This commentary takes up a challenge posed by Franklin Miller in a 2022 essay in Bioethics Forum. Dr. Miller queried whether bioethicists could be useful in public health policy contexts and while he refrained from issuing an ultimate opinion, did identify several challenges to such utility. The current piece responds to the challenges Dr. Miller identifies and argues that with appropriate training, public health ethicists can be of service in virtually any context in which public health policies are deliberated and decided.

One of the largest contributors to uncertainty in predictions of sea-level rise from ice-sheet models is a lack of knowledge about the bed topography beneath ice sheets. Bed topography maps are normally made by interpolating between linear radar surveys using methods that include kriging, mass conservation and flowline diffusion, all of which may miss influential mesoscale (2–30 km) bedforms. Previous works have explored an Ice-Flow Perturbation Analysis (IFPA) approach for estimating bed topography using the surface expression of these mesoscale bedforms. Using regions of Pine Island Glacier that have been intensively surveyed by ice-penetrating radar as test sites, and a refined IFPA methodology, we find that IFPA detects bedforms capable of influencing ice flow which are not represented in Bedmachine Antarctica and other interpolated bed products. We further explore the ability of IFPA to estimate relative bed slipperiness, finding higher slipperiness in the main trunk and tributaries. Alongside other methods which estimate ice thickness, bed topography maps from IFPA have the potential to constrain projections of future sea-level rise, especially where radar data are sparse.

Supraglacial debris cover regulates the melt rates of many glaciers in mountainous regions around the world, thereby modifying the availability and quality of downstream water resources. However, the influence of supraglacial debris is often poorly represented within glaciological models, due to the absence of a technique to provide high-precision, spatially continuous measurements of debris thickness. Here, we use high-resolution UAV-derived thermal imagery, in conjunction with local meteorological data, visible UAV imagery and vertically profiled debris temperature time series, to model the spatially distributed debris thickness across a portion of Llaca Glacier in the Cordillera Blanca of Peru. Based on our results, we simulate daily sub-debris melt rates over a 3-month period during 2019. We demonstrate that, by effectively calibrating the radiometric thermal imagery and accounting for temporal and spatial variations in meteorological variables during UAV surveys, thermal UAV data can be used to more precisely represent the highly heterogeneous patterns of debris thickness and sub-debris melt on debris-covered glaciers. Additionally, our results indicate a mean sub-debris melt rate nearly three times greater than the mean melt rate simulated from satellite-derived debris thicknesses, emphasising the importance of acquiring further high-precision debris thickness data for the purposes of investigating glacier-scale melt processes, calibrating regional melt models and improving the accuracy of runoff predictions.

Mass vaccination campaigns have been used effectively to limit the impact of communicable disease on public health. However, the scale of the coronavirus disease (COVID-19) vaccination campaign is unprecedented. Mass vaccination sites consolidate resources and experience into a single entity and are essential to achieving community (“herd”) immunity rapidly, efficiently, and equitably. Health care systems, local and regional public health entities, emergency medical services, and private organizations can rapidly come together to solve problems and achieve success. As medical directors at several mass vaccination sites across the United States, we describe key mass vaccination site concepts, including site selection, operational models, patient flow, inventory management, staffing, technology, reporting, medical oversight, communication, and equity. Lessons learned from experience operating a diverse group of mass vaccination sites will help inform not only sites operating during the current pandemic, but also may serve as a blueprint for future outbreaks of highly infectious communicable disease.

Five international consensus statements on concussion in sports have been published. This commentary argues that there is a strong need for a new approach to them that foregrounds public health expertise and patient-centered guidance. Doing so will help players, parents and practitioners keep perspective about these potentially life-altering injuries especially when they recur.

This Introduction frames the context of the interdisciplinary working group that examined the role of malingering in health and social policy in 2019-2020. The Symposium Issue here is the result of the group’s time, energy, and analysis.

This essay explores the long Western history of anxieties about feigned illness connected specifically to social policy. There is a remarkable consistency of such anxieties across time, as they appear in almost every major historical period in the West since the Middle Ages.

