Green health model

Pollution from roadways is often carried by rainwater into gullies, which then direct this runoff to the nearest watercourse, ultimately polluting local rivers and degrading water quality (1). To address this issue, Dublin City Council is exploring potential green infrastructure solutions to reduce roadway pollution in rivers, focusing on nine pilot sites within the Dodder catchment area (1). Green infrastructure has the advantage of treating pollutants before they enter rivers or watercourses, which can significantly improve water quality in the area (1).
In addition to enhancing water quality, green infrastructure helps manage flood risks by slowing water flow to rivers, which can lessen the frequency and severity of flood events (1). These green spaces also foster biodiversity, creating more pleasant and ecologically supportive environments for the community (1). As an added benefit, green infrastructure serves as an important climate change adaptation strategy (1).
Upon completion of these pilots, Dublin City Council plans to expand successful methods to other locations across the city and potentially further afield (1). The project will involve creating new green spaces, enhancing existing ones, and transforming certain hard surfaces, all of which will contribute to protecting the Dodder and Santry rivers. By treating roadway runoff before it reaches the rivers, the initiative will also offer valuable benefits to the local community (2).
The proposed changes will be designed to support health and well-being, provide informal play areas, attract desirable wildlife, reduce flood risks, and help urban areas adapt to the impacts of climate change (2). The Council also plans to monitor the performance of these green infrastructure measures to assess their effectiveness in filtering pollutants from roadway runoff (1).

The stretch of the Great Lakes basin ecosystem from southern Lake Huron through western Lake Erie forms a unique urban refuge where life thrives with beauty and resilience. Known as Metropolitan Detroit, this region is where the Community Foundation for Southeast Michigan and many partners are working to create The Great Lakes Way by connecting 160 miles of greenways and 156 miles of water trails (1).
The vision for the Great Lakes Way project is to ensure that all residents and visitors of southeast Michigan—people of all ages, backgrounds, ethnicities, abilities, and interests—feel connected to the water resources, welcomed on its trails, and able to enjoy the benefits and opportunities these access points provide (1). To bring this vision to life, the project plans to link 160 miles of greenways and 156 miles of blueways, connecting people to a range of world-class freshwater, wildlife, and recreational opportunities. These include fishing areas, bird migration pathways, parks, working waterways, preserved woodlands, and restored wetlands (2).
The Great Lakes Way project connects existing assets, supports accessibility and equity, and promotes the Great Lakes Way to both residents and visitors through marketing and communication efforts (2). There are 26 points of interest that will serve as connection hubs along the Great Lakes Way (2). In Detroit specifically, the focus is on connecting 13 culturally or historically significant destinations, as well as locations known for their environmental and ecological importance or as regional landmarks (2).
Rich in world-class fisheries, migratory flyways, parks, urban centers, small towns, preserved old-growth woodlands, and restored wetlands, the Great Lakes Way offers unique experiences that can only be found here. By uniting the natural and cultural assets the Great Lakes Way designation aims to emphasize and expand the essential linkages needed to further connect this remarkable region. (2,3)

The Urban Center of Good Initiatives (CUIB), a social enterprise launched by the NGO Mai Bine in 2013, is designed to drive social economies and support sustainable development in Iasi. The enterprise operates a bistro that promotes social consumption by supporting local producers, adhering to slow food principles through the use of local and seasonal ingredients, minimizing food waste, and encouraging sustainable transportation, among other eco-friendly activities (2 & 4).
In 2020, CUIB and Mai Bine joined the FoodE program, a European research and social project focused on local agri-food systems. Funded by the EU’s Horizon 2020 Framework Programme for Research and Innovation (2014-2020), the initiative empowered grassroots organizations through co-creation and collaboration among diverse stakeholders (5).
The FoodE project strengthened CUIB’s mission to provide low-carbon-impact food, promote ecological, ethical, and artisanal products, offer solidarity services such as free meals for the most vulnerable, engage in low-waste operations, provide education on mental and human ecology, and foster community through social and cultural events (1, p. 98). To further these goals, CUIB organized co-design workshops with 100 community members, focusing on achieving zero food miles, zero waste, and eliminating food waste (1, p. 99).
The program also led to improvements at the bistro, including the creation of a courtyard garden, a small terrace garden, along with a community garden (1, p. 100). These gardens supplied food to the bistro, and bio-waste was composted to fertilize the plots (1, p. 102). CUIB also hosted 17 outreach events as part of the initiative, including ecological workshops and the creation of a vegetable garden at a local kindergarten (3, p. 114 & 6).
Beyond its environmental work, CUIB provides free meals for 100 beneficiaries and organizes food donations for 400 vulnerable children and individuals (1, p. 103).

