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Infrastructure, policy and regulatory interventions to increase physical activity to prevent cardiovascular diseases and diabetes: a systematic review

Durão, S.; Burns, J.; Schmidt, B. et al. BMC Public Health (2023) CC

Background Noncommunicable diseases are major contributors to morbidity and mortality worldwide. Modifying the risk factors for these conditions, such as physical inactivity, is thus essential. Addressing the context or circumstances in which physical activity occurs may promote physical activity a...t a population level. We assessed the effects of infrastructure, policy or regulatory interventions for increasing physical activity. Methods We searched PubMed, Embase and clinicaltrials.gov to identify randomised controlled trials (RCTs), controlled before-after (CBAs) studies, and interrupted time series (ITS) studies assessing population-level infrastructure or policy and regulatory interventions to increase physical activity. We were interested in the effects of these interventions on physical activity, body weight and related measures, blood pressure, and CVD and type 2 diabetes morbidity and mortality, and on other secondary outcomes. Screening and data extraction was done in duplicate, with risk of bias was using an adapted Cochrane risk of bias tool. Due to high levels of heterogeneity, we synthesised the evidence based on effect direction. Results We included 33 studies, mostly conducted in high-income countries. Of these, 13 assessed infrastructure changes to green or other spaces to promote physical activity and 18 infrastructure changes to promote active transport. The effects of identified interventions on physical activity, body weight and blood pressure varied across studies (very low certainty evidence); thus, we remain very uncertain about the effects of these interventions. Two studies assessed the effects of policy and regulatory interventions; one provided free access to physical activity facilities and showed that it may have beneficial effects on physical activity (low certainty evidence). The other provided free bus travel for youth, with intervention effects varying across studies (very low certainty evidence). Conclusions Evidence from 33 studies assessing infrastructure, policy and regulatory interventions for increasing physical activity showed varying results. The certainty of the evidence was mostly very low, due to study designs included and inconsistent findings between studies. Despite this drawback, the evidence indicates that providing access to physical activity facilities may be beneficial; however this finding is based on only one study. Implementation of these interventions requires full consideration of contextual factors, especially in low resource settings. more

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Planetary health in practice: sensing air pollution and transforming urban environments

Gabrys, J. (2020) C1

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HIV care and support

UNAIDS (2016) C2

UNAIDS 2016, Reference HIV care and support taking into account the 2016 WHO consolidated guidelines

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WHO implementation tool for pre-exposure prophylaxis of HIV infection - Module 12

World Health Organization (WHO) World Health Organization (WHO) (2018) C_WHO

Module 12: Adolescents and young adults July 2018 Module 12: Adolescents and young adults. This module is for people who are interested in providing PrEP services to older adolescents and young adults who are at substantial risk for HIV. It provides information on: factors that influence HIV... more

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Philippines: Family Planning Competency-Based Training (FPCBT) in IUD - Facilitator’s Guide (Level 2/2)

Department of Health (DOH) Philippines (2010) C1

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India: Guidelines for Facilitating Reconstructive Surgery in Leprosy

Directorate General of Health Services, National Leprosy Eradication Programme, New Delhi (2007) C1

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Leptospirosis in sugarcane plantation and fishing communities in Kagera northwestern Tanzania

Mgode, G.; Japhary, M.; Mhamphi, G. et al. PLoS Neglected Tropical diseases (2019) CC

Leptospirosis is a bacterial zoonotic disease of worldwide importance, though relatively neglected in many African countries including sub Saharan Africa that is among areas with high burden of this disease. The disease is often mistaken for other febrile illnesses such as dengue, malaria, rickettsi... more

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Zoonotic diseases of public health importance

National Institue of communicable Diseases, India (1998) C1

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Lineamientos para el Manejo Clínico y Operativo de la Tuberculosis Drogorresistente

J. A. Caminero, A. Van Deun, P. I. Fujiwara, et. al Unión Internacional Contra la Tuberculosis y Enfermedades Respiratorias (2013)

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National responsibility for ecological breakdown: a fair-shares assessment of resource use, 1970–2017

Hickel, J.; O'Neill, D.; Fanning, A.; et al. (2022) CC

The Lancet Planetary Health Volume 6, ISSUE 4, e342-e349, April 01, 2022. Human impacts on earth-system processes are overshooting several planetary boundaries, driving a crisis of ecological breakdown. This crisis is being caused in large part by global resource extraction, which has increased dra... more

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WHO implementation tool for pre-exposure prophylaxis of HIV infection - Module 9

World Health Organization (WHO) World Health Organization (WHO) (2017) C_WHO

Module 9 Strategic planning July 2017 Module 9: Strategic planning. As WHO recommends offering PrEP to people at substantial HIV risk, this module offers public health guidance for policy-makers on how to prioritize services, in order to reach those who could benefit most from PrEP, and in wh... more

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Handbuch Tuberkulose

Barben et al. Lungenliga Schweiz, Bundesamt für Gesundheit (2012) C1

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The role of Environmental and Spiritual Ethics in Galvanizing Nature Based Solutions

UN Environment Programme (2020) CC

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Guidelines for Clinical and Operational Management of Drug-Resistant Tuberculosis

José A. Caminero International Union Against Tuberculosis and Lung Disease (The Union) (2013)

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Inequality Kills

Oxfam (2022) CC

The unparalleled action needed to combat unprecedented inequality in the wake of COVID-19. New billionaire minted every 26 hours, as inequality contributes to the death of one person every four seconds Available in English, French, Spanish and Arabic https://www.oxfam.org/en/research/inequality-ki... more

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Medical promise of climate solutions

Medical Society Consortium on Climate and Health (2022) CC

The Faster We Go, the Health We'll Be. The report outlines five climate solutions that research shows will deliver immediate, often localized, health and equity benefits. Our focus is on the solutions that proactively advance both health and health equity, recognizing that some of us face greater h... more

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‘You must carry your wheelchair’ – barriers to accessing healthcare in a South African rural area

Richard Vergunst, Leslie Swartz, Gubela Mji, Malcolm MacLachlan & Hasheem Mannan Global Health Action (2015) CC

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SAMHSA’s Concept of Trauma and Guidance for a Trauma-Informed Approach

SAMHSA’s Trauma and Justice Strategic Initiative (2014) C2

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Fourth National Climate Assessment (NCA4)

U.S. Global Change Research Program (2018) C2

The Fourth National Climate Assessment (NCA4) fulfills that mandate in two volumes. This report, Volume II, draws on the foundational science described in Volume I, the Climate Science Special Report (CSSR).2 Volume II focuses on the human welfare, societal, and environmental elements of climate cha... more

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Contraceptifs appropriés pour les femmes à risque élevé d’infection par le VIH

Organisation mondial de la Santé (2019) C_WHO

Manuel d’orientation Recommandations concernant l’utilisation de méthodes contraceptives par les femmes exposées à un risque élevé d’infection par le VIH