New knowledge and operative framework of urban health

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New knowledge and operative framework of urban health


  • Federico Serra Health City Institute, Rome, Italy; C14+ Network,Rome, Italy
  • Stefano Capolongo Design&Health Lab. Department of Architecture, Built environment and Construction engineering (ABC) – University Politecnico di Milano, Milan, Italy
  • Alessandro Cosimi Health City Institute, Rome, Italy
  • Roberta Crialesi Health City Institute, Rome, Italy; ISTAT, Integrated System Service for Health, Care and Welfare, Rome, Italy
  • Lucio Corsaro Health City Institute, Rome, Italy; Bhave, Rome, Italy
  • Stefano da Empoli Health City Institute, Rome, Italy; Institute for Competitiveness, Rome, Italy
  • Francesco Dotta Health City Institute, Rome, Italy; Dept. of Medicine, Surgery and Neurosciences, University of Siena , Siena, Italy
  • Antonio Gaudosio Health City Institute, Rome, Italy
  • Daniele Gianfrilli Design&Health Lab. Department of Architecture, Built environment and Construction engineering (ABC) – University Politecnico di Milano, Milan, Italy; Health City Institute, Rome, Italy
  • Luciano Grasso Health City Institute, Rome, Italy; Comune di Genova-Health City Manager, Genova, Italy
  • Francesca Romana Lenzi Health City Institute, Rome, Italy; Department of Movement, Human and Health Sciences, University of Rome "Foro Italico"
  • Eleonora Mazzoni Health City Institute, Rome, Italy
  • Antonio Nicolucci Health City Institute; Center for Outcomes Research and Clinical Epidemiology – CORESEARCH, Pescara, Italy
  • Giuseppe Novelli University of Rome Tor Vergata, Laboratorio Genetica Medica, UOC PTV, Rome, Italy;
  • Fabio Pagliara SportCity Foundation, Italy
  • Attilio Parisi Department of Movement, Human and Health Sciences, University of Rome "Foro Italico"
  • Antonella Polimeni Sapienza University of Rome, Rome, Italy
  • Andrea Rebecchi Design&Health Lab. Department of Architecture, Built environment and Construction engineering (ABC) – University Politecnico di Milano, Milan, Italy
  • Walter Ricciardi Institute of Hygiene, Università Cattolica del Sacro Cuore, Rome, Italy
  • Marco Ronchi Design School of Politecnico di Milano, Milan, Italy
  • Carlo Signorelli University Vita-Salute San Raffaele, Milan, Italy; Association of Schools of Public Health in the European Region (ASPHER);
  • Roberta Siliquini Italian Society of Hygiene, Preventive Medicine and Public Health (SItI); University of Turin, Turin, Italy; Fondazione CENSIS, Rome, Italy
  • Giulia Sormani Design School of Politecnico di Milano, Milan, Italy
  • Chiara Spinato Health City Institute, Rome, Italy
  • Gianluca Vaccaro UO Education and Health Promotion, Asp Catania, Catania, Italy; Bhave, Rome, Italy
  • Maria Concetta Vaccaro Health City Institute, Rome, Italy; Fondazione CENSIS, Rome, Italy
  • Andrea Lenzi Health City Institute, Rome, Italy; UNESCO Chair on Urban Health Sapienza University of Rome, Rome, Italy


health management


It is easy to understand how healthy choices bring us to a healthy life. This is a true fact but it needs be reframed in a more detailed way. The capability of doing healthy choices is dictated by opportunities, possibilities and personal motivation, all variabilities influenced by external factors. Some citizens, alike some others, have easy access to affordable,freshand healthy foods.Some citizens, alike some others, have easy access to safe place where to walk, to run, to ride bicycles and play. These differences imply that it is more likely for some populations to do healthy choices than others. This imply also that when some vulnerable groups get sick the impact is wider and the following consequences are worse.

If we are not able to create inclusive, accessible, and equal solutions the gap, created by these inequalities, will get wider.

 The issue of the social-health inequality has gained global relevance after the Covid-19 pandemic. The Coronavirus hasdamaged differentlypopulation that were already fighting predictable diseases such as obesity, diabetes,cardiovascular pathologies, and cancers. This has underlined the need to establish collaboration throughout the different sectors in order to reduce the spread of predictable diseases.

The solutions are known. If we offer the right incentives,we can modify the social economical environments that affect the risk factorin order to gradually solve the gap regarding the health inequalities.The cities have an important responsibility over it, other than the possibility to take a lead role over the promotion of innovative solutions that create healthy and sustainable spaces and communities in order to help the citizens to make healthy choices.

But this could be not enough if there is not an overseeing team, made by specialists, that are able to develop multi sectorial plans and that are capable of dealing with the different aspects that operate over the social health system of a city.

In this context, new professional competence like Health City Manager, that are able to elaborate Urban Health Framework (UHF) appear necessary to facilitate the collaboration between public health entities to grant the creating of healthy environments.

The Health City Management approach analyses the different factors that affect a particular environment so that public and private entities can operate in a functional way.

Author Biography

Gianluca Vaccaro, UO Education and Health Promotion, Asp Catania, Catania, Italy; Bhave, Rome, Italy



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How to Cite

Serra F, Capolongo S, Cosimi A, Crialesi R, Corsaro L, da Empoli S, et al. New knowledge and operative framework of urban health. Acta Biomed [Internet]. [cited 2024 Jul. 25];95(4):e2024122. Available from:




How to Cite

Serra F, Capolongo S, Cosimi A, Crialesi R, Corsaro L, da Empoli S, et al. New knowledge and operative framework of urban health. Acta Biomed [Internet]. [cited 2024 Jul. 25];95(4):e2024122. Available from: