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Healthy city

From Wikipedia, the free encyclopedia
Concept in urban design for health
Rush hour inCopenhagen, where 62% of the population commute by bicycle to their work or study places each day

Healthy city is a term used inpublic health andurban design to stress the impact of policy onhuman 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 aWorld 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 theEuropean Union, but rapidly became international as a way of establishing healthy public policy at the local level throughhealth promotion.[3] It emphasises the multi-dimensionality ofhealth as laid out in WHO's constitution and, more recently, theOttawa Charter for Health Promotion.[4] An alternative term isHealthy Communities, orMunicipios saludables in parts of Latin America.

Approaches

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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 enablepeople 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 ofpublic policy development.[6][7]

There are many networks of healthy cities, including in Europe[8] and internationally, such as theAlliance for Healthy Cities. A key feature is ensuring that thesocial determinants of health are taken into consideration in urban design and urban governance. For example, "urbanization and health" was the theme of the 2010World Health Day.[9] One tool in developing healthy cities issocial entrepreneurship.[10]

See also

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References

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  1. ^Caves, R. W. (2004).Encyclopedia of the City. Routledge. p. 336.
  2. ^Niyi Awofeso.The Healthy Cities approach — reflections on a framework for improving global health.Bull World Health Organ 2003; 81(3).
  3. ^O'Neill M, Simard P.Choosing indicators to evaluate Healthy Cities projects: a political task?Health Promotion International 2006; 21(2): 145-152.
  4. ^World Health Organization.Healthy Cities and urban governance.Archived 2009-12-05 at theWayback Machine Copenhagen: WHO Europe.
  5. ^World Health Organization.Health Promotion Glossary 1998.
  6. ^WHO Europe.Health impact assessment methods and strategies.Archived 2010-01-08 at theWayback Machine
  7. ^Erica Ison.The introduction of health impact assessment in the WHO European Healthy Cities Network.Health Promotion International 2009; 24(Supplement 1):i64-i71.
  8. ^WHO Europe.WHO European Healthy Cities Network.Archived 2013-05-21 at theWayback Machine
  9. ^World Health Organization.World Health Day 2010.Archived 2010-04-07 at theWayback Machine
  10. ^Evelyne de Leeuw.Healthy Cities: urban social entrepreneurship for health.Health Promotion International 1999; 14(3): 261-270.

Further reading

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External links

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