3 March 2015

Health Impact Assessment of the Proposed Trans-Pacific Partnership Agreement

An HIA of the Trans-Pacific Partnership Agreement (TPP) has just been released, authored by Katie Hirono, Fiona Haigh, Deborah Gleeson, Patrick Harris and Anne Marie Thow.

From the media release:

Report finds medicine affordability, public health policies at risk in Trans Pacific Partnership
A report released today by a large team of academics and non-government health organisations reveals that the Trans-Pacific Partnership Agreement (TPP) poses risks to the health of Australians in areas such as provision of affordable medicines, tobacco and alcohol policies and nutrition labelling. Many public health organisations have been tracking the progress of the TPP negotiations over the past several years and have expressed concerns about the potential impacts and lack of transparency. 
“The TPP includes provisions that don’t just affect trade. They affect the way the Government regulates public health,” said Michael Moore, Chief Executive Officer (CEO) of the Public Health Association of Australia (PHAA). “In many areas – such as nutrition labelling - it’s already a struggle to implement effective policies that promote health. If certain provisions are adopted in the TPP, this will be another hurdle for organisations seeking positive public health outcomes.”
The report also argues that: “The TPP risks increasing the cost of the Pharmaceutical Benefits Scheme (PBS), which is likely to flow on to the Australian public in terms of increased co-payments (out-of-pocket expenses) for medicines”. An increase in co-payments risks declining public health and increasing hospitalisations, particularly for people who are already disadvantaged.
A team of researchers from UNSW Australia, Sydney University and La Trobe University conducted the health impact assessment based on leaked documents from the trade negotiations.
“In the absence of publicly available current drafts of the trade agreement, it is difficult to predict what the impacts of the TPP will be,” said Dr Deborah Gleeson, one of the report’s authors. “In the study, we traced the potential impacts based on proposals that have been - or are being - discussed in the negotiations. But the only way to properly assess the risks is to allow a comprehensive health impact assessment to be conducted on the final agreement before it gets signed by Cabinet.”
The report offers a set of recommendations to the Department of Foreign Affairs and Trade to reduce the likelihood that the TPP will negatively impact health in Australia. Such recommendations include excluding an investor-state dispute settlement (ISDS) mechanism, and including strong wording to ensure that public health takes priority where there is a conflict with trade concerns. The report also recommends that Government change its approach to conducting trade agreements, for example by publishing draft texts and negotiating positions on issues of public interest.
Trade negotiators are meeting next week in Hawaii. The Minister for Trade and Investment, Andrew Robb, has said he anticipates the negotiations will wrap up within the next few months.
“It’s vitally important that health is given high priority in the final stages of the negotiations,” said Lynn Kemp, Director, Centre for Health Equity Training, Research and Evaluation. “We urge the Australian Government to consider these issues seriously.”
The HIA report can be accessed here.

11 February 2015

Health impact assessment of a roundabout?

I've done health impact assessments on all types of proposals. The smallest was of a specific health facility. The biggest was of a population plan for several hundred thousand people. 

This is the first time I've seen an HIA of a roundabout though. The process scales to any size!

27 January 2015

UK Committee calls for halt on fracking in the UK

The Environmental Audit Committee of the UK Parliament published a report today in which it called for a moratorium on fracking until the climate and environmental health impacts had been investigated further.
The report is a summary of the statements made, and responses to questions, by a range of stakeholders and the conclusions that the Committee reached on the basis of those statements and answers. It is a useful summary of the key issues in relation to the environmental and  health impacts and what key stakeholders considered the risks and dangers are; or are not. It is not a scientific review of the evidence.
The committee re-affirms the importance of key mitigation measures that have been identified in a number of other fracking reports and papers. Two key ones are monitoring health impacts across the lifecycle including post closure and being open about the chemicals used.
Despite the assurances from some that environmental risks can be safely accommodated by  existing regulatory systems, an extensive range of uncertainties remains over particular  hazards — to groundwater quality and water supplies,  from waste an d air emissions , to our  health and  to  biodiversity,  to the  geological integrity of the areas involved, and  from  noise  and disruption.  Uncertainty about their significance is in part a reflection of the fact that fracking operations have yet to move beyond the exploratory stage in the UK. It is imperative that the environment is protected from potentially irreversible damage.
Fracking must be prohibited outright in protected and nationally important areas.
Full containment of methane must be mandated.
Fracking should be prohibited in all  water source protection zones.

