Advancing Health Equity through 15-min Cities and Chrono-urbanism.

Implementing the 15-min city and chrono-urbanism aims to improve sustainability and quality of life by ensuring residents' proximity to essential services. The 15-min city model is gaining global traction, with localized adaptations to suit communities' needs. Beyond environmental motivations, 15-min cities can benefit public health through enhanced walkability, social cohesion, and universal accessibility. However, research examining the intersection of health and equity among chrono-urbanism and the 15-min city remains limited. This study aims to develop a framework to integrate health and equity into chrono-urbanism and 15-min city plans. We describe the potential benefits and risks of the 15-min approach for urban planning, daily behaviors, and health outcomes. Potential benefits of 15-min cities for health equity include proximity to destinations, increased physical activity, strengthened social capital, reduced emissions, and traffic calming. Risks that must be mitigated include gentrification, variable proximity definitions, infrastructure upgrades, and inadequate cultural sensitivity. Recommendations to integrate 15-min cities into planning activities include conducting comprehensive baseline assessments, aligning goals with sustainability, economic development, flexible zoning, inclusive public spaces, and diverse community engagement tactics. We recommend interventions targeting marginalized communities and developing standardized measurement tools for comparison, monitoring, and evaluation. A nuanced, equitable approach to implementing 15-min cities can help urban plans support health equity across diverse populations.

Addressing Health Equity in the Context of Carbon Capture, Utilization, and Sequestration Technologies.

PURPOSE OF REVIEW: To describe the role of health equity in the context of carbon capture, utilization, and sequestration (CCUS) technologies. RECENT FINDINGS: CCUS technologies have the potential to both improve and worsen health equity. They could help reduce greenhouse gas emissions, a major contributor to climate change, but they could also have negative health impacts like air and noise pollution. More research is needed to fully understand the health equity implications of CCUS technologies. CCUS technologies have both health equity risks and benefits. Implementing misguided CCUS projects in vulnerable communities could exacerbate environmental injustice and health disparities and have the potential to increase carbon emissions. However, well-conceived projects could benefit communities through economic development. Governments, industry, and society should prioritize and expedite the reduction of CO2 emissions before considering carbon reductions via CCUS. Furthermore, CCUS projects must be thoroughly evaluated and should only proceed if they have demonstrated a net reduction in CO2 emissions and provide more benefits than risks to local communities. This underscores the importance of prioritizing health equity in the planning of CCUS projects.

Equitable Urban Planning: Harnessing the Power of Comprehensive Plans.

PURPOSE OF REVIEW: Describe the role of comprehensive plans in promoting health equity in urban communities. Specifically, the review aims to identify recent findings related to using comprehensive plans to shape social determinants of health and to discuss the challenges that comprehensive plans face in promoting health equity. The review also presents recommendations for how urban planners, public health practitioners, and policymakers can work together to promote health equity through comprehensive planning efforts. RECENT FINDINGS: The evidence highlights the importance of comprehensive plans in promoting health equity in communities. These plans can shape the social determinants of health, such as housing, transportation, and green space, which significantly impact health outcomes. However, comprehensive plans face challenges related to the lack of data and understanding of the social determinants of health and the need for collaboration between multiple sectors and community groups. To effectively promote health equity through comprehensive plans, a standardized framework that incorporates health equity considerations is needed. This framework should include common goals and objectives, guidance on assessing potential impacts, performance metrics, and community engagement strategies. Urban planners and local authorities play a critical role in developing clear guidelines for integrating health equity considerations into planning efforts. Harmonizing comprehensive plan requirements across the USA are also essential to ensure equitable access to opportunities for health and well-being.

Built Environment, Transport, and COVID-19: a Review.

PURPOSE OF REVIEW: The COVID-19 pandemic has impacted daily-life activities around the world. Multiple countries and cities are implementing different mitigation strategies to reduce their transmission (e.g., physical distancing, stay-at-home orders, avoiding large gatherings). Such interventions have been related to positive and negative health externalities. Currently, the selection of mitigation strategies has not been systematically considering a long-term vision for urban health equity. This review presents evidence and a framework linking COVID-19 mitigation strategies, the built environment, and transport to health determinants and outcomes. In addition, the paper provides a set of urban interventions aimed at supporting COVID-19 mitigation strategies and promoting a long-term health equity vision. RECENT FINDINGS: COVID-19 mitigation strategies, in addition to helping reduce disease transmission, have also decreased urban road transport, resulting in indirect benefits on air quality, traffic noise, and traffic incidents. On the other hand, the same mitigation strategies have had negative impacts on physical activity, mental health, home isolation, and access to transport options, among others. COVID-19 mitigation strategies are an opportunity to test and implement built environment and transport interventions aimed to maximize health equity and minimize health risks. National and local authorities should systematically integrate a long-term urban health equity vision when designing and implementing COVID-19 mitigation strategies. COVID-19 offers an opportunity to rethink the built environment and transport infrastructure with the aim to support short-term mitigation strategies and reduce long-term urban health inequities.

Environmental Risk Factors and Health: An Umbrella Review of Meta-Analyses.

