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Subject:	Institutionalizing Policy-Level Health Impact Assessment in Europe
From:	Dennis Raphael <[log in to unmask]>
Reply To:	Social Determinants of Health <[log in to unmask]>
Date:	Sat, 23 Jul 2005 07:46:11 -0400
Content-Type:	text/plain
Parts/Attachments:	text/plain (46 lines)

Full text available at:

http://tinyurl.com/7h9p2
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Abstract European Union (EU) Member States are interested in using health
impact assessment (HIA) as a means of safeguarding their obligations to
protect human health under the 1997 Treaty of Amsterdam. However, several
have encountered difficulties institutionalizing HIA with the policy-making
process. As a consequence, the World Health Organization (WHO) Regional
Office for Europe has suggested coupling HIA with strategic environmental
assessment (SEA). Traditionally, the incorporation of HIA into other forms
of impact assessment has been resisted, for fear of losing its focus on
health issues to environmental concerns, and compromising its social model
of health with the introduction of biophysical indicators. But can these
fears be substantiated? In this paper, we investigate the grounds for such
concerns by reviewing the relevant policy documents and departmental
guidelines of four non-European countries that have considered the use of
integrated assessment. We found that the case for associating HIA wit
h SEA in Europe is strong, and offers potential solutions to problems of
screening, theoretical framework, causal pathways and ready entry to the
policy process. Coupling HIA with SEA may thus be the next step forward in
a longer journey towards institutionalizing HIA as an independent
policy-linked device.

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