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The document outlines twelve projects (SG-CEH-01 to SG-CEH-12) focused on the climate-environment-health nexus. Key research areas include the expansion of dengue and diarrheal diseases in Peru, Argentina, Colombia, and Cuba; the impact of extreme heat on older adults and urban populations in Mexico City, Buenos Aires, and Chile; and the effects of climate change on nutrition and agroecology in Bolivia and Uruguay. The projects emphasize the need for intersectoral coordination, community participation, and the integration of climate data into public health surveillance and urban planning to build resilience against climate-driven health risks.

The CRN program established multidisciplinary international research networks to study climate variability, ecosystem functioning, and human dimensions of global change in the Americas. Key achievements include the development of high-resolution climate reconstructions using tree rings, the identification of critical soil degradation thresholds in semiarid regions, and the creation of disaster risk databases for ENSO events. The program emphasized capacity building, supporting over 600 students and producing hundreds of peer-reviewed publications, while fostering South-South and North-South scientific collaborations.

The Lake Balaton Adaptation project aims to improve the understanding of the region's vulnerability and resilience to global change, specifically targeting water quality, water quantity, land use, biodiversity, and demographics. The project employs an integrated assessment model to monitor interactions between the ecosystem and human systems across 52 lakeshore communities. Key components include the development of indicators for early warning, capacity building for local stakeholders, the implementation of adaptation pilot projects, and the alignment of national policies with local adaptation needs.

The document defines Ecohealth as the recognition that human well-being depends on healthy ecosystems, specifically emphasizing the role of watersheds. It argues that managing watersheds provides 'double dividends' by improving both social and environmental health determinants. The text highlights the cost-effectiveness of ecosystem restoration over engineered solutions and notes that climate change increases water-related risks in Canada. It calls for breaking down 'silos' between health and environmental practitioners and provides case studies from British Columbia and Manitoba to illustrate the benefits of integrated watershed stewardship.

Floating Treatment Wetlands (FTWs) are artificial platforms that enable aquatic plants to grow in deep water, utilizing a combination of plant uptake and microbial biofilms to remove pollutants. Research by the International Institute for Sustainable Development (IISD) demonstrates that FTWs can significantly reduce phosphorus levels, remove certain pharmaceuticals and herbicides, and potentially mitigate oil spills. The system is applicable to various freshwater environments, including lakes, stormwater ponds, and wastewater lagoons.

The IISD promotes a watershed-based bioeconomy approach that utilizes naturally occurring plant materials and agricultural by-products to create renewable energy and high-value bioproducts. This model aims to bundle tangible products with environmental co-benefits, such as nutrient recovery and carbon sequestration, to create viable business cases. The document highlights specific applications in Canada's Lake Winnipeg region using cattails and in China's Wuliangsuhai Lake using common reeds.

IISD argues that proposed drainage regulations in Manitoba would undermine the goal of no net loss of wetland benefits by enabling the drainage of permanent wetlands (Classes 3, 4, and 5) through payment or purchase options. The organization recommends legislating full protection for Class 4 and 5 wetlands, enhancing protections for Class 3 wetlands, and requiring drainage licenses for all new subsurface tile drainage. Additionally, IISD calls for public online access to drainage permit applications, mandatory downstream landowner approvals for culvert changes that increase flow, and the completion of a provincial wetland inventory to support monitoring and evaluation.

The document assesses five scenarios for the conservation of Lake Dal, ranging from business-as-usual to hybrid infrastructure upgrades. Using the SAVi tool, it finds that a hybrid approach—combining upgraded sewage treatment with a 500 ha artificial wetland—yields the highest net benefits (INR 360 billion) and the best water quality improvements. Conversely, the 'business-as-usual' scenario predicts a continuous decline in water quality and severe revenue losses for tourism and fisheries by 2060. The analysis also indicates that constructing the Western Foreshore Road would reduce tourism and fishery revenues by over INR 72 billion compared to the hybrid scenario due to damage to lake integrity.

The briefing describes the 'water-energy-food (WEF) nexus'—defined by quality, quantity, and sustainable access—and how mining operations can threaten these securities through water pollution, land competition, and energy demands. IISD proposes a framework combining participatory approaches, hydrological modelling, and the Driver-Pressure-State-Impact-Response (DPSIR) framework to identify key indicators for monitoring WEF security. This approach is currently being applied to the Maripaston Gold Mine project in Suriname to safeguard the livelihoods of indigenous and maroon communities.

The document highlights that water retention projects in the Seine Rat Roseau Watershed District provide a 3:1 return in co-benefits to livestock operations and offer various operational advantages, supported by funding that can cover up to 100% of upfront costs.

The report establishes a multi-stakeholder process to identify quality of life indicators for Winnipeg, categorizing them into Urban Environment, Urban Economy, Community Assets, Individual Well-being, and Community Leadership and Pride. It assesses the availability of data from sources like Statistics Canada and city departments, identifying significant gaps in areas such as equity and citizenship. The document concludes with a three-stage implementation plan to institutionalize measurement and reporting every 2-4 years.

