There is a signifi cant body of literature highlighting the importance of point-of-care diagnostics in improving health in developing countries [ 1 ]. Access to effective healthcare options can be severely limited in the developing world by the (typically) large distance between villages and appropriately stocked clinics and poor accessibility to skilled clinicians and physicians. This problem is often exacerbated by inadequate access to clean water, sanitation services, and a reliable source of electricity. The development of diagnostic tests, designed specifi cally for use in low-resource settings, would thus meet a substantial need. Urban and rural settings in the developing world are often beset by a lack of resources. The unique characteristics and different diagnostic needs of each setting, however, must be considered. Much attention is given to novel diagnostics designed for primary care settings in rural areas where patients are geographically far from the formal healthcare system, while urban areas are largely ignored. To understand the importance-and future-of diagnostics in developing urban settings, it is necessary to fi rst understand the distinct ecosystem present there.While the world is becoming more urbanized, there are signifi cant differences behind the reasons for urbanization and the effects of urbanization on a city's residents in developed-and developing countries. Developed country urban areas and developing country urban areas have very different standards of public health, environmental health, and city planning. Between developing urban areas, there is important variability. For example, while urbanization appears to correlate with economic opportunities in many Latin and South American countries, this trend does not hold in Africa, where urbanization is more often driven by high fertility rates and people