Bhatia Rajiv
San Francisco Department of Public Health and the University of California, San Francisco, USA.
Am J Public Health. 2007 Mar;97(3):406-13. doi: 10.2105/AJPH.2005.073817. Epub 2007 Jan 31.
Laws and regulations for an environmental impact assessment enable a health impact assessment whenever physical changes in the environment may significantly affect health. In this case study, I describe 2 instances in which a local public health agency used the procedural requirements for an environmental impact assessment to account for societal-level health determinants that are not traditionally evaluated in land-use decisions. These examples show that a public health critique can contribute both to the scope of analysis in an environmental impact assessment and to substantive changes in land-use decisions. I have evaluated this health appraisal approach as a form of a health impact assessment and will make recommendations for law, research, and practice that support its technical, cultural, and political feasibility.
环境影响评估的法律法规允许在环境中的物理变化可能对健康产生重大影响时进行健康影响评估。在本案例研究中,我描述了两个实例,其中当地公共卫生机构利用环境影响评估的程序要求,来考虑那些在土地使用决策中传统上未被评估的社会层面的健康决定因素。这些例子表明,公共卫生批评既可以有助于扩大环境影响评估的分析范围,也可以促成土地使用决策的实质性改变。我已将这种健康评估方法评估为健康影响评估的一种形式,并将为法律、研究和实践提出建议,以支持其技术、文化和政治上的可行性。