Sixty percent of road transport emissions come from passenger travel (cars, motorcycles and buses) and the remaining forty percent from road freight (lorries and trucks). Road transport (11.9%): emissions from the burning of petrol and diesel from all forms of road transport which includes cars, trucks, lorries, motorcycles and buses. These figures do not include emissions from the manufacturing of motor vehicles or other transport equipment – this is included in the previous point ‘Energy use in Industry’. This includes a small amount of electricity (indirect emissions) as well as all direct emissions from burning fossil fuels to power transport activities. Other industry (10.6%): energy-related emissions from manufacturing in other industries including mining and quarrying, construction, textiles, wood products, and transport equipment (such as car manufacturing). Machinery (0.5%): energy-related emissions from the production of machinery. Paper & pulp (0.6%): energy-related emissions from the conversion of wood into paper and pulp. The manufacturing of these metals requires energy which results in emissions. Non-ferrous metals: 0.7%: Non-ferrous metals are metals which contain very little iron: this includes aluminium, copper, lead, nickel, tin, titanium and zinc, and alloys such as brass. Iron and Steel (7.2%): energy-related emissions from the manufacturing of iron and steel.Ĭhemical & petrochemical (3.6%): energy-related emissions from the manufacturing of fertilizers, pharmaceuticals, refrigerants, oil and gas extraction, etc.įood and tobacco (1%): energy-related emissions from the manufacturing of tobacco products and food processing (the conversion of raw agricultural products into their final products, such as the conversion of wheat into bread). Energy (electricity, heat and transport): 73.2% Energy use in industry: 24.2% Let’s walk through each of the sectors and sub-sectors in the pie chart, one-by-one. These descriptions are based on explanations provided in the IPCC’s Fifth Assessment Report AR5) and a methodology paper published by the World Resources Institute. To know what’s included in each sector category, I provide a short description of each. The overall picture you see from this diagram is that almost three-quarters of emissions come from energy use almost one-fifth from agriculture and land use and the remaining 8% from industry and waste. 2 This is the latest breakdown of global emissions by sector, published by Climate Watch and the World Resources Institute. In this post I present only one chart, but it is an important one – it shows the breakdown of global greenhouse gas emissions in 2016. To figure out how we can most effectively reduce emissions and what emissions can and can’t be eliminated with current technologies, we need to first understand where our emissions come from. The world emits around 50 billion tonnes of greenhouse gases each year. To prevent severe climate change we need to rapidly reduce global greenhouse gas emissions.
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Comorbidities frequently found among COPD patients include cardiovascular disease, osteoporosis, arthritis, asthma, diabetes/metabolic syndrome, and depression. Many patients with COPD also suffer from comorbidities, which can complicate disease management and contribute to morbidity and mortality. COPD symptoms progressively worsen over time and have a negative impact on patient quality of life and disease prognosis. COPD symptoms include dyspnea, wheezing, chronic cough, sputum production, and limited exercise capacity. The results of this study suggest that SITT with FF/UMEC/VI is used most often in accordance with treatment guidelines from the Global Initiative for Chronic Obstructive Lung Disease.Ĭhronic obstructive pulmonary disease (COPD) is a progressive respiratory condition that is characterized by chronic inflammation of the airways and persistent airflow limitation. The results of this study suggest that SITT with FF/UMEC/VI is frequently initiated as a step-up treatment in patients with COPD who have persistent symptoms or a history of exacerbations, despite dual maintenance therapy. This study aimed to assess the characteristics of patients initiating SITT with FF/UMEC/VI. The baseline demographic and clinical characteristics of patients initiating multiple-inhaler triple therapy have previously been assessed however, the characteristics of patients initiating SITT remain unknown. Until recently, triple therapy was delivered via multiple inhalers in 2017, single-inhaler triple therapy (SITT) with fluticasone furoate, umeclidinium, and vilanterol (FF/UMEC/VI) was approved for the long-term maintenance treatment of patients with moderate-to-severe COPD in the United States. Triple therapy is recommended for patients with chronic obstructive pulmonary disease (COPD), who remain symptomatic or at risk of exacerbation despite dual therapy. In this population of COPD patients, triple therapy was frequently initiated after previous maintenance medication use or an exacerbation, in line with treatment guideline recommendations. In addition, 41.2% of FF/UMEC/VI users received overlapping ICS/LAMA/LABA, 20.3% received ICS/LABA, and 9.7% received LAMA/LABA. Prior to initiating triple therapy, the majority of FF/UMEC/VI (89.1%) and MITT (93.8%) users experienced a moderate or severe exacerbation or used a COPD maintenance therapy during the baseline period. Mean (standard deviation) patient age was 72.2 (8.6) years in FF/UMEC/VI users and 70.7 (9.7) years in MITT users. The study population included 3933 FF/UMEC/VI users and 18,244 MITT users. Patient characteristics, comorbidities, COPD medication use, exacerbations, and eosinophil counts were assessed in the 12-month baseline period prior to initiation of FF/UMEC/VI triple therapy or MITT. Patients who initiated FF/UMEC/VI triple therapy or MITT (consisting of a long-acting muscarinic antagonist, long-acting β2-agonist , and inhaled corticosteroid ) between October 2017 and September 2018, were enrolled in commercial or Medicare Advantage Prescription Drug plans, were aged > 40 years, and had a COPD diagnosis were eligible. This was a retrospective study using the Optum Clinformatics ® Data Mart. This study assessed patient characteristics, exacerbation, and medication history in patients with COPD before the initiation of FF/UMEC/VI or multiple-inhaler triple therapy (MITT). Patient characteristics and treatment patterns prior to initiating FF/UMEC/VI are currently unknown. Single-inhaler fluticasone furoate/umeclidinium/vilanterol (FF/UMEC/VI) triple therapy was approved by the United States Food and Drug Administration in 2017 as a maintenance therapy for chronic obstructive pulmonary disease (COPD). 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