Part 2 on Urban Sprawl and Public Health looks at potential interventions and theories that can help reduce the impact of sprawl (read part 1 here). For authors Howard Frumkin, Lawrence Frank, and Richard Jackson, hope lies in the new strategies being put forth under the terms Smart Growth and New Urbanism, arguing for Smart Growth at least as a public health strategy. I have a lot of issues with New Urbanism and Smart Growth as they are so often removed from issues of equity and spatial justice, but it’s interesting to think of how to rebuild and rework our cities as part of a plan around improving health.
They trace a lineage of people working on the connections between health and cities — Dr. John Henry Rauch (1828-1894) in Chicago arguing for land use policies to improve public health, cemeteries at a remove from dense neighborhoods being one of them. Frederick Law Olmstead, and garden cities. Edwin Chadwick working sanitary regulations, housing standards, public water and sewage systems in the UK, Thomas McKeown at Birmingham, who
showed that many of the health advances of the nineteenth and twentieth centuries resulted not from better medical care, but from ‘upstream’ improvements such as better urban infrastructure–better housing, neighborhoods, water, food, and transport. (203)
They also name psychiatrist Leonard Duhl, who has looked at connecting mental health with urban design and community involvement. His ideas have been broadened by physician Trevor Hancock. In 1987, the World Health Organization jumped on the bandwagon, initiating a Healthy Cities Network, which I confess I had never heard of.
There are of course many who could be added to this list, and in the UK at least you have the Marmot Review among others, trying to move health care providers to think more broadly about wellness and how it connects to social and environmental factors.
So…to return to the strategies they promote, we start with Smart Growth. The Environmental Protection Agency itself formed the Smart Growth Network in 1996 together with a number of other nonprofits and governmental organizations. The Networks’ ten Smart growth principles (the whole document ‘Getting to Smart Growth: 100 Policies for Implementation’ can be found here):
1. Mix land uses
2. Take advantage of compact building design
3. Create a range of housing opportunities and choices
4. Create walkable neighborhoods
5. Foster distinctive, attractive communities with a strong sense of place
6. Preserve open space, farmland, natural beauty, and critical environmental areas
7. Strengthen and direct development towards existing communities
8. Provide a variety of transportation choices
9. Make development decisions predictable, fair and cost effective
10. Encourage community and stakeholder collaboration in development decisions
The book goes on to give a more elaborate set of principles in full…they’re interesting, so I do the same — the full text can be found here:
All planning should be in the form of complete and integrated communities containing housing, shops, work places, schools, parks and civic facilities essential to the daily life of the residents.
Community size should be designed so that housing, jobs, daily needs and other activities are within easy walking distance of each other.
As many activities as possible should be located within easy walking distance of transit stops.
A community should contain a diversity of housing types to enable citizens from a wide range of economic levels and age groups to live within its boundaries.
Businesses within the community should provide a range of job types for the community’s residents.
The location and character of the community should be consistent with a larger transit network.
The community should have a center focus that combines commercial, civic, cultural and recreational uses.
The community should contain an ample supply of specialized open space in the form of squares, greens and parks whose frequent use is encouraged through placement and design.
Public spaces should be designed to encourage the attention and presence of people at all hours of the day and night.
Each community or cluster of communities should have a well defined edge, such as agricultural greenbelts or wildlife corridors, permanently protected from development.
Streets, pedestrian paths and bike paths should contribute to a system of fully connected and interesting routes to all destinations. Their design should encourage pedestrian and bicycle use by being small and spatially defined by buildings, trees and lighting; and by discouraging high-speed traffic.
Wherever possible, the natural terrain, drainage, and vegetation of the community should be preserved with superior examples contained within parks or greenbelts.
The community design should help conserve resources and minimize waste.
Communities should provide for the efficient use of water through the use of natural drainage, drought tolerant landscaping and recycling.
The street orientation, the placement of buildings and the use of shading should contribute to the energy efficiency of the community.
The regional land use planning structure should be integrated within a larger transportation network built around transit rather than freeways.
Regions should be bounded by and provide a continuous system of greenbelt/wildlife corridors to be determined by natural conditions.
Regional institutions and services (government, stadiums, museums, etc.) should be located in the urban core.
Materials and methods of construction should be specific to the region, exhibiting continuity of history and culture and compatibility with the climate to encourage the development of local character and community identity.
The general plan should be updated to incorporate the above principles.
Rather than allowing developer-initiated, piecemeal development, local governments should take charge of the planning process. General plans should designate where new growth, infill or redevelopment will be allowed to occur.
Prior to any development, a specific plan should be prepared based on the planning principles. With the adoption of specific plans, complying projects could proceed with minimal delay.
Plans should be developed through an open process and participants in the process should be provided visual models of all planning proposals.
Of course, in years of community work around development, I have never seen anything actually work like this.
walkable neighborhoods, a range of housing choices, a mix of land uses, participatory planning, revitalization of urban neighborhoods (206)
They talk about some of the critiques. They come from wildly different directions…
the public doesn’t want it
it limits consumer choice — it’s a form of coercive social engineering
can exacerbate traffic congestion by creating greater density
smart growth projects are isolated enclaves, not integrated
encourage gentrification (213)
Then go on to look at a public health approach to Smart Growth. It’s a very different perspective though concerned with all of the same things. They begin with constructing a community health assessment — paralleling the medical assessment. One method they believe has great promise is the Health impact Assessment, as a way to measure the health benefits from a Smart Growth approach. Nor is it surprising that many of the potential indicators would be the same as for sustainability — transit ridership, percentage of population living within ten minutes of a park, incidence of asthma, extent of recycling. (217) A few useful checklists exist already that could serve, one is the Built Environment Site Survey Checklist in London (this is news to me, this BESSC).(218)
I like how numerous things are coming together — concerns for the health of individuals and communities and neighbourhoods, issues of sustainability and the health of the land and environment. I think, again, there’s a lot more to think about in terms of equity. People’s own power in the process is always the first thing to go — if it ever was on the table. The cold hard facts of development and politics are not amenable to such things, so progress has been made where it helps certain kinds of development become more marketable. But criticism to come…
Urban Sprawl and Public Health — a great book! It was amazing to see urban planning and public health brought together in this way — a solid primer on both for each, along with a plea for professionals to start working together to fix this. Because sprawl is killing us.
