Displaying publications 81 - 100 of 152 in total

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  1. Fulltext Nipah virus epidemic in southern India and emphasizing "One Health" approach to ensure global health security
    Chattu VK, Kumar R, Kumary S, Kajal F, David JK
    J Family Med Prim Care, 2018 8 10;7(2):275-283.
    PMID: 30090764 DOI: 10.4103/jfmpc.jfmpc_137_18
    Nipah virus (NiV) encephalitis first reported in "Sungai Nipah" in Malaysia in 1999 has emerged as a global public health threat in the Southeast Asia region. From 1998 to 2018, more than 630 cases of NiV human infections were reported. NiV is transmitted by zoonotic (from bats to humans, or from bats to pigs, and then to humans) as well as human-to-human routes. Deforestation and urbanization of some areas have contributed to greater overlap between human and bat habitats resulting in NiV outbreaks. Common symptoms of NiV infection in humans are similar to that of influenza such as fever and muscle pain and in some cases, the inflammation of the brain occurs leading to encephalitis. The recent epidemic in May 2018 in Kerala for the first time has killed over 17 people in 7 days with high case fatality and highlighted the importance of One Health approach. The diagnosis is often not suspected at the time of presentation and creates challenges in outbreak detection, timely control measures, and outbreak response activities. Currently, there are no drugs or vaccines specific for NiV infection although this is a priority disease on the World Health Organization's agenda. Antivirals (Ribavirin, HR2-based fusion inhibitor), biologicals (convalescent plasma, monoclonal antibodies), immunomodulators, and intensive supportive care are the mainstay to treat severe respiratory and neurologic complications. There is a great need for strengthening animal health surveillance system, using a One Health approach, to detect new cases and provide early warning for veterinary and human public health authorities.
    Matched MeSH terms: Urbanization
  2. Fulltext Industrialization and urbanization--the impact on health: the experience of Peninsular Malaysia
    Arokiasamy JT
    J Hum Ergol (Tokyo), 1990 Dec;19(2):201-12.
    PMID: 2130092 DOI: 10.11183/jhe1972.19.201
    Matched MeSH terms: Urbanization*
  3. Fulltext Urbanization and its effects on health in squatter areas (with special reference to Kuala Lumpur, Malaysia)
    Yusof K, Kwai-Sim L
    J Hum Ergol (Tokyo), 1990 Dec;19(2):171-84.
    PMID: 2130090 DOI: 10.11183/jhe1972.19.171
    Matched MeSH terms: Urbanization*
  4. Fulltext Trends and Spatial Pattern Analysis of Dengue Cases in Northeast Malaysia
    Masrani AS, Nik Husain NR, Musa KI, Yasin AS
    J Prev Med Public Health, 2022 Jan;55(1):80-87.
    PMID: 35135051 DOI: 10.3961/jpmph.21.461
    OBJECTIVES: Dengue remains hyperendemic in Malaysia despite extensive vector control activities. With dynamic changes in land use, urbanisation and population movement, periodic updates on dengue transmission patterns are crucial to ensure the implementation of effective control strategies. We sought to assess shifts in the trends and spatial patterns of dengue in Kelantan, a north-eastern state of Malaysia (5°15'N 102°0'E).

    METHODS: This study incorporated data from the national dengue monitoring system (eDengue system). Confirmed dengue cases registered in Kelantan with disease onset between January 1, 2016 and December 31, 2018 were included in the study. Yearly changes in dengue incidence were mapped by using ArcGIS. Hotspot analysis was performed using Getis-Ord Gi to track changes in the trends of dengue spatial clustering.

    RESULTS: A total of 10 645 dengue cases were recorded in Kelantan between 2016 and 2018, with an average of 10 dengue cases reported daily (standard deviation, 11.02). Areas with persistently high dengue incidence were seen mainly in the coastal region for the 3-year period. However, the hotspots shifted over time with a gradual dispersion of hotspots to their adjacent districts.

    CONCLUSIONS: A notable shift in the spatial patterns of dengue was observed. We were able to glimpse the shift of dengue from an urban to peri-urban disease with the possible effect of a state-wide population movement that affects dengue transmission.

    Matched MeSH terms: Urbanization
  5. Modifiable risk factors and overall cardiovascular mortality: Moderation of urbanization
    Sajid MR, Muhammad N, Zakaria R, Bukhari SAC
    J Public Health Res, 2020 Oct 14;9(4):1893.
