The construction of the idea of the city in Early Modern Europe: Pérez de Herrera and Nicolas Delamare

With the economic and social changes in Europe at the end of the sixteenth century and the formation and consolidation of an urban network throughout the continent, questions such as poverty, sanitation, and hygiene began to pose acute problems in the cities of the age. A new school of thought, known in Spain as Ciencia de Policía and in the Mediterranean area as Policy Science, proposed solutions for these problems and tested them through practical interventions inside the urban setting. In this article the author compares the work of two thinkers: Cristóbal Pérez de Herrera, a Spaniard, and Nicolas Delamare, a Frenchman. Writing in the late sixteenth and early seventeenth centuries, Pérez de Herrera examined the organization of Madrid, the newly founded (though still not firmly established) capital of Spain. Delamare based his study on the Paris of the early eighteenth century. The author stresses the coincidences in some of the ideas of both thinkers and shows how their writings begin to embody a new idea of the city, many aspects of which have survived until the present day.

The shantytowns of Central Park West: fin de siècle squatting in American cities

This article argues that the scope and importance of squatting has been greatly understated in discussions of nineteenth-century urban development. Period newspapers reported often on the struggle of cities and titleholders across North America to evict squatters, indicating that squatters were a common and persistent component of the city landscape. Evidence also suggests that many, if not most, squatters believed that they would eventually win clear title to their homes.

Sex and the city in decline: Midnight Cowboy (1969) and Klute (1971)

This essay looks at two popular and influential films of the late 1960s and early 1970s, which were both shot in New York City: Midnight Cowboy (1969) and Klute (1971). It places them in film history, New York City history, and U.S. urban history more generally, finding that they offer an update on earlier century narratives of the connections between urban areas and deviant sexuality. In this modern version, it is not just a moral tale but also an economic one, where, because of the historical decline of the U.S. city and of New York in particular, sex work becomes a plausible, if unsettling means of support. These films find both narrative and spatial terms for advancing the contemporary antiurban narrative, envisioning New York as an impinging vertical space and seeing possible redemption only in the protagonists leaving the city.

Cities without cavities: democracy, risk, and public health

This essay examines the history of fluoride debates in four Canadian cities. It argues that fluoride's opponents were primarily motivated by what they saw as the health and environmental risks of adding fluoride to the water supply. They also believed that fluoridating the public water supply was a fundamental violation of civil liberties. The fluoride debates have much to teach us about how people evaluate potential health risks and how they respond to state interventions in the field of public health.

Municipal solid waste management in Lahore City District, Pakistan

This study deals with generation, composition, collection, transportation, and disposal, as well as the present cost of the waste management on the basis of 60% collection of the total waste and the cost of proposed improved system of management on the basis of 100% waste collection using the IWM-2 LCI model. A GIS map of Data Ganj Bakhsh Town (DGBT) of Lahore City District showing communal storage facilities is also provided. DGBT has a population of 1,624,169 living in 232,024 dwellings. The total waste generated per year is 500,000 tons, or 0.84/kg/cap/day. Presently 60% of the MSW is collected and disposed in open dumps, while 40% is not collected and lies along roadsides, streets railway lines, depressions, vacant plots, drains, storm drains and open sewers. In DGBT, 129 containers of 5-m(3) capacity, 120 containers of 10-m(3) capacity and 380 skips of 2.5-m(3) capacity are placed for waste collection. The overall collection and disposal cost of the MSW of DGBT is $3,177,900/yr, which is $10.29/ton. Modeling was conducted using the IWM-2 model for improved collection and disposal on the basis of 100% service, compared to the current 60% service. The modelled cost is $8.3/per ton, which is 20% less than the present cost, but the overall cost of 100% collection and disposal increases to $4,155,737/yr.

