“预防胜于治疗”-规划健康城市发展以促进公众健康

Ainul Jaria Maidin, Nurul Firdaus Salahul Ahamed
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摘要

在某些方面,公共卫生是一个现代概念,尽管据说它从远古时代就存在了。从人类文明的早期开始,人们就认识到受污染的水和缺乏适当的废物处理可能传播媒介传播的疾病。甚至宗教也试图规范具体影响健康的行为,从所吃的食物类型,到某些行为可以放纵的程度,如饮酒或吸毒。各国政府已被授权制定公共卫生政策和规划,以便更深入和更好地了解疾病的原因,以确保公共福祉和繁荣,并使健康和富有成效的人力资本得以发展。联合国政府间气候变化专门委员会和其他科学小组已经评估了气候变化对健康的潜在影响,并正在努力遏制其影响。古兰经在25章63节中明确规定,人要谦卑地行走在大地上。工业革命给世界带来了显著的变化。这导致了最严重的公共健康威胁,如传染病,这些疾病是由不卫生的条件和过度拥挤的地区造成的,直接和间接地传播。在全球范围内,通过改善卫生设施、增加获得安全饮用水的机会和改善牙齿健康,在控制疟疾、伤寒、甲型肝炎、麻风病和结核病等传染病方面取得了重大进展。土地开发规划和设计不良的建筑环境仍然是一些最棘手的公共卫生问题的根源,其中包括由于对机动车辆运输的高度依赖而导致的身体活动率下降。土地使用、社区设计和交通系统对当地空气质量、水质和供水、交通安全、体育活动和受污染工业的影响都有重大影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
'Prevention is Better than Cure' - Planning the Development of Healthy Cities to Promote Public Health
In some ways, public health is a modern concept, although it is said to have been around since time immemorial. From the early beginning of human civilization, it was recognized that polluted water and lack of proper waste disposal may spread vector-borne diseases. Even religions attempt to regulate behaviors specifically impacting on health, ranging from the types of food eaten, and the extent to which certain behaviors could be indulged, such as consuming alcohol or drug intake. The governments of countries have been empowered to develop public health policies and programs to gain a deeper and better comprehension on the causes of diseases to ensure public well-being, prosperity, to enable the development of healthy and productive human capital. The United Nation’s intergovernmental Panel on Climate Change and other scientific panels have assessed the potential health consequences of climate change and are trying to curb its effects. The Quran expressly provides in surah 25:63, for man to walk on the Earth in humility. The industrial revolution brought about a marked change to the world. This led to the most significant public health threat such as infectious diseases which were predisposed by unsanitary conditions and overcrowded areas that lead to its spread, both directly and indirectly. Globally, a significant amount of progress has been made to control communicable diseases such as malaria, typhoid, hepatitis A, leprosy and TB through improved sanitation facilities, increased access to safe drinking water and improved dental health. Land development planning and poorly designed built environment remain at the root of some of the most intractable public health problems, which includes the declining rates of physical activity resulting from higher dependence towards motor vehicle transportation. Land use, community design, and transportation systems substantially impact local air quality, water quality and supply, traffic safety, physical activity and exposure to contaminated industries.
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