Green health model

The Horta Nova Urban Park, located in the Carnide parish (Lisbon), is a recently inaugurated green space that combines horticulture with community recreation. The Carnides neighbourhood is characterised by an inspiring history of overcoming hardship, with residents turning food shortages into opportunities by cultivating community gardens since the 70s. Currently, "the neighbourhood continues to be an example of solidarity, innovation and community spirit" (Ref. 2). In 2013, as a response to food scarcity caused during the post-Troika economic crisis, a group of local residents created an unauthorised vegetable garden overnight, on previously derelict space in the neighbourhood. Only in 2021 did the local authorities officially recognise the vegetable gardens, which since 2013 had operated under an informal agreement (Ref. 3). With the official establishment of the horticultural park, in addition, the park has a newly planted broad lawn, an open-air gym, and a dedicated dog park, creating a versatile space for residents (Ref 3).
Currently, this park features 80 vegetable plots, each with a dimension of 100 m2 per plot, attributed by the municipality through an official application process (Ref. 1). The park is a great reflection of the neighbourhood’s resilience and its history of small-scale citizen-oriented agricultural production that began as a response to social difficulties (Ref 1, 2).

Urban areas are particularly vulnerable to climate change due to the extensive use of concrete and asphalt, higher levels of pollution, increased population densities, and the concentration of infrastructure, all of which amplify the effects of extreme heat, drought, and severe weather. Urban tree cover play a vital role in helping cities mitigate the impacts of climate change by reducing greenhouse gases and alleviating the effects of extreme heat and other climate alterations that negatively impact human health. In 2023, dozens of volunteers from Bethune Elementary School planted 33 trees on the school grounds to provide future shade and help cool the environment. The project was funded by Arizona’s Public Service (APS) Community Tree Program, which aims to reduce the urban heat island effect by increasing tree canopy coverage in vulnerable communities.
The initiative was driven by Trees Matter, a local nonprofit organization focused on enhancing tree infrastructure in schools while educating students and staff on the importance of trees and tree care. Involving children in the tree planting process allows them to take what they’ve learned in textbooks and apply it in real-life situations, while also fostering a sense of community and belonging. This hands-on involvement not only educates but also creates lasting memories. The project’s goal is to combat the urban heat island effect by expanding tree canopy coverage, thus creating cooler, healthier shaded spaces for students in areas of Phoenix most affected by high temperatures.
With support from APS and Trees Matter, the volunteers worked together to plant trees that will provide much-needed shade on the school campus. APS’s Community Tree Program aims to provide shade and cooler spaces in neighborhoods that need it most, helping to reduce temperatures by 20 to 45 degrees. This effort is part of a broader initiative to improve the quality of life and mitigate the impacts of extreme heat in Phoenix (1-5).

At the beginning of the twenty-first century, Kunming’s urban planning faced major challenges, including fragmented development, environmental degradation, and limited green spaces (Ref 1). In response, the municipal government launched a series of strategic plans aimed at promoting high-quality urban development and environmental restoration.
Baisha Lake was identified as a key area in these strategies, with plans for Baisha Lake Park first highlighted in 2017 (Ref 2) and reaffirmed in the "Opinions on Supporting High-Quality Development in Kunming" in 2021 (Ref 2). To implement parts of this broader strategy, the government entered into public-private partnerships. In 2018, land development rights for parts of East Baisha Lake were granted to Dahua Group, on the condition that 40% of the area be reserved as green space and that ecological restoration efforts be undertaken (Ref 3, 4).
The Eastside Baisha Lake Park project, launched by Dahua Group in February 2023 (Ref 3, 5), is thus one component of this larger government-led urban renewal effort. The project follows the city's planning framework of “one lake, six zones, 46 scenic nodes” and includes 55 hectares of green space, with 40% designated as parkland. By the end of 2023, 6.5 hectares had been completed, and the south bank of the park opened to the public in September 2023 (Ref 3, 6).
The broader East Baisha Lake area's development was originally planned by the state-owned Kunming Urban Construction Company, but land rights were later transferred to Dahua Group. Thus, while a private developer is leading the construction, the project remains a part of Kunming’s publicly driven strategy to restore the lake and enhance urban livability.

