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Background: Self-rated health (SRH) has been widely used to research health inequalities in developed western societies, but few such studies are available in developing countries. Similar to many Arab societies, little research has been conducted in Syria on the health status of its citizens, particularly in regards to SRH. This Study aims to investigate and compare determinants of SRH in adult men and women in Aleppo, Syria.

Significant growth of the human population is expected in the future. Hence, the pressure on the already scarce natural water resources is continuously increasing. This work is an overview of membrane and filtration methods for the removal of pollutants such as bacteria, viruses and heavy metals from surface water. Microfiltration/Ultrafiltration (MF/UF) can be highly effective in eliminating bacteria and/or act as pre-treatment before Nanofiltration/Reverse Osmosis (NF/RO) to reduce the possibility of fouling. However, MF/UF membranes are produced through relatively intensive procedures. Moreover, they can be modified with chemical additives to improve their performance. Therefore, MF/UF applicability in less developed countries can be limited. NF shows high removal capability of certain contaminants (e.g. pharmaceutically active compounds and ionic compounds). RO is necessary for desalination purposes in areas where sea water is used for drinking/sanitation. Nevertheless, NF/RO systems require pre-treatment of the influent, increased electrical supply and high level of technical expertise. Thus, they are often a highly costly addition for countries under development. Slow Sand Filtration (SSF) is a simple and easy-to-operate process for the retention of solids, microorganisms and heavy metals; land use is a limiting factor, though. Rapid Sand Filtration (RSF) is an alternative responding to the need for optimized land use. However, it requires prior and post treatment stages to prevent fouling. Especially after coating with metal-based additives, sand filtration can constitute an efficient and sustainable treatment option for developing countries. Granular activated carbon (GAC) adsorbs organic compounds that were not filtered in previous treatment stages. It can be used in conjunction with other methods (e.g. MF and SSF) to face pollution that results from potentially outdated water network (especially in less developed areas) and, hence, produce water of acceptable drinking quality. Future research can focus on the potential of GAC production from alternative sources (e.g. municipal waste). Given the high production/operation/maintenance cost of the NF/RO systems, more cost-effective but equally effective alternatives can be implemented: e.g. (electro)coagulation/flocculation followed by MF/UF, SSF before/after MF/UF, MF/UF before GAC.

We conclude that lack of effective management of CVD and diabetes indicated weaknesses of the state and its retracting role in providing effective healthcare. Such weaknesses that existed before the crisis are now compounded by new challenges resulting from wide destruction of the health system due to the ongoing war. The rebuilding of post-conflict heath care system may benefit from insights into the structural problems of the pre-crisis system.

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