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The transformative potential of a Global Urban Agenda and its lessons in a time of crisis.

ABSTRACT: 2015 was a seismic moment for urban stakeholders around the world. A coalition of policymakers, academics and practitioners came together to successfully advocate for an urban goal to be included in the UN Sustainable Development Goal framework. Although the value of a place-based approach to development has been demonstrated by a number of cities and countries worldwide, it was 2020-2022 (three years of cataclysmic global events) that highlighted the necessity for a universal place-based approach to planning in order to foster resilience and sustainability. In this article, three academic-practitioners reflect upon the transformative potential of the 2015-16 urban agendas.

SUBMITTER: Espey J

PROVIDER: S-EPMC10006553 | biostudies-literature | 2023

REPOSITORIES: biostudies-literature

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The transformative potential of a Global Urban Agenda and its lessons in a time of crisis.

Espey Jessica J Parnell Susan S Revi Aromar A

npj urban sustainability 20230311 1

2015 was a seismic moment for urban stakeholders around the world. A coalition of policymakers, academics and practitioners came together to successfully advocate for an urban goal to be included in the UN Sustainable Development Goal framework. Although the value of a place-based approach to development has been demonstrated by a number of cities and countries worldwide, it was 2020-2022 (three years of cataclysmic global events) that highlighted the necessity for a universal place-based approa ...[more]

PMID: 36936645

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Project description:BackgroundThe 2014-2016 Ebola crisis in West Africa had approximately eight times as many reported deaths as the sum of all previous Ebola outbreaks. The outbreak magnitude and occurrence of multiple Ebola cases in at least seven countries beyond Liberia, Sierra Leone, and Guinea, hinted at the possibility of broad-scale transmission of Ebola.Main textUsing a modeling tool developed by the US Centers for Disease Control and Prevention during the Ebola outbreak, we estimated the number of Ebola cases that might have occurred had the disease spread beyond the three countries in West Africa to cities in other countries at high risk for disease transmission (based on late 2014 air travel patterns). We estimated Ebola cases in three scenarios: a delayed response, a Liberia-like response, and a fast response scenario. Based on our estimates of the number of Ebola cases that could have occurred had Ebola spread to other countries beyond the West African foci, we emphasize the need for improved levels of preparedness and response to public health threats, which is the goal of the Global Health Security Agenda. Our estimates suggest that Ebola could have potentially spread widely beyond the West Africa foci, had local and international health workers and organizations not committed to a major response effort. Our results underscore the importance of rapid detection and initiation of an effective, organized response, and the challenges faced by countries with limited public health systems. Actionable lessons for strengthening local public health systems in countries at high risk of disease transmission include increasing health personnel, bolstering primary and critical healthcare facilities, developing public health infrastructure (e.g. laboratory capacity), and improving disease surveillance. With stronger local public health systems infectious disease outbreaks would still occur, but their rapid escalation would be considerably less likely, minimizing the impact of public health threats such as Ebola.ConclusionsThe Ebola outbreak could have potentially spread to other countries, where limited public health surveillance and response capabilities may have resulted in additional foci. Health security requires robust local health systems that can rapidly detect and effectively respond to an infectious disease outbreak.

Dataset Information

The transformative potential of a Global Urban Agenda and its lessons in a time of crisis.

Publications

The transformative potential of a Global Urban Agenda and its lessons in a time of crisis.

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