Cited by 587Urban and Rural Development ChallengesCOVID-19 Prevention and ImpactCOVID-19 epidemiological studies

Slum Health: Arresting COVID-19 and Improving Well-Being in Urban Informal Settlements

Open access
Corburn, Jason, Vlahov, David, Mberu, Blessing, Riley, Lee, Caiaffa, Waleska Teixeira, Rashid, Sabina Faiz, Ko, Albert, Patel, Sheela +10 more·2020·Journal of Urban Health

Abstract

The paper argues that informal settlements are the least prepared for health crises because basic needs such as water, toilets, sewers, drainage, waste collection, and secure housing are already in short supply or non-existent.

Integrity signals

Registry

Crossref · 10.1007/s11524-020-00438-6

Cites

60 of 60 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Claims the paper makes

26 of 60 cited sources checked · 2 supported · 1 flagged · accuracy not yet measured

  • Premisecitation

    In urban informal settlements of the Global South, basic needs such as water, toilets, sewers, drainage, waste collection, and secure adequate housing are already scarce or absent.

    “The close to one billion people that are estimated to live in urban slums or informal settlements are highly susceptible to COVID-19 infection since basic needs such as water, toilets, sewers, drainage, waste collection, and secure and adequate housing are already in short supply or non-existent [4–7].”
    • Also stated in: § Abstract · plain
      “The informal settlements of the Global South are the least prepared for the pandemic of COVID-19 since basic needs such as water, toilets, sewers, drainage, waste collection, and secure and adequate housing are already in short supply or non-existent.”
    Quote in the paperSubstantial claim3 of 4 sources checked
    • cites [4] Lilford RJ, et al. The health of people who live in slums 2: improving the health and welfare of people who live in slums. Lancet. 2016; https://doi.org/10.1016/S0140-6736(16)31848-7. source

      The Water and sanitation section (p. 11) describes poor-quality water and inadequate sanitation in slums, and Security of tenure (p. 9) says residents of most slums lack title or secure tenure. The paper recommends improving drainage and garbage removal (Health and public services, p. 17), but the passages do not establish that drainage and waste collection are scarce or absent, or directly characterize housing as inadequate. (LLM, conf=0.84)

      Experimental — accuracy not yet measured
    • cites [5] Riley LW, Ko AI, Unger A, et al. Slum health: Diseases of neglected populations. BMC Int Health Hum Rights. 2007;7(2) https://doi.org/10.1186/1472-698X-7-2. source

      The Background (page not provided) describes slums as having inadequate access to safe water, sanitation and other infrastructure, poor-quality housing, and insecure residential status. This supports the general claim of scarce basic services and adequate housing, but the paper does not specifically identify toilets, sewers, drainage, or waste collection as scarce or absent. (LLM, conf=0.84)

      Experimental — accuracy not yet measured
    • cites [6] Emina J, Beguy D, Zulu EM, et al. Monitoring of health and demographic outcomes in poor urban settlements: evidence from the Nairobi Urban Health and Demographic Surveillance System. J Urban Health. 2011;88(Suppl 2):S200–18. source

      The Poverty and Livelihood Status section reports an acute lack of basic amenities in two Nairobi slum settlements, including limited piped water and private toilets and inadequate garbage disposal (page not provided). The paper also describes makeshift housing, but does not establish a shortage of sewers or drainage, assess housing security, or document these conditions across informal settlements throughout the Global South. (LLM, conf=0.87)

      Experimental — accuracy not yet measured
    • cites [7] Lopez, O. & Moloney, A. Coronavirus chases the slum dwellers of Latin America. Reuters. 2020. https://nationalpost.com/pmn/health-pmn/coronavirus-chases-the-slum-dwellers-of-latin-america. Accessed 30 Mar 2020.

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Premisecitation

    Many urban informal settlement residents rely on informal health providers as their first entry into the health care system due to cost, trust, or access issues.

    “Many urban informal settlement residents rely on informal health providers as their first entry into the health care system, either due to cost, trust, or access issues [50].”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [50] Adams AM, et al. Who serves the urban poor? A geospatial and descriptive analysis of health services in slum settlements in Dhaka, Bangladesh. Health Policy Plan. 2015;30(1):i32–45. https://doi.org/10.1093/heapol/czu094. source

      The Discussion describes the informal private sector as a first point of care for poor people in Bangladesh and documents its density in Dhaka slums. It identifies low costs, flexible payment, familiarity, and convenient access as reasons for its use, but does not explicitly identify trust as a reason. (LLM, conf=0.83)

      Experimental — accuracy not yet measured
  • Premisecitation

    Malnutrition and food insecurity is endemic in many urban slums throughout the world.

