'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.
At the very heart of modern healthcare is a critical paradox. Today, as never before, healthcare has the ability to enhance the quality and duration of life. At the same time, healthcare has become so enormously costly that it can easily bankrupt governments and impoverish individuals and families. According to federal forecasters, by the year 2015 one in every five U.S. dollars will be spent on healthcare, for total annual healthcare spending of more than $4 trillion. While the cost of healthcare is going up, the number of individuals and families without health insurance coverage is increasing. For many, the miracles of modern medicine may be unaffordable. Health services research investigates the relationship between the factors of cost, quality, and access to healthcare and their impact upon medical outcomes (i.e., death, disease, disability, discomfort, and dissatisfaction with care). Health services research addresses such key questions as, Why is the cost of healthcare always increasing? How can healthcare costs be successfully contained without jeopardizing quality? How can medical errors be eliminated? What is the medical impact of not having health insurance coverage? The proposed encyclopedia addresses these and other important questions and issues.
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.
One of the policies that has been most widely used to try to limit urban sprawl has been that of urban containment. These policies are planning controls limiting the growth of cities in an attempt to preserve open rural uses, such as habitat, agriculture and forestry, in urban regions. While there has been a substantial amount of research into these urban containment policies, most have focused on issues of land use, consumption, transportation impacts or economic development issues. This book examines the effects of urban containment policies on key social issues, such as housing, wealth building and creation, racial segregation and gentrification. It argues that, while the policies make important contributions to environmental sustainability, they also affect affordability for all the economic groups of citizens aside from the most wealthy. However, it also puts forward suggestions for revising such policies to counter these possible negative social impacts. As such, it will be valuable reading for scholars of environmental planning, social policy and regional development, as well as for policy makers.
The essays commissioned for this book analyze the impact of city living on health, focusing primarily on conditions in the United States. With 16 chapters by 24 internationally recognized experts, the book introduces an ecological approach to the study of the health of urban populations. This book assesses the primary determinants of well-being in cities, including the social and physical environments, diet, and health care and social services. The book includes chapters on the history of public health in cities, the impact of urban sprawl and urban renewal on health, and the challenges facing cities in the developing world. It also examines conditions such as infectious diseases, violence and disasters, and mental illness.
The Built Environment and Public Health The Built Environment and Public Health explores the impact on our health of the environments we build for ourselves, and how public health and urban planning can work together to build settings that that promote healthy living. This comprehensive text covers origins and foundations of the built environment as a public health focus and its joint history with urban planning, transportation and land use, infrastructure and natural disasters, assessment tools, indoor air quality, water quality, food security, health disparities, mental health, social capital, and environmental justice. The Built Environment and Public Health explores such timely issues as: Basics of the built environment and evidence for its influences How urban planning and public health intersect How infrastructure improvements can address chronic diseases and conditions Meeting the challenges of natural disasters Policies to promote walking and mass transit Approaches to assess and improve air quality and our water supply Policies that improve food security and change how Americans get their food How the built environment can address needs of vulnerable populations Evidence-based design practices for hospitals and health care facilities Mental health, stressors, and health care environments Theories and programs to improve social capital of low-income communities How the built environment addresses issues of health equity and environmental justice This important textbook and resource includes chapter learning objectives, summaries, questions for discussion, and listings of key terms. Companion Web site: www.josseybass.com/go/lopez
The bestselling environmental health text, with all new coverage of key topics Environmental Health: From Global to Local is a comprehensive introduction to the subject, and a contemporary, authoritative text for students of public health, environmental health, preventive medicine, community health, and environmental studies. Edited by the former director of the CDC's National Center for Environmental Health and current dean of the School of Public Health at the University of Washington, this book provides a multi-faceted view of the topic, and how it affects different regions, populations, and professions. In addition to traditional environmental health topics—air, water, chemical toxins, radiation, pest control—it offers remarkably broad, cross-cutting coverage, including such topics as building design, urban and regional planning, energy, transportation, disaster preparedness and response, climate change, and environmental psychology. This new third edition maintains its strong grounding in evidence, and has been revised for greater readability, with new coverage of ecology, sustainability, and vulnerable populations, with integrated coverage of policy issues, and with a more global focus. Environmental health is a critically important topic, and it reaches into fields as diverse as communications, technology, regulatory policy, medicine, and law. This book is a well-rounded guide that addresses the field's most pressing concerns, with a practical bent that takes the material beyond theory. Explore the cross-discipline manifestations of environmental health Understand the global ramifications of population and climate change Learn how environmental issues affect health and well-being closer to home Discover how different fields incorporate environmental health perspectives The first law of ecology reminds is that 'everything is connected to everything else.' Each piece of the system affects the whole, and the whole must sustain us all for the long term. Environmental Health lays out the facts, makes the connections, and demonstrates the importance of these crucial issues to human health and well-being, both on a global scale, and in our homes, workplaces, and neighborhoods.
Natural disasters and cholera outbreaks. Ebola, SARS, and concerns over pandemic flu. HIV and AIDS. E. coli outbreaks from contaminated produce and fast foods. Threats of bioterrorism. Contamination of compounded drugs. Vaccination refusals and outbreaks of preventable diseases. These are just some of the headlines from the last 30-plus years highlighting the essential roles and responsibilities of public health, all of which come with ethical issues and the responsibilities they create. Public health has achieved extraordinary successes. And yet these successes also bring with them ethical tension. Not all public health successes are equally distributed in the population; extraordinary health disparities between rich and poor still exist. The most successful public health programs sometimes rely on policies that, while improving public health conditions, also limit individual rights. Public health practitioners and policymakers face these and other questions of ethics routinely in their work, and they must navigate their sometimes competing responsibilities to the health of the public with other important societal values such as privacy, autonomy, and prevailing cultural norms. This Oxford Handbook provides a sweeping and comprehensive review of the current state of public health ethics, addressing these and numerous other questions. Taking account of the wide range of topics under the umbrella of public health and the ethical issues raised by them, this volume is organized into fifteen sections. It begins with two sections that discuss the conceptual foundations, ethical tensions, and ethical frameworks of and for public health and how public health does its work. The thirteen sections that follow examine the application of public health ethics considerations and approaches across a broad range of public health topics. While chapters are organized into topical sections, each chapter is designed to serve as a standalone contribution. The book includes 73 chapters covering many topics from varying perspectives, a recognition of the diversity of the issues that define public health ethics in the U.S. and globally. This Handbook is an authoritative and indispensable guide to the state of public health ethics today.
Community health is an emerging and growing discipline of public health and it focuses on the physical, social, and mental well-being of the people of specific districts. This interdisciplinary field brings together aspects of health care, economics, environment, and people interaction. This handbook is a comprehensive reference on public health for higher education students, scholars, practitioners, and policymakers of health care. There are five key thematic sections in the book: perspectives in public health; community health in practise; planning, built, and social environment and community health; digital and mobile health; and, towards sustainable health in the community. Each theme explores the leading research and trends. This book aims to help achieve the shared goal of healthier communities and quality of life for the residents. This collaborative work should be a very useful handbook to health professionals and government bodies in the planning of initiatives to improve population health, prevent chronic diseases, control infectious diseases and outbreaks, and prepare for natural disasters. This handbook integrates research and practise of public health in the community.