The aesthetics of city-scale preservation policy in Beijing

Chinese cities today represent a historically important case of the relation between city-scale preservation policy and urban design, and the role they play in the rapid transformation of urban environments. This article reviews Beijing's preservation and urban design policies as they existed in 1990, and as they evolved and responded over the following fifteen years of radical change. Beijing's master plan in the 1990s ambitiously attempted to define the preservation-worthy image of the entire old city, but did so in narrowly picturesque terms. The practice of 'protecting' designated historic structures by clearing the space around them, and the dependence on a totalizing view-from-on-high to define Beijing's overall characteristic form (as opposed to an experience of the city from its myriad public and private spaces), produced a city-wide preservation policy that was particularly handicapped in its ability to accommodate change.

Reconstruction of New Orleans after Hurricane Katrina: a research perspective

Four propositions drawn from 60 years of natural hazard and reconstruction research provide a comparative and historical perspective on the reconstruction of New Orleans after Hurricane Katrina. Decisions taken over its 288-year history that have made New Orleans so vulnerable to Katrina reflect a long-term pattern of societal response to hazard events--reducing consequences to relatively frequent events, and increasing vulnerability to very large and rare events. Thus Katrina's consequences for New Orleans were truly catastrophic--accounting for most of the estimated 1,570 deaths of Louisiana residents and $40-50 billion in monetary losses. A comparative sequence and timing of recovery provides a calendar of historical experience against which to gauge progress in reconstruction. Using this calendar, the emergency post-disaster period appears to be longer in duration than that of any other studied disaster. The restoration period, the time taken to restore urban services for the smaller population, is in keeping with or ahead of historical experience. The effort to reconstruct the physical environment and urban infrastructure is likely to take 8-11 years. Conflicting policy goals for reconstruction of rapid recovery, safety, betterment, and equity are already evident. Actions taken demonstrate the rush to rebuild the familiar in contrast to planning efforts that emphasize betterment. Because disasters tend to accelerate existing economic, social, and political trends, the large losses in housing, population, and employment after Katrina are likely to persist and, at best, only partly recover. However, the possibility of breaking free of this gloomy trajectory is feasible and has some historical precedent.

Formulaic expert method to integrate evaluation and valuation of heritage trees in compact city

Urban trees serve important environmental, social and economic functions, but similar to other natural endowments they are not customarily depicted in monetary terms. The needs to augment protection, funding and community support for urban greening call for proper valuation. Heritage trees (HTs), the cream of urban-tree stock, deserve special attention. Existing assessment methods do not give justice to outstanding trees in compact cities deficient in high-caliber greenery, and to their social-cultural-historical importance. They artificially separate evaluation from valuation, which should be a natural progression from the former. Review of tree valuation methods suggested the formula approach to be more suitable than contingent valuation and hedonic pricing, and provided hints on their strengths and weaknesses. This study develops an alternative formulaic expert method (FEM) that integrates evaluation and valuation, maximizes objectivity, broadly encompasses the key tree, tree-environment and tree-human traits, and accords realistic monetary value to HTs. Six primary criteria (dimension, species, tree, condition, location, and outstanding consideration) branched into 45 secondary criteria, each allocated numerical marks. Each primary criterion was standardized to carry equal weight, and a tree's maximum aggregate score is capped at 100. A Monetary Assignment Factor (MAF) to consign dollar value to each score unit was derived from three-year average per m(2) sale price of medium-sized residential flats. The applicability of FEM was tested on selected HTs in compact Hong Kong. The aggregate score of a tree multiplied by MAF yielded monetary value, which was on average 66 times higher than the result from the commonly-adopted Council of Tree and Landscape Appraisers method. The computed tree values could be publicized together with multiple tree benefits to raise understanding and awareness and rally support to protect HTs. The property-linked FEM could be flexibly applied to other cities, especially to assess HTs in compact developing cities.

Investigation of energy recovery from poultry litter and municipal solid waste by thermochemical conversion method in India

The waste disposal is becoming a major threat to environmental issues and to sustainable development of mankind. The rapid growth in population and enormous developmental activities are the main causes for the generation of waste in many forms. Hence there is need to redress the concern on environment and efforts to be made for effective collection and disposal of wastes. Most of the solid waste is a mix of household wastes, street wastes, commercial and institutional wastes containing organic as well as inorganic matter. This offers better opportunity to recover energy from organic fraction of wastes by adapting suitable processing and treatment technologies. This paper describes the various technologies need to be adopted for the disposal of poultry waste and municipal solid waste. More emphasis has been given on waste disposal technologies for better environment and economics. The advantages and disadvantages of each disposal technology have been briefed.

