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An Integrated Scientific Framework for Child Survival and Early Childhood Development

Editor's Note: This article was originally published in Pediatrics, a subscription-only journal. To obtain a subscription or log in to access the full article, click here.

ABSTRACT

Building a strong foundation for healthy development in the early years of life is a prerequisite for individual well-being, economic productivity, and harmonious societies around the world. Growing scientific evidence also demonstrates that social and physical environments that threaten human development (because of scarcity, stress, or instability) can lead to short-term physiologic and psychological adjustments that are necessary for immediate survival and adaptation, but which may come at a significant cost to long-term outcomes in learning, behavior, health, and longevity. Generally speaking, ministries of health prioritize child survival and physical well-being, ministries of education focus on schooling, ministries of finance promote economic development, and ministries of welfare address breakdowns across multiple domains of function. Advances in the biological and social sciences offer a unifying framework for generating significant societal benefits by catalyzing greater synergy across these policy sectors. This synergy could inform more effective and efficient investments both to increase the survival of children born under adverse circumstances and to improve life outcomes for those who live beyond the early childhood period yet face high risks for diminished life prospects.

Read the full article at Pediatrics »

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Publication: Pediatrics
      
 
 




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How historic would a $1 trillion infrastructure program be?

"We're going to rebuild our infrastructure, which will become, by the way, second to none. And we will put millions of our people to work as we rebuild it." From the very first night of his election win, President Trump was clear about his intention to usher in a new era in American infrastructure. Since…

       




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New frameworks for countering terrorism and violent extremism


Event Information

February 16, 2016
10:00 AM - 11:00 AM EST

Saul/Zilkha Rooms
Brookings Institution
1775 Massachusetts Avenue NW
Washington, DC 20036

A conversation with Deputy Secretary of State Antony Blinken



One year after the White House Summit on Countering Violent Extremism, the United States continues to adapt its efforts to blunt the appeal of violent extremism. As part of this effort, the State Department is launching a series of new initiatives to better coordinate the U.S. response to terrorist propaganda and recruitment.

On February 16, the Foreign Policy program at Brookings hosted The Honorable Antony J. Blinken, deputy secretary of state, for a discussion of the United States’ civilian-led initiatives to counter the spread of the Islamic State and other violent extremist groups. Blinken will chart the path forward, to include partnerships with industry and civil society, and outlined the challenges that lie ahead.

Brookings President Strobe Talbott offered welcoming remarks. General John Allen, senior fellow and co-director of the Center for 21st Century Security and Intelligence at Brookings, introduced Deputy Secretary Blinken, and Tamara Cofman Wittes, senior fellow and director of the Center for Middle East Policy at Brookings, joined Deputy Secretary Blinken in conversation following his remarks.

Join the conversation on Twitter using #CVE

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Subsidizing Higher Education through Tax and Spending Programs

ABSTRACT  During the past 10 years, tax benefits have played an increasingly important role in federal higher education policy. Before 1998, most federal support for higher education involved direct expenditure programs— largely grants and loans—primarily intended to provide more equal educational opportunities for low- and moderate-income students. In 1997 (effective largely for expenses in 1998 and…

       




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Serving the best interests of retirement savers: Framing the issues


Americans are enjoying longer lifespans than ever before. Living longer affords individuals the opportunity to make more contributions to the world, to spend more time with their loved ones, and to devote more years to their favorite activities – but a longer life, and particularly a longer retirement, is also expensive. The retirement security landscape is evolving as workers, employers, retirees, and financial services companies find their needs shifting. Once, many workers planned to stay with a single employer for most or all of their careers, building up a sizeable pension and looking forward to a comfortable retirement. Today, workers more and more workers will be employed by many different employers.  Additionally, generous defined benefit (DB) retirement plans are less popular than they once were – though they were never truly commonplace – and defined contribution (DC) plans are becoming ever more prevalent.  

Figure 1, below, shows the change from DB to DC that has occurred over the past three decades.

In the past many retirees struggled financially towards the end of their lives, just as they do now, but even so, the changes to the retirement security landscape have been real and marked, and have had a serious impact on workers and retirees alike. DB plans are dwindling, DC plans are on the rise, and as a result individuals must now take a more active role in managing their retirement savings. DC plans incorporate contributions from employees and employers alike, and workers much choose how to invest their nest egg.  When a worker leaves a job for retirement or for a different job he or she will often roll over the money from a 401(k) plan into an Individual Retirement Account (IRA). While having more control over one’s retirement funds might seem on its face to be a net improvement, the reality is that the average American lacks the financial literacy to make sound decisions (SEC 2012).

