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The Middle East is among the least stable and most fragile regions. It is not surprising, therefore, that concerns have been raised regarding the potential implications of climate change. This article critically examines the potential interactions between climate change and conflict in the Israeli-Palestinian case. Based on a review of the possible effects of climate change, water is identified as the main issue which may be affected, and it also has transboundary implications. We illustrate the potential implications of reduced freshwater availability by assessing the ability to supply normative domestic water needs under rapid population growth scenarios, including return of refugees. In addition, the ability to supply environmental needs and the needs of peripheral farmers under extremely reduced availability scenarios is examined. The normative domestic demand in Israel and the West Bank can be supplied on the basis of natural resources, though re-allocation of water from Israel to the Palestinians is necessary. The Gaza Strip cannot supply the normative domestic needs under any scenario and hence requires immediate augmentation, regardless of climate change. Desalination can supply Gaza's needs and augment water resources in Israel and the West Bank, thereby partially decoupling domestic and agricultural use from climate. Thus, it is unlikely that climate change will directly affect the conflict. However, framing water as a security issue, along with the potential for furthering such securitization with reference to climate change, may adversely affect the readiness of the parties to take adaptive measures and lead them to rigidify their negotiating positions. Possible effects of climate change on other regional players, particularly Egypt and Jordan, may have indirect effects on the Israeli-Palestinian scene. But this hypothesis requires further study.

Introduction: Escherichia coli (E. coli) is the major cause of extraintestinal infections in the urinary tracts and bloodstream in humans in the community and health care institutions. Several studies on the genetic characterization of E. coli among clinical and environmental isolates were performed and revealed a wide diversity of sequence types (STs). In Jordan, phenotypic and genetic features of E. coli were extensively studied but there is still a need to identify the STs that inhabit the community. Methodology: In this study, multi-locus sequence typing (MLST) was performed on archived clinical E. coli isolates collected from different hospitals in Jordan and the identified STs were extensively analyzed. Results: Genotyping of 92 E. coli isolates revealed 34 STs and 9 clonal complexes. The frequencies of STs ranged between 1 to 23 observations. The most frequent STs among E. coli isolates were ST131 (n = 23), ST69 (n = 19), ST998 (n = 7), ST2083 (n = 5), and ST540 (n = 4). These five ST accounted for up to 60% of the 92 E. coli isolates. Based on the MLST database, the STs reported in this work were world widely recognized in humans, animals, and in the environment. Conclusions: This study has elaborated more knowledge about the genotypes of E. coli in Jordan, with recommendations for future studies to correlate its genotypes with virulence and resistance genes.

Background: Vitamin D is essential for many functions of the body. In addition to its primary function of regulating the absorption of calcium in the small intestine, its role in the immune system has recently been studied. The current study aimed to test the impact of vitamin D deficiency on the rate of recurrent acute tonsillitis in children. Methods: According to Paradise criteria, two hundred forty-two children with recurrent acute tonsillitis were recruited. A group of healthy children (n = 262) was also recruited as controls. Poisson regression was run to predict the number of tonsillitis episodes per year based on vitamin D levels. The mean vitamin D level in the study group was lower than in the control group (p < 0.0001). Poisson regression of the rate of recurrent tonsillitis and vitamin D level (OR = 0.969 (95% CI, 0.962–0.975)) showed that for every single unit increase in vitamin D level, there was a 3.1% decrease in the number of tonsillitis episodes per year (p < 0.0001). Conclusions: Vitamin D deficiency is associated with higher rates of recurrent acute tonsillitis. Future controlled trials should investigate the role of vitamin D supplementation in reducing the rate of recurrent tonsillitis.