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Preserving the Vanishing City  considers the unique challenges, conditions, and opportunities facing Cleveland's historic preservation community during the 1970s and 1980s.While pro-preservationists argued for the economic and revitalization benefits stemming from saving and repurposing older buildings, population loss and economic contraction.

In the 1960s, Cleveland suffered through racial violence, spiking crime rates, and a shrinking tax base, as the city lost jobs and population. Rats infested an expanding and decaying ghetto, Lake Erie appeared to be dying, and dangerous air pollution hung over the city. Such was the urban crisis in the \"Mistake on the Lake.\" When the Cuyahoga River caught fire in the summer of 1969, the city was at its nadir, polluted and impoverished, struggling to set a new course. The burning river became the emblem of all that was wrong with the urban environment in Cleveland and in all of industrial America.Carl Stokes, the first African American mayor of a major U.S. city, had come into office in Cleveland a year earlier with energy and ideas. He surrounded himself with a talented staff, and his administration set new policies to combat pollution, improve housing, provide recreational opportunities, and spark downtown development. In Where the River Burned, David Stradling and Richard Stradling describe Cleveland's nascent transition from polluted industrial city to viable service city during the Stokes administration.The story culminates with the first Earth Day in 1970, when broad citizen engagement marked a new commitment to the creation of a cleaner, more healthful and appealing city. Although concerned primarily with addressing poverty and inequality, Stokes understood that the transition from industrial city to service city required massive investments in the urban landscape. Stokes adopted ecological thinking that emphasized the connectedness of social and environmental problems and the need for regional solutions. He served two terms as mayor, but during his four years in office Cleveland's progress fell well short of his administration's goals. Although he was acutely aware of the persistent racial and political boundaries that held back his city, Stokes was in many ways ahead of his time in his vision for Cleveland and a more livable urban America.

Seeking answers to the question, \"Who benefits from homelessness?\" this book takes the reader on a sweeping tour of Cleveland's history from the late nineteenthcentury through the early twentyfirst. Daniel Kerr shows that homelessness has deep roots in the shifting ground of urban labor markets, social policy, downtown development, the criminal justice system, and corporate power. Rather than being attributable to the illnesses and inadequacies of the unhoused themselves, it is a product of both structural and political dynamics shaping the city. Kerr locates the origins of today's shelter system in the era that followed the massive railroad rebellions of 1877. From that period through the Great Depression, business and political leaders sought to transform downtown Cleveland to their own advantage. As they focused on bringing business travelers and tourists to the city and beckoned upperincome residents to return to its center, they demolished two downtown workingclass neighborhoods and institutionalized a shelter system to contain and control the unhoused and unemployed. The precedents from this period informed the strategies of the post–World War II urban renewal era as the \"new urbanism\" of the late twentieth century. The efforts of the city's elites have not gone uncontested. Kerr documents a rich history of opposition by people at the margins of whose organized resistance and everyday survival strategies have undermined the grand plans crafted by the powerful and transformed the institutions designed to constrain the lives of the homeless.

In Free Clean Fill Dirt, Pagel dwells in the anti-ordinary ordinary strata of Midwestern mythologies, emergencies, landscapes, and crises. Using a blend of ecopoetic, visual, and archival modes, Free Clean Fill Dirt is a collection of poems making intimacy of deep time and vanitas of vision.

National levels of personal health-care access and quality can be approximated by measuring mortality rates from causes that should not be fatal in the presence of effective medical care (ie, amenable mortality). Previous analyses of mortality amenable to health care only focused on high-income countries and faced several methodological challenges. In the present analysis, we use the highly standardised cause of death and risk factor estimates generated through the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) to improve and expand the quantification of personal health-care access and quality for 195 countries and territories from 1990 to 2015. We mapped the most widely used list of causes amenable to personal health care developed by Nolte and McKee to 32 GBD causes. We accounted for variations in cause of death certification and misclassifications through the extensive data standardisation processes and redistribution algorithms developed for GBD. To isolate the effects of personal health-care access and quality, we risk-standardised cause-specific mortality rates for each geography-year by removing the joint effects of local environmental and behavioural risks, and adding back the global levels of risk exposure as estimated for GBD 2015. We employed principal component analysis to create a single, interpretable summary measure–the Healthcare Quality and Access (HAQ) Index–on a scale of 0 to 100. The HAQ Index showed strong convergence validity as compared with other health-system indicators, including health expenditure per capita (r=0·88), an index of 11 universal health coverage interventions (r=0·83), and human resources for health per 1000 (r=0·77). We used free disposal hull analysis with bootstrapping to produce a frontier based on the relationship between the HAQ Index and the Socio-demographic Index (SDI), a measure of overall development consisting of income per capita, average years of education, and total fertility rates. This frontier allowed us to better quantify the maximum levels of personal health-care access and quality achieved across the development spectrum, and pinpoint geographies where gaps between observed and potential levels have narrowed or widened over time. Between 1990 and 2015, nearly all countries and territories saw their HAQ Index values improve; nonetheless, the difference between the highest and lowest observed HAQ Index was larger in 2015 than in 1990, ranging from 28·6 to 94·6. Of 195 geographies, 167 had statistically significant increases in HAQ Index levels since 1990, with South Korea, Turkey, Peru, China, and the Maldives recording among the largest gains by 2015. Performance on the HAQ Index and individual causes showed distinct patterns by region and level of development, yet substantial heterogeneities emerged for several causes, including cancers in highest-SDI countries; chronic kidney disease, diabetes, diarrhoeal diseases, and lower respiratory infections among middle-SDI countries; and measles and tetanus among lowest-SDI countries. While the global HAQ Index average rose from 40·7 (95% uncertainty interval, 39·0–42·8) in 1990 to 53·7 (52·2–55·4) in 2015, far less progress occurred in narrowing the gap between observed HAQ Index values and maximum levels achieved; at the global level, the difference between the observed and frontier HAQ Index only decreased from 21·2 in 1990 to 20·1 in 2015. If every country and territory had achieved the highest observed HAQ Index by their corresponding level of SDI, the global average would have been 73·8 in 2015. Several countries, particularly in eastern and western sub-Saharan Africa, reached HAQ Index values similar to or beyond their development levels, whereas others, namely in southern sub-Saharan Africa, the Middle East, and south Asia, lagged behind what geographies of similar development attained between 1990 and 2015. This novel extension of the GBD Study shows the untapped potential for personal health-care access and quality improvement across the development spectrum. Amid substantive advances in personal health care at the national level, heterogeneous patterns for individual causes in given countries or territories suggest that few places have consistently achieved optimal health-care access and quality across health-system functions and therapeutic areas. This is especially evident in middle-SDI countries, many of which have recently undergone or are currently experiencing epidemiological transitions. The HAQ Index, if paired with other measures of health-system characteristics such as intervention coverage, could provide a robust avenue for tracking progress on universal health coverage and identifying local priorities for strengthening personal health-care quality and access throughout the world. Bill & Melinda Gates Foundation.