U.S. Health in International Perspective


Book Description

The United States is among the wealthiest nations in the world, but it is far from the healthiest. Although life expectancy and survival rates in the United States have improved dramatically over the past century, Americans live shorter lives and experience more injuries and illnesses than people in other high-income countries. The U.S. health disadvantage cannot be attributed solely to the adverse health status of racial or ethnic minorities or poor people: even highly advantaged Americans are in worse health than their counterparts in other, "peer" countries. In light of the new and growing evidence about the U.S. health disadvantage, the National Institutes of Health asked the National Research Council (NRC) and the Institute of Medicine (IOM) to convene a panel of experts to study the issue. The Panel on Understanding Cross-National Health Differences Among High-Income Countries examined whether the U.S. health disadvantage exists across the life span, considered potential explanations, and assessed the larger implications of the findings. U.S. Health in International Perspective presents detailed evidence on the issue, explores the possible explanations for the shorter and less healthy lives of Americans than those of people in comparable countries, and recommends actions by both government and nongovernment agencies and organizations to address the U.S. health disadvantage.




Integrating Human Health into Urban and Transport Planning


Book Description

This volume brings together the world’s leading experts on urban and transport planning, environmental exposures, physical activity, health and health impact assessment to discuss challenges and solutions in cities. The book provides a conceptual framework and work program for actions and outlines future research needs. It presents the current evidence-base, the benefits of and numerous case studies on integrating health and the environment into urban development and transport planning. Within cities there is a considerable variation in the levels of environmental exposures such as ambient air pollution, noise, and temperature, green space availability and physical activity. Many of these exposures, and their adverse health impacts, are related to and are being exacerbated by urban and transport planning and policy. Emerging research suggests that urban and transport planning indicators such as road network, distance to major roads, traffic density, household density, industry, and natural and green space can explain a large proportion of the variability in environmental exposures and therefore represent important and highly modifiable factors. The urban environment is a complex interlinked system. Decision-makers need not only better data on the complexity of factors in environmental and developmental processes affecting human health, but also an enhanced understanding of the linkages between these factors and health effects to determine at which level to target their actions most effectively. In recent years, there also has been a shift from trying to change at the national level to more comprehensive and ambitious actions being developed and implemented at the regional and local levels. Cities have come to the forefront of providing solutions for environmental issues such as climate change, which has co-benefits for health, but yet need better knowledge for wider health-centric action. This book provides the latest and most up-to-date information and studies for academics and practitioners alike.







Healthy Urban Planning


Book Description

This book aims to refocus urban planners on the implications of their work for human health and well-being. Provides practical advice on ways to integrate health and urban planning.




Urban Sprawl and Public Health


Book Description

'Urban Sprawl and Public Health' offers a survey of the impact that the built environment can have on the health of the people who inhabit our cities. The authors go on to suggest ways in which the design of cities could be improved & have a positive impact on the well-being of their citizens.




Urbanization and Environment


Book Description







WHO Housing and Health Guidelines


Book Description

Improved housing conditions can save lives, prevent disease, increase quality of life, reduce poverty, and help mitigate climate change. Housing is becoming increasingly important to health in light of urban growth, ageing populations and climate change. The WHO Housing and health guidelines bring together the most recent evidence to provide practical recommendations to reduce the health burden due to unsafe and substandard housing. Based on newly commissioned systematic reviews, the guidelines provide recommendations relevant to inadequate living space (crowding), low and high indoor temperatures, injury hazards in the home, and accessibility of housing for people with functional impairments. In addition, the guidelines identify and summarize existing WHO guidelines and recommendations related to housing, with respect to water quality, air quality, neighbourhood noise, asbestos, lead, tobacco smoke and radon. The guidelines take a comprehensive, intersectoral perspective on the issue of housing and health and highlight co-benefits of interventions addressing several risk factors at the same time. The WHO Housing and health guidelines aim at informing housing policies and regulations at the national, regional and local level and are further relevant in the daily activities of implementing actors who are directly involved in the construction, maintenance and demolition of housing in ways that influence human health and safety. The guidelines therefore emphasize the importance of collaboration between the health and other sectors and joint efforts across all government levels to promote healthy housing. The guidelines' implementation at country-level will in particular contribute to the achievement of the Sustainable Development Goals on health (SDG 3) and sustainable cities (SDG 11). WHO will support Member States in adapting the guidelines to national contexts and priorities to ensure safe and healthy housing for all.




Balanced Urban Development: Options and Strategies for Liveable Cities


Book Description

This book provides a unique synthesis of concepts and tools to examine natural resource, socio-economic, legal, policy and institutional issues that are important for managing urban growth into the future. The book will particularly help the reader to understand the current issues and challenges and develop strategies and practices to cope with future pressures of urbanisation and peri-urban land, water and energy use challenges. In particular, the book will help the reader to discover underlying principles for the planning of future cities and peri-urban regions in relation to: (i) Balanced urban development policies and institutions for future cities; (ii) Understanding the effects of land use change, population increase, and water demand on the liveability of cities; (iii) Long-term planning needs and transdisciplinary approaches to ensure the secured future for generations ahead; and (iv) Strategies to adapt the cities and land, water and energy uses for viable and liveable cities. There are growing concerns about water, food security and sustainability with increased urbanisation worldwide. For cities to be liveable and sustainable into the future there is a need to maintain the natural resource base and the ecosystem services in the peri-urban areas surrounding cities. This need is increasing under the looming spectre of global warming and climate change. This book will be of interest to policy makers, urban planners, researchers, post-graduate students in urban planning, environmental and water resources management, and managers in municipal councils.




Neighborhoods and Urban Development


Book Description

American cities are shifting collections of individual neghborhoods. Thousands of residents move every year within and among neighborhoods; their flows across a city can radically and quickly alter the character of its neighborhoods. What is behind all this ferment—the decline of one area, the revitalization of another? Can the process be made more rational? Can city neighborhoods be stabilized--and older cities thus preserved? This book argues that such flows of residents are not random. Rather, they are closely linked to overall migration into or out of each metropolitan area and to the way U.S. cities develop. Downs contends that both urban development and the social problems it spawns are built upon social arrangements designed to benefit the middle-class majority. Racial segregation divides housing in each metropolitan area into two or more markets. Socioeconomic segregation subdivides neighborhoods within each market into a class hierarchy. The poor live mainly in the oldest neighborhoods, close to the urban center. The affluent live in the newest neighborhoods, mostly at the urban periphery. This separation stems not from pure market forces but from exclusionary laws that make the construction of low-cost housing illegal in most neighborhoods. The resulting pattern determines where housing is built and what housing is left to decay. Downs uses data from U.S. cities to illustrate neighborhood change and to reach conclusions about ways to cope with it. he explores the causes and nature of racial segregation and integration, and he evaluates neighborhood revitalization programs, which in reviving part of a city often displace many poor residents. He presents a timely analysis of the effect of higher energy costs upon urban sprawl, argues the wisdom of reviving older cities rather than helping their residents move elsewhere, and discusses the advantages and disadvantages of public and private policies at the federal, state, metropolitan-area,