COVID-19 and Cities: from Urban Health strategies to the pandemic challenge. A Decalogue of Public Health opportunities

COVID-19 and Cities: from Urban Health strategies to the pandemic challenge. A Decalogue of Public Health opportunities

Authors

  • Stefano Capolongo Politecnico di Milano, Department of Architecture, Built environment and Construction engineering (DABC)
  • Andrea Rebecchi Politecnico di Milano, Department of Architecture, Built environment and Construction engineering (DABC)
  • Maddalena Buffoli Politecnico di Milano, Department of Architecture, Built environment and Construction engineering (DABC)
  • Letizia Appolloni Sapienza University of Rome, Department of Civil Building Environmental Engineering (DICEA)
  • Carlo Signorelli University Vita-Salute San Raffaele, Milan
  • Gaetano Maria Fara Sapienza University of Rome, Department of Public Health and Infectious diseases (DSPMI)
  • Daniela D'Alessandro Sapienza University of Rome, Department of Civil Building Environmental Engineering (DICEA)

Keywords:

post-COVID19 Cities; post-COVID19 Communities; post-COVID19 Urban Health; post- COVID19 Living Spaces; Resilient Cities; Public Health Decalogue; City Hours; Emergency Mobility Network; Urban Digitization; Care Services’ Network.

Abstract

Background and aim of the work. 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 resilient the systems and local capacities 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. (www.actabiomedica.it)

References

World Meters. https://www.worldometers.info/coronavirus/ (last access 20th April 2020) 02. Lee VJ, Ho M, Wen Kai C, Aguilera X, Heymann D, Wilder-Smith A. Epidemic preparedness in urban settings: new challenges and opportunities. Lancet Infect Dis 2020 Published Online

March 27, 2020 https://doi.org/10.1016/S1473-3099(20)30249-8

Talukder S, Capon A, Nath D, Kolb A, Jahan S, Boufford J. Urban health in the post-2015

Agenda. Lancet 2015, 385, 769. Published: February 28, 2015

https://doi.org/10.1016/S0140-6736(15)60428-7

World Health Organization (WHO). International Workshop on Housing, Health and Climate Change: Developing Guidance for Health Protection in the Built Environment - Mitigation and Adaptation Responses. Available online: http://www.who.int/hia/house_report.pdf (last access 20th April 2020)

D’Alessandro D, Arletti S, Azara A, Buffoli M, Capasso L, Cappuccitti A, Casuccio A, Cecchini A, Costa G, De Martino AM, Dettori M, Di Rosa E, Fara GM, Ferrante M, Giammanco G, Lauria A, Melis G, Moscato U, Oberti I, Patrizio C, Petronio MG, Rebecchi A, Romano Spica V, Settimo G, Signorelli C, Capolongo S, et Al. Strategies for Disease Prevention and Health Promotion in Urban Areas: The Erice 50 Charter. Annali di Igiene. 2017; 29(6):481-493. https://doi.org/10.7416/ai.2017.2179

Singapore Seemed to Have Coronavirus Under Control, Until Cases Doubled. New York Times. https://www.nytimes.com/2020/04/20/world/asia/coronavirus-singapore.html (last access 20th April 2020)

Pisano GP, Sadun R, Zanini M. Lessons from Italy’s Response to Coronavirus. Harvard Business Review. https://hbr.org/amp/2020/03/lessons-from-italys-response-to- coronavirus (last access 20th April 2020)

Società Italiana di Medicina Ambientale (SIMA). Relazione circa l’effetto dell’inquinamento da particolato atmosferico e la diffusione di virus nella popolazione. Position Paper. https://www.simaonlus.it/wpsima/wp-content/uploads/2020/03/COVID19_Position- Paper_Relazione-circa-l’effetto-dell’inquinamento-da-particolato-atmosferico-e-la- diffusione-di-virus-nella-popolazione.pdf (last access 20th April 2020)

Wu X, Nethery RC, Benjamin Sabath M, Braun D, Dominici F. COVID-19 PM2.5. A national study on long-term exposure to air pollution and COVID-19 mortality in the United States. medRxiv 2020.04.05.20054502; doi: https://doi.org/10.1101/2020.04.05.20054502

Fehr R, Capolongo S. Healing environment and urban health. Epidemiol Prev 2016; 40 (3-4): 151-152. http://doi.org/10.19191/EP16.3-4.P151.080

Capolongo S, Rebecchi A, Dettori M, Appolloni L, Azara A, Buffoli M, Capasso L, Casuccio A, Conti Oliveri G, D’Amico A, Ferrante M, Moscato U, Oberti I, Paglione L, Restivo V, D’Alessandro D. Healthy design and urban planning strategies, actions, and policy to achieve salutogenic cities. International Journal of Environmental Research and Public Health; 2018 15(12): 2698. https://doi.org/10.3390/ijerph15122698

