New insights into early medieval Islamic cuisine: Organic residue analysis of pottery from rural and urban Sicily.

Sicily, during the 9th-12th century AD, thrived politically, economically, and culturally under Islamic political rule and the capital of Palermo stood as a cultural and political centre in the Mediterranean Islamic world. However, to what extent the lifeways of the people that experienced these regimes were impacted during this time is not well understood, particularly those from lesser studied rural contexts. This paper presents the first organic residue analysis of 134 cooking pots and other domestic containers dating to the 9th -12th century in order to gain new insights into the culinary practices during this significant period. Ceramics from three sites in the urban capital of Palermo and from the rural town of Casale San Pietro were analysed and compared. The multi-faceted organic residue analysis identified a range of commodities including animal products, vegetables, beeswax, pine and fruit products in the ceramics, with a complex mixing of resources observed in many cases, across all four sites and ceramic forms. Alongside the identification of commodities and how they were combined, new light has been shed on the patterning of resource use between these sites. The identification of dairy products in calcite wares from the rural site of Casale San Pietro and the absence of dairy in ceramics from the urban centre of Palermo presents interesting questions regarding the role of rural sites in food consumption and production in Islamic Sicily. This is the first time organic residue analysis of ceramics has been used to explore foodways in a medieval multi-faith society and offers new pathways to the understanding of pottery use and resources that were prepared, consumed and combined, reflecting cuisine in different socio-economic environments within the pluralistic population of medieval Sicily.

Beyond faith: Biomolecular evidence for changing urban economies in multi-faith medieval Portugal.

OBJECTIVES: During the Middle Ages, Portugal witnessed unprecedented socioeconomic and religious changes under transitioning religious political rule. The implications of changing ruling powers for urban food systems and individual diets in medieval Portugal is poorly understood. This study aimed to elucidate the dietary impact of the Islamic and Christian conquests. MATERIALS AND METHODS: Radiocarbon dating, peptide mass fingerprinting (ZooMS) and stable isotope analysis (δ13 C, δ15 N) of animal (n = 59) and human skeletal remains (n = 205) from Muslim and Christian burials were used to characterize the diet of a large historical sample from Portugal. A Bayesian stable isotope mixing model (BSIMM) was used to estimate the contribution of marine protein to human diet. RESULTS: Early medieval (8-12th century), preconquest urban Muslim populations had mean (±1SD) values of -18.8 ± 0.4 ‰ for δ13 C 10.4 ± 1 ‰ for δ15 N, indicating a predominantly terrestrial diet, while late medieval (12-14th century) postconquest Muslim and Christian populations showed a greater reliance on marine resources with mean (±1SD) values of -17.9 ± 1.3‰ for δ13 C and 11.1 ± 1.1‰ for δ15 N. BSIMM estimation supported a significant increase in the contribution of marine resources to human diet. DISCUSSION: The results provide the first biomolecular evidence for a dietary revolution that is not evidenced in contemporaneous historical accounts. We find that society transitioned from a largely agro-pastoral economy under Islamic rule to one characterized by a new focus on marine resources under later Christian rule. This economic change led to the naissance of the marine economy that went on to characterize the early-modern period in Portugal and its global expansion.

Cities: Complexity, theory and history.

In recent decades researchers in a variety of disciplines have developed a new "urban science," the central goal of which is to build general theory regarding the social processes underlying urbanization. Much work in urban science is animated by the notion that cities are complex systems. What does it mean to make this claim? Here we adopt the view that complex systems entail both variation and structure, and that their properties vary with system size and with respect to where and how they are measured. Given this, a general framework regarding the social processes behind urbanization needs to account for empirical regularities that are common to both contemporary cities and past settlements known through archaeology and history. Only by adopting an explicitly historical perspective can such fundamental structure be revealed. The identification of shared properties in past and present systems has been facilitated by research traditions that define cities (and settlements more broadly) as networks of social interaction embedded in physical space. Settlement Scaling Theory (SST) builds from these insights to generate predictions regarding how measurable properties of cities and settlements are related to their population size. Here, we focus on relationships between population and area across past settlement systems and present-day world cities. We show that both patterns and variations in these measures are explicable in terms of SST, and that the framework identifies baseline infrastructural area as an important system-level property of urban systems that warrants further study. We also show that predictive theory is helpful even in cases where the data do not conform to model predictions.

There and back again: A zooarchaeological perspective on Early and Middle Bronze Age urbanism in the southern Levant.

