[Variations in mortality by poverty level in urban Outaouais and all of urban Quebec].
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The aim of this article was to describe the method that Croatian cities have used in the development of the City Health Profile and City Health Plan. Selected as the most appropriate and applied was the Rapid Appraisal to Assess Community Health Needs. Three sources of information were used in this research: panelist essays reflecting local community views on health, problems and potentials of their city, observations about what is diminishing and what is giving beauty of living in their city and information derived from the existing written data sources. A free-text processing program analyzed essays. During the Consensus conference, based on presented data, participants had selected (Healthy City Project) priority areas. Between 1996 and 2002 The Rapid Appraisal was applied in six Croatian cities: Pula, Metković, Rijeka, Karlovac, Varazdin and Zagreb. By applying the method of Rapid Appraisal the cities assessed their health and health needs and created the City Health Profile. They selected their (Healthy City Project) priority areas, established the working groups on priority areas, and developed the City (action) Plan for Health. The method proved that communities have the capacity to recognize and deal with their health problems.
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A study of infant mortality rate (IMR) in Egypt in 1992 was conducted at three randomly selected areas representing different social classes. IMR per 1000 live births was ranged between 27.1 to 33.5. The differences between male and female IMR were markedly observed with no consensus amongst study areas. Neonatal mortality rate ranged between 4.7 to 11.1 while the post neonatal mortality rate ranged between 18.4 to 23.0. Diarrheal diseases were the most common cause of death amongst infants at all study areas, followed by respiratory illnesses. Inaccurate and under registration were noticed clearly in this work as observed from absence of neonatal deaths in rural areas. Also, in rural areas, prematurity was not recorded as a cause of death. Similarly, neonatal tetanus was not recorded as a cause of death at all study areas.
Living in the city is increasingly en vogue. In particular, ancient historical town areas are redeveloped to residential areas with the aim of creating "Isles of the Blest" while engendering a host of new problems; unhealthy additional density by building on originally free inside sites of blocks; new garages for residents right in the middle of redevelopment areas resulting in traffic nuisance due to congestion, noise and exhaust gases in narrow alleys; and hence, unhealthy living. Healthy living demands restoration of the original qualities of the historical town districts as a condition sine qua non for all town planning operations.
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