Rebecchi A, Buffoli M, Dettori M, Appolloni L, Azara A, Castiglia P, D'Alessandro D, Capolongo S. Walkable environments and healthy urban moves: Urban context features assessment framework experienced in Milan. Sustainability (Switzerland); 11(10): 2778. http://doi.org/10.3390/su11102778

Congiu, T.; Sotgiu, G.; Castiglia, P.; Azara, A.; Piana, A.; Saderi, L.; Dettori, M. Built Environment Features and Pedestrian Accidents: An Italian Retrospective Study. Sustainability 11(4) · February 2019. https://doi.org/10.3390/su11041064

Appolloni L, Corazza MV, D’Alessandro D. The Pleasure of Walking: An Innovative Methodology to Assess Appropriate Walkable Performance in Urban Areas to Support Transport Planning. Sustainability 2019, 11(12), 3467; https://doi.org/10.3390/su11123467

Rebecchi A, Boati L, Oppio A, Buffoli M, Capolongo S. Measuring the expected increase in cycling in the city of Milan and evaluating the positive effects on the population's health status: A Community-Based Urban Planning experience. Annali di Igiene. 2016; 28(6):381- 391. https://doi.org/10.7416/ai.2016.2120

Health Development Agency. Making the Case: Improving Health through Transport. London, UK, 2005.

Active Living Research. Promoting Activity-Friendly Communities. Active Living Research: San Diego, CA, USA, 2015; pp. 3–7.

The 15 minutes-city: for a new chrono-urbanism. http://www.moreno-web.net/the-15- minutes-city-for-a-new-chrono-urbanism-pr-carlos-moreno/ (last access 20th April 2020)

Superblock conceptual model. Agencia de Ecología Urbana de Barcelona. http://www.bcnecologia.net/en/conceptual-model/superblocks (last access 20th April 2020)

World Health Organization (WHO). Towards More Physical Activity in Cities Transforming Public Spaces to Promote Physical Activity. A Key Contributor to Achieving the Sustainable Development Goals in Europe. BMC Public Health: Copenhagen, Denmark, 2017. http://www.euro.who.int/__data/assets/pdf_file/0018/353043/2017_WHO_Report_FINAL _WEB.pdf?ua=1 (last access 20th April 2020)

D’Alessandro D, Assenso M, Appolloni L, Cappuccitti A. The Walking Suitability Index of the Territory (T-WSI): A new tool to evaluate urban neighborhood walkability. Ann Ig. 2015 Jul- Aug;27(4):678-687. https://doi.org/10.7416/ai.2015.2059

D’Alessandro D, Appolloni L, Capasso L. How walkable is the city? Application of the Walking Suitability Index of the Territory (T-WSI) to the city of Rieti (Lazio Region, Central Italy). Epidemiol Prev 2016; 40 (3-4):237-242. https://doi.org/10.19191/EP16.3-4.P237.090

World Health Organization (WHO). Housing and health guidelines. https://apps.who.int/iris/bitstream/handle/10665/276001/9789241550376-eng.pdf (last access 20th April 2020)

Capasso L, Gaeta M, Appolloni L, D’Alessandro D. Health inequalities and inadequate housing: the case of exceptions to hygienic requirements for dwellings in Italy. Ann Ig 2017; 29: 323-331. https://doi.org/10.7416/ai.2017.2159

Capasso L, Capolongo S, Faggioli A, Petronio MG, D’Alessandro D. Do Italian Regulations and policies protect poor people’s health? Ann Ig 2015; 27: 688-689. https://doi.org/10.7416/ai.2015.2060

D’Alessandro D, Raffo M. Adapting the answer to new problem of living in a changing society. Ann Ig 2011; 23: 267-274. PMID: 22013706

Lindert J. Environment and mental health: developing a research agenda. European Journal of Public Health, Volume 29, Issue Supplement_4, November 2019, ckz185.074, https://doi.org/10.1093/eurpub/ckz185.074

Mezzoiuso AG, Gola M, Rebecchi A, Riccò M, Capolongo S, Buffoli M, Tirani M, Odone A, Signorelli C. Ambienti confinati e salute: revisione sistematica della letteratura sui rischi legati all’utilizzo dei seminterrati a scopo abitativo. Acta Biomed. 2017; 88(3): 375–382. https://doi.org/10.23750/abm.v%vi%i.6741

Dettori M, Altea L, Fracasso D, Trogu F, Azara A, Piana A, Arghittu A, Saderi L, Sotgiu G, Castiglia P. Housing Demand in Urban Areas and Sanitary Requirements of Dwellings in Italy. J. Environ. Public Health 2020, 1–6. https://doi.org/10.1155/2020/7642658

