Potential synergies between public health and environmental protection that offer new opportunities for achieving health and sustainable development targets have been postulated. However, empirical evidence of the effect of ecosystem degradation and protection on public health outcomes is scarce, which restricts policy makers' ability to assess the net health effects of land-use change. We used generalised linear mixed-effects models to analyse data for 35 547 households in 1766 communities from the Cambodian Demographic Health Surveys to investigate the relation between health and protected areas across deforestation gradients in Cambodia between Feb 1, 2005, and April 30, 2014. Diarrhoea, acute respiratory infection, and fever in children younger than 5 years were used as population health indicators. Dense and mixed forest coverage were derived from Open Development Cambodia, and forest loss was calculated from 2000 to 2004, 2004 to 2009, and 2009 to 2014. The incidence of non-specific illness and injury in people older than 15 years was used as a negative control. Our analyses included rich pseudo-panel data (combining cross-sectional datasets from 2005, 2010, and 2014) that accounted for socioeconomic, demographic, and behavioural characteristics, and had a negative control, approximating a quasi-experimental study design. Deforestation of dense forest was associated with an increased incidence of diarrhoea (p=0·007), fever (p=0·0495), and acute respiratory infection in children (p=0·003). For example, a 10 percentage point increase in loss of dense forest was estimated to be associated with an increase of 14·1% (95% CI 2·6-35·8) in the incidence of diarrhoea in children younger than 5 years per household in the 2 weeks before the Cambodian Demographic Health Surveys. Protected area coverage, but not type, was associated with decreased incidences of diarrhoea (p=0·028) and acute respiratory infection (p=0·030). Apart from an association between mixed forest coverage and increased incidence of diarrhoea, forest coverage was not associated with any health outcomes. Deforestation is associated with increased risk of several major sources of global childhood morbidity and mortality. Although causal mechanisms are unclear, our findings suggest that protected areas could help to alleviate the global health burden, presenting new possibilities for simultaneous achievement of public health and conservation goals. Ministry of Education of Singapore.

Prioritizing conservation interventions based on their cost‐effectiveness may enhance global conservation impact. To do this prioritization, conservation decision‐makers need evidence of what works where and how much it costs. Yet, the size, representativeness, and strength of the cost‐effectiveness evidence base are unknown. We reviewed conservation cost‐effectiveness studies, exploring the representation of different types of conservation interventions, habitats and locations, and the methods used. Studies were included if they were published in conservation science or related fields before 2017; were peer‐reviewed; reported costs and conservation‐effectiveness or ratios; and were based on empirical data. From an initial search of 13,184 articles, 91 were considered eligible. We found that the number of cost‐effectiveness studies were growing but remain small. Many common conservation interventions were poorly represented, and there were large geographical biases, with few studies in the world's more biodiverse regions. This sparse and patchy evidence may result from challenges faced when conducting cost‐effectiveness analysis. However, some of these challenges are not unique to cost‐effectiveness studies, and others could be overcome through the use of standardized reporting methods. The reward for overcoming these challenges, and strengthening the evidence base, could be a significant and much‐needed improvement in global conservation.

When deciding how to conserve biodiversity, practitioners navigate diverse missions, sometimes conflicting approaches, and uncertain trade‐offs. These choices are based not only on evidence, funders’ priorities, stakeholders’ interests, and policies, but also on practitioners’ personal experiences, backgrounds, and values. Calls for greater reflexivity—an individual or group's ability to examine themselves in relation to their actions and interactions with others—have appeared in the conservation science literature. But what role does reflexivity play in conservation practice? We explored how self‐reflection can shape how individuals and groups conserve nature. To provide examples of reflexivity in conservation practice, we conducted a year‐long series of workshop discussions and online exchanges. During these, we examined cases from the peer‐reviewed and gray literature, our own experiences, and conversations with 10 experts. Reflexivity among practitioners spanned individual and collective levels and informal and formal settings. Reflexivity also encompassed diverse themes, including practitioners’ values, emotional struggles, social identities, training, cultural backgrounds, and experiences of success and failure. Reflexive processes also have limitations, dangers, and costs. Informal and institutionalized reflexivity requires allocation of limited time and resources, can be hard to put into practice, and alone cannot solve conservation challenges. Yet, when intentionally undertaken, reflexive processes might be integrated into adaptive management cycles at multiple points, helping conservation practitioners better reach their goals. Reflexivity could also play a more transformative role in conservation by motivating practitioners to reevaluate their goals and methods entirely. Reflexivity might help the conservation movement imagine and thus work toward a better world for wildlife, people, and the conservation sector itself.

Invasive species have caused widespread economic and environmental disruption, which have been widely studied. However, their potential benefits have received much less attention. If invasive species contribute to livelihoods, their eradication may negatively impact wellbeing. Failing to value these benefits may lead to an undervaluation of invaded ecosystems. We assess the potential economic benefits of an invasive species within an artisanal fishery in Jamaica. We monitored catches over 259 fisherman-days, and conducted 45 semi-structured interviews, with 76 fishermen. We show that the invasive Australian Red Claw crayfish (Cherax quadricarinatus) is an important source of income for fishermen within the Black River Lower Morass of Jamaica and supplement incomes during periods when native shrimp (Macrobrachium spp.) catches decline. We also show that full-time fishermen and those who have no alternative occupations expend the greatest fishing effort. We use the intra-annual variation of fishermen's harvest effort between seasons (when catch per unit effort changes) as a proxy for dependence. Using this measure, we found that the least wealthy appear to be the most dependent on fishing, and consequently benefit the most from the invasive crayfish. Our results demonstrate the importance of considering the potential benefits of invasive species within integrated landscape management

Myanmar offers unique opportunities for both biodiversity conservation and foreign direct investment due to projected economic growth linked to natural resource exploitation. Industrial-scale development introduces new land uses into the landscape, with unknown repercussions for local communities and biodiversity conservation. We use participatory mapping of 31 communities, focus groups in 28 communities, and analyses of forest cover change during 2000–2010 using MODIS vegetation continuous fields images, to understand the social and environmental impacts of gold mining and agricultural concessions in Myanmar’s Hukaung Valley (~21,800 km²). Local communities, particularly the poorest households, benefit from work and trade opportunities offered by gold mining and agricultural companies but continue to depend on forests for house construction materials, food, and income from the sale of forest resources. However, gold mining and agricultural concessions reduce tree cover, potentially reducing access to forest resources and further marginalizing these households. Our analyses do not provide evidence that long-term resident communities contributed to forest cover loss between 2000 and 2010. We argue that landscape management, which recognizes local community rights to customary community use areas, and appropriate zoning for commercial land uses and protected areas could contribute to both local livelihoods and protect biodiversity throughout Myanmar during economic growth.