Natural Connections With Publick Health



In the last few hundred years, there has been an extraordinary disengagement of humans from the natural environment (Axelrod and Suedfeld, 1995; Beck and Katcher, 1996; Katcher and Beck, 1987). This is mostly due to the enormous shift of people away from rural areas into cities (Katcher and Beck, 1987). In evolutionary terms, ‘the urban environment is a spontaneous, changeable and historically unfamiliar habitat’ [McMichael, 2001 (p. 252)]. Never in history have humans spent so little time in physical contact with animals and plants, and the consequences are unknown (Katcher and Beck, 1987). Already, some research has shown that too much artificial stimulation and an existence spent in purely human environments may cause exhaustion and produce a loss of vitality and health (Katcher and Beck, 1987; Stilgoe, 2001). Modern society, by its very essence, insulates people from outdoor environmental stimuli (Stilgoe, 2001) and regular contact with nature (Katcher and Beck, 1987). Some believe humans may not be fully adapted to an urban existence (Kellert and Wilson, 1993; Glendinning, 1995; Kellert, 1997; Burns, 1998; McMichael, 2001). With parks and public nature reserves often their only means of accessing nature, the majority of urban-dwelling individuals may have all but forgotten their connections with the natural world.
Whilst medical technology continues to improve the capacity of nations to combat the global infectious disease burden, public health strategies struggle to cope with the rapid changes industrialization and urbanization have meant. Human, community and cultural well-being has suffered as a result. Traditional models of public health appear ill prepared for the new reality of health risks posed to populations. This has led to a reconsideration of the interdependence between people, their health, and their physical and social environments (Kickbusch, 1989a).
For the purposes of this paper, nature is defined as an organic environment where the majority of ecosystem processes are present (e.g. birth, death, reproduction, relationships between species). This includes the spectrum of habitats from wilderness areas to farms and gardens. Nature also refers to any single element of the natural environment (such as plants, animals, soil, water or air), and includes domestic and companion animals as well as cultivated pot plants. Nature can also refer collectively to the geological, evolutionary, biophysical and biochemical processes that have occurred throughout time to create the Earth as it is today. Parks are public natural environments, spaces reserved for their natural or cultural qualities, usually owned, managed and administered by public institutions. Parks are utilized for a range of purposes, including for conservation, recreation and education. In urban settings, parks are seen to provide the most ready access to nature for many individuals. This paper focuses on the benefits of contact with nature in park environments for urban-dwelling individuals, and explores the potential of contact with nature for the promotion of health for whole populations.
The Ottawa Charter for Health Promotion identified the importance of environments supportive of health, stating that the inextricable links between people and their environment are the basis for a socio-ecological approach to health (World Health Organization, 1986). The Charter advocates for protection of natural and built environments, and conservation of natural resources as essential in any health promotion strategy. The central theme was promotion of health by maximizing the health values of everyday settings. Everyday settings include, for example, where people learn, live, work, play, etc. (World Health Organization, 1986). An emerging question might be therefore whether the majority of urban-dwelling individuals currently utilize parks and nature reserves as ‘everyday settings’.
Studies in disciplines of ecology, biology, psychology and psychiatry have attempted to empirically examine the human relationship with the natural world, some concluding that as well as being totally dependent on nature for material needs (food, water, shelter, etc.) humans also need nature for psychological, emotional and spiritual needs (Wilson, 1984; Katcher and Beck, 1987; Friedmann and Thomas, 1995; Roszak et al., 1995; Frumkin, 2001; Wilson, 2001). Yet how dependent humans are on nature for psychological and well-being needs, and what benefits can be gained from interacting with nature are just beginning to be investigated.
The Australian Institute of Health and Welfare identifies seven dimensions within holistic health and well-being, including: biological and mental well-being, social well-being, economic well-being, environmental well-being, life satisfaction, spiritual or existential well-being, and ‘other characteristics valued by humans’ (Australian Institute of Health and Welfare, 1998). Whilst a growing body of evidence has demonstrated the importance of social relationships (and social capital) for health, the relationship between environmental health and human health remains little understood. As Brown states, sustainable ecosystems in these dimensions of human health need greater attention and exploration, as well as inclusion and emphasis in the knowledge base of public health (Brown, 1996).