Azara A, Dettori M, Castiglia P, Piana A, Durando P, Parodi V, Salis G, Saderi L, Sotgiu G. Indoor Radon Exposure in Italian Schools. Int. J. Environ. Res. Public Health 2018, 15(4), 749. https://doi.org/10.3390/ijerph15040749

Gola M, Settimo G, Capolongo S. Indoor Air Quality in Inpatient Environments: A Systematic Review on Factors that Influence Chemical Pollution in Inpatient Wards. Journal of Healthcare Engineering; 2019 8358306. https://doi.org.10.1155/2019/8358306

Buffoli M, Rebecchi A, Gola M, Favotto A, Procopio GP, Capolongo S. Green SOAP. A calculation model for improving outdoor air quality in urban contexts and evaluating the benefits to the population’s health status. In Mondini G, Fattinnanzi E, Oppio A, Bottero M, Stanghellini S. (eds) Integrated Evaluation for the Management of Contemporary Cities. 2018 Springer, Green Energy and Technology: 453-467. https://doi.org/10.1007/978-3- 319-78271-3_36

Capasso L, Faggioli A, Rebecchi A, Capolongo S, Gaeta M, Appolloni L, De Martino AM, D’Alessandro D. Hygienic and sanitary aspects in urban planning: Contradiction in national and local urban legislation regarding Public Health. Epidemiol Prev 2018; 42 (1):60-64. https://doi.org/10.19191/EP18.1.P060.016

Lenzi A, Capolongo S, Ricciardi W, Signorelli C, Napier D, Rebecchi A, Spinato C. New competences to manage urban health: Health City Manager core curriculum. Acta Biomed 2020; Vol. 91, Supplement 3: 21-28. https://doi.org/10.23750/abm.v91i3-S.9430

Capolongo S, Buffoli M, Mosca EI, Galeone D, D’Elia R, Rebecchi A. Public Health Aspects’ Assessment Tool for Urban Projects, According to the Urban Health Approach. In Della Torre S, Cattaneo S, Lenzi C, Zanelli A. (eds) Regeneration of the Built Environment from a Circular Economy Perspective. Research for Development. Springer, 2020. Cham.325-335. https://doi.org/10.1007/978-3-030-33256-3_30

Kampf G, Todt D, Pfaender S, et Al. Persistence of coronaviruses on inanimate surfaces and their inactivation with biocidal agents. The Journal of Hospital Infection. 2020 104: 246– 251. https://doi.org/10.1016/j.jhin.2020.01.022

Bezirtzoglou C, Dekas K, Charvalos E. Climate changes, environment and infection: facts, scenarios and growing awareness from the public health community within Europe. 2011 Anaerobe 17 (6), 337–340. https://doi.org/10.1016/j.anaerobe.2011.05.016

Anwar A, Anwar S, Ayub M, et Al. Climate change and infectious diseases: evidence from highly vulnerable countries. Iran J Public Health, Vol. 48, No.12, Dec 2019, pp.2187-2195. Available at http://ijph.tums.ac.ir

Casadevall A. Climate change brings the specter of new infectious diseases. J Clin Invest 2020. 130 (2), 553–555. https://doi.org/10.1172/jci135003

Jiangtao L, Ji Z, Jinxi Y, Xiaxia Z, Lanyu L, et Al. Impact of meteorological factors on the COVID-19 transmission: a multicity study in China. Science of the Total Environment 2020;726:138513 https://doi.org/10.1016/j.scitotenv.2020.138513

D’Alessandro D, Appolloni L, Capasso L. Public Health and urban planning: A powerful alliance to be enhanced in Italy. Ann. Ig. 2017, 29, 452–463. https://doi.org/10.7416/ai.2017.2177

Dobbins M, Robeson P, Ciliska D, Hanna S, Cameron R, O’Mara L, DeCorby K, Mercer S. A description of a knowledge broker role implemented as part of a randomized controlled trial evaluating three knowledge translation strategies. 2009. Implementation Science 4. http://doi.org/10.1186/1748-5908-4-23

Muscat NA, Brambilla A, Caracci F, Capolongo S. Synergies in Design and Health. The role of architects and urban health planners in tackling key contemporary public health challenges. Acta Biomed 2020; Vol. 91, Supplement 3: 9-20 https://doi.org/10.23750/abm.v91i3- S.9414

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Published

11-05-2020

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Section

ORIGINAL INVESTIGATIONS/COMMENTARIES - SPECIAL COVID19

How to Cite

1.
Capolongo S, Rebecchi A, Buffoli M, Appolloni L, Signorelli C, Fara GM, et al. COVID-19 and Cities: from Urban Health strategies to the pandemic challenge. A Decalogue of Public Health opportunities. Acta Biomed [Internet]. 2020 May 11 [cited 2024 Oct. 4];91(2):13-22. Available from: https://www.mattioli1885journals.com/index.php/actabiomedica/article/view/9615