A city is a human settlement of a substantial size. The term "city" has different meanings around the world and in some places the settlement can be very small. Even where the term is limited to larger settlements, there is no universally agreed definition of the lower boundary for their size. In a narrower sense, a city can be defined as a permanent and densely populated place with administratively defined boundaries whose members work primarily on non-agricultural tasks. Cities generally have extensive systems for housing , transportation , sanitation , utilities , land use , production of goods , and communication . Their density facilitates interaction between people, government organizations , and businesses , sometimes benefiting different parties in the process, such as improving the efficiency of goods and service distribution.
114-602: Bhiwandi ( pronunciation ) is a city in the Thane district of Maharashtra , India . It is located 20 kilometres (12 mi) northeast of Mumbai , and 15 km (9.3 mi) northeast of the city of Thane . The city is a part of the Mumbai Metropolitan Region . Bhiwandi is a commercial city and a major trade center that connects Mumbai and the rest of India through the Mumbai–Agra highway . It
228-577: A central area containing buildings with special economic, political, and religious significance. Archaeologists refer to this area by the Greek term temenos or if fortified as a citadel . These spaces historically reflect and amplify the city's centrality and importance to its wider sphere of influence . Today cities have a city center or downtown , sometimes coincident with a central business district . Cities typically have public spaces where anyone can go. These include privately owned spaces open to
342-665: A central authority. The term can also refer either to the physical streets and buildings of the city or to the collection of people who dwell there and can be used in a general sense to mean urban rather than rural territory . National censuses use a variety of definitions – invoking factors such as population , population density , number of dwellings , economic function, and infrastructure – to classify populations as urban. Typical working definitions for small-city populations start at around 100,000 people. Common population definitions for an urban area (city or town) range between 1,500 and 50,000 people, with most U.S. states using
456-461: A central point. This form could evolve from successive growth over a long time, with concentric traces of town walls and citadels marking older city boundaries. In more recent history, such forms were supplemented by ring roads moving traffic around the outskirts of a town. Dutch cities such as Amsterdam and Haarlem are structured as a central square surrounded by concentric canals marking every expansion. In cities such as Moscow , this pattern
570-552: A combination of these. Societies that live in cities are often called civilizations . The degree of urbanization is a modern metric to help define what comprises a city: "a population of at least 50,000 inhabitants in contiguous dense grid cells (>1,500 inhabitants per square kilometer)". This metric was "devised over years by the European Commission , OECD , World Bank and others, and endorsed in March [2021] by
684-620: A continuous urban landscape called urban agglomeration , conurbation , or megalopolis (exemplified by the BosWash corridor of the Northeastern United States .) The emergence of cities from proto-urban settlements , such as Çatalhöyük , is a non-linear development that demonstrates the varied experiences of early urbanization . The cities of Jericho , Aleppo , Byblos , Faiyum , Yerevan , Athens , Matera , Damascus , and Argos are among those laying claim to
798-510: A discipline is widely acknwoledged to be of imperial origin and the need for its decolonisation has been widely recognised. The global health ecosystem has also been criticised as having a feudal structure, acting for a small group of institutions and individuals based in high-income countries which acts similar to an imperial "Crown". Some key leaders of the decolonising global health movement are Seye Abimbola and Madhukar Pai. Important steps were taken towards global co-operation in health with
912-1046: A disproportionately high share of the global malaria burden. In 2016, the region was home to 90% of malaria cases and 91% of malaria deaths. The use of insecticide-treated bed nets is a cost-effective way to reduce deaths from malaria, as is prompt artemisinin -based combination therapy, supported by intermittent preventive therapy in pregnancy. International travelers to endemic zones are advised chemoprophylaxis with antimalarial drugs like Atovaquone-proguanil , doxycycline , or mefloquine . Global consumption and international trade in deforestation-associated commodities could also indirectly influence malaria risk. Many primary commodities cause deforestation and deforestation can increase malaria transmission. Consumption of such commodities in developed nations could increase malaria risk in developing nations. A GBD study reported global estimates of death rates from (33) bacterial pathogens, finding such infections are contributing to one in 8 deaths (or ~7.7 million deaths), which could make it
1026-430: A distinctive elite social class, but it should indeed be considered a city based on a functional redefinition of urban development. In particular, Jenné-Jeno featured settlement mounds arranged according to a horizontal, rather than vertical, power hierarchy, and served as a center of specialized production and exhibited functional interdependence with the surrounding hinterland. More recently, scholars have concluded that
1140-477: A grid plan with specialized districts used across the Hellenistic Mediterranean . The urban-type settlement extends far beyond the traditional boundaries of the city proper in a form of development sometimes described critically as urban sprawl . Decentralization and dispersal of city functions (commercial, industrial, residential, cultural, political) has transformed the very meaning of
1254-511: A key role in both the economy and government. Late antique cities in the East were also undergoing intense transformations, with increased political participation of the crowds and demographical fluctuations. Christian communities and their doctrinal differences increasingly shaped the urban fabric. The locus of power shifted to Constantinople and to the ascendant Islamic civilization with its major cities Baghdad , Cairo , and Córdoba . From
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#17327760958291368-503: A large water treatment plant at Panjrapur with 455 MLD capacity, making it one of the largest water treatment plants in Asia. Bhiwandi has a central railway station at Anjur Phata. The train station has a link with the central railways and the local train of Mumbai as well. Bhiwandi Metro Project (Mumbai Metro line 5) is proposed to be completed in 2025. Languages of Bhiwandi city (2011) City Historically, city dwellers have been
