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The Application of Nature-Based Solutions for Urban Heat Island Mitigation in Asia: Progress, Challenges, and Recommendations

Ramakreshnan L, Aghamohammadi N

Curr Environ Health Rep, 2024 Mar;11(1):4-17.
PMID: 38172471 DOI: 10.1007/s40572-023-00427-2

PURPOSE OF REVIEW: Unprecedented urbanization in Asia affects the net radiation and energy flux of urban areas in the form of urban heat islands (UHI). The application of nature-based solutions (NbS) via urban green and blue infrastructures is a promising approach to mitigate UHI via urban boundary condition modifications, which affect the energy balance. This narrative review discusses the application of green and blue infrastructures in the Asian context by highlighting its progress, challenges, and recommendations. This review is descriptive in nature and includes perspectives on the discussed topics.
RECENT FINDINGS: Studies on the application of green and blue infrastructures in UHI mitigation are still scant in Asia. Their cooling performance is greatly influenced by their types, size, geometry, surface roughness, spread (threshold distance), temporal scales, topography, pollution levels, prevailing climate, and assessment techniques. Distinct urban characteristics, climatic conditions, environmental risks, lack of awareness and expertise, lack of policy and government incentives, and limited scientific studies are the major challenges in their implementation of UHI mitigation in Asia. Although green and blue infrastructures are associated with urban cooling, more in-depth experimental work and multidisciplinary research collaboration are paramount to exploring its implementation potential in Asia and other countries that share similar urban and environmental characteristics.
Motivations and built environment factors associated with campus walkability in the tropical settings

Ramakreshnan L, Fong CS, Sulaiman NM, Aghamohammadi N

Sci Total Environ, 2020 Dec 20;749:141457.
PMID: 33370890 DOI: 10.1016/j.scitotenv.2020.141457

Recognizing and mainstreaming pertinent walkability elements into the university campus planning is crucial to materialise green mandates of the campus, while enhancing social and economic sustainability. In one of such attempts, this transverse study investigated the walking motivations, built environment factors associated with campus walkability and the relative importance of the studied built environment factors in reference to the sociodemographic attributes from the viewpoint of the campus community in a tropical university campus in Kuala Lumpur, Malaysia. An online survey using a structured questionnaire was conducted between May and September 2019. The built environment factors associated with campus walkability were expressed and ranked as adjusted scores (AS). Meanwhile, multivariable logistic regression was deployed to examine the relative importance of the studied built environment factors in reference to the sociodemographic attributes of the campus community. Among 504 total responses acquired, proximity between complementary land uses (90.7%) was reported as the main motivation for walking. On the other hand, street connectivity and accessibility (AS: 97.62%) was described as the most opted built environment factor, followed by land use (AS: 96.76%), pedestrian infrastructure (AS: 94.25%), walking experience (AS: 87.07%), traffic safety (AS: 85.28%) and campus neighbourhood (AS: 59.62%), respectively. Among the sociodemographic attributes, no regular monthly income (OR = 3.162; 95% CI = 1.165-8.379; p
A comprehensive bibliometrics of 'walkability' research landscape: visualization of the scientific progress and future prospects

Ramakreshnan L, Aghamohammadi N, Fong CS, Sulaiman NM

Environ Sci Pollut Res Int, 2021 Jan;28(2):1357-1369.
PMID: 33094458 DOI: 10.1007/s11356-020-11305-x

This study quantitatively investigated the scientific progress of walkability research landscape and its future prospects using bibliometric indicators to highlight the research hotspots. The results accentuated multifaceted nature of walkability research landscape with a strong association towards public health disciplines. Keyword co-occurrence analysis emphasized that majority of the walkability studies centred on the interactions between walking and other three main factors such as built environment attributes, transportation and obesity. Based on the identified research hotspots, a brief state-of-the-art review of walkability studies was presented. Future prospects based on the unexplored research gaps within the hotspots were also discussed. High correlation (r = 0.99, p
Environmental heat-related health symptoms among community in a tropical city

Aghamohammadi N, Fong CS, Idrus MHM, Ramakreshnan L, Sulaiman NM

Sci Total Environ, 2021 Aug 15;782:146611.
PMID: 33838362 DOI: 10.1016/j.scitotenv.2021.146611

