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Urbanisation will be one of the 21st century's most transformative trends. By 2050, it will increase from 55% to 68%, more than doubling the urban population in South Asia and Sub-Saharan Africa. Urbanisation has multifarious (positive as well as negative) impacts on the wellbeing of humans and the environment. The 17 UN Sustainable Development Goals (SDGs) form the blueprint to achieve a sustainable future for all. Clean Water and Sanitation is a specific goal (SDG 6) within the suite of 17 interconnected goals. Here we provide an overview of some of the challenges that urbanisation poses in relation to SDG 6, especially in developing economies. Worldwide, several cities are on the verge of water crisis. Water distribution to informal settlements or slums in megacities (e.g. >50% population in the megacities of India) is essentially non-existent and limits access to adequate safe water supply. Besides due to poor sewer connectivity in the emerging economies, there is a heavy reliance on septic tanks, and other on-site sanitation (OSS) system and by 2030, 4.9 billion people are expected to rely on OSS. About 62-93% of the urban population in Vietnam, Sri Lanka, the Philippines and Indonesia rely on septic tanks, where septage treatment is rare. Globally, over 80% of wastewater is released to the environment without adequate treatment. About 11% of all irrigated croplands is irrigated with such untreated or poorly treated wastewater. In addition to acute and chronic health effects, this also results in significant pollution of often-limited surface and groundwater resources in Sub-Saharan Africa and Asia. Direct and indirect water reuse plays a key role in global water and food security. Here we offer several suggestions to mitigate water and food insecurity in emerging economies.
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http://dx.doi.org/10.1016/j.scitotenv.2020.139057 | DOI Listing |
Parkinson's disease (PD) is the fastest-growing neurodegenerative disease in the world and appears to be an emerging epidemic in Africa, where counteractive measures have become necessary. Previous reports have highlighted the limited epidemiological and clinical PD research in Africa but overlooked the poor preclinical PD research output of the continent. Because preclinical research is a bedrock for translating basic scientific research into clinical practice, a weak preclinical research foundation can hamper advancement in epidemiological and clinical investigations.
View Article and Find Full Text PDFCancer
September 2025
Department of Biostatistics, Brown University School of Public Health, Providence, Rhode Island, USA.
Background: Opioid exposure during cancer therapy may increase long-term unsafe opioid prescribing. This study sought to determine the rates of coprescription of benzodiazepine and opioid medications and new persistent opioid use after surgical treatment of early-stage cancer.
Methods: A retrospective cohort study was conducted among a US veteran population via the Veterans Affairs Corporate Data Warehouse database.
Acta Psychol (Amst)
September 2025
Institute of Cultural Heritage, Tourism and Hospitality Management, University of Swat, Pakistan. Electronic address:
This study aims to investigate the formation of tourists' behavioral intentions in the context of City Walk experiences in Malaysia from an embodiment perspective. Guided by Cognitive Appraisal Theory, a quantitative research design was employed using Partial Least Squares Structural Equation Modeling (PLS-SEM). A total of 408 Chinese tourists were selected through purposive sampling and participated via both face-to-face and online surveys, given that China remains Malaysia's largest and continuously growing source of international tourists.
View Article and Find Full Text PDFPublic Health Rep
September 2025
VHA Homeless Programs Office, US Department of Veterans Affairs, Washington, DC, USA.
Objectives: Mobile medical units (MMUs) provide health care services in the community to reach populations with geographic, financial, and other barriers to care. The US Department of Veterans Affairs (VA) Homeless Patient Aligned Care Team (HPACT) program deployed MMUs to 25 sites in fiscal year 2024 to increase access for veterans experiencing homelessness. We examined early implementation of MMUs in HPACT sites by describing implementation and operational issues, services provided, and characteristics of veterans who used MMUs.
View Article and Find Full Text PDFAust N Z J Psychiatry
September 2025
Institute for Mental and Physical Health and Clinical Translation (IMPACT), School of Medicine, Deakin University, Melbourne, VIC, Australia.
Psychotropic pharmacogenetics (PGx) offers significant potential advancements in psychiatric care by optimising medication selection and dosing based on genetic factors. This perspective article highlights the clinical utility, health economic implications and implementation challenges of psychotropic PGx, proposing that its broader implementation could enhance patient outcomes and reduce healthcare costs. Landmark studies show that PGx-guided care results in fewer adverse drug reactions and improved medication efficacy, with substantial cost savings compared to traditional prescribing methods.
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