Monday, July 22, 2024

 

Capitalism And Its Narcissist Culture Of Entitlement – OpEd

Anti-capitalism and anti-globalization banners. Photo by Guillaume Paumier, Wikimedia Commons.


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Capitalism, with its inherent culture of psychopathic narcissism, nurtures a pervasive consumerist mindset of entitlement. This parasitic mentality enables capitalist entities to thrive off the value generated by the labour of working individuals. These chronic attitudes, processes, and structural norms are ingrained within society to perpetuate a culture of entitlement unique to capitalist systems based on unearned incomes and profits. Today, this epidemic of entitlement manifests broadly across various societies, shaping the economic, political, cultural and social landscapes.


In capitalist societies, the notion of entitlement extends beyond mere economic gain. It permeates social interactions, influencing how individuals perceive their rights and privileges. The normalisation of this entitlement is evident in the way wealth and resources are disproportionately allocated, consumed and controlled often justifying the exploitation of labour for personal or corporate gain. The entitlement epidemic is not limited to the upper echelons of society. It trickles down, affecting interpersonal relationships, family and community dynamics. The constant pursuit of self-interest, driven by the culture of narcissism, undermines collective well-being and encourages social fragmentation.

The personality traits of narcissism and entitlement are not organically innate; they are products of capitalist socialisation, which instils and perpetuates such values and practices. In a capitalist society, individuals are often encouraged to prioritise self-interest, competition, and material success over communal well-being and cooperation. This environment fosters a sense of entitlement and narcissism, as people are conditioned to view themselves as superior and deserving of special treatment. The focus on personal gain and achievement at the expense of others erodes collective values and promotes a culture where these traits are normalised and even rewarded. The understanding of social roots of narcissism and entitlement is essential for addressing their pervasive influence.

The narcissist culture of entitlement cultivates chronic laziness, selfishness, extreme individualism and various forms of exploitative culture in everyday lives. In this environment, individuals believe they are entitled to reap the benefits of others’ labour without contributing anything themselves. They operate under the assumption that everyone owes them everything, yet they owe nothing to anyone. Limitless self-indulgence continues to be the lifeblood of narcissism and entitlement.

This unchecked pursuit of personal gratification fuels these traits, reinforcing a cycle of selfishness and disregard for others. Narcissistic individuals prioritise their own desires and needs above all else, often at the expense of those around them. Their sense of entitlement drives them to seek constant validation and special treatment, perpetuating a mindset that justifies their actions and attitudes. This relentless focus on self-indulgence not only harms relationships and community dynamics but also undermines the potential for genuine personal growth and fulfilment.

These narcissistic and entitled individuals, groups, and cultures manifest in various forms of delusional self-confidence, often devoid of any real substance in their personal or professional lives. Despite their lack of genuine achievement or merit, they maintain an inflated sense of self-worth, ethics and entitlement. A common thread among all entitled and narcissistic individuals is their parasitic nature. They consistently seek to exploit the efforts and resources of others, displaying a profound lack of empathy and communal responsibility. This parasitism undermines the very fabric of social cohesion, creating an environment where mutual respect and cooperation are eroded.


From grandiose narcissism to vulnerable narcissism and all other forms, these traits persist by projecting either superiority or inferiority. Grandiose narcissists assert their dominance and self-importance, often exhibiting arrogance and an inflated sense of self-worth. In contrast, vulnerable narcissists mask their insecurities and fragility by seeking excessive validation and attention. Both types, along with other variations of narcissism, rely on externalising their self-perception to manipulate how others view them. This projection not only reinforces their self-image but also serves as a defence mechanism against self-reflection and personal growth. 

Narcissists and entitled individuals consistently project their ignorance, incompetence, vulnerabilities and failures onto others, avoiding any form of self-reflection. They engage in relentless blaming, defaming, gaslighting, and manipulation, constantly redirecting every situation back to themselves. Their lack of accountability is coupled with a deep-seated need to control the narrative through falsehoods, making it difficult for others to realise the realities. Such behaviours not only erode trust but also undermines the potential for genuine relationships. It is important to understand these patterns of behaviour for recognising and protecting oneself from such toxic dynamics of capitalist culture. 

