The built environment embraces a wide range of concepts, from the design and integrity of housing, to land-use and urban planning. A high quality environment is essential for children to achieve optimal health and development. Building and land-use policies, including the quality and design of a child’s physical environment, can cause or prevent illness, disability and injury, and degrade or preserve natural resources. Though many common pediatric conditions such as obesity, asthma, and lead poisoning as well as injuries, are associated with risk factors within a child’s built environment this issue has received little attention from.