    “Malnutrition and food insecurity is endemic in many urban slums throughout the world [65–68].”
    Quote in the paperSubstantial claim2 of 4 sources checked
    • cites [65] Joshi A, Arora A, Amadi-Mgbenka C, Mittal N, Sharma S, Malhotra B, et al. Burden of household food insecurity in urban slum settings. PLoS ONE. 2019;14(4):e0214461. https://doi.org/10.1371/journal.pone.0214461. source

      The Introduction describes a food and nutrition emergency in urban India, and the Abstract reports food insecurity among 43% of participants sampled from Indian slums. The paper does not establish that malnutrition and food insecurity are endemic across urban slums throughout the world; its study is limited to India and does not report a direct malnutrition measure. (LLM, conf=0.86)

      Experimental — accuracy not yet measured
    • cites [66] Kimani-Murage EW, Muthuri SK, Oti SO, Mutua MK, van de Vijver S, Kyobutungi C. Evidence of a double burden of malnutrition in urban poor settings in Nairobi., Kenya. PLoS One. 2015;10:e0129943. https://doi.org/10.1371/journal.pone.0129943. source

      The Introduction describes high food insecurity in urban poor settings in sub-Saharan Africa and says these conditions put slum dwellers at high risk of malnutrition. The Discussion reports high levels of undernutrition in the Nairobi slums studied. The paper does not establish that both conditions are endemic in many urban slums throughout the world; no page numbers are available in our copy. (LLM, conf=0.86)

      Experimental — accuracy not yet measured
    • cites [67] Agarwal S, Sethi V, Gupta P, Jha M, Agnihotri A, Nord M. Experiential household food insecurity in an urban underserved slum of North India. Food Sec. 2009;1(3):239–50. source
    • cites [68] Hadley C, Stevenson EG, Tadesse Y, Belachew T. Rapidly rising food prices and the experience of food insecurity in urban Ethiopia: impacts on health and well-being. Soc Sci Med. 2012;75(12):2412–9. source
  • Premisecitation

    Close to one billion people are estimated to live in urban slums or informal settlements.

    “The close to one billion people that are estimated to live in urban slums or informal settlements are highly susceptible to COVID-19 infection since basic needs such as water, toilets, sewers, drainage, waste collection, and secure and adequate housing are already in short supply or non-existent [4–7].”
    Quote in the paperSubstantial claim3 of 4 sources checked
    • cites [4] Lilford RJ, et al. The health of people who live in slums 2: improving the health and welfare of people who live in slums. Lancet. 2016; https://doi.org/10.1016/S0140-6736(16)31848-7. source

      The discussion of slum populations in “Identifying and studying slums as spatial entities” (pp. 18–19) does not give a worldwide population estimate. Searches for “one billion,” “880 million,” “billion,” and “million” found no passage in our copy stating the claimed figure. (LLM, conf=0.76)

      Experimental — accuracy not yet measured
    • cites [5] Riley LW, Ko AI, Unger A, et al. Slum health: Diseases of neglected populations. BMC Int Health Hum Rights. 2007;7(2) https://doi.org/10.1186/1472-698X-7-2. source
    • cites [6] Emina J, Beguy D, Zulu EM, et al. Monitoring of health and demographic outcomes in poor urban settlements: evidence from the Nairobi Urban Health and Demographic Surveillance System. J Urban Health. 2011;88(Suppl 2):S200–18. source

      The Poverty and Livelihood Status section describes shortages of water, toilets, and waste disposal in the two Nairobi settlements, but gives no worldwide population estimate. Searches for “one billion” and global slum-population estimates found no passage supporting the claimed figure. (LLM, conf=0.73)

      Experimental — accuracy not yet measured
    • cites [7] Lopez, O. & Moloney, A. Coronavirus chases the slum dwellers of Latin America. Reuters. 2020. https://nationalpost.com/pmn/health-pmn/coronavirus-chases-the-slum-dwellers-of-latin-america. Accessed 30 Mar 2020.

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Interpretationcitation

    Residents of urban slums or informal settlements are highly susceptible to COVID-19 infection.

