1. Traditionally, health promotion and 'healthy cities' have understood the importance of sustainability, but have neglected/excluded the ecological determinants of health.

5. The population health promotion challenge of the 21st century is balancing how to live equitably in harmony and in good health in our one planet by thinking globally and acting locally.

4. Urban areas in higher-income countries contribute to large emissions of pollutants and effects on global health; there is an urgent need to redistribute Earth’s resources equitably and a responsibility for healthier urban planning.

2. Key aspects of eco-social Health. It goes beyond Climate change as often emphasized. It includes other germane aspects.
   

3. The Great acceleration started in 1950 and as reported by the Millennium ecosystem to sustain the future generation can no longer be taken for granted

Ecological Determinant of Health