Multiple arguments for or against the presence of 'urban' settlements in the Early Bronze Age of the southern Levant have identified the need to compare these settlements against their rural hinterlands through multiple lines of evidence. This meta-analysis of zooarchaeological data from the region compares and identifies patterns of animal production, provisioning and consumption between the supposed "urban" and rural sites of the southern Levant from the Early Bronze (EB) against the (more widely recognised urban) Middle Bronze (MB) Ages. It also identifies distinct and regionally specific patterns in animal production and consumption that can be detected between urban and rural sites of the southern Levant. The taxonomic and age profiles from EB Ia and Ib sites do not demonstrate any urban versus rural differentiation patterning, even though fortifications appear in the EB Ib. Beginning in the EB II and clearly visible in the EB III, there is differentiation between rural and urban sites in the taxonomic and age proportions. Differentiation is repeated in the MB II. The clear differentiation between "urban" and rural zooarchaeological assemblages from the EB II-III and MB suggest that rural sites are provisioning the larger fortified settlements. This pattern indicates that these sites are indeed urban in nature, and these societies are organized at the state-level. From the EB II onwards, there is a clear bias in the large centres towards the consumption of cattle and of subadult sheep and goats with a corresponding bias in smaller rural sites towards the consumption of adult sheep and goats and a reduced presence of cattle. After the emergence of this differential pattern, it disappears with the decline in social complexity at the end of the Early Bronze Age, only to come 'back again' with the re-emergence of urban settlement systems in the Middle Bronze Age.

Sex differences in the patterning of age-related bone loss in the human hallucal metatarsal in rural and urban populations.

OBJECTIVES: Age-degenerative features of the metatarsals are poorly known despite the importance of metatarsal bone properties for investigating mobility patterns. We assessed the role of habitual activity in shaping the patterning and magnitude of sexual dimorphism in age-related bone loss in the hallucal metatarsal. MATERIALS AND METHODS: Cross-sections were extracted at midshaft from micro-computed tomography scan models of individuals from medieval rural (Abingdon Vineyard) and early industrial urban (Spitalfields) settings (n = 71). A suite of cross-sectional geometry dimensions and biomechanical properties were compared between populations. RESULTS: The rural group display generally stronger and larger metatarsals that show a greater capacity to resist torsion and that have comparatively greater bending strength along the medio-lateral plane. Men in both groups show greater values of cortical area than women, but only in the urban group do men show lower magnitudes of age-related decline compared to females. Women in rural and urban populations show different patterns of age-related decline in bone mass, particularly old women in the urban group show a marked decline in cortical area that is absent for women in the rural group. DISCUSSION: Lifetime exposure to hard, physical activity in an agricultural setting has contributed to the attainment of greater bone mass and stronger bones in young adults. Furthermore, over the life-course, less of this greater amount of bone is lost, such that sustained activity levels may have acted to buffer against age-related decline, and this is most pronounced for women, who are expected to experience greater bone loss later in life than men.

Distribución geográfica de la industria farmacéutica madrileña durante el Franquismo / Geographical distribution of the pharmaceutical industry from Madrid during Francoism

Este estudio analiza la influencia de los planes urbanísticos, de ordenación del territorio y de descongestión industrial, trazados tanto por el Ayuntamiento de Madrid como por el Gobierno de la Nación, sobre la localización de la industria farmacéutica instalada en la ciudad de Madrid y su entorno provincial, lo que nos lleva a valorar las coincidencias y las singularidades de este tipo de industria respecto del resto de establecimientos que vertebraron el espacio industrial madrileño durante el Franquismo

This paper analyzes the influence of the urban planning, territorial planning and industrial decongestion plans, drawn up both by the Madrid’s City Council and by the Government of the Nation, on the location of the pharmaceutical industry installed in the city of Madrid and its provincial environment, which leads us to assess the coincidences and singularities of this type of industry with respect to the rest of the establishments that formed the backbone of Madrid's industrial space during the Franco regime

Ancient trash mounds unravel urban collapse a century before the end of Byzantine hegemony in the southern Levant.

