Responding to COVID-19 in Urban Settings
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World Bank, Washington, DC
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Metropolitan areas drive economies, yet
the same elements that contribute to economic growth, such
as industrialization accompanied by migrant influx, result
in overcrowding and poor housing and sanitation. These
factors, coupled with intensive international connectivity,
make cities extremely vulnerable to pandemics. Experiences
from New York and São Paulo show that complex administrative
structures; conflicting messages from federal, state, and
city governments; human resource shortages; supply chain
mismanagement; weak coordination between hospitals and
public health systems; and poor linkages with the private
sector are all limiting factors of a comprehensive pandemic
response. COVID-19 has seriously impacted the delivery of
essential health services, especially in cities, where the
private sector and public hospitals deliver a significant
share of primary care. COVID-19 also presents a major public
mental health challenge both for health professionals and
the public.
Palabras clave
COVID-19, CORONAVIRUS, PANDEMIC IMPACT, PANDEMIC RESPONSE, HEALTH SYSTEM, URBANIZATION, MIGRANT LABOR