Background: Environmental health is a growing area of knowledge, continually increasing and updating the body of evidence linking the environment to human health. Aim: This study summarizes the epidemiological evidence on environmental risk factors from meta-analyses through an umbrella review. Methods: An umbrella review was conducted on meta-analyses of cohort, case-control, case-crossover, and time-series studies that evaluated the associations between environmental risk factors and health outcomes defined as incidence, prevalence, and mortality. The specific search strategy was designed in PubMed using free text and Medical Subject Headings (MeSH) terms related to risk factors, environment, health outcomes, observational studies, and meta-analysis. The search was limited to English, Spanish, and French published articles and studies on humans. The search was conducted on September 20, 2020. Risk factors were defined as any attribute, characteristic, or exposure of an individual that increases the likelihood of developing a disease or death. The environment was defined as the external elements and conditions that surround, influence, and affect a human organism or population's life and development. The environment definition included the physical environment such as nature, built environment, or pollution, but not the social environment. We excluded occupational exposures, microorganisms, water, sanitation and hygiene (WASH), behavioral risk factors, and no-natural disasters. Results: This umbrella review found 197 associations among 69 environmental exposures and 83 diseases and death causes reported in 103 publications. The environmental factors found in this review were air pollution, environmental tobacco smoke, heavy metals, chemicals, ambient temperature, noise, radiation, and urban residential surroundings. Among these, we identified 65 environmental exposures defined as risk factors and 4 environmental protective factors. In terms of study design, 57 included cohort and/or case-control studies, and 46 included time-series and/or case-crossover studies. In terms of the study population, 21 included children, and the rest included adult population and both sexes. In this review, the largest body of evidence was found in air pollution (91 associations among 14 air pollution definitions and 34 diseases and mortality diagnoses), followed by environmental tobacco smoke with 24 associations. Chemicals (including pesticides) were the third larger group of environmental exposures found among the meta-analyses included, with 19 associations. Conclusion: Environmental exposures are an important health determinant. This review provides an overview of an evolving research area and should be used as a complementary tool to understand the connections between the environment and human health. The evidence presented by this review should help to design public health interventions and the implementation of health in all policies approach aiming to improve populational health.

Questing by Tick Larvae (Acari: Ixodidae): A Review of the Influences That Affect Off-Host Survival.

Questing is a host-seeking behavior in which ticks ascend plants, extend their front legs, and wait poised for a chance to attach to a passing host. Hard ticks are ectoparasites of terrestrial vertebrates and because some species vector disease, they are among the most medically important of arthropod pests. All ixodid ticks require blood to survive and reproduce with the number of blood-hosts needed to complete their life cycle varying among species. The vast majority are three-host ticks requiring a different host for each developmental stage: larva, nymph, and adult. A few, including some of the most economically important species, are one-host ticks, that quest only in the larval stage. Questing is a rate-limiting behavior critical to tick survival and disease transmission. For the off-host larval stage, survival is highly dependent on ecological and physiological factors. Yet, off-host larval ecophysiology is often overlooked for the more obvious adult and nymphal tick-host interactions. This review summarizes the literature on ixodid larval questing with emphasis on how specific biotic and abiotic factors affect off-host survival.

Survival of off-host unfed Rhipicephalus (Boophilus) annulatus (Acari: Ixodidae) larvae in study arenas in relation to climatic factors and habitats in South Texas, USA.

The cattle fever tick, Rhipicephalus annulatus (Say), is an economically destructive arthropod because of its ability to vector bovine babesiosis. Cattle fever ticks can spend more than 90% of their life cycle as questing larvae, but the effect of climatic factors on their off-host behavior and survival is unclear. The goal of this study was to measure the effects of specific ecological factors on off-host larvae in nature. The study was conducted in a south Texas pasture over a 20-mo period, during which time larval populations were surveyed and ambient weather variables - relative humidity and temperatures - were recorded. Oviposition success and larval survival varied between cattle fever tick cohorts and was affected by relative humidity and canopied (with tree cover) versus exposed habitat. The results show that relative humidity and the interaction of relative humidity and inhabiting canopied habitats play a key role in oviposition success. Additionally, canopied habitats have a positive influence on off-host larval survival in the spring and summer.

Water Plume Temperature Measurements by an Unmanned Aerial System (UAS).

We report on the development and testing of a proof of principle water temperature measurement system deployed on an unmanned aerial system (UAS), for field measurements of thermal discharges into water. The primary elements of the system include a quad-copter UAS to which has been integrated, for the first time, both a thermal imaging infrared (IR) camera and an immersible probe that can be dipped below the water surface to obtain vertical water temperature profiles. The IR camera is used to take images of the overall water surface to geo-locate the plume, while the immersible probe provides quantitative temperature depth profiles at specific locations. The full system has been tested including the navigation of the UAS, its ability to safely carry the sensor payload, and the performance of both the IR camera and the temperature probe. Finally, the UAS sensor system was successfully deployed in a pilot field study at a coal burning power plant, and obtained images and temperature profiles of the thermal effluent.