Approximately 1 billion slum dwellers worldwide are exposed to increased health risks due to their spatial environment. Recent studies have therefore called for the spatial environment to be introduced as a separate dimension in medical studies. Hence, this study investigates how and on which spatial scale relationships between the settlement morphology and the health status of the inhabitants can be identified. To this end, we summarize the current literature on the identification of slums from a geographical perspective and review the current literature on slums and health of the last five years (376 studies) focusing on the considered scales in the studies. We show that the majority of medical studies are restricted to certain geographical regions. It is desirable that the number of studies be adapted to the number of the respective population. On the basis of these studies, we develop a framework to investigate the relationship between space and health. Finally, we apply our methodology to investigate the relationship between the prevalence of slums and different health metrics using data of the global burden of diseases for different prefectures in Brazil on a subnational level.

According to the United Nations, about 1 billion persons live in so-called slums. Numerous studies have shown that this population is particularly vulnerable to infectious diseases. The current COVID-19 pandemic, caused by the novel coronavirus SARS-CoV-2, emphatically underlines this problem. The often high-density living quarters coupled with a large number of persons per dwelling and the lack of adequate sanitation are reasons why measures to contain the pandemic only work to a limited extent in slums. Furthermore, assignment to risk groups for severe courses of COVID-19 caused by noncommunicable diseases (eg, cardiovascular diseases) is not possible due to inadequate data availability. Information on people living in slums and their health status is either unavailable or only exists for specific regions (eg, Nairobi). We argue that one of the greatest problems with regard to the COVID-19 pandemic in the context of slums in the Global South is the lack of data on the number of people, their living conditions, and their health status.

More than 900 million people worldwide live in slums. These slums mainly can be found in cities of the global south and are characterized by poor living conditions and usually insufficient access to basic infrastructure such as water or energy. In order to improve the living conditions of slum inhabitants, information about the number, location and size of the slums is required to plan supply infrastructure. We therefore identify morphological slums in eight different cities in Africa, South America and Asia, using remote sensing data and analyse their size distributions. We show that 84.6% of all observed morphological slums have a size between 0.001 and 0.1 km². These results rely on a consistent approach using a clear ontology and conceptual frame for classification. However, classification methods for these underserved areas differ. We show slum classifications based on different methods reveal a strong dependency between the particular method and the resulting size distribution. The study shows the relevance of remote sensing for the investigation of slums and the results can be used for infrastructure planning, as infrastructure improvement projects are often limited to the large known slums. Whereas, the large number of small slums distributed across the city is often neglected.

Having become vital to satisfying basic human needs, water distribution systems (WDSs) are considered critical infrastructure. They are vulnerable to critical events such as extreme weather, natural and man-made disasters, armed conflicts etc. To account for critical events during design and operation of WDSs, the concept of resilience is frequently mentioned. How resilience of WDSs can be assessed using resilience metrics has been the subject of research of many publications. The aim of this paper is to inspect the alignment between a general understanding of resilience in WDSs and the metrics used for their resilience assessment. A novel framework for categorising resilience metrics for WDSs is presented. A literature review of resilience metrics for WDSs is performed and the results are analysed using the developed framework. The results show that the existing resilience metrics are not able to capture resilience in its complexityresilience metrics do not really assess resilience of the WDSs as a whole, but rather focus only on specific functions and properties which can make the WDSs resilient.