Spiegel J, Yassi A
University of Manitoba, Winnipeg, Canada.
J Med Syst. 1997 Oct;21(5):275-89. doi: 10.1023/a:1022868507945.
Environmental assessment (EA) is required in Canadian federal and provincial jurisdictions as part of the process for decision-making on the acceptability of development projects. With increasing recognition of the relationship between environment and health, assessing "health" impact has growing importance. This paper presents the framework that is being developed by the World Health Organization (WHO) for addressing environmental health indicators, reports on the findings of a series of five regional workshops held in 1995-96 to examine the role of health professionals in environmental assessment in Canada, and presents a case study illustrating how human health has been addressed in a prominent EA conduct in northern Saskatchewan. Opportunities for future development of environmental health indicators are considered, with special reference to the potential use of medical data to address these challenges.
在加拿大联邦和省级辖区，环境评估（EA）是开发项目可接受性决策过程的一部分。随着人们越来越认识到环境与健康之间的关系，评估“健康”影响变得越来越重要。本文介绍了世界卫生组织（WHO）正在制定的用于处理环境卫生指标的框架，报告了1995 - 1996年举行的一系列五次区域研讨会的结果，这些研讨会旨在探讨加拿大卫生专业人员在环境评估中的作用，并介绍了一个案例研究，说明在萨斯喀彻温省北部进行的一项重要环境评估中是如何处理人类健康问题的。文中还考虑了环境卫生指标未来发展的机会，特别提及了利用医疗数据应对这些挑战的潜力。