    “The close to one billion people that are estimated to live in urban slums or informal settlements are highly susceptible to COVID-19 infection since basic needs such as water, toilets, sewers, drainage, waste collection, and secure and adequate housing are already in short supply or non-existent [4–7].”
    Quote in the paperSubstantial claim3 of 4 sources checked
    • cites [4] Lilford RJ, et al. The health of people who live in slums 2: improving the health and welfare of people who live in slums. Lancet. 2016; https://doi.org/10.1016/S0140-6736(16)31848-7. source

      The Water and sanitation section (p. 11) links poor water quality and inadequate sanitation in slums to high rates of diarrhoea, and the Conclusion (p. 23) says densely packed slum neighbourhoods are likely to amplify health hazards. The paper does not address COVID-19 or establish that slum residents are highly susceptible to that infection specifically. (LLM, conf=0.84)

      Experimental — accuracy not yet measured
    • cites [5] Riley LW, Ko AI, Unger A, et al. Slum health: Diseases of neglected populations. BMC Int Health Hum Rights. 2007;7(2) https://doi.org/10.1186/1472-698X-7-2. source

      The Background estimates that nearly 1 billion people live in slums and describes inadequate water, sanitation, housing and overcrowding as defining characteristics. The paper does not address COVID-19 or establish that slum residents are highly susceptible to it. (LLM, conf=0.88)

      Experimental — accuracy not yet measured
    • cites [6] Emina J, Beguy D, Zulu EM, et al. Monitoring of health and demographic outcomes in poor urban settlements: evidence from the Nairobi Urban Health and Demographic Surveillance System. J Urban Health. 2011;88(Suppl 2):S200–18. source

      The Poverty and Livelihood Status section documents shortages of piped water and private toilets, as well as inadequate waste disposal, in two Nairobi slum settlements. It does not assess susceptibility to COVID-19 infection, and its findings about those settlements do not establish the claim for slum residents generally. (LLM, conf=0.87)

      Experimental — accuracy not yet measured
    • cites [7] Lopez, O. & Moloney, A. Coronavirus chases the slum dwellers of Latin America. Reuters. 2020. https://nationalpost.com/pmn/health-pmn/coronavirus-chases-the-slum-dwellers-of-latin-america. Accessed 30 Mar 2020.

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • May combine two claims. 10
  • Classified as probably not a substantial claim. 7
  • May combine two claims.

    Premisecitation

    Urban slums largely lack municipal waste collection, so residents, youth groups, and/or organized cartels often fill the void.

    “Urban slums largely lack municipal waste collection [77] so residents, youth groups, and/or organized cartels often fill the void [78]. [79]”
    Quote in the paperSubstantial claim2 of 3 sources checked
    • cites [77] Mukama, T. et al. Practices, concerns, and willingness to participate in solid waste management in two urban slums in Central Uganda. J Env and Public Health (n.d.) https://doi.org/10.1155/2016/6830163 source

      The Background reports that municipal waste collection has low coverage in Ugandan slums. The Results (§3.2) show residents disposing of household waste themselves, but the paper does not describe youth groups or organized cartels filling the collection gap, or establish that this pattern applies to urban slums generally. Page numbers are unavailable in our copy. (LLM, conf=0.85)

      Experimental — accuracy not yet measured
    • cites [78] UN. Turning waste into a business in the slums of Yaoundé, Cameroon. 2019 https://news.un.org/en/story/2019/07/1043541

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites [79] Schueler, Adriana Soares de, Kzure, Humberto, Racca, Gustavo Badolati. How are municipal waste in the slums of Rio de Janeiro?. urbe, Rev. Bras. Gest. Urbana [online]. 2018, vol.10, n.1, pp. 213-230. ISSN 2175-3369. https://doi.org/10.1590/2175-3369.010.001.ao15 source

      The Abstract says irregular dumping remains common even with regular collection, and “Sobre o Grupamento 2” reports door-to-door truck collection three times a week. The paper describes access difficulties and recommends some resident involvement, but it does not say that slums largely lack municipal collection or that youth groups or cartels routinely replace it. Page numbers were not available in our copy. (LLM, conf=0.86)

      Checked by a reasoning model — may be wrong.

      Experimental — accuracy not yet measured
  • May combine two claims.

    Premisecitation

    Sharing of water access points forces residents to spend hours seeking and queuing for water, which adversely impacts health and economic status.