The environmental and public space recovery project around the Bazurto Market in Cartagena is a comprehensive initiative aimed at addressing the severe environmental degradation and chaotic urban conditions in this vital area of the city. The Bazurto Market, one of Cartagena's most important economic hubs, had experienced increasing levels of disorganization, pollution, and public health risks due to the encroachment of informal vendors and improper waste management (ref 1,2,5). The primary goals of this project are to restore the ecological health of the Caño de Bazurto and the Ciénaga de las Quintas, enhance the quality of public spaces around the market, and improve the overall urban environment (ref 1). Project activities included removal of waste from the surrounding water bodies, installation of protective barriers along the Ciénaga de las Quintas, and the planting of trees to revitalize green spaces (ref 3,4). Emphasis was placed on planting of a variety of tree species, such as Guayacán Amarillo, Ceiba, and fruit trees like níspero and mango. These efforts were concentrated in areas around the Bazurto Market, where green spaces had been neglected or overtaken by informal commercial activities. The project also included the restructuring of vendor locations and public spaces to reduce congestion and improve the flow of both pedestrian and vehicular traffic (ref 5). Educational campaigns were conducted to encourage better waste disposal practices and enhance community involvement (ref 1).

In Phoenix, over half a million people are facing hunger, including schoolchildren, working parents, seniors on fixed incomes, and other marginalized groups. Factors such as limited food access and poor food quality—commonly referred to as 'food deserts'—worsen the problem. Food deserts are areas where residents have little to no access to fresh, healthy, and affordable food. Of the 55 food deserts in Maricopa County, 43 are located in Phoenix, affecting nearly half of the city's population
Agave Environmental Contracting, an NGO, is working to address food scarcity through education. The organization founded the Urban Farming Education (UFE) program to teach people how to grow their own food as a solution to food insecurity and to promote agricultural opportunities throughout the Valley. The goal of UFE is to educate individuals on creating their own gardens for sustenance, ecotherapy, social impact, and even urban farming for profit.
The program specifically targets schools, domestic violence shelters, homeless shelters, foster care prevention centers, and communities with disabled or elderly residents. In 2024, UFE partnered with the Valencia Newcomer School to install raised garden beds filled with roses and fruit trees. This project provided hands-on STEM learning during the installation, fostered networking opportunities through industry experts and community members, and helped promote the UFE program. It also highlighted how the initiative contributes to urban farming education and empowers local communities. (1-5, 7)

Alexandria is one of the world’s most climate-vulnerable cities, facing serious environmental challenges that threaten its landscape, culture, and livability. The city is grappling with rising sea levels, pollution, extreme fluctuations in temperature, and the intensifying urban heat island effect, all of which are worsened by climate change. The past decade has seen a steady decline in Alexandria’s parks and green areas, a trend that has raised significant concerns among environmentalists and the public. The shrinking green spaces are largely due to rapid urban expansion and the development of commercial projects, which are gradually pushing Alexandria's environmental balance and cultural heritage to the edge.
In recognition of these pressing issues, Egypt launched the "100 Million Trees Initiative" in 2022 as part of its Egypt Vision 2030, a national plan for sustainable development. The initiative aims to increase the per capita share of green space throughout the country, with objectives that include improving air quality, enhancing public health, countering the urban heat island effect, and reducing greenhouse gases. The initiative is also focused on improving the beauty and cultural value of Egypt's urban areas, aligning with broader goals to build sustainable and climate-resilient cities. Alexandria, being a coastal city that is both environmentally sensitive and culturally significant, has been a focal point of these efforts.
As part of this national campaign, the Governor of Alexandria was tasked with overseeing the enhancement and expansion of green spaces across the city, focusing on both the aesthetics and cultural aspects of the urban landscape. In 2023, these efforts took root in the Al-Muntazah 2 neighborhood, where 596 trees were planted as a contribution to the 100 Million Trees Initiative. This project included the Al-Samad Preparatory and Secondary Schools campus as one of its primary planting sites. (1-5)

