Impact of Urbanization Growth on Disease Spread and Outbreak Response: Exploring Strategies for Enhancing Resilience

Authors: Raquel Vianna Duarte Cardoso, Eduarda Lobato Faria, José Jorge Boueri

Abstract:

Rapid urbanization has transformed the global landscape, presenting significant challenges to public health. This article delves into the impact of urbanization on the spread of infectious diseases in cities and identifies crucial strategies to enhance urban community resilience. Massive urbanization over recent decades has created conducive environments for the rapid spread of diseases due to population density, mobility, and unequal living conditions. Urbanization has been observed to increase exposure to pathogens and foster conditions conducive to disease outbreaks, including seasonal flu, vector-borne diseases, and respiratory infections. In order to tackle these issues, a range of cross-disciplinary approaches are suggested. These encompass the enhancement of urban healthcare infrastructure, emphasizing the need for robust investments in hospitals, clinics, and healthcare systems to keep pace with the burgeoning healthcare requirements in urban environments. Moreover, the establishment of disease monitoring and surveillance mechanisms is indispensable, as it allows for the timely detection of outbreaks, enabling swift responses. Additionally, community engagement and education play a pivotal role in advocating for personal hygiene, vaccination, and preventive measures, thus playing a pivotal role in diminishing disease transmission. Lastly, the promotion of sustainable urban planning, which includes the creation of cities with green spaces, access to clean water, and proper sanitation, can significantly mitigate the risks associated with waterborne and vector-borne diseases. The article is based on the analysis of scientific literature, and it offers a comprehensive insight into the complexities of the relationship between urbanization and health. It places a strong emphasis on the urgent need for integrated approaches to improve urban resilience in the face of health challenges.

Keywords: Infectious diseases dissemination, public health, urbanization impacts, urban resilience.

References:

[1] Jacobs, J. (1961). The Death and Life of Great American Cities. Vintage Books.
[2] Cardoso, Raquel V. D. (2023) A Arquitetura como Resposta em Tempos de Pandemia: Um Contributo para Compreender a Resiliência do Ambiente Construído Face ao Fenômeno COVID-19. (Doctoral Dissertation). Faculdade de Arquitectura. Universidade de Lisboa.
[3] Sassen, S. (2001). The Global City: New York, London, Tokyo. Princeton University Press.
[4] Montgomery, D. R. (2020). Growing a Revolution: Bringing Our Soil Back to Life. W.W. Norton & Company.
[5] Franco, M., Diez Roux, A.V., Bilal, U. (2022) Challenges and opportunities for urban health research in our complex and unequal cities. Cities & Health, Vol. 6 (4), 651-656. Urban Health Research. https://doi.org/10.1080/23748834.2022.2143740
[6] Poroes C, Seematter-Bagnoud L, Wyss K, Peytremann-Bridevaux I. (2023) Health System Performance and Resilience in Times of Crisis: An Adapted Conceptual Framework. Int J Environ Res Public Health. 2023 Aug 28;20(17):6666. doi: 10.3390/ijerph20176666. PMID: 37681806; PMCID: PMC10487449.
[7] Egede LE, Walker RJ, Campbell JA, Dawson AZ, Davidson T. (2022) A New Paradigm for Addressing Health Disparities in Inner-City Environments: Adopting a Disaster Zone Approach. J Racial Ethn Health Disparities. 2021 Jun;8(3):690-697. doi: 10.1007/s40615-020-00828-1. Epub 2020 Aug 12. PMID: 32789563; PMCID: PMC7878568.
[8] Saba A. Qasmieh, McKaylee M. Robertson, and Denis Nash. (2023) “Boosting” Surveillance for a More Impactful Public Health Response During Protracted and Evolving Infectious Disease Threats: Insights From the COVID-19 Pandemic.Health Security. Sep 2023.S47-S55.http://doi.org/10.1089/hs.2023.0046
[9] Thiam, M. M., Pontais, I., Forgeot, C., Pedrono, G., SurSaUD® Regional Focal Point, SOS Médecins, Group of Emergency Medicine Doctors, Paget, L. M., Fouillet, A., & Caserio-Schönemann, C. (2022). Syndromic surveillance: A key component of population health monitoring during the first wave of the COVID-19 outbreak in France, February-June 2020. PloS one, 17(2), e0260150. https://doi.org/10.1371/journal.pone.0260150
[10] Guerra J, Acharya P, Barnadas C (2019) Community-based surveillance: A scoping review. PLoS ONE 14(4): e0215278. https://doi.org/10.1371/journal.pone.0215278
[11] Edelstein M, Lee LM, Herten-Crabb A, Heymann DL, Harper DR. (2018) Strengthening Global Public Health Surveillance through Data and Benefit Sharing. Emerg Infect Dis. 2018 Jul;24(7):1324–30. doi: 10.3201/eid2407.151830. PMCID: PMC6038731.
[12] Ludwick T, Morgan A, Kane S, Kelaher M, McPake B. (2020) The distinctive roles of urban community health workers in low- and middle-income countries: a scoping review of the literature. Health Policy Plan. 2020 Oct 1;35(8):1039-1052. doi: 10.1093/heapol/czaa049. PMID: 32494801; PMCID: PMC7553762.
[13] Zhang, M., Zhu, B., Yuan, C., Wang, J., Ruan Q., Han, C., Bao, Z., Chen J., Arceneaux, K. Wielen, R. V. & Siegle, G. (2021) Are need for affect and cognition culture dependent? Implications for global public health campaigns: a cross-sectional study. BMC Public Health 21, 693 (2021). https://doi.org/10.1186/s12889-021-10689-w
[14] Hopkins KL, Underwood T, Iddrisu I, Woldemeskel H, Bon HB, Brouwers S, De Almeida S, Fol N, Malhotra A, Prasad S, et al. (2023) Community-Based Approaches to Increase COVID-19 Vaccine Uptake and Demand: Lessons Learned from Four UNICEF-Supported Interventions. Vaccines. 2023; 11(7):1180. https://doi.org/10.3390/vaccines11071180
[15] Cao J, Zhang G, Liu D. (2022) The Impact of Using mHealth Apps on Improving Public Health Satisfaction during the COVID-19 Pandemic: A Digital Content Value Chain Perspective. Healthcare (Basel). 2022 Mar 4;10(3):479. doi: 10.3390/healthcare10030479. PMID: 35326957; PMCID: PMC8954858.
[16] Gianfredi, V., Buffoli, M., Rebecchi, A., Croci, R., Oradini-Alacreu, A., Stirparo, G., Marino, A., Odone, A., Capolongo, S., & Signorelli, C. (2021). Association between Urban Greenspace and Health: A Systematic Review of Literature. International journal of environmental research and public health, 18(10), 5137. https://doi.org/10.3390/ijerph18105137
[17] Cardoso, R. V. D., & Boueri, J. (2022). The Hygienist Influence on Architecture: The impact of modern hygienist ideas on the morphology of Alvalade’s District, Cells I and II, Lisbon, Portugal. EARC _ RIAM2022_Recent Issues & Approaches in Multidisciplinary Research, 9–17. www.euarc.org
[18] Cardoso, R. V. D., Faria, E. L., & Boueri, J. (2022). A importância do sanitarismo para a Arquitetura : a salubridade e as habitações londrinas do século XIX. Arquitetura, Cidade e Paisagem: Projetar Em Contexto de Crise - Novos Desafios Para o Ensino, a Pesquisa e a Prática Da Arquitetura. Seminário 10o. Projetar 2021 | Lisboa. Habitar-, 1143–1152. https://projetar2021.wixsite.com/lisboa
[19] Steenkamp, J., Cilliers, E. J., Cilliers, S. S., & Lategan, L. (2021). Food for Thought: Addressing Urban Food Security Risks through Urban Agriculture. Sustainability, 13(3), 1267. https://doi.org/10.3390/su13031267