The Council of Economic Advisers (CEA) expressed concern earlier this year that savers with IRA accounts may receive poor investment advice, particularly in cases where their financial advisors are compensated through fees and commissions. “[The] best recommendation for the saver may not be the best recommendation for the adviser’s bottom line” (CEA 2015). President Obama echoed these concerns in a speech at AARP in February, asking the Department of Labor (DoL) to update its rules for financial advisors to follow when handling IRA accounts (White House 2015). The DoL receives its authority to craft such rules and requirements from the 1974 Employee Retirement Income Security Act (ERISA) (DoL 2015a).

The DoL recently proposed a regulation designed to increase consumer protection by treating some investment advisors as fiduciaries under ERISA and the 1986 Internal Revenue Code (DoL 2015b). The proposed rule has generated heated debate, and some financial advisors have responded with great concern, arguing that it will be difficult or impossible to comply with the rule without raising costs to consumers and/or abandoning smaller accounts that generate little or no profit. Advisors who have traditionally offered only the proprietary products of a single company worry that the business model they have used for many years will no longer be considered to be serving the best interests of clients.

Rather than offering detailed comments on the DoL proposals, this paper will look more broadly at the problem of saving for retirement and the role for professional advice. This is, of course, a well-travelled road with a large literature by academics, institutions and policy-makers, however, it is worthwhile to think about market failures, lack of information and individual incentives and what they imply for the investment advice market.

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Image Source: © Eric Gaillard / Reuters
     
 
 




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Predicting the impact of college subsidy programs on college enrollment

There is currently a great deal of interest in the potential of college subsidy programs to increase equitable access to higher education and to reduce the financial burden on college attendees. While colleges may be subsidized in a variety of ways, such as through grants to institutions, in our latest Brookings report, we focus on college subsidy programs that directly…

       




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Scaling Up Development Interventions: A Review of UNDP's Country Program in Tajikistan

A key objective of the United Nations Development Programme (UNDP) is to assist its member countries in meeting the Millennium Development Goals (MDGs). UNDP pursues this objective in various ways, including through analysis and advice to governments on the progress towards the MDGs (such as support for the preparation and monitoring Poverty Reduction Strategies, or PRSs, in poor countries), assistance for capacity building, and financial and technical support for the preparation and implementation of development programs.

The challenge of achieving the MDGs remains daunting in many countries, including Tajikistan. To do so will require that all development partners, i.e., the government, civil society, private business and donors, make every effort to scale up successful development interventions. Scaling up refers to “expanding, adapting and sustaining successful policies, programs and projects on different places and over time to reach a greater number of people.” Interventions that are successful as pilots but are not scaled up will create localized benefits for a small number of beneficiaries, but they will fail to contribute significantly to close the MDG gap.

This paper aims to assess whether and how well UNDP is supporting scaling up in its development programs in Tajikistan. While the principal purpose of this assessment was to assist the UNDP country program director and his team in Tajikistan in their scaling up efforts, it also contributes to the overall growing body of evidence on the scaling up of development interventions worldwide.

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Scaling Up Programs for the Rural Poor: IFAD's Experience, Lessons and Prospects (Phase 2)


The challenge of rural poverty and food insecurity in the developing world remains daunting. Recent estimates show that “there are still about 1.2 billion extremely poor people in the world. In addition, about 870 million people are undernourished, and about 2 billion people suffer from micronutrient deficiency. About 70 percent of the world’s poor live in rural areas, and many have some dependency on agriculture,” (Cleaver 2012). Addressing this challenge by assisting rural small-holder farmers in developing countries is the mandate of the International Fund for Agricultural Development (IFAD), an international financial institution based in Rome.

The International Fund for Agricultural Development is a relatively small donor in the global aid architecture, accounting for approximately one-half of 1 percent of all aid paid directly to developing countries in 2010. Although more significant in its core area of agricultural and rural development, IFAD still accounts for less than 5 percent of total official development assistance in that sector.1 Confronted with the gap between its small size and the large scale of the problem it has been mandated to address, IFAD seeks ways to increase its impact for every dollar it invests in agriculture and rural development on behalf of its member states. One indicator of this intention to scale up is that it has set a goal to reach 90 million rural poor between 2012 and 2015 and lift 80 million out of poverty during that time. These numbers are roughly three times the number of poor IFAD has reached previously during a similar time span. More generally, IFAD has declared that scaling up is “mission critical,” and this scaling-up objective is now firmly embedded in its corporate strategy and planning statements. Also, increasingly, IFAD’s operational practices are geared towards helping its clients achieve scaling up on the ground with the support of its loans and grants.

