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There is increasing global interest in employing nature-based solutions, such as reforestation and wetland restoration, to help reduce water risks to economies and society, including water pollution, floods, droughts and water scarcity, that are likely to become worse under future climates. Africa is exposed to many such water risks. Nature-based solutions for adaptation should be designed to benefit biodiversity and can also provide multiple co-benefits, such as carbon sequestration. A systematic review of over 10 000 publications revealed 150 containing 492 quantitative case studies related to the effectiveness of nature-based solutions for downstream water quantity and water quality (including sediment load) in Africa. The solutions assessed included landscape-scale interventions and patterns (forests and natural wetlands) and site-specific interventions (constructed wetlands and urban interventions e.g. soakaways). Consistent evidence was found that nature-based solutions can improve water quality. In contrast, evidence of their effectiveness for improving downstream water resource quantity was inconsistent, with most case studies showing a decline in water yield where forests (particularly plantations of non-native species) and wetlands are present. The evidence further suggests that restoration of forests and floodplain wetlands can reduce flood risk, and their conservation can prevent future increases in risk; in contrast, this is not the case for headwater wetlands. Potential trade-offs identified include nature-based solutions reducing flood risk and pollution, whilst decreasing downstream water resource quantity. The evidence provides a scientific underpinning for policy and planning for nature-based solutions to water-related risks in Africa, though implementation will require local knowledge.

Free-flowing rivers (FFRs) support diverse, complex and dynamic ecosystems globally, providing important societal and economic services. Infrastructure development threatens the ecosystem processes, biodiversity and services that these rivers support. Here we assess the connectivity status of 12 million kilometres of rivers globally and identify those that remain free-flowing in their entire length. Only 37 per cent of rivers longer than 1,000 kilometres remain free-flowing over their entire length and 23 per cent flow uninterrupted to the ocean. Very long FFRs are largely restricted to remote regions of the Arctic and of the Amazon and Congo basins. In densely populated areas only few very long rivers remain free-flowing, such as the Irrawaddy and Salween. Dams and reservoirs and their up- and downstream propagation of fragmentation and flow regulation are the leading contributors to the loss of river connectivity. By applying a new method to quantify riverine connectivity and map FFRs, we provide a foundation for concerted global and national strategies to maintain or restore them. A comprehensive assessment of the world’s rivers and their connectivity shows that only 37 per cent of rivers longer than 1,000 kilometres remain free-flowing over their entire length.

Non-technical summaryThere has been a long history of conflicts, studies, and debate over how to both protect rivers and develop them sustainably. With a pause in new developments caused by the global pandemic, anticipated further implementation of the Paris Agreement and high-level global climate and biodiversity meetings in 2021, now is an opportune moment to consider the current trajectory of development and policy options for reconciling dams with freshwater system health.Technical summaryWe calculate potential loss of free-flowing rivers (FFRs) if proposed hydropower projects are built globally. Over 260,000 km of rivers, including Amazon, Congo, Irrawaddy, and Salween mainstem rivers, would lose free-flowing status if all dams were built. We propose a set of tested and proven solutions to navigate trade-offs associated with river conservation and dam development. These solution pathways are framed within the mitigation hierarchy and include (1) avoidance through either formal river protection or through exploration of alternative development options; (2) minimization of impacts through strategic or system-scale planning or re-regulation of downstream flows; (3) restoration of rivers through dam removal; and (4) mitigation of dam impacts through biodiversity offsets that include restoration and protection of FFRs. A series of examples illustrate how avoiding or reducing impacts on rivers is possible – particularly when implemented at a system scale – and can be achieved while maintaining or expanding benefits for climate resilience, water, food, and energy security.Social media summaryPolicy solutions and development pathways exist to navigate trade-offs to meet climate resilience, water, food, and energy security goals while safeguarding FFRs.

An Amendment to this paper has been published and can be accessed via a link at the top of the paper.An Amendment to this paper has been published and can be accessed via a link at the top of the paper.

With ∼78 million cases yearly, the sexually transmitted bacterium Neisseria gonorrhoeae is an urgent threat to global public health due to continued emergence of antimicrobial resistance. In the male reproductive tract, untreated infections may cause permanent damage, poor sperm quality, and subsequently subfertility. Currently, few animal models exist for N. gonorrhoeae infection, which has strict human tropism, and available models have limited translatability to human disease. The absence of appropriate models inhibits the development of vital new diagnostics and treatments. However, the discovery of Neisseria musculi, a mouse oral cavity bacterium, offers much promise. This bacterium has already been used to develop an oral Neisseria infection model, but the feasibility of establishing urogenital gonococcal models is unexplored. We inoculated mice via the intrapenile route with N. musculi. We assessed bacterial burden throughout the male reproductive tract, the systemic and tissue-specific immune response 2-weeks postinfection, and the effect of infection on sperm health. Neisseria musculi was found in penis (2/5) and vas deferens (3/5) tissues. Infection altered immune cell counts: CD19+ (spleen, lymph node, penis), F4/80+ (spleen, lymph node, epididymus), and Gr1+ (penis) compared with noninfected mice. This culminated in sperm from infected mice having poor viability, motility, and morphology. We hypothesize that in the absence of testis infection, infection and inflammation in other reproductive is sufficient to damage sperm quality. Many results herein are consistent with outcomes of gonorrhoea infection, indicating the potential of this model as a tool for enhancing the understanding of Neisseria infections of the human male reproductive tract. Summary Sentence Neisseria musculi can infect mice via the intrapenile route, causing testicular and sperm abnormalities and systemic immune responses, similar to those observed during human Neisseria gonorrhoeae (gonorrhoea) infections. Graphical Abstract

Biological invasions are a threat to ecosystems across all biogeographical realms. Riparian habitats are considered to be particularly prone to invasion by alien plant species and, because riparian vegetation plays a key role in both aquatic and terrestrial ecosystems, research in this field has increased. Most studies have focused on the biology and autecology of invasive species and biogeographical aspects of their spread. However, given that hydrogeomorphological processes greatly influence the structure of riparian plant communities, and that these communities in turn affect hydrology and fluvial geomorphology, scant attention has been paid to the interactions between invasions and these physical processes. Similarly, relatively little research has been undertaken on competitive interactions between alien and native riparian plant species. Further research in these fields is necessary at a variety of spatial and temporal scales before the dynamics of riparian invasions, and their impacts, can be properly understood.

Despite their limited spatial extent, freshwater ecosystems host remarkable biodiversity, including one-third of all vertebrate species. This biodiversity is declining dramatically: Globally, wetlands are vanishing three times faster than forests, and freshwater vertebrate populations have fallen more than twice as steeply as terrestrial or marine populations. Threats to freshwater biodiversity are well documented but coordinated action to reverse the decline is lacking. We present an Emergency Recovery Plan to bend the curve of freshwater biodiversity loss. Priority actions include accelerating implementation of environmental flows; improving water quality; protecting and restoring critical habitats; managing the exploitation of freshwater ecosystem resources, especially species and riverine aggregates; preventing and controlling nonnative species invasions; and safeguarding and restoring river connectivity. We recommend adjustments to targets and indicators for the Convention on Biological Diversity and the Sustainable Development Goals and roles for national and international state and nonstate actors.