Public Health in Megacities and Urban Areas: A Conceptual Framework

Author(s):  
Alexander Krämer ◽  
Md. Mobarak Hossain Khan ◽  
Heiko J Jahn
2011 ◽  
Author(s):  
Ruta Valaitis ◽  
Marjorie MacDonald ◽  
Sabrina Wong ◽  
Linda O'Mara ◽  
Donna Meagher-Stewart ◽  
...  

2020 ◽  
Vol 29 (1) ◽  
pp. 67-87 ◽  
Author(s):  
Christian Hunold

City-scale urban greening is expanding wildlife habitat in previously less hospitable urban areas. Does this transformation also prompt a reckoning with the longstanding idea that cities are places intended to satisfy primarily human needs? I pose this question in the context of one of North America's most ambitious green infrastructure programmes to manage urban runoff: Philadelphia's Green City, Clean Waters. Given that the city's green infrastructure plans have little to say about wildlife, I investigate how wild animals fit into urban greening professionals' conceptions of the urban. I argue that practitioners relate to urban wildlife via three distinctive frames: 1) animal control, 2) public health and 3) biodiversity, and explore the implications of each for peaceful human-wildlife coexistence in 'greened' cities.


2021 ◽  
Vol 166 (3-4) ◽  
Author(s):  
Ann Y. Liu ◽  
Juli M. Trtanj ◽  
Erin K. Lipp ◽  
John M. Balbus

AbstractEnvironmental health indicators are helpful for tracking and communicating complex health trends, informing science and policy decisions, and evaluating public health actions. When provided on a national scale, they can help inform the general public, policymakers, and public health professionals about important trends in exposures and how well public health systems are preventing those exposures from causing adverse health outcomes. There is a growing need to understand national trends in exposures and health outcomes associated with climate change and the effectiveness of climate adaptation strategies for health. To date, most indicators for health implications of climate change have been designed as independent, individual metrics. This approach fails to take into account how exposure-outcome pathways for climate-attributable health outcomes involve multiple, interconnected components. We propose reframing climate change and health indicators as a linked system of indicators, which can be described as follows: upstream climate drivers affect environmental states, which then determine human exposures, which ultimately lead to health outcomes; these climate-related risks are modified by population vulnerabilities and adaptation strategies. We apply this new conceptual framework to three illustrative climate-sensitive health outcomes and associated exposure-outcome pathways: pollen allergies and asthma, West Nile virus infection, and vibriosis.


2014 ◽  
Vol 47 (5) ◽  
pp. 659-662 ◽  
Author(s):  
Rodrigo Zaluski ◽  
Samir Moura Kadri ◽  
Edison Antonio de Souza ◽  
Valdinei Moraes Campanucci da Silva ◽  
Juliane Reis Campanucci da Silva ◽  
...  

2019 ◽  
Vol 63 (2) ◽  
pp. 79-85
Author(s):  
Raisa Ya. Khamitova ◽  
D. V. Loskutov

Introduction. There are variable patterns of alcohol consumption in Russia that differ significantly between the regions. Awareness and knowledge of those regional differences are key to the effectiveness of measures to prevent and minimise possible damage to public health caused by alcohol consumption. The purpose. To identify regional characteristics of the dynamics of alcoholism and alcoholic psychosis and dependencies with indicators of the implementation and consumption of alcohol in Mari El in 2006-2017. Material and methods. In a retrospective analysis, they included state statistics and bulletins of the Office of Rospotrebnadzor on RME on the primary incidence and prevalence of alcohol dependence syndrome, chronic alcoholism, AP, acute alcohol poisoning, sales of alcohol through a distribution network in 2006-2017. Results. In the reported period of 2006-2017 there was a decline in determination coefficient (R2) from 0.76 to 0.96 for newly diagnosed cases of alcohol dependence in general, alcoholic psychosis and alcoholism in Mari El. There was a significant decline from 221.6 to 47.5 per 100 thousand in the range of values between regions, but higher rates remained among the rural and urban areas (p = 0.0002). The dynamics of the prevalence of alcoholic psychotic disorders and alcoholism were also on decline. Conclusion. The direction and extent of changes in the medical consequences of alcohol consumption (such as primary morbidity and prevalence of alcohol dependence syndrome, alcoholic psychosis and alcoholism, average duration of the course, number of alcoholic psychosis) in the region and indicators of the implementation and consumption of alcoholic beverages in the reported period can be evaluated as positive. It is crucial to ensure the positive trend in the alcohol consumption pattern and impact on public health in the region becomes a long-lasting one. At the same time, it is necessary to increase attention to the assistance and treatment provided to drug users patient.