This was not always the case. For many years, IFAD stressed innovation as the key to success, giving little attention to systematically replicating and building on successful innovations. In this regard, IFAD was not alone. In fact, few aid agencies have systematically pursued the scaling up of successful projects. However, in 2009, IFAD management decided to explore how it could increase its focus on scaling up. It gave a grant to the Brookings Institution to review IFAD’s experience with scaling up and to assess its operational strategies, policies and processes with a view to strengthening its approach to scaling up. Based on an extensive review of IFAD documentation, two country case studies and intensive interactions with IFAD staff and managers, the Brookings team prepared a report that it submitted to IFAD management in June 2010 and published as a Brookings Global Working Paper in early 2011 (Linn et al. 2011).

Download the paper (PDF) »

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Image Source: © Andrew Biraj / Reuters
     
 
 




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How to meet SDG and climate goals: Eight lessons for scaling up development programs


To achieve the desired outcomes of the Sustainable Development Goals as well as the global targets from the Paris COP21 Climate Summit by 2030, governments will have to find ways to meet the top-down objectives with bottom-up approaches. A systematic focus on scaling up successful development interventions could serve to bridge this gap, or what’s been called the “missing middle.” However, the question remains how to actually address the challenge of scaling up.

When Arna Hartmann, adjunct professor of international development, and I first looked at the scaling up agenda in development work in the mid-2000s, we concluded that development agencies were insufficiently focused on supporting the scaling up of successful development interventions. The pervasive focus on one-off projects all too often resulted in what I’ve come to refer to as “pilots to nowhere.” As a first step to fix this, we recommended that each aid organization carry out a review to be sure to focus effectively on scaling up. 

The institutional dimension is critical, given their role in developing and implementing scaling up pathways. Of course, individuals serve as champions, designers, and implementers, but experience illustrates that if individuals lack a strong link to a supportive institution, scaling up is most likely to be short-lived and unsustainable. “Institutions” include many different types of organizations, such as government ministries and departments, private firms and social enterprises, civil society organizations, and both public and private external donors and financiers.

The Brookings book “Getting to Scale: How to Bring Development Solutions to Millions of Poor People” explores the opportunities and challenges that such organizations face, on their own or, better yet, partnering with each other, in scaling up the development impact of their successful interventions.

Eight lessons in scaling up

Over the past decade I have worked with 10 foreign aid institutions—multilateral and bilateral agencies, as well as big global non-governmental organizations—helping them to focus systematically on scaling up operational work and developing approaches to do so. There are common lessons that apply across the board to these agencies, with one salutary example being the International Fund for Agricultural Development (IFAD) which has tackled the scaling up agenda systematically and persistently.

Following are eight takeaway lessons I gleaned from my work with IFAD:

  1. Look into the “black box” of institutions. It is not enough to decide that an institution should focus on and support scaling up of successful development interventions. You actually need to look at how institutions function in terms of their mission statement and corporate strategy, their policies and processes, their operational instruments, their budgets, management and staff incentives, and their monitoring and evaluation practices. Check out the Brookings working paper that summarizes the results of a scaling up review of the IFAD.
  2. Scaling needs to be pursued institution-wide. Tasking one unit in an organization with innovation and scaling up, or creating special outside entities (like the Global Innovation Fund set up jointly by a number of donor agencies) is a good first step. But ultimately, a comprehensive approach must be mainstreamed so that all operational activities are geared toward scaling up.
  3. Scaling up must be championed from the top. The governing boards and leadership of the institutions need to commit to scaling up and persistently stay on message, since, like any fundamental institutional change, effectively scaling up takes time, perhaps a decade or more as with IFAD.
  4. The scaling up process must be grown within the institution. External analysis and advice from consultants can play an important role in institutional reviews. But for lasting institutional change, the leadership must come from within and involve broad participation from managers and staff in developing operational policies and processes that are tailored to an institution’s specific culture, tasks, and organizational structure.
  5. A well-articulated operational approach for scaling up needs to be put in place. For more on this, take a look at a recent paper by Larry Cooley and I that reviews two helpful operational approaches, which are also covered in Cooley’s blog. For the education sector, the Center for Universal Education at Brookings just published its report “Millions Learning,” which provides a useful scaling up approach specifically tailored to the education sector.
  6. Operational staffs need to receive practical guidance and training. It is not enough to tell staff that they have to focus on scaling up and then give them a general framework. They also need practical guidance and training, ideally tailored to the specific business lines they are engaged in. IFAD, for example, developed overall operational guidelines for scaling up, as well as guidance notes for specific area of engagement, including livestock development, agricultural value chains, land tenure security, etc.  This guidance and training ideally should also be extended to consultants working with the agency on project preparation, implementation, and evaluation, as well as to the agency’s local counterpart organizations.
  7. New approaches to monitoring and evaluation (M&E) have to be crafted. Typically the M&E for development projects is backward looking and focused on accountability, narrow issues of implementation, and short-term results. Scaling up requires continuous learning, structured experimentation, and innovation based on evidence, including whether the enabling conditions for scaling up are being established. And it is important to monitor and evaluate the institutional mainstreaming process of scaling up to ensure that it is effectively pursued. I’d recommend looking at how the German Agency for International Development (GIZ) carried out a corporate-wide evaluation of its scaling up experience.
  8. Scaling up helps aid organizations mobilize financial resources. Scaling up leverages limited institutional resources in two ways: First, an organization can multiply the impact of its own financial capacity by linking up with public and private agencies and building multi-stakeholder coalitions in support of scaling up. Second, when an organization demonstrates that it is pursuing not only one-off results but also scaled up impact, funders or shareholders of the organization tend to be more motivated to support the organization. This certainly was one of the drivers of IFAD’s successful financial replenishment consultation rounds over the last decade.