12 January 2015

UQ - Mining and resettlement research initiative

Mining for the Common Good

As a multi-party, industry-University research collaboration on mining and resettlement, ComRel will build knowledge for practical application. This initiative is the first of its kind.

The aim is to:

  •  improve understanding of how mining and resettlement risks are being managed by the industry.
  • identify strategies for improving outcomes for people affected by mining and resettlement.
  • conduct applied research that informs future policy and practice.
  •  contribute to debates about social due diligence and the development of social safeguards.    
For full article: click here

8 January 2015

Health impact assessment of traffic noise in Madrid, Spain

Environmental Research Volume 137, February 2015, Pages 136–140

  • The results obtained tend to question the WHO health protection threshold values. 
  • This study highlights the importance of traffic noise to the health in large cities. 
  • These results serve to highlight the need to implement noise-abatement measures.


The relationship between environmental noise and health has been examined in depth. In view of the sheer number of persons exposed, attention should be focused on road traffic noise.

The city of Madrid (Spain) is a densely populated metropolitan area in which 80% of all environmental noise exposure is attributed to traffic.

The aim of this study was to quantify avoidable deaths resulting from reducing the impact of equivalent diurnal noise levels (LeqD) on daily cardiovascular and respiratory mortality among people aged ≥65 years in Madrid.

A health impact assessment of (average 24 h) LeqD and PM2.5 levels was conducted by using previously reported risk estimates of mortality rates for the period 2003–2005: 

For cardiovascular causes: LeqD 1.048 (1.005, 1.092) and PM2.5 1.041(1.020, 1.062) 

For respiratory causes: LeqD 1.060 (1.000, 1.123) and PM2.5 1.030 (1.000, 1.062).

The association found between LeqD exposure and mortality for both causes suggests an important health effect. A reduction of 1 dB(A) in LeqD implies an avoidable annual mortality of 284 (31, 523) cardiovascular- and 184 (0, 190) respiratory-related deaths in the study population.

The magnitude of the health impact is similar to reducing average PM2.5levels by 10 µg/m3. Regardless of air pollution, exposure to traffic noise should be considered an important environmental factor having a significant impact on health.

Paywall: For full article click here

7 January 2015

Health Impact Assessment Practice and Potential for Integration within Environmental Impact and Strategic Environmental Assessments in Italy

Int. J. Environ. Res. Public Health 2014, 11

ABSTRACT Avoiding or minimizing potential environmental impact is the driving idea behind protecting a population’s health via Environmental Impact Assessments (EIAs) and Strategic Environmental Assessments (SEAs). However, both are often carried out without any systematic approach. This paper describes the findings of a review of HIA, EIA and SEA experiences carried out by the authors, who act as institutional competent subjects at he national and regional levels in Italy. The analysis of how health is tackled in EIA and SEA procedures could support the definition of a protocol for the integration of HIA with EIA and SEA. Although EIA and SEA approaches include the aim of protecting health, significant technical and methodological gaps are present when assessing health systematically, and their basic principles regarding assessment are unsatisfactory for promoting and addressing healthcare concepts stated by the WHO. HIA is still poorly integrated into the decision-making process, screening and monitoring phases are only occasionally implemented, and operational details are not well-defined. The collaborative approach of institutions involved in environment and health is a core element in a systematic advancement toward supporting effective decisions and effective protection of the environment and health. At the Italian national level, the definition of guidelines and tools for HIA, also in relation with EIA and SEA, is of great interest 


For full article click here 

5 January 2015

European Public Health Conference 2015

The 8th European Health Conference will be held in Milan, Italy, from the 14 to 17 October 2015.

Main theme of the conference is:

Health in Europe - from global to local practices, methods and practices.

For further information click here.

