The Interrelation of Urban Health Indicators and COVID-19:A Study of Passo Fundo/RS

The COVID-19(Coronavirus Disease 19)pandemic has demonstrated that cities are at the center of major contemporary events.The epidemiological crisis has highlighted the importance of the urban environment,challenging public managers on managing cities.An initiative that aims to assist in this management process is the concept of Smart Cities,which uses ICT(Information and Communication Technology)as tools for transforming urban dynamics,and through urban indicators,measures information about cities.Thus,the research aimed to analyze the health indicators of Passo Fundo/RS,seeking to analyze the interrelationship of these indicators with the epidemiological data from COVID-19.In the methodology,multi-method procedures were applied,using the indicators of the Connected Smart Cities Ranking as reference,as well as a regional selection of medium-sized cities in the southern region of Brazil.The results show that the health indices of Passo Fundo are,for the most part,lower than those of the analyzed cities,with the indicator related to Population Coverage of the Family Health team as the main weakness.However,it also presents satisfactory indices as is the case of the indicator of Beds/1,000 inhabitants.Regarding the epidemiological picture of COVID-19,Passo Fundo had a high lethality rate when compared to the other analyzed cities.

Climate Change, Air Quality and Urban Health: Evidence from Urban Air Quality Surveillance System in 161 Cities of China 2014

Air pollution has posed a serious public health issue in China. In the study, we aimed to examine the burden of air pollution and its association with climate factors and total mortality. City-level daily air quality index (AQI) data in 161 cities of China in 2014, and meteorological factors, socioeconomic status and total morality were obtained from China environmental, meteor-ology and healthcare agencies. Linear regression, spatial autocorrelation analysis and panel fixed models were applied in data analysis. Among 161 cities, monthly average AQI was significantly different by seasons and regions. The highest average AQI was in winter, and the lowest in summer. A significant clustering distribution of AQI by cities was observed, with the highest AQI in north China (22 cities, mean = 117.36). Among the 161 cities, 5 cities (3%) had AQI > 150 (e.g., moderate polluted reference value), and 50 cities (31.1%) had AQI between 100 and 150 (slightly polluted value). Daily heat index, precipitation and sunshine hours were negatively and significantly, but air pressure was positively correlated with AQI. Cities with higher AQI concentrations had higher total mortality than those with lower AQI. This AQI-mortality association remained significant after adjustment for socioeconomic status. In conclusion, the study highlights the burden and seasonal, regional and areas variations in air pollution across the nation. Air pollution is estimated to account for more than 4% of the urban health inequality in total mortality in China.

Factors That Influence Anti-Retroviral Therapy Adherence among Women in Lilongwe Urban Health Centres, Malawi

Introduction: Sub-SaharanAfricaremains most severely affected, with nearly1 inevery 20 adults (4.9%) living with HIV and this is accounting for 69% of the people worldwide. Although the regional prevalence of HIV infection is nearly 25 times higher in sub-Saharan Africa than in Asia, almost 5 million people are living with HIV in South, South-East and East Asia combined. Purpose: The purpose of this study was to find out the factors that influence anti-retroviral therapy adherence among women in Lilongwe Urban,Malawi. Methods: a descriptive cross-sectional design was used to study multi sites using quantitative methods. The sites were ART clinics at Area 18 health centre, and Area 25 health centre. A questionnaire was used to a convenient sample of 118 HIV positive women. Quantitative data from close-ended questions were coded and analyzed using the Statistical Package for Social Science (SPSS), version 16. Logistic regression model was used to execute the potential covariates. Findings: ART adherence among women is influenced by knowledge levels on: perceived importance and consequences for not adhering to ART;Short waiting time;good relationships with the next of kin and service providers;trust and effective coping mechanisms to stressful events. Source of information was highly associated with adherence in the logistic regression OR ≤ 2.89;CI (1.66 ± 5.38);p (0.039). Moreover, Short waiting time of the women at the hospital during the ARV refill period is highly associated with ART adherence level OR ≤ 4.11;CI (2.05 ± 6.12);p (0.021). On the other hand, factors that contribute to non-adherence are reduced knowledge level p0.002;Side effects of ART;bad relationships with service providers and relationship with the next of kin as well as occupation of the clients (women). Conclusion: Despite stressful events to HIV positive living women, this study revealed that the majority of these participants would continue taking ART if the factors are very minimal. Encouraging the women who stop taking ART particularly in urban health centres due to such factors like religious beliefs that God is superior and will heal them would influence the ART survival rate in Malawi.