1482-464: A medical intervention might provide in order to gain less survival time of higher quality. Infant mortality and child mortality for children under age 5 are more specific than DALYs or QALYs in representing the health in the poorest sections of a population, and are thus especially useful when focusing on health equity . added section Morbidity measures include incidence rate , prevalence , and cumulative incidence , with incidence rate referring to
1596-531: A minimum between 1,500 and 5,000 inhabitants. Some jurisdictions set no such minima. In the United Kingdom , city status is awarded by the Crown and then remains permanent. (Historically, the qualifying factor was the presence of a cathedral , resulting in some very small cities such as Wells , with a population of 12,000 as of 2018 , and St Davids , with a population of 1,841 as of 2011 .) According to
1710-474: A number of areas. However, progress has been uneven and some of the MDGs were not fully realized including maternal , newborn and child health and reproductive health . Building on the MDGs, a new Sustainable Development Agenda with 17 Sustainable Development Goals (SDGs) has been established for the years 2016–2030. The first goal being an ambitious and historic pledge to end poverty . On 25 September 2015,
1824-539: A plan in 2016 for reinforcing the health system's role in addressing the global phenomenon of violence against women and girls and working towards their health and protection. Halfdan T. Mahler , the 3rd Director-General of the World Health Organization (WHO), first brought attention to the disparities in surgery and surgical care when he stated, "the vast majority of the world's population has no access whatsoever to skilled surgical care and little
1938-703: A privileged elite among towns having won self-governance from their local lord or having been granted self-governance by the emperor and being placed under his immediate protection. By 1480, these cities, as far as still part of the empire, became part of the Imperial Estates governing the empire with the emperor through the Imperial Diet . By the 13th and 14th centuries, some cities become powerful states, taking surrounding areas under their control or establishing extensive maritime empires. In Italy, medieval communes developed into city-states including
2052-457: A result, global surgery has become an emerging field within global health as "the multidisciplinary enterprise of providing improved and equitable surgical care to the world's population, with its core belief as the issues of need, access and quality" and has often been described as the "neglected stepchild of global health", a term coined by Dr. Paul Farmer to highlight the urgent need for further work in this area. Furthermore, Jim Young Kim ,
2166-495: A rule cannot produce their own food and therefore must develop some relationship with a hinterland that sustains them. Only in special cases such as mining towns which play a vital role in long-distance trade, are cities disconnected from the countryside which feeds them. Thus, centrality within a productive region influences siting, as economic forces would, in theory, favor the creation of marketplaces in optimal mutually reachable locations. The vast majority of cities have
2280-572: A single number: if an additional year of healthy life is worth a value of one (year), then a year of less healthy life is worth less than one (year). QALY calculations are based on measurements of the value that individuals place on expected years of survival. Measurements can be made in several ways: by techniques that replicate gambles about preferences for alternative states of health, with surveys or analyses that infer willingness to pay for alternative states of health, or through instruments that are based on trading off some or all likely survival time that
2394-452: A small proportion of humanity overall, but following two centuries of unprecedented and rapid urbanization , more than half of the world population now lives in cities, which has had profound consequences for global sustainability . Present-day cities usually form the core of larger metropolitan areas and urban areas —creating numerous commuters traveling toward city centres for employment, entertainment, and education. However, in
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#17327760958292508-549: A super-wealthy elite living in gated communities and large masses of people living in substandard housing with inadequate infrastructure and otherwise poor conditions. Cities around the world have expanded physically as they grow in population, with increases in their surface extent, with the creation of high-rise buildings for residential and commercial use, and with development underground. Urbanization can create rapid demand for water resources management , as formerly good sources of freshwater become overused and polluted, and
2622-423: A temple. A minority viewpoint considers that cities may have arisen without agriculture, due to alternative means of subsistence (fishing), to use as communal seasonal shelters, to their value as bases for defensive and offensive military organization, or to their inherent economic function. Cities played a crucial role in the establishment of political power over an area, and ancient leaders such as Alexander
2736-495: A vital role in secondary and tertiary prevention of abuse by performing early identification of women suffering from violence and contributing to the addressing of their health and psychological needs. They could be highly important in prevention of the recurrence of violence and the mitigation of its effects on the health of the abused women and their children. The Member States of the World Health Assembly endorsed
2850-401: A wide range of issues including vaccinations , antimicrobial resistance , health coverage , tobacco use , research methodology, climate change , equity, access to medicine, and media coverage of health research. Measures of global health include disability-adjusted life year (DALY), quality-adjusted life years (QALYs), and mortality rate . The DALY is a summary measure that combines
2964-567: A workers' town associated with the pyramid of Senusret II , and the religious city Amarna built by Akhenaten and abandoned. These sites appear planned in a highly regimented and stratified fashion, with a minimalistic grid of rooms for the workers and increasingly more elaborate housing available for higher classes. In Mesopotamia, the civilization of Sumer , followed by Assyria and Babylon , gave rise to numerous cities, governed by kings and fostered multiple languages written in cuneiform . The Phoenician trading empire, flourishing around
3078-471: A world of intensifying globalization , all cities are to varying degrees also connected globally beyond these regions. This increased influence means that cities also have significant influences on global issues , such as sustainable development , climate change , and global health . Because of these major influences on global issues, the international community has prioritized investment in sustainable cities through Sustainable Development Goal 11 . Due to