Follow on twitter: @EPHConference

19 December 2014

IAIA December 2014 News

1. IAIA15 updates

IAIA15 will be held 20-23 April 2015 in Florence, Italy. For more information, visit the conference website.  The European Investment Bank is proud to be a Premier Sponsor of IAIA15.

Important Dates:
20 December: Venice technical visit must meet 10 participants to proceed
16 January:  Early bird registration deadline
16 January: Presenting author registration deadline
18 January:  Cutoff date for hotel booking discounts

Early bird & presenting author registration deadline: Early bird rates for IAIA15 run through 16 January, so register soon to take advantage of those discounted rates.  Presenting authors must also register by 16 January in order to be listed on the program.

Overnight technical visit to Venice: IAIA15 will offer a number of exciting technical visits in and around Florence, but it will also offer a post-conference overnight visit to Venice to explore the city and study the MOSE project, a series of mobile gates that protect Venice and the Venetian Lagoon area from flooding and extreme events.  All technical visits are subject to meeting the minimum number of participants, but due to the overnight hotel reservations, this visit in particular must meet a 10 delegate minimum by 20 December in order to proceed.  If you are interested in this visit, please consider registering as soon as possible to reserve your space!  Full visit details are posted on the Technical Visit page.

Hotel bookings:  Delegates are encouraged to make hotel reservations early.  Blocks of rooms with discounted rates have been reserved by the Firenze Convention Bureau; those rates are valid only through 18 January 2015 and must be booked through their official system.  Registration for the event is required to get the access code, which will be provided in the registration confirmation email. For more information, visit Plan Your Stay.

Sponsorship opportunities:  IAIA is currently seeking sponsors for the IAIA15 conference.  Download the Sponsorship Opportunities brochure in English or Italian on the IAIA15 sponsorship site to find out the various ways your company can reach out to over 1000 environmental professionals from 80+ nations.  Book your sponsorship by 1 December and receive one extra FREE registration to IAIA15.

2. Save the date: IAIA16

Mark your calendars for 8-15 May 2016 to attend IAIA’s 36th annual conference!  IAIA16 will be held in Nagoya, Japan, with a theme of “Resilience and Sustainability.”  The first announcement, call for papers, and conference website will be available in the coming months.

3. Updates from IAIA's Spanish Affiliate, AEEIA

Asociación Española de Evaluación de Impacto Ambiental (AEEIA), IAIA’s affiliate in Spain, is excited to share their new website at www.eia.es.  Spanish-speaking IAIA members are encouraged to visit the site, as lots of information is available there. 

AEEIA will be holding their next national conference, CONEIA – Congreso Nacional de Evaluacion de Impacto Ambiental, in Madrid from 11-13 March 2015.  For more information, visit www.coneia2015.com.

For more information on all of IAIA’s affiliates, visit https://www.iaia.org/affiliates-branches/affiliates.aspx.

4. IAIA Newsletter and December issue of IAPA (IAIA Members Only)

Have you checked out the IAIA newsletter lately?   Read it online for publication updates, affiliate news, and more.

The latest issue of Impact Assessment and Project Appraisal (Vol 32, Issue 4, December 2014), a special issue on “Social Licence to Operate and IA”, is also available online – IAIA members, login as a member to access the full text articles.  Non-members may view the Table of Contents and abstracts online.  Professional practice papers and book reviews are included in addition to the following articles:
  • Social licence to operate and impact assessment (Bice & Moffat)
  • Frequently asked questions about the social licence to operate (Boutilier)
  • Integrating impact and relational dimensions of social licence and social impact assessment (Parsons & Moffat)
  • Social licence to operate through a gender lens: The challenges of including women's interests in development assistance projects (Jijelava & Vanclay)
  • Does mining company-sponsored community development influence social licence to operate? Evidence from private and state-owned companies in Chile (Martinez & Franks)
  • Māori and mining: Indigenous perspectives on reconceptualising and contextualising the social licence to operate (Ruckstuhl, Thompson-Fawcett & Rae)
  • The civic virtue of developmentalism: on the mining industry's political licence to develop Western Australia (Brueckner, Durey, Pforr & Mayes)

14 November 2014

Health in Impact Assessments: Opportunities not to be missed

"Health in Impact Assessments: Opportunities not to be missed" is a new joint publication from WHO Europe, EUPHA, and IAIA.

