Urban Medicine: Public Health Through Planning

Former California State Health Officer Richard Jackson offers a prescription for a country suffering from obesity, diabetes, and poor fitness: design neighborhoods, schools, and buildings that promote incidental exercise.

1 minute read

February 19, 2007, 7:00 AM PST

By Nate Berg


"I'm going to argue in part that childhood obesity is because of the inability of children to walk to school. Nothing in America has gone down except the number of schools-70 percent since World War II. Schools have gotten bigger, and the number of kids who walk to school has decreased. In 1969 half the kids walked to school; now it's less than 15 percent. Because very few children walk to school, it feeds on itself because you don't want to be the one child that's out there walking. You don't want your son or daughter walking by themselves."

"We ought to be designing communities that entice people to exercise. You don't need to go to the gym to exercise; you can have incidental exercise in your life if you walk to the store and buy a carton of milk or walk your dog. Even walking up one flight of stairs a day for a year is a pound of body weight."

Thanks to Josh Stephens

Friday, February 16, 2007 in The Planning Report

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

Cover CM Credits, Earn Certificates, Push Your Career Forward

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.

June 18, 2025 - Diana Ionescu

Rendering of Shirley Chisholm Village four-story housing development with person biking in front.

San Francisco's School District Spent $105M To Build Affordable Housing for Teachers — And That's Just the Beginning

SFUSD joins a growing list of school districts using their land holdings to address housing affordability challenges faced by their own employees.

June 8, 2025 - Fast Company

Woman and young girl looking at subway map, woman pointing.

Can We Please Give Communities the Design They Deserve?

Often an afterthought, graphic design impacts everything from how we navigate a city to how we feel about it. One designer argues: the people deserve better.

June 9, 2025 - John Pobojewski

Map of EV charging ports in rural U.S. communities.

The EV “Charging Divide” Plaguing Rural America

With “the deck stacked” against rural areas, will the great electric American road trip ever be a reality?

1 hour ago - The Daily Yonder

Google street view of Bedford Avenue in Brooklyn with pedestrians crossing a crosswalk and cyclist in the bike lane.

Judge Halts Brooklyn Bike Lane Removal

Lawyers must prove the city was not acting “arbitrarily, capriciously, and illegally” in ordering the hasty removal.

2 hours ago - StreetsBlog NYC

Close-up of cracked and damaged two-lane roadway with double yellow stripes on a bright sunny day.

Engineers Gave America's Roads an Almost Failing Grade — Why Aren't We Fixing Them?

With over a trillion dollars spent on roads that are still falling apart, advocates propose a new “fix it first” framework.

June 19 - Transportation for America