    “Sharing of water access points forces residents to spend hours seeking and queuing for water, both of which adversely impact health and economic status [ 60, 61].”
    Quote in the paperNot a substantial claim2 of 2 sources checked
    • cites [60] Hopewell MR, Graham JP. Trends in access to water supply and sanitation in 31 major sub-Saharan African cities: an analysis of DHS data from 2000 to 2012. BMC Public Health. 2014;14:208. https://doi.org/10.1186/1471-2458-14-208. source

      The Discussion (Difficulties of measuring and defining access; page unavailable) says households may share a standpipe with dozens of others. The Results (Time spent collecting drinking water; page unavailable) suggest that some households travel farther or wait longer in line to obtain water. The paper does not establish that sharing forces residents to spend hours seeking and queuing for water, or that this time adversely affects their health and economic status. (LLM, conf=0.87)

      Experimental — accuracy not yet measured
    • cites [61] Simiyu S, Swilling M, Cairncross S, Rheingans R. Determinants of quality of shared sanitation facilities in informal settlements: case study of Kisumu, Kenya. BMC Public Health. 2017;17:68. https://doi.org/10.1186/s12889-016-4009-6. source

      The Background and Results passages concern the management and cleanliness of shared sanitation facilities, not shared water access points. Searches for water queues, time spent collecting water, and effects on health or economic status found no passage in our copy addressing the claim. (LLM, conf=0.76)

      Experimental — accuracy not yet measured
  • May combine two claims.

    Premisecitation

    Urban slum dwellers rely on day wages to purchase food, and street food vending is often a significant source of calories and nutrition.

    “Urban slum dwellers rely on day wages to purchase food, and street food vending is often a significant source of calories and nutrition [69, 70].”
    Quote in the paperSubstantial claim1 of 2 sources checked
    • cites [69] Steyn N, Mchiza Z, et al. Nutritional contribution of street foods to the diet of people in developing countries: a systematic review. Public Health Nutr. 2013;17:1363–74. https://doi.org/10.1017/S1368980013001158. source

      The Energy and nutrient intakes section says street foods make a significant contribution to dietary energy and reports their contribution to some micronutrients. The Advantages of the street food trade section links street-food consumption to employment and income, but our copy does not say that urban slum dwellers rely on day wages to purchase food. Page numbers were not provided in the indexed passages. (LLM, conf=0.86)

      Experimental — accuracy not yet measured
    • cites [70] Galal O, Corroon M, Tirado C. Urban environment and health: food security. Asia Pac J Public Health. 2010;22(3 Suppl):254S–61S. https://doi.org/10.1177/1010539510372993. source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Indoor air pollution from cooking can contribute to respiratory infections, a leading cause of morbidity and mortality in urban slums.

    “Indoor air pollution from cooking [72, 73] can contribute to respiratory infections, a leading cause of morbidity and mortality in urban slums [74].”
    Quote in the paperNot a substantial claim1 of 3 sources checked
    • cites [72] Kulshreshtha P, Khare M, Seetharaman P. Indoor air quality assessment in and around urban slums of Delhi city, India. Indoor Air. 2008 Dec;18(6):488–98. https://doi.org/10.1111/j.1600-0668.2008.00550.x. source
    • cites [73] Dianati K, et al. Household air pollution in Nairobi’s slums: a long-term policy evaluation using participatory system dynamics. Sci Total Environ. 2019;660:1108–34. https://doi.org/10.1016/j.scitotxenv.2018.12.430. source
    • cites [74] Checkley W, Pollard SL, Siddharthan T, Babu GR, Thakur M, Miele CH, et al. Managing threats to respiratory health in urban slums. Lancet. 2016;4(11):852–4. https://doi.org/10.1016/S2213-2600. source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Schools often provide essential nutrition and meals for children living in slums, and closing those institutions may deny children access to their only consistent meals.

    “Schools often provide essential nutrition and meals for children living in slums, and closing those institutions may deny children access to their only consistent meals [71].”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [71] Srivastava A, Mahmood SE, Srivastava PM, Shrotriya VP, Kumar B. Nutritional status of school-age children - a scenario of urban slums in India. Arch Public Health. 2012;70:8. https://doi.org/10.1186/0778-7367-70-8. source

      The Conclusions section, under “Deliver integrated programs” (page not available), says schools can help reduce nutrition-related problems through school health programs. It does not say that schools provide meals to slum children or that closures could deprive them of their only consistent meals. (LLM, conf=0.81)

      Experimental — accuracy not yet measured
  • May combine two claims.