3192-566: Is a list of the causes of human deaths worldwide for different years arranged by their associated mortality rates. In 2002, there were about 57 million deaths. In 2005, according to the World Health Organization (WHO) using the International Classification of Diseases (ICD), about 58 million people died. In 2010, according to the Institute for Health Metrics and Evaluation , 52.8 million people died. In 2016,
3306-522: Is about worldwide health improvement ( including mental health ), reduction of disparities , and protection against global threats that disregard national borders, including the most common causes of human death and years of life lost from a global perspective. Global health is not to be confused with international health , which is defined as the branch of public health focusing on developing nations and foreign aid efforts by industrialized countries . One way that global health can be measured
3420-450: Is being done to find a solution". While significant progresses have been made in fields within global health such as infectious diseases , maternal and child health , and even other non-communicable diseases over the past several decades, the provision of surgery and surgical care in resource-limited settings have largely remained unmet with about 5 billion people lacking access to safe and affordable surgical and anesthesia care. This
3534-402: Is especially true in the poorest countries, which account for over one-third of the population but only 3.5% of all surgeries that occur worldwide. In fact, it has been estimated that up to 30% of the total global burden of disease (GBD) could be attributable to surgical conditions, which include a mix of injuries , malignancies , congenital anomalies , and complications of pregnancy . As
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3648-561: Is exacerbated by crowded conditions, and poverty is associated with more than a 20-fold increase in the relative burden of lung infections . Diarrhea is the second most common cause of child mortality worldwide, responsible for 17% of deaths of children under age 5. Poor sanitation can increase transmission of bacteria and viruses through water, food, utensils, hands, and flies. Dehydration due to diarrhea can be effectively treated through oral rehydration therapy with dramatic reductions in mortality. Important nutritional measures include
3762-598: Is known for its textile industry, though in recent years, economic downturn has forced the closure of a large portion of the sector. Bhiwandi lies in the Konkani coastal lowland, a region known geographically for its hills and streams. The city houses the tehsil headquarters of Bhiwandi, and it is administered by the Bhiwandi-Nizampur Municipal Corporation . The city of Bhiwandi has the largest number of power looms and handlooms in
3876-474: Is not to be mistaken for pandemic preparedness or mitigation (e.g. against COVID-19 ) which largely seek to mitigate the magnitude of negative effects of pandemics, although the topics may overlap with pandemic prevention in some respects. Some biosafety and public health researchers contend that certain pandemic prevention efforts themselves carry risk of triggering pandemics (e.g. wildlife virus sampling), though not engaging in any form of sampling also carries
3990-466: Is still clearly visible. A system of rectilinear city streets and land plots, known as the grid plan , has been used for millennia in Asia, Europe, and the Americas. The Indus Valley Civilization built Mohenjo-Daro , Harappa , and other cities on a grid pattern, using ancient principles described by Kautilya , and aligned with the compass points . The ancient Greek city of Priene exemplifies
4104-545: Is the World Health Organization (WHO). Other important agencies impacting global health include UNICEF and World Food Programme (WFP). The United Nations system has also played a part in cross-sectoral actions to address global health and its underlying socioeconomic determinants with the declaration of the Millennium Development Goals and the more recent Sustainable Development Goals . Global health employs several perspectives that focus on
4218-420: Is the most urban continent, with four-fifths of its population living in cities, including one-fifth of the population said to live in shantytowns ( favelas , poblaciones callampas , etc.). Batam , Indonesia , Mogadishu , Somalia , Xiamen , China , and Niamey , Niger , are considered among the world's fastest-growing cities, with annual growth rates of 5–8%. In general, the more developed countries of
4332-515: Is through the prevalence of various global diseases in the world and their threat to decrease life expectancy in the present day. Estimates suggest that in a pre-modern, poor world, life expectancy was around 30 years in all regions of the world (mainly due to high infant mortality). Another holistic perspective called One Health can be used to address global health challenges and to improve global health security . The predominant agency associated with global health (and international health)
4446-569: The CDC and National Institutes of Health. Another approach to health would be the innovation of vaccines . The Washington Post reported the US government's new five billion dollar budget on vaccines to prevent Covid variants because the Vaccines' access and public-private partnerships are important. Often the relevance of mechanisms to stimulate research and development is limited by national scopes and "by
4560-898: The Millennium Development Goals . Now, gender equality is Sustainable Development Goal 5 . Preventing the violence against women needs to form an essential part of the public health reforms in the form of advocation and evidence gathering . Primary prevention in the form of raising women economic empowerment facilities, microfinance and skills training social projects related to gender equality should be conducted. Activities promoting relationship and communication skills among couples, reducing alcohol access and altering societal ideologies should be organized. Childhood interventions, community and school-based education, raising media-oriented awareness and other approaches should be carried out to challenge social norms and stereotypical thought processes to promote behavioral change among men and raise gender equality. Trained health care providers would play
4674-568: The Monterrey Consensus (which did not pursue goals as aggressively as many activists had urged), an increasing emphasis was put on measuring improvement in health outcomes, rather than merely the amount of money spent. In 2015 a book titled To Save Humanity was published, with nearly 100 essays regarding today's most pressing global health issues. The essays were authored by global figures in politics, science, and advocacy ranging from Bill Clinton to Peter Piot , and addressed
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4788-603: The Republic of Venice and the Republic of Genoa . In Northern Europe, cities including Lübeck and Bruges formed the Hanseatic League for collective defense and commerce. Their power was later challenged and eclipsed by the Dutch commercial cities of Ghent , Ypres , and Amsterdam . Similar phenomena existed elsewhere, as in the case of Sakai , which enjoyed considerable autonomy in late medieval Japan. In
