Cumulative environmental impacts driven by anthropogenic stressors lead to disproportionate effects on indigenous communities that are reliant on land and water resources. Understanding and counteracting these effects requires knowledge from multiple sources. Yet the combined use of Traditional Knowledge (TK) and Scientific Knowledge (SK) has both technical and philosophical hurdles to overcome, and suffers from inherently imbalanced power dynamics that can disfavour the very communities it intends to benefit. In this article, we present a 'two-eyed seeing' approach for co-producing and blending knowledge about ecosystem health by using an adapted Bayesian Belief Network for the Slave River and Delta region in Canada's Northwest Territories. We highlight how bridging TK and SK with a combination of field data, interview transcripts, existing models, and expert judgement can address key questions about ecosystem health when considerable uncertainty exists. SK indicators (e.g., bird counts, mercury in fish, water depth) were graded as moderate, whereas TK indicators (e.g., bird usage, fish aesthetics, changes to water flow) were graded as being poor in comparison to the past. SK indicators were predominantly spatial (i.e., comparing to other locations) while the TK indicators were predominantly temporal (i.e., comparing across time). After being populated by 16 experts (local harvesters, Elders, governmental representatives, and scientists) using both TK and SK, the model output reported low probabilities that the social-ecological system is healthy as it used to be. We argue that it is novel and important to bridge TK and SK to address the challenges of environmental change such as the cumulative impacts of multiple stressors on ecosystems and the services they provide. This study presents a critical social-ecological tool for widening the evidence-base to a more holistic understanding of the system dynamics of multiple environmental stressors in ecosystems and for developing more effective knowledge-inclusive partnerships between indigenous communities, researchers and policy decision-makers. This represents new transformational empirical insights into how wider knowledge discourses can contribute to more effective adaptive co-management governance practices and solutions for the resilience and sustainability of ecosystems in Northern Canada and other parts of the world with strong indigenous land tenure.

The use of plastic products or components in medical equipment and supplies results in challenges in terms of environmental sustainability and waste management for disposable, non-recyclable, and non-biodegradable materials. Medical plastic waste includes items ranging from syringes, tubing, intravenous (IV) bags, packaging, and more. Developing biodegradable replacements to petroleum-based plastics in medical equipment has not yet become an urgent priority, but it is an important endeavor. Examining alternatives involves several key themes, including material selection, testing, validation, and regulatory approval. To date, research includes studies on biodegradable polymers, composite materials, surface modifications, bacterial cellulose, three-dimensional (3D) printing with biodegradable materials, clinical trials and testing, collaboration with industry, regulatory considerations, sustainable packaging for medical devices, and life cycle analysis. The incorporation of bio-based and biodegradable plastics in the healthcare industry holds immense potential for reducing the environmental impact of medical plastic waste. The literature suggests that researchers and industry professionals are actively working towards finding sustainable alternatives that meet the stringent requirements of the medical industry. This paper reviews the efforts made so far to develop biodegradable and sustainable alternatives to plastic in medical equipment using a meta-analysis of resources, which include relevant papers published in English until June 2024. A total of 116 documents were found and screened by three reviewers for relevance. The literature reviewed indicated that various medical uses require plastics due to their unique properties, such as having strength and flexibility; being lightweight; and being able to prevent bacterial contamination. Among the alternatives, polycaprolactone (PCL), polylactic-co-glycolic acid (PLGA), starch-based acid, and polybutyric acid (PBS) have demonstrated favourable outcomes in terms of biocompatibility, safety, and efficacy. Additionally, a set of approaches to overcome these barriers and strategies is discussed alongside potential future solutions. This review aims to catalyze discussions and actions toward a more environmentally sustainable future in the medical industry by providing a comprehensive analysis of the current state, challenges, and prospects of this domain.

Transdisciplinary researchers collaborate with diverse partners outside of academia to tackle sustainability problems. The patterns and practices of social interaction and the contextual nature of transdisciplinary research result in different performance expectations than traditional, curiosity-driven research. Documenting patterns of interaction can inform project success and affirm progress toward interim outcomes on the way to achieve sustainability impacts. Yet providing credible and robust indicators of research activity remains challenging. We provide quantitative and qualitative indicators for assessing transdisciplinary practices and patterns through social network analysis (SNA). Our assessment developed four criteria to reveal how SNA metrics provide insight into (1) diversity of participants; (2) whether and how integration and collaboration are occurring, (3) the relative degrees of network stability and fragility, and (4) how the network is structured to achieve its goals. These four key criteria can be used to help identify patterns of research activity and determine whether interim progress is occurring.

The provision of safe drinking water is a key driver of public health and a pressing health issue facing First Nations communities in Canada. Contaminated water is a perennial issue for reserve communities across the country despite numerous government investments. Many First Nations communities rely heavily on cistern use for their drinking water supply; however, bacterial contamination within these systems is frequent and a common reason for household boil water advisories. The sources of contamination during the process of hauling water to cisterns in First Nations communities have received limited attention in academic research. The purpose of this research is to identify the risks to water quality through the truck-to-cistern water system. In partnership with a Saskatchewan First Nations community, drinking water quality was monitored in the treatment plant, in delivery trucks and at 142 household cisterns and taps from July to October, 2014. Risks to water supply were identified through monthly water sampling and laboratory analysis, key informant interviews, and observation. Coliform contamination in trucks, cisterns and taps was most common during August. Total coliforms were more likely to be found in cisterns compared to household taps and samples from trucks. Chlorine residuals were lower in household tap samples than in cisterns for August and September. Together with the community, investigators identified contamination and bacteriological growth in cisterns and household distribution systems, and variable levels of total chlorine concentrations depending on month and site of sampling. Recommendations are provided for advancing guidelines on management of truck-to-cistern drinking water supply chains in First Nations.

A challenge for transdisciplinary sustainability science is learning how to bridge diverse worldviews among collaborators in respectful ways. A temptation in transdisciplinary work is to focus on improving scientific practices rather than engage research partners in spaces that mutually respect how we learn from each other and set the stage for change. We used the concept of Nicolescu’s “Hidden Third” to identify and operationalize this transformative space, because it focused on bridging “objective” and “subjective” worldviews through art. Between 2014 and 2017, we explored the engagement of indigenous peoples from three inland delta regions in Canada and as a team of interdisciplinary scholars and students who worked together to better understand long-term social–ecological change in those regions. In working together, we identified five characteristics associated with respectful, transformative transdisciplinary space. These included (1) establishing an unfiltered safe place where (2) subjective and objective experiences and (3) different world views could come together through (4) interactive and (5) multiple sensory experiences. On the whole, we were more effective in achieving characteristics 2–5—bringing together the subjective and objective experiences, where different worldviews could come together—than in achieving characteristic 1—creating a truly unfiltered and safe space for expression. The novelty of this work is in how we sought to change our own engagement practices to advance sustainability rather than improving scientific techniques. Recommendations for sustainability scientists working in similar contexts are provided.