Cities & Systems


As cities become primary sources of economic opportunity/dependence more and more people congregate within them. This increases factors such as density, scarcity, whilst also decreasing factors such as accessibility and autonomy. Cities bring hope to many but also challenges. We explore how the urban geography of cities and the systems that govern them become pathways towards (ill)health.

  • Non-Communicable Diseases are no accident. They correlate highly to exposure to pollution, contaminants, and marginalisation. Our work explores how structural violence through inadequate healthcare, social care, and legal systems act as pathways to disease development.

  • Item description

Marginalised groups experience prolonged exposure to physical (e.g. air pollution) and psychosocial (e.g. discrimination) stressors resulting in chronic stress. Chronic stress increases the individuals ‘allostatic load’ level – which refers to the wear and tear of stress-related biological systems e.g., neuroendocrine, metabolic, immune systems. In turn, these stress-related biological differences increase the risk of disease and poorer health outcomes.

Active Programmes

Community Health & Impact Assessments

This work aims to throw away the rule book on the status quo and imagine what an HIA could look like if it embodied the WHO four interlinking pillars of democracy, equity, ethical use of evidence, and sustainable development from a community and lived experience framing.

Our Research

A selection of works from this area of work.

If you want to read more, go to the Research Library.

Partner With Us

We work ecosystemically. We recognise that the pathway to the abolition of systems that create health injustices cannot be done alone. We always welcome approaches for partnerships with like-minded organisations to help drive our collective missions forward.

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