"...the gains of low infant and maternal mortality and rises in population longevity—brought about in great part by harnessing fossil fuels, the agricultural revolution, modernization, and disease and injury reduction efforts—in many instances impedes rather than facilitates moving toward sustainable living. It can be argued from the ecological perspective that most public health efforts, as humanitarian as they are by intention and immediate effect, through accelerating population pressures on the environment are paradoxically hastening the destruction of the earth's habitat on which the next generation of humanity depends. It raises the concern that our perceived gains may be only illusory and temporary, with huge but unmeasured and unlinked environmental costs that will eventually lead to shorter lives of misery for our descendants."