This paper focuses on the relationship between metropolitan and regional health planning based on the processes of regionalization and the Pact for Health in the Baixada Santista Metropolitan Area, São Paulo State, Brazil. The method used was a case study in two stages, namely during initial implementation of the Pact for Health (2007) and the Regional Administration Committees (CGR) and in 201...

Although invasive pneumococcal disease (IPD) accounts for only a minority of the infections caused by Streptococcus pneumoniae (such as pneumonia and otitis media), it is associated with the most severe disease and is readily measured, as it is by definition associated with a sterile site isolate. The Metropolitan NSW Pneumococcal Study Group was formed in 1997 to generate data describing the a...

In a context of globalization, municipalities and metropolitan regions are involved in international competition to support economic growth. This leads to new forms of collaboration between public authorities and businesses, giving birth to new forms of urban and metropolitan governances. Moreover, many old neighborhoods of the central city and some districts of the old suburbs face growth in u...

BACKGROUND Studies in the United States show that rural persons with HIV are more likely than their urban counterparts to be diagnosed at a late stage of infection, suggesting missed opportunities for HIV testing in rural areas. To inform discussion of HIV testing policies in rural areas, we generated nationally representative, population-based estimates of HIV testing frequencies in urban vs. ...

*We would like to thank three anonymous referees, Emek Basker, Scott Drewianka and Courtney Lafountain for their helpful comments and suggestions and Michael Orlando for programming assistance. Pollak thanks the John D. and Catherine T. MacArthur Foundation for their support. The usual disclaimer applies. ABSTRACT Using census data, Costa and Kahn (QJE, 2000) find that power couples-couples in ...

OBJECTIVES To compare the prevalence of mental health disorders and the use of professional help by area of residence, age and sex; and to determine whether the differences parallel differences in suicide rates. DESIGN Retrospective cross-sectional analysis of Australian national mortality data (1997-2000) and the National Survey of Mental Health and Wellbeing (1997), using broad area-of-resi...

Metropolitan areas are governed by a patchwork of governmental units that contribute to the dispersion of people and the diffusion of local power. These effects are visible in nearly every metropolitan region whether they are growing or shrinking. The policy debate has focused on questions of efficiency, rather than the developmental impacts of these choices. Analysis must be structured to capt...

In the mountains north of New York City a number of cities and towns are being absorbed by the suburbs of one of the largest cities on the planet. The existence of independent communities has created some confusion in terms of classification in the past. Since 1970, Orange County has variously been classified as part of the Newburgh-Middletown Metropolitan Area, the Poughkeepsie-Newburgh Metrop...