Understanding the implementation challenges of urban resilience policies : investigating the influence of urban geological risk in Thessaloniki, Greece

Urban Resilience has recently emerged as a systematic approach to urban sustainability. The malleable definition of resilience has rendered its operationalisation an intriguing task for contemporary cities trying to address their organisational problems and confront uncertainty in a holistic manner. In this article we investigate the implementation challenges emerging for Resilient Strategies by the inattention paid to urban geological risk. We conceptualise urban geological risk as the combination of urban geohazards, geological vulnerability and exposure of the built environment and focus on the case study of Thessaloniki, Greece, a city that joined the 100 Resilient Cities initiative in 2014 and published its “Resilience Strategy 2030” (RS) in 2017. After a review of the RS, historical records of natural hazard events and with evidence gathered through interviews with city officials, we emphasize on earthquakes and surface flooding as the most relevant geohazards for Thessaloniki to tackle in its journey towards urban resilience. First, we examine geological vulnerability to earthquakes in conjunction with exposure of the built environment, as an outcome of ageing building stock, high building densities and the urban configuration, in Acheiropoietos neighbourhood, within the historic centre of the city. Then, we explore geological risk to surface flooding in Perea, in Thermaikos Municipality, with a particular focus on flash floods, by demonstrating how limited consideration of local geomorphology as well as semi-regulated urban expansion and its limited connection with emergency planning increase exposure of the built environment to surface flooding. Finally, we come up with the major implementation challenges Thessaloniki’s RS faces with regard to urban geohazards

Spring cleaning as a safety risk: results of a population-based study in two consecutive years

<p>Abstract</p> <p>Background</p> <p>Spring cleaning is a popular tradition in Iran as well as in many other countries. The purpose of our study was to determine the pattern and compare the incidence of spring cleaning related injuries in Tehran, in the years 2007 and 2008.</p> <p>Methods</p> <p>In the year 2007, a household survey was performed in Tehran by random cluster sampling. The survey was repeated in May 2008 with the same clusters and starting points, but different households. The incidence of spring cleaning related injuries, the age and sex of injured person(s), the mechanism, type and cost of injuries were recorded through semi-structured interviews. The incidence rates of injuries and injuries leading to health visits (severe) according to sex and age groups were calculated. Data were analyzed using SPSS and STATA statistical softwares.</p> <p>Results</p> <p>The incidence of all and severe spring cleaning related injuries were 3.8 (3.0 - 4.8) and 1.6 (1.1-2.3) per 1000, respectively. The most common mechanisms of injuries were falls, followed by cutting and lifting heavy objects or overexertion. Falls were also the main mechanism of severe injuries. The most common injuries were open wounds, followed by superficial injuries (including contusions) and sprain and strain. Among severe injuries, the most frequent injuries were open wounds and contusions, followed by dislocations. The injuries were most common among women with an incidence of about 8.4 per 1000 in women older than 18 years of age (severe injuries: 3.4 per 1000 (2.2-5.1)).</p> <p>Conclusion</p> <p>The incidence of spring cleaning related injuries is high enough to raise concern in health system authorities. It could be estimated that about 23,927 to 38,283 persons get injured during the spring cleaning in Tehran at the beginning of every Persian new year. In addition, about 8,773-18,344 of these cases are expected to be severe enough to lead to medical attention (considering 7,975,679 as the population of Tehran at the time of study). Improving awareness of families, especially young women, regarding the scope and importance of spring cleaning safety can be suggested as the first population-based strategy to decrease the incidence of these injuries.</p

Pharmacies in informal settlements:a retrospective, cross-sectional household and health facility survey in four countries

Background: Slums or informal settlements characterize most large cities in LMIC. Previous evidence suggests pharmacies may be the most frequently used source of primary care in LMICs but that pharmacy services are of variable quality. However, evidence on pharmacy use and availability is very limited for slum populations. Methods: We conducted household, individual, and healthcare provider surveys and qualitative observations on pharmacies and pharmacy use in seven slum sites in four countries (Nigeria, Kenya, Pakistan, and Bangladesh). All pharmacies and up to 1200 households in each site were sampled. Adults and children were surveyed about their use of healthcare services and pharmacies were observed and their services, equipment, and stock documented. Results: We completed 7692 household and 7451 individual adults, 2633 individual child surveys, and 157 surveys of pharmacies located within the seven sites. Visit rates to pharmacies and drug sellers varied from 0.1 (Nigeria) to 3.0 (Bangladesh) visits per person-year, almost all of which were for new conditions. We found highly variable conditions in what constituted a “pharmacy” across the sites and most pharmacies did not employ a qualified pharmacist. Analgesics and antibiotics were widely available but other categories of medications, particularly those for chronic illness were often not available anywhere. The majority of pharmacies lacked basic equipment such as a thermometer and weighing scales. Conclusions: Pharmacies are locally and widely available to residents of slums. However, the conditions of the facilities and availability of medicines were poor and prices relatively high. Pharmacies may represent a large untapped resource to improving access to primary care for the urban poor