Book Review
Urban Sprawl and Public Health: Designing, Planning, and Building for Healthy Communities
By Howard Frumkin, Lawrence Frank, and Richard Jackson
Washington, DC:Island Press, 2004. 338 pp. ISBN: 1-55963-912-1, $60 cloth.
The press has devoted considerable recent attention to the built environment and its impact on human health and the quality of life. This interest is fueled largely by the obesity epidemic now pervasive in the United States. In fact, the built environment has become a focus for debate about how to control obesity and related health care costs. The National Institute of Environmental Health Sciences defines the built environment as the buildings, spaces, and products created or modified to accommodate modern human society: residential housing, schools, workplaces, parks, roads, walking and biking trails, and commercial centers.
![March book cover](bookcover.jpg) | image: Arnold Greenwell/EHP |
Urban Sprawl and Public Health, a timely publication by highly qualified authors, is another wake-up call about public policy decisions with respect to land use, transportation, and community design that adversely affect our health, civic involvement, and quality of life. Its thesis is that the designs of buildings and communities inhibit physical activity and social interactions and promote sedentary lifestyles and environmental pollution or degradation. The authors provide solution-oriented information to professionals, public officials, business and community leaders, and others who are concerned about protecting the environment and human health. They describe sprawl as the way land is used, the way people travel, and the way cities expand over large geographic areas. Such expansion increases distance between places of interest, makes walking and biking impractical, and increases reliance on automobiles for transportation. Although sprawl appears chaotic, the authors point out that it is well orchestrated and supported by public policy through cheap land, favorable tax codes, zoning regulations, lending practices, and the revolution in transportation. The latter made it possible for large numbers of people to live longer distances from work and commercial centers. But now that the forces that spun sprawl (e.g., concerns about sanitation, infectious diseases, noise, crime, industrial pollution, and exposed sewage) no longer represent a nuisance or a threat to safety, it is time to rethink public policies designed to encourage or support migration from urban centers.
Sprawl threatens health in various ways: A sedentary lifestyle increases the risk of cardiovascular disease, stroke, diabetes, and obesity. More than a third of Americans are overweight; the authors note that 35% of people in walkable neighborhoods were found in a recent study to be overweight, compared with 60% in less walkable neighborhoods associated with sprawl. Also, air pollution, another by-product of sprawl, can increase death rates by as much as 26%, primarily from cancer, cardiovascular disease, and pulmonary dysfunctions. Highly polluted air stunts lung growth and development and increases risk for asthma. Sprawl increases automobile injury and death and mental stress and diminishes social capital, the glue that holds families and communities together.
Two solutions proposed by the authors are the development of more mixed-used communities as an alternative to sprawl, and appropriate design of communities to make them more walkable and appealing. However, the authors point out that environmental intervention is not the entire solution to physical inactivity; much is still poorly understood. In fact, sprawl may not be the only, or even the primary, force behind inactivity.
The book is an easy read, enjoyable and informative. The authors were careful to cover both the positive and negative aspects of sprawl. They also emphasized that human health and disease results from complex interactions involving multiple factors. But significantly, they make a compelling case that sprawl is playing an important role.
Kenneth Olden
Kenneth Olden is the third director of the National Institute of Environmental Health Sciences (NIEHS) and the second director of the National Toxicology Program. He is a cell biologist and biochemist and has been active in cancer research for almost three decades. He was director of the Howard University Cancer Center and professor/chairman of the Department of Oncology at Howard University Medical School, Washington, DC, before coming to NIEHS.
New Books
-
Basic Cell Culture Protocols, 3rd ed.
Cheryl D. Helgason, Cindy L. Miller
Totowa, NJ:Humana Press, 2004. 384 pp. ISBN: 1-58829-284-3, $125
-
Cell Migration in Development and Disease
Doris Wedlich
Hoboken, NJ:John Wiley & Sons, Inc., 2005. 450 pp. ISBN: 3-527-30587-4, $198
-
Chemoinformatics in Drug Discovery
Tudor I. Oprea, Ralmund Mannhold, Hugo Kubinyl, Gerd Folkers
Hoboken, NJ:John Wiley & Sons, Inc., 2005. 520 pp. ISBN: 3-527-30753-2, $185
-
Children's Health: International Historical Perspectives
Cheryl Krasnick Warsh, Veronica Strong-Boag, eds.
