Table Of ContentSSPPRRAAWWLLIINNGG CITIES 
AND OUR 
ENDANGERED 
PUBLIC HEALTH
S T E P H E N _ V E R D E R B E R
SPRAWLING CITIES AND OUR 
ENDANGERED PUBLIC HEALTH          
 Sprawl is an unsustainable pattern of growth that threatens to undermine the health of communities 
globally. It has been a dominant mid-to-late 20th century growth pattern in developed countries and 
in the 21st century has shown widespread signs of proliferation in India, China, and other growing 
countries. The  World Health Organization  cites sprawl for its serious adverse public health conse-
quences for humans and ecological habitats. The many adverse impacts of sprawl on the health of 
individuals, communities, and biological ecosystems are well documented. Architects have been 
rightly criticised for failing to grasp the aesthetic and functional challenge to create buildings and 
places that mitigate sprawl while simultaneously promoting healthier, active lifestyles in neighbour-
hoods and communities.  
  Sprawling Cities and Our Endangered Public Health  examines the past and present role of architecture 
in relation to the public health consequences of unmitigated sprawl and the ways in which it threatens 
our future. Topics examined include the role of 20th century theories of architecture and urbanism 
and their public health ramifi cations, examples of current unsustainable practices, design considera-
tions for the creation of health-promoting architecture and landscape urbanism, a critique of recent 
case studies of sustainable alternatives to unchecked sprawl, and prognostications for the future.  
 Architects, public health professionals, landscape architects, town planners, and a broad range of 
policy specialists will be able to apply the methods and tools presented here to counter unmitigated 
sprawl and to create architecture that promotes active, healthier lifestyles. Stephen Verderber is an 
internationally respected evidence-based researcher/practitioner/educator in the emerging, interdis-
ciplinary fi eld of architecture, health, and society. This, his latest book on the interactions between 
our buildings, our cities and our health, is an invaluable reference source for everyone concerned 
with sustainable architecture and landscape urbanism. 
     Stephen Verderber , Arch. D., NCARB, is Professor at the School of Architecture and Adjunct 
Professor, Department of Public Health Sciences, Clemson University, USA. He is a Registered 
Architect in the United States.
SPRAWLING CITIES AND OUR 
ENDANGERED PUBLIC HEALTH 
 Stephen Verderber
First published 2012 
 by Routledge 
 2 Park Square, Milton Park, Abingdon, Oxon OX14 4RN 
 Simultaneously published in the USA and Canada 
 by Routledge 
 711 Third Avenue, New York, NY 10017 
  Routledge is an imprint of the Taylor & Francis Group, an informa business  
 © 2012 Stephen Verderber 
 The right of Stephen Verderber to be identifi ed as author of this work has been 
asserted by him in accordance with sections 77 and 78 of the 
Copyright, Designs and Patents Act 1988. 
 All rights reserved. No part of this book may be reprinted or reproduced or 
utilized in any form or by any electronic, mechanical, or other means, now 
known or hereafter invented, including photocopying and recording, or in 
any information storage or retrieval system, without permission in writing 
from the publishers. 
  Trademark notice : Product or corporate names may be trademarks or 
registered trademarks, and are used only for identifi cation and explanation 
without intent to infringe. 
  British Library Cataloguing in Publication Data  
 A catalogue record for this book is available from the British Library 
  Library of Congress Cataloging in Publication Data  
   Verderber, Stephen. 
   Sprawling cities and our endangered public health/Stephen Verderber. 
     p. cm. 
   Includes bibliographical references and index. 
    1. Public health.  2. Architecture—Health aspects.  3. Cities and 
towns—Health aspects—Growth.  I. Title. 
