Chapter 15 Organizing Communities for Public Health Practice-2050: A Futuristic Perspective Gentrification Gentrification / An upward shift in income, house values, education and occupational levels (in class), which almost always means increasing inequality and a widening gap between the more and the less successful Revitalization Revitalization / a renewed pride and investment in a community, mainly on the part of the residents, without a big class shift Defining the Feral Community A metropolis with a population of more than a million people in a state the government of which has lost the ability to maintain the rule of law within the city’s boundaries yet remains a functioning actor in the greater international system The community’s structures range from great buildings symbolic of wealth to ghetto’s and massive unemployment. These communities continue to grow and the majority of occupants do not voluntarily leave. Threats posed by a feral community: Potential for pandemics Massive environmental degradation Transmission points for illicit diseases & disasters The Health of CitiesGovernmentEconomyServicesSecurityHealthy “Green”Enacts effective legislation, directs resources, controls events in all portions of the city at all times. Not corrupt.Robust. Significant foreign investment. Provides goods and services. Possesses stable and adequate tax base.Complete range of services, including educational and cultural, available to all city residents.Well regulated by professional ethical police forces. Quick response to wide spectrum of requirements The Health of CitiesGovernmentEconomyServicesSecurityMarginal “Yellow”Exercises only “patchwork” or “diurnal” control. Highly corrupt.Limited/no foreign investment. Subsidized or decaying industries and growing deficits.Can manage minimal level of public health, hospital access, potable water, trash disposal.Little regard for legality/human rights. Police often matched/stymied by criminal “peers.” The Health of CitiesGovernmentEconomyServicesSecurityGoing Feral “Red”At best has negotiated zones of control; at worst does not exist.Either local subsistence industries or industry based on illegal commerce.Intermittent to nonexistent power and water. Those who can afford to will privately contract.Nonexistent.Security is attained through private means or paying for protection. Community Engagement Organization and Development and Communities Of the Future Key questions for the future: What are the main challenges & opportunities influencing public health practitioners (PHP)? What are the strategies for establishing a healthy public health environment for ALL citizens and move the community forward? What are the key elements of any inner-city community that must be addressed to establish a healthy community? (Covers: people, knowledge, natural resources, technical infrastructure, finances, political aspects, and cultural values that a community e.