By adopting these lessons, development organizations can actually begin to scale up to the level necessary to bridge the missing middle. The key will be to assure that a focus on scaling up is not the exception but instead becomes ingrained in the institutional DNA. Simply put, in designing and implementing development programs and projects, the question needs to be answered, “What’s next, if this intervention works?”

      
 
 




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Do social protection programs improve life satisfaction? Lessons from Iraq

There is much debate now—in both developed and developing economies—on the merits or de-merits of universal basic income (UBI), with strong opinions on either side. Advocates clash with those who see targeted transfers to the poor—such as the conditional cash transfers first pioneered in Latin America—as better at providing incentives for long-term investments in health,…

       




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Do social protection programs improve life satisfaction?

An extensive literature examines the link between social protection-related public spending and objective outcomes of well-being such as income, employment, education, and health (see Department for International Development [DFID], 2011; ILO, 2010; World Bank, 2012). Much less attention has been given to how government social protection policies influence individuals’ own sense of well-being, particularly in…

       




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How Promise programs can help former industrial communities

The nation is seeing accelerating gaps in economic opportunity and prosperity between more educated, tech-savvy, knowledge workers congregating in the nation’s “superstar” cities (and a few university-town hothouses) and residents of older industrial cities and the small towns of “flyover country.” These growing divides are shaping public discourse, as policymakers and thought leaders advance recipes…

       




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To fast or not to fast—that is the coronavirus question for Ramadan

       




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Taking the off-ramp: A path to preventing terrorism

      
 
 




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Russia finds few fruits to harvest in the scramble for eastern Syria

With the Turkish incursion into Kurdish fighter-controlled northeastern Syria, the war has taken a new turn. It was long in the making, yet most stakeholders are reevaluating risks and losses rather than counting benefits. The damage to U.S. positions and influence is heavy, as my Brookings colleagues have carefully assessed. The hastily negotiated ceasefire deal…

       




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US Capitol gets duckling ramps, brouhaha ensues

As baby ducks get a boost at the Capitol Reflecting Pool, at least one politician’s Grinchesque response has duckling defenders up in arms.




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United Nations Environment Programme announces the 2014 theme of World Environment Day

Vote today for your favorite slogan!




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Video showdown: Vote for the best in the United Nations Environment Programme’s competition

Send one of these video bloggers to cover World Environment Day.




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World Environment Day highlights Barbados’ sustainability programs

The host country of the United Nations World Environment day is working to protect its natural resources and adapt to climate change.




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Ultramarathoners Running 10,000-Kilometer Silk Road Route to Raise Awareness About Water Shortages

Seventy-two days after setting out from Istanbul, champion distance runner Kevin Lin Yi Jie and a small team of other athletes have covered 4,434 kilometers of their 10,00-kilometer goal: Running the




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Are "Green" energy and water savings programs in hotels really about the environment?

Are they good for everyone or just about making money and getting rid of workers?




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Solar and Wave-Powered Wave Glider Survives Hurricane Sandy, Transmits Dramatic Weather Data

The wave glider created by Iquid Robotics has passed quite a test for robustness. It coasted through the superstorm and provided real time weather data nonstop.




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Instagram leads us to more consumerism, not less

The billion-dollar app specializes in sharing digital photos, but tugging along behind it is a growing pile of material stuff.




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Salted caramel cupcakes [Vegan]

Fluffy little pieces of heaven, these vegan cupcakes boast that winning combination of caramel sweetness cut with just a tiny sprinkle of sea salt.




