Environmental exposure to active pharmaceutical ingredients (APIs) can have negative effects on the health of ecosystems and humans. While numerous studies have monitored APIs in rivers, these employ different analytical methods, measure different APIs, and have ignored many of the countries of the world. This makes it difficult to quantify the scale of the problem from a global perspective. Furthermore, comparison of the existing data, generated for different studies/regions/continents, is challenging due to the vast differences between the analytical methodologies employed. Here, we present a global-scale study of API pollution in 258 of the world’s rivers, representing the environmental influence of 471.4 million people across 137 geographic regions. Samples were obtained from 1,052 locations in 104 countries (representing all continents and 36 countries not previously studied for API contamination) and analyzed for 61 APIs. Highest cumulative API concentrations were observed in sub-Saharan Africa, south Asia, and South America. The most contaminated sites were in low- to middle-income countries and were associated with areas with poor wastewater and waste management infrastructure and pharmaceutical manufacturing. The most frequently detected APIs were carbamazepine, metformin, and caffeine (a compound also arising from lifestyle use), which were detected at over half of the sites monitored. Concentrations of at least one API at 25.7% of the sampling sites were greater than concentrations considered safe for aquatic organisms, or which are of concern in terms of selection for antimicrobial resistance. Therefore, pharmaceutical pollution poses a global threat to environmental and human health, as well as to delivery of the United Nations Sustainable Development Goals.

Thermal sensitivity of tropical trees: A key uncertainty in climate change models is the thermal sensitivity of tropical forests and how this value might influence carbon fluxes. Sullivan et al. measured carbon stocks and fluxes in permanent forest plots distributed globally. This synthesis of plot networks across climatic and biogeographic gradients shows that forest thermal sensitivity is dominated by high daytime temperatures. This extreme condition depresses growth rates and shortens the time that carbon resides in the ecosystem by killing trees under hot, dry conditions. The effect of temperature is worse above 32°C, and a greater magnitude of climate change thus risks greater loss of tropical forest carbon stocks. Nevertheless, forest carbon stocks are likely to remain higher under moderate climate change if they are protected from direct impacts such as clearance, logging, or fires. Science , this issue p. 869

The responses of tropical forests to environmental change are critical uncertainties in predicting the future impacts of climate change. The positive phase of the 2015–2016 El Niño Southern Oscillation resulted in unprecedented heat and low precipitation in the tropics with substantial impacts on the global carbon cycle. The role of African tropical forests is uncertain as their responses to short-term drought and temperature anomalies have yet to be determined using on-the-ground measurements. African tropical forests may be particularly sensitive because they exist in relatively dry conditions compared with Amazonian or Asian forests, or they may be more resistant because of an abundance of drought-adapted species. Here, we report responses of structurally intact old-growth lowland tropical forests inventoried within the African Tropical Rainforest Observatory Network (AfriTRON). We use 100 long-term inventory plots from six countries each measured at least twice prior to and once following the 2015–2016 El Niño event. These plots experienced the highest temperatures and driest conditions on record. The record temperature did not significantly reduce carbon gains from tree growth or significantly increase carbon losses from tree mortality, but the record drought did significantly decrease net carbon uptake. Overall, the long-term biomass increase of these forests was reduced due to the El Niño event, but these plots remained a live biomass carbon sink (0.51 ± 0.40 Mg C ha⁻¹ y⁻¹) despite extreme environmental conditions. Our analyses, while limited to African tropical forests, suggest they may be more resistant to climatic extremes than Amazonian and Asian forests. Significance The responses of tropical forests to heat and drought are critical uncertainties in predicting the future impacts of climate change. The 2015–2016 El Niño Southern Oscillation (ENSO) resulted in unprecedented heat and low precipitation across the tropics, including in the very poorly studied African tropical forest region. We assess African forest ENSO responses using on-the-ground measurements. Across 100 long-term plots, record high temperatures did not significantly reduce carbon gains from tree growth or significantly increase carbon losses from tree mortality. Overall, despite the climate anomaly, forests continued to gain live biomass over the ENSO period. Our analyses, while limited to African tropical forests, suggest that they may be more resistant to climate extremes than Amazonian and Asian forests.

Tropical montane forests are amongst the most threatened ecosystems by climate change. However, little is known about climatic changes already observed in these montane areas in Africa, or the adaptation strategies used by pastoralist communities. This article, focused on three mountains in northern Kenya, aims to fill these knowledge gaps. Focus-group discussions with village elders were organized in 10 villages on each mountain (n = 30). Villages covered different pastoralist ethnic groups. Historical data on rainfall, temperature and fog were gathered from Marsabit Meteorological station. All participants reported changes in the amount and distribution of rainfall, fog, temperature and wind for the past 20–30 years; regardless of the mountain or ethnicity. They particularly highlighted the reduction in fog. Meteorological evidence on rainfall, temperature and fog agreed with local perceptions; particularly important was a 60% reduction in hours of fog per year since 1981. Starting farming and shifting to camel herding were the adaptive strategies most commonly mentioned. Some adaptive strategies were only mentioned in one mountain or by one ethnic group (e.g. starting the cultivation of khat). We highlight the potential use of local communities’ perceptions to complement climatic records in data-deficient areas, such as many tropical mountains, and emphasize the need for more research focused on the adaptation strategies used by pastoralists.