2021 ◽  
Vol 3 (2) ◽  
pp. 87-92
Author(s):  
Switbert R. Kamazima ◽  
Happiness P. Saronga ◽  
Jackline V. Mbishi ◽  
Saidah M. Bakar ◽  
Saumu K. Shabani ◽  
...  

Women who engage in sexual activities with other women are known existing in all societies around the globe. However, the understanding of the size, trends and implications of female same sex behaviors and practices is generally lacking and vary within and among many countries including Tanzania. As a result, there is limited understanding of the public health importance of this group, which is often cited as the reason for not investing in work targeted at women who have sex with women and other minority groups in the country. It is from this perspective, that we conducted a formative qualitative study that aimed at, among other objectives, to establish the existence of women who have sex with women and the magnitude of female same sex behaviors and practices in Tanzania using a case study of the Dar-es-Salaam administrative region. Our findings prove that women who have sex with women exist mainly in urban areas in the country and for several reasons, their number is perceived rapidly increasing. We recommend further multidisciplinary (public health) research among women who have sex with women in the country to facilitate the availability of comprehensive and informative data on this population group.


PLoS ONE ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. e0246085
Author(s):  
Muhammad Riaz ◽  
Ghazala Shah ◽  
Muhammad Asif ◽  
Asma Shah ◽  
Kaustubh Adhikari ◽  
...  

Background High blood pressure is an important public health concern and the leading risk factor for global mortality and morbidity. To assess the implications of this condition, we aimed to review the existing literature and study the factors that are significantly associated with hypertension in the Pakistani population. Methods We conducted several electronic searches in PubMed, ISI Web of Science, PsycINFO, EMBASE, Scopus, Elsevier, and manually searched the citations of published articles on hypertension from May 2019 to August 2019. We included all studies that examined factors associated with hypertension regardless of the study design. To assess the quality of the research, we used the Newcastle-Ottawa Quality Assessment Scale. We also conducted meta-analyses using the DerSimonian & Laird random-effects model to collate results from at least three studies. Results We included 30 cross-sectional and 7 case-control studies (99,391 participants country-wide) in this review and found 13 (35.1%) to be high-quality studies. We identified 5 socio-demographic, 3 lifestyle, 3 health-related, and 4 psychological variables that were significantly associated with hypertension. Adults aged between 30–60 years who were married, living in urban areas with high incomes, used tobacco, had a family history of hypertension, and had comorbidities (overweight, obesity, diabetes, anxiety, stress, and anger management issues) were positively associated with hypertension. On the other hand, individuals having high education levels, normal physical activity, and unrestricted salt in their diet were negatively associated with hypertension. Conclusion We found several socio-demographic, lifestyle, health-related, and psychological factors that were significantly (positively and negatively) associated with hypertension. Our findings may help physicians and public health workers to identify high-risk groups and recommend appropriate prevention strategies. Further research is warranted to investigate these factors rigorously and collate global evidence on the same.


Author(s):  
Ginette Wessel

Beginning in 2008, city policymakers across the nation became increasingly involved in regulatory debates and policy revisions surrounding mobile food vending. Despite vendors’ abilities to reactivate neglected urban areas and increase food access for underserved neighborhoods, many issues related to unfair competition, public health and safety, and prejudices continue to dominate regulatory frameworks that limit vendors’ entrepreneurial freedoms and spatial opportunities. Using three regulatory conflicts between food vendors and policymakers, this chapter highlights the motivating factors that can guide regulatory decision-making and the ways vendors destabilize and shape formal mechanisms of regulatory control. Topics include public health, restaurant protectionism, and cultural injustice at both state and city levels. This research suggests that despite rigid regulatory policies and the variety of economic, social, and political factors that influence governments’ responses to mobile food vending, active municipal investment in the public realm combined with vendors’ grassroots efforts can generate just policies. The chapter concludes with a discussion on the significance of vendor advocacy and the supportive roles of food vending organizations across the United States to illustrate the ways vendors increase social justice in cities.


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