Medicine And Books

Sustainability, the Environment and Urbanization

BMJ 1997; 314 doi: (Published 22 February 1997) Cite this as: BMJ 1997;314:615
  1. Paul Garner, senior lecturer
  1. Liverpool School of Tropical Medicine

    Ed Cedric Pugh Earthscan, £16.95, pp 250 ISBN 1 85383 357 6

    Cities in many developing countries have been growing since the 1960s at a remarkable rate, and now over 430 million poor people live in them. The impact on the environment is immense. A city of 100 000 people consumes 200 tonnes of food and generates 385 tonnes of garbage and human waste a day, so it is not surprising that city planners and inhabitants alike are concerned with services and meeting basic living requirements.

    Ironically, city growth is part of industrial development. Cities are huge economic machines, …

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