Tuesday, December 02, 2025

 

Urban sprawl could deny 220 million people access to clean water by 2050



A study by the Complexity Science Hub and the World Bank across more than 100 cities shows compact urban planning is crucial for delivering water and sanitation to growing populations in the future




Complexity Science Hub

Urban Thirst: Cities Sparseness 

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In the visualization, we see over 100 cities in the Global South and their sparseness, a measure of how the population is distributed across the cities, as well as access to clean water and water tariffs.

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Credit: Complexity Science Hub





Vienna, 02 December, 2025]— A new study analyzing over 100 cities across Asia, Africa, and Latin America has quantified the stark consequences of urban sprawl on water and sanitation access, finding that how cities grow might determine whether hundreds of millions of people have access to these basic necessities.

The analysis, conducted by researchers at the Complexity Science Hub (CSH) and the World Bank, examined infrastructure data and economic indicators, including information on the footprint of 183 million buildings and 125,000 household surveys, to understand the relationship between urban form and access to clean water and sanitation.

The study modeled three scenarios for urban expansion (see Sidebar) and found that, if cities spread outward rather than building more densely, access to clean water and basic sanitation could be significantly impacted. “With horizontal growth, 220 million fewer people would have access to piped water and 190 million fewer would have access to sewage systems by 2050,” points out Rafael Prieto-Curiel, lead author from CSH.

Distance From the City Center Matters

Cities that sprawl outward already face challenges, and the study quantified what many people already experience in cities like New Delhi, Cairo, Lagos, or Bogotá. Water bills are 75% higher in sprawling cities compared to compact ones, and access to piped water drops by 50% in more dispersed urban areas, according to the paper published in Nature Cities.

“In addition, residents in outer neighborhoods have 40% less access to critical infrastructure compared to those living closer to the city center”, add the researchers. 

Take a look at the interactive visualization "Urban Thirst", created by CSH Liuhuaying Yang, and discover how urban form impacts water access and service costs in more than 100 cities in 55 countries.

Asia and Africa are in the Spotlight

Urban populations in Africa and Asia will grow substantially by 2050 (tripling and increasing by half, respectively), demanding considerable planning efforts. “African cities face particular challenges, with populations expected to surge from 550 million in 2018 to nearly 1.5 billion by 2050,” point out the researchers. “African cities are already nearly twice as sprawling as Asian cities, with only 12% of residents living in central areas compared to 23% in Asia.”

From Evidence to Action

"Water scarcity gets a lot of attention, but urban form is something we can actually control through planning and policy," says Prieto-Curiel. "Our analysis shows that effective planning can significantly enhance access to water and sanitation. Compact, walkable neighborhoods with adequate density aren't just environmentally sustainable. They ensure that basic services are available to everyone."

“Basically, our work shows that, by building cities better, we would be able to increase access to water and sanitation services. This can be done just by considering the shape of a city, no need to invest more money or build more infrastructure, but only considering the location of where that happens,” adds Prieto-Curiell.

The researchers stress, however, that densification alone isn't a panacea; even some densely populated slums like Kibera in Nairobi, Rocinha in Rio de Janeiro, or those in Iztapalapa in Mexico City remain underserved. The research, however, shows that sprawling growth makes service delivery many times more difficult in cities.


Why city shape matters for water access

The team modelled three growth scenarios for cities doubling in size: compact (building denser and filling gaps), persistent (continuing current expansion patterns), and horizontal (spreading outward). “We assumed the only element that changed was where new development happens within the city,” explains Prieto-Curiel.

To compare cities of varying sizes, the researchers measured how spread out each city is. They call this sparseness: basically, do most people live close to downtown, or are they scattered far from the center?

Cities with low sparseness concentrate most residents near the center. Jakarta, Indonesia, exemplifies this: more than half its 33 million residents live in central areas. Cities with high sparseness scatter populations across distant neighborhoods. In Kigali, Rwanda, only 15% of the 2.2 million residents live centrally, with most far from the core.

The researchers found that round, dense urban development could provide piped water to 220 million more people and sewage services to 190 million more than horizontal sprawl would. Persistent growth, maintaining current patterns, would keep access rates roughly stable. But horizontal sprawl would actively reduce the share of people with access to these basic services.


About the Study

The study "Urban sprawl is associated with reduced access and increased costs of water and sanitation," by Rafael Prieto-Curiel, Pavel Luengas-Sierra, and Christian Borja-Vega is published in Nature Cities (10.1038/s44284-025-00338-3).


About CSH

The Complexity Science Hub (CSH) is Europe’s research center for the study of complex systems. We derive meaning from data from a range of disciplines – economics, medicine, ecology, and the social sciences – as a basis for actionable solutions for a better world. CSH members are Austrian Institute of Technology (AIT), BOKU University, Central European University (CEU), Graz University of Technology, Interdisciplinary Transformation University Austria (IT:U), Medical University of Vienna, TU Wien, University of Continuing Education Krems, Vetmeduni Vienna, Vienna University of Economics and Business, and Austrian Economic Chambers (WKO).

This visualization shows cities across Asia, Africa, and Latin America, which are home to 650 million people and 183 million buildings.

