Introduction: fatal consumption (when too much is not enough) / Robert F. Woollard -- Ecological footprints and the pathology of consumption / William E. Rees -- Global consumption from the perspective of population health / Clyde Hertzman and Shona Kelly -- Social capital, civil society, and social transformation / Michael Carr -- What is stopping sustainability? examining the barriers to implementation of Clouds of Change / Jennie L. Moore -- Integrating economy, society, and environment through policy assessment / Peter Boothroyd -- Local versus central influences in planning for community health / Lawrence W. Green and Jean A. Shoveller -- The city of Richmond: reflections on sustainability in action / Janette McIntosh and Robert F. Woollard -- The BC sawmill industry: a case study of community and ecological sustainability / Aleck S. Ostry -- Conclusion: working together and the prospect for hope / Robert F. Woollard.