While lots of people in cities live very different lives, either you were very unlucky or this is your own fault. Or do you think the majority of the 8 million people in NYC have gotten a concussion since moving there?
The filth, yeah, it's neighborhood dependent but NYC as a whole (really anywhere other than right on Central Park) has a lot of room to improve. Pretty rare to see needles or human excrement (dog excrement is way too common).