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The first phase of the Healthy Cities Project Development World Health Organization (1990), the Working Group plans to set out 53 indicators to help municipalities collect enough to describe their city state of health information. Before it set 53 indicators, health plan working group had been aware of the city, although the traditional quantitative indicators on health (such as "mortality"), in the use of relatively simple, however, they do not provide a comprehensive to help us view the health status of a city to understand holistic. Therefore, when it set 53 indicators, qualitative indicators (such as "social support") had been incorporated.

Between 1992-1994, namely 47 cities adopted the 53 indicators. After these cities through interdisciplinary group of experts to analyze the data collected, the World Health Organization Healthy Cities Project Office said the 53 indicators of its revised as necessary.

Thus, among the 53 indicators are not suitable, the lack of reliability indicators were excluded, narrative indicators also been amended in order to more clearly define the indicators, so we have seen with the following Healthy Cities WHO32 index.

A. Health indicators
  1.  Mortality﹔all causes
  2.  Main causes of death
  3.  Low birth weight
B. Health services indicators
  1.  City health education programs
  2.  Immunization rates
  3.  Inhabitants per primary health care practitioner
  4.  Inhabitants per nurse
  5.  Percentage of population covered by health insurance
  6.  Availability of services in foreign languages
  7.  Health debates in city council
C. Environmental indicators
  1.  Air pollution
  2.  Water quality
  3.  Sewage treatment rate
  4.  Household waste collection quality
  5.  Household waste treatment quality
  6.  Green cover rate
  7.  Green of availability
  8.  Derelict industrial sites
  9.  Sport and leisure facilities
  10.  pedestrian street (pedestrian zone)
  11.  Cycle routes
  12.  Public transport access
  13.  Public transport range
  14.  Living space
D. Socioeconomic indicators
  1.  Percentage of population in inadequate housing
  2.  Homelessness
  3.  Unemployment
  4.  Poverty
  5.  Availability of child care
  6.  Age of mothers at time of birth
  7.  Abortion rate
  8.  Employment of disabled people