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. 2022 Mar 11;131:105–115. doi: 10.1016/j.geoforum.2022.03.003

Table 2.

Interactions between the three challenges at different scales of urban health (Own elaboration).

Climate change Patterns of urbanization The local government
Individual Influencing existing coping responses, capacities and resources Changing conditions of habitation, migration and livelihood strategies Redefinition of relations between citizens and the local government
Household Influencing the collective resources and access to services Inadequacy of habitational structures and existing resources Influencing community relations, resources, migration and livelihoods
Neighbourhood Reliance on structures of community organisation, sharing groups, solidarity and cooperation that can support responses to existing and emerging risks Changing collective needs, new services and demands but also erosion of former socio-ecological relations making some systems unviable Contrast between the capacity of the local government to respond to local needs and the changing demands of people, with community groups taking the initiative to challenge existing structures of governance and resources
City Dependent on having access to decision making, protection infrastructures, and other urban commons crucial to manage Loss of capacity of cities to govern spaces and territories and respond to the changing needs of the population Multiple forms of governance influencing the possibilities to intervene and delivering public health promptly and in changing contexts
Hinterland Shaping economic and innovation networks, dependence relations, changing resources Destruction of ecological resources and new relations of interdependence across scales Separation from the hinterland may reduce the capacity of local governments to respond to ongoing crises