# On urban maladaptation in times of epidemics

**Authors:** Mikhail Sirenko, Alexander Verbraeck, Tina Comes

PMC · DOI: 10.1038/s41598-025-33158-5 · Scientific Reports · 2026-01-06

## TL;DR

The study shows that uniform epidemic interventions in cities can lead to unintended consequences, highlighting the need for tailored approaches.

## Contribution

The paper introduces the Urban Adaptation Index and proposes an equity-oriented crisis management framework.

## Key findings

- Uniform lockdowns reduce infections in city centers but increase risks in outer districts.
- The Urban Adaptation Index identifies maladaptation from uncontextualized policies.
- An equity-oriented framework is needed to address urban diversity during epidemics.

## Abstract

Epidemics are long-lasting and transboundary crises that challenge traditional approaches. Given the complexity and interconnectedness of modern cities, interventions can lead to unintended consequences or maladaptation. Although adaptation is central to resilience, crisis management often focuses on short-term response, leaving a gap in understanding urban adaptation and maladaptation. This study examines the impacts of uniform interventions across diverse urban districts to assess this (mal)adaptive process. We use the COVID-19 pandemic in The Hague, Netherlands, as a case study, employing a large-scale agent-based model. We find that without an intervention, the high-contact city centre becomes an infection hotspot due to the transient population it attracts. Conversely, the outer residential district, with fewer amenities, experiences infections primarily among its residents. A uniform lockdown policy significantly reduces infections in the city centre by limiting mobility and social interactions, but inadvertently increases risk in the outer residential district. Using the Urban Adaptation Index (UAI), we demonstrate that these uncontextualised policies can constitute maladaptation, confirming the unintended consequences of ’one-size-fits-all’ approaches. Our results underscore this need, leading us to propose an updated, equity-oriented crisis management framework that accounts for the heterogeneous nature of modern cities.

## Linked entities

- **Diseases:** COVID-19 (MONDO:0100096)

## Full-text entities

- **Diseases:** infection (MESH:D007239), COVID-19 (MESH:D000086382)

## Full text

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## Figures

12 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12830883/full.md

## References

48 references — full list in the complete paper: https://tomesphere.com/paper/PMC12830883/full.md

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Source: https://tomesphere.com/paper/PMC12830883