I myself would throw in a soupçon of sociologists and geographers and community organizers to the health and planning mix as well, because what was missing? More analysis on the nature of development and how the drive for profit drives this urban form, more analysis on the struggle of everyday people to fight for and against some of these dynamics, and the ways in which race and land have long been linked (but there is more of this second aspect than in many another book). Still, despite these critiques, I confess that few things get me going the way that talking about the city and health in the same book do.
Health & Sprawl facts:
In the last 15 years, the US has developed 25% of all the land developed in the past 225 years of its official existence. (xii)
Between 1960 and 2000, average American’s yearly driving more than doubled — 4,000 to nearly 10,000 miles per years. “rush hour” spread over seven, not 4 and a half, average driver’s time spent stuck in traffic each year: 6 to 36 hours in Dallas, 1 to 28 hours in Minneapolis, 6 to 34 in Atlanta. (xiii)
Sprawl — a term from William H. Whyte! Did I know that? He wrote an article for Fortune in January 1958, titled ‘Urban Sprawl’. There are a variety of definitions and measurements of sprawl, here they follow those that incorporate both land use and transportation as intrinsic. They focus on four main aspects — density, land use mix, automobile dependence and connectivity (or how destinations are linked through transportation systems (7). (5)
I particularly like how much they use illustrations, this is a good one:
I also liked the ‘transect’ — a look at the continuum between sprawl and compact neighbourhoods (16)
Chapter 2 looks at the origins of sprawl, and it is based almost in its entirety on Kenneth Jackson’s Crabgrass Frontier. So it summarizes the multiple factors that have lead to spraw, and it is a very long list. He heads it with the pull of the suburbs and the (European) cultural values Jackson believed underlay that pull — domesticity, privacy and isolation (28). In addition you have land ownership as a mark of wealth and status, alongside (partly driving perhaps, but I’m a cynic that this drove development rather than sales) a love of land itself and antipathy toward cities. (29) The Garden City movement feeds into this, embodied by Frederick Law Olmstead, along with the new technologies and construction methods and lots of cheap land (no mention of conquest here of course). There is a little here on the willingness of cities to spend taxes on providing infrastructure like roads and sewers — directly subsidising this kind of development as opposed to improving older neighbourhoods or public housing. The rise of the automobile and destruction of public transportation. The rise of zoning. The HOLC and the FHA, federal policy and money going towards new housing for whites (I do wish, though, that they had read Freund).
Still, I like the simplicity of their conclusions though:
Sprawl, as we know it today, appears deceptively chaotic. In fact, it is a highly ordered and predictable form of development. An edifice of public and private instruments erected over the past three-quaters of a century reinforces and extends sprawl. (42)
There is a little on financing here, and that real estate financing now works on an expectation of profits within 5-7 years — more built-in obsoleteness. I wish they had connected this to Harvey’s ‘spatial fix’ but that’s complex I guess. This is my field though, and this is a good summary.
Urban health is not my field, though I have a good deal of practical organising experience on the subject.
Frumkin et al compare the evolution of urban health with public health through ‘epidemiologic transition’ — and these titles really do inspire the SF writer side of my brain: The Age of Pestilence and Famine, The Age of Receding Pandemics, and where we are now: The Age of Degenerative and Man-Made Diseases. In cities, infectious diseases once dominated, but sanitary infrastructure ended that to a great extent. But industrialisation introduced pollution, and mental health and violence are not forgotten here, with growth in poverty, social dislocation and crime. (45)
From a public health perspective, the critical problems that grew as cities did were: garbage, commercial activity (tanning and other nasty things), sewage, water, air, and housing. (46)
An interesting aside:
In New York, Assemblyman Aaron Burr [founding father and profiteer] obtained a charter for the Manhattan Company, a private firm that was to hold a monopoly on piped water for the next quarter of a century. (51)
Privatised water is nothing new. Nor are the images from Jacob Riis in How the Other Half Lives. My family for example, hanging out with the other half in Pittsburgh, probably looked much like this, though they were never in this particular alley.
The Results: A Plethora of Infections
Their heading, not mine. I had not read of the yellow fever epidemics that swept through Washington D.C. — as President Washington fled in 1793 leaving over 5,000 dead, or over ten percent of the city’s population. (55)
The book quotes a citizen group in Philly writing:
if the fever shall become an annual visitant, our cities must be abandoned, commerce will desert our coasts, and we, the citizens of this great metropolis, shall all of us, suffer much distress, and a great proportion of us be reduced to absolute ruin. (56)
Cholera, Typhoid…Cities in these early days were ‘incubators of infectious disease’ (57)
Now this is Pittsburgh just as my great-grandparents were arriving:
But slowly this would change…
During the nineteenth and twentieth centuries, as sanitary challenges were met and as industrial pollution was managed, the toxicity of cities–the factors that most threatened residents’ health and well-being and even helped drive migration out of the cities–came overwhelmingly to revolve around social circumstances. (61)
The heading for this section is ‘The Social Pathology of City Life’. (61)
during the nineteenth and twentieth centuries, as sanitary challenges were met and as industrial pollution was managed, the toxicity of cities–the factors that most threatened residents’ health and well-being and even helped drive migration out of the cities–came overwhelmingly to revolve around social circumstances. (61)
The urban crisis — it is interesting, perhaps a little troubling how the social is here linked with the epidemiological, but I am often troubled by the public health gaze at poverty. Foucault was too, so I’m in good company. The book here notes the riots of the Red Summer of 1919 — yet it doesn’t distinguish these horrifying white killing sprees where literally hundreds of people were murdered with ‘riots’, what inhabitants themselves described as ‘uprisings’ in protest of police brutality and living condition in Watts in 1965, LA again in 1992 and etc (62).