The historic event of the Late Antique Little Ice Age (LALIA) was recently identified in dozens of natural and geological climate proxies of the northern hemisphere. Although this climatic downturn was proposed as a major cause for pandemic and extensive societal upheavals in the sixth-seventh centuries CE, archaeological evidence for the magnitude of societal response to this event is sparse. This study uses ancient trash mounds as a type of proxy for identifying societal crisis in the urban domain, and employs multidisciplinary investigations to establish the terminal date of organized trash collection and high-level municipal functioning on a city-wide scale. Survey, excavation, sediment analysis, and geographic information system assessment of mound volume were conducted on a series of mounds surrounding the Byzantine urban settlement of Elusa in the Negev Desert. These reveal the massive collection and dumping of domestic and construction waste over time on the city edges. Carbon dating of charred seeds and charcoal fragments combined with ceramic analysis establish the end date of orchestrated trash removal near the mid-sixth century, coinciding closely with the beginning of the LALIA event and outbreak of the Justinian Plague in the year 541. This evidence for societal decline during the sixth century ties with other arguments for urban dysfunction across the Byzantine Levant at this time. We demonstrate the utility of trash mounds as sensitive proxies of social response and unravel the time-space dynamics of urban collapse, suggesting diminished resilience to rapid climate change in the frontier Negev region of the empire.

The contribution of urbanization to changes in life expectancy in Scotland, 1861-1910.

During the nineteenth and early twentieth centuries, urban populations in Europe and North America continued to be afflicted by very high mortality as rapid urbanization and industrialization processes got underway. Here we measure the effect of population redistribution from (low-mortality) rural to (high-mortality) urban areas on changes in Scottish life expectancy at birth from 1861 to 1910. Using vital registration data for that period, we apply a new decomposition method that decomposes changes in life expectancy into the contributions of two main components: (1) changes in mortality; and (2) compositional changes in the population. We find that, besides an urban penalty (higher mortality in urban areas), an urbanization penalty (negative effect of population redistribution to urban areas on survival) existed in Scotland during the study period. In the absence of the urbanization penalty, Scottish life expectancy at birth could have attained higher values by the beginning of the twentieth century.

Estaturas generacionales y residencia por distritos en la ciudad de Madrid durante el siglo XX / Height cohorts and district of residence in the city of Madrid during the 20th century

Objetivo: en las últimas décadas se ha acumulado una interesante bibliografía sobre los niveles biológicos de vida en España a finales del siglo xix y durante el siglo xx. La talla ha sido una de las variables más estudiadas: su cambio a nivel nacional y provincial, el impacto de la Guerra Civil y de la posterior dictadura y las diferencias entre las áreas urbanas y las rurales. Queremos contribuir a este panorama general con este trabajo, una perspectiva intraurbana de la ciudad de Madrid. Métodos: presentamos el análisis comparativo del cambio temporal en la talla de los madrileños de los distritos de Salamanca y de Vallecas correspondientes al periodo 1936-1986. Resultados: en esos años, la talla total se incrementó en 5,58 cm, pasando de 166,40 a 171,98 cm, aunque se observan diferencias significativas entre ambos distritos; diferencias que se reducen (de 3,09 a 1,2 cm) entre Salamanca y Vallecas para los nacidos en 1915 y 1953, respectivamente. También se observa el efecto negativo de la Guerra Civil y de los años de autarquía. Conclusión: considerando estos primeros datos, junto a los disponibles para otras variables demográficas y socioeconómicas previas y posteriores al periodo estudiado, podemos considerar que la división por distritos representa una estratificación efectiva en los niveles biológicos de vida dentro de la ciudad de Madrid. Estos resultados constituyen una primera aproximación intraurbana con la talla al debate sobre la desigualdad y los niveles de vida en España durante el siglo XX

Objective: in recent decades, an interesting literature has accumulated regarding the biological living standard in Spain at the end of the 19th Century and during the 20th Century. Adult height has been one of the most studied variables, specifically its temporal change at the national and provincial levels, the impact of the Civil War and the subsequent dictatorship, and the differences between urban and rural areas. We want to contribute to this general overview with the presentation of a project about an intra-urban perspective of the city of Madrid. Methods: We present the stature data of the male population of two Madrid districts, Salamanca and Vallecas, for the period 1936-1986 (year of measurement). Results: In these years, height increased by 5.58 cm, from 166.40 to 171.98 cm, with significant differences observed between both districts as well as a simultaneous decrease of that difference, for those born in 1915 and 1953 from 3.09 to 1.2 cm. The negative effect of the Civil War and the years of autarky are also observed in this urban sample. Conclusion: Considering these data together with those available for other demographic and socioeconomic variables, before and after the period studied, we can conclude that the division by districts represents an effective stratification in the biological living standard of the population of the city of Madrid. These results constitute a first intra-urban approximation using height to the debate on inequality and biological living standards in Spain during the 20th Century

[Biological Standards of Living in Rural Catalonia over the Long Run: A Comparison with Urban Areas (1840-1960)]. / Niveles de vida biológicos en la Cataluña rural en el largo plazo: una comparación con las áreas urbanas (1840-1960).