Immigration and the American Century

The full impact of immigration on American society is obscured in policy and academic analyses that focus on the short-term problems of immigrant adjustment. With a longer-term perspective, which includes the socioeconomic roles of the children of immigrants, immigration appears as one of the defining characteristics of twentieth-century America. Major waves of immigration create population diversity with new languages and cultures, but over time, while immigrants and their descendants become more "American," the character of American society and culture is transformed. In the early decades of the twentieth century, immigrants and their children were the majority of the workforce in many of the largest industrial cities; in recent decades, the arrival of immigrants and their families has slowed the demographic and economic decline of some American cities. The presence of immigrants probably creates as many jobs for native-born workers as are lost through displacement. Immigrants and their children played an important role in twentieth-century American politics and were influential in the development of American popular culture during the middle decades of the twentieth century. Intermarriage between the descendants of immigrants and old-stock Americans fosters a national identity based on civic participation rather than ancestry.

Urban health: a look out our windows

Approximately 80% of Americans live in cities or immediately adjacent communities. Such urban environments are complex amalgams of people of disparate backgrounds, economic status, and expectations, with extraordinary disparities in health status and outcomes between groups just blocks apart. Urban health as a framing paradigm is of recent vintage and offers a perspective on health and disease that integrates clinical medicine and public health and draws on the social and political sciences to seek understanding of the impact of cities on the health of populations and individuals. Ironically, disparate outcomes and increased mortality among poor minority populations in cities are not primarily related to the consequences of the urban epidemics of drugs and violence but rather are due to the increased prevalence and severity of common diseases such as asthma, cardiovascular disease, diabetes, and kidney disease. Several factors may be responsible for such disparities, including stress, racism, perceptions of deprivation, economic inequalities, and lack of access to quality health care. It is time for leaders in medical education and health care delivery to focus on the populations that surround their institutions in order to study urban health and meet the challenge of caring for all the residents of our cities.

Overcoming the hurdles to providing urban health care in the 21st century

The delivery of health care services to urban populations in the United States is a system of rapidly increasing complexity. With the emergence of superspecialized physicians, a scientific approach to disease management has received great emphasis. Those providing health care at the population level may also apply this evidence-based approach. Analysis of the process of health care delivery in its entirety is complicated, confusing, and may be fraught with bias. In this article, a powerful instrument for providing a scientific approach to urban health care health policy development is introduced. This tool allows for analysis and assessment of hurdles to health care delivery to urban populations by dividing the process into elements of "administration," "provision," and "utilization" (APU). This APU triangle model, while intuitive, also allows a more definitive analysis by parts than would be possible to make of the whole. Using this model, the authors explore some of the hurdles faced by each element as well as some potential solutions. Although this model is presented in the context of urban hurdles to health care, it is equally applicable to rural environments or other service-delivery systems. In conclusion, this article discusses the emergence of the role of the public health department as the facilitator and manager between sectors of the community not traditionally connected in a collaborative health care model. Thus, the urban public health department coordinates efforts to surmount the hurdles and provides the venue for analysis, development, and employment of successful strategies.

The role of U.S. public hospitals in urban health

Public hospitals in the United States play a key role in urban health. In many metropolitan communities, public hospitals maintain the health care safety net. Most urban public hospitals have evolved to not only provide care for the indigent but also to serve their communities in other ways, including serving as major providers for tertiary services such as trauma and those that support homeland security; serving as the foundation for primary care services; continuing to train a significant number of physician, nurses, and other medical personnel; and providing laboratories for clinical medical research. Federal budget cuts such as those in the Balanced Budget Act of 1997, recent state budget deficits, competition for Medicaid Managed Care, and the growth in the number of uninsured have led to a decline in revenues among urban public hospitals. To be better stewards of scarce resources, public hospitals have moved to reduce inpatient demand by adopting prevention strategies that are aimed at addressing the determinants of health, the complex interactions among social and economic factors, the physical environment, and individual behavior. These factors contribute to health status and offer opportunities to intervene and improve community health. Urban public hospitals, to be successful in the next stage of their evolution, need to learn to manage the "in-betweens"--partnering with governmental and nongovernmental entities to identify and work together on common health and safety issues. If public hospitals engage the community successfully, building trust and establishing new capability and capacity, urban public hospitals will survive, evolve, and continue their tradition of service.

