Description: 〈jats:p〉Abstract. As the climate warms, the grounded ice sheet and floating ice shelves surrounding Antarctica are melting and releasing additional freshwater into the Southern Ocean. Nonetheless, almost all existing coupled climate models have fixed ice sheets and lack the physics required to represent the dominant sources of Antarctic melt. These missing ice dynamics represent a key uncertainty that is typically unaccounted for in current global climate change projections. Previous modelling studies that have imposed additional Antarctic meltwater have demonstrated regional impacts on Southern Ocean stratification, circulation, and sea ice, as well as remote changes in atmospheric circulation, tropical precipitation, and global temperature. However, these previous studies have used widely varying rates of freshwater forcing, have been conducted using different climate models and configurations, and have reached differing conclusions on the magnitude of meltwater–climate feedbacks. The Southern Ocean Freshwater Input from Antarctica (SOFIA) initiative brings together a team of scientists to quantify the climate system response to Antarctic meltwater input along with key aspects of the uncertainty. In this paper, we summarize the state of knowledge on meltwater discharge from the Antarctic ice sheet and ice shelves to the Southern Ocean and explain the scientific objectives of our initiative. We propose a series of coupled and ocean–sea ice model experiments, including idealized meltwater experiments, historical experiments with observationally consistent meltwater input, and future scenarios driven by meltwater inputs derived from stand-alone ice sheet models. Through coordinating a multi-model ensemble of simulations using a common experimental design, open data archiving, and facilitating scientific collaboration, SOFIA aims to move the community toward better constraining our understanding of the climate system response to Antarctic melt. 〈/jats:p〉

Description: The additional water from the Antarctic ice sheet and ice shelves due to climate‐induced melt can impact ocean circulation and global climate. However, the major processes driving melt are not adequately represented in Coupled Model Intercomparison Project phase 6 (CMIP6) models. Here, we analyze a novel multi‐model ensemble of CMIP6 models with consistent meltwater addition to examine the robustness of the modeled response to meltwater, which has not been possible in previous single‐model studies. Antarctic meltwater addition induces a substantial weakening of open‐ocean deep convection. Additionally, Antarctic Bottom Water warms, its volume contracts, and the sea surface cools. However, the magnitude of the reduction varies greatly across models, with differing anomalies correlated with their respective mean‐state climatology, indicating the state‐dependency of the climate response to meltwater. A better representation of the Southern Ocean mean state is necessary for narrowing the inter‐model spread of response to Antarctic meltwater. Plain Language Summary The melting of the Antarctic ice sheet and ice shelves can have significant impacts on ocean circulation and thermal structure, but current climate models do not fully capture these effects. In this study, we analyze seven climate models to understand how they respond to the addition of meltwater from Antarctica. We find that the presence of Antarctic meltwater leads to a significant weakening of deep convection in the open ocean. The meltwater also causes Antarctic Bottom Water to warm and its volume to decrease, while the sea surface cools and sea ice expands. However, the magnitude of the response to meltwater varies across models, suggesting that the mean‐state conditions of the Southern Ocean play a role. A better representation of the mean state and the inclusion of Antarctic meltwater in climate models will help reduce uncertainties and improve our understanding of the impact of Antarctic meltwater on climate. Key Points Antarctic meltwater substantially reduces the strength of simulated Southern Ocean deep convection in climate models The additional meltwater induces Antarctic Bottom Water warming and contraction, with dense water classes converting to lighter ones Differences in the magnitude of these responses between models can be partly attributed to their different base states

Description: Ischemic heart disease (IHD) is a leading cause of death worldwide. Urban public health and medical management in Shenzhen, an international city in the developing country of China, is challenged by an increasing burden of IHD. This study analyzed the spatio-temporal variation of IHD hospital admissions from 2003 to 2012 utilizing spatial statistics, spatial analysis, and space-time scan statistics. The spatial statistics and spatial analysis measured the incidence rate (hospital admissions per 1,000 residents) and the standardized rate (the observed cases standardized by the expected cases) of IHD at the district level to determine the spatio-temporal distribution and identify patterns of change. The space-time scan statistics was used to identify spatio-temporal clusters of IHD hospital admissions at the district level. The other objective of this study was to forecast the IHD hospital admissions over the next three years (2013–2015) to predict the IHD incidence rates and the varying burdens of IHD-related medical services among the districts in Shenzhen. The results show that the highest hospital admissions, incidence rates, and standardized rates of IHD are in Futian. From 2003 to 2012, the IHD hospital admissions exhibited similar mean centers and directional distributions, with a slight increase in admissions toward the north in accordance with the movement of the total population. The incidence rates of IHD exhibited a gradual increase from 2003 to 2012 for all districts in Shenzhen, which may be the result of the rapid development of the economy and the increasing traffic pollution. In addition, some neighboring areas exhibited similar temporal change patterns, which were also detected by the spatio-temporal cluster analysis. Futian and Dapeng would have the highest and the lowest hospital admissions, respectively, although these districts have the highest incidence rates among all of the districts from 2013 to 2015 based on the prediction using the GM (1,1). In addition, the combined analysis of the prediction of IHD hospital admissions and the general hospital distributions shows that Pingshan and Longgang might experience the most serious burden of IHD hospital services in the near future, although Futian would still have the greatest number and the highest incidence rate of hospital admissions for IHD.

Description: In China, awareness about hypertension, the treatment rate and the control rate are low compared to developed countries, even though China’s aging population has grown, especially in those areas with a high degree of urbanization. However, limited epidemiological studies have attempted to describe the spatial variation of the geo-referenced data on hypertension disease over an urban area of China. In this study, we applied hierarchical Bayesian models to explore the spatial heterogeneity of the relative risk for hypertension admissions throughout Shenzhen in 2011. The final model specification includes an intercept and spatial components (structured and unstructured). Although the road density could be used as a covariate in modeling, it is an indirect factor on the relative risk. In addition, spatial scan statistics and spatial analysis were utilized to identify the spatial pattern and to map the clusters. The results showed that the relative risk for hospital admission for hypertension has high-value clusters in the south and southeastern Shenzhen. This study aimed to identify some specific regions with high relative risk, and this information is useful for the health administrators. Further research should address more-detailed data collection and an explanation of the spatial patterns.