    PMID: 33244464 DOI: 10.4081/jphr.2020.1893
    Background: Modifiable risk factors are associated with cardiovascular mortality (CVM) which is a leading form of global mortality. However, diverse nature of urbanization and its objective measurement can modify their relationship. This study aims to investigate the moderating role of urbanization in the relationship of combined exposure (CE) of modifiable risk factors and CVM. Design and Methods: This is the first comprehensive study which considers different forms of urbanization to gauge its manifold impact. Therefore, in addition to existing original quantitative form and traditional two categories of urbanization, a new form consisted of four levels of urbanization was duly introduced. This study used data of 129 countries mainly retrieved from a WHO report, Non-Communicable Diseases Country Profile 2014. Factor scores obtained through confirmatory factor analysis were used to compute the CE. Age-income adjusted regression model for CVM was tested as a baseline with three bootstrap regression models developed for the three forms of urbanization. Results: Results revealed that the CE and CVM baseline relationship was significantly moderated through the original quantitative form of urbanization. Contrarily, the two traditional categories of urbanization could not capture the moderating impact. However, the four levels of urbanization were objectively estimated the urbanization impact and subsequently indicated that the CE was more alarming in causing the CVM in levels 2 and 3 urbanized countries, mainly from low-middle-income countries. Conclusion: This study concluded that the urbanization is a strong moderator and it could be gauged effectively through four levels whereas sufficiency of two traditional categories of urbanization is questionable.
    Matched MeSH terms: Urbanization
  6. Fulltext Engaging the ASEAN Diaspora: Type 2 Diabetes Prevalence, Pathophysiology, and Unique Risk Factors among Filipino Migrants in the United States
    Araneta MR
    J ASEAN Fed Endocr Soc, 2019;34(2):126-133.
    PMID: 33442147 DOI: 10.15605/jafes.034.02.02
    Type 2 diabetes prevalence is rising rapidly in Southeast Asia (SEA) where urbanization and adoption of 'western' behavioral lifestyles are attributed as predominant risk factors. The Southeast Asian diaspora to the United States has resulted in a sizable portion of migrant and US born SEAs, with approximately 4 million Filipino Americans, 2 million Vietnamese-Americans, Cambodians (330,000), and Thai (300,000) as the most populous. Their longer exposure to a western lifestyle and participation in clinical studies with other racial/ethnic groups, provide opportunities to evaluate etiologic factors which might inform trends and intervention opportunities among residents of Southeast Asia. Epidemiologic studies in the US have identified higher T2D prevalence among Filipinos (16.1%) compared to groups perceived to be at highest risk for T2D, namely Latinos (14.0%), Black (13.7%), and Native Americans (13.4%), while SEAs (including Burmese, Cambodian, Indonesian, Laotian, Malaysian, and Thai, 10.5%) and Vietnamese (9.9%) had higher T2D risk compared to Whites (7.7%), despite their absence of general obesity. Asian-Americans, including SEAs, East and South Asians, collectively have higher rates of undiagnosed T2D compared to other racial/ethnic groups in the US. Almost half (44%) of Filipinos with newly diagnosed T2D have isolated post-challenge hyperglycemia and will remain undiagnosed if current screening practices remain limited to measures of glycosylated hemoglobin and fasting plasma glucose. The University of California San Diego Filipino Health Study found excess visceral adipose tissue accumulation, low ratio of muscle to total abdominal mass area, low adiponectin concentration, multiparity (≥ 6 live births), and sleep insufficiency (<7 hours) to be unique T2D risk factors among Filipino-American women, even after adjusting for established T2D risk factors including hypertension and parental history of T2D. Social determinants such as low educational attainment (less than college completion), and sustained social disadvantage during childhood and adulthood were independently associated with T2D risk. Gestational diabetes is a known risk factor for future T2DM among women; Northern California data shows that following Asian Indians, gestational diabetes was highest among Filipina and SEA parturients, who had twice the GDM prevalence as Black, Hispanic, and White women. Identification of novel T2D risk factors among SEAs may guide early diagnosis, inform pathophysiology, and identify unique opportunities for T2D prevention and management.