Narcissists and their culture of entitlement erode the collective foundations of society, promoting individualism in a way that enables capitalism to thrive without resistance. This shift undermines communal bonds and fosters an environment where personal gain is prioritised over the common good. The resulting fragmentation weakens societal cohesion, making it easier for exploitative systems to perpetuate themselves. 

Moreover, this culture of narcissistic entitlement has broader implications for society. It promotes a mentality where success is measured not by one’s contributions or achievements, but by one’s ability to manipulate and exploit. This distorts social values, prioritising self-interest over collective well-being and eroding trust within communities.

It is crucial to foster a culture that values genuine contributions and reciprocal relationships based on truth. The growth of accountability, empathy, and community engagement can help mitigate the negative impacts of narcissistic entitlement, promoting a more equitable and cohesive society. It is possible to cultivate a culture of resilience that values collective prosperity over individual gain by challenging the capitalist norms of narcissistic entitlement.


Bhabani Shankar Nayak works as Professor of Business Management, Guildhall School of Business and Law, London Metropolitan University, UK.

 

Advanced HIV Disease Threatens To Wither Away The Gains Made In Fight Against AIDS – OpEd

Photo Credit: Citizen News Service

  

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No one needs to die of AIDS because, thanks to science, lifesaving antiretroviral therapy and viral suppression can gift all people living with HIV a healthy and fulfilling life. But, unfortunately, many a slip between the cup and the lip. “Even one AIDS death is a death too many. Despite having the tools and scientific know-how to avert AIDS deaths, 630,000 people died of AIDS in 2022. Governments, donors, pharmaceutical and medical device manufacturing companies, HIV and health advocates and activists, and all other stakeholders could have done better if we were to avert AIDS-related deaths,” said firebrand health and human rights activist Loon Gangte who leads Delhi Network of People living with HIV (DNP Plus) and International Treatment Preparedness Coalition (ITPC) in South Asian region.


Looming threat of advanced HIV disease

According to the World Health Organization (WHO), people with advanced HIV disease are at a very high risk of opportunistic infections and deaths. About one fifth of people living with HIV admitted to hospital do not survive their hospital admission, and of those who survive, nearly a third die or are readmitted to hospital within a year.

People with advanced HIV disease are dying. It is time to hold governments to account, said Loon. He was speaking at a pre-conference of 25th International AIDS Conference (AIDS 2024) in Munich, Germany.

WHO defines advanced HIV disease as CD4 cell count less than 200cells/mm3 (or WHO stage 3 or 4 in adults and adolescents). All children younger than five years of age are considered to have advanced HIV disease, given their heightened risk of disease progression and mortality.

People with advanced HIV disease are at high risk of death, even after starting antiretroviral therapy; this risk increases with decreasing CD4 cell count. The most common causes of severe illness and death are TB, severe bacterial infections and cryptococcal meningitis.

“20 years ago, we all had advanced HIV disease. My CD4 cell count was 98 before I started taking antiretroviral therapy,” said Loon Gangte. His words are also a reminder that India began the free rollout of antiretroviral therapy as part of government-run programme on 7th April 2004.


“There is some good news as a lot of people have been put on lifesaving antiretroviral therapy and are virally suppressed – and live healthy normal lives,” said Loon. According to Indian government’s Sankalak report 2023, 1.68 million people are on antiretroviral therapy (out of an estimated 2.46 million people living with HIV in India). However, out of every 1000 people who were put on the therapy in India, 107 were reported as lost to follow up in 2022.

“A year ago, the organisation I am a part of (DNP Plus) began an advanced HIV disease outreach project because as an HIV advocacy network, we felt we had been neglecting this population with or at risk of advanced HIV disease. We reached out to more than 1100 people and more than 400 of them had advanced HIV disease. This is why it is so important to focus on advanced HIV disease,” said Loon.

He added: “About 30% of people living with HIV have CD4 counts below 200 (in a project of DNP Plus). These are the people who may develop advanced HIV disease. Why is this still happening? Governments, funders and even networks of people living with HIV have forgotten that advanced HIV disease is still killing people.”

To reduce morbidity and mortality in people with advanced HIV disease, WHO recommends offering a package of interventions including screening, treatment and preventive treatment (prophylaxis) for major opportunistic infections, initiating antiretroviral therapy as soon as possible, and a much robust set of adherence support interventions.

