Building Resilient Cities: Climate Change and Health Interlinkages in the Planning of Public Spaces

Evaluating Nature-based Solutions as urban resilience and climate adaptation tools: A meta-analysis of their benefits on heatwaves and floods

Extreme weather events driven by climate change threaten the resilience of urban structures and urban dwellers. Nature-based Solutions (NbS) are an effective tool to reduce urban vulnerability to climate risks and, at the same time, develop more liveable urban areas. Despite the acknowledged positive impacts of individual observed NbS, numerous questions persist unanswered. While existing research supports NbS' positive influence on urban climate adaptation, the extent of their impact remains insufficiently studied. Understanding the magnitude of NbS impact is crucial for justifying their preference over non-NbS alternatives and, consequently, for securing public investment. Via a meta-analysis, this paper aims to contribute to research and practice by providing a more systematic assessment of NbS effects, offering urban planners and decision-makers a robust justification for their incorporation in climate change adaptation, urban resilience, and enhanced liveability. The results of the meta-analytic model indicate that the effect of NbS is indeed positive. When assessing the impact on temperature and flood protection, there is a general positive effect across the studied NbS. However, when evaluating an average effect, the task appears to be more complex due to methodological issues and limitations. The need to increase the formalisation of how the impact of NbS is measured and reported also emerges as a result. Replicable protocols would positively impact the formalisation of the literature on the topic and positively affect the evidence-based support for the implementation of NbS by urban decision-makers.

Are we going towards an effective integration of air quality and climate planning? A comparative analysis for Italian regions

Climate change mitigation and adaptation along with air pollution are key challenges that require a comprehensive planning approach able to promote win-win strategies and avoid transferring environmental pressures from one sector to another. The joint approach is widely advocated at the policy level while the scientific research investigates the role of co-benefits in planning processes. A methodological framework was developed with the twofold aim of (i) assessing the current integration degree between regional Air Quality Plans and Climate Plans and (ii) providing useful hints for pursuing greater air-climate integration. Its application to the Italian case study provides useful policy implications for strengthening the role of co-benefits as drivers of planning processes. Results show that a greater air-climate integration can be achieved by enhancing the role of regional authorities in supporting the implementation of local-scale plans and actions. This is especially important in contexts where an integrated planning framework is lacking and the mainstreaming within sectoral sub-regional plans turns out to be crucial.

A critical analysis of national plans for climate adaptation for health in South America

Climate adaptation measures are critical for protecting human health. National Adaptation Plans (NAPs), Nationally Determined Contributions (NDCs), and National Communications (NCs) play a crucial role in helping countries identify, analyze, and address their vulnerabilities to climate change impacts, while also assessing available resources and capacities. This study aimed to assess the comprehensiveness of South American countries' NAPs, NDCs, and NCs in addressing the effects of climate change on health. A total of 38 NAPs, NDCs, and NCs of 12 South American countries were analysed. Ad hoc scores were developed to assess baseline information, adaptation proposals, identification of involved institutions, funding needs and allocation, measurable progress indicators, and coherence. Overall, all South American countries have NDCs and NCs, and seven have NAPs. In most countries, the intersectoral health analysis revealed a lack of linkage to health issues related to that sector. Additionally, most planning documents lack detailed information to guide policymakers in taking practical actions; areas with low scores include allocation of funds, involvement of health-related institutions, and measurable indicators. While South American countries acknowledge the health impacts of climate change in their plans, enhancing public health protection requires maximizing climate policy benefits and including health-related issues across all relevant sectors.

Funding

This study was not funded. However, three co-authors received funding for some of their time: AV and KC were supported by the Wellcome Trust (209734/Z/17/Z); RCN was funded by K01AI139284 (NIH-NIAID). Funding for the publication was provided by Universidad Peruana Cayetano Heredia.

