Populations on the Move

The current state of the world’s population is one of unprecedented diversity and change, reflected in new patterns of fertility, mortality, and migration. As demographic forces transform the size, structure and spatial distribution of populations, equally dramatic changes are occurring epidemiologically. In the most developed countries, rising chronic diseases accompany low fertility, shrinking working-age populations, and population aging. In less developed countries rising chronic diseases are superimposed on an unfinished agenda of infectious disease, maternal-child mortality, and undernutrition. In some of the world’s most vulnerable settings, continued high fertility rates are coupled with political instability, food insecurity, and displaced populations. Even in countries with declining fertility, population growth will continue for decades with youth populations expanding in the context of rapid urbanization and strained public services. While the changing age structure of a population can create a window of opportunity for economic growth, reaping this ‘demographic dividend’ is time-sensitive and dependent on the design and implementation of smart policies.

Subthemes

Displaced & Vulnerable

Pen and ink sketch of people in the city.

Urbanization & Clients

Pen and ink sketch of people in the city.

Migration & Gender

Pen and ink sketch of people in the city.

Internal Displacement and Starvation in Syria

Regional Profile

On Monday, January 11, 2016, the besieged Syrian city of Madaya received its first shipment of foreign aid since October. The sight of food trucks brought starving residents to tears, a U.N. source told CNN. The situation in Madaya is dire: because the regime has choked off the rebel-held city, prices of basic food items have soared. In the capital, Damascus, flour costs 79 cents a kilogram; in Madaya, the price has soared to $120 a kilo. Moreover, landmines have made smuggling food into the city incredibly dangerous. Dr. Khaled Mohammed, who works at a field hospital in the city, said he gets about 250 cases of starvation a day. He said the hospital has seen at least 55 deaths from starvation. The situation of internally displaced civilians in Syria is representative of the growing numbers of people caught in protracted and chronic patterns of displacement and underscores the limits of humanitarian action. Learn more about the need for concerted efforts by political and operational actors to address the underlying drivers of displacement.

Mass Gatherings and Health

Population Snapshot

Sports fans, religious pilgrims, and displaced persons all share experiences of a “mass gathering.” The World Cup, the Hajj, and life in refugee camps are all occasions where a population with shared interests crowds into a small space to share experiences and resources. Health risks at mass gatherings include infectious disease transmission, fire, stampedes, and risks to safe water, food, sanitation, and health care access. Mass gathering experiences vary, however, in mood, governance, and profit. Improving global health calls for innovations that build hope into humanitarian aid responses, mobilize local resources in strengthening disaster-related governance, and foster win-win exchanges that strengthen health, human dignity, and entrepreneurial spirit in such populations. Learn more by reading the series entitled “Mass Gatherings Health” which describes the study of a range of health issues that can arise during mass gatherings.

Designing Urban Health

Sector Perspective

Architects working in education and the business sector can play an important role in shaping spaces that foster health. As some features can promote resilience and others vulnerability, a community’s spatial design can have a significant impact on the social determinants of climate-related health outcomes. For instance, researchers are investigating how planning and design in cities may create conditions conducive to the multiple dimensions of health and equity in urban neighborhoods. By working with communities before disaster strikes, urban planners may help establish parks, safe walking routes, and landscape details to set the stage for connectivity within neighborhoods. Environment-friendly and adaptable spaces may also help mitigate hazards and promote healthy recovery from risks caused by crises such as flood, tornado, civil strife, earthquake, and severe winter storms. Learn more about Environment, Climate, and Health, a concentration area within the Master in Urban Planning at the Harvard Graduate School of Design.

Teaching about Health and Migration

Featured

How might educators—especially those in the humanities who are not health specialists—use a multidisciplinary approach to teach about migration in ways that might help strengthen global health? How might they prepare their students—whether young adults, high school, college, or graduate students—to better understand why these transitions and health risks matter in today’s world? This annotated bibliography offers a rough guide to key themes in these issues that cross over into topics commonly discussed in many high school and college classroom settings. Finding creative ways to help students think about the world’s health as it relates to migration can help nurture responsible global citizens who are prepared to live thoughtfully amidst the population shifts of the 21st century. Learn more with additional resources.

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