4902-947: The United Nations ... largely for the purpose of international statistical comparison". The word city and the related civilization come from the Latin root civitas , originally meaning 'citizenship' or 'community member' and eventually coming to correspond with urbs , meaning 'city' in a more physical sense. The Roman civitas was closely linked with the Greek polis —another common root appearing in English words such as metropolis . In toponymic terminology, names of individual cities and towns are called astionyms (from Ancient Greek ἄστυ 'city or town' and ὄνομα 'name'). Urban geography deals both with cities in their larger context and with their internal structure. Cities are estimated to cover about 3% of
5016-505: The Uruk period . In the fourth and third millennium BC , complex civilizations flourished in the river valleys of Mesopotamia , India , China , and Egypt . Excavations in these areas have found the ruins of cities geared variously towards trade, politics, or religion. Some had large, dense populations , but others carried out urban activities in the realms of politics or religion without having large associated populations. Among
5130-730: The civilization of Djenne-Djenno was likely established by the Mande progenitors of the Bozo people . Their habitation of the site spanned the period from 3rd century BCE to 13th century CE. Archaeological evidence from Jenné-Jeno, specifically the presence of non-West African glass beads dated from the third century BCE to the fourth century CE, indicates that pre-Arabic trade contacts probably existed between Jenné-Jeno and North Africa. Additionally, other early urban centers in West Africa, dated to around 500 CE, include Awdaghust , Kumbi Saleh ,
5244-570: The commune ( in France and Chile ; or comune in Italy). Global health Global health is the health of populations in a worldwide context; it has been defined as "the area of study, research , and practice that places a priority on improving health and achieving equity in health for all people worldwide". Problems that transcend national borders or have a global political and economic impact are often emphasized. Thus, global health
5358-916: The diseases linked to the manner in which a person lives their life. These diseases are non-communicable , and can be caused by lack of physical activity , unhealthy eating , alcohol , substance use disorders and smoking tobacco , which can lead to heart disease , stroke , obesity , type II diabetes and lung cancer . The diseases that appear to increase in frequency as countries become more industrialized and people live longer include Alzheimer's disease , arthritis , atherosclerosis , asthma , cancer , chronic liver disease or cirrhosis , chronic obstructive pulmonary disease , colitis , irritable bowel syndrome , type 2 diabetes, heart disease, hypertension , metabolic syndrome , chronic kidney failure, osteoporosis , PCOD , stroke , depression , obesity and vascular dementia . Concerns were raised in 2011 that lifestyle diseases could soon have an impact on
5472-427: The government workers . (This arrangement contrasts with the more typically horizontal relationships in a tribe or village accomplishing common goals through informal agreements between neighbors, or the leadership of a chief.) The governments may be based on heredity, religion, military power, work systems such as canal-building, food distribution, land-ownership, agriculture, commerce, manufacturing, finance, or
5586-587: The immune system , increasing the frequency, severity, and duration of infections (including measles , pneumonia , and diarrhea ). Infection can further contribute to malnutrition. Deficiencies of micronutrients , such as vitamin A , iron , iodine , and zinc , are common worldwide and can compromise intellectual potential, growth, development, and adult productivity. Interventions to prevent malnutrition include micronutrient supplementation, fortification of basic grocery foods, dietary diversification, hygienic measures to reduce spread of infections, and
5700-538: The knowledge economy . A new smart city paradigm, supported by institutions such as the RAND Corporation and IBM , is bringing computerized surveillance , data analysis, and governance to bear on cities and city dwellers. Some companies are building brand-new master-planned cities from scratch on greenfield sites. Urbanization is the process of migration from rural to urban areas, driven by various political, economic, and cultural factors. Until
5814-481: The primary caregivers . For example, the rate of type 2 diabetes , associated with obesity , has been on the rise in countries previously troubled by hunger. In low-income countries, the number of individuals with diabetes is expected to increase from 84 million to 228 million by 2030. Obesity, a preventable condition, is associated with numerous chronic diseases, including cardiovascular conditions , stroke , certain cancers , and respiratory disease . About 16% of
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#17327760958295928-564: The service economy and public-private partnerships , with concomitant gentrification , uneven revitalization efforts , and selective cultural development. Under the Great Leap Forward and subsequent five-year plans continuing today, China has undergone concomitant urbanization and industrialization and become the world's leading manufacturer . Amidst these economic changes, high technology and instantaneous telecommunication enable select cities to become centers of
6042-535: The " Global North " remain more urbanized than the less developed countries of the " Global South "—but the difference continues to shrink because urbanization is happening faster in the latter group. Asia is home to by far the greatest absolute number of city-dwellers: over two billion and counting. The UN predicts an additional 2.5 billion city dwellers (and 300 million fewer country dwellers) worldwide by 2050, with 90% of urban population expansion occurring in Asia and Africa. Megacities , cities with populations in
6156-539: The "functional definition", a city is not distinguished by size alone, but also by the role it plays within a larger political context. Cities serve as administrative, commercial, religious, and cultural hubs for their larger surrounding areas. The presence of a literate elite is often associated with cities because of the cultural diversities present in a city. A typical city has professional administrators , regulations, and some form of taxation (food and other necessities or means to trade for them) to support
6270-532: The 18th century), Ile-Ifẹ̀ (70,000 to 105,000 inhabitants in the 14th and 15th centuries), Niani (50,000 inhabitants in 1400 AD) and Timbuktu (100,000 inhabitants in 1450 AD). In the West, nation-states became the dominant unit of political organization following the Peace of Westphalia in the seventeenth century. Western Europe's larger capitals (London and Paris) benefited from the growth of commerce following