Waterloo, Ontario:Wilfrid Laurier Press, 2005. 620 pp. ISBN: 0-88920-474-8, $38.95
-
Comprehensive Handbook of Alcohol Related Pathology
Victor Preedy, Ronald Watson, eds.
Burlington, MA:Elsevier, 2004. 2,192 pp. ISBN: 0-12-564370-5, $360
-
Cytochrome P450: Structure, Mechanism, and Biochemistry
Paul R. Ortiz de Montellano, ed.
New York:Springer-Verlag, 2005. 652 pp. ISBN: 0-306-48324-6, $149
-
Encyclopedia of Biostatistics, 2nd ed.
Peter Armitage, Theodore Colton
Hoboken, NJ:John Wiley & Sons, Inc., 2005. 6,100 pp. ISBN: 0-470-84907-X, $2995
-
Environmental Policy, International Trade and Factor Markets
C.C. Chao, E. Siu-Hung Yu
Burlington, MA:Elsevier, 2004. 252 pp. ISBN: 0-444-51708-1, $95
-
Environmental Toxicology, Vol. 6
T.P. Mommsen, T.W. Moon, eds.
Burlington, MA:Elsevier, 2005. 560 pp. ISBN: 0-444-51833-9, $260
-
Global Sustainability: The Impact of Local Cultures, A New Perspective for Science and Engineering, Economics and Politics
Peter A. Wilderer, Edward D. Schroeder, Horst Kopp
Hoboken, NJ:John Wiley & Sons, Inc., 2005. 266 pp. ISBN: 3-527-31236-6, $160
-
Handbook of Toxicogenomics: Strategies and Applications
Jurgen Borlak
Hoboken, NJ:John Wiley & Sons, Inc., 2005. 688 pp. ISBN: 3-527-30342-1, $195
-
Health Implications of Perchlorate Ingestion
Committee to Assess the Health Implications of Perchlorate Ingestion, National Research Council
Washington, DC:National Academies Press, 2005. 191 pp. ISBN: 0-309-09568-9, $42
-
Preparative Chromatogography of Fine Chemical and Pharmaceutical Agents
Henner Schmidt-Traub
Hoboken, NJ:John Wiley & Sons, Inc., 2005. 400 pp. ISBN: 3-527-30643-9, $145
-
Preventing Childhood Obesity: Health in the Balance
Jeffrey P. Koplan, Catharyn T. Liverman, Vivica A. Kraak, eds.
Washington, DC:National Academies Press, 2005. 434 pp. ISBN: 0-309-09196-9, $44.95
-
Proceedings of the 3rd Asia-Pacific Bioinformatics Conference
Yi-Ping Phoebe Chen, Limsoon Wong
Hackensack, NJ:World Scientific, 2005. 400 pp. ISBN: 1-86094-477-9, $78
-
Proteins: Structure and Function
David Whitford
Hoboken, NJ:John Wiley & Sons, Inc., 2005. 600 pp. ISBN: 0-471-49894-7, $79.95
-
Statistical Methods in Bioinformatics An Introduction, 2nd ed.
Warren J. Ewens, Gregory Grant
New York:Springer-Verlag, 2004. 588 pp. ISBN: 0-387-40082-6, $89.95
-
Statistics for Experimenters: Design, Innovation, and Discovery, 2nd ed.
George E.P. Box, J. Stuart Hunter
Hoboken, NJ:John Wiley & Sons, Inc., 2005. 736 pp. ISBN: 0-471-71813-0, $99.95
-
Systems Biology in Practice: Concepts, Implementation and Application
Edda Klipp, Ralf Herwig, Axel Kowald, Christoph Wierling, Hans Lehrach
Hoboken, NJ:John Wiley & Sons, Inc., 2005. 300 pp. ISBN: 3-527-31078-9, $120
|
|