Objectives: Human-generated climate change is causing adverse health effects through multiple direct pathways (e.g. heatwaves, sea-level rise, storm frequency and intensity) and indirect pathways (e.g. food and water insecurity, social instability). Although the health system has a key role to play in addressing these health effects, so too do those professions tasked with the development of the built environment (urban and regional planners, urban designers, landscapers and architects), through improvements to buildings, streets, neighbourhoods, suburbs and cities. This article reports on the ways in which urban planning and design, and architectural interventions, can address the health effects of climate change; and the scope of climate change adaptation and mitigation approaches being implemented by the built environment professions. Type of program or service: Built environment adaptations and mitigations and their connections to the ways in which urban planning, urban design and architectural practices are addressing the health effects of climate change. Methods: Our reflections draw on the findings of a recent review of existing health and planning literature. First, we explore the ways in which ‘adaptation’ and ‘mitigation’ relate to the notion of human and planetary health. We then outline the broad scope of adaptation and mitigation interventions being envisioned, and in some instances actioned, by built environment professionals. Results: Analysis of the review’s findings reveals that adaptations developed by built environment professions predominantly focus on protecting human health and wellbeing from the effects of climate change. In contrast, built environment mitigations address climate change by embracing a deeper understanding of the co-benefits inherent in the interconnectedness of human health and wellbeing and the health of the ecosystem on which it depends. In the final section, we highlight the ethical transition that these approaches demand of built environment professions. Lessons learnt: Built environment interventions must move beyond simple ecological sustainability to encouraging ways of life that are healthy for both humans and the planet. There are key challenges facing this new approach.
1 December 2018 in Science of The Total Environment
The ongoing war in Ukraine demands a comprehensive and holistic state-level and social work response. This should address the psychosocial, economic, relational, and family reintegration aspects of the crisis and the needs and human rights of those affected by war-related displacement and migration. While the current global media has primarily focused on refugees leaving Ukraine, the severity of the impact of this conflict on those displaced within the Ukrainian nation’s borders has been largely overlooked. This study explores Ukrainian responses to internally displaced people during the first and second waves of war-induced displacement and internal migration in Ukraine, which took place after the annexation of Crimea in 2014 and after the full-scale invasion of 2022. It also critically examines the UK’s response to Ukrainian refugees arriving in the UK. Analysis of a review of the existing literature reveals significant differences in Ukraine’s support provision for internally displaced people (IDPs) during each wave, as well as key strengths and limitations in UK support for externally displaced Ukrainian refugees (EDPs). During the first wave, the Ukrainian state failed to fully address the needs of IDPs and protect their human rights. Although Ukrainian support for internally displaced persons has improved with the second wave, significant limitations in the provision of support remain alongside weaknesses in the UK provision of support for externally displaced Ukrainian refugees. The article concludes that incorporation of the lessons learned from the experiences of Ukrainian IDPs and EDPs is essential for improving the provision of services both in Ukraine and in receiving countries.