Environmental health is closely related with the prevention of diseases due to the fact that: physical, environmental, chemical, biological and social factors can inuence the outcome. Due to the tremendous growth and notorious increase in contamination, the national and regional government has been forced to intervene. They have tailored specic plans according to the city that is being affected, in order to better the population’s situation. Objective: To evaluate and compare the environmental health policies in Bogota and Medellin to determine their impact on the population. Materials and methods: A systematic review of literature was conducted in the cities of Bogotá and Medellín, about the impact and context of environmental health programs, to do that a search for articles and compilation of public policies was conducted by consulting various databases in the last decade. Results: We found that it is possible to obtain some quantitative results on the degree of pollution and changes in these over time intervention as development plans available in the city of Medellin. The available data for the city of Bogotá are unclear or nonexistent and therefore no proper monitoring for these. Conclusions: deciency is observed in the follow according to standards established by OMS because no continuity is given to the various projects by the change in administration. It is necessary to conduct a comparative analysis of environmental health programs and sustainable development through qualitative study.