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A Critical Dilemma Between Urbanisation and Population Health

March 01, 2023
by Leyana Najem, Aleena Kashif, Paul Okoye, Sara Suleman, Vicotria Ajayi, Wajahat Ali and Ronnie Kakunguwo

Amidst the hustle and neon glow of urban landscapes, a less visible narrative unfolds – a narrative of health besieged by the very progress it champions. The rise of cities brings with it a pressing question: Can we build our future without compromising our well-being?

Urbanization, the concentration of populations in cities, defines the modern world, fostering economic growth and technological progress. However, the juxtaposition of these benefits with the escalating health risks poses a critical dilemma. Notably, air pollution emerges as a foremost concern in urban settings, stemming from the intensified energy use accompanying extensive urbanization.

The surge in energy consumption gives rise to fine particulate matter, particularly those under 2.5 micrometers, suspended in the air and detrimentally impacting respiratory health. According to the World Health Organization (WHO), the toll is alarming, with 6.7 million annual deaths attributed to Chronic Obstructive Pulmonary Disease (COPD), lung cancer, and heart disease linked to air pollution.

The paradox of urbanization lies in its pursuit of economic interests often at the expense of public health, resulting in congested, resource-strained cities where vulnerable communities bear the brunt. In 2016, a staggering 9 out of 10 people globally breathed air exceeding WHO pollutant guidelines, disproportionately affecting low- and middle-income countries, shouldering 90% of the burden. Even in developed nations like the USA, air pollution is estimated to cause 100,000 premature deaths annually. Urgent collaborative efforts from both public and private sectors are imperative to rectify the health crisis fueled by unbalanced urbanization.

Having grown up in a rapidly urbanizing environment, I've witnessed the tangible effects of air pollution on my community's health. The once-clear skies now shrouded in smog, respiratory illnesses, especially among children and the elderly, have become prevalent. Working in a local hospital during my internship as a Biomedical Engineering student further validated the connection, with numerous patients grappling with respiratory conditions linked to air pollution.

Despite the adverse health impacts, acknowledging the manifold benefits of cities is vital. Urban centers serve as hubs of innovation, economic prosperity, and essential services such as education and healthcare. Strategic planning and management can enhance urban livability, promoting sustainability with reduced pollution and improved air quality. Responsible industrialization, a critical solution to the health challenges posed by urbanization, necessitates coordinated efforts from governments, industries, and communities. Governments must enact and enforce stringent environmental regulations, guiding industries toward eco-friendly practices. Industries, in turn, must invest in sustainable technologies and embrace circular economy principles to minimize their environmental impact. Simultaneously, communities play a vital role by raising awareness, advocating for sustainable practices, and actively participating in local initiatives. This collaborative approach aligns economic growth with public well-being, forging a path where urbanization and health find a harmonious balance in the pursuit of a sustainable future.

In the symphony of progress, urbanization plays a powerful note, but its discord with health necessitates a new composition. Let’s harmonize our cities through strategic planning and responsible growth, ensuring that progress doesn’t come at the cost of well-being.

Submitted by Denise Meyer on March 21, 2024