6384-420: The 18th century, an equilibrium existed between the rural agricultural population and towns featuring markets and small-scale manufacturing. With the agricultural and industrial revolutions urban population began its unprecedented growth, both through migration and demographic expansion . In England , the proportion of the population living in cities jumped from 17% in 1801 to 72% in 1891. In 1900, 15% of
6498-536: The 193 countries of the UN General Assembly adopted the 2030 Development Agenda titled Transforming our world: the 2030 Agenda for Sustainable Development . Several major initiatives began in the 2000s, including the vaccine alliance GAVI in 2000, The Global Fund to Fight AIDS, Tuberculosis and Malaria in 2002, U.S. President's Emergency Plan for AIDS Relief in 2003, and the U.S. President's Malaria Initiative in 2005. In this decade and as part of
6612-508: The 2020 goals. In 2017, a WHO report cited "unprecedented progress" against neglected tropical diseases since 2007, especially due to mass drug administration of drugs donated by pharmaceutical companies. Pandemics have an impact on global health. Pandemic prevention is the organization and management of preventive measures against pandemics . Those include measures to reduce causes of new infectious diseases and measures to prevent outbreaks and epidemics from becoming pandemics. It
6726-718: The 30th and 18th centuries BC. Mesoamerica saw the rise of early urbanism in several cultural regions, beginning with the Olmec and spreading to the Preclassic Maya , the Zapotec of Oaxaca, and Teotihuacan in central Mexico. Later cultures such as the Aztec , Andean civilizations , Mayan , Mississippians , and Pueblo peoples drew on these earlier urban traditions. Many of their ancient cities continue to be inhabited, including major metropolitan cities such as Mexico City , in
6840-750: The 9th through the end of the 12th century, Constantinople , the capital of the Eastern Roman Empire , was the largest and wealthiest city in Europe, with a population approaching 1 million. The Ottoman Empire gradually gained control over many cities in the Mediterranean area, including Constantinople in 1453 . In the Holy Roman Empire , beginning in the 12th century, free imperial cities such as Nuremberg , Strasbourg , Frankfurt , Basel , Zürich , and Nijmegen became
6954-566: The Andes, the first urban centers developed in the Norte Chico civilization , Chavin and Moche cultures, followed by major cities in the Huari , Chimu , and Inca cultures. The Norte Chico civilization included as many as 30 major population centers in what is now the Norte Chico region of north-central coastal Peru . It is the oldest known civilization in the Americas, flourishing between
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#17327760958297068-529: The Great founded and created them with zeal. Jericho and Çatalhöyük , dated to the eighth millennium BC , are among the earliest proto-cities known to archaeologists. However, the Mesopotamian city of Uruk from the mid-fourth millennium BC (ancient Iraq) is considered by most archaeologists to be the first true city, innovating many characteristics for cities to follow, with its name attributed to
7182-482: The United Nations is hosting its first General Assembly Special Summit on the issue of non-communicable diseases. Noting that non-communicable diseases are the cause of some 35 million deaths each year, the international community is being increasingly called to take measures for the prevention and control of chronic diseases and mitigate their impacts on the world population, especially on women, who are usually
7296-558: The WHO recorded 56.7 million deaths with the leading cause of death as cardiovascular disease causing more than 17 million deaths (about 31% of the total) as shown in the chart to the side. In 2021, there were approx. 68 million deaths worldwide, as per WHO report. Some causes listed include deaths also included in more specific subordinate causes, and some causes are omitted, so the percentages may only sum approximately to 100%. The causes listed are relatively immediate medical causes, but
7410-488: The WHO- and UNICEF-led collaboration Countdown to 2015 are estimated to hold for 97% of worldwide maternal and child deaths. In 2010, about 104 million children were underweight , and undernutrition contributes to about one third of child deaths around the world. (Undernutrition is not to be confused with malnutrition , which refers to poor proportion of food intake and can thus refer to obesity .) Undernutrition impairs
7524-484: The World Health Organization launched a 2020 Roadmap for neglected tropical diseases, aiming for the control or elimination of 10 common diseases. The 2012 London Declaration builds on this initiative, and called on endemic countries and the international community to improve access to clean water and basic sanitation , improved living conditions, vector control , and health education , to reach
7638-488: The World Health Organization's 2005 World Health Report , poor maternal conditions are the fourth leading cause of death for women worldwide, after HIV/AIDS , malaria, and tuberculosis. Most maternal deaths and injuries can be prevented, and such deaths have been largely eradicated in the developed world . Targets for improving maternal health include increasing and assisting the number of deliveries accompanied by skilled birth attendants . 68 low-income countries tracked by
7752-536: The ancient capital of Ghana, and Maranda , a center located on a trade route between Egypt and Gao. The dissolution of the Roman Empire in the West was connected with profound changes in urban fabric of western Europe. In places where Roman administration quickly weakened urbanism went through a profound crisis, even if it continued to remain an important symbolic factor. In regions like Italy or Spain cities diminished in size but nevertheless continued to play
7866-464: The athletic, artistic, spiritual, and political life of the polis. Rome was the first city that surpassed one million inhabitants. Under the authority of its empire , Rome transformed and founded many cities ( Colonia ), and with them brought its principles of urban architecture, design, and society. In the ancient Americas , early urban traditions developed in the Andes and Mesoamerica . In
7980-618: The beginning of the epidemic, more than 70 million people have been infected with the HIV virus and about 35 million people have died of HIV. Globally, 36.9 million [31.1–43.9 million] people were living with HIV at the end of 2017. An estimated 0.8% [0.6–0.9%] of adults aged 15–49 years worldwide are living with HIV, although the burden of the epidemic continues to vary considerably between countries and regions. The WHO African region remains most severely affected, with nearly 1 in every 25 adults (4.1%) living with HIV and accounting for nearly two-thirds of
8094-407: The benefit of mitigating the urban heat island effect, especially in cities that are in warmer climates. These spaces prevent carbon imbalances, extreme habitat losses, electricity and water consumption, and human health risks. The urban structure generally follows one or more basic patterns: geomorphic, radial, concentric, rectilinear, and curvilinear. The physical environment generally constrains