    Matched MeSH terms: Urbanization
  7. Fulltext Wanted: a Transdisciplinary Knowledge Domain for Urban Health
    Lawrence RJ, Gatzweiler FW
    J Urban Health, 2017 08;94(4):592-596.
    PMID: 28695402 DOI: 10.1007/s11524-017-0182-x
    The current disconnection between access to increasing amounts of data about urbanization, health, and other global changes and the conflicting meanings and values of that data has created uncertainty and reduced the ability of people to act upon available information which they do not necessarily understand. We see a disconnection between increasing data availability and data processing capability and capacity. In response to this disconnection, modeling has been attributed an important role in international and national research programs in order to predict the future based on past and recent trends. Predictive models are often data heavy and founded on assumptions which are difficult to verify, especially regarding urban health issues in specific contexts. Producing large volumes of data warrants debate about what data are prerequisites for better understanding human health in changing urban environments. Another concern is how data and information can be used to apply knowledge. Making sense of empirical knowledge requires a new transdisciplinary knowledge domain created by a commitment to convergence between researchers in multiple academic disciplines and other actors and institutions in cities. Disciplinary-based researchers are no longer the sole producers of empirical knowledge. Today, diverse kinds of knowledge are becoming an emergent product of multiple societal stakeholders acting collectively to address challenges that impact on their habitat, their livelihood, and their health. Insights from complexity science also require a fundamental rethinking of the role and responsibility of human agency while admitting rather than denying complexity and radical uncertainty.
    Matched MeSH terms: Urbanization*
  8. Fulltext Technology advancement enabling the link of gut microbiota with obesity and metabolic disorder
    Hartini Yusof, Mohamad Shafiq Aazmi, Teh Lay Kek, Mohd Zaki Salleh, Ili Ng Abdullah, Aminuddin Ahmad, et al.
    Jurnal Sains Kesihatan Malaysia, 2015;13(1):77-91.
    MyJurnal
    Obesity is a growing epidemic due to an accelerated phase of industrialization and urbanization with the overfed people
    now outnumbered the underfed. It is the major public health problem with a lot of research interest as it is associated
    with many complicated chronic disorders such as type-2 diabetes, cardiovascular diseases (CVD) and cancers. A global
    estimation of 2.8 million deaths per year is due to obesity and there are tremendous on-going efforts to identify hosts
    and environmental factors that infl uence the cause and pathogenesis of obesity. Concerted efforts from different research
    groups had successfully shown that obese subjects have altered composition of gut microbiota and transplantation of this
    microbiota infl uences body weight in the germ-free recipient mice. The advancement of technology had made possible
    the study of gut microbiota which was unculturable for better understanding of their impact to human health. Rapid
    deep sequencing of DNA at reasonable cost through various options of platforms followed by data analysis using robust
    bioinformatic tools are an important way of analysing the gut microbiome. Here we review the role of gut microbiota
    which modulates host’s metabolic functions and gene expression, facilitating the extraction and storage of energy from the
    ingested dietary substances and leading to body-weight gain. We will discuss on the different techniques used, focusing
    on the high-defi nition technologies for the determination of the composition, function and ecology of gut microbiota. This
    allows the appropriate selection of platform which becomes the key for success of subsequent research.
    Matched MeSH terms: Urbanization
  9. Fulltext The Tsinghua-Lancet Commission on Healthy Cities in China: unlocking the power of cities for a healthy China
    Yang J, Siri JG, Remais JV, Cheng Q, Zhang H, Chan KKY, et al.
    Lancet, 2018 05 26;391(10135):2140-2184.
    PMID: 29678340 DOI: 10.1016/S0140-6736(18)30486-0
    Matched MeSH terms: Urbanization*
  10. Non-transformed principal component technique on weekly construction stock market price
    Yusrina Andu, Muhammad Hisyam Lee, Zakariya Yahya Algamal
    MATEMATIKA, 2019;35(2):139-147.
    MyJurnal
    The fast-growing urbanization has contributed to the construction sector be- coming one of the major sectors traded in the world stock market. In general, non- stationarity is highly related to most of the stock market price pattern. Even though stationarity transformation is a common approach, yet this may prompt to originality loss of the data. Hence, the non-transformation technique using a generalized dynamic principal component (GDPC) were considered for this study. Comparison of GDPC was performed with two transformed principal component techniques. This is pertinent as to observe a larger perspective of both techniques. Thus, the latest weekly two-years observations of nine constructions stock market price from seven different countries were applied. The data was tested for stationarity before performing the analysis. As a re- sult, the mean squared error in the non-transformed technique shows eight lowest values. Similarly, eight construction stock market prices had the highest percentage of explained variance. In conclusion, a non-transformed technique can also present a better result outcome without the stationarity transformation.