    Premisecitation

    Displacing residents of urban slums can contribute to transmission and acquisition of infections and can have long-term physical and mental health impacts, especially for women and children.

    “Displacing residents of urban slums can not only contribute to transmission and acquisition of infections but can have long-term physical and mental health impacts, especially for women and children [40, 41].”
    Quote in the paperSubstantial claim1 of 2 sources checked
    • cites [40] Kim G, Torbay R, Lawry L. Basic health, women’s health, and mental health among internally displaced persons in Nyala Province, South Darfur, Sudan. Am J Public Health. 2007;97(2):353–61. source

      The Discussion (Basic Needs and Mental Health; page unavailable) links conditions in displaced-person camps to communicable-disease risk and says displacement may contribute to mental-health burdens. The Results (Morbidity; page unavailable) report illness among children, and the Discussion describes unmet women’s health needs. But the study concerns conflict-displaced people in South Darfur camps, not residents displaced from urban slums, and it does not establish long-term impacts. (LLM, conf=0.88)

      Experimental — accuracy not yet measured
    • cites [41] Choueiry N, Khawaja M. Displacement and health status in low income women: findings from a population-based study in greater Beirut. J Migr Refug Issues. 2007;3(1):1–13.
  • May combine two claims.

    Premisecitation

    Governments have already begun to impose quarantine and physical distancing measures for the urban poor without ensuring that those in urban slums can meet everyday needs such as food and clean water.

    “However, governments have already begun to impose draconian quarantine and physical distancing measures for the urban poor without also ensuring that those residing in urban slums can meet their everyday needs, such as food and clean water [14].”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [14] Kimani-Murage EW, Schofield L, Wekesah F, Mohamed S, Mberu B, Ettarh R, et al. Vulnerability to food insecurity in urban slums: experiences from Nairobi, Kenya. J Urban Health. 2014;91:1098–113. https://doi.org/10.1007/s11524-014-9894-3. source

      The Background (page unavailable) describes inadequate water infrastructure in slums, and the Discussion (page unavailable) reports widespread food insecurity, especially during crises. The paper does not report governments imposing quarantine or physical-distancing measures, or assess whether they ensured access to food and clean water while doing so. (LLM, conf=0.88)

      Experimental — accuracy not yet measured
  • May combine two claims.

    Premisecitation

    Displacement, eviction, and homelessness are adverse determinants of health and can contribute to susceptibility to infection.

    “Displacement, eviction, and homelessness are adverse determinants of health and can contribute to susceptibility of infection [35–37].”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites [35] Deola C, Patel RB. Health outcomes of crisis driven urban displacement: a conceptual framework. Disaster Health. 2014;2(2):92–6. https://doi.org/10.4161/21665044.2014.990306. source
    • cites [36] Kouadio IK, Aljunid S, Kamigaki T, Hammad K, Oshitani H. Infectious diseases following natural disasters: prevention and control measures. Expert Rev Anti-Infect Ther. 2012;10(1):95–104. https://doi.org/10.1586/eri.11.155. source
    • cites [37] Puertas G, Ríos C, Valle H. The prevalence of common mental disorders in urban slums with displaced persons in Colombia. Rev Panam Salud Pública. 2006;20(5):324–30. https://doi.org/10.1590/S1020-49892006001000005. source
  • May combine two claims.

    Premisecitation

    Lack of basic services can contribute to increased violence and further spread of disease.

    “Lack of these basic services can contribute to increased violence and further spread of disease [62].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [62] Sommer M, Ferron S, Cavill S, House S. Violence, gender and WaSH: spurring action on a complex, under-documented and sensitive topic. Environ Urban. 2015;27:105–16. source
  • May combine two claims.

    Premisecitation

    Most urban poor living in slums are informal workers who must show up to earn daily wages, and this daily income is used for subsistence.

    “Residents of informal settlements are also economically vulnerable during any COVID-19 responses, since most urban poor living in slums are informal workers, meaning they must show up to earn daily wages, and this daily income is used for subsistence [12].”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [12] Mberu BU, Ciera JM, et al. Patterns and determinants of poverty transitions among poor urban households in Nairobi, Kenya. Afr Dev Rev. 2014;26:172–85. source
  • Probably not a substantial claim: may not pass S2 (checkable), S4 (based).

    Interpretationreasoning

    The toll of COVID-19 on lives and livelihoods in informal settlements will have immediate and long-lasting effects.

