Green spaces have benefits but may also increase the risk of allergic disease. This study examined the association between the first occurrence of asthma and greenness exposure in children and teenagers. We conducted a 1:1 matched case-control study matched by sex, age, and the first diagnosis year with 7040 eligible subjects from a systematic sampling cohort database in Taiwan from 2001 to 2013. A normalized difference vegetation index (NDVI) value ≥0.4 was used as the criterion to determine the green space. The green cover images were then transformed to the green coverage rate in the township surrounding the residential areas of the asthma and control subjects. Conditional logistic regression analyses demonstrated that a significantly increased risk of asthma in preschool children was associated with the surrounding greenness after adjusting for urbanization level, frequency of healthcare provider visits, mean township family income, CO, NOx, and PM2.5. The risk of asthma occurrence increased significantly with increasing greenness exposure (p-trend < 0.05). Nevertheless, exposure to the highest greenness levels (81–100%) was not associated with a significantly higher risk of asthma occurrence than was exposure to the lowest values (0–20%) of greenness. This study suggests that green space design should consider more effective methods of reducing the allergy impact.

Dementia care resources in Taiwan have not been allocated taking into account patients’ needs and the distance between service users and providers. The objective of this study was to use two newly developed indicators; profit willing distance (PWD) and tolerance limited distance (TLD), to profile the service availability and accessibility of the 22 administrative areas in Taiwan and facilitate justice-based resource allocation by the central government. The study employed secondary data analysis by using a geographic information system (GIS) and geocoding to identify distances between service users and providers. The study samples were drawn from the databank of the National Disability Eligibility Determination System and grouped by the acuteness of registrants’ needs. Both the PWD and TLD were found in 15 of the administrative areas, and neither was found in three areas (Penghu, Kinmen, and Lienchiang County). Either the PWD or TLD (but not both) were found in four areas (only have PWD: Hsinchu and Chiayi City; only have TLD: Yunlin and Taitung County). How the priorities should be set for dementia service allocation based on these findings was also addressed. We conclude that the indicators of PWD and TLD can add value to the policy decision-making process, help set priorities, and facilitate efficient and fair resource allocation by defining specifics of the resources needed.

This long-term study established a sustainable and resilient framework for enhancing organizational capacity and adaptability, based on adaptive thinking, for a school disaster prevention system (SDPS) for academic institutions located in a potential natural disaster area. Due to the movement of continental plates and the effects of tropical depressions, disasters occur frequently in Taiwan. We established a conceptual framework under aspects of organizational resilience for a SDPS for school institutions located in a potential disaster area under a choice experiment (CE) framework. We then evaluated the heterogeneity of staff perspectives on an adaptive disaster-mitigation program, as revealed by their preferences and estimated the marginal effects associated with various potential scenarios for such a program. We found that integrating stakeholder concerns about environmental issues, cooperating with local government drills, providing training to be disaster relief volunteers and cooperating with local government to implement disaster-prevention and protection projects were all valid program characteristics. This study also confirmed the existence of heterogeneity in the preferences of participants for adaptive management in SDPS context, as evidenced by their willing attitudes toward participation in education and training courses, participation in implementing disaster prevention and protection projects and undergoing training to be disaster relief volunteers. Specifically, the potential disaster prevention transformation program embodying these features was associated with the highest marginal willingness to work (MWTW). These outcomes can assist in the development and implementation of evaluation frameworks for organization-based management strategies in the context of SDPS.

In East Taiwan, coastal settlements are scattered and narrowly confined between the Coastal Mountain and the Pacific Ocean. These settlements are currently at risk as there is no room for retreat. Therefore, it is essential to conduct a comprehensive and continuous hazard assessment in these coastal residential areas. In order to avoid biased towards the natural environment, the factors that cannot easily be built within the geographic information system (GIS) database are distinguished by Unmanned Aerial Vehicle (UAV) to conduct a vulnerability assessment of threats to coastal zones. The method: we used the east coast of Taiwan as an example, through GIS and statistical analysis in land-use status, vulnerable population groups and UAV landscape signs of indicators of erosion and accumulation. Through the main output of an intuition scatter map, the erosion landscape susceptibility, economical land-use exposure, and special population groups’ ratio allowed for the easy comparison of the vulnerability, risk level and resilience between different coastal settlements. These diverse observation aspects of risk assessment results can provide prevention and control strategies that meet the different needs of coastal risk management in restricting and strengthening the land-use development of communities.

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