Credit

Complexity Science Hub


By 2050, African cities will have a population of nearly 1.5 billion, up from 550 million in 2018. In addition, African cities are already almost twice as sprawling as Asian cities, with only 12% of residents living in central areas, while 23% live in Asian cities.

Credit

Complexity Science Hub

 

Researchers unveil first high-resolution maps of China's forest diversity patterns




Chinese Academy of Sciences Headquarters

Spatial patterns of tree species richness (A) and structural diversity (B) in China’s natural forests 

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Spatial patterns of tree species richness (A) and structural diversity (B) in China's natural forests.

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Credit: Image by CHENG Changjin et al.





A research team led by the South China Botanical Garden of the Chinese Academy of Sciences, in collaboration with multiple domestic and international research institutions, has made progress in investigating forest diversity patterns across China. The findings were published in Nature Ecology & Evolution on December 2.

China is recognized by Conservation International as one of the world's 17 megadiverse countries. To effectively meet its commitments under the Kunming-Montreal Global Biodiversity Framework, it is crucial for China to clarify the fine-scale spatial patterns and future trends of multidimensional forest diversity as well as the driving mechanisms of this process.

Species richness and structural diversity are two fundamental dimensions of forest diversity, each making unique and complementary contributions to biodiversity conservation and carbon sequestration. However, the scarcity of spatially representative vegetation plot data has hindered efforts to understand the fine-scale patterns and drivers of these two diversity metrics in China's forests.

To address this gap, the research team analyzed field measurement data from over 300,000 individual trees across nearly 3,400 forest plots. Leveraging this comprehensive dataset, the researchers developed the first high-resolution maps showing the fine-scale spatial patterns of tree species richness and structural diversity in China's natural forests.

The study revealed that the two diversity dimensions are shaped by distinct mechanisms. Precipitation seasonality emerged as the primary predictor of tree species richness: Regions with highly uneven intra-annual precipitation typically support fewer tree species, since most woody plants exhibit strong climatic niche conservatism and limited physiological tolerance to large fluctuations in water availability. In contrast, forest age is the leading driver of structural diversity, since older forests tend to develop multilayered canopies with a higher abundance of shade-tolerant species.

Projections under future climate scenarios indicate that by 2100, fine-scale species richness could increase by approximately 36% and structural diversity by around 27%, driven by ongoing forest succession and increased precipitation. These findings provide crucial data for advancing the goals of the Kunming-Montreal Global Biodiversity Framework and offer valuable scientific guidance for refining forest conservation and management strategies.

The researchers emphasized the need to comprehensively assess the opportunities and challenges posed by future changes in forest biodiversity. On the one hand, increased diversity can enhance forest ecosystem stability and carbon sequestration capacity; on the other, intensified interspecific competition may exert additional pressure on rare and endangered species. Strengthening both in situ and ex situ conservation of threatened taxa is therefore essential to balance overall biodiversity gains with the protection of key species.

 

‘Creeping catastrophe’: Climate change is driving global rise in infectious diseases, leading health experts warn




University of Oxford
Climate workshops in New Delhi, Addis Ababa and Rio De Janeiro 

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Climate workshops in New Delhi, Addis Ababa and Rio De Janeiro

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Credit: University of Oxford





Published in Nature Scientific Reports the research determined insight from 3,752 health professionals and researchers across 151 countries and is one of the largest Global studies of its kind, with 86.9% of participants based in low- and middle-income countries. Participants reported that climate change, poverty, and drug resistance are combining to create an escalating health crisis that could become a ‘creeping catastrophe’ if left unaddressed.

Data gathered in countries across Africa, Asia and Latin America identified that experts throughout the world consider vector-borne diseases such as malaria and dengue as the most rapidly escalating threats, followed by tuberculosis and HIV/AIDS. The research confirmed they find the three main drivers are:

  • Climate change, especially rising temperatures and shifting precipitation patterns, emerged across all regions as a primary driver of disease escalation as it expands mosquito and other vector ranges, increases breeding sites, and accelerates human mobility and displacement.
  • Socioeconomic inequality, affecting living conditions and access to healthcare
  • Antimicrobial resistance, undermining treatments for a wide range of infections worldwide

Professor Trudie Lang, Director of The Global Health Network at Oxford’s Nuffield Department of Medicine and senior author of the study said: “This study provides unparalleled evidence from communities experiencing these threats from Climate Change right now across the Global South, where disease burdens are highest.

“Typically these regions are under-represented and not collectively voiced but these data and insights are grounded in lived experience and global diversity. Our research clearly demonstrates that the next major health emergency may not be a sudden new outbreak, but the steady worsening of the quiet diseases that shorten lives every day.”

The study’s authors contend that this risk will not present as a dramatic outbreak, but as a slow-unfolding humanitarian disaster where endemic diseases spread into new geographies - impacting health systems and economies.

The authors argue that tackling these cross-cutting drivers of disease could strengthen preparedness for both existing and future threats. They call for sustained investment in diagnostics, surveillance, and equitable research partnerships that empower local leadership and build lasting research capacity.