Inaccessible diagnostics is the leading cause of death for people with HIV

WHO’s package for advanced HIV disease intends to widen access to key medicines and diagnostics to manage the most common causes of illness and death. But both, medicines and diagnostics – remain inaccessible for so many in need.

If we do not have the diagnostic tools accessible to people living with HIV in a rights-based, people-centred and gender transformative manner then how will we monitor their viral suppression, or manage life-threatening diseases like TB or cryptococcal meningitis?

“The leading cause of death for people living with HIV is inaccessible diagnostics” rightly said Loon.

“Most of us have forgotten what AIDS looks like (as people with HIV who are receiving treatment and are virally suppressed remain healthy fulfilling lives. No one should develop AIDS or die of AIDS). Many countries hardly do CD4 tests anymore and manufacturers have stopped making the tests because they say they are not profitable enough. Without CD4 tests how will we manage advanced HIV disease?” asks Loon.

“The people who are developing advanced HIV disease (or AHD), have not been able to access treatment and do not have the opportunity to achieve undetectable equals untransmittable (or #UequalsU). Some of them have TB, or drug-resistant forms of TB and some develop cryptococcal meningitis,” he added. U equals U refers to the WHO backed evidence that there is zero risk of HIV transmission from people with HIV whose viral load remains undetectable. So, undetectable equals untransmittable and HIV treatment is prevention.

“Most experts will tell you the leading cause of death for people with advanced HIV disease is TB. They are wrong – the leading cause of death for people living with HIV is inaccessible diagnostics. We have developed very cheap, effective TB diagnostics, such as TB LAM that only cost about US$ 3, but in many countries including my own, we cannot access it,” questions Loon.

Loon is right: it is 9 years now since WHO guidelines recommended TB LAM test as it has better sensitivity for diagnosing TB among people with HIV. Its sensitivity is even greater for those with lower CD4 counts. There should be no delay between the time when scientific breakthroughs happen (like TB LAM test) and by the time they reach the people and are deployed equitably to fully yield the public health gains. TB LAM point-of-care test is based on the detection of mycobacterial lipo-arabino-mannan (LAM) antigen in urine.

We have progressed but major gaps remain

In India, as per government’s Sankalak report, in 2022, a little over 1.2 million viral load tests and 930,000 CD4 tests were done (when number of people on antiretroviral therapy was 1.68 million in 2022).

In India, TB screening for people living with HIV is done verbally for 4 classic symptoms of TB of the lungs. Even in general population, government’s TB prevalence survey shows that over half of people with active TB disease were asymptomatic (and found only when x-ray screening was done and all those found with presumptive TB were offered a confirmatory TB test). So, why are we not finding TB with best of science and technology (such as artificial intelligence-backed ultraportable handheld x-rays that can be used by community health workers to screen people for TB) among those who are a heightened risk of TB (such as people with HIV)? Risk of extrapulmonary TB is also higher which will warrant stronger action to find all TB, treat all TB and prevent all TB among people with HIV.

Cryptococcal meningitis: one of the most horrific ways to die

“As mortal human beings (with or without HIV), we all have to confront the reality that we are going to die eventually, but people with advanced HIV disease often develop cryptococcal meningitis. It is the most horrific ways to die. You cannot see, you cannot hear… It is a very painful disease,” shared Loon.

“We must ask ourselves who we are advocating for. Do our organisations only represent healthy people living with HIV or are we working where we are needed most, for people with advanced HIV disease? We must ensure that everyone benefits from the scientific advances we have access to, but the reality is that we seem to have forgotten these people,” said Loon.

“We will talk about advanced HIV disease at this conference (#AIDS2024) but when we go home, we need to remember that advanced HIV disease is real, and it is killing our friends. We need to advocate for the diagnostics required for advanced HIV disease, cryptococcal meningitis and drug-resistant forms of TB – along with equitable access to latest treatment regimens – and full cascade of care,” summed up Loon.



Shobha Shukla  co-leads the editorial content of CNS (Citizen News Service) and is on the governing board of Global Antimicrobial Resistance Media Alliance (GAMA) and Asia Pacific Media Alliance for Health and Development (APCAT Media).

