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Health Impact Assessment
Bringing Public Health Data to Decision Making


Quick Summary

Preventable health problems, including many cases of heart disease,  diabetes, asthma and injuries, are taking a huge toll on American families. For the first time in U.S. history, data suggest that today’s children may live shorter lives than their parents. These problems also threaten our nation’s economic vitality.

Health Impact Assessment
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Contact

Alex Dery Snider, Tel: 202-540-6590

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Benefits and Best Uses

  • HIA can build community support and reduce opposition to a proposed project. By ensuring that decisions are made with full attention to community concerns, HIA helps reduce conflicts that can delay projects. For example, an Alaska Native community considered litigation over plans to allow oil and gas lease sales in their traditional hunting areas. Instead, the Bureau of Land Management (BLM) worked with the local government to complete an HIA, which resulted in new protections that addressed community concerns while still allowing development to go forward. Owing in part to the success of this HIA, an environmental impact statement associated with the lease sales was never challenged in court. Since then, the BLM has begun using HIA more commonly in similar planning and permitting decisions.6
  • HIA facilitates collaboration across sectors. HIA provides a structured, pragmatic way for those in public health to collaborate with officials in other agencies and sectors, ensuring that these officials have the health data they need to make better decisions.
  • HIA is not always necessary. If health is already a focus of a proposed policy
    or project, or if the potential health effects are too hypothetical, HIA may not offer any new information to decision makers. To avoid unnecessary time and expense, an effective approach to screening can determine whether HIA will add value.
Date added:
Dec 1, 2010
Contact:
Alex Dery Snider, Tel: 202-540-6590
Project:
Health Impact Project
Topic:
Health Impact Assessment
Related Expert:
Aaron Wernham
References:
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References:

1   Agency for Health Care Research and Quality. National Health Disparities Report 2009. AHRQ Publication No. 10-0004. Rockville, MD; March 2010.
2.  American Heart Association. Heart Disease and Stroke Statistics – 2010 Update. Dallas, TX: American Heart Association; 2010.
3.  Heron MP, Hoyert DL, Xu J, et al. Deaths: Preliminary data for 2006. National vital statistics reports; Vol. 56 No. 16. Hyattsville, MD: National Center for Health Statistics; 2008.
4   National Center for Health Statistics. Health, United States, 2009: With Special Feature on Medical Technology. Hyattsville, MD; 2010.
5.  American Diabetes Association. Economic Costs of Diabetes in the U.S. in 2007. Diabetes Care. 2008;31(3):596–615.
6.  U.S. Department of the Interior, Bureau of Land Management, 2008. Northeast National Petroleum Reserve Final Supplemental Environmental Impact Statement (see subsections on Public Health). Anchorage, AK: Bureau of Land Management

Related Resources

''Health Impact Assessments Take on Broader Role in Cities and States''

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Aaron Wernham, director of the Health Impact Project discusses the benefits of health impact assessments in this edition of Governing.

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New Projects Bringing Health Considerations into Education, Energy Policy, and Other Decisions

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The Health Impact Project announced eight new grant recipients that will receive funding to conduct health impact assessments, or HIAs. The projects will bring health considerations into upcoming decisions on topics including education, sanitation infrastructure, and energy. The grantees were selected based on their response to a national call for proposals.

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The Rise of HIAs in the United States

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The field of health impact assessments is growing quickly as more and more cities and states are finding HIAs to be a useful way to bring health ino the conversation. View the infographic for more information about the rise of HIAs in the United States. More

National Public Health Week

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This year's celebration of National Public Health Week (NPHW) focuses on the theme, "Public Health is ROI: Save Lives, Save Money." Join us in recognizing the work of Pew's Health Initiatives. More

Greenville Conducts Health Impact Assessment

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The city of Greenville, South Carolina recently completed a yearlong health impact assessment with support from Pew's Health Impact Project.

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