It is interesting to consider the ‘urban health penalty’, however:
a complex of environmental conditions such as deteriorating housing, inadequate access to nutritional food, and scant medical care, and health consequences such as untreated hypertension, cardiocasvualr disease, intentionala dn unintentional injuries, and infectious diseases. (63)
Interesting to read of a 1990 article in New England Journal of Medicine showing that men in Harlem had lower life expectencies than in Bangladesh.* They write:
A literature of urban health arose, focusing on these conditions and how to provide health care to the victims. (63)
From here on to the nitty gritty.
I like this chart:
‘As the model illustrates, land use patterns affect each category of athropogenic emmissions–their location, their quantity, their dispersion in the air, and how people are exposed. (66)
And a summary of what air quality means for health:
Air pollution threatens human health in four principal ways. The two most important are by increasing mortality and by threatening respiratory health. In addition, air pollution can damage cardiovascular function and increase cancer risk. There is evidence for some other health effects as well. (80)
The ‘epidemic’ of obesity must be well known to anyone doing community work, or even who just reads the paper.
Being overweight is itself a well-established risk factor for a number of diseases. people who are overweight die at as much as 2.5 times the rate of non-obese people, and an estimated 300,000 Americans die preventable deaths each year as the result of being obese. (96)
So sprawl obviously has some share of this, creating environments where no one walks. Where it is dangerous to walk even if you wanted to, and there were somewhere to go. What features of the environment help people become more active?
Frank, Engelke and Schmid** identify three dimensions of the built environment…. land use patterns, design characteristics and transportation systems. (99)
Pikora et al*** expand on this, primarily in area of design — functional factors, safety factors, aesthetic factors and destination factors. So — a mix of different land uses, availability of sidewalks and footpaths, enjoyable scenery, the presence of other people in the space being physically active, safety.
Fucking rocket science, this is.
Injuries and Deaths from Traffic
Holy Jesus, this will make you never want to get in a car again. Over 40,000 people a year die by automobile. (110)
Water Quantity and Quality
So, you got your microbial contamination of water, your chemical contamination. You have your water scarcity. Sprawl affects all of these — thus the section titled ‘The Hydrology of Sprawl’. The rain falls, it percolates through foliage, roots and soil — cleansing itself as it does — to recharge groundwater and the water table. About half of us drink water from surface sources, and the other half from groundwater. My family drank from groundwater once, now we’re on a list, because it was contaminated. But that’s a longer story.
Forested areas are best at capturing and cleaning water, paved streets and rooftops, as you can imagine, fail completely. It all becomes chemical and pollutant-rich run-off. They give a view of what development’s effect is on this process:
The stormwater runoff from suburban development contributes to microbial contamination as it ‘includes large loads of waste from pets and wildlife and nutrients from such sources as fertilizers’. Heavy runoff also carries sediment, these can protect dangerous bacteria like giardia as they sit in filters and drains. And then you have your further suburbs using wells and their own septic systems. The final way is unexpected — the continued growth of suburbs means the focus is on building new infrastructure, not repairing and cleaning out the old, which desperately need it. So our own pipes and things are poisoning us.
The chemical contamination is more obvious I think, all the toxic things we uses every day as well as those deposited by cars and exuded by factories all get swept into the water supply as well.
this is good to see here, I think it is left off of such analyses far too often. They remind us that sprawl is partly caused by a desire to get away from the city, into nature, into all that is good for mental health. Yet this is only one aspect of the suburbs — possibly offset by highways, sameness, box stores, speed, large scales, and just the amount of time people spend driving.
There is a whole of information on just how bad for us driving is. How it increases stress, makes us angrier. Studies on road rage. All of these things could, most likely do, contribute to morbidity.
This comes from community. They define such a sense of community as a
“feeling that members have of belonging, a feeling that members matter to one another and to the group, and a shared faith that members’ needs will be met through their commitment to be together.”**** There are four aspects of this sense of community: membership, influence, integration and fulfillment of needs, and shared emotional connection. (161)
They look at the many ways community psychologists, human ecologists, and sociologists have talked about community and social capital, but much of it is based on Robert Putnam’s Bowling Alone, so I won’t go on too much more here except for the ways it affects health. I’ll be dealing with Putnam too. Everyone quotes him.
Research has focused on two broad aspects of the social environment: structural features and social support. Structurally, people look at the density of relationships and extent of social networks. Social support is described as the the amount of emotional support (and other kinds?) in times of need (166. In a nutshell: People with strong social networks live longer. Lots of studies confirm it (you can see the Marmot Review on the UK). (166) The same correlations hold true for social capital.
Sprawl, on the other hand, tends to to diminish both networks and capital in several ways:
Cars have much to do with this, the amount of time people spend driving restricts free time for civic engagement.
sprawl ‘reduces opportunities for spontaneous, informal social interactions’ (173)
‘sprawl privatizes the public realm’, people who spend all their time at home don’t value public space, green space, suburban voters almost always vote to limit government programs with social goals or for public transportation
sprawl divides people into homogenous communities.
sprawl disrupts continuity of life as people age — can’t move into smaller house in the same neighbourhood (173)
1998 report from the Transit cooperative Research program found that ‘sprawl weakens households’ connection both to their immediate neighbors and to the larger metropolitan community. (174)
But it turns out that some sprawl better than others — the built environment and design can affects this, so there is some hope. But this first post is on all that is wrong, the second on what can be made right…
Health Concerns of Special Populations
I do like that there is focused attention on how sprawl impacts different groups, acknowledging that the costs of it are not even. There is a long list…Given that women are usually doing most of daily chores and chauffeuring of kids, the burden falls disproportionately upon them.
