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Urban greening : what are the health risks for local populations ?

Florence Fournet
Florence Fournet
Research Director at Institut de Recherche pour le Développement (IRD)
Key takeaways
  • “Urban Greening” is one of the solutions being promoted to mitigate the effects of climate change.
  • This approach can significantly reduce urban temperatures, improve the well-being of city dwellers and reduce energy consumption.
  • Urban greening creates new ecological habitats, encouraging a greater variety of biodiversity in these environments, but it can also increase the health risks associated with vector-borne diseases.
  • Vegetation management must be adapted to avoid health risks, such as dengue fever epidemics or the spread of disease-carrying ticks.
  • Further research is essential to understand and minimise these risks, while maximising the benefits of urban greening.

Faced with the impact of cli­mate change, urban gree­ning is one of the adap­ta­tion solu­tions being pro­mo­ted. By increa­sing the num­ber of natu­ral ele­ments in cities, such as vege­ta­tion and water bodies, this approach helps to meet seve­ral of the Sus­tai­nable Deve­lop­ment Goals (SDGs) adop­ted by the Uni­ted Nations in 2015. Reve­ge­ta­tion improves the well-being and health of city dwel­lers and reduces natu­ral risks such as flooding.

In its latest report1, the Inter­go­vern­men­tal Panel on Cli­mate Change (IPCC) high­lights the major contri­bu­tion it can make to redu­cing extreme heat in pri­vate and public spaces : thanks to the shade pro­vi­ded by trees, elec­tri­ci­ty consump­tion lin­ked to resi­den­tial air condi­tio­ning can be redu­ced by more than 30% at peak full stops. In Paris, a stu­dy shows that the air tem­pe­ra­ture in the streets can be redu­ced by more than 4°C if three adap­ta­tion mea­sures are deployed : crea­ting parks, insu­la­ting buil­dings, and using reflec­tive mate­rials2. Today, more than half the world’s popu­la­tion lives in cities. By 2050, this could have risen to two-thirds of the world’s popu­la­tion3.

How does urban greening affect biodiversity in cities ?

Urba­ni­sa­tion erodes bio­di­ver­si­ty. In the city, only the spe­cies that are most tole­rant of urba­ni­sa­tion are present, and they are fair­ly homo­ge­neous from one city to ano­ther. Brin­ging nature back into the city creates new eco­lo­gi­cal habi­tats that bene­fit other spe­cies. Plan­ting trees, adding green facades or roofs, crea­ting green spaces ; there is a whole range of solu­tions for urban gree­ning, with varying degrees of impact on bio­di­ver­si­ty. Pol­li­na­ting insects such as bees and but­ter­flies bene­fit from the pre­sence of urban park 4 and nec­tar-pro­du­cing plants5. The crea­tion of open mea­dows increases the rich­ness of bird spe­cies6. Wild mam­mals such as wild boar can also pene­trate cities when green cor­ri­dors are created.

In an article published in March 20247, you highlight the emergence of health concerns linked to the urban greening. What are these risks ?

The changes to urban bio­di­ver­si­ty brought about by urban gree­ning can increase the risk of the cir­cu­la­tion of vec­tor-borne diseases [editor’s note : infec­tious diseases trans­mit­ted by insects and mites, such as mala­ria, dengue fever, etc.]. Bet­ween 2009 and 2012, Madrid saw a resur­gence in cases of leish­ma­nia­sis. This was lin­ked to an increase in the popu­la­tions of hares and flies, com­bi­ned with grea­ter use by resi­dents of a recent­ly deve­lo­ped urban forest on the outs­kirts of the city. In 2014, a dengue fever epi­de­mic broke out in Tokyo : the link was esta­bli­shed with visits to Yoyo­gi Park, where the tiger mos­qui­to was very present thanks to the habi­tat pro­vi­ded by the park. But these health effects are high­ly loca­tion dependent. In Bra­zil, dengue is car­ried by ano­ther spe­cies of mos­qui­to (Aedes aegyp­ti), which finds the condi­tions it needs to thrive even in high­ly mine­ra­li­sed envi­ron­ments. Unlike in Tokyo, research in São Pau­lo has shown a reduc­tion in dengue conta­mi­na­tion in the city’s cooler, vege­ta­ted neigh­bou­rhoods8.

Are there other health risks associated with the introduction of mammals ?

Mam­mals encou­rage the esta­blish­ment of ticks in vege­ta­ted urban areas, which are them­selves vec­tors of patho­gens asso­cia­ted with diseases such as tick-borne ence­pha­li­tis, hae­mor­rha­gic fevers (such as Cri­mean-Congo hae­mor­rha­gic fever) and Lyme disease. There has been an increase in the inci­dence of some of these diseases in urban areas on Sta­ten Island (New York) and in Europe. A stu­dy in the jour­nal Infec­tion Eco­lo­gy & Epi­de­mio­lo­gy9 reports seve­ral obser­va­tions : a large num­ber of ticks (136 eve­ry 100 metres) have been found in parks in Hel­sin­ki, with an infec­tion rate of bet­ween 19% and 55% with the bac­te­rium res­pon­sible for Lyme disease. In Bava­ria (Ger­ma­ny), ticks car­rying the para­site res­pon­sible for babe­sio­sis are found in parks with per­ma­nent deer populations.

