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Healthy Cities in a global and regional context
Roderick J Lawrence1, Colin Fudge
1Faculty of Economic and Social Sciences, Human Ecology Group, Institute for Environmental Sciences, University of Geneva, Geneva, Switzerland and 2RMTI University, Melbourne, Australia. roderick.lawrence@unige.ch
Global health promotion strategies have evolved, facing challenges from economic shifts and urban health issues. The WHO Healthy Cities project is crucial for addressing complex urban health and sustainable development interrelations.
Area of Science:
- Public Health and Urban Studies
- Environmental Health
- Health Policy and Governance
Background:
- The WHO European Healthy Cities Network, established in 1987, operates within evolving global and regional health promotion contexts.
- International frameworks like the UN Millennium Goals (2000) and sustainable development agendas (Rio 1992, Johannesburg 2002) have influenced health promotion.
- Socio-economic changes including governmental role redefinitions, budget reductions, privatization, economic instability, and migration have impacted health policies.
Purpose of the Study:
- To analyze the changing landscape of health promotion in urban environments.
- To highlight the persistent and emerging health challenges in urban areas.
- To underscore the need for new strategic policies and research linking urban ecosystems, sustainable development, and human well-being.
Main Methods:
- Review of historical trends and policy shifts in urban health promotion since 1987.
- Analysis of empirical studies from the 1990s detailing urban health issues.
- Examination of European Commission agendas concerning health, environment, and social policies in urban settings.
Main Results:
- Urban areas exhibit high rates of communicable and non-communicable diseases, including tuberculosis, cardiovascular diseases, cancer, obesity, and mental health issues.
- Significant prevalence of substance abuse, sexually transmitted diseases, violence, and accidental injuries in urban populations.
- Emergence of new health threats from environmental exposures such as persistent organic pollutants, toxic substances, radioactive waste, and food poisoning.
Conclusions:
- Existing urban health problems and new environmental threats necessitate urgent policy and research interventions.
- The interrelations between urban ecosystems, sustainable development, and human health require comprehensive strategic approaches.
- The WHO Healthy Cities project serves as a vital mechanism for advancing urban health and well-being globally and regionally.
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