8208-518: The city. The city is the next developed region for MMRDA , which has developed other regions such as the Bandra–Kurla Complex , Mumbai Metro , Monorail Project, and Eastern Freeway. Bhiwandi's economy is divided into three sectors: textiles, groceries, and service (supplying, logging, and food delivery). During the COVID-19 pandemic , small hotels faced significant challenges. Bhiwandi has
8322-647: The country. The majority of the population is employed in the power loom sector. The second-largest power loom, after the one in Surat , Gujarat , is located in Bhiwandi. Since 2012, the city's textile industry has been in decline, partly caused by the sudden enactment of new goods and services taxes. Another concern facing textile producers is a lack of contact with buyers, leading many to sell primarily to middlemen, mostly from Gujarat, who charge significant markup prices. Bhiwandi initially developed as an industrial hub for
8436-464: The determinants and distribution of health in international contexts. Both individuals and organizations working in the domain of global health often face many questions regarding ethical and human rights . Critical examination of the various causes and justifications of health inequities is necessary for the success of proposed solutions. Such issues are discussed at the bi-annual Global Summits of National Ethics/Bioethics Councils. Global health as
8550-542: The early Old World cities, Mohenjo-daro of the Indus Valley civilization in present-day Pakistan , existing from about 2600 BC, was one of the largest, with a population of 50,000 or more and a sophisticated sanitation system . China's planned cities were constructed according to sacred principles to act as celestial microcosms . The Ancient Egyptian cities known physically by archaeologists are not extensive. They include (known by their Arab names) El Lahun ,
8664-671: The efficiency of transportation and the smaller land consumption , dense cities hold the potential to have a smaller ecological footprint per inhabitant than more sparsely populated areas. Therefore, compact cities are often referred to as a crucial element in fighting climate change. However, this concentration can also have some significant negative consequences, such as forming urban heat islands , concentrating pollution , and stressing water supplies and other resources. A city can be distinguished from other human settlements by its relatively great size, but also by its functions and its special symbolic status , which may be conferred by
8778-484: The emergence of an Atlantic trade. However, most towns remained small. During the Spanish colonization of the Americas, the old Roman city concept was extensively used. Cities were founded in the middle of the newly conquered territories and were bound to several laws regarding administration, finances, and urbanism. The growth of the modern industry from the late 18th century onward led to massive urbanization and
8892-427: The family and in the general community, including battering , sexual abuse , dowry-related violence, rape , female genital mutilation and other traditional practices harmful to women, non-spousal violence and violence related to exploitation, sexual harassment and intimidation at work, in educational institutions and elsewhere, trafficking in women, forced prostitution and violence perpetrated or condoned by
9006-716: The findings of 144 national influenza centres worldwide which monitor emerging flu viruses. Virus variants which are assessed as likely to represent a significant risk are identified and can then be incorporated into the next seasonal influenza vaccine program. The global health approach could foster international collaboration in medical research and development and share of its results such as vaccines, optimizing overall global health for citizens. The U.S. Agency for International Development 's new Global Health Research and Development Strategy 2023–2028 includes plans to coordinate with such stakeholders in support of innovative global health product development and work with other agencies like
9120-812: The first millennium AD, the Khmer capital of Angkor in Cambodia grew into the most extensive preindustrial settlement in the world by area, covering over 1,000 km and possibly supporting up to one million people. West Africa already had cities before the Common Era , but the consolidation of Trans-Saharan trade in the Middle Ages multiplied the number of cities in the region, as well as making some of them very populous, notably Gao (72,000 inhabitants in 800 AD), Oyo-Ile (50,000 inhabitants in 1400 AD, and may have reached up to 140,000 inhabitants in
9234-440: The form in which a city is built. If located on a mountainside, urban structures may rely on terraces and winding roads. It may be adapted to its means of subsistence (e.g. agriculture or fishing). And it may be set up for optimal defense given the surrounding landscape. Beyond these "geomorphic" features, cities can develop internal patterns, due to natural growth or to city planning . In a radial structure, main roads converge on
9348-558: The formation of the United Nations (UN) and the World Bank Group in 1945, after World War II . In 1948, the member states of the newly formed United Nations gathered to create the World Health Organization . A cholera epidemic that took 20,000 lives in Egypt in 1947 and 1948 helped spur the international community to action. The WHO published its Model List of Essential Medicines , and the 1978 Alma Ata declaration underlined
9462-685: The former President of the World Bank , proclaimed in 2014 that "surgery is an indivisible, indispensable part of health care and of progress towards universal health coverage." In 2015, the Lancet Commission on Global Surgery (LCoGS) published the landmark report titled "Global Surgery 2030: evidence and solutions for achieving health, welfare, and economic development", describing the large, pre-existing burden of surgical diseases in low- and middle-income countries (LMICs) and future directions for increasing universal access to safe surgery by
9576-444: The global burden of disease, measured as DALYs, has been accounted for by obesity. Considering that 360 million people across the world live with disabling hearing loss, including 32 million children and nearly 180 million older adults, and that chronic ear diseases, such as chronic suppurative otitis media, can lead to hearing loss and may cause life-threatening complications, the seventieth World Health Assembly on May 31, 2017 signed
9690-557: The immune system, leading to acquired immunodeficiency syndrome (AIDS) and eventually, death. Antiretroviral drugs prolong life and delay the onset of AIDS by minimizing the amount of HIV in the body. Malaria is a mosquito-borne infectious disease caused by the parasites of the genus Plasmodium . Symptoms may include fever, headaches, chills, muscle aches and nausea. Each year, there are approximately 500 million cases of malaria worldwide, most commonly among children and pregnant women in developing countries. The WHO African Region carries