Clinical Profile and Outcome of Pediatric Acute Kidney Injury in Cameroon: Comparison between an Urban and a Semi-Urban Health Facility

Introduction: Pediatric Acute Kidney Injury (AKI) seems to be a major cause of morbidity and mortality in Subsahara Africa. However, data on its epidemiology are scare and mainly originate from tertiary and urban health facilities such as large university Teaching hospitals with a nephrology service. Objective: The aim of this study was to compare the epidemiology of pediatric AKI in urban and semi-urban health facility. Patients and method: We conducted a retrospective study of 16 months in a tertiary urban hospital (General Hospital of Douala) and a secondary semi-urban health facility (Region hospital of Buea). Diagnostic of AKI was done using usual criteria. Age, sex distribution, etiologies of AKI, access to dialysis, renal recovery at hospital discharge, at 1 and 3 months and patient survival at hospital discharge was compared. Results: A total of 31 patients were included (GD 17 and RHB 14). Boys were more prevalent in the semi-urban setting (86% Vs 47% p = 0.029). Median age was comparable in the both group although most semi-rural patient were older (6.5 Vs 10 years p = 0.093). Hospital acquired AKI was only found in urban setting and account for 40% of pediatric urban AKI. Malaria related AKI (mainly black water fever) and sepsis were the main etiologies of AKI in urban and semi-urban milieu. Dialysis access was the same but 30% of children could not access to it in urban setting compare to none in semi-urban area. Reasons of non-access to dialysis were lack of pediatric material and financial constraints. In Hospital mortality was the same but was more severe amount patient who could not receive dialysis. Among the survivor, CKD was only found in urban setting. Conclusion: Although mainly due to malaria, pediatric AKI differs from urban tertiary and semi-urban secondary health facility in Cameroon. Hospital acquired AKI is only found in urban setting where children are younger and less boys. AKI in urban setting seems to be more severe with less access to dialysis and more risks of CKD.

Planetary health risks in urban agriculture

Urban agriculture is gaining recognition for its potential contributions to environmental resilience and climate change adaptation,providing advantages such as urban greening,reduced heat island effects,and decreased air pollution.Moreover,it indirectly supports communities during weather events and natural disasters,ensuring food security and fostering community cohesion.However,concerns about planetary health risks persist in highly urbanized and climate-affected areas.Employing electronic databases such as Web of Science and PubMed and adhering to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines,we identified 55 relevant papers to comprehend the planetary health risks associated with urban agriculture,The literature review identified five distinct health risks related to urban agriculture:(1)trace metal risks in urban farms;(2)health risks associated with wastewater irrigation;(3)zoonotic risks;(4)other health risks;and(5)social and economic risks.The study highlights that urban agriculture,while emphasizing environmental benefits,particularly raises concerns about trace metal bioaccumulation in soil and vegetables,posing health risks for populations.Other well studied risks included wastewater irrigation and backyard livestock farming.The main limitations in the available literature were in studying infectious diseases and antibiotic resistance associated with urban agriculture.

Atmospheric Pollutants in a Commercial Region of Fortaleza, Ceará, Brazil: Integration of Health, Environment and Economy in Urban Planning to Improve Air Quality

The accelerated growth of the vehicular fleet, the modernization of large urban centers, and the few adjustments to the road network in Fortaleza have intensified the problems of traffic and emissions of atmospheric pollutants, highlighting the necessity for strategic urban planning initiatives to address the escalating issues of traffic and pollution. With the objective of analyzing the indices of concentrations of atmospheric pollutants and estimating how these levels can affect human health, this work consists of a study of the analysis of air quality in the intense trade region of Fortaleza. For this, the analysis zone was divided into three perimeters (Major - Medium - Minor), where each perimeter was analyzed at 7 am, 12 noon and 5 pm. Concentrations of the type of O3, particulate matter (PM2.5 and PM10), CO2 and HCHO were collected. Our results demonstrate that most of the analyses are within the limits of current legislation;however, at certain times and perimeters, the analyses of CO2 and HCHO exceeded the established limits. In view of the above, we conclude that public policies to control air quality are necessary to reduce the damage to human health and the environment caused by pollutants.