The Miraflores Bicentennial Park has been built on the Malecón de la Reserva and the Quebrada de Armendáriz. It was inaugurated in June 2022 as one of the created projects within the framework of the commemorations of the 200 years of Independence celebrations (1). It is considered a new green lung of Lima (2), as it has a green area of 30,400 square metres and stands on one of the cliffs of the Costa Verde (1). It has a system of terraces that replicates the construction model of the Incas, which has made it possible to additionally reinforce the soil and the slopes with the use of retaining walls up to 10 metres high, with horizontal geogrids and vertical geocells (1, 2). It was structured on a stabilised slope in order to mitigate the risk of landslides (4), and an irrigation system was implemented to stabilise the soil (4).
This space was built as a biodiversity garden with more than 160,000 xerophilic coastal species with low water consumption, 300 trees and 80 palm trees. It also offers places for tourism, such as viewpoints and squares, where cultural events, open-air activities and rest areas are held (1). It also aims to connect aspects of landscape conservation, preservation of biodiversity in the city, and the construction of a cultural landscape in which human action is complementary and friendly to the natural environment (9). Finally, it seeks to contribute to the reduction of the municipality's carbon footprint by reducing the harmful effects of urban expansion on the Lima cliff ecosystem, such as deforestation, water pollution and loss of biodiversity (9).

In 2017, many public parks in Iași were in poor condition, suffering from neglect and inadequate maintenance. Parks like Barboi were left unmanaged, with deteriorating infrastructure and overgrown vegetation. In response, the municipality of Iași initiated efforts to revitalize these green spaces.
The Barboi Park revitalization focused on rehabilitating 8,200 sqm of a degraded area (1 & 6, p. 106). Accessible pathways were repaired, and benches were installed to create a relaxing environment (1 & 4). Existing trees and vegetation were pruned, new trees and ornamental plants were introduced, and the soil was enhanced with more fertile layers to correct uneven levels (1 & 4). The primary aim of the new vegetation was to improve the park’s aesthetic appeal and boost biodiversity (1).
The project was led by the Municipality of Iași through its Public Services Department (Servicii Publice Iași), which oversaw the improvements (1 & 6, p. 106). It was part of a larger urban plan to expand and enhance the city’s green spaces (6, p. 106 & 7, p. 336). This plan aimed to improve the city’s visual appeal and increase livability for residents (6, p. 106). The project’s total cost was approximately €260,450.45 (6, p. 107). Later that year, the park was renamed "Woodrow Wilson" to commemorate the 100th anniversary of the U.S. mission to Iași during WWI, with a small monument erected to mark the occasion (5). The initiative also aligned with national guidelines on green space regeneration, per capita green space, and accessibility (7 & 9).

The World Health Organization estimates that 80% of the population in developing countries use medicinal plants for health prevention and care, primarily in rural areas (3). These plant species have therapeutic potential in treating various diseases, and they are considered safe and effective medications with fewer side effects and affordable prices (3). In Peru, medicinal plants have historically been used to treat respiratory, gastrointestinal, and digestive ailments. To this day, they continue to be used by both native and urban communities (3).
To promote, develop, and encourage research, innovation, and technologies related to the use, preservation, conservation, and employment of medicinal and food plants, the National Center for Social and Intercultural Research in Health (CENSI) of the National Institute of Health (INS) has inaugurated its medicinal and food plant nursery located in one of its facilities (Chorrillos) in Lima (1, 3). The primary objective of this project is to adapt various species from the coast, mountains, and jungle of the country and initiate a plant production program that contributes to improving public health, environmental quality and the revitalization of the ancestral knowledge of indigenous, Amazonian, Andean, and Afro-Peruvian communities (1). Additionally, it aims to contribute to mitigating the effects of climate change by creating green areas, reducing atmospheric carbon dioxide levels through plant photosynthesis, improving soil quality, and promoting the responsible use of water resources, among others (3).
For the development of this project, the INS is working in collaboration with the International Organization for Migration to benefit not only the health and well-being of the Peruvian community but also promote the integration and care of the migrant population in the country (2).