 

Russia-Africa Cooperation: Current Outlook And Future Perspectives – OpEd

Dar es Salaam, Tanzania. Photo Credit: Peter Mitchell/Unsplash


With a wide scope of its academic and research operations, encompassing the United States through Europe down to entire Asian-Pacific region, the reputable and world-known Russia’s Valdai Club has moved down to Africa, which currently becomes the battle field for key global players and constitutes a significant part of the Global South. Worth to note that Valdai Club has previously wrapped up several aspects of policy reports on Africa and its future position in the global system.


The Valdai Club has intensified and broadened, over the past decade, its analytical studies through meetings, seminars and conferences on the geopolitical changes and, at periodic times, issued policy reports predicting the future. The Valdai Club does these within the context of emerging evolutionary processes of what is often referred to the ‘end of unipolarity’ and the ‘new multipolarity’ of this 21st century.

According to authentic reports, the Valdai Club, with a glimmer of stainless hope, plans to engage well-experienced experts, academic researchers, diplomats, entrepreneurs and regional stakeholders in Dar es Salaam, capital of Tanzania in East Africa. As expected, participants will converge on 24th July 2024 to thoroughly review, at this critical moment for the continent, the template of the multifaceted relations between Russia and Africa, particularly significant issues arising from the late July 2023 summit held in St. Petersburg and also consider some aspect of outstanding joint agreements reached at the first Russia-Africa summit in October 2019.  

Undoubtedly these enthusiastic participants would step forward to take a critical look at how Russia has to leverage with its technology and innovation unto African landscape while focusing on areas such as energy, agriculture, industrialization and infrastructure development. Already African leaders appreciate the fact, as it was during the Soviet times, that Russia is currently training specialists for Africa.

During the discussions, participants would definitely bring fresh perspectives and innovative ideas essential for tackling long-standing issues relating the challenges of economic development across Africa. Notwithstanding, one thing for sure, experts have suggested a number of strategic ways, including a more inclusive approach towards realizing policy issues that could become visible and symbolic achievements in the continent.

With current geopolitical trends at the background, Valdai Club titled its discussion theme: Russia – Africa: Strategy for Cooperation in a Multipolar World. According to confirmed sources, its partners in organizing the conference are the Embassy of the Russian Federation in Tanzania and the Russian House in Dar es Salaam. It is Valdai’s second conference, and would probably take more than 40 experts from Russia and East African countries. The conference will compare positions on the entire cycle of roadblocks and challenges, and bring them to where Russia and African countries can apply well-refined approaches and implement the paths of development in practical politics. 


As the organizers told this article author, this conference would allow experts to prepare preliminary notes and begin planning for the third Russia-Africa summit – 2026, which would be held in Africa. Andrey Bystritskiy, Chairman of the Board of the Foundation for Development and Support of the Valdai Discussion Club, Andrei Avetisyan, Ambassador Extraordinary and Plenipotentiary of the Russian Federation to the United Republic of Tanzania, both will moderate the conference along the following themes: (i) A year after the Russia-Africa summit: political dialogue between Russia and African countries at the present stage; (ii) Cooperation for development: economics and technology; (iii) Russian and African approaches to climate change; and (v) Shared values ​​and cultural cooperation.

An international team of authors has prepared a new Valdai Club report especially for the conference, titled “Prospects and tasks of Russian-African cooperation”, which summarizes the first results of decisions made and agreements signed a year after the Russia-Africa summit in St. Petersburg, as well as a Valdai Paper: “Tanzanian virgin soil for Russian business. Prospects for cooperation in the agricultural sector.” 

Among the foreign guests who will take part in the conference are: Nourhan ElSheikh, Professor of Political Science at Cairo University (Egypt); Dareskedar Taye, leading researcher at the Institute of International Relations of the Ministry of Foreign Affairs of Ethiopia (Ethiopia); Mikatekiso Kubayi, Institute for Pan African Thought and Conversation, Doctoral Candidate, Political Studies, University of Johannesburg (South Africa); Binilit Mahenge, Chairman of the Tanzania Investment Centre  (Tanzania); Yvonne Msemembo, international news editor for ITV/Capital TV at IPP media company  (Tanzania);  Aldin Kai Mutembei, Professor of the University of Dar Es Salaam (Tanzania);  Petro Pesha, Professor of the Dar es Salaam Institute of Technology (Tanzania) and many others.

