Mathur Medha, Wani Varun J, Basu Rivu, Manihar Priya, Ansari Mohammad Waseem Faraz, Mathur Navgeet, Vyas Shaili, Nayak Smrutiranjan, Verma Anjana, Singh Surendra
Department of Community Medicine, Geetanjali Medical College and Hospital, Udaipur, Rajasthan, India.
Department of Community Medicine, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, Maharashtra, India.
Indian J Community Med. 2024 Dec;49(Suppl 2):S159-S163. doi: 10.4103/ijcm.ijcm_755_24. Epub 2024 Dec 30.
The social structure of India is rapidly evolving, towards modernization. The urban population of India is projected to approach 60 crores by 2036. Urban health resilience stands for building the capacity of urban systems to withstand and adapt to health-related stresses like natural disasters, man-made disasters, and pandemics like COVID-19 and the capability to recover from them by well-equipped hospitals, efficient emergency response mechanisms, and a network of well-trained and motivated healthcare professionals. Also, the involvement of communities is central to building urban health resilience. Strong policy frameworks are required for establishing a resilient urban health ecosystem. Addressing social determinants, such as income inequality, education, and housing, is also a basis of building urban health resilience. Some examples have been instrumental in designing a resilient urban health system like Singapore's Smart Nation Initiative, Copenhagen, Denmark's Model for Sustainable Urban Living internationally, Ahmedabad's Heat Action Plan and Kochi's Waterfront Development for Climate Resilience are excellent examples from our country. The suggested strategy for an urban resilient system is a Rapid, Extensive, Sturdy, Ingenious, Lucid approach with an International collaboration for an Enthusiastic, Non-latent, Continuous Early warning system (RESILIENCE).
印度的社会结构正在迅速朝着现代化演变。预计到2036年，印度的城市人口将接近6亿。城市卫生韧性意味着建设城市系统抵御和适应自然灾害、人为灾害以及COVID-19等大流行病等与健康相关压力的能力，以及通过设备完善的医院、高效的应急响应机制和训练有素且积极性高的医疗专业人员网络从这些压力中恢复的能力。此外，社区的参与对于建设城市卫生韧性至关重要。建立有韧性的城市卫生生态系统需要强有力的政策框架。解决收入不平等、教育和住房等社会决定因素也是建设城市卫生韧性的基础。一些范例在设计有韧性的城市卫生系统方面发挥了作用，比如新加坡的智慧国家倡议、丹麦哥本哈根的可持续城市生活模式在国际上具有代表性，印度艾哈迈达巴德的热行动计划以及科钦的气候韧性滨水开发项目则是我国的优秀范例。城市韧性系统的建议策略是一种快速、广泛、稳健、巧妙、清晰的方法，并通过国际合作建立一个积极、无潜伏性、持续的早期预警系统（RESILIENCE）。