OBJECTIVE: to assess the long-term evolution of biological living standards in rural Catalonia and to compare it with the corresponding figures in urban areas. METHODS: using data from military records of conscripts from six towns in western Catalonia, we construct an annual height series. Height is standardised at the age of 21 years. We also construct a body mass index (BMI) for conscripts born in 1891 and 1934-39. The annual height series for western Catalonia is systematically compared to the series for Reus, Catalonia's second largest city during the second half of the 19th century. RESULTS: comparing the cohorts born in the periods 1840-49 and 1951-60, we find that height increased by 5.7 centimetres over this period. However, the increase was not distributed equally over time. In the second half of the 19th century, rural heights stagnated over the long run and declined relative to urban heights. In the cohorts born in the decades between 1910 and 1950, rural heights rose by more than 5 centimetres, and converged with those of Reus. CONCLUSION: we provide new evidence for the current debate on the rural-urban height gap. Between the 1840s and the 1950s, heights in rural western Catalonia grew at rates similar to those recorded in certain urban areas, but growth rates differed depending on the period of analysis. This study underlines the importance of adopting long-term perspectives, and stresses that rural-urban height differences tend to be time-and space-specific.

Objetivo: analizar la evolución en el largo plazo del nivel de vida biológico en la Cataluña rural y explorar hasta qué punto esta fue diferente a la de las zonas urbanas. Métodos: utilizamos datos de los registros militares de seis localidades rurales del poniente catalán con los que construimos una serie anual de estatura estandarizada a la edad de 21 años con las cohortes nacidas entre 1840 y 1960. También elaboramos un IMC para los reclutas nacidos en 1891 y 1934-1939. La serie rural de estatura se compara sistemáticamente con la de Reus, el segundo mayor centro urbano catalán de la segunda mitad del siglo xix. Resultados: los datos muestran que la estatura aumentó 5,7 centímetros entre las cohortes nacidas entre 1840-1849 y 1951-1960, aunque desigualmente distribuidos a lo largo del tiempo. En la segunda mitad del siglo xix hubo estancamiento en el largo plazo y divergencia con las estaturas urbanas. Entre 1910 y 1950 la talla rural mejoró en más de 5 centímetros y terminó convergiendo con la de Reus. Conclusión: se aporta nueva evidencia al debate sobre la brecha rural-urbana en el nivel de vida biológico. En el periodo analizado, las tasas de crecimiento de la estatura fueron parecidas en ambos ámbitos, aunque con diferencias según el periodo de análisis. Este estudio subraya la importancia de adoptar perspectivas de largo plazo y señala que las diferencias de estatura rural-urbana tienden a ser específicas de tiempo y espacio.

[Height cohorts and district of residence in the city of Madrid during the 20th century]. / Estaturas generacionales y residencia por distritos en la ciudad de Madrid durante el siglo XX.

OBJECTIVE: in recent decades, an interesting literature has accumulated regarding the biological living standard in Spain at the end of the 19th Century and during the 20th Century. Adult height has been one of the most studied variables, specifically its temporal change at the national and provincial levels, the impact of the Civil War and the subsequent dictatorship, and the differences between urban and rural areas. We want to contribute to this general overview with the presentation of a project about an intra-urban perspective of the city of Madrid. METHODS: We present the stature data of the male population of two Madrid districts, Salamanca and Vallecas, for the period 1936-1986 (year of measurement). RESULTS: In these years, height increased by 5.58 cm, from 166.40 to 171.98 cm, with significant differences observed between both districts as well as a simultaneous decrease of that difference, for those born in 1915 and 1953 from 3.09 to 1.2 cm. The negative effect of the Civil War and the years of autarky are also observed in this urban sample. CONCLUSION: Considering these data together with those available for other demographic and socioeconomic variables, before and after the period studied, we can conclude that the division by districts represents an effective stratification in the biological living standard of the population of the city of Madrid. These results constitute a first intra-urban approximation using height to the debate on inequality and biological living standards in Spain during the 20th Century.