9804-444: The impact of illness , disability , and mortality by measuring the time lived with disability and the time lost due to premature mortality. One DALY can be thought of as one lost year of "healthy" life. The DALY for a disease is the sum of the years of life lost due to premature mortality and the years lost due to disability for incident cases of the health condition. QALYs combine expected survival with expected quality of life into
9918-513: The importance of primary health care . At a United Nations Summit in 2000, member nations declared eight Millennium Development Goals (MDGs), which reflected the major challenges facing human development globally, to be achieved by 2015. The declaration was matched by unprecedented global investment by donor and recipient countries. According to the UN, these MDGs provided an important framework for development and significant progress has been made in
10032-472: The land surface of the Earth. Town siting has varied through history according to natural, technological, economic, and military contexts. Access to water has long been a major factor in city placement and growth, and despite exceptions enabled by the advent of rail transport in the nineteenth century, through the present most of the world's urban population lives near the coast or on a river. Urban areas as
10146-558: The likeliness of having abortions and acquiring HIV or other STDs Although statistics can be difficult to obtain as many cases go unreported, it is estimated that one in every five women faces some form of violence during her lifetime, in some cases leading to serious injury or even death. Risk factors for being an offender include low education, past exposure to child maltreatment or witnessing violence between parents, harmful use of alcohol, attitudes accepting of violence, and gender inequality . Equality of women has been addressed in
10260-475: The longest continual inhabitation . Cities, characterized by population density , symbolic function, and urban planning , have existed for thousands of years. In the conventional view, civilization and the city were both followed by the development of agriculture , which enabled the production of surplus food and thus a social division of labor (with concomitant social stratification ) and trade . Early cities often featured granaries , sometimes within
10374-497: The multi-millions, have proliferated into the dozens, arising especially in Asia, Africa, and Latin America. Economic globalization fuels the growth of these cities, as new torrents of foreign capital arrange for rapid industrialization, as well as the relocation of major businesses from Europe and North America, attracting immigrants from near and far. A deep gulf divides the rich and poor in these cities, which usually contain
10488-413: The people living with HIV worldwide. Human immunodeficiency virus (HIV) is transmitted through unprotected sex, unclean needles, blood transfusions , and from mother to child during birth or lactation . Globally, HIV is primarily spread through sexual intercourse . The risk-per-exposure with vaginal sex in low-income countries from female to male is 0.38% and male to female is 0.3%. The infection damages
10602-535: The promotion of breastfeeding and zinc supplementation. While hygienic measures alone may be insufficient for the prevention of rotavirus diarrhea, it can be prevented by a safe and potentially cost-effective vaccine. The HIV/AIDS epidemic has highlighted the global nature of human health and welfare and globalization has given rise to a trend toward finding common solutions to global health challenges. Numerous international funds have been set up in recent times to address global health challenges such as HIV. Since
10716-520: The promotion of breastfeeding . Approximately 80% of deaths linked to non-communicable diseases occur in developing countries. For instance, urbanization and aging have led to increasing poor health conditions related to non-communicable diseases in India. Similarly, China's rapid urbanization and modernization have been associated with increased sedentary lifestyles, contributing to the rise in NCDs in
10830-500: The public as well as forms of public land such as public domain and the commons . Western philosophy since the time of the Greek agora has considered physical public space as the substrate of the symbolic public sphere . Public art adorns (or disfigures) public spaces. Parks and other natural sites within cities provide residents with relief from the hardness and regularity of typical built environments . Urban green spaces are another component of public space that provides
10944-404: The region. The fastest-growing causes of disease burden over the last 26 years were diabetes (rate increased by 80%) and ischemic heart disease (up 34%). More than 60% of deaths, about 6.1 million, in 2016 were due to NCDs, up from about 38% in 1990. Increases in refugee urbanization , has led to a growing number of people diagnosed with chronic non-communicable diseases. In September 2011,
11058-459: The resolution WHA70.13 (Agenda item 15.8) urging member states to integrate strategies for ear and hearing care within the framework of their primary health care systems, under the umbrella of universal health coverage. A World Report on Hearing (WRH) was published in response to the resolution (WHA70.13), to provide guidance for Member States to integrate ear and hearing care into their national health plans. Lifestyle diseases can be defined as
11172-873: The rise of new great cities, first in Europe and then in other regions, as new opportunities brought huge numbers of migrants from rural communities into urban areas. England led the way as London became the capital of a world empire and cities across the country grew in locations strategic for manufacturing . In the United States from 1860 to 1910, the introduction of railroads reduced transportation costs, and large manufacturing centers began to emerge, fueling migration from rural to city areas. Some industrialized cities were confronted with health challenges associated with overcrowding , occupational hazards of industry, contaminated water and air, poor sanitation , and communicable diseases such as typhoid and cholera . Factories and slums emerged as regular features of
11286-442: The risk of being unprepared for future spillover events and being unaware of future pandemic pathogens. Prevention of future pandemics requires steps to identify future causes of pandemics and to take preventive measures before the disease moves uncontrollably into the human population. For example, influenza is a rapidly evolving disease which has caused pandemics in the past and has potential to cause future pandemics. WHO collates
