The document outlines the characteristics of a healthy city and provides recommendations for building one. A healthy city is defined as a city with good economic, social, and environmental health where inhabitants earn a living wage and follow green living ideas. It recommends using renewable energy sources, reducing carbon production through initiatives like urban forestry and sustainable transportation. The document also advocates for locally grown organic food, green buildings, recycling programs, and raising public awareness to establish support and commitment from local governments to create a steering committee and action plan to develop sustainable healthy cities.