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Many urban areas are perusing infill, transit oriented, and other “smart-growth” strategies to address a range of important regional goals. Denser and more mixed use urban development may increase sustainability and improve public health by reducing vehicle travel and increasing the share of trips made by transit, walking and bicycling. Fewer vehicle trips results in fewer greenhouse gas and toxic vehicle emissions, and more trips made by walking and bicycle increases physical activity. Prior research has largely focused on modeling and estimating the potential size of these and other smart-growth strategy benefits. A largely overlooked area is the potential for unexpected public health costs and environmental justice concerns that may result from increasing density. We evaluate regional land-use and transportation planning scenarios developed for the year 2040 by a metropolitan planning organization with a …