Children breath more rapidly, have narrower airways — thus pollution has much more impact on them than on adults. The lack of physical activity affects them more — and yet when they are physically active in polluted areas, it is more dangerous for them. Part of childhood is exploration of the world and the self away from parents — yet we have built spaces where that is not safe, impacting the mental health and development of kids. They are isolated, and don’t have the wealth of networks and adults watching out for them that a health community might have.
The elderly, too, are severely impacted. Communities that aren’t walkable require cars — so people drive long past the time they should not. Elders are isolated, unable to exercise, unable to have meaningful connections that improve their health and quality of life. This is often also true for those who are disabled. How dare we create cities without sidewalks.
Then, of course, there are the poor and people of colour. A reprise here for HOLC and FHA regulations, the racism that confined people into inner cities (I don’t think they quite realise how prevalent this continues to be). The steady concentration of poverty and its related health impacts in areas of higher pollution. The disparities of race in class so visible in health and morbidity statistics.
The connections are multiple and strongly evidenced. Enraging really. I like that they don’t stop there, but include a final chapter on possibilities for changing our cities and our future. That will follow in the next post.
*McCord C., Freeman, H. Excess mortality in Harlem. New England Journal of Medicine 1990; 322: 173-179.
**Frank, Engelke and Schmid (2003) Health and Community Design: How Urban Form Impacts Physical Activity, Washington D.C.: Island Press.
*** Pikora, T et al (2003) Developing a framework for assessment of the environmental determinants of walking and cycling. Social Science and Medicine 56: 1693-1703
Masanobu Fukuoka…I have now read his first book, One Straw Revolution, and his last, Sowing Seeds in the Desert. There is such a distance between eastern and western ways of knowing and thinking, I like how provocative it is to explore the spaces between them. I like how this book sets them in dialogue. Reading Fukuoka reminds me of seeing the Dalai Lama talk at the LSE — they seem so idealistic, they speak using familiar words but in such different ways, seem so removed and unworldly and thus so easily taken advantage of by a capitalist system that thrives on co-opting everything and turning it into profit. Yet really, seems to me their points are needle sharp in deflating the engorged balloons of western, capitalist ways of knowing and valuing. If you listen.
From the editor Larry Korn, who also helped bring the first book into the world:
The most conspicuous of the cultural difficulties is that the Japanese way of telling a story or developing a complex argument is different from the approach that is generally taken in English. In Japanese, the author typically begins with the theme or the point he wishes to make, then he offers an anecdote or an argument that helps to take that story or bolster the point before returning to the theme, which is restated. Then the author goes on another loop, again returning to the theme. One might say that these side stories or arguments form the petals of a flower with the theme as its center. (xxx)
In Western writing, however, the linear is preferred. The character arc. The beginning ramping up to a climax and then a tidy conclusion. Even in our non-fiction.
There has never been a generation like the present where people’s hearts are so badly wounded. This is true of every are of society–politics, economics, education, and culture. It is reflected in the degradation of the environment, which comes about through the material path humanity has chosen. Now we have the ugly sight of industry, government, and the military joining forces in the struggle for ultimate power. (14)
I don’t know that this linear thinking can be blamed for our current world, but it is part of the larger pattern I think. Curious that old certainties about cause and effect, our capacity to know everything, so many simplifications are being increasingly challenged by new thinking in biology — and this sounds remarkably like the kind of thing Brian Greene writes about in terms of new directions in physics:
Time does not simply flow mechanically in a straight line in a fixed direction. We could think of time as flowing up and down, right and left, forward and backward. As time develops and expands, multifaceted and three-dimensional, the past is concealed within the instant of the present, and within this instant of time is concealed the eternity of the future. (26)
All made of the same things, connected at the base like a chain of islands whose tops are above the ocean
In the past, present, and future, the true disposition of nature is toward abundance for human beings and for all species. Therefore the question should not be “Why are there too many people?” but rather, “Who has created the scarcity into which they are born?” And then, finally, “How can we heal the earth so it can support future generations?” (42)
On the equality and interconnectedness of all things…
Plants, people, butterflies, and dragonflies appear to be separate, individual living things, yet each is an equal and important participant in nature. They share the same mind and life spirit. They form a single living organism. to speak of creatures as beneficial insects, harmful insects, pathogenic bacteria, or troublesome birds is like saying the right hand is good and the left hand is bad. Nature is an endless cycle, in which all things participate in the same dance of life and death, living together and dying together. (43)
It is in using massive interventions to destroy parts of the cycle, with very little understanding of it and driven by motives of profit, that we have arrived at the point of destruction. This lack of holistic understandings is endemic, seen in many a western method for solving things.
When the specialized Western medicinal approach is used, the question of what gives life and health to the whole body and mind is put off. In other words, modern Western medicines puts the human body ahead of the human spirit. This separation is a starting point for emotional anxiety among people today. (44)
Fukuoka keeps them together:
Gradually I came to realize that the process of saving the desert of the human heart and revegetating the actual desert is actually the same thing. (47)
This is all talking about land and spirit and some of us (not me, especially not any more) will be rolling their eyes. But this understanding of the capitalist economy, the ‘Money-sucking Octopus Economy’ (50) as he calls it, is interesting, it definitely breaks things up in a different way than I am used to. At the heart of the octopus? politicians and the military-industrial-government complex. The legs?
maintenance of the transportation network
control of agencies administering transportation
supervision of communications
establishment of an economic information network
education and administrative advising
control of financial institutions
control of information
control of citizens’ personal computers and registration (53)
I like this list, it’s funny that control of land and resources is not on it.