Objetivo: en las últimas décadas se ha acumulado una interesante bibliografía sobre los niveles biológicos de vida en España a finales del siglo XIX y durante el siglo XX. La talla ha sido una de las variables más estudiadas: su cambio a nivel nacional y provincial, el impacto de la Guerra Civil y de la posterior dictadura y las diferencias entre las áreas urbanas y las rurales. Queremos contribuir a este panorama general con este trabajo, una perspectiva intraurbana de la ciudad de Madrid.Métodos: presentamos el análisis comparativo del cambio temporal en la talla de los madrileños de los distritos de Salamanca y de Vallecas correspondientes al periodo 1936-1986.Resultados: en esos años, la talla total se incrementó en 5,58 cm, pasando de 166,40 a 171,98 cm, aunque se observan diferencias significativas entre ambos distritos; diferencias que se reducen (de 3,09 a 1,2 cm) entre Salamanca y Vallecas para los nacidos en 1915 y 1953, respectivamente. También se observa el efecto negativo de la Guerra Civil y de los años de autarquía.Conclusión: considerando estos primeros datos, junto a los disponibles para otras variables demográficas y socioeconómicas previas y posteriores al periodo estudiado, podemos considerar que la división por distritos representa una estratificación efectiva en los niveles biológicos de vida dentro de la ciudad de Madrid. Estos resultados constituyen una primera aproximación intraurbana con la talla al debate sobre la desigualdad y los niveles de vida en España durante el siglo xx.

Medical provision and urban-rural differences in maternal mortality in late nineteenth century Scotland.

This paper examines the effect of variable reporting and coding practices on the measurement of maternal mortality in urban and rural Scotland, 1861-1901, using recorded causes of death and women who died within six weeks of childbirth. This setting provides data (n = 604 maternal deaths) to compare maternal mortality identified by cause of death with maternal mortality identified by record linkage and to contrast urban and rural settings with different certification practices. We find that underreporting was most significant for indirect causes, and that indirect causes accounted for a high proportion of maternal mortality where the infectious disease load was high. However, distinguishing between indirect and direct maternal mortality can be problematic even where cause of death reporting appears accurate. Paradoxically, underreporting of maternal deaths was higher in urban areas where deaths were routinely certified by doctors, and we argue that where there are significant differences in medical provision and reported deaths, differences in maternal mortality may reflect certification practices as much as true differences. Better health services might therefore give the impression that maternal mortality was lower than it actually was. We end with reflections on the interpretation of maternal mortality statistics and implications for the concept of the obstetric transition.

From global scaling to the dynamics of individual cities.

Scaling has been proposed as a powerful tool to analyze the properties of complex systems and in particular for cities where it describes how various properties change with population. The empirical study of scaling on a wide range of urban datasets displays apparent nonlinear behaviors whose statistical validity and meaning were recently the focus of many debates. We discuss here another aspect, which is the implication of such scaling forms on individual cities and how they can be used for predicting the behavior of a city when its population changes. We illustrate this discussion in the case of delay due to traffic congestion with a dataset of 101 US cities in the years 1982-2014. We show that the scaling form obtained by agglomerating all of the available data for different cities and for different years does display a nonlinear behavior, but which appears to be unrelated to the dynamics of individual cities when their population grows. In other words, the congestion-induced delay in a given city does not depend on its population only, but also on its previous history. This strong path dependency prohibits the existence of a simple scaling form valid for all cities and shows that we cannot always agglomerate the data for many different systems. More generally, these results also challenge the use of transversal data for understanding longitudinal series for cities.

Origins of School Nursing.

This study investigated the origin and implementation of school nursing in New York City, using traditional historical methods with a social history framework. The intent of this research was to produce a comprehensive historical analysis of school nursing at the turn of the 20th century in order to provide a historical framework to promote the work of school nurses today. Understanding the core fundamental concepts of school nursing from its origins and the significance of the emergence of community support for the role of the school nurse at the turn of the 20th century can inform current policy to back school nursing and school health today.

The Rise of the Current Mortality Pattern of the United States, 1890-1930.

