Bad architecture and poor planning are risk factors for tuberculosis

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Target audience

Municipal commissioners of cities and mayors; Actors and decision makers with responsibility for urban housing.

The problem

There is a concentration of tuberculosis patients in the resettlement colonies in M-East ward, Mumbai, which have poor ventilation and sunlight characteristic

What we did and why

We undertook a household survey and calculated sunlight and ventilation parameters in three resettlement colonies using computation models.

We found an association between burden of tuberculosis and poor ventilation and poor sunlight parameters.

We also reviewed guidelines for building resettlement colonies in Mumbai. We did this to demonstrate that poor policies and their execution may lead to preventable public health disasters like tuberculosis which the country is trying to fight.

Our study’s contribution

Our study suggests that design changes need to be made to make the colonies better places for tuberculosis  patients to heal and to prevent the further spread of infection to  family members and neighbours.

Impacts for city policy and practice

This study supports a demand for changes in policies for the building of resettlement colonies in Mumbai to reduce tuberculosis and support patients healing at home.

It also has international implications where similar living situates are created by bad architecture and poor planning.

In terms of health equity, we ask that policy makers treat the poor and underprivileged same as the rich, in terms of preparing guidelines and policies for  construction of housing colonies. Our paper outlines some of the modifications to building design and practice that are required.

Further information

Peehu Pardeshi (@peehu1988), Balaram Jadhav, Ravikant Singh, Namrata Kapoor, Ronita Bardhan, Arnab Jana, Siddarth David, Nobhojit Roy

Full research article:

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