There is nothing I don’t agree with about consumption and our economic model though:
I have often said that value does not lie in material goods themselves, but when people create the conditions that make them seem necessary, their value increases. The capitalist system is based on the notion of ever-increasing production and consumption of material goods, and therefore, in the modern economy, people’s value or worth comes to be determined by their possessions. But if people create conditions and environments that do not make those things necessary, the things, no matter what they are, become valueless. Cars, for example, are not considered to be of value by people who are not in a hurry.
Economies that aim at production and consumption of unnecessary products are themselves meaningless. (51)
Yet that is our economic model of development. And it is all about control and the marketing of products — whether luxury goods or Monsanto’s technologies:
When I went to apply for a visa from the Somalian government, I was flabbergasted when they told me that any kind of instruction that agitates the farmers and encourages them to become self-sufficient would not be welcome. If such activity went too far, they said, it would be considered treason. (76)
Colonial agricultural policies…Big money into big damns, big irrigation, drawing water from aquifers leading to salinization of land, cash crops, ending nomadic cultures resulting in massive stress on one area of the land and damage to a culture and a people, national parks that its former indigenous residents must leave, and suddenly go all the way around in their movements. The are sudden insights, like the ways that the irrigation of water in high dikes controls the people who surround it, cuts them off from free movement and free access to water. And it puts blame where blame is due:
I started with the recognition that the causes of desertification in most areas are misguided human knowledge and action. If we eliminated them, I believed that nature would certainly heal itself. (87)
It examines the real costs of our current agricultural practices of GMOs, monocropping and etc — Fukuoka writes ‘Agricultural “Production” is Actually Deduction’ (88):
If you really count all the inputs of cost to the environment, mining and fossil fuel extraction, construction of machinery, damage from cash crops etc, we have the most inefficient agricultural systems possible…
It is not just in Africa that these problems exist.
About half of the land in the United States is, or is becoming, desert. I felt that the expanding American desert was at least as great a problem as the deserts of Africa, but most Americans seemed totally unaware that their country is becoming more arid. (123)
We don’t talk about those kinds of things, but it threatens the communities, like New Mexico’s acequia farmers, most likely to offer hope and the capacities to sustainably grow food in increasingly arid condition.
I do like that he toured the US saying this kind of thing:
Everywhere I went I preached the abolition of lawn culture, saying that it was an imitation green created for human beings at the expense of nature and was nothing more than a remnant of the arrogant aristocratic culture of Europe. (129)
This philosophy is a very particular way, very Japanese way of embracing the world, of changing it.
When people are released from the idea that they are the ones who have created things and have abandoned human knowledge, nature will return to its true form. The rebirth of nature is not simply a return to the primitive, it is a return to the timeless. My method of natural farming aims at liberating the human heart… (140)
I loved this final quote, partially a reminder that even if we are not the ones who love land and roots as farmers, we still can live in sustainable ways. But mostly it is good to encounter — to know — that radically different ways of being are still possible in this world:
I still remember the words of an Ethiopian tribesman who at first rejected my ideas of natural farming. “Are you asking me to become a farmer?” he asked. “To be attached to the soil and to accumulate things are the acts of a degraded person.” (52)
You had your Greeks and Romans writing about health and concocting new medicines, but I confess until Krakow’s Museum of Pharmacy I had not heard of Christ, the Heavenly Apothecary. It was quite a thing:
Yet also a rather rare and not-much-discussed thing, as I discovered to my cost trying to puzzle out the not-very-crisp photographs of these paintings which I blithely assumed I could easily find on the internet. Here it states this idea of Christ as Apothecary was first introduced into Western Art in 1610 by, I believe, Michael Herr of Wurttemberg, and 140(ish) examples are known to exist in the form of stained glass, frescoes, paintings in shrines and monasteries and more. I also found a rather lovely early article on the subject by E. Kremers from 1910, called appropriately ‘Christ the Apothecary’, at that time there were only about ten known about.
Not until reviewing my pictures did I realise quite how awesome the paintings were in the museum, and how rich in meaning and how hard it would be to find more information on the web. I was a bit overwhelmed, I think, by stoppered bottles and beautiful wood and stuffed bats and dried mummies. So I have a few shots, too few, and the descriptions are sadly hit and miss. What I wouldn’t have given for a book in English! These were two of my favourites:
These are Saints Cosmas and Damian, twin brothers who trained as physicians in Arabia, worked in Turkey and were martyred in Syria. Here (unlike elsewhere) they are portrayed as Black.
I failed signally to document the artist or title of the picture above. Below, however, are two graphite retorts for dry distillation (high temperature, no air). This were contemporary with Michał Sędziwój (Michael Sendivogius), famed Polish alchemist who published treatises on alchemy distributed across Europe. Such experiments provided the basis for many new medicines. This is a painting by Jan Matejko showing Sędziwój carrying out experiments for King Segismund III — pulling out a nugget of gold from the fire no less — he had his own room in Wawel Castle, which momentarily made me more inclined to go see it (later, the line for tickets disinclined me).
Below is a picture from a memoir (Memoir! Amazing! but I can find nothing about this) of apothecary Eglinger (1608-1675) of Basel, using a heavy mortar and pestle, it’s use made easier through the rigging up of a bow string. That woman is possibly the goddess of fortune pouring things through the horn of plenty into his concoctions. It could maybe also be his wife I’m thinking, but I’ve no basis for that.
This is one of my other favourites as its title is ‘The Death of Credit’. The character on the far right is an apothecary, sadly I would only be inventing things if I told you quite what this picture meant or who painted it or when.
Again, for the picture below I have neither title nor artist, but this is a good painting of the days when apothecaries pulled out teeth. I would not wish those days back again.
Yet another picture in which I have failed to capture the title or artist, but look, it is a very old apothecary with people in hats I associate with the Renaissance behind the counter and shelves full of bottles…
Apothecaries are also found sitting sedately on embossed metal:
Their craft immortalised in stained glass:
And in statues
I have signally failed to educate myself or you about the precise nature of these paintings or what precisely can be learned from them, however.
