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Building American Public Health Urban Planning Architecture and The Quest For Better Health in The United States Lopez Full Chapter
Building American Public Health Urban Planning Architecture and The Quest For Better Health in The United States Lopez Full Chapter
Building American Public Health Urban Planning Architecture and The Quest For Better Health in The United States Lopez Full Chapter
Russell Lopez
building american public health
Copyright © Russell Lopez, 2012
Where this book is distributed in the UK, Europe and the rest of the World,
this is by Palgrave Macmillan, a division of Macmillan Publishers Limited,
registered in England, company number 785998, of Houndmills,
Basingstoke, Hampshire RG21 6XS.
ISBN: 978–1–137–00243–3
Lopez, Russ.
Building American public health: urban planning, architecture,
and the quest for better health in the United States / Russell Lopez.
p. ; cm.
ISBN 978–1–137–00243–3 (hardback)
I. Title.
[DNLM: 1. Architecture as Topic—United States.
2. Public Health—United States. 3. Housing—United States.
4. Social Conditions—United States. 5. Social Planning—
United States. WA 795]
362.1—dc23 2011047570
10 9 8 7 6 5 4 3 2 1
List of Tables ix
List of Figures xi
Preface xiii
Acknowledgments xv
Author Biography xvii
1 Introduction 1
2 Urban Life and Health in the Nineteenth Century 9
3 Nineteenth-Century Reform Movements 25
4 Housing Laws, Zoning, and Building Codes 47
5 Building a Suburban Utopia 67
6 Modernism and the Scientific Construction of the Built
Environment 81
7 Public Housing 99
8 Urban Renewal and Highway Construction 119
9 Decline and Rise 139
10 A New Age of Cities and Health 161
11 Future Trends and Needs 181
Notes 191
Index 247
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List of Tables
I was one of those little kids who always had to look at everything.
As I walked or was driven around, I had to know how things got to
be the way they were and I must have tested the patience of my par-
ents with my constantly asking, Why does such and such a place look the
way it does? As an adult teaching and researching the built environment,
it became clear that the buildings and neighborhoods around us reflect
a history and a set of sometimes lost ideas, concerns, and assumptions.
When I walk to work or run errands, I pass brutalist concrete buildings,
stately row houses, New Urbanist mixed housing, and old-style public
housing developments. In the course of the rhythm of the year, I might
visit modest postwar suburbs and opulent late twentieth-century postsub-
urbia shopping malls and corner stores. Again, it is clear that each of these
reflects a thoughtful set of values and ideologies, now perhaps unknown to
passersby. So this book began as research into the varied ways Americans
have sought to construct the environment around them and the impli-
cations these may have for health and the environment. It evolved into
a homage to the many men and women who strove to improve the lives
and health of humanity. May their important efforts not be forgotten.
My hope is that others, young and old, may someday gaze upon build-
ings and neighborhoods that reflect these peoples’ work and think, Wow!
So that’s why it looks like that.
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Acknowledgments
Shobha Srinivasan, and an early grant from the National Institute of Envi-
ronmental Health Sciences (NIEHS) helped fund some of the work that
resulted in this project.
The Library of Congress was the source of many of the illustra-
tions in this book. Parts of this book were included in an article in
the American Journal of Public Health: Russ Lopez, “Public Health, the
APHA, and Urban Renewal,” September 2009, Volume 99, Issue 9, pages
1603–1611.
Finally, I wish to thank my family and friends who listened to me
research and write this book. Many members of both the Lopez and
Sherman families accompanied me to museums and exhibits, waited
patiently while I explored buildings and neighborhoods, and listened
sympathetically while I wrote this manuscript. In particular, thank you
to Bonnie Sherman, Andrew Sherman, and Steven Lopez.
Author Biography
Russell Lopez has a Masters in City and Regional Planning from the
Kennedy School of Government at Harvard University and a Doctorate
in Environmental Health from the Boston University School of Public
Health. With funding from the Active Living Research program of the
Robert Wood Johnson Foundation and the National Institute of Environ-
mental Health Science, he has conducted research and published papers
on the health impacts of the built environment, racial residential segre-
gation, and income inequality. He co-developed one of the first courses
on health and the built environment and has taught at Brown, Tufts,
and Boston University. Currently he is Senior Research Associate at the
Kitty and Michael Dukakis Center for Urban and Regional Policy at
Northeastern University.
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C H A P T E R 1
Introduction
This Book
In 1900 a baby born in the United States had a life expectancy of 47
years, 30 years less than that of a baby born in 2000.20 Today, some
studies define premature death as death before the age of 65.21 How this
change came about and the roles played by urban planning and public
health have a long history. But much of this story is unknown; as the
architectural historian Sam Bass Warner once wrote, “Americans have no
urban history.”22 However, what we see when we walk or drive around
INTRODUCTION 5
Equity, the distribution of good and poor health, must also be part of
any analysis of the built environment. Health risks cluster at the lower end
of social strata. Thus, it is vitally important that policies be assessed on
how they impact everyone, particularly if these policies result in increased
health disparities associated with race, income, or sex.
We live in a world that may be poised to finally reach the limits of its
resources; therefore, we must evaluate the sustainability and environmen-
tal impacts of public policies regarding the built environment. Equity and
sustainability must be carefully and closely linked, however, for as Peter
Marcuse has pointed out, it is very easy to promote sustainable societies
that perpetuate existing inequities.25
As in any history, this book has to be selective, leaving out many impor-
tant people and events that may be critical to our overall understanding
of the past, but are secondary to the story told here. Thus there are only
occasional mentions of the labor movement, which did so much to trans-
form the work environment. Hospital architecture, though fundamental
to the care of the sick, is not part of this narrative, nor does the book
include the work of geneticists or the developers of vaccines. Further-
more, it doesn’t cover the accomplishment of many great architects whose
legacy is their buildings, cityscapes, and theories, which still impact today.
For those looking for a comprehensive history of urban planning or pub-
lic health, it is suggested they consult the works of authors such as Peter
Hall or George Rosen, respectively.26 Their work, among that of many
others, helped inform this book.
As can be seen by the timeline in table 1.1, this book covers two cen-
turies of urban history. It begins with an overview of the environmental
and health conditions of US and Western European cities just before
the beginning of the industrial revolution. It then describes the impacts
of industrialization, urbanization, and immigration on newly expanding
cities. It is followed by a description of the efforts of late nineteenth-
century reformers to meet these challenges with a set of limited tools and
bold initiatives. There is a chapter on twentieth-century efforts to con-
tinue these reforms and another on the coming of the automobile and the
ways cities were seen to be moving toward a new crisis in the years before
and after World War II. There is a detailed analysis of Modernism, the
scientifically based architectural style that produced mixed results in mid-
twentieth-century cities. There are chapters on suburbanization, urban
renewal and highway building, the revival of cities and New Urbanism,
current health initiatives, and a final chapter discussing prospects for the
future.
The central tenet of this book is that conditions were terrible in pre-
industrial cities and large-scale growth caused by the industrial revolution
Table 1.1 Timeline of the built environment and health
Chapter 1800 1820 1840 1860 1880 1900 1920 1940 1960 1980 2000 2020 2040
7
8 B U I L D I N G A M E R I C A N P U B L I C H E A LT H
Event Years
Older Readers
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