Due to the changing climate, more frequent and prolonged heatwaves are expected to have a catastrophic consequence on urban human settlement. In tropical cities such as Kuala Lumpur (KL), the quality of the urban environment is made worse by urban heat island (UHI) phenomena due to poor urban planning practices. The prolonged exposure to urban heat is hypothesized to influence human health and well-being, especially in tropical urban areas with high population density. Therefore, a study was conducted to understand the association of urban heat stress with physical, psychosomatic and psychological (PPP) health symptoms within a tropical urban setting. Continuous urban microclimate monitoring is conducted using an automated weather station to define the level of heat stress in the study area expressed as Physiological Equivalent Temperature (PET). A cross-sectional approach is used to identify heat-related health symptoms experienced by the urban population. Through exploratory factor analysis, a total of 38 PPP health symptoms are reduced into 8 heat-related health clusters which are sensory organ pain, heat-related illnesses, cardiopulmonary, pain, fatigue, anxiety, somatization, and depression-related symptoms. Heat stress was found to significantly affect psychosomatic pain (p = 0.016) as well as psychological anxiety (p = 0.022) and somatization (p = 0.041) related symptoms. Other health clusters were not significantly associated with heat stress. More studies are needed to unravel the influence of confounding factors and the long-term impact of urban heat on the health and well-being of the urban population in a tropical city.
Perceived impacts of Urban Heat Island phenomenon in a tropical metropolitan city: Perspectives from stakeholder dialogue sessions

Aghamohammadi N, Ramakreshnan L, Fong CS, Noor RM, Hanif NR, Sulaiman NM

Sci Total Environ, 2022 Feb 01;806(Pt 1):150331.
PMID: 34571225 DOI: 10.1016/j.scitotenv.2021.150331

The stakeholders' perceptions on the impacts of Urban Heat Island (UHI) are critical for reducing exposure and influencing their response to interventions that are aimed at encouraging a behaviour change. A proper understanding of the UHI impacts on the society, economy and environment is deemed an essential motivating factor for the stakeholders to work towards UHI mitigations in the local context. This study adopted an inductive qualitative approach using Stakeholder Dialogue Sessions (SDSs) to assess the perceived impacts of UHI among various stakeholders, comprising policy makers, academicians, developers and Non-Governmental Organizations (NGO), in a tropical metropolitan city. The results revealed five themes such as deterioration of public health, acceleration of urban migration patterns and spending time in cooler areas, reduction of workers' productivity, increased energy consumption by the households and deterioration of environmental quality and natural resources that were categorized into social, economic and environmental impacts. Although most of the stakeholders were quite unfamiliar with the term UHI, they still display a good understanding of the potential impacts of UHI due to their posteriori knowledge and ability to rationalize the physical condition of the environment in which they live. The findings provide useful insights and valuable information to the local authorities to tailor necessary actions and educational campaigns to increase UHI awareness among the stakeholders. Being among the earlier studies to use a qualitative approach to attain the aforementioned objective, the findings are crucial to determine the level of understanding of the stakeholders on the impact of UHI. Through this study, the authors have highlighted the gaps and needs for knowledge improvements aimed at behaviour change among the stakeholders.
Haze and health impacts in ASEAN countries: a systematic review

Ramakreshnan L, Aghamohammadi N, Fong CS, Bulgiba A, Zaki RA, Wong LP, et al.

Environ Sci Pollut Res Int, 2018 Jan;25(3):2096-2111.
PMID: 29209970 DOI: 10.1007/s11356-017-0860-y

Seasonal haze episodes and the associated inimical health impacts have become a regular crisis among the ASEAN countries. Even though many emerging experimental and epidemiological studies have documented the plausible health effects of the predominating toxic pollutants of haze, the consistency among the reported findings by these studies is poorly understood. By addressing such gap, this review aimed to critically highlight the evidence of physical and psychological health impacts of haze from the available literature in ASEAN countries. Systematic literature survey from six electronic databases across the environmental and medical disciplines was performed, and 20 peer-reviewed studies out of 384 retrieved articles were selected. The evidence pertaining to the health impacts of haze based on field survey, laboratory tests, modelling and time-series analysis were extracted for expert judgement. In specific, no generalization can be made on the reported physical symptoms as no specific symptoms recorded in all the reviewed studies except for throat discomfort. Consistent evidence was found for the increase in respiratory morbidity, especially for asthma, whilst the children and the elderly are deemed to be the vulnerable groups of the haze-induced respiratory ailments. A consensual conclusion on the association between the cardiovascular morbidity and haze is unfeasible as the available studies are scanty and geographically limited albeit of some reported increased cases. A number of modelling and simulation studies demonstrated elevating respiratory mortality rates due to seasonal haze exposures over the years. Besides, evidence on cancer risk is inconsistent where industrial and vehicular emissions are also expected to play more notable roles than mere haze exposure. There are insufficient regional studies to examine the association between the mental health and haze. Limited toxicological studies in ASEAN countries often impede a comprehensive understanding of the biological mechanism of haze-induced toxic pollutants on human physiology. Therefore, the lack of consistent evidence among the reported haze-induced health effects as highlighted in this review calls for more intensive longitudinal and toxicological studies with greater statistical power to disseminate more reliable and congruent findings to empower the institutional health planning among the ASEAN countries.