Dr. Aliya Naheed. Country Director NIHR GHR Centre for NCDs and Environmental Change, Bangladesh said: “This phenomenal study echoes the core disparity in the top health priorities between the low to middle income countries (LMICS) and the high-income countries, recognizing the role of climate change on future health emergencies. The message of the future threat of the known disease burdens emphasizes the need of equitable global investment in the prevention and control of common infectious diseases in LMICs.”

The project was commissioned by Wellcome to inform its global infectious disease strategy and ensure research priorities reflect the realities faced by those working in health systems around the world.

Josie Golding, Head of Epidemics and Epidemiology, Infectious Disease, at Wellcome, said: “Climate change is driving the spread of infectious diseases, and it’s hitting hardest in communities least able to adapt. Rising temperatures, floods, and droughts create ideal conditions for mosquitoes, ticks, and harmful bacteria to thrive, while extreme weather adds strain to already fragile health systems.

"We need urgent global climate action, paired with investment in innovative solutions to prevent and treat infectious diseases. Acting on both fronts is essential - without it, diseases like malaria, dengue, and chikungunya will continue to surge, deepening inequalities and putting millions of lives at risk.

"We know that climate and health are inseparable, and by tackling common drivers of disease - from climate change to antimicrobial resistance - we can strengthen health systems to cope with current and emerging issues.”

The study, Global perspectives on infectious diseases at risk of escalation and their drivers, is published in Nature Scientific Reports (DOI: 10.1038/s41598-025-22573-3).

 

Notes to editors

For more information:
Lucy Pritchard Head of Communications, Nuffield Department of Medicine

Email: Lucy.pritchard@ndm.ox.ac.uk

Or

University of Oxford Press Office
Email: press.office@admin.ox.ac.uk
Tel: +44 (0)1865 270010
www.ox.ac.uk/news

 

Supportive quotes for media use:
Dr Julio Canario, Director, Fundación Etikos, Dominican Republic. “This highly rigorous and participatory study is a clear and unified call to action for the infectious disease community and policymakers. It confirms that the greatest threat is a 'progressive catastrophe' driven by the escalation of endemic diseases, rather than a sudden pandemic event. The timing of these findings is crucial, as they directly guide the reorientation of regional research agendas and funding towards transversal intervention strategies, particularly by highlighting the role of climate change and socioeconomic factors in VBDs, HIV, and TB.”

 

Professor Jackeline Alger, Instituto Antonio Vidal, Honduras: “The reported results, product of a methodology that ensures wide diverse geographic and pragmatic representation, provide a valuable contribution to the understanding of the global infectious diseases threats and their related factors, including the ecological impact of climate change. We need to act now with an equity focus facilitating the active participation of those where these threats have a more negative impact.”

 

Dr Vanessa de Arruda Jorge, Office of the President, Fiocruz Brazil: “Through a collaborative methodology, this study provides critical evidence on how climate change is intensifying the risks of infectious diseases, disproportionately affecting resource-limited regions. It underscores the urgent need for governments, global health institutions, and other actors to prioritize investment in citizen science - where research, surveillance, and mitigation strategies are carried out in co-participation with communities - particularly in the Global South, in countries such as Brazil, where these impacts are already evident. The findings resonate strongly with the discussions at COP30 in Belém, reinforcing the imperative to translate scientific insight into coordinated global action that ensures equity and preparedness against emerging health threats.”

About the Global Health Network
The Global Health Network is vast and highly connected community of health workers and health research organisations that enables research in every healthcare setting by driving equity in where research happens, who leads and who benefits from the evidence. This works by mobilising knowledge between organisations, across disease areas and different geographies. Embedded within many countries across the world this community runs research system strengthening programmes to integrate research within healthcare practice by facilitating workplace-based learning, local research support activities and professional development for research teams. The Global Health Network is a WHO collaborating centre because of this effort to enable teams everywhere in the world to undertake and lead research studies that address local priority health challenges. Visit: www.theglobalhealthnetwork.org

About the Nuffield Department of Medicine
The Nuffield Department of Medicine (NDM) at the University of Oxford is the largest department of medicine in Europe. It is distinguished by its excellence in several clinical disciplines, including tropical and general medicine, infectious disease, cancer, immunology, gastroenterology, respiratory and renal medicine, and vaccinology. Over the last fifty years, it has pioneered the use of genetics, structural and cellular biology to understand susceptibility to human disease, while maintaining a focus on clinical medicine. NDM has over 1,200 staff in the UK and 2,000 overseas, with over 20 major research institutes, centres and units in Oxford as well as Kenya, Thailand, Vietnam and several other countries. For more information, visit https://www.ndm.ox.ac.uk/

About the University of Oxford

Oxford University has been placed number 1 in the Times Higher Education World University Rankings for the ninth year running, and number 3 in the QS World Rankings 2024. At the heart of this success are the twin-pillars of our ground-breaking research and innovation and our distinctive educational offer.

Oxford is world-famous for research and teaching excellence and home to some of the most talented people from across the globe. Our work helps the lives of millions, solving real-world problems through a huge network of partnerships and collaborations. The breadth and interdisciplinary nature of our research alongside our personalised approach to teaching sparks imaginative and inventive insights and solutions.