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As the COVID-19 pandemic continues to transform lives and ways of living across the globe, it is becoming increasingly clear that adaptations involving both physical and institutional infrastructure are warranted. Cities are at the forefront of these adaptive changes as dense urban environments are particularly vulnerable to the spread of contagious airborne diseases such as the novel coronavirus. This paper considers how COVID-19 might influence where and how people live, work, recreate, and move about the city, and how these changing patterns might in turn shape future development trajectories. We also discuss how cities are currently responding to the public health threat posed by COVID-19, and how they might use planning and design strategies to improve resilience in the face of future pandemics.

This paper explores inequity in neighborhood walkability at the micro-scale level by qualitatively examining six streetscapes in Pittsburgh, Pennsylvania. A photographic survey is used to highlight differences in the quality and design of the built environment among pairs of streetscapes with high or low social vulnerability but approximately equal quantitative Walk Scores ®. The survey revealed discernable differences in the quality and maintenance of the built environment among those in more and less disadvantaged neighborhoods. This was true of several characteristics expected to affect walkability, including enclosure, transparency, complexity, and tidiness. Streetscapes in neighborhoods with high social vulnerability exhibited less contiguous street walls, fewer windows and less transparent storefronts, less well maintained infrastructure, fewer street cafés, and overall less complexity than those in neighborhoods with low social vulnerability. Implications for planning and policy are discussed.

The objective of the present study was to evaluate intakes and serum levels of vitamin A, vitamin E, and related compounds in a cohort of maternal–infant pairs in the Midwestern USA in relation to measures of health disparities. Concentrations of carotenoids and tocopherols in maternal serum were measured using HPLC and measures of socio-economic status, including food security and food desert residence, were obtained in 180 mothers upon admission to a Midwestern Academic Medical Center labour and delivery unit. The Kruskal–Wallis and independent-samples t tests were used to compare measures between groups; logistic regression models were used to adjust for relevant confounders. P < 0·05 was considered statistically significant. The odds of vitamin A insufficiency/deficiency were 2·17 times higher for non-whites when compared with whites (95 % CI 1·16, 4·05; P = 0·01) after adjustment for relevant confounders. Similarly, the odds of being vitamin E deficient were 3·52 times higher for non-whites (95 % CI 1·51, 8·10; P = 0·003). Those with public health insurance had lower serum lutein concentrations compared with those with private health insurance (P = 0·05), and living in a food desert was associated with lower serum concentrations of β-carotene (P = 0·02), after adjustment for confounders. Subjects with low/marginal food security had higher serum levels of lutein and β-cryptoxanthin compared with those with high food security (P = 0·004 and 0·02 for lutein and β-cryptoxanthin). Diet quality may be a public health concern in economically disadvantaged populations of industrialised societies leading to nutritional disadvantages as well.

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