11400-628: The risk of developing a new health condition within a specified period of time. Although sometimes loosely expressed simply as the number of new cases during a time period, morbidity is better expressed as a proportion or a rate. Infections of the respiratory tract and middle ear are major causes of morbidity and mortality worldwide. Some respiratory infections of global significance include tuberculosis , measles , influenza , coronaviruses and pneumonias caused by Mycobacterium tuberculosis , Morbillivirus , Haemophilus influenzae and Pneumococci respectively. The spread of respiratory infections
11514-698: The same location as Tenochtitlan ; while ancient continuously inhabited Pueblos are near modern urban areas in New Mexico , such as Acoma Pueblo near the Albuquerque metropolitan area and Taos Pueblo near Taos ; while others like Lima are located nearby ancient Peruvian sites such as Pachacamac . From 1600 BC, Dhar Tichitt , in the south of present-day Mauritania , presented characteristics suggestive of an incipient form of urbanism. The second place to show urban characteristics in West Africa
11628-935: The second largest cause of death globally in 2019. More than one billion people were treated for at least one neglected tropical disease in 2015. For instance, neglected tropical diseases are a diverse group of infectious diseases that are endemic in tropical and subtropical regions of 149 countries, primarily effecting low and middle income populations in Africa, Asia, and Latin America. They are variously caused by bacteria ( trachoma , leprosy ), viruses ( dengue , rabies ), protozoa ( human African trypanosomiasis , chagas ), and helminths ( schistosomiasis , onchocerciasis , Soil transmitted helminths ). The Global Burden of Disease Study concluded that neglected tropical diseases comprehensively contributed to approximately 26.06 million disability-adjusted life years in 2010, as well as significant deleterious economic effects. In 2011,
11742-446: The state." In addition to causing injury, violence may increase "women's long-term risk of a number of other health problems, including chronic pain , physical disability , drug and alcohol abuse , and depression ". The WHO Report on global and regional estimates on violence against women found that partner abuse causes women to have 16% more chances of suffering miscarriages , 41% more occurrences of pre-term birth babies and twice
11856-441: The term and has challenged geographers seeking to classify territories according to an urban-rural binary. Metropolitan areas include suburbs and exurbs organized around the needs of commuters , and sometimes edge cities characterized by a degree of economic and political independence. (In the US these are grouped into metropolitan statistical areas for purposes of demography and marketing .) Some cities are now part of
11970-535: The textile industry, but more recently has hosted other industries and logistics sectors. Bhiwandi is among Asia's biggest warehousing hubs; its godowns are considered Asia's largest. It is a major contributor to the logistic landscape of Mumbai and India due to its close proximity to the Nhava Seva port of Mumbai, India's financial capital. Many e-commerce companies like Delhivery , Amazon , Flipkart , Reliance Industries , Snapdeal , and FedEx have branches in
12084-416: The transnational nature of the problem which asks for an international approach". Financing models, creation of evidence-based recommendations, and logistics may be part of that. Complications of pregnancy and childbirth are the leading causes of death among women of reproductive age. In many developing countries, a woman dies from complications from childbirth approximately every minute. According to
12198-412: The turn of the first millennium BC , encompassed numerous cities extending from Tyre , Cydon , and Byblos to Carthage and Cádiz . In the following centuries, independent city-states of Greece , especially Athens , developed the polis , an association of male landowning citizens who collectively constituted the city. The agora , meaning "gathering place" or "assembly", was the center of
12312-502: The ultimate cause of death might be described differently. For example, tobacco smoking often causes lung disease or cancer, and alcohol use disorder can cause liver failure or a motor vehicle accident. For statistics on preventable ultimate causes, see preventable causes of death . Top causes of death, according to the World Health Organization report for the calendar year 2001: Violence against women has been defined as: "physical, sexual and psychological violence occurring in
12426-446: The urban landscape. In the second half of the 20th century, deindustrialization (or " economic restructuring ") in the West led to poverty , homelessness , and urban decay in formerly prosperous cities. America's "Steel Belt" became a " Rust Belt " and cities such as Detroit , Michigan, and Gary, Indiana began to shrink , contrary to the global trend of massive urban expansion. Such cities have shifted with varying success into
12540-589: The volume of sewage begins to exceed manageable levels. The local government of cities takes different forms including prominently the municipality (especially in England , in the United States , India , and other British colonies ; legally, the municipal corporation ; municipio in Spain and Portugal , and, along with municipalidad , in most former parts of the Spanish and Portuguese empires) and
12654-551: The workforce and the cost of health care. Treating these non-communicable diseases can be expensive. It can be critical for the patient's health to receive primary prevention and identify early symptoms of these non-communicable diseases. These lifestyle diseases are expected to increase throughout the years if people do not improve their lifestyle choices. Commercial determinants of health refers to private sector activities that affect people's health positively or negatively such as advertisements for unhealthy food . The following
12768-523: The world's population lived in cities. The cultural appeal of cities also plays a role in attracting residents. Urbanization rapidly spread across Europe and the Americas and since the 1950s has taken hold in Asia and Africa as well. The Population Division of the United Nations Department of Economic and Social Affairs reported in 2014 that for the first time, more than half of the world population lives in cities. Latin America
12882-431: The year 2030. The Commission highlighted that 143 million additional procedures were needed every year to prevent further morbidity and mortality from treatable surgical conditions as well as a $ 12.3 trillion loss in economic productivity by the year 2030. It emphasized the need to significantly improve the capacity for Bellwether procedures — laparotomy , caesarean section , open fracture care — which are considered
12996-543: Was Dia , in present-day Mali , from 800 BC. Both Dhar Tichitt and Dia were founded by the same people: the Soninke , who would later also found the Ghana Empire . Another ancient site, Jenné-Jeno , in what is today Mali , has been dated to the third century BCE. According to Roderick and Susan McIntosh, Jenné-Jeno did not fit into traditional Western conceptions of urbanity as it lacked monumental architecture and
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