Infection Ecology & Epidemiology · 2015 · 650 citations · 47 references
Veterinary MedicineInfectious DiseasesUrban PlanningEmerging Infectious DiseasesEpidemiologyInfectious Disease EpidemiologyDisease EpidemiologyDisease SpreadEmerging Zoonotic DiseasesGlobal EpidemiologyInfectious Disease PreventionInfectious Disease SurveillanceBurden Of Communicable DiseasesCommunicable Disease BurdenDisease Spread SurveillanceGlobal Health SurveillanceUrban Disease SpreadUrban Health InfrastructureUrban Population DistributionUrban Population Growth
Rapid urbanization—now home to 3.9 billion people and projected to grow mainly in Asia and Africa—creates conditions that facilitate the emergence and global spread of infectious diseases, especially in megacities where zoonotic transmission is accelerated. The study proposes that effective city planning and surveillance can reduce communicable disease burden.
The world is becoming more urban every day, and the process has been ongoing since the industrial revolution in the 18th century. The United Nations now estimates that 3.9 billion people live in urban centres. The rapid influx of residents is however not universal and the developed countries are already urban, but the big rise in urban population in the next 30 years is expected to be in Asia and Africa. Urbanization leads to many challenges for global health and the epidemiology of infectious diseases. New megacities can be incubators for new epidemics, and zoonotic diseases can spread in a more rapid manner and become worldwide threats. Adequate city planning and surveillance can be powerful tools to improve the global health and decrease the burden of communicable diseases.
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