Health disparities based on socioeconomic inequities: implications for urban health care

Health is unevenly distributed across socioeconomic status. Persons of lower income, education, or occupational status experience worse health and die earlier than do their better-off counterparts. This article discusses these disparities in the context of urban medical practice. The article begins with a discussion of the complex relationship among socioeconomic status, race, and health in the United States. It highlights the effects of institutional, individual, and internalized racism on the health of African Americans, including the insidious consequences of residential segregation and concentrated poverty. Next, the article reviews health disparities based on socioeconomic status across the life cycle, beginning in fetal health and ending with disparities among the elderly. Potential explanations for these socioeconomic-based disparities are addressed, including reverse causality (e.g., being poor causes lower socioeconomic status) and confounding by genetic factors. The article underscores social causation as the primary explanation for health disparities and highlights the cumulative effects of social disadvantage across stages of the life cycle and across environments (e.g., fetal, family, educational, occupational, and neighborhood). The article concludes with a discussion of the implications of health disparities for the practice of urban medicine, including the role that concentration of disadvantage plays among patients and practice sites and the need for quality improvement to mitigate these disparities.

The Johns Hopkins Urban Health Institute: A collaborative response to urban health issues

The authors provide background on the poor health and economic status of the residents of East Baltimore, Maryland--the neighborhood surrounding a significant part of Johns Hopkins University, including the School of Medicine, the School of Nursing, the Bloomberg School of Public Health, and the Johns Hopkins Hospital. The president of the Johns Hopkins University established a council on urban health, consisting of a broad array of individuals from across the university and the community to develop a recommended course of action to help deal with these conditions. Based on the recommendations of the council, the Johns Hopkins Urban Health Institute was established with the mission to marshall the resources of the university and external groups to improve the health and well-being of the residents of East Baltimore and to promote evidence-based interventions to solve urban health problems nationwide. After becoming fully operational in 2001, the institute established three major goals: (1) strengthen research and learning, (2) reduce disparities in health and health care for East Baltimore residents, and (3) promote economic growth in East Baltimore. The article describes the institute's major activities, including community-based participatory research projects, the Journal of Community-Based Participatory Research, and programs for research fellows to promote research and learning; HIV/AIDS counseling and testing centers and a primary care clinic for the uninsured to reduce health disparities; and a technology resource center providing training and job opportunities to promote economic growth. The authors conclude by outlining the next steps planned for the institute.

Reducing overall health care costs for a city municipality: a real life community based learning model

City municipalities implementing health and wellness programs patterned after North Little Rock, Arkansas, can significantly reduce the cost of health care for employees, as well as reduce costs associated with workers' compensation claims and lost time caused by injury. In addition to primary care services, effective programs include health risk assessments through pre-placement physicals, employee physicals, drug screening, employee health and wellness promotion programs, and immunization and registry. In implementing the program, a team from the University of Arkansas for Medical Sciences College of Nursing worked with city officials to establish a steering committee, safety initiatives through first responders, systems for monitoring immunizations, criteria for pre-placement physicals, and an employee health and wellness program. While the benefits for the city are well documented, the contract also created opportunities for education, research, and services in a real life community based learning laboratory for students in the College of Nursing. In addition, it provided opportunities for faculty to participate in faculty practice and meet the College's service missions. The College's model program holds promise for use by other major health care centers across the region and nation.

Where's the best place to be born?

A series of large city rankings developed from federal agency reports were reviewed to increase appreciation of the factors that impact the general health of newborns. Efforts to provide the "right start" for the beginning of life may decrease the incidence of children with developmental disabilities.