to goat farms remain unknown, further research into potential mechanisms is required for adequate prevention.

In order to consider the effects of land use, and the land cover changes it causes, on ecosystem services in life cycle assessment (LCA), a new methodology is proposed and applied to calculate midpoint and endpoint characterization factors. To do this, a cause-effect chain was established in line with conceptual models of ecosystem services to describe the impacts of land use and related land cover changes. A high-resolution, spatially explicit and temporally dynamic modeling framework that integrates land use and ecosystem services models was developed and used as an impact characterization model to simulate that cause-effect chain. Characterization factors (CFs) were calculated and regionalized at the scales of Luxembourg and its municipalities, taken as a case to show the advantages of the modeling approach. More specifically, the calculated CFs enable the impact assessment of six land cover types on six ecosystem functions and two final ecosystem services. A mapping and comparison exercise of these CFs allowed us to identify spatial trade-offs and synergies between ecosystem services due to possible land cover changes. Ultimately, the proposed methodology can offer a solution to overcome a number of methodological limitations that still exist in the characterization of impacts on ecosystem services in LCA, implying a rethinking of the modeling of land use in life cycle inventory.

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is a first report of a multidisciplinary research project on rituals after disasters carried out as part of the research project on ritual-liturgical dynamics by the Liturgical Institute in Tilburg. For more details, see P.

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