Participating on the Russian side are: Andrey Avetisyan,  Ambassador Extraordinary and Plenipotentiary of Russia to Tanzania; Irina Abramova, Director of the Institute of African Studies of the Russian Academy of Sciences; Viktoria Panova, Vice-Rector of the National Research University Higher School of Economics, Sherpa of the Russian Federation in the Women’s Twenty (W20); Anastasia Likhacheva, Dean of the Faculty of World Economy and International Politics at the National Research University Higher School of Economics; Yuri Korobov, member of the General Council of the all-Russian public organisation “Business Russia”, president, chairman of the board of directors of JSC “Berega”; Andrey Maslov, Director of the Centre for African Studies at the National Research University Higher School of Economics; Maya Nikolskaya, researcher at the Centre for Middle Eastern and African Studies at MGIMO; Andrey Bystritskiy, Chairman of the Board of the Foundation for Development and Support of the Valdai Discussion Club; Fyodor Lukyanov, research director of the Valdai Discussion Club; Oleg Barabanov,  programme director of the Valdai Discussion Club and others.

In this author’s pragmatic assessment, the Russia-Africa relations have become more substantive, and it is steadfastly strengthening over the past few years. Russia’s efforts to reinforce its positions in Africa creates new opportunities for the continent. The same holds the other way around. In dealing with future perspectives there is the necessity to underscore one strong point here that the multipolar is fast opening new opportunities, and we have to show much enthusiasm and passion to celebrate the death of ‘authoritarianism and exceptionalism’ of the collective west and the United States.

The Valdai Club has also echoed this trend based on on the results of the conference events, with participation of both Russian and foreign experts, since the first Russia-Africa Summit. In a wrap up to this discussion, Russia and Africa are balancing their relationships in the geopolitical power theatre and Valdai Club, among others, has made tremendous impact by shaping aspects of the bilateral relations and the foreign policy. The Valdai Discussion Club, a Russian think tank, was established in 2004. 




Kester Kenn Klomegah is an independent researcher and a policy consultant on African affairs in the Russian Federation and Eurasian Union. He has won media awards for highlighting economic diplomacy in the region with Africa. Currently, Klomegah is a Special Representative for Africa on the Board of the Russian Trade and Economic Development Council. He enjoys travelling and visiting historical places in Eastern and Central Europe. Klomegah is a frequent and passionate contributor to Eurasia Review.

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The COVID-19 pandemic motivated several countries to establish wastewater surveillance systems for infectious diseases, but many countries, including Japan, are reluctant to adopt such a system. To provide the much-needed economic information to support this system, researchers conducted a survey-based contingent valuation study to estimate people’s willingness to pay (WTP) for such a system. WTP was found to be around $8.83/year per household, which aggregates to $497 million nationally, enough to easily fund the system.


Globally, the COVID-19 pandemic and the increased likelihood of other such outbreaks in the future warrant the strengthening of epidemic surveillance systems. Among these, continuous wastewater surveillance at wastewater treatment plants is considered more advantageous for understanding the community-level disease dynamics, as compared to clinical surveillance. This is because such a continuous system captures the epidemic status of a larger population without any selection bias and provides higher testing capacity even during an outbreak. Moreover, such a system is relatively inexpensive. Consequently, the USA and most countries in the European Union have established regular wastewater surveillance in their cities after the beginning of COVID-19 pandemic. However, many other countries, including Japan—where less than 20 cities implement wastewater monitoring for epidemic data—are still reluctant to adopt this system nationally.

This raises the question of whether a nationwide wastewater surveillance system for infectious diseases would be economically worthwhile in Japan. While cost-benefit analysis or return over investment (ROI) can help evaluate the system’s economic efficiency, it is also important to understand the population’s willingness to pay (WTP) for such a system in order to determine the budget allocations. Understanding the public’s WTP can also provide much-needed economic information for spearheading future discussions from a policy perspective. Consequently, a survey-based study led by Professor Byung-Kwang Yoo, from the Faculty of Human Sciences at Waseda University and the Graduate School of Health Innovation at Kanagawa University of Human Services, estimated Japan resident’s WTP for a hypothetical nationwide wastewater surveillance system for infectious diseases.