Implications of Dynamic Interactions between Meteorological Patterns and Surface Water Quality on Environmental Health—A Case Study of the Nairobi River

Urban areas face significant challenges in maintaining water quality amidst increasing urbanization and changing climatic patterns. This study investigates the complex interplay between meteorological variables and water quality parameters in Nairobi City, focusing on the impacts of rainfall and temperature on surface water quality. Data from multiple sources, including the Water Resources Authority, Nairobi Water and Sewerage Company, and the World Bank’s Climate Change Knowledge Portal, were analyzed to assess the relationships between meteorological variables (rainfall and temperature) and water quality parameters (such as electroconductivity, biochemical oxygen demand, chloride, and pH). The analysis reveals varying impacts of rainfall and temperature on different water quality parameters. While parameters like iron and pH show strong relationships with both rainfall and temperature, others such as ammonia and nitrate exhibit moderate relationships. Additionally, the study highlights the influence of runoff, urbanization, and industrial activities on water quality, emphasizing the need for holistic management approaches. Recommendations encompass the establishment of annual publications on Nairobi River water quality, online accessibility of water quality data, development of hydrological models, spatial analysis, and fostering cross-disciplinary research collaborations. Implementing these recommendations can enhance water quality management practices, mitigate risks, and safeguard environmental integrity in Nairobi City.

Supporting and strengthening research on urban health interventions for the prevention and control of vector-borne and other infectious diseases of poverty:scoping reviews and research gap analysis

Background:More than half of the world’s population currently lives in urban settlements that grow both in size and number.By 2050,approximately 70%of the global population will be living in urban conglomerations,mainly in low-and middle-income countries.Mobility,poverty,different layers of inequalities as well as climate variability and change are some of the social and environmental factors that influence the exposure of human populations in urban settings to vector-borne diseases,which pose eminent public health threats.Accurate,consistent,and evidencebased interventions for prevention and control of vector-borne and other infectious diseases of poverty in urban settings are needed to implement innovative and cost-effective public policy and to promote inclusive and equitable urban health services.Main body:While there is growing awareness of vector-borne diseases epidemiology at the urban level,there is still a paucity of research and action being undertaken in this area,hindering evidence-based public health policy decisions and practice and strategies for active community engagement.This paper describes the collaboration and partnership of the Special Programme for Research and Training in Tropical Diseases(TDR)hosted by the World Health Organization(WHO)and the“VEctor boRne DiseAses Scoping reviews”(VERDAS)Research Consortium as they joined efforts in response to filling this gap in knowledge and evidence by supporting the development of a series of scoping reviews that highlight priority research gaps and policy implications to address vector-borne and other infectious diseases at the urban level.Conclusions:The set of scoping reviews proposed in this special issue presents a critical analysis of the state-of-the-art of research on urban health interventions for the prevention and control of vector-borne and other infectious diseases of poverty.The authors of the 6 reviews highlighted severe gaps in knowledge and identified organizational and theoretical limitations that need to be urgently tackled to improve cities preparedness and vector control response.The more pressing need at present is to ensure that more implementation research on vector-borne diseases in urban settings is conducted,addressing policy and practice implications and calling for more political commitment and social mobilization through adequate citizen engagement strategies.

Development of an urban health and wellbeing index for work precincts:A comparative study in Sydney,Australia

Work precincts are recognized for their significant role as generators of employment and associated commerce within urban areas.This study describes a method for analyzing the physical characteristics of urban work precincts in promoting the health and wellbeing of their occupants.The following physical parameters are analyzed:public transport accessibility,green and blue spaces,food environments,fitness facilities,supermarkets,and grocery stores.The parameters are assessed using quantitative spatial analysis based on street network data,as well as point of interest data acquired from OpenStreetMap(OSM).The streets and their intersections are stored in the OSM database as links and nodes,respectively.The evaluation of the performance metrics involves measuring the street network distance from each node to the closest node of interest for each parameter.The metrics are then combined,forming an urban health and wellbeing index(UHWI),which can be used to compare the performance of different precincts.The method was tested by investigating four work precincts in Sydney,Australia,all hosting a large office building belonging to the same business institution.Our results identified two of the four precincts with a high UHWI and resulted in the Identification of one underperforming precinct.

