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Health in All Policies: Addressing the Legal and Policy Foundations of Health Impact Assessment

Published online by Cambridge University Press:  01 January 2021

Extract

The concept of Health in All Policies aims to improve the health outcomes associated with policies in an attempt to mitigate health disparities and provide optimal environments for healthier living. This multidisciplinary framework seeks to improve health through effective assessment and reformation of policy for organizations of any level and stature. The importance of integrating health in policy assessment and decision making is a key concept in the growing field of Health Impact Assessment.

The World Health Organization defines Health Impact Assessment (HIA) as “a combination of procedures, methods, and tools by which a policy, program, or project may be judged as to its potential effects on the health of a population, and the distribution of those effects within the population.” HIA provides a mechanism for collaboration between various sectors and disciplines bridging the gap between research, policymaking, and implementation of policies, programs, and projects affecting health outcomes. In the United States, while some HIA efforts have focused on proposed public policies, HIA has been used primarily to analyze the health effects of proposed development projects and plans related to community design and transportation.

Type
JLME Supplement
Copyright
Copyright © American Society of Law, Medicine and Ethics 2011

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References

Collins, J. and Koplan, J. P., “Health Impact Assessment: A Step toward Health in All Policies,” JAMA 302, no. 3 (2009): 315317.CrossRefGoogle Scholar
European Centre for Health Policy, Health Impact Assessment: Main Concepts and Suggested Approach, Gothenburg consensus paper, Brussels, , 1999.Google Scholar
Dannenberg, A. L. and Bhatia, R. et al., “Growing the Field of Health Impact Assessment in the United States: An Agenda for Research and Practice,” American Journal of Public Health 96 (2006): 262270.CrossRefGoogle Scholar
Lock, K. and McKee, M., “Health Impact Assessment: Assessing Opportunities and Barriers to Intersectoral Health Improvement in an Expanded European Union,” Journal of Epidemiological Community Health 59 (2005): 356360.Google Scholar
Winkler, M. S., Dival, M. J., Krieger, G. R., Balge, M. Z., Singer, B. H., and Utzinger, J., “Assessing Health Impacts in Complex Eco-epidemiological Settings in the Humid Tropics,” Advancing Tools and Methods Environmental Impact Assessment Review 30, no 1 (2010): 5261.CrossRefGoogle Scholar
42 U.S.C. §§ 4321 et seq.Google Scholar
See McElfish, J. M. Jr., Environmental Law Institute, Law of Environmental Protection 7 (2010): 11.Google Scholar
See Knox, J. H., “The Myth and Reality of Transboundary Environmental Impact Assessment,” American Journal of International Law 96 (2002): 291, 296–97, at n.36 and accompanying text.CrossRefGoogle Scholar
42 U.S.C. §§ 4321, 4331(a).Google Scholar
See also 40 C.F.R. § 1508.18(b).Google Scholar
Steinemann, A., “Rethinking Human Health Impact Assessment,” Journal of Environmental Quality, American Society of Agronomy, Crop Science Society of America, and Soil Science Society of America 20 (2000): 627645.Google Scholar
Bhatia, R. and Wernham, A., “Integrating Human Health into Environmental Impact Assessment: An Unrealized Opportunity for Environmental Health and Justice,” Environmental Health Perspectives 116 (2008): 9911000.CrossRefGoogle Scholar
See, e.g., id. §§ 7475(a)(2), 7479(3) (attainment areas); id. §§ 7503(a)(5), 7501(3) (nonattainment areas); see also id. § 7412(a)(2), (c)(3), (d)(2), (f)(2), (g)(2) (hazardous air pollutants).Google Scholar
Environmental Justice Policy of the Executive Office of Environmental Affairs, at 8, available at <http://www.mass.gov/Eoeea/docs/eea/ej/ej_policy_english.pdf> (last visited November 12, 2010).+(last+visited+November+12,+2010).>Google Scholar
Id., at 1.Google Scholar
Id., at 2.Google Scholar
Id., at 5–8.Google Scholar
Id., at 11.Google Scholar
Ross, C. L. et al., Atlanta Beltline Health Impact Assessment, 2007, Health Impact Assessment of the Atlanta Beltline, Final report, available at <http://www.cqgrd.gatech.edu/HIA/>..>Google Scholar
Ball, J., Ward, M., Thornley, L., and Quigley, R., Applying Health Impact Assessment to Land Transport Planning, NZ Transport Agency Research Report RR 375 (2009).Google Scholar
See Ross, , supra note 18.Google Scholar
Center for Quality Growth and Regional Development, City of Decatur, GA, Community Transportation Plan and Rapid HIA, 2007, available at <http://www.decaturga.com/cgs>..>Google Scholar
See Ball, et al., supra note 19.Google Scholar