Again, the line between alchemist and apothecary was once very fine, and the things once used to create medicine were wondrous indeed. Many also suspicious, invented, disgusting. And far too many argued as aphrodisiacs.
Of course there were herbs, wondrous herbs. The smell in the attic of Krakow’s wondrous Pharmacy Museum was amazingly pungent and sweet.
Dragon’s Blood, sadly only a combination of powdered plants with astringent qualities:
Mandrake, not a screaming homunculus pulled from the earth, but a funny shaped root:
Herbs, roots, flowers, leaves, seeds were not the only things used in medicines, however. Clay and other minerals dug from the earth such as lazurite, orpiment, sulphus, chalcanthite, and talc were also used. Here is cinnabar for treating wounds and ‘women’s problems’, and today used for acne — I love these intensely coloured powders.
Hematite powered and used to cleanse wounds and to treat blood diseases. Copper sulfate good for scars, and for its antibacterial properties.
Skinks! Dried and ground they became a ‘panacea’ for many things, and the old aphrodisiac standby…
Powders of scorpions, snakes and lizards — powdered cockroaches, crab’s stones, powdered oysters, sea sponges, musk, earthworm oil and leeches were also of course in use:
Castor, or the powdered glands of beavers — look at that picture! A stimulant, antispasmodic, good for hysteria from sexual causes…
Spermacetti, or sperm whale oil…
‘Unicorn horn’, powdered, good as a universal antidote and of course, an aphrodisiac. Really, narwhal of course, or anything approaching powdered horn…
Powdered horn, and ivory looks just like it, tusks of walrus and hippopotamus…once believed a universal cure and aphrodisiac:
Bezoars! found in the stomachs of ruminants, they look very cool but are really just hollow spheres made up of fur and undigested plant remains. But I still love imagining them as universal cures…
Spanish flies, whose smell alerts you to their presence, who blood causes painless blisters. Crushed they were used as a diuretic, but more famously as an aphrodisiac and older form of viagra — but you had to be very very careful you didn’t get it wrong…
Human scalp made into a panacea — also collected and used were human fat, ox bile, bull’s blood, and calf’s stomach.
Dried lizards, coral and pearls:
Pharmacists were also apparently the principal makers and purveyors of candles and sealing wax until the 18th century, as wax was another key ingredient in ointments and plasters. I loved this way of making them:
And of everything, perhaps this was the most incredible…Multiple use laxative pills of antimony. Crikey. You had to swallow — retrieve — clean — repeat.
Suddenly I realised it is not just the rows of bottles and jars, the mysterious names in Latin, but also the colours, smells, madness of what they held within them. The dreams they represent of cures for everything, of magic in the form of a powder or oil or pill. The intellectual endeavour they also represent, to explore the world and uncover what within it can ease our way through life and improve the days and years we are given. I owe so much to medicine as we know it, and its origins are here in these bottles and in this lore drawing on centuries of experimentation and learning.
Only a thin line separated alchemy from old pharmacies once. Apothecaries (who only later became the mystery-stripped ‘pharmacies’ or even worse ‘drug stores’) once contained wondrous collections of barrels, bottles, alembics, retorts, crucibles, pestles and mortars, animals whose bodies and bones were crushed and used in medicines. Of the medieval collections in Krakow’s Pharmacy Museum, the notes quote Shakespeare:
I do remember an apothecary—
And hereabouts he dwells—which late I noted
In tattered weeds, with overwhelming brows,
Culling of simples. Meager were his looks,
Sharp misery had worn him to the bones,
And in his needy shop a tortoise hung,
An alligator stuffed, and other skins
Of ill-shaped fishes; and about his shelves
A beggarly account of empty boxes,
Green earthen pots, bladders and musty seeds,
Remnants of packthread and old cakes of roses,
Were thinly scattered to make up a show.
–Romeo & Juliet, Act 5, Scene 1
This is Krakow’s museum in a nutshell. From the medieval section:
Cabinets of poisons clearly marked to avoid accident:
Great vaulted cellars, full of more wondrous things, above all the medicinal wine, either steeped in herbs or to be later mixed with dried herbal powders:
We found this hidden round a corner. I don’t even know what this is.
Old water distillers, coloured glass vials, presses, alembics:
As time moved on, techniques became refined, the furniture in polished inlaid wood of the Baroque or the Biedermeier style, the glass neatly labelled:
Rows and rows of canisters in glass and porcelain sitting above wonderful drawers of uniform shape, all rescued from old apothecaries across the city and brought here:
Hirudines! Aka leeches. A collection of more mortars and pestles, pictures of leading pharmacists of Krakow and their documents now of historical relevance rather than professional necessity:
Enormous mortars and pestles. And oh, my love for bottles and small labelled drawers full of strange powders and herbs and medicines overfloweth:
Old books are here also, with velveted covers:
Wooden boxes of superb craftsmanship filled with strange bottles and implements for the storing and mixing of musk:
Stoppered bottles of vibrant colour that make my heart beat faster:
Clear glass of strange shape and design:
Strange scissors of a shape perfectly crafted to an unknown task, old herbals, locked and keyed and made into beautiful works of art:
A map of plants and the ‘world’ as it was once believed to be:
Tiny glass vials and velveted boxes of syringes used and reused.
Cork-crushers and medicine makers
Herbs and storage
All found in the attic, where warmer and dryer air might do their work:
This is one of my favourite places in this city, and I will be writing more because this only scratches the surface of the apothecarial wonder.
Also, please let us resurrect the term apothecary and use it more in everyday life.