Isn’t the emergence of these diseases linked to the number of people visiting the parks ?

Yes, this is one of the fac­tors in the spread of disease. We’re seeing an increase in the use of vege­ta­ted areas in towns and cities. Increa­sed human contact with bio­di­ver­si­ty encou­rages a resur­gence of vec­tor-borne diseases. This com­pli­cates the mana­ge­ment of green spaces by the public autho­ri­ties and ham­pers public accep­tance of urban green spaces. The Lyon metro­po­li­tan area is hea­vi­ly inves­ted in this issue. Lawns in urban parks are no lon­ger cut short to pro­mote bio­di­ver­si­ty. The city has the­re­fore ins­tal­led signs to make wal­kers aware of the risks asso­cia­ted with ticks. They are regu­lar­ly moved to main­tain a high level of public awareness.

You draw attention to these growing health concerns. Is the health impact of urban greening really a new area of research ?

The impact of gree­ne­ry on res­pi­ra­to­ry diseases has been exten­si­ve­ly stu­died. Urban gree­ning reduces green­house gases, pol­lu­tion, and heat. What’s more, parks encou­rage phy­si­cal acti­vi­ty : all of which reduces car­dio­vas­cu­lar risks. Conver­se­ly, gree­ne­ry exposes people to pol­len and increases the risk of res­pi­ra­to­ry aller­gies. But the risks asso­cia­ted with vec­tor-borne diseases are less well stu­died. Urban eco­lo­gy is a scien­ti­fic dis­ci­pline in which a great deal of work has been done. Howe­ver, our know­ledge is pat­chy : we still do not ful­ly unders­tand the impact of urban gree­ning on spe­ci­fic diver­si­ty (the num­ber of spe­cies in an envi­ron­ment) and func­tio­nal diver­si­ty (the varie­ty of spe­cies’ res­ponses to change) in cities.

Should we stop urban greening ?

No, that’s not the aim of our research. Urban gree­ning brings bene­fits to people, par­ti­cu­lar­ly in view of the increa­sed risk of heat­waves because of cli­mate change. It is cru­cial to bet­ter unders­tand the effects of urban gree­ning to avoid rela­ted health risks. For example, what pur­pose does vege­ta­tion serve for mos­qui­toes, and does it play a role in their res­ting place ? We don’t have the ans­wer. What we do know is the value of increa­sing bio­di­ver­si­ty in cities. For example, the dengue virus is car­ried by the tiger mos­qui­to, but cer­tain other spe­cies of mos­qui­to do not spread it. When seve­ral spe­cies are present, the risk of infec­tion is reduced.

Are there ways to incorporate urban greening while minimising health risks ?

This is a research and urban plan­ning ques­tion that we need to ans­wer. Clear­ly, the wate­ring of green spaces plays a major role : drip sys­tems prevent the for­ma­tion of small col­lec­tions of water that are veri­table bree­ding grounds for mos­qui­toes. We are also wor­king on a research pro­ject in the sub­urbs of Mont­pel­lier aimed at deve­lo­ping an effec­tive bio­lo­gi­cal control stra­te­gy against the tiger mos­qui­to. We are stu­dying the most appro­priate sites (those that favour mating) for relea­sing ste­rile male mos­qui­toes, depen­ding on the vege­ta­tion. Other ave­nues could also be explo­red to iden­ti­fy the pre­da­to­ry spe­cies of the tiger mos­qui­to from the faeces of birds and bats, to be able to encou­rage their pre­sence with a view to bio­lo­gi­cal control.

Anaïs Marechal
1Dod­man, D., B. Hay­ward, M. Pel­ling, V. Cas­tan Bro­to, W. Chow, E. Chu, R. Daw­son, L. Khir­fan, T. McPhear­son, A. Pra­kash, Y. Zheng, and G. Zier­vo­gel, 2022 : Cities, Set­tle­ments and Key Infra­struc­ture. In : Cli­mate Change 2022 : Impacts, Adap­ta­tion and Vul­ne­ra­bi­li­ty. Contri­bu­tion of Wor­king Group II to the Sixth Assess­ment Report of the Inter­go­vern­men­tal Panel on Cli­mate Change [H.-O. Pört­ner, D.C. Roberts, M. Tignor, E.S. Poloc­zans­ka, K. Min­ten­beck, A. Ale­gría, M. Craig, S. Lang­sdorf, S. Löschke, V. Möl­ler, A. Okem, B. Rama (eds.)]. Cam­bridge Uni­ver­si­ty Press, Cam­bridge, UK and New York, NY, USA, pp. 907‑1040, doi:10.1017/9781009325844.008.
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