澳大利亚的新环境健康：出师不利？
The New Environmental Health in Australia: Failure to Launch?
机构信息
Environmental Health, College of Science and Engineering, Flinders University, Bedford Park 5042, Australia.
出版信息
Int J Environ Res Public Health. 2021 Feb 3;18(4):1402. doi: 10.3390/ijerph18041402.
BACKGROUND
The New Environmental Health is an approach to environmental health adopted in 1999. The new approach was in response to emerging health risks from the pressures that development placed on the environment, climate change, and increasing vulnerabilities of local communities. The new approach heralded a change in perception and roles within environmental health. Twenty years on, it seems these changes have not been embraced by local government.
METHODS
To determine whether this was the case, we assessed the use of the term "environmental health" in local government annual reports, and where environmental health functions sit within the organisational structure of councils.
RESULTS
We found that the New Environmental Health has not been adopted by councils and environmental health relates solely to the delivery of statutory services and legislative compliance.
CONCLUSIONS
One result of this is local environmental health practitioners, who constitute the major health protection capability of councils, are defined by the narrow legislative obligations imposed on councils. This represents a significant lost opportunity as public health is not protected in the way that was envisaged with the adoption of the New Environmental Health.
背景
新环境健康是 1999 年采用的一种环境健康方法。新方法是针对发展给环境带来的压力、气候变化以及当地社区日益脆弱性所带来的新出现的健康风险而提出的。新方法预示着环境健康领域内观念和角色的转变。二十年后，似乎地方政府并没有接受这些变化。
方法
为了确定是否如此，我们评估了地方政府年度报告中使用“环境健康”一词的情况，以及环境健康职能在议会组织结构中的位置。
结果
我们发现，议会并未采用新环境健康方法，环境健康仅与法定服务的提供和立法合规有关。
结论
其结果之一是，构成议会主要健康保护能力的地方环境健康从业者，被狭隘的立法义务所定义，而这些义务强加给了议会。这代表着一个重大的错失机会，因为公共卫生没有像新环境健康方法通过时所设想的那样得到保护。
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