Signorelli Carlo, Riccò Matteo, Odone Anna
Dipartimento di sanità pubblica, sezione di igiene, Università degli studi di Parma, Italy.
Epidemiol Prev. 2011 Mar-Apr;35(2):131-5.
The review describes the evolution of the environmental policies in Italy underlying current delays and discords between the environment and its effects on human health. It also tries to define the major barriers to the introduction of the health impact assessment (HIA) in government policy-making process in Italy; the lack of regulations and the lack of methods to perform an HIA are the main reasons for its limited use. Epidemiology is a fundamental tool to produce effective health impact assessments along with a deep knowledge of medicine, environmental hygiene and risk communication. In conclusion, should the Italian scientific community agreed on a common and constructive approach avoiding possible exploitations and conflicts of interest, HIA could be a valuable method for helping to develop environmental policies and assisting policy-makers in important decisions.
该综述描述了意大利环境政策的演变，这些政策是当前环境及其对人类健康影响之间的延迟和不和谐的根源。它还试图确定在意大利政府决策过程中引入健康影响评估（HIA）的主要障碍；缺乏法规和进行HIA的方法是其使用受限的主要原因。流行病学是进行有效健康影响评估的基本工具，同时还需要对医学、环境卫生和风险沟通有深入了解。总之，如果意大利科学界就一种避免可能的利用和利益冲突的共同建设性方法达成一致，HIA可能是一种有助于制定环境政策并协助政策制定者做出重要决策的有价值方法。
