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An Introduction to Health Impact Assessment

An Introduction to Health Impact Assessment. Paul J. Anderson, MD, MPH HIA Program Manager Section of Epidemiology Division of Public Health Department of Health and Social Services. Overview. Health at the table Health and design HIA background Alaska HIA program HIA process.

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An Introduction to Health Impact Assessment

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  1. An Introduction to Health Impact Assessment Paul J. Anderson, MD, MPH HIA Program Manager Section of Epidemiology Division of Public Health Department of Health and Social Services

  2. Overview • Health at the table • Health and design • HIA background • Alaska HIA program • HIA process

  3. Please Note • HIA is not legally required in AK • Not enforced • Seen as best practice • HIA is outside the fence • Worker & community interface

  4. What is HIA? • Preventive health report • Anticipates human health effects • New or current • Projects • Policies • Programs • Minimize adverse health effects • Maximize health benefits

  5. Definition “HIA is 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” World Health Organization (WHO), 1999

  6. HIA Background—Global • World Health Organization (WHO) • Gothenburg Consensus (1999) • International construction projects • Significant human health effects • Not covered by economic and social analyses • Growing practice and literature base

  7. HIA Background—USA • National Environmental Policy Act 1969 (NEPA) • Federal agency requirement • Assess environmental impacts • Proposed development projects • Environmental Impact Statements (EIS)

  8. HIA Background—USA • Economic Impact Assessment (EIA) • Social Impact Assessment (SIA) • Aspects of human health unaddressed • Health infrastructure (clinics, water) • Access to healthcare • Injury and disease patterns • Dietary change • Urban development focus

  9. HIA Background—Alaska • 2004 HIAs (Grant funded) • NPR-A lease sale permit • Red Dog mine expansion • Interest and concern • Inevitability of future HIA requests • State guidance document needed

  10. HIA Background—Alaska • 2008—1st HIA workshop • Created interagency working group • Produced HIA toolkit • Felt need for coordinated leadership • HIA program founded in DHSS • Began HIA work in July, 2010

  11. Alaska HIA Program

  12. Mission of HIA Program • Protect health and safety of all Alaskans affected by • Proposed development projects • Existing development projects • Major public policy changes • New public programs

  13. Vision of HIA Program • A robust program that will serve • To meet felt need for HIA in Alaska • To ensure excellent HIA practice • To provide HIA resources

  14. Core Values of HIA Program Service: Coordinate HIA growth Leadership: Technical expertise Program management Collaboration: Involve key partners Excellence: Rigorous science Best practices

  15. Key Activities • Maintain HIA toolkit • Perform HIAs • Collaborate on HIAs • Refine scientific approach • Identify best practices

  16. ADHSS HIA Program Strengths • Transparency • Existing partnerships • Access to health data • Systematic approach • Diverse project involvement • Longevity

  17. Toolkit Highlights

  18. Toolkit Highlights

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