Poverty is the number one health problem , in developing and developed nations alike .
Structural Adjustment policies, for example, from the IMF have not helped in many situations as social expenditure has had to be cut back. Even the impacts on urban disaster vulnerability is shown to increase with structural adjustment policies by increasing urbanization and population movements from rural areas to the cities. Another effect of reduced investment in these key areas is the reduction in development and potential of each person. In an area of increased populations, there may be an increased likelihood of tensions mounting into violence. In order for nations to remain or increase economic wealth, environmental considerations have sometimes also taken a back seat.