Integration of Location-Allocation and Accessibility Models in GIS to Improve Urban Planning for Health Services in Al-Madinah Al-Munawwarah, Saudi Arabia

In this study, accessibility and location-allocation models have been integrated into GIS to improve spatial planning and environmental sustainability of health services in Al-Madinah Al-Munawwarah. This integration provides a planning framework in order to check the efficiency of the spatial allocation of health services and to generate alternatives either by proposing an active service or to improve an existing one. To achieve these objectives, the accessibility to the service area was analyzed within the analysis of health services networks, which are divided into eight types: public hospitals, specialized hospitals, health units, healthcare centers, infirmaries, clinic complexes, the Red Crescent Center, and ambulance facilities, with time intervals of (5 minutes - 10 minutes - 15 minutes) to access coverage ranges, and the location-allocation model was used based on the maximum coverage model within a response time not exceeding 15 minutes, The results of the study revealed the poor distribution of health services Al-Madinah Al-Munawwarah suffers from weak accessibility to health services coverage areas and is unable to meet the needs of its population at present. The current need for health services reached twenty-four locations, including two public hospitals, three specialized hospitals, two health centers, three ambulance facilities, four infirmaries, three clinic complexes, four health units, and three Red Crescent centers.

Progress and Prospect of Studies on Landscape Health of Urban Wetland Park

Rapid urbanization and increasing attention on the construction of wetland park have contributed to the increasing research fruits of urban wedand park.This paper,on the basis of sorting out literatures on urban wedand park from 2004 to 2015,analyzed the research contents and proposed the prospects.The research contents focused on concept of urban wedand park and landscape health,influence factors,ecological health,landscape health,and evaluation standard.It was found that the research methods vaned,quantitative and qualitative researches were combined;there were rich data sources,dynamic and static researches were integrated;theories lagged behind practices,and the research scale was limited.Therefore,the theoretical system must be improved from the perspective of philosophy and management science;national,regional and other large-scale analysis must be valued to expand the research scale;influence factors were analyzed from multiple perspectives.

Sustainable urban development — the public health dimension

Public health in England developed during the first half of the nineteenth century with concern for sanitation in urban areas. Since that time environment, behaviour, social relationships, health services and genetic constitution are all recognized to contribute to health and disease in populations. Sustainable development is now of global concern, and its foundations—economy, environment and society—are similar to the determinants of health. However, while improved environment will have an important contribution to health, the broader social objectives are also needed to avoid the downward cycle of inequality and cultural deterioration that has occurred in some western cities. Epidemiological studies at University College London are particularly concerned with these social dimensions, and research opportunities exist for collaboration with environmental sciences in a number of areas, including intersectoral work, societies in social transition, collaboration with business, and research within through the European Union.

Physical, Psychological, and Social Health Impact of Temperature Rise Due to Urban Heat Island Phenomenon and Its Associated Factors

The Urban Heat Island Effect（UHI）has now become a commonly observed phenomenon worldwide.Indeed,it has become a significant environmental effect of urbanisation.In Malaysia,research results showed that UHI effects are very evident in several cities such as Kuala Lumpur and Putrajaya.UHI effect has long been observed to cause temperature of cities.

Maintaining eco-health of urban waterscapes with imbedded integrating ecological entity： Experimental approach

An imbedded integrating ecological entity(IIEE) was designed to combine landscaping, replenishing-water purifying and ecosystem maintaining simultaneously. With this IIEE, within 15 d experiment, simulated replenish water(SRW) with high(SRW-Ⅰ) or low(SRW-Ⅱ) nutrients concentration was well purified. Relative removal rates of CODCr, TP, TN, Chl-a and turbidity reached 84.87%, 84.05%, 94.76%, 188.17%, 110.93% when dealing SRW-Ⅰ, and 52.62%, 90.05%, 82.44%, 166.15%, 202.99%, respectively, when dealing SRW-Ⅱ. The well grew flora and fauna of IIEE benefit eco-maintaining and landscaping. Separately, the maximal root and stem length-increments of Cyperus alternifolius Linn. were 26.1 mm and 28.4 mm, while for Potamogeton crispus Linn. 18.3 mm and 25.7 mm. Mortality for both Bellamya aeruginosa and Misgurnus anguillicaudatus was both under 2.96%. The analysis of variance(ANOVA) indicated that most experimental indexes in each group performed more significantly better than those in their control. All results indicated that the IIEE is a promising technology for future urban waterscapes construction.

