Health Impact Assessment
s w e eN
Published by the Centre for Health Equity Training, Research and Evaluation (CHETRE) Part of the UNSW Research Centre for Primary Health Care and Equity
Issue 23
Bringing About Change
The recent Deepwater Horizon and Montara oil spills remind us that while we’re trying to bring about incremental change, the magnitude of the issues we’re trying to address are getting bigger. Climate change, crises in population health, policy failures, and the preventable consequences of accidents and natural disasters all loom large.
But as the articles in this issue show, we are making progress. Individuals, organisations and governments are Deepwater Horizon Fire all taking positive steps that will have a cumulative impact. As we like to say at CHETRE when dealing with big issues, the only way to eat an elephant is one bite at a time. Elizabeth Harris Director Marilyn Wise Manager, Healthy Public Policy Program
CHETRE Receives International Association for Impact Assessment Institutional Award Ben Harris-Roxas
b.harris-roxas@unsw.edu.au
The Centre for Health Equity Training, Research and Evaluation (CHETRE) has received the International Association for Impact Assessment's 2010 Institutional Award. The award recognises CHETRE's "outstanding commitment to health impact assessment capacity building"
Image: Matt Soeberg
CHETRE is only the second health institution to receive the award (the Thai Health Systems Research Institute received it in 2005) and
Patrick Harris receiving the award on behalf of CHETRE
only the second Australian institution (the EPA received it in 1996). Past Institutional Award recipients include:
• 2008 Canadian International Development Agency (CIDA, Canada) • 2007 Swedish International Development Cooperation (Sweden) • 2004 African Development Bank (Tunisia) • 2001 World Commission on Dams (South Africa) • 2000 International Union for Conservation of Nature (Switzerland) • 1994 US President’s Council on Environ‐ mental Quality (USA) Our Centre is humbled to receive the award and would like to thank IAIA. We have learnt a lot through our involvement with IAIA and from its members.
May 2010 Image: US Coast Guard
Welcome to the twenty‐third issue of the eNews. We have a varied selection of articles in this issue but they all have the common theme of bringing about change. Change through building capacity, change through influencing public policy, change through improving land use planning, and change through improving dialog between HIA practitioners.
In this issue IUHPE Global Working Group on 2 Thailand’s New Rules for HIA
2
Indigenous HIA of the Northern Territory Emergency Response
3
New Initiative Promotes HIA in the US
4
HIA in the US: Highlights from Human Impact Partners
5
New Zealand HIA Support Unit Learning by Doing Fund
6
HIA Capacity Building in Christchurch, New Zealand
7
HIA in Manukau, New Zealand
7
HIA on Farmers’ Natural Resource Management in Australia
9
Heart Foundation Local Government Research
10
Social Media and Public Health 10 Upcoming Issue of EIA Review on HIA in the Asia Pacific
11
HIA in Korea
11
A Different Kind of Health Reform: Health in All Policies
12
HIA2010 Conference in Dunedin
13
Guidance on HIA of Mining and Metals Projects
13
HIA Round-Up
14
The International Associa‐ tion for Impact Assessment (IAIA) is the world’s leading impact assessment network, with more than 1,800 mem‐ bers in 120 countries. http://iaia.org
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University of New South Wales
International Union for Health Promotion and Education Global Working Group on Health Impact Assessment Marilyn Wise CHETRE UNSW and Chair IUHPE GWG for HIA m.wise@unsw.edu.au
www.iuhpe.org
There is a growing body of knowledge and experience in the conduct of HIA in many different countries. Govern‐ ments, the WHO, and other global institutions recom‐ mend, and in some cases re‐ quire, the use of HIA. At a meeting of its Board of Trustees in June 2009, the IUHPE established a Global Working Group on Health Impact Assessment. The GWG draws together people with experience and capacity in the conduct of health impact assessment in a variety of regions across the world. The International Association for Impact Assessment and other organisations are supporting the initiative. The purpose of the GWG is to contribute to the evidence base and workforce capacity that will be needed if the potential of HIA to influence the distribution of the deter‐ minants of the health of populations and to promote health and health equity is to be realised.
The GWG aims to:
• facilitate the development of evidence of the design, application and effective‐ ness of Health Impact As‐ sessment at international and national levels; • contribute to the knowl‐ edge and evidence base for appropriate methodologies to use in the identifica‐ tion step (data collection) of HIAs; • enable discussion, debate and shared learning among the researchers, practitio‐ ners, policy makers and communities engaged in health impact assessment in order to develop re‐ search/ practice/ policy/ advocacy agendas for ad‐ vancing HIA; • contribute to building the capacity of the health and other sectors to conduct HIA to ensure that, for ex‐ ample, economic globalisa‐ tion or actions to address climate change or to re‐ duce discrimination, have
positive population health outcomes and contribute to closing the health equity gap. The first major contribution of the Global Working Group on HIA to knowledge and practice will be at the 20th World Conference on Health Promotion and Education to be held in Geneva, Switzer‐ land in July 2010. Apart from a number of pres‐ entations, a sub‐plenary ses‐ sion will discuss the successes and strengths of HIA to date, the challenges that remain, and ideas for the future. From the discussion a work plan for the GWG will be finalised. Your contribution to this session’s discussion will be welcomed.
