Putting a Price Tag on Quality of Life

Alternative measures for a country’s success beyond measuring Gross Domestic Product (GDP) are needed. Wellbeing and quality of life do not always follow from economic growth. This realisation goes as far back as the 19th century. Air pollution triggered one of the first societal shifts to improve the environment. The factories of the Industrial Revolution blanketed cities like London in smog, which as early as 1891 led to urgent and severe government action in the form of the Public Health Act. Polluting businesses faced financial penalties unless they cleaned up their act. Air pollution in London has decreased ever since. 

The factories of the Industrial Revolution blanketed cities like London in smog, which as early as 1891 led to urgent and severe government action in the form of the Public Health Act. Polluting businesses faced financial penalties unless they cleaned up their act. Air pollution in London has decreased ever since. 

This brings us back to how GDP can be replaced as a measure of a country’s success. Quality of life and wellbeing are hard to measure; however, they are important to measure since they also have a tangible impact on the economy. Unhappy and unhealthy people inflate a country’s healthcare costs, and stressed workers produce poorer quality work. A community rendered unrecognisable due to rampant overdevelopment has consequences on people’s sense of place, purpose, and identity.

One of the world’s leading reinsurers, Swiss Re Institute, recently released its Biodiversity and Ecosystem Services Index, explaining that 55% of global GDP is dependent on ecosystem and biodiversity services. Malta is listed in the top five countries at risk of ecosystem collapse as a result of a decline in biodiversity services — worrying news for Malta. This index demonstrates that progress is being made to understand the relationship between our environment, our financial success, and our wellbeing in ways which many would not have imagined a few decades ago.

Our economies have been built on the assumption of eternal abundance. As we push up against our natural limits, we are no longer plucking wild fruit, but we are robbing and harming our neighbours, even when this is not immediately obvious. Take deforestation of the Amazon, which directly impacts every person on Earth. Such consequences mean that we must redefine where we consider our rights to begin and end. Short-sightedness and short-term gains lead to the Tragedy of the Commons, where everyone ends up losing when instead everyone could have gained.

The European Union is trying to rebalance things internationally. Its Carbon Border Adjustment tool will penalise unsustainable products entering the EU’s single market from third countries. Such policy instruments are being increasingly refined and adopted, but not quickly enough. To prevent ecosystem collapse and reduce climate change, we must start recognising the true value of our natural resources today, not tomorrow. Malta certainly has the potential, as a small country, to be a leader and set an example for others to follow.

Redesigned hip joints need a simulator

People are living longer than ever. But a long life has its price. With age come more diseases and health issues, such as hip problems that can limit a person’s mobility. 

Hip replacement procedures have become common, although implants have a lifespan too. It might happen that a hip replacement you get at 60 needs to be replaced at 75. This is not the ideal scenario.

To minimise these cases, researchers are testing new materials and designs to prolong prostheses’ lifespans. These potential solutions need to be tested, but each test costs tens of thousands of euro. Enter, the University of Malta’s hip joint simulator.

Hip joint simulator in all its glory.

The hip joint simulator is a machine that replicates the joint movements and loads imposed on the human hip. To do so, the simulator uses three stainless steel frames, each of which can be controlled independently using motors. These motors act as the ‘muscles’ of the hip, programmed to replicate the walking cycle during testing.

When it comes to simulating load and forces, a mechanism can load the implants with weights of up to 300kg in a fraction of a second. This emulates what happens while walking, when the weight of the body rests on one leg due to the body’s shift in the centre of gravity. While running, inertial forces can cause the hip to sometimes take five times a person’s body weight.

Finally, to simulate the environment inside the human body, researchers use a specialised solution that mimics the bodily fluids surrounding the hip joint. They even warm the fluid to imitate body temperature. 

The hip joint simulator forms part of the MaltaHip project that intends to radically redesign hip implants to give them the longer lifespan patients want and need. Watch this space for more.  

The MALTAHIP project is funded by the Malta Council for Science and Technology through FUSION: The R&I Technology Development Programme 2016 (R&I-2015-023T).

Analysing the building blocks

Gene sequencing for disease treatment

A staggering amount of diseases can be traced back to a genetic cause. Dr Rosienne Farrugia talks to  THINK about her team’s efforts to use genome sequencing to eventually secure timely treatment for some very serious conditions.
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