   RA566.6.V47 2012 
   362.1—dc23 
 2011045615 
 ISBN: 978–0–415–66532–2 (hbk) 
 ISBN: 978–0–415–66533–9 (pbk) 
 ISBN: 978–0–203–11921–1 (ebk) 
 Typeset in Bembo 
by Refi neCatch Limited, Bungay, Suffolk
For Elyssa Leigh Verderber and Alexander Verderber
CONTENTS 
  List of Illustrations    viii  
  Preface and Acknowledgements    xi  
 1  Introduction: An Epidemic on Our Doorstep  1 
 2  Sprawl, Architecture, and Health: A Brief History  13 
 3  Global Sprawl Machines  38 
 4  Transfusion: Design Considerations  53 
 5  Case Study: New Orleans  130 
 6  The Future  194 
  Appendix: Mall Typologies    205  
  Index    222
ILLUSTRATIONS 
 Cover image: ONL (Oosterhuis_Lénárd)/‘751 Project’_Hyperbody Research Group, TU Delft, in 
collaboration with South-East University of Nanjing, 2006 
   1.1    Dimensions of Health Promotion/Built Environment Transactions  7  
  2.1    Market Square, Lake Forest, Illinois, 1916  16  
  2.2    Old South Carolina Highway 501, 1950s  17  
  2.3    Myrtle Beach, South Carolina, 1950s  18  
  2.4    Mammy’s Kitchen, Myrtle Beach, South Carolina, 1957  19  
  2.5    Seaside Restaurant, Myrtle Beach, South Carolina, 1957  20  
  2.6    Bar-B-Q Club Diner, Myrtle Beach, South Carolina, 1955  20  
  2.7    Sloppy Joe’s, Myrtle Beach, South Carolina, 1965  21  
  2.8    SITE—Indeterminate Façade, Best Products, Houston  24  
  2.9    SITE—Notch Project, Best Products, Sacramento, California  25  
  2.10    SITE—Tilt Showroom, Best Products, Towson, Maryland  26  
  2.11    SITE—Ghost Parking Lot, Hamden, Connecticut   26  
  2.12    Chronology of Sprawl in America/Post-Sprawl Prognostications  32–33  
  4.1    Courtyard Park, New Jersey, Acconci Studio  55  
  4.2    Eliminate Medically Underserved Neighborhoods  57  
  4.3    Reverse Infrastructural Decline  59  
  4.4    Landfi ll Reclamation, Maribor, Slovenia, ecosistema urbano  60  
  4.5    Construct Smart Grids  62  
  4.6    Greenfi elding  65  
  4.7    Zig Zag Watergarden, The Netherlands  67  
  4.8    Transform Water Edges  68  
  4.9    Energy Farming, Chicago  70  
  4.10    Pedestrianism  71  
  4.11    Cycling Culture  73  
  4.12    Intermodalism  74  
  4.13    Pavilion for Urban Agriculture, Madrid, Spain, ecosistema urbano  75  
  4.14   P  iter Jelles YnSicht School, The Netherlands, RAU  76
Illustrations  ix
  4.15    SITE—Forest/Terrarium Building (Proposal), Richmond, Virginia  78  
  4.16    Reinvent Suburban Centers  79  
  4.17    Redeployable Housing Modules, Mondragón, Spain  81  
  4.18    Embrace Pre-Manufactured Modularity  81  
  4.19    Glass Bubble, Malmö, Sweden  84  
  4.20    Qingpu Pedestrian Bridge, China  85  
  4.21    Create Echo Housing  86  
  4.22    Amphibious House (Proposal), Basel, Switzerland  87  
  4.23    Reclaimed WWF Agricultural Laboratory, The Netherlands, RAU  89  
  4.24    Frog’s Dream, Reburbia Competition (Proposal), Calvin Chiu  90  
  4.25   F açade Fluidity  91  
  4.26    Dead mall, Lafayette, Louisiana  94  
  4.27    Deconstruct Dead Malls  96  
  4.28    Camino Nuevo Academy, Los Angeles, Daly Genik Architects  97  
  4.29    Buildings that Breathe  98  
  4.30a–b   Big Box Agriculture, Reburbia Competition (Proposal), Forrest Fulton  99  
  4.31    Fukuoka Prefectural International Hall, Japan  100  
  4.32    Reclaim Dead Pavement  102  
  4.33    Reclaim Dead/Dying Strips  103  
  4.34    Design Studio/Residence, Sangath, India  105  
  4.35    Foster Vertical Horticulture  106  
  4.36    Vertical Garden, Suburban Infi ll Housing (Proposal), São Paulo, Brazil  106  
  4.37    SITE—Terrarium Showroom (Proposal)  108  
  4.38    Inter Estates: Freeway Vertical Farming, Reburbia Competition (Proposal), 
Daniel Phillips  109  
  4.39    Suburban Agricultural Networks  110  
  4.40    Suburban Farming: Implements/Amenities  111  
  4.41    Student Center, Averett University, Danville, Virginia, 
Pete O’Shea/Siteworks Studio  114  
  4.42    Transfusion Zone Diagnostics  115  
  4.43    Geomap Resourcing  117  
  4.44    Engage Suburban Stakeholders  118  
  4.45    Dead Mall Game (Simulation)  119  
  4.46    Dead Mall Game (Simulation), Components  120  
  4.47    Dead Mall Game (Simulation), Phases  121  
  4.48    Dead Mall Game (Simulation), Outcome Scenarios  122  
  4.49    Foster Innovation—Design Competitions  123  
  4.50    Incremental Transfusion   124  
  5.1    Common and Rampart Streets, New Orleans, 1946  134  
  5.2    Dollar Store Corner Market, Dryades Street (now Orthea Castle Haley Blvd.), 
New Orleans, 1954  135  
  5.3    Walter Patrolia Beer Parlor (now Marie’s), Faubourg Marigny, New Orleans  135  
  5.4    Community Food Store-Supermarket/Cabibi’s Pharmacy, 
