PubMed · 14443839
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E E SCHULZE. 1960. Performance standards in zoning.. https://doi.org/10.1080/00022470.1960.10467915
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Syringe-exchange programs (SEPs) will likely play a major role in slowing the spread of acquired immunodeficiency syndrome (AIDS) among injecting drug users (IDUs), but the success of any single SEP will depend to a large extent on where it is located. We show how the optimal position for a new SEP can be chosen given accurate knowledge of where IDUs live and how far they are willing to travel to an SEP. This information is not normally available, and one of our major points is that SEPs will necessarily be placed in suboptimal locations and will serve fewer IDUs than they otherwise might until it becomes available. Our method for choosing the best SEP placement is illustrated with Manhattan as an idealized example.
Although public health and urban planning emerged with the common goal of preventing urban outbreaks of infectious disease, there is little overlap between the fields today. The separation of the fields has contributed to uncoordinated efforts to address the health of urban populations and a general failure to recognize the links between, for example, the built environment and health disparities facing low-income populations and people of color. I review the historic connections and lack thereof between urban planning and public health, highlight some challenges facing efforts to recouple the fields, and suggest that insights from ecosocial theory and environmental justice offer a preliminary framework for reconnecting the fields around a social justice agenda.
As Denver experienced a population boom during the '90s, hospital construction was at a standstill. Now providers are racing to catch up with demand, reflecting a national trend. Four Denver-area facilities, including Sky Ridge Medical Center, left, are open or under construction. "Right now, there's nothing like this going on anywhere," says Dennis Brimhall, of the University of Colorado Hospital.