How Urban Design Impacts Public Health

With more and more people living in cities, designing equitably healthy urban spaces becomes a key question for policymakers.

1 minute read

November 1, 2023, 8:00 AM PDT

By Diana Ionescu @aworkoffiction


Two women walking on wide walkway among large trees next to neoclassical building in Cologne, Germany.

Nicole Kwiatkowski / Adobe Stock

“Not all urban areas are created equal, and this can have a big impact on a person’s health. Air quality, heat, food—these are just some of the ways your environment can influence health. Often, it is the poorest areas of a city that have the most negative impact,” writes Rob Reddick in Wired.

Reddick argues that understanding these disparities is increasingly urgent as the world’s urban population is projected to double by 2050. In an interview with Wired, researcher Tolullah Oni describes her research into cities and public health, saying, “I realized we needed to understand the epidemiology of the urban context as the main propagator of diseases.”

As Oni explains, urban planning and design affects everything from air quality to temperature to risk of injury on roadways. For Oni, “Often with developers of public spaces it’s a sin of omission rather than of commission.” In many cases, “What is rarely apparent is what the health cost is, because that cost is born in a different sector and often at a different time.”

Because of the structural scale of the problems, Oni says, “governments have the mandate to ensure health for all. They can’t really absolve any responsibility from that.” Even when development is largely left up to the private sector, “government is responsible also in the legislation holding the private sector accountable.”

Monday, October 30, 2023 in Wired

portrait of professional woman

I love the variety of courses, many practical, and all richly illustrated. They have inspired many ideas that I've applied in practice, and in my own teaching. Mary G., Urban Planner

I love the variety of courses, many practical, and all richly illustrated. They have inspired many ideas that I've applied in practice, and in my own teaching.

Mary G., Urban Planner

Get top-rated, practical training

Wastewater pouring out from a pipe.

Alabama: Trump Terminates Settlements for Black Communities Harmed By Raw Sewage

Trump deemed the landmark civil rights agreement “illegal DEI and environmental justice policy.”

April 13, 2025 - Inside Climate News

Logo for Planetizen Federal Action Tracker with black and white image of U.S. Capitol with water ripple overlay.

Planetizen Federal Action Tracker

A weekly monitor of how Trump’s orders and actions are impacting planners and planning in America.

April 16, 2025 - Diana Ionescu

Blue and white Seattle Link light rail train exiting concrete Downtown Bellevue Tunnel in Bellevue, WA.

Why Should We Subsidize Public Transportation?

Many public transit agencies face financial stress due to rising costs, declining fare revenue, and declining subsidies. Transit advocates must provide a strong business case for increasing public transit funding.

April 7, 2025 - Todd Litman

Two people on bikes in red painted bike lane with bus in traffic lane next to them.

Understanding Road Diets

An explainer from Momentum highlights the advantages of reducing vehicle lanes in favor of more bike, transit, and pedestrian infrastructure.

April 17 - Momentum Magazine

Aerial view of large warehouses across from development of suburban single-family homes in Jurupa, California with desert mountains in background.

New California Law Regulates Warehouse Pollution

A new law tightens building and emissions regulations for large distribution warehouses to mitigate air pollution and traffic in surrounding communities.

April 17 - Black Voice News

Purple Phoenix light rail train connected to overhead wires at sunset.

Phoenix Announces Opening Date for Light Rail Extension

The South Central extension will connect South Phoenix to downtown and other major hubs starting on June 7.

April 17 - Arizona Republic