FoodLink, a network for food transition in the Lisbon Metropolitan Area (LMA), aims to create sustainable, competitive, and resilient agri-food systems closely integrated with regional and local spatial planning. The network's goals are to promote food security, economic and energy efficiency, environmental sustainability, and socio-territorial cohesion by 2030. The network seeks to ensure that by 2030, 15% of the metropolitan area's food supply is secured locally through sustainable production methods, innovative solutions in water management, soil conservation, climate adaptation, and low-carbon distribution networks involving community gardens, urban allotments, and agricultural spaces within the Lisbon Metropolitan Area. (Ref 2)

In Peru, there is a significant gap in the coverage of public spaces for social interaction, environmental awareness, and cultural expression in urban areas, reaching 23.10% (3). To address this issue and commemorate the 200th anniversary of Peru's independence, the national project "Proyecto Especial Bicentenario" (Special Bicentenary Project) was launched. As part of this project, 26 Cultural and Ecological Parks are being developed throughout the country (2, 5). This initiative aims to strengthen the role of municipalities in sustainable urban planning, prioritising the well-being of citizens and promoting citizen participation (1, 3).
These parks combine ecological elements with cultural infrastructure, fostering a connection between people and nature and their Peruvian identity (5). By offering recreational and educational spaces, the goal is to raise public awareness of the importance of local biodiversity and strengthen community ties (1, 5). To ensure that these spaces meet the needs of each community, a citizen participation campaign called "Ideas for My Bicentennial Cultural Park" was implemented, allowing citizens to propose ideas from various perspectives, such as design, culture, citizenship, and the environment (5).
The San Isidro Bicentennial Park, inaugurated in 2020, is an example of this initiative. With its 20,000 square meters of green areas, cultural activities, family recreation zones, and a neighbourhood gathering centre, this park has become a new green lung for the city and a meeting place for people of all ages, with a focus on inclusion for children and the elderly (2, 4, 5). Additionally, it features a municipal community garden of 250 m2 that promotes urban agriculture and offers workshops to teach citizens about sustainable farming practices (6).

The Palas Campus project is a real estate investment by the private company IULIUS, involving the construction of a mixed-use development with integrated green elements, including a green terrace (1–3, 5). The project spans approximately 86,000 sq.m., of which 4,500 sq.m. are dedicated to green spaces (1–3, 5). In these green spaces, 200 trees and 7,000 bushes of various species were planted (1, 2). The landscape design was created by a team of international experts, with some plant species imported from Italy (1, 5). The primary goal of the project is urban regeneration in a specific district of the city, building on similar projects previously implemented by IULIUS (1, 2, 5). The Palas Campus landscape includes relaxation spaces and pedestrian walkways (1).
The buildings were designed to meet the standards for two green certifications: EDGE and LEED, both of which were awarded in 2024 (4, 6–10). The EDGE certification signifies a 20–40% reduction in energy and water use compared to standard buildings (4, 8). The LEED certification, awarded based on various sustainability criteria, saw Palas Campus achieve one of the highest scores (4, 9, 10). One key aspect of the certification was the reduction of the "heat island" effect (10).
The total cost of the project reached 120 million euros, with 3.8 million euros allocated to the green spaces (1, 2, 5). The project was partially financed by a 72 million euro "green" loan from the IFC, a member of the World Bank Group, which also provided expertise to help secure the EDGE certification (6–8). The LEED certification was obtained with the support of the consulting firm BuildGreen (11).

According to the FAO, in 2022, 16.6 million Peruvians faced moderate or severe food insecurity, representing an increase of 1.5 million compared to the previous year (3). This situation was exacerbated by the health crisis, inflation, and job losses, leaving three out of ten Peruvians in poverty in 2021. The situation was particularly critical in Metropolitan Lima and Callao, with 14% of families reporting difficulties in acquiring protein-rich foods due to their precarious economic situation (2).
In response to this food crisis, the Municipality of Lima implemented the "Lima te Cuida" (Lima Takes Care of You) initiative, in which residents from vulnerable areas got training to create urban gardens and produce organic compost to help the community kitchens in these areas become self-sustainable (1, 2). An example of this initiative is the community garden in A.H. Villa Mosha in San Juan de Lurigancho, where a community garden has been built, and community members have been trained in small-scale planting, cultivation, care, and harvesting of various foods (2).
This initiative has been supported by the MUSA project "Mujeres Unidas por la Seguridad Alimentaria y Ambiental" (Women United for Food and Environmental Security) as part of the project "Alimentando a Lima desde Adentro" (ALDA) (Feeding Lima from within), which has had an impact in eight districts of Lima to strengthen food security (3). In addition to promoting urban agriculture, the project seeks to influence public policy through training and development of proposals to promote urban agriculture at the local level (4).