    Matched MeSH terms: Urbanization
  11. Fulltext Fractionation of as, co, cu and zn by sequential extraction in surface sediment of Kuala Terengganu river estuary
    Muhammad Nazirul Mubin Abd Halim Shah, Lee, Siang Hing, Mohd Yusoff Nurulnadia, Meng, Chuan Ong
    Malaysian Journal of Applied Sciences, 2020;5(2):57-68.
    MyJurnal
    Development and urbanization processes around Terengganu River estuary are expected to release a significant amount of heavy metals into the existing surface sediment. However, information on how and why these metals are attached into specific fraction of sediments is still lacking. Therefore, this study aimed to explain the heavy metal concentration distribution in each available fraction in Terengganu River estuary. In this study, nine surface sediments originated from various human activities area in Terengganu River estuary were collected during four different sampling sessions in 2017. Heavy metal content from the collected sediments were extracted using 3-steps BCR sequential extraction method followed by detection using Inductively Coupled Plasma Mass-Spectrometer (ICP-MS) and we discovered that the total concentration of arsenic (As), cobalt (Co), copper (Cu), and zinc (Zn) ranged from 2.18 to 17.48 mg/kg dry wt., 2.53 to 20.53 mg/kg dry wt., 1.01 to 13.13 mg/kg dry wt., and 6.10 to 65.71 mg/kg dry wt., respectively. Dominance of metals in each fraction can be arranged as follows: As: residual > reducible > exchangeable > oxidizable; Co: residual > exchangeable > reducible > oxidizable; Cu: residual > oxidizable > reducible > exchangeable; Zn: residual > exchangeable > reducible > oxidizable. Availability of metals in the sediment at Terengganu River estuary is limited since that majority of metals resides in non-mobilisable fraction of the sediment. In essence, the sequential extraction provides information regarding the metals’ fractionation, availability and mobility, which could be used in assessing the environmental contamination in the area.
    Matched MeSH terms: Urbanization
  12. Fulltext Advances in Family Health Programme in Malaysia
    Faridah Abu Bakar
    Malaysian Journal of Medicine and Health Sciences, 2019;15(104):3-3.
    MyJurnal
    The Family Health Programme in Malaysia started off with a humble beginning in the 1920s by the introduction of midwifery legislation under the Straits Settlement Ordinance and the Federal Malay states Midwifery Enactment. Institutionalisation of nursing training took placed in the 1940s while the rural health services for pregnant women and children were established in the 1950’s. In 1967, the school health program was initiated, followed by the de-livery of the school health services in 1972. The Ministry of Health (MoH) set up a Maternal and Child Health unit within the MoH organisation in 1974 to oversee the maternal, child and school health activities. In 1996, the Family Health Development Division was established with the prenatal, adolescent, adult, people with disability and nu-trition health services were incorporated into the family health activities. Subsequently, the age-group wellness and population genetic screening were introduced in year 2000. The family health programme has embraced the public health approach as its building blocks. Throughout the years, individual patient care has advanced the most through the improvement of standards and quality of services within the health clinics. Plateauing of maternal mortality ratio and under-5 mortality rate, increasing trend of non-communicable diseases, remerging of communicable diseases, urbanisation and globalization, and increasing ageing population are new challenges in the delivery of family health services to the community. In order to cater for these challenges, it is crucial to recognise the population health as one of the main component in the family health programmes. Transformation in the scope of new family and popu-lation health is needed to improve the delivery of family programme beyond the boundary of MoH facilities.
    Matched MeSH terms: Urbanization
  13. Fulltext Urban health and the prevalence of non-communicable diseases in Malaysia
    Normaz Wana Ismail, Sudha Sivadas
    Malaysian Journal of Medicine and Health Sciences, 2020;16(2):3-9.