This article examines how the epidemiologic transition and the reduction of the urban mortality penalty gave rise to the current mortality regime of the United States and demonstrates how the 1918 influenza pandemic signaled its advent. This article approaches those issues through the analysis of urban-rural mortality differentials from 1890 to 1930. Until 1910, infectious diseases dwarfed degenerative diseases in leading causes of death, and generally, the more urban the location was, the higher infectious disease and overall death rates were-a direct relationship. But by 1930, degenerative diseases had eclipsed infectious diseases, and infectious disease mortality had ceased to differ between cities and rural areas. The 1918 influenza pandemic broke out toward the end of these changes, and the larger the city was, the lower influenza and overall death rates were in that year-an inverse relationship. Such gradations characterized a new mortality regime emerging in the late 1910s and foreshadowed urban-rural mortality differentials in 1930 among persons aged 45 years or older, the group whose high rates of degenerative disease death would symbolize that regime. Thus, intertwined changes in the late 19th and early 20th centuries-a shift in leading causes of death from infectious diseases to degenerative diseases and a concomitant shift from a direct relationship to an inverse relationship between urban environment and mortality-produced the current mortality regime of the United States.

Temporal Dynamics of the Driving Factors of Urban Landscape Change of Addis Ababa During the Past Three Decades.

Mapping and quantifying urban landscape dynamics and the underlying driving factors are crucial for devising appropriate policies, especially in cities of developing countries where the change is rapid. This study analyzed three decades (1984-2014) of land use land cover change of Addis Ababa using Landsat imagery and examined the underlying factors and their temporal dynamics through expert interview using Analytic Hierarchy Process (AHP). Classification results revealed that urban area increased by 50%, while agricultural land and forest decreased by 34 and 16%, respectively. The driving factors operated differently during the pre and post-1991 period. The year 1991 was chosen because it marked government change in the country resulting in policy change. Policy had the highest influence during the pre-1991 period. Land use change in this period was associated with the housing sector as policies and institutional setups were permissive to this sector. Population growth and in-migration were also important factors. Economic factors played significant role in the post-1991 period. The fact that urban land has a market value, the growth of private investment, and the speculated property market were among the economic factors. Policy reforms since 2003 were also influential to the change. Others such as accessibility, demography, and neighborhood factors were a response to economic factors. All the above-mentioned factors had vital role in shaping the urban pattern of the city. These findings can help planners and policymakers to better understand the dynamic relationship of urban land use and the driving factors to better manage the city.

Trends in mortality and biological stress in a medieval polish urban population.

Urbanization in pre-modern populations may have had a variety of consequences related to population crowding. However, research on the effects of urbanization have provided inconsistent results regarding the biological impact of this transition on human populations. The purpose of this study is to test the hypothesis that urbanization caused an increase in overall biological stress in a medieval (10th-13th centuries AD) Polish population. A human skeletal sample (n=164) was examined for the presence of porotic hyperostosis, cribra orbitalia, linear enamel hypoplasia, periosteal reaction, and specific infectious diseases. Prevalence rates were compared among three temporal samples: initial urbanization, early urbanization, and later urbanization. Results indicate no significant trends for any of the pathological conditions. Cox proportional hazards analyses, however, revealed a significant increase in the risk of death over time, which supports the hypothesis. These results reflect the necessity of using multiple analyses to address bioarchaeological questions. The lack of significant results from skeletal indicators may be due to an earlier urbanization trend in the population. This study illustrates that the association of urbanization with elevated biological stress is complicated and dependent on various factors, including culture and time period.

"Honey, Milk and Bile": a social history of Hillbrow, 1894-2016.

This commentary constructs a social history of Hillbrow, an inner-city suburb in Johannesburg, South Africa, based on a review of relevant published historical, anthropological and sociological texts. We highlight the significant continuities in the social structure of the suburb, despite the radical transformations that have occurred over the last 120 years.Originally envisaged as a healthy residential area, distinct from the industrial activity of early Johannesburg, Hillbrow was a prime location for health infrastructure to serve the city. By the late 1960s, the suburb had been transformed by the rapid construction of high rise office and apartment buildings, providing temporary low cost accommodation for young people, migrants and immigrants. In the 1980s, Hillbrow defied the apartheid state policy of racial separation of residential areas, and earned the reputation of a liberated zone of tolerance and inclusion. By the 1990s, affected by inner-city decay and the collapse of services for many apartment buildings, the suburb became associated with crime, sex work, and ungovernability. More recently, the revitalisation of the Hillbrow Health Precinct has created a more optimistic narrative of the suburb as a site for research and interventions that has the potential to have a positive impact on the health of its residents.The concentration of innovative public health interventions in Hillbrow today, particularly in the high quality health services and multidisciplinary research of the Hillbrow Health Precinct, creates the possibility for renewal of this troubled inner-city suburb.