Carrollton Avenue, New Orleans, 1952  136  
  5.5    Airline Shopping Center, Metairie, Louisiana, 1956  136  
  5.6    Gentilly Woods Shopping Center, New Orleans, 1949  137
x  Illustrations
  5.7a–d    Pre-WWII Development, New Orleans (Orleans Parish)  138  
  5.8a–d   P ost-WWII Development, New Orleans (Orleans Parish)  140  
  5.9a–d    Natural Ecologies/Open Space, New Orleans (Orleans Parish)  141  
  5.10a–b    Hurricane Katrina/Post-Katrina, New Orleans (Orleans Parish)  142  
  5.11a–d    Katrina Devastation, 2005  143  
  5.12    Commercial Vernacular, Gentilly, New Orleans, 2011  151  
  5.13a–l    Neighborhood Devastation, Post-Katrina, 2005  152  
  5.14a–d   U  rban Fabric 1  158  
  5.15a–d   U  rban Fabric 2  159  
  5.16a–d   U  rban Fabric 3  160  
  5.17a–b    Decay  162  
  5.18    Abandonment  163  
  5.19a–t   S igns/Iconography  164  
  5.20a–b  S eas of Parking  166–167  
  5.21a–b    Places of the Dead   168–169  
  5.22a–t   D  welling Typologies  170  
  5.23a–t    Dwelling Typologies (continued)  171  
  5.24a–k   R  esidualization  172  
  5.25a–m   Residualization (continued)  173  
  5.26a–b    Landmarks and Anomalies  174  
  5.27    Ground Level Landscape/Architectural Plan  177  
  5.28    Level 2 Landscape/ Architectural Plan  178  
  5.29    Level 3 Landscape/Architectural Plan  179  
  5.30    Transfusion: Overview with Embedded Design Considerations 1–75  181  
  5.31a–b   G  entilly Commons (Rooftop Park)—Fresh Food Market 
(below)/Urban Farm and Stoa  183  
  5.32a–b    Wellness Center Therapeutic Spa/Multiuse Health Center and 
Vertical Garden  184  
  5.33a–b    Rooftop Farming/Pedestrian and Cycling Paths  185  
  5.34a–b   I nterval 1(I-1) and Interval 2 (I-2) Transfusion  186  
  5.35a–b   I -3 and I-4 Transfusion  187  
  5.36a–b   I -5 and I-6 Transfusion  188
PREFACE AND ACKNOWLEDGEMENTS 
 I was raised in a suburb of Chicago. My family’s home was 2 miles inland from Lake Michigan and 
12 miles north of downtown. My parents’ home was a now-classic 1950s suburban ranch with a broad 
front lawn and backyard. The Edens Expressway linked our suburb to the city center. Commuting 
was then and remains a way of life in this bedroom suburb, Skokie. The area was settled by mostly 
German immigrants where, at one time, Native American trading routes crossed. Miles and miles of 
street were paved, and sanitary systems built, in the 1920s just prior to the 1929 Great Stock Market 
Crash and the subsequent Great Depression of the 1930s. The budding suburb’s private developers 
and the local government went bust in the Depression. Not much happened until the end of World 
War II, then basically everything happened all at once. Until then, a few houses and neighborhoods 
were built here and there, most within walking distance of the old town center and its commuter rail 
line (North Shore Line) whose passenger stations ran up along Skokie through the Chicago’s North 
Shore suburbs then up to Milwaukee.  
 America’s suburbs were once the land of opportunity. The booming post-war years were fi lled 
with hope and optimism for a better life. The post-WWII decades were about expansion in every 
way: larger lifestyles, larger paychecks, larger career aspirations, larger families, larger automobiles, 
and larger quantities of mass consumer products. The successive waves of migration outward from 
the city center to new suburbs ever further out had a negative impact on many inner ring suburbs. 
This mass out-migration was seen as necessary in the quest to attain the American Dream. The boom 
began in 1946, with the return of thousands of veterans who were starting families and needed more 
space than an apartment in the city could provide. By 1970, nearly every vacant lot in Skokie was 
built-out. There was nowhere for upwardly mobile families to go except to move ever further out 
into suburbia’s more upscale destinations—to one of an ever-expanding array of suburbs that by then 
stretched outward, radiating like tentacles for miles far into once-open prairie and farmland, up to 
50 miles from Chicago. By then, inner ring suburbs such as Skokie were considered passé although 
the place never fell on hard times because of its excellent location within the suburban matrix. 
 When I was nineteen, I remember driving with my father, ranting on how for a teenager living 
in a suburb was like existing in some strange purgatorial state—suburbgatory. I remember repeating 
to him, “The suburbs will die! They will die! They cannot survive!” It was the middle of the 
Arab Oil Embargo. Spiking oil prices were causing long lines at the fi lling station and everyone was