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This tip can save you from drama

I've seen way too many friendships destroyed over this simple mistake.




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Lexus to go hi-viz, encrusting car with 41,999 programmable LEDs

It makes perfect sense to make cars easier to see, night and day




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Sears & Kmart Join Wal-Mart, Target In PVC Reduction Programs

Short design-life products made of PVC have been a common, inexpensive, and functional choice for almost 50 years. But, vinyl can also be a risky choice of material for objects often handled by consumers, posing a risk of lead exposure, especially if




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New US solar workforce development program will help facilitate the training of more skilled workers

The Solar Training Network will work to build a diverse, qualified solar workforce to meet the needs of the solar revolution.




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Grateful Dog is Sacramento's First Green Dog Day Care

The name may give you visions of dogs mellowed out, but the Grateful Dog wants to make sure your dog is both happy and healthy throughout their entire stay. You can leave your dog for the day or the week, knowing that




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Framework Tall Wood Tower in Portland sprouting soon

"Forest to frame" is the new "farm to table."




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The Boomer is an elegant, steel-framed, open-plan tiny home

Made in New Zealand, this modern little house looks clean and bright inside and out.




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'Nude shopping' boosts vegetable and fruit sales dramatically

When a New Zealand supermarket chain ditched plastic packaging, produce sales skyrocketed.




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No, distracted walking is not causing the dramatic increase in pedestrian deaths

This is an urban design issue, a car design issue, and a demographics issue. Distracted walking is a rounding error.




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Selfie-takers are trampling Dutch tulip fields

After thousands of euros' worth of damage, the tourism board is begging young people to be more respectful.




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Lightweight prefab wood framing system goes together without nails

Forget about 3D printing houses; digital fabrication using sustainable materials is a much bigger deal.




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Ontario government cancels program to plant 50 million trees

Who needs trees when you can have beer in corner stores?




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All Aboard the Helsinki Plant Tram, A Whimsical Urban Garden Made on the Move

Over the past three days, one of Helsinki's tram lines has been carrying some unusual cargo -- living plants donated by passengers for inclusion in a roller-coaster-themed urban garden.




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What is Instagram's role in overtourism?

Can the social media platform be blamed for the surge in camera-happy tourists?




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Did scientists just solve the mystery of the pyramids?

For thousands of years, people have wondered how these monuments in Egypt were made.




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Emma Watson promotes ethical, sustainable fashion in new Instagram account

While advertising her new film "Beauty & the Beast", Watson wants people to think about how and where clothes are made.




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Facebook Paid Instagram $1 Billion for Emotion. What's It Worth to the Environment?

Why did Facebook pay $1 billion for Instagram and what can the environmental movement learn from this? It's all about emotion.




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San Diego Homeowners, Unite for Cheaper Solar Power: One Block Off the Grid Expands Program

If you live in San Diego and find the prospect of banding together with your neighbors to get better rates on installing your own solar panels interesting, then this one is for you: 1BOG (that's One Block Off the Grid ...) has announced that they will




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Do you eat for health or environmental sustainability? The Double Pyramid says you can do both

The Double Pyramid is an innovative way of portraying how the ecological footprints of our food compare to their nutritional value.




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Middlebury College Launches No-Mow Program

As you walk across the stately lawns of many college campuses, you might not put much thought into what it takes to keep those lawns so neatly trimmed and manicured. Well, that is unless you're being woken up after a long night of "studying" to the




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Growing recycling programs help us inch closer to Zero Waste

Looking beyond traditional recyclables and the "blue bin", here are some of the organizations and companies seeking to redefine what we consider trash with alternative recycling initiatives and methods of reuse.




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Montreal's impressive food recovery program will expand throughout Quebec

A partnership between Moisson Montreal and the largest grocery chains in the province will continue to salvage hundreds of tons of food that would otherwise be discarded.




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Michael Pollan, Saul's Deli Secret Pastrami Hawker?

Saul's is part of only a handful of delis refashioning themselves as sustainably sourced eateries. Located in the gourmet ghetto of North Berkeley near Alice




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Baltimore Announces Massive Smart Grid Program - 2 Million Meters to be Installed

Baltimore residents, get ready to get in on the smart grid party. Baltimore Gas & Electric has just announced that it has filed paper with the Maryland Public Service




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An Explanation of the Water Cycle (with Pictures and Diagrams)

Water, water, everywhere, so let's all have a drink (or so we all learned as kids, right?), but it's definitely not as easy as that these days. In honor of World Water Day (which may or may not have been today), let's




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It's time to ignore Instagram's portrayal of zero waste

Too much DIY, not enough realism. Let's just do our best.