Prospective impact assessment is a consolidated approach for pursuing foresight in policy and decision-making, systematically deployed worldwide. There is consensus that, even in well developed impact assessments, human health is not always covered adequately. Partly as a response, health impact assessment (HIA) has emerged and has been applied in several countries in Europe and beyond. Opinions about the merits of HIA separate from other forms of impact assessment differ. This publication aims to provide a detailed and balanced view on "health in impact assessments". Five key types of impact assessment, namely environmental impact assessment, strategic environmental assessment, social impact assessment, sustainability assessment, and HIA are presented, and four key questions are discussed: How can the various assessments contribute to promoting and protecting human health? How can further integration of health support the various forms of impact assessments? What forms of integration seem advisable? What priorities for further development? This analysis suggests that the potential of impact assessments to protect and promote health is underutilized, and represents a missed opportunity. Ways need to be found to exploit the potential to a fuller extent

This publication is available at: http://www.euro.who.int/health-in-IA

16 September 2014

Minimum Elements and Practice Standards for Health Impact Assessment Version 3

From the SOPHIA HIA Practice Standards Working Group:
The HIA Practice Standards Working Group is happy to report that Minimum Elements and Practice Standards for Health Impact Assessment, Version 3 has now been finalized and released. The group establish a structured process through which public comments on Version 2 of the standards could be submitted. We received extensive feedback – 137 individual comments by our count. The comments were thoughtful and insightful. Each comment was considered and, for each, we came to consensus on what changes to the standards to make, if any. Version 3 includes a more detailed description of the purpose and scope of the standards, a very significantly re-worked set of minimum elements, as well as significant changes to the practice standards.
The document can be downloaded here.

23 August 2014

The Impact and Effectiveness of Equity Focused Health Impact Assessment in Health Service Planning

This free ebook looks at the use of equity focused health impact assessment (EFHIA) on health service plans. It examines:
  1. What are the direct and indirect impacts of EFHIAs conducted on health sector plans?
  2. Does EFHIA improve the consideration of equity in the development and implementation of health sector plans?
  3. How does EFHIA improve the consideration of equity in health planning?

Download PDF (3.5 Mb)

For Acrobat and PDF readers

Download EPUB (910Kb)

For iBooks and most e-readers

Download MOBI (1.2Mb)

For Kindles and Kindle apps

Download from Amazon

For Whispernet transfer N.B. Costs US $0.99

About the ebook

This ebook describes the use and evolution of health impact assessment (HIA) and EFHIA internationally and in Australia, how it has been used in relation to health service plans, examines its effectiveness and impacts on decision-making and implementation and examines several EFHIAs using case study and interpretive description methodologies.

This research shows that EFHIA has the potential to have both direct and indirect impacts on health service planning. These impacts are influenced by a broad range of factors however. The case studies in this ebook show that engagement with the EFHIA process and the extent to which EFHIA is regarded as a broader learning process are important factors that mediate the extent to which EFHIAs influence subsequent activities.
This research suggests that it is not possible to adequately describe the full range of impacts of EFHIA on decision-making and implementation without looking at perceptions about EFHIA’s effectiveness, in particular the perceptions of those involved in the EFHIA and those responsible for acting on its recommendations. These perceptions change over time, suggesting that future research on the effectiveness of HIA should look at the mechanisms by which this change occurs.

The ebook makes two theoretical contributions in the form of (i) a typology for HIAs and (ii) a conceptual framework for evaluating the impact and effectiveness of HIAs. This conceptual framework is tested for its applicability and refined.

The ebook and the accompanying publications were written to fulfil the requirements for a Doctor of Philosophy in Public Health at the University of New South Wales.

13 August 2014

The Lessons and Benefits of Health Equity Impact Assessment

Erika Espinoza, is the Knowledge Exchange Lead for the North Region of Ontario within CAMH's Provincial Systems Support Team. The interview was recorded as part of the Health Equity Impact Assessment (HEIA) Tool Community of Interest with funds from the Evidence Exchange Network (EENet).