Reflection on Early Lessons for Urban Resilience and Public Health Enhancement during the COVID-19

With growing impacts on public health systems and economies across the world, as a result of the COVID-19 pandemic outbreak, we need to reflect on some of the early lessons for urban resilience enhancement. In this paper, a brief discussion is made through several recommendations that could make our cities more prepared specially in the probable future waves of this current outbreak or potential spikes in infections or clustered cases. The experiences from global examples highlighted in this study address what has worked in the past few months at the spatial levels of communities and cities. The COVID-19 outbreak highlighted the deficiencies and shortfall across multiple sectors of the urban systems and enabled us to identify risks, challenges, and pathways to better city management. With regard to urban resilience enhancement, the negative impacts of the COVID-19 outbreak are assessed to suggest a checklist of what could be done through early preparedness. The findings are novel in ongoing research related to urban resilience and public health during the COVID-19 pandemic. The early lessons here reflect on the ongoing situation of this pandemic outbreak, but could effectually help to enhance the resilience of our cities and communities, and especially addressing the protection of public health and societal well-being. The findings contribute to major sectors of urban resilience, city management, and public health. The recommendations from this study could be utilised and adapted in any context, allowing for the consideration of all-inclusive decision-making and much-enhanced planning processes.

Reproductive Health Service Utilization and Social Determinants among Married Female Rural-to-urban Migrants in Two Metropolises,China

Reproductive health（RH） education and services of female migrants in China have become an important health issue.This research aimed to investigate the RH knowledge and utilization among married female migrants,and to explore the influencing factors from the perspectives of population and sociology.We conducted a cross-section survey in Shenzhen and Wuhan,China,using the purposive sampling method.A total of 1021 rural-to-urban married migrants were recruited,with 997 valid survey results obtained.A face-to-face structured questionnaire survey was used,with primary focus on knowledge of fertility,contraception,family planning policy and sexual transmitted diseases/acquired immunodeficiency syndrome（STD/AIDs）,and RH service utilization.The results showed that the RH service utilization（38.0%） was at a low level in married migrants and the accessibility of RH service was poor.Females who migrated to（OR=0.32） Wuhan obtained fewer RH consultations than those in Shenzhen.The workers with high school education received additional RH consultations and checkup services than those with other background education,apart from the white collar workers who received extra RH consultations and checkup services than the blue collar workers（P〈0.05）.We can draw a conclusion that the utilization of RH services in married female migrants remains at a low level in China.RH service utilization can be improved via the relevant health departments by enhancing the responsibility of maternal and health care in the community health service center.

An investigation of the health value and self-care capabilities of the elderly in urban-rural fringe area nursing homes and the related in？uencing factors

Objective：To investigate the health value and self-care capabilities of the elderly living in urban-rural fringe area nursing homes and the factors that influence these variables.Methods：A cluster sampling method was used to select 280 elderly individuals from seven urban-rural fringe communities in Xianning to complete a survey regarding their health value and self-care capabilities.Results：The total health value and self-care capability scores of the elderly were 7.45 ± 1.45 and100.25±22.56,respectively.Both of these scores significantly differed by age,education level,marital status,and income（P 〈 0.05,P 〈 0.01）.Self-care capability was correlated with health value（r=0.521）.A multivariate linear regression analysis showed that health value,marital status,and age predicted selfcare capability.Conclusions：Elderly people living in the urban-rural fringe area with higher health values also had higher self-care capabilities.The self-care capabilities of the elderly can be enhanced by improving their health value using the ＂knowing-trusting-acting＂ model.