Herboristerie Créole, established in 2012 in Martinique by Séverine and Rémi Asensio, is a private farm and business focused on cultivating aromatic and medicinal plants, managing all stages of production, processing, and marketing. Situated in the commune of Gros-Morne, the farm draws on traditional Creole knowledge to produce medicinal plants and Creole cosmetics. Spanning 1.8 hectares, it is organized as a forest garden, featuring a diverse ecosystem that includes aromatic and medicinal plants, spices, fruit trees, and tropical flowers. Agroecological practices are central to its operation, with natural mulching from coconuts and green waste, and composting from the forest garden enriching the soil.
In addition, Herboristerie Créole operates a certified organic herbal dispensary in Saint Joseph, specializing in medicinal plants. The dispensary merges ancestral knowledge from the local "Rimèd Razié" tradition—a practice involving the use of native plants and natural remedies for healing, passed down through generations—with modern pharmaceutical standards. It produces a range of products, including herbal teas, infusions, spices, oils, and capsules for pharmaceutical and cosmetic use.
The farm is instrumental in preserving and passing on ancestral knowledge, which was once banned during the period of slavery, while ensuring that its artisanal products comply with dosage and safety regulations. Located at the foot of the Carbet peaks, the farm holds the Biological Farming (AB) label and follows agroecological methods through its "Jardin Créole" approach. It avoids the use of phytosanitary products, aims for zero waste, and implements measures to preserve biodiversity. (ref. 1, 2, 5, 6)

Rapid urbanization and a population density of 6,247 people per km² have placed significant stress on Nairobi's natural resources (Ref 1). The 40-km long Nairobi River Basin, originating from the Ondiri Swamp, serves as a vital water source for the city (Ref 1, 2). However, it has suffered severe pollution from untreated sewage, solid waste, industrial contaminants, plastics, and agricultural runoff (Ref 1, 3). This degradation has had a serious impact on the ecosystem, local residents, and biodiversity (Ref 3).

To address these issues, the Nairobi River Basin Programme (NRBP), sponsored by UNEP, was launched in 1999 (Ref 4). Since then, government and non-state actors have worked together on solid waste management, riparian restoration, and wastewater control (Ref 1). The program was implemented in two phases: Phase I (2003–2006) and Phase II (2006–2009), involving stakeholders from the government, private sector, and civil society (Ref 1, 4, 5). Despite these efforts, a study from 2017 found significant tree removal along the river, and between 1988 and 2014, encroachment into the 30-meter riparian buffer zone dramatically increased, particularly between 2010 and 2014, further degrading the river’s health (Ref 1).

Alexandria is a city with a special charm, known for its beaches and gardens that act as the lungs through which the city breathes, and are considered a haven for its people (1). Unfortunately, in the last ten years, there has been a decrease in green space due to urban expansion and the establishment of Commercial and profitable projects (1). To address the lack of green space in the city, The Governor of Alexandria has stressed the continued efforts to develop, beautify and plant the squares and turn them into attractive civilized facades, as part of Egypts 2030 vision which aims to move towards a greener city and reduce the effects of climate change. (2). To encourage redevelopment of public green spaces, The Governor launched the “Alexandria shines with its squares” competition in 2023, where the top three neighborhoods with the best redeveloped squares would receive a prize of up to EGP 50,000 [928.45 EUR] (6). The First Al Montazah neighborhood participated in the competition by redeveloping Sidi Bishr Mosque Square (2-5). The 700 meter square was completely upgraded with solar energy, a new irrigation system to conserve water, modifications to the sewer network, and planting the garden with plants that suit the environment (3). The greening activities included planting 400 sticks of various crops in the upgraded square (4).

In 2020, the European Fund for the Balkans (EFB) launched the Trees of Friendship project, which plants over 400 trees annually across six Western Balkan capitals, known to be some of the most air-polluted cities in Europe (Ref. 5). Tirana has been involved from the start, having planted over 110 trees in locations such as Great Lake Park in 2020 and Farka Park in 2022 (Ref. 1,2).
The project is carried out with the support of local municipal and civil society partners, including Tirana's Parks and Recreation Agency and the Environmental Territorial Management Institute, along with activists and volunteers (Ref. 1,2). The initiative was planned in 2019 when the EFB board decided to mitigate its CO2 emissions from business-related flights and enhance local and regional cooperation on air pollution (Ref. 3,4,5). Despite challenges in citizen engagement during the COVID-19 pandemic, the Trees of Friendship project continues to raise awareness about the role of trees in mitigating the impact of air pollution on health and well-being (Ref. 2). Its strong and well-established local and regional partnerships have facilitated the project's implementation in the past and continue to benefit in scaling the project (Ref. 1,5).