    MyJurnal
    Introduction: Urbanisation is a key determinant of population health. Malaysia’s exemplary economic growth in the early 1990s and the consequent development and urbanisation led to significant changes in health, lifestyle and quality of life. Rising expectations, changing demographics and nutrition and disease transitions were challenges synonymous to an increasingly urban Malaysia. As the Government targets optimal population health, this paper aims to explore one of the many challenges of urbanisation, namely the prevalence of non-communicable diseases or NCDs. For the purpose of this paper, NCD is proxied by Diabetes Mellitus. Methods: This study is based the 2015 National Health and Morbidity Survey, which is a cross-sectional population-based survey, involving 30,000 re- spondents. Given the binomial nature of the survey variables, the multinomial Probit model was employed using the STATA statistical software. Results: Generally, age, gender and race are significant in determining health outcomes. Socioeconomically, all three variables of income, education and employment are significant. For lifestyle factors, findings show that only the weight and physically active status have a role in determining health outcomes. Finally, the urban variable is also positive and significant. Conclusion: Findings show that the prevalence of Diabetes Melli- tus, is rising along with urbanisation and that there is a health penalty for the urban population and also for those who do not embrace healthy lifestyles. Additionally, other factors are equally important as urban health determinants, encompassing both the demographic and socioeconomic factors.
    Matched MeSH terms: Urbanization
  14. Fulltext Respiratory health of children exposed to PM10: consequence of construction waste open dumping
    Pravina Jeevanaraj, Samala Munianddey, Zailina Hashim
    Malaysian Journal of Medicine and Health Sciences, 2020;16(101):66-71.
    MyJurnal
    Introduction: Due to rapid urbanization, Malaysia is currently undergoing extensive amount of construction activities and significant rise in the construction waste. Improper construction wastes management practices have led to rise in the waste open dumping sites which may significantly affect the environment and public health. This study was undertaken to assess air pollution in such a site and the impact to the respiratory health of children studying in a nearby school. Methods: A comparative cross-sectional study was conducted in Sungai Buloh (exposed) and Kuala Selangor (comparative). Concentration of PM10 was monitored at the open dumping site (n=15), a nearby primary school (n=45) and a comparative primary school (n=12). Parents who gave consent (n=229) answered a questionnaire related to child’s respiratory health whereas their children participated in lung function assessment. Results: Concentration of PM10 at the dumping site, exposed school and comparative school was 0.245±0.048mg/ m3 , 0.270±0.020mg/m3 and 0.051±0.016mg/m3 respectively, with the first two significantly exceeded the 24-hour Malaysian Air Quality Standard (MAQS) for PM10 (0.150mg/m3 ). Besides, PM10 concentration in the exposed school was similar to the dumping site (p>0.05) and many folds higher than the comparative school (p
    Matched MeSH terms: Urbanization
  15. Fulltext Physical activity and cardiovascular risk factors among Malays in selected rural and urban communities in Sarawak
    Cheah, Whye Lian, Helmy Hazmi, Chang, Ching Thon, Wan Manan Wan Muda
    Malaysian Journal of Public Health Medicine, 2015;15(3):104-111.
    MyJurnal
    The objective of this study was to describe the differences in physical activity with socio-demographic factors and its association with cardiovascular risk factors. It was a cross-sectional study among selected urban and rural Malays communities in Kuching and Samarahan. Physical activity data was obtained using International Physical Activity Questionnaire (IPAQ) short version. Assessment of cardiovascular risk factors was based on blood pressure, fasting cholesterol and glucose and body mass index (BMI). Data was analysed using SPSS version 20. A total of 223 participated with higher response from rural areas (60.1%) and females (61.9%). More than half of the respondents (58.5%) were overweight and obese, with a mean BMI of 25.9 kg/m2 (SD=4.9). About 25% of the respondents were found to have blood pressure in the at-risk range. The prevalence of at-risk blood glucose was 52.3% with a mean value of 7.3mmol/L (SD=3.46). The prevalence of at-risk cholesterol were lower with 31.8%, mean value of 3.5 mmol/L (SD=2.94). There were more active respondents living in rural area (p=0.02). Logistics regression analysis showed that urban area (OR=1.988 95% CI 1.082 to 3.652), systolic blood pressure (OR1.020 95% CI 1.003 to 1.037) and blood cholesterol (OR0.884 95% CI 0.785 to 0.996) were associated with physical activity level. Change of physical activity due to urbanization can increase the risk of obesity and other chronic diseases. Efforts to include physical activity in intervention programme should be more intensified, with more provision of suitable built environment.