Maternal and infant health in urban and rural areas in Morocco: Analysis of the preliminary results of the National Survey on Population and Family Health (EPSF 2011)

Background: The last Moroccan population and family health survey (EPSF 2011) was carried out between November 2010 and March 2011. The final report and the whole database are not yet accessible while a preliminary report was released early March 2012. The information given so far does not allow for a complete evaluation of the present health situation in Morocco. However, a partial equity analysis can be devoted to the comparison of health indicators in terms of gender and urban-rural gaps. Method: 1) Questionnaires: a household questionnaire dealt with household characteristics, general health, housing condition and anthropometric data for children less than six years of age. A second questionnaire was devoted specifically to ever married women and dealt with their resources, marriage, reproductive health, family planning, AIDS/SIDA, healthcare and nutrition. 2) Data collection: data were collected through the national survey using a three-stage stratified sampling design to select 640 clusters covering the 16 Moroccan regions. A total of 15,577 households were randomly drawn, providing a sample of 75,061 individuals (51.1% females and 48.9% males) for investigation. 3) Analysis: in this short report, we relied only on partial data released by the Ministry of Health in a preliminary report. We used absolute differences and relative ratios to study the evolution of gender and urban-rural gaps on the basis of socioeconomic indicators. Results and Discussion: The Moroccan population seems to be in the last phase of its demographic transition. The total fertility rate decreased from 5.6 children per woman in 1980 to 2.5 in 2011. The mean age of first marriage went from 24 years for men and 17.5 years for women in 1960 to 31.5 years and 26.3 in 2011 for men and women respectively. The age structure is showing a trend of ageing population. Generally, health indicators related to reproductive and women’s health improved noticeably and consequently, maternal and infant mortality also decreased. However, while these achievements are praiseworthy as national averages, they remain insufficient in terms of equitable healthcare and access to health services since there is still a long way to go in order to reduce the huge gender gaps and rural-urban disparities. Conclusion: In this short report, we showed that, as averages, health indicators improved noticeably during the last decade but gender inequality and urban-rural disparities are still challenging health decision makers. Moroccan health decision makers are urged to adopt an equitable health strategy, starting by giving access to data for analysis, monitoring and evaluation.

Damaging Agents and Tree’s Health Condition in an Urban Forest

Urban trees are subjected to different damaging agents throughout their lifetime. The aims of this study were to identify tree damaging agents, and to obtain a Damage Severity Index (DSI) in order to categorize tree health condition at San Juan de Aragon Park. Each tree was identified at species level in 28 randomly established plots in ten sections of the study area. Up to two types of damage were recorded per tree, based on the FIA (Forest Inventory an Analysis Program) protocol, and a DSI was obtained for each damaged tree considering location of damage, nature of the damaging agent and severity. A total of 753 trees were assessed and 12 species and 27 damaging agents were identified. Cankers, galls, the pepper tree psyllid and the red gum lerp psyllid were the most frequent damaging agents. Australian pine, red gum, Mediterranean cypress, Mexican white cedar, and California pepper were the most affected species. The DSI ranged from 3 to 17 and the average was 7.9. Sections J and H and the species California pepper, Australian pine, and Mexican white cedar presented the highest DSI. The tree population had a moderate health condition, while the aforementioned sections and tree species showed the poorest.

新型城镇化背景下心理健康对农民工城市融入的影响

提升农民工心理健康水平和促进农民工城市融入是推进新型城镇化的应有之义。文章基于2427份农民工微观调查数据,构建系统全面的指标,利用因子分析、OLS回归、分位数回归方法,研究心理健康对农民工城市融入的影响。结果发现,积极向上的心理状态能够有效地促进农民工城市融入,消极负面的心理状态不利于农民工的城市融入。在不同的分位点,心理健康对城市融入的影响有较大差异。此外,年龄、受教育程度、婚姻状况、父母随迁状况、家庭中在外一起务工人数等控制变量对农民工的城市融入产生显著影响。在研究结论基础上,提出在促进农民工融入城市过程中,相关部门应当关注、重视农民工心理健康问题,采取保障措施、改善其心理健康状况;针对不同融入度的农民工,差异化制定提升心理健康水平措施,帮助农民工更好地融入城市。