Thailand’s New Rules & Procedures for the Health Impact Assessment of Public Policies Thailand's National Health Commission Office has issued revised rules and procedures for HIA's use (http://j.mp/98dM5w).
Rules and Procedures for the Health Impact Assessment of Public Policies [PDF 294Kb] http://j.mp/98dM5w
The document clarifies the rights and obligations of citizens, government and industry in relation to HIA. It provides a detailed account of Thailand's far‐reaching health impact assessment regulations.
Much of the recent media coverage of the Mab Ta Phut Industrial Estate case in Rayong Province has focused on the burden that HIA requirements are placing on business. This document provides a nuanced perspective on the regulations and practices that underpin Thailand's innova‐ tive approach to 'healthy development'.
More information: National Health Commission of Thailand http://j.mp/dnNvmP Thai Healthy Public Policy Foundation http://j.mp/bnbGwq
HIA eNews
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An Indigenous Health Impact Assessment of the Australian Government’s Northern Territory Emergency Response
The NTER includes a number of far‐ reaching measures, including:
• Suspending parts of the Racial Dis‐ • • • • • •
crimination Act. Introducing compulsory income management for support payment recipients. Child health checks. Appointing managers of all govern‐ ment business and acquiring land title in prescribed communities. Increases in policing and on‐ground clean up. Alcohol and pornography restric‐ tions on Aboriginal land. Abolishing Community Develop‐ ment Employment Projects (http:// j.mp/ciYDQI).
The HIA report examined the potential health impacts of the Intervention on all aspects of Indigenous health and wellbeing, not just physical health. The HIA raised serious concerns about the continued future wellbeing of Indige‐ nous children and families under the NT Intervention. The HIA was based on a contemporary Aboriginal definition of health that includes five dimensions: cultural, spiritual, social, emotional and physi‐ cal. The HIA found that the Intervention would potentially lead to “profound” long‐term damage to the health of the Aboriginal population in the Northern Territory. It concluded that any poten‐ tial benefits to physical health would
be largely outweighed by negative impacts to psychological health, social health and wellbeing as well as cultural integrity and spirituality. The HIA also found that the increasing levels of mistrust caused by the previ‐ ous government’s ill‐conceived and rushed implementation of the Inter‐ vention will continue to compromise the current government’s ability to work in partnership with Aboriginal communities to achieve shared objec‐ tives. The AIDA President, Associate Profes‐ sor Peter O’Mara, said the report showed that governments have “much to learn” when it came to consulting and respectfully engaging with Indige‐ nous people. Governments and Indige‐ nous people must come to the table as equals.
“...the intended health outcomes of the NTER are unlikely to be fully achieved through the NTER measures. It is pre‐ dicted that it will leave a negative leg‐ acy on the psychological and social wellbeing, on the spirituality and cul‐ tural integrity of the prescribed com‐ munities. However, it may be possible to minimise or mitigate these negative impacts if the Australian and NT gov‐ ernments commit to and invest in tak‐ ing the steps necessary to work in re‐ spectful partnership with the Aborigi‐ nal leaders and organisations responsi‐ ble for the governance of the pre‐ scribed communities in the NT.” HIA Report, page ix
Associate Professor O’Mara said the report also highlighted the need for governments to urgently address the way they partner with Indigenous peo‐ ple and that once fractured, the rela‐ tionship would take time to heal. “It’s like resetting a broken bone. It appears simple, but the process of healing is complex and deep. Ulti‐ mately, improved health and wellbeing can emerge only when people have control over their lives – to make deci‐ sions for themselves both personally and collectively.” Access the HIA Report http://j.mp/986CR8 Access the BMJ Report doi:10.1136/bmj.c1492 More Coverage http://j.mp/b1TBBb
Image: Elizabeth Harris
The Australian Indigenous Doctors’ Association (AIDA), working in collabo‐ ration with the CHETRE and with sup‐ port from the Fred Hollows Founda‐ tion, recently completed a Health Im‐ pact Assessment of the Northern Terri‐ tory Emergency Response (NTER), known as the NT Intervention, a major Federal legislative initiative in the Northern Territory of Australia.
An example of the NTER income management cards
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University of New South Wales
New Initiative Promotes