Health and population

Health and population dynamics are intertwined, embodying an intricate relationship with significant implications on the Sustainable Development Goals (SDGs). Health is fundamentally at the center of these 17 global goals, aimed to transform the world by 2030. Specifically, Goal 3 endeavors to "Ensure healthy lives and promote well-being for all at all ages." It acknowledges that health is pivotal to human life quality, social cohesion, and sustainable development. Inextricably linked to this are the complexities of population dynamics, including growth rates, age structure, fertility and mortality rates, and migration patterns.

With the world's population projected to exceed 9.7 billion by 2050, the pressure on health systems will undoubtedly escalate. The demographic transition, with an aging population and an increasing prevalence of non-communicable diseases, poses new challenges for health systems globally. Additionally, areas with high fertility rates often overlap with extreme poverty, resulting in heightened health risks, including higher maternal and child mortality rates, malnutrition, and infectious diseases.

Moreover, rapid urbanization and migration present both opportunities and threats to health. While urban areas may provide better access to healthcare, they also harbor risks of disease transmission, air and water pollution, and social determinants of health like inadequate housing and social inequality. Simultaneously, migrants often face disproportionate health risks due to unstable living conditions, exploitation, and limited access to healthcare services.

Achieving the SDGs will necessitate comprehensive approaches that consider the intricate interplay of health and population dynamics. It means strengthening health systems, promoting universal health coverage, and addressing social determinants of health. It also implies crafting policies that recognize demographic realities and foster an environment conducive to sustainable development. Only by understanding and harnessing these dynamics can the world meaningfully progress towards realizing the SDGs, ensuring healthy lives and well-being for all.

A Comment on Alzheimer's disease plaques, in the context of SDG 3, focusing specifically on donanemab and its target.
An epidemic of any infectious disease with significant social and health impacts is a major challenge for a large city. Smallpox is an exemplar pathogen that has the capacity to cause catastrophic impacts on cities
Elsevier,

Inoculating Cities, Case Studies of Urban Pandemic Preparedness, 2021, Pages 227-233

Cities around the world are treasures. They are centers of creativity, hubs of intellect, and economic powerhouses. But the COVID-19 pandemic has undeniably reminded us that, in our globalized world, cities can also pose unique challenges and act as incubators of disease – effectively pushing society to its limits.
After 10 years of the Fukushima Nuclear Accident, Japan decided on 13 April 2021 to release the nuclear wastewater into the Pacific Ocean. It is apparent that Japan has chosen the most cost-efficient way to deal with the contaminated water, however, great opposition and concerns have been aroused internationally due to the harmful ecotoxicological features of radioactive materials. Here we analyze the ecological impacts caused by the nuclear accident and the potential impacts of releasing the nuclear wastewater into the ocean.
Background: COVID-19 spread rapidly in Brazil despite the country's well established health and social protection systems. Understanding the relationships between health-system preparedness, responses to COVID-19, and the pattern of spread of the epidemic is particularly important in a country marked by wide inequalities in socioeconomic characteristics (eg, housing and employment status) and other health risks (age structure and burden of chronic disease).
Background: Approximately 80% of the 463 million adults worldwide with diabetes live in low-income and middle-income countries (LMICs). A major obstacle to designing evidence-based policies to improve diabetes outcomes in LMICs is the scarce availability of nationally representative data on the current patterns of treatment coverage.
Given the growing interest in systemic design, there is a demand for designerly approaches that can aid practitioners in catalyzing social systems change. The purpose of this research is to develop an initial portfolio of designerly approaches that acknowledges social structures as a key leverage point for influencing social systems. This article presents learnings from experimentation with a host of designerly approaches for shaping social structures and identifies four design principles to guide systemic design practitioners in doing this work.
Background: Simulation-based experiences provide learning opportunities into the world of people living with dementia, however limited research into its effectiveness exists. Methods: A quasi-experimental design was used to examine the impact of the virtual dementia tour on empathetic thinking, understanding and person care. Study participants included carers and multi-health professionals (n = 223). Results: Empathetic understanding of symptoms, its impact on the provision of person-centred practice were all scored as neutral.
Background: Stunting rates in children younger than 5 years are among the most important health indicators globally. At the national level, malnutrition accounts for about 40% of under-5 deaths in Ghana. Disease risk mapping provides opportunities for disease surveillance and targeted interventions. We aimed to estimate and map under-5 stunting prevalence in Ghana, with the goal of identifying communities at higher risk where interventions and further research can be targeted. Methods: For this modelling study, we used data from the 2014 Ghana Demographic and Health Survey.
Responding to climate change requires radical transformations in social, political, economic and social-ecological systems. Recent research has argued that individuals can drive transformations at scale through changes in beliefs and values that affect political activity. We draw from sociological and psychological perspectives on mental health outcomes among survivors of violence and abuse, taking a gendered approach, to show how potential for individual transformation is differentially constructed through personal life trajectories and intersectional social relations.

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