The WARICC codebook details the construction of a dataset designed to analyze the frequency and intensity of domestic water-related conflict and cooperation. Using BBC Monitoring as its primary source, the project employs an 11-point Water-Events Scale (WES) to categorize events from substantial national improvements (+5) to overt physical violence or national deterioration (-5). The methodology addresses potential data biases related to urban areas, regime types, and extreme events, while providing a comprehensive system of country and actor codes for standardized reporting.

The Community Action Plan (CAP) for Wetlar Inn and Nar Myittar village focuses on preserving a 6.0 ha permanent swamp wetland in the Upper Chindwin Basin of Myanmar. The plan addresses threats such as deforestation, land use change, and biological resource overexploitation by implementing a community-led governance framework through Village Working Committees (VWC). Key strategies include the creation of conservation zones, the promotion of sustainable livelihoods like pig farming and groundnut cultivation to reduce dependence on wetland resources, and a comprehensive Communication, Education, Participation and Awareness (CEPA) programme. The plan includes a detailed monitoring framework to track water quality, biodiversity, and land use changes to ensure the long-term ecological integrity of the site.

The Community Action Plan (CAP) for Hman Pin village and Hman Pin inn aims to balance biodiversity conservation with local development in the Upper Chindwin Basin of Myanmar. The plan identifies high-priority threats to the 4-acre wetland, including gold mining, logging, and overfishing driven by cultural festivals. To mitigate these pressures, the CAP proposes a three-pronged approach: habitat conservation through the demarcation of zones and local regulations; the promotion of sustainable livelihoods such as groundnut cultivation, pig farming, and fish farming; and a Communication, Education, Participation and Awareness (CEPA) programme. Implementation is led by a Village Working Committee (VWC) with support from the Stockholm Environment Institute and other partners, utilizing a monitoring framework to track water quality, biodiversity, and land-use changes.

The Community Action Plan (CAP) for Maing Naung village focuses on the conservation of the Naung Taw and Naung Loam wetlands in the Upper Chindwin Basin, Myanmar. The plan addresses high-level threats such as mining, illegal fishing (electric shock and poisoning), and deforestation through a three-pronged approach: wetland habitat conservation, the promotion of sustainable livelihoods, and capacity building via Communication, Education, Participation and Public Awareness (CEPA) programs. Implementation is led by a Village Working Committee (VWC) with support from the Stockholm Environment Institute and other partners, utilizing a monitoring framework to track biodiversity, water quality, and socioeconomic impacts.

The Master Plan for the Pampa Huari River Basin (PDC-PH) provides a comprehensive strategy to address water scarcity, pollution from mining and urban waste, and land degradation in a semi-arid region of Potosí, Bolivia. Developed under the Bolivia WATCH program using a Robust Decision Making (RDM) framework, the plan integrates water supply (WASH) with basin-wide hydrology. Key findings highlight critical water quality issues, with several rivers classified as 'Class E' (unsuitable for human consumption) due to mining and urban sewage. The plan prioritizes three micro-basins—Kari Kari, Santa Lucia, and Villacollo—for environmental restoration and proposes five strategic lines focusing on ecosystem protection, sustainable water and sanitation, efficient agricultural irrigation, mining impact mitigation, and inter-institutional governance.

The document examines Estonia's agro-environmental targets set within the Rural Development Plan 2007-2013, the Water Act, and the Nitrate Vulnerable Area programme. While chemical loads have decreased since 1990, challenges remain regarding fertiliser efficiency, manure management, and institutional coordination. The brief recommends integrating policies on the marine environment and water courses, establishing a permanent commission for water policy between the Ministry of Agriculture and the Ministry of Environment, and improving advisory services for small and medium producers.

The document examines Sweden's approach to agri-environmental goals, highlighting a preference for voluntary measures and a robust governance structure involving public, private, and civil society actors. It identifies key challenges, including contradictory policy decisions—such as the removal of the nitrate tax despite endorsing Baltic Sea Action Plan targets—and a monitoring system that prioritizes quantitative measures of implementation over qualitative environmental outcomes.

The document assesses the Chindwin River Basin in Myanmar, highlighting the impacts of climate change, deforestation, and mining on water quality, biodiversity, and livelihoods. It details the transition of local communities from river-based to groundwater-based water use and argues for an integrated, bottom-up approach to water governance through the Chindwin River Basin Organization (RBO).

The document reports on a survey of farmers in the Baltic Sea region, finding that while most are aware of water quality issues and accept responsibility for pollution, their priorities differ by country. Farmers in Estonia and Poland identify manure storage as a primary pollution source and request more support for modernization, whereas Swedish farmers do not view it as a priority. The brief highlights a divide between farmers who see themselves as 'land managers' providing public goods and those focused primarily on production. It recommends shifting toward outcome-based approaches, positive communication, and adaptive bureaucracy to improve the effectiveness of water protection management.