Healthy city is a term used in public health and urban design to stress the impact of policy on human health. It is a municipality that continually improves on a physical and a social level until environmental and pathological conditions are reached establishing an acceptable morbidity rate for the population. [1] Its modern form derives from a World Health Organization (WHO) initiative on Healthy Cities and Villages in 1986, but has a history dating back to the mid 19th century. [2] The term was developed in conjunction with the European Union, but rapidly became international as a way of establishing healthy public policy at the local level through health promotion. [3] It emphasises the multi-dimensionality of health as laid out in WHO's constitution and, more recently, the Ottawa Charter for Health Promotion. [4] An alternative term is Healthy Communities, or Municipios saludables in parts of Latin America.
Many jurisdictions which have healthy community programmes and cities can apply to become a WHO-designated "Healthy City". WHO defines the Healthy City as: [5]
"one that is continually creating and improving those physical and social environments and expanding those community resources which enable people to mutually support each other in performing all the functions of life and in developing to their maximum potential."
Measuring the indices required, establishing standards and determining the impact of each component on health is difficult. In some regions such as Europe, a health impact assessment is a required piece of public policy development. [6] [7]
There are many networks of healthy cities, including in Europe [8] and internationally, such as the Alliance for Healthy Cities. A key feature is ensuring that the social determinants of health are taken into consideration in urban design and urban governance. For example, "urbanization and health" was the theme of the 2010 World Health Day. [9] One tool in developing healthy cities is social entrepreneurship. [10]
A city is a human settlement of a notable size. The term "city" has different meanings around the world and in some places the settlement can be very small. Even where the term is limited to larger settlements, there is no universally agreed definition of the lower boundary for their size. In a more narrow sense, a city can be defined as a permanent and densely populated place with administratively defined boundaries whose members work primarily on non-agricultural tasks. Cities generally have extensive systems for housing, transportation, sanitation, utilities, land use, production of goods, and communication. Their density facilitates interaction between people, government organizations, and businesses, sometimes benefiting different parties in the process, such as improving the efficiency of goods and service distribution.
Urbanization is the population shift from rural to urban areas, the corresponding decrease in the proportion of people living in rural areas, and the ways in which societies adapt to this change. It can also mean population growth in urban areas instead of rural ones. It is predominantly the process by which towns and cities are formed and become larger as more people begin living and working in central areas.
Health has a variety of definitions, which have been used for different purposes over time. Health can be promoted by encouraging healthful activities, such as regular physical exercise and adequate sleep, and by reducing or avoiding unhealthful activities or situations, such as smoking or excessive stress. Some factors affecting health are due to individual choices, such as whether to engage in a high-risk behavior, while others are due to structural causes, such as whether the society is arranged in a way that makes it easier or harder for people to get necessary healthcare services. Still, other factors are beyond both individual and group choices, such as genetic disorders.
Sanitation refers to public health conditions related to clean drinking water and treatment and disposal of human excreta and sewage. Preventing human contact with feces is part of sanitation, as is hand washing with soap. Sanitation systems aim to protect human health by providing a clean environment that will stop the transmission of disease, especially through the fecal–oral route. For example, diarrhea, a main cause of malnutrition and stunted growth in children, can be reduced through adequate sanitation. There are many other diseases which are easily transmitted in communities that have low levels of sanitation, such as ascariasis, cholera, hepatitis, polio, schistosomiasis, and trachoma, to name just a few.
A slum is a highly populated urban residential area consisting of densely packed housing units of weak build quality and often associated with poverty. The infrastructure in slums is often deteriorated or incomplete, and they are primarily inhabited by impoverished people. Although slums are usually located in urban areas, in some countries they can be located in suburban areas where housing quality is low and living conditions are poor. While slums differ in size and other characteristics, most lack reliable sanitation services, supply of clean water, reliable electricity, law enforcement, and other basic services. Slum residences vary from shanty houses to professionally built dwellings which, because of poor-quality construction or lack of basic maintenance, have deteriorated.
In general, a rural area or a countryside is a geographic area that is located outside towns and cities. Typical rural areas have a low population density and small settlements. Agricultural areas and areas with forestry are typically described as rural, as well as other areas lacking substantial development. Different countries have varying definitions of rural for statistical and administrative purposes.
Urban agriculture refers to various practices of cultivating, processing, and distributing food in urban areas. The term also applies to the area activities of animal husbandry, aquaculture, beekeeping, and horticulture in an urban context. Urban agriculture is distinguished from peri-urban agriculture, which takes place in rural areas at the edge of suburbs.
Land development is the alteration of landscape in any number of ways such as:
Population health has been defined as "the health outcomes of a group of individuals, including the distribution of such outcomes within the group". It is an approach to health that aims to improve the health of an entire human population. It has been described as consisting of three components. These are "health outcomes, patterns of health determinants, and policies and interventions".
Health promotion is, as stated in the 1986 World Health Organization (WHO) Ottawa Charter for Health Promotion, the "process of enabling people to increase control over, and to improve their health."
Environmental planning is the process of facilitating decision making to carry out land development with the consideration given to the natural environment, social, political, economic and governance factors and provides a holistic framework to achieve sustainable outcomes. A major goal of environmental planning is to create sustainable communities, which aim to conserve and protect undeveloped land.
Health impact assessment (HIA) is defined as "a combination of procedures, methods, and tools by which a policy, program, or project may be judged as to its potential effects on the health of a population, and the distribution of those effects within the population."
The following outline is provided as an overview of and topical guide to business management:
The following outline is provided as an overview of and topical guide to technology:
An occupational exposure limit is an upper limit on the acceptable concentration of a hazardous substance in workplace air for a particular material or class of materials. It is typically set by competent national authorities and enforced by legislation to protect occupational safety and health. It is an important tool in risk assessment and in the management of activities involving handling of dangerous substances. There are many dangerous substances for which there are no formal occupational exposure limits. In these cases, hazard banding or control banding strategies can be used to ensure safe handling.
The Healthy Development Measurement Tool (HDMT), developed by the San Francisco Department of Public Health, provides an approach for evaluating land-use planning and urban development with regards to the achievement of human health needs. The HDMT provides a set of baseline data on community health metrics for San Francisco and development targets to assess the extent to which urban development projects and plans can improve community health. The HDMT also provides a range of policy and design strategies that can advance health conditions and resources via the development process.
Sustainable gardening includes the more specific sustainable landscapes, sustainable landscape design, sustainable landscaping, sustainable landscape architecture, resulting in sustainable sites. It comprises a disparate group of horticultural interests that can share the aims and objectives associated with the international post-1980s sustainable development and sustainability programs developed to address that humans are now using natural biophysical resources faster than they can be replenished by nature.
Healthy community design is planning and designing communities that make it easier for people to live healthy lives. Healthy community design offers important benefits:
The Alliance for Healthy Cities (AFHC) is a cooperative international alliance aimed at protecting and enhancing the health and health care of city dwellers. It is composed of groups of cities, urban districts and other organizations from countries around the world in exchanging information to achieve the goal through a health promotion approach called Healthy Cities. The chair city for the alliance is Ichikawa, Japan.
Health in All Policies (HiAP) was a term first used in Europe during the Finnish presidency of the European Union (EU), in 2006, with the aim of collaborating across sectors to achieve common goals. It is a strategy to include health considerations in policy making across different sectors that influence health, such as transportation, agriculture, land use, housing, public safety, and education. It reaffirms public health's essential role in addressing policy and structural factors affecting health, as articulated by the Ten Essential Public Health Services, and it has been promoted as an opportunity for the public health sector to engage a broader array of partners.