As cities get bigger, our best defence will be to prevent outbreaks in the first place by building better public health systems, improving childhood immunisation through better routine immunisation and pre-emptive vaccination campaigns.

As megacities like Mexico City and Lagos become increasingly common, we could see a rise of the urban epidemic and a new era of infectious disease threatening global health security.

The pathway to a more sustainable future for all children must include access to the basic building blocks of good health, including nutrition, water, and immunizations.

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