    “The toll it will take on lives and livelihoods will have immediate and long-lasting effects.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Solid waste recycling can be an income-generating activity for some slum dwellers.

    “Solid waste recycling can also be an income-generating activity for some slum dwellers [ 81].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [81] Buyana K, Byarugaba D, Sseviiri H, Nsangi G, Kasaija P. Experimentation in an African neighborhood: reflections for transitions to sustainable energy in cities. Urban Forum. 2019;30:191–204. https://doi.org/10.1007/s12132-018-9358-z. source
  • Probably not a substantial claim: may not pass S4 (based).

    Interpretationreasoning

    Investing first in the health and well-being of the urban poor and slum residents will ultimately prevent disease reservoirs that would spill over into the general population.

    “Fifth, investing in the health and well-being of the urban poor and residents of slums first will ultimately prevent disease reservoirs that would eventually spillover into the general population.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    WHO estimates that 7 million people die every year from ambient and household air pollution, with nearly 90% of deaths occurring in low- and middle-income countries.

    “WHO estimates 7 million people die every year from ambient (outdoor) and household air pollution, with nearly 90% of deaths occurring in low- and middle-income countries [75].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [75] WHO. 2020. Air Pollution. https://www.who.int/health-topics/air-pollution#tab=tab_1

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Probably not a substantial claim: may not pass S2 (checkable), S4 (based).

    Interpretationnone given

    Most top-down strategies to arrest an infectious disease will likely ignore the often-robust social groups and knowledge that already exist in many slums.

    “Most top-down strategies to arrest an infectious disease will likely ignore the often-robust social groups and knowledge that already exist in many slums.”
    • Also stated in: § Introduction · hedged
      “Most top-down strategies to arrest an infectious disease will likely ignore the often-robust social groups and knowledge that already exist in many slums.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S4 (based).

    Interpretationnone given

    Lessons learned from earlier pandemics such as HIV and epidemics such as Ebola can be applied to COVID-19 in informal settlements.

    “Lessons have been learned from earlier pandemics such as HIV and epidemics such as Ebola. They can be applied here.”
    • Also stated in: § Conclusions · plain
      “Lessons have been learned from earlier pandemics such as HIV and epidemics such as Ebola. They can be applied here.”
    Quote in the paperNot a substantial claim
16 of 16
  • The paper relies on this without support.

    All slums the authors know about and work with have assets that can be used to share information, prevent exposure, and support well-being.

    “Fourth, all slums we know about and work with have assets, even among the widespread deprivation, that can be utilized to share information, prevent exposure, and support over-all well-being.”
  • The paper relies on this without support.

    Most urban slums lack formal health clinics that can provide needed care to a large number of people.

    “Most urban slums lack formal health clinics that can provide needed care to a large number of people, and when clinics do exist, cost, distance, and mistreatment by medics are barriers the poor face when seeking care.”
  • The paper relies on this without support.

    When clinics exist in urban slums, cost, distance, and mistreatment by medics are barriers the poor face when seeking care.

    “Most urban slums lack formal health clinics that can provide needed care to a large number of people, and when clinics do exist, cost, distance, and mistreatment by medics are barriers the poor face when seeking care.”
  • The paper relies on this without support.

    Narrow lanes, steep slopes, river crossings, and other natural and human-made barriers can deny emergency vehicle access to urban slums.

    “Narrow lanes, steep slopes, river crossings, and other natural and human-made barriers can deny emergency vehicle access to urban slums.”
  • The paper relies on this without support.

    Informal and unregulated health care providers proliferate in slums.

    “As noted above, informal and unregulated health care providers proliferate in slums.”
  • The paper relies on this without support.

    The most common ailments in urban slums tend to be diarrhea, upper respiratory infections, and injuries.

    “The mobile units should also be prepared to treat the most common ailments in urban slums, which tend to be diarrhea, upper respiratory infections, and injuries.”
6 of 6

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • In Latin America, between 20-30% of the region's population lives in an urban informal settlement, which have been identified as being at elevated risk to COVID-19 due to poverty, violence, and overcrowding.

    “In Latin America, it is estimated that between 20–30% of the region’s population – approximately 113 million people – lives in an urban informal settlement, which have been identified as being at elevated risk to COVID-19 due to poverty, violence, and overcrowding [7, 23].”

