ABSTRACT
Living environment, and especially dwellings, affect health in several ways end represent a key social determinant of health. The current COVID-19 pandemic has further highlighted its relevance. Factors linked to housing and neighborhood conditions that influence health, can be grouped into broad categories: the health impacts of residential instability;those related to housing internal conditions;the health impacts of context in which dwelling is located;the housing affordability. Many answers to these requirements can be offered by co-housing and social housing and Authors describe same examples from international experiences. These problems nowadays need to be assessed with a multidisciplinary approach, because of the complexity and wideness of its components. To guarantee good health standards it is also necessary to direct political and administrative choices to improve the overall conditions of the neighborhood and of the buildings, and, to dispose of a clear and updated regulatory system, since key factor to ensure health and social justice. © 2023, The Author(s), under exclusive license to Springer Nature Switzerland AG.
ABSTRACT
Living environment, and especially dwellings, affect health in several ways end represent a key social determinant of health. The current COVID-19 pandemic has further highlighted its relevance. Factors linked to housing and neighborhood conditions that influence health, can be grouped into broad categories: the health impacts of residential instability;those related to housing internal conditions;the health impacts of context in which dwelling is located;the housing affordability. Many answers to these requirements can be offered by co-housing and social housing and Authors describe same examples from international experiences. These problems nowadays need to be assessed with a multidisciplinary approach, because of the complexity and wideness of its components. To guarantee good health standards it is also necessary to direct political and administrative choices to improve the overall conditions of the neighborhood and of the buildings, and, to dispose of a clear and updated regulatory system, since key factor to ensure health and social justice. © 2023, The Author(s), under exclusive license to Springer Nature Switzerland AG.
ABSTRACT
Background The ongoing pandemic of COVID-19, which nowadays has exceeded 2.5 million notified infections in the world and about 200,000 deaths, is a strong reminder that urbanization has changed the way that people and communities live, work, and interact, and it's necessary to make the systems and local capacities resilient to prevent the spread of infectious diseases. How we can re-design the concept of Public Health in relation to the built environment and the contemporary cities? Methods According to the previous statements and scenario, aim of this paper is to integrate the Urban Health strategic objectives, focusing the possible responses, both immediate and medium-long term, to the current environmental, social, and economic aspects of the “period” of physical distancing. Results Immediate Actions are 01. program the flexibility of city schedules;02. plan a smart and sustainable mobility network;03. define a neighborhood services' plan;04. develop a digitization of the urban context, promoting the smart communities;05. re-think the accessibility to the places of culture and tourism. Medium-long term Actions are 06. design the indoor flexibility of domestic living spaces;07. re-think building typologies, fostering the presence of semi-private or collective spaces;08. renovate the basic care services' network;09. integrate the existing environmental emergency plans, with those related to the health emergencies;10. improve stakeholders' awareness of the factors affecting Public Health in the cities. Conclusions The Decalogue of Public Health opportunities may provide a useful basis for Designers (Architects and Urban Planners), Policy Makers, Public Health experts and Local Health Agencies, in promoting actions and policies aimed to transform our cities in healthier and Salutogenic living environments. Key messages The strategies described in this paper are at the basis of a social and infrastructural rethinking of the city, careful to the Welfare and Public Health needs. The physical distancing imposed, may have amplified population's social and health inequalities.
ABSTRACT
BACKGROUND: World Health Organization has highlighted the need to strengthen the relationship between health and built environment factors, such as inappropriate housing conditions. Building Regulations and Local Health Rules provide safety and building hygiene in construction practices. Currently the Italian Government is giving rise to a Building Regulation Type and the paper aims to verify the present contents of recent innovative Local Health Rules and Building Regulations of several Italian municipalities for supporting the performance approach of the future Building Regulations including hygienic issues. METHODS: The analysis examines both Building Regulations and Local Health Rules of a sample of about 550 cities, analysing some specific fields of interest: urban field, outdoor issues, housing features, housing restrictions, and qualitative aspects. RESULTS: The analysis focuses on some specific aspects defining the general data reported in Building Regulations and Local Health Rules, in particular around surfaces, heights, lighting and aeration ratio, basements and semi-basements, gas radon, building greenery, etc. CONCLUSION: The investigation permitted to have a wide vision on the present State of the Art in order to highlight some innovative aspects and design approaches of Building Regulations and Local Health Rules. New perspectives in the new regulations should have a performance approach, starting also from the recent SARS-CoV-2 pandemic.