I shall end with another quote from the museum, this from Gabriel Garcia Marquez, One Hundred Years of Solitude:
The rudimentary laboratory—in addition to a profusion of pots, funnels, retorts, filters, and sieves—was made up of a primitive water pipe, a glass beaker with a long, thin neck, a reproduction of the philosopher’s egg, and a still the gypsies themselves had built in accordance with modern descriptions of the three-armed alembic of Mary the Jew. Along with those items, Melquíades left samples of the seven metals that corresponded to the seven planets, the formulas of Moses and Zosimus for doubling the quantity of gold, and a set of notes and sketches concerning the processes of the Great Teaching that would permit those who could interpret them to undertake the manufacture of the philosopher’s stone. Seduced by the simplicity of the formulas to double the quantity of gold, José Arcadio Buendía paid court to Úrsula for several weeks so that she would let him dig up her colonial coins and increase them by as many times as it was possible to subdivide mercury. Úrsula gave in, as always, to her husband’s unyielding obstinacy. Then José Arcadio Buendía threw three doubloons into a pan and fused them with copper filings, orpiment, brimstone, and lead. He put it all to boil in a pot of castor oil until he got a thick and pestilential syrup which was more like common caramel than valuable gold. In risky and desperate processes of distillation, melted with the seven planetary metals, mixed with hermetic mercury and vitriol of Cyprus, and put back to cook in hog fat for lack of any radish oil, Úrsula’s precious inheritance was reduced to a large piece of burnt hog cracklings that was firmly stuck to the bottom of the pot.
To go from gravel covered ground to a vibrant community garden of raised beds is going to take a lot of work, so we thought the sooner we started the better. The 5th of March was chosen and we stuck to it and we had a number of brave and wonderful people brave the weather to join us:
We planned a number of activities so that all ages could participate even at this stage of the community garden, from planting seeds to planting sacks. We set up a few tables in the foyer though, so people could plant some seeds to take away and grow food on their windowsills, and if possible to bring us back a plant or two that could grow and flourish here.
The sack planting was a bit chilly but very cool, and tomorrow’s post will be a complete how-to on how to make your own. They are very useful ways to grows vegetables in small urban spaces like balconies or a little patch of paved garden.
The key learning, however, is that it is not too early for strawberries.
The main things for Saturday, however, was to build one of the large herb beds we want to set alongside the path across the Precinct site, so people can pick fresh herbs for their meals as they walk from Cable Street to the Limehouse DLR and back.
We started with the large but fairly flimsy structure that our first load of firewood was delivered in. To get it in out of the first drops of rain, I had already sawed this in two as you can see:
To shore up those flimsy sides we broke up two other pallets (given to us by a wonderful foreman name of Gary running a building site off Commercial)
And screwed it all together:
At that point it started to hail. We brought it all inside the hub.
Paint doesn’t usually last too long on outdoor beds, cracking and peeling with sun and rain and, er, hail. But we have gallons of marine paint left over from painting the trim on the containers and that is much more resilient, so we went ahead and used that to paint our first herb bed. Half orange and half turquoise.
It isn’t the best paint to use inside and in enclosed spaces, but we made do…
We’ll be lining it and filling it with wicking materials to conserve moisture despite the windiness and exposure of our site, then soil and plants, probably also adding a bench to make it somewhere people can sit and enjoy the fragrance once it warms up a bit. Looking at it, I wonder if it doesn’t need a few more planks and a little more solidity, but we’ll be keeping some of the spaces as things will grow as happily out of the side of it as they will from the top. We’ll be posting another how-to once it is all done, but for a first day this was absolutely lovely and we got so much accomplished.
Best of all, I think, was the time we were able to work outside and chat with people on their way through who just came up to to find out what we were doing, to say how happy they were that this vacant piece of land was finally being put to a community use, and even just how much they loved gardens. It really felt like we were creating a sense of community then, and gave us a good taste of what will be possible when the sun is shining and people are looking around for things to do outside…
I’m going to end this gratuitously with a puppy, Nala is the Precinct Art Space’s newest tenant and made Saturday even more wonderful than it was before. Along with always having strawberries, may we suggest trying to find a puppy to join you…
I started research on what to do for our community container garden just looking at pallet constructions. There are some beautiful DIY designs, this one from Caravanserai, who were amazing enough to help us build the benches for the cafe and who are coming on Saturday to lend a hand:
A vertical pallet herb garden…I’m pretty excited about that…
That’s enough about pallets, because while looking into them I heard from a wonderful friend about African Sack gardening, as they had planted them in the school where she worked with their students. Who loved them unconditionally.
Looking more at them, I began to find my way into the wider wonderful world of container growing in the Phillipines. There is Peñalosa Farms, Negros Occidental. I mean, my god:
I was amazed by how people have recycled plastic, inspired, and then momentarily cast down after stumbling across an article that suggested they might well be unsafe. Then I recalled all those posts about why you shouldn’t drink bottled water and the carcinogens leaching out of the plastic and etc. So a little more research… Some plastic is unsafe, but some is (probably) safe. For a long discussion of that try this article on the fresh organic gardening website. These are the ‘safe’ plastics
PETE or PET bottles. You see the triangle symbol with the #1 inside at the bottom of the container. This type of plastic is used for most clear beverage bottles.
HDPE (high density polyethylene). You see the triangle symbol with the #2 inside at the bottom of the container. This type of plastic is used for “cloudy” milk and water jugs, opaque food bottles.
LDPE (low density polyethylene). You see the triangle symbol with the #4 inside at the bottom of the container. This plastic is used in food storage bags and squeeze bottles.
PP (polypropylene). You see the triangle symbol with the #5 inside at the bottom of the container. This is used in rigid containers, including some baby bottles, and some cups and bowls. Examples are the wide-necked milky white containers usually used for yogurt.
