BayoLegas: article

The impact and effectiveness of health impact assessment: A conceptual framework

Many of you will have heard me present about the conceptual framework we developed for evaluating the impact and effectiveness of HIA over the past few years. The good news is our paper on it has been published:

Harris-Roxas B, Harris E (2012) The Impact and Effectiveness of Health Impact Assessment: A conceptual framework, Environmental Impact Assessment Review:accepted, in press. doi:10.1016/j.eiar.2012.09.003

It's the first empirically-derived conceptual framework for evaluating HIA that I'm aware of and may also be useful for planning and reporting on HIAs. It emphasises context, process and impacts as key domains and attempts to identify the broad range of factors that influence the effectiveness of HIAs.

Please let me know if you have any problems accessing the article so I can send you a copy.

Pollution need to be considered an urgency as other health threats

“The World’s Worst Pollution Problems” Assessing Health Risks at Hazardous Waste Sites report has just been releases and reveals that close to 125 million people are at risk from toxic pollution across 49 low to middle-income countries. Also, the report, for the first time estimates the total global burden of disease attributed to toxic pollution from industrial sites in these countries. Blacksmith Institute found that the public health impact of industrial pollutants, measured in DALYs, is the same or higher than some of the most dangerous diseases worldwide. Below is a comparison of the DALYs for HIV/AIDS, tuberculosis and malaria to the DALYs from industrial pollutants.

Industrial Pollutants	17.147.600
Tuberculosis	25.041.000
HIV/AIDS	28.933.000
Malaria	14.252.000

The substances included are lead, chromium, mercury, and asbestos. The Top Ten industrial sources are: lead-acid battery recycling, lead smelting, mining and ore processing, tanneries, industrial and municipal dump sites, industrial estates, artisanal gold mining, product and chemical manufacturing, and the dye industry.

The lancet editorial rightly call the international health community to become more active in tackling and addressing hazardous substance pollution to achieve healthy and sustainable development worldwide.