Perdue Wendy Collins, Stone Lesley A, Gostin Lawrence O
Georgetown University Law Center, 600 New Jersey Avenue, Washington, DC 20001, USA.
Am J Public Health. 2003 Sep;93(9):1390-4. doi: 10.2105/ajph.93.9.1390.
The built environment significantly affects the public's health. This was most obvious when infectious disease was the primary public health threat during the industrial revolution; unsanitary conditions and overcrowded urban areas facilitated the spread of infection. However, even today in the age of chronic diseases there remains an important connection between population health and the built environment. Physical spaces can expose people to toxins or pollutants and influence lifestyles that contribute to diabetes, coronary vascular disease, and asthma. Public health advocates can help shape the design of cities and suburbs in ways that improve public health, but to do so effectively they need to understand the legal framework. This article reviews the connection between public health and the built environment and then describes the legal pathways for improving the design of our built environment.
建筑环境对公众健康有着重大影响。这在工业革命期间传染病成为主要公共卫生威胁时最为明显;不卫生的条件和拥挤的城市地区助长了感染的传播。然而,即使在如今的慢性病时代,人口健康与建筑环境之间仍然存在着重要联系。物理空间可能使人们接触到毒素或污染物,并影响有助于引发糖尿病、冠状动脉血管疾病和哮喘的生活方式。公共卫生倡导者可以通过改善公共卫生的方式来帮助塑造城市和郊区的设计,但要有效地做到这一点,他们需要了解法律框架。本文回顾了公共卫生与建筑环境之间的联系,然后描述了改善我们建筑环境设计的法律途径。