    From Social epidemiology of urban COVID-19 inequalities in Latin America and Canada (2024) · cites this paper as [7]

    The Introduction identifies residents of urban informal settlements as highly susceptible to COVID-19 and says that violence and overcrowding make distancing impractical. It gives a global estimate of nearly one billion residents, but not the claimed 20–30% or approximately 113 million figure for Latin America. The passages have no page number in our copy. (LLM, conf=0.88)

    Experimental — accuracy not yet measured
  • Wide disparities in socioeconomic status and segregation into wealthy and poor sub-city units mean that cities contain a microcosm of social gradients and inequities in health present in the rest of the country.

    “Although urban areas are generally wealthier than rural areas, wide disparities in socioeconomic status (SES) and segregation into wealthy and poor sub-city units mean that cities contain a microcosm of social gradients – and inequities in health – present in the rest of the country [7–9].”

    From Social epidemiology of urban COVID-19 inequalities in Latin America and Canada (2024) · cites this paper as [7]

    The Introduction describes urban slum residents’ economic vulnerability, limited services, and heightened health risks, and mentions higher-income neighborhoods. It does not establish segregation into wealthy and poor sub-city units or show that cities reproduce the country’s wider social and health gradients. (LLM, conf=0.84)

    Experimental — accuracy not yet measured

Cites

Flagged first, then by citations

1 of the 61 references couldn’t be matched to a known paper.

Research works printed but not linked: 1

  1. NAS. Urbanization and slums: infectious diseases in the built environment: Proceedings of a Workshop. Forum on Microbial Threats. Washington (DC): National Academies Press (US); 2018. 3, Understanding Infectious Disease Transmission in Urban Built Environments. Available from: https://www.ncbi.nlm.nih.gov/books/NBK507339/

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Authors
Corburn, J., Vlahov, D., Mberu, B., Riley, L., Caiaffa, W. T., Rashid, S. F., Ko, A., Patel, S., Jukur, S., Martínez-Herrera, E., Jayasinghe, S., Agarwal, S., Nguendo-Yongsi, B., Weru, J., Ouma, S., Edmundo, K., Oni, T., & Ayad, H.
Affiliations
  • University of California, Berkeley (US)
  • Yale University (US)
  • African Population and Health Research Center (KE)
  • Universidade Federal de Minas Gerais (BR)
  • BRAC University (BD)
  • Sun Pharma Advanced Research (India) (IN)
  • University of Colombo (LK)
  • Université de Yaoundé II (CM)
  • University of Cape Town (ZA)
  • Alexandria University (EG)
Corresponding author
Corburn, Jason
Venue
Journal of Urban Health
Published
2020-04-24
Volume
97
Issue
3
Pages
348-357
ISSN
  • 0028-7091 (ISSN-L)
  • 1099-3460
  • 1468-2869
OpenAlex
W3020814017
Cited by
587
References
61
Citations by year
2026: 27 · 2025: 28 · 2024: 55 · 2023: 74 · 2022: 126 · 2021: 172 · 2020: 105
FWCI
258.84
Type
journal article
Language
en
Open access
Locations
  • Journal of Urban Health (publishedVersion, cc-by)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • BRAC University Institutional Repository (BRAC University) (submittedVersion)
  • eScholarship (California Digital Library) (submittedVersion)
  • ORCA Online Research @Cardiff (Cardiff University) (submittedVersion)
  • Apollo (University of Cambridge) (submittedVersion, cc-by)
  • Apollo (cc-by)
Funders
  • National Institutes of Health (UL1TR001863)
  • Economic and Social Research Council (ES/S00811X/1)
  • National Center for Advancing Translational Sciences
Topics
  • Social Sciences › Urban Studies › Urban and Rural Development Challenges
  • Social Sciences › Sociology and Political Science › COVID-19 Prevention and Impact
  • Physical Sciences › Mathematics › Modeling and Simulation › COVID-19 epidemiological studies
Keywords
COVID-19 pandemic, informal settlements, slums, urban poverty, community health workers, eviction moratorium, cash transfers, water, sanitation and hygiene, food aid, solid waste collection, health care access, migrants, homelessness, Sphere standards, public health policy
MeSH terms
Betacoronavirus, COVID-19, SARS-CoV-2, Health Services Accessibility, Housing, Humans, Pneumonia, Viral, Poverty Areas, Sanitation, Urban Health, Urban Population, Coronavirus Infections, Vulnerable Populations, Pandemics

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-09-28.

Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-09-28.

Cited sources are checked by gpt-6-sol.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

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