Epilepsy in older people is a common problem. It is estimated that in Europe there are 85 000 new cases of epilepsy annually in those over 65 years old, equivalent to an incidence of 100 per 100 000. Incidence increases with age and the rate in older people is higher than in all but the first year of life. The older population has a median prevalence of 4.7 per 1000 (range 3.0 to 7.3) from nine studies and may be underestimated by case-ascertainment bias common to many studies of older people.

This paper critically reviews the theoretical and practical implications of adopting the original ‘ecological footprint’ concept as an index of the sustainability of aquaculture production systems. It is argued that the concept may provide a reasonable visioning tool to demonstrate natural resource dependence of human activities to politicians and the public at large. However, due to its inherent weaknesses, the ‘ecological footprint’ fails to provide a cohesive analytical tool for management. From an ecological perspective, its two-dimensional interpretation of complex ecologically and economically interacting systems is one major weakness. From an economic perspective, the ‘footprint’ fails to recognise factors such as consumer preferences and property rights which have a major influence on the allocation and sustainable use of resources. The interactions among social, ecological and economic factors are discussed in an attempt to foster a broader inter-disciplinary view of criteria required for a sustainable use of aquatic resources.