    Matched MeSH terms: Urbanization
  16. Fulltext The association between climatic factors and dengue fever: a study in Subang Jaya and Sepang, Selangor
    Nik Syaza Lina Nik Ruzman, Haliza Abdul Rahman
    Malaysian Journal of Public Health Medicine, 2017;17 Special(1):140-150.
    Dengue fever is one of the most dangerous vector-borne diseases. According to the World Health Organization (WHO), dengue fever is a mosquito-borne infection caused by virus serotype DEN-1, DEN-2, DEN-3 and DEN-4. In Malaysia, dengue fever cases are on the rise from 6,000 cases in 1995 to over 40,000 in 2010, and this number is still rising. In 2014, the increase of dengue fever cases was alarming. It was reported that up to the end of the year 2014, there were 108,698 notified cases, indicating an increment of 151% compared to the same period of time in 2013 with only 43,346 reported cases. Selangor was the highest contributor of dengue fever cases in 2014. The objective of this paper is to study the relationship between climatic factors namely temperature, rainfall and humidity to the prevalence of dengue fever in Subang Jaya and Sepang district, Selangor. Data on monthly average temperature, precipitation, relative humidity and dengue fever cases for each month in 2014 and 2013 were collected. Data collection was dealt with a few institutions such as Malaysian Meteorological Department, Subang Jaya and Sepang Municipal Council and health district offices. Data were analysed using SPSS (Statistical Package for the Social Sciences) Version 20. General linear model analysis was used to investigate the relationship between the climatic variables and dengue prevalence. Results and Discussion: Based on the general linear model, rainfall and humidity were found to have significant relationships to monthly dengue fever cases (p= <0.001, p= 0.002). Rainfall was identified as the most significant predictor because rainfall can provide more breeding places for Aedes mosquitoes. As for humidity, higher relative humidity had been associated with increased Aedes aegypti feeding activity, survival and egg development. Temperature was not significantly related to monthly dengue fever cases (p= 0.561) in this study. However, this could be due to the short period of study. Conclusion: Climatic factors play an important role in the prevalence of dengue fever. However, there are many other factors of dengue fever that should be considered such as urbanisation as well as community knowledge, attitude and practice.
    Matched MeSH terms: Urbanization
  17. Fulltext Problems in housing development plan approval
    Noni Harianti Junaidi, Dani Salleh
    Malaysian Journal of Social Sciences and Humanities, 2016;1(2):36-44.
    MyJurnal
    The practice of development planning does not empower the local authority to prepare a development
    plan, as planning and development control is under the jurisdiction of the State Planning Authority
    (SPA). Rapid growth in the housing sector shows a positive indicator towards urbanization in Sarawak.
    This study showed that the current centralised process is fair to all parties, for it ensures equilibrium in
    all areas. Beside that, the study also found that there is some confusion in the roles played by the
    involved parties. The study also identified few problems that often occur, among them complicated
    procedures, slow approval process, bureaucracy, and risks in planning and marketing. However, the
    practice of development planning is concerned with aspects quality and quantity so as not to burden the
    purchaser. The state government, through the SPA, controls the price of housing to ensure equilibrium
    and to avoid the occurrence of abandoned housing projects.
    Matched MeSH terms: Urbanization
  18. Predictors of contraceptive use among women in Kuala Lumpur and Petaling Jaya
    Salleh NM, Tan Boon Ann, Arshat H
    Malays J Reprod Health, 1986 Dec;4(2):57-64.
    PMID: 12314885
    Matched MeSH terms: Urbanization
  19. A spatio-temporal overview of urbanization and urban change in Malaysia, with special reference to 1970-1980
    Chan Kok Eng
    Malays J Reprod Health, 1987 Dec;5(2):127-49.
    PMID: 12315183
    Matched MeSH terms: Urbanization*
  20. Recent trends in urbanization in the ASEAN region: implications for health programmes
    Osteria TS
    Nanyang Wenti Yenchiu, 1987.
    PMID: 12269204
    "This paper examines recent trends in urbanization in four selected ASEAN countries--Indonesia, Malaysia, the Philippines and Thailand--giving particular attention to the scale and pace of urbanization, the unique features of urban communities, and the health changes and adjustments that accompany urban development in these countries."
    Matched MeSH terms: Urbanization*
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