This is an issue with some reclaimed wood as well, we’ll be lining our beds so there’s no possibility of toxins leaching from creasote-treated or painted wood. I’m glad some bottles are probably safe, because there is recycled bottle tower growing — I am so looking forward to trying this:
You can find a wonderful how-to post from Dr Van Cotthem here, which is a site where my vertical and container gardening learning has advanced in leaps and bounds. More from the Phillipines:
From Rancho Delicioso in Costa Rica:
But those bottles don’t have to stay vertical, they can be laid out horizontally like so:
Hung from on high
Put into pyramids even
More vertical gardening ideas use gutters — all the lettuce you could use for your salads:
Amazing what we can do, how much we can grow even in small spaces.
When all the fancy rhetoric about “blight” is stripped away, American urban renewal was a response to the question, “The poor are always with us, but do we have to see them every day?” The problem the planners tackled was not how to undo poverty, but how to hide the poor. Urban renewal was designed to segment the city that barriers of highways and monumental buildings protected the rich from the sight of the poor, and enclosed the wealthy center away from the poor margin.(197)
I also like this fundamental insight:
In the peculiar calculus of American racism…white people must occupy whole parts, like a whole row of bus seats or a whole neighborhood. As soon as any black people enter, the whole is spoiled, and the white people must either eject the black people…or move away themselves. (225)
The most basic means of struggle against such a calculus is that as an individual or group, in the form of political direct action. She talks about what fighting back means to people, quotes testimony from trials:
Gladys Moore on the Montgomery Bus Boycott: “Well, after so many things happened. Wasn’t no man started it. We all started it overnight. (emphasis added) (40)
Jo Ann Robinson, in her memoirs: “The one day of protest against the white man’s traditional policy of white supremacy had created a new person in the Negro. The new spirit, the new feeling did something to the blacks individually and collectively, and each liked the feeling. There was no turning back! There was only one way out–the buses must be changed!” (41)
She also talks about the healing process that occurs through collective struggle, which is nice to hear from a medical professional:
As a public health psychiatrist, I believe that healing a group’s psyche occurs through a collective process that requires organizing ways in which people come together to learn facts, share ideas, raise questions, and search for solutions. (180)
Near the end of the book she lays out a series of workshops done with community members. The first used an idea she called ‘The Community burn Index’, used to measure the damage to the neighbourhood lot by lot, charted through a community mapping exercise where small groups walked street by street telling stories and really seeing their streets and homes. I quite loved what this revealed:
I learned something about the difference between interiority and exteriority when it comes to what we see. People who are insiders to a place stop seeing it. It is a hand part of human consciousness that many things–including the scenery we look at every day–slip our of awareness in to the vast pool of rote activities and knowledge.
People who are outsiders to a place see it as a landscape. they are inhibited from seeing what they’re really seeing, but in their case it’s not because it’s new. Rather, we have another handy mental device for decoding places we’ve never been to before, and that is stereotyping… Oddly enough, neither the inside nor the outsider has the foggiest idea what he is look at. (185)
It is coming together to really look, to see things in the moment as they are, to tell stories, to talk to each other, that they helped each other really see what was there, what was no longer there.
That’s powerful, no?
They repeated this exercise with people from all over Pittsburgh, trying to build connections not just between residents and their built environment, but between people from other neighbourhoods and this particular neighbourhood so long cut off from the city. Through the eyes of a French planner and architect, they realise that this is a neighbourhood that once had multiple entries and exits and paths down the hill to the river, and all of them had gone, sealing them off from the rest of the city.
It is through discussions with this same architect, Michel Cantal-Dupart, that Fullilove proposes a new framework for analysing and resolving issues created by development. She calls it the aesthetics of equity, and it holds some interesting ideas I think. In summary:
Principle One: Respect the Common Life the Way you Would an Individual Life (199)
There is always a common life, whether or not you can see it right away. My own aside — people in power never see it.
Principle Two: Treasure the Buildings History Has Given Us (199)
If only planners had ever done that…instead we work with what they have left us, and I think this is key:
The solution to the “many centers” problem lies in improving the connections among them. The passerby must be able to figure out how to move among the jumble of squares. We need images that compel transition, promote flow, and permit movement from one place to another. We need a permeable city, safe not because of its walls, but because of the engagement of its citizens, each and every one a guardian of the public piece/peace. (204)
Here Fullilove edges towards all the wonderful literature studying how buildings and planning create environments that foster and build community.
Principle Three: Break the Cycle of Disinvestment (204)
I suppose here is where my study of political economy makes me a little skeptical that this could happen without one hell of a fight that is more transformative than anything we’ve seen before. But I write too much about that elsewhere. Still, it is fundamental to these dynamics, and needs to be understood just as much as everything else here.
Principle Four: Freedom of Movement (205)
Hell yes. This has never really existed in the U.S. for non-whites. But there’s a funny section here on the massive gardens of André Le Nôtre built for French aristocrats and the Sun King himself. I feel strongly about such gardens that use perspective to show power and wealth and the subjection of nature, so it’s interesting to be challenged here with a sentence that says
Perspective creates both the intimacy of “here” and the wonder of “there”. It allows rest and dwelling, but it also encourgaes exploration and travel… Perspective is, at heart, a democratic tool, because it is a linking tool. (208)
I think Gordon Cullen explores this quite beautifully in the townscape in ways that show just how much about power and wealth those damn gardens really are. But point taken in the abstract. I think Cantal has some odd views being passed along here, as Haussman is praised a little further along for his vistas and opening up of the city, and that just makes me a little sad without acknowledging the massive displacement, the purpose of making the poor easier to control and send them to the peripheries.
Still, I quite like these four principles. Just as I do the idea that people should be able to take city spaces and make it their own.
I also like the thought she ends with:
We are somewhere on the dwelling/journey spiral. We have all been forced from home but non of us has yet reached safety. We might choose to continue to proceed in blindness. But we might also recognize that we can use the journey to create the arrival of our dreams in the community of all of us.
Let us listen to the bell; it tolls for us. It’s time to go home. (239)
Just communities, just cities, Just connections between country and city. Also, the weird and wonderful.