Explaining the rationale further, Prof. Yoo says, “Providing economic information to stakeholders can support the rationale behind implementing or continuing large-scale pathogen surveillance at wastewater treatment plants. For a potential future epidemic with uncertain risks, accurately simulating or predicting the wastewater surveillance system’s ROI tends to be challenging. However, estimating the WTP elicited from taxpayers can overcome this challenge.” The findings of this study were published in Environmental Science: Water Research & Technology. The article was co-authored by Professor Rei Goto from Keio University, Professor Masaaki Kitajima from the University of Tokyo, Dr. Tomoko Sasaki, an independent consultant, and Dr. Sebastian Himmler from the Technical University of Munich.

For their study, the researchers conducted a large-scale online survey with a nationally representative sample of 2,457 people in Japan and gauged their WTP using the contingent valuation method.

The results of the survey suggested that around 97% of the respondents replied with a non-zero WTP. While the mean WTP was estimated to be USD ($) 23.47, the median was $8.83 per household per year for establishing and maintaining a regularized nationwide wastewater surveillance system. Using the median value, the national monetary valuation aggregate was $497 million, which was more than the estimated potential costs for system maintenance ($33 million). In fact, the aggregated WTP would also be able to support broader applications of wastewater surveillance at major international airports in Japan.


Moreover, the survey revealed that the major predictors for WTP were income, education, age, and higher levels of awareness of disease outbreaks. Specifically, lower-income individuals/households were more likely to report a WTP of zero, and people over the age of 47 were more likely to report a higher WTP.

All in all, these results imply that most residents in Japan value a nationwide wastewater surveillance system and are willing to pay an additional annual tax of $8.83 for it, making the system economically justified for the country. To fund such a system and ease the burden off lower-income individuals/households, the researchers recommend a progressive income tax that exempts them from payments.

Concluding with the potential implications of these findings, Prof. Yoo says, “Our findings can inform and encourage Japan and other countries to launch or expand wastewater surveillance systems for infectious diseases. Governments can use our study as a guidance for policy decision and budget allocations for such a system. Moreover, even the USA and the EU can leverage our WTP study to justify the operations of their wastewater surveillance systems to their citizens.”

 

Wetland Wonders Unfold: Aerial Systems Shed Light On Ecosystem Services

wetland swamp marsh


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Coastal wetlands, situated at the junction of land and water, are vital ecosystems known for their high productivity. They play a key role in carbon sequestration, storm buffering, and providing habitats for diverse species. However, these critical areas are increasingly threatened by human activities and climate change. The dynamic nature and periodic flooding of wetlands pose significant challenges for traditional monitoring methods. Based on these issues, there is a pressing need for advanced remote sensing techniques to ensure effective conservation and management of these valuable ecosystems.


A team of researchers from Mississippi State University and the University of North Carolina Wilmington conducted a study published in the Journal of Remote Sensing. The study focuses on the precision mapping of coastal wetlands using UASs equipped with light detection and ranging (LiDAR) and multispectral sensors. By surveying eight diverse wetland sites in North Carolina, the research aimed to enhance the accuracy and efficiency of wetland classification and mapping.

Using UASs equipped with LiDAR and multispectral sensors, the researchers collected high-resolution elevation data and detailed vegetation imagery across eight diverse wetland sites in North Carolina. Sophisticated machine learning algorithms enabled highly precise classifications of wetland types. Estuarine intertidal emergent wetlands exhibited the highest classification accuracy due to distinct vegetation structures and spectral signatures. Palustrine forested and scrub-shrub wetlands, with their dense and complex vegetation, presented more challenges. The integration of LiDAR and multispectral data proved scalable, efficient, and cost-effective for wetland mapping. This approach significantly advances conservation efforts and informs policy-making for coastal resilience, highlighting the transformative potential of combining advanced remote sensing technologies in environmental monitoring.

Dr. Narcisa Gabriela Pricope, the lead researcher, stated, “Our integrated approach using UAS-derived LiDAR and multispectral data significantly improves the accuracy of wetland mapping. This method not only enhances our understanding of these critical ecosystems but also supports the development of effective conservation strategies.”

The innovative use of UASs for wetland mapping has far-reaching implications for conservation and policy-making. The precise data collected can inform strategies to protect coastal wetlands, mitigate climate change impacts, and enhance biodiversity. This research highlights the transformative potential of merging advanced remote sensing technologies in environmental monitoring, paving the way for sustainable management of natural habitats.