Dinosaur body fossil material is rare in Scotland, previously known almost exclusively from the Great Estuarine Group on the Isle of Skye. We report the first unequivocal dinosaur fossil from the Isle of Eigg, belonging to a Bathonian (Middle Jurassic) taxon of uncertain affinity. The limb bone NMS G.2020.10.1 is incomplete, but through a combination of anatomical comparison and osteohistology, we determine it most likely represents a stegosaur fibula. The overall proportions and cross-sectional geometry are similar to the fibulae of thyreophorans. Examination of the bone microstructure reveals a high degree of remodelling and randomly distributed longitudinal canals in the remaining primary cortical bone. This contrasts with the histological signal expected of theropod or sauropod limb bones, but is consistent with previous studies of thyreophorans, specifically stegosaurs. Previous dinosaur material from Skye and broadly contemporaneous sites in England belongs to this group, including Loricatosaurus and Sarcolestes and a number of indeterminate stegosaur specimens. Theropods such as Megalosaurus and sauropods such as Cetiosaurus are also known from these localities. Although we find strong evidence for a stegosaur affinity, diagnostic features are not observed on NMS G.2020.10.1, preventing us from referring it to any known genera. The presence of this large-bodied stegosaur on Eigg adds a significant new datapoint for dinosaur distribution in the Middle Jurassic of Scotland.

What impact do local candidates have on elections in single member district plurality electoral systems? We provide new evidence using data from a large election study carried out during the 2015 Canadian federal election. We improve on the measurement of local candidate effects by asking over 20,000 survey respondents to rate the candidates in their constituency directly. We present three estimates. We find that when all voters are considered together, local candidate evaluations are decisive for approximately 4 per cent of voters. Second, these evaluations are decisive for the outcome of 10 per cent of constituency contests. Third, when models are estimated for each constituency, we find significant evaluation effects for 14 per cent of candidates.

An approximation to the first-order momentum balance with consistent boundary conditions is derived using variational methods. Longitudinal and lateral stresses are treated as depth-independent, but vertical velocity gradients are accounted for both in the nonlinear viscosity and in the treatment of basal stress, allowing for flow over a frozen bed. A numerical scheme is presented that is significantly less computationally expensive than that of a fully three-dimensional (3-D) solver. The numerical solver is subjected to the ISMIP-HOM experiments and experiments involving nonlinear sliding laws, and results are compared with those of 3-D models. The agreement with first-order surface velocities is favorable down to length scales of 10 km for flow over a flat bed with periodic basal traction, and ∼40 km for flow over periodic basal topography.

Ice-shelf basal melting is tightly coupled to ice-shelf morphology. Ice shelves, in turn, are coupled to grounded ice via their influence on compressive stress at the grounding line (‘ice-shelf buttressing’). Here, we examine this interaction using a local parameterization that relates the basal melt rate to the ice-shelf thickness gradient. This formulation permits a closed-form solution for a steady-state ice tongue. Time-dependent numerical simulations reveal the spatial and temporal evolution of ice-shelf/ice-stream systems in response to changes in ocean temperature, and the influence of morphology-dependent melting on grounding-line retreat. We find that a rapid (<1 year) re-equilibration in upstream regions of ice shelves establishes a spatial pattern of basal melt rates (relative to the grounding line) that persists over centuries. Coupling melting to ice-shelf shape generally, but not always, increases grounding-line retreat rates relative to a uniform distribution with the same area- average melt rate. Because upstream ice-shelf thickness gradients and retreat rates increase nonlinearly with thermal forcing, morphology-dependent melting is more important to the response of weakly buttressed, strongly forced ice streams grounded on beds that slope upwards towards the ocean (e.g. those in the Amundsen Sea).

Predictions of marine ice-sheet behaviour require models able to simulate grounding-line migration. We present results of an intercomparison experiment for plan-view marine ice-sheet models. Verification is effected by comparison with approximate analytical solutions for flux across the grounding line using simplified geometrical configurations (no lateral variations, no buttressing effects from lateral drag). Perturbation experiments specifying spatial variation in basal sliding parameters permitted the evolution of curved grounding lines, generating buttressing effects. The experiments showed regions of compression and extensional flow across the grounding line, thereby invalidating the boundary layer theory. Steady-state grounding-line positions were found to be dependent on the level of physical model approximation. Resolving grounding lines requires inclusion of membrane stresses, a sufficiently small grid size (<500 m), or subgrid interpolation of the grounding line. The latter still requires nominal grid sizes of <5 km. For larger grid spacings, appropriate parameterizations for ice flux may be imposed at the grounding line, but the short-time transient behaviour is then incorrect and different from models that do not incorporate grounding-line parameterizations. The numerical error associated with predicting grounding-line motion can be reduced significantly below the errors associated with parameter ignorance and uncertainties in future scenarios.