“…Infant mortality is 39% higher where the fresh canal water quality is worst (especially in the east of the city) unlike in the lower lying areas (mainly in the west) with the worst quality groundwater. With regard to health care, particularly the role of midwives is found to be important (Edvinsson, Garðarsdóttir, & Thorvaldsen, ; Lazuka, Quaranta, & Bengtsson, ; Reid, , ). In our analysis, indeed the distance to the nearest midwife matters, however, only living the furthest away from the nearest midwife increases infant mortality risk significantly, at 20%.…”