Examining the trade-offs in clean energy provision: Focusing on the relationship between technology transfer, renewable energy, industrial growth, and carbon footprint reduction

Sustainable energy mitigates climate change by reducing reliance on coal and oil for power generation, curbing global warming. It addresses environmental concerns and yields economic benefits-reduced fossil fuel dependence, financial inclusion, productive employment, and economic development. This research examines the impact of regional economic integration on environmental sustainability in 39 high-income European and Central Asian (ECA) nations from 2017 to 2021. Specifically, the study analyzes the influence of green energy demand, technological transfers, and trade openness on carbon emissions. The study employed various estimators, namely, a two-step Generalized Method of Moments (GMM) estimation, quantile regression, and the cointegration panel approach. These estimators were utilized to capture different aspects and dynamics of the research variables. The study finds that regional green programs and trade agreements effectively reduce carbon emissions, while technological advances and industrial output tend to raise them. Granger causality analyses reveal that emissions-led regional development, technical innovation, and trade openness are interconnected factors, and the deployment of renewable energy contributes to carbon emissions. The inter-temporal analysis suggests that regional economic integration factors will likely impact carbon emissions in the following decade. These findings support neoclassical growth theory, new institutional economics, and ecological modernization theory. Developing renewable energy sources in the region can minimize energy price fluctuations, strengthen energy security, and align with the carbon neutrality agenda. This research emphasizes the need for sustainable energy strategies and regional cooperation to foster a greener and more sustainable future.

The development of a grey relational analysis-based composite index for environmental sustainability assessment: Towards a net-zero emissions strategy in Saudi Arabia

Climate change and environmental sustainability assessment are essential in city planning, design, and smart city advancement. Despite Saudi Arabia's high global greenhouse gas (GHG) emissions ranking, a comprehensive review of extant studies revealed insufficient tools enhancing the policymaking and comprehension of climate change and environmental performance. This paper developed a hybrid green city index (GCI) and grey relational analysis (GRA) composite index for appraising national environmental sustainability via a robust, efficient, effective, and replicable grading process. The index is designed based on two primary considerations. The first is the selection of quality underlying indicators/categories, while the second is the adoption of GRA for conducting the normalization, weighting and aggregation process. These two considerations influenced the proposed composite index, which was later applied to Saudi Arabia as a study area. The results revealed that the environmental sustainability of Saudi Arabia is not significant, with the most outstanding of 0.3127 for 2010. At the category level, the favourable environmental sustainability ranking is between the 2010 and 2012 assessment period, with a gradual decline till 2018. This study's findings are unique as no studies within the context of Saudi Arabia and the Gulf region have utilized this study's research approach. Although not all indicators of the proposed index were used in the study area, this study's methodology and outcomes have the beneficial impact of assisting Saudi Arabia's decision-makers across the cities in monitoring the status and progress of implementing its net zero carbon emissions by 2060.

Supply-demand balance and spatial distribution optimization of primary care facilities in highland cities from a resilience perspective: A study of Lhasa, China

Introduction

The development of urban resilience, which is fundamentally a balance between the supply capacity of primary care resources and the demand from urban residents, includes an appropriate architecture of primary care facilities. Resilient city construction in highland areas is hampered by the physical environment and transportation constraints and frequently encounters issues like poor accessibility and unequal distribution of primary care facilities.

Methods

To optimize the supply and demand of primary care resources in highland cities and effectively improve the resilience of urban public health, this paper assesses the distribution of primary care facilities within the built-up area of Lhasa (China) through a spatial network analysis method based on GIS, combined with population distribution data, and employs a location-allocation model to optimize the distribution.

Results

Firstly, the overall supply of primary care exceeds the overall demand, but the facilities' service area can only accommodate 59% of the residences. Secondly, there is a clear spatial variation in the accessibility of primary care facilities, and the time cost of healthcare is too high in some residences. Thirdly, the supply-demand relationship of primary care facilities is unbalanced, with both over-saturated and over-deficient areas.

Discussion

After distribution optimization, the coverage and accessibility of primary care facilities have increased significantly, and the spatial imbalance of supply and demand has been alleviated. This paper proposes a research method to evaluate and optimize the spatial distribution of primary care facilities from multiple perspectives based on the resilience theory. The results of the study and visualization analysis methods can be used as an invaluable reference for planning the distribution of urban healthcare facilities and urban resilience construction in highland areas and other underdeveloped areas.