In 2001, Surgeon General David Satcher issued a Call to Action to Prevent and

Decrease Overweight and Obesity. The report lamented the increasing numbers of

overweight and obese people in the U.S. One of the principles presented stressed

that there must be “environmental changes that help prevent overweight and obesity”

(U.S. Department of Health and Human Services, 2005) as part of the country’s

public health goals. Unfortunately, the Call to Action largely went unheard. This

chapter builds the case that in moving urban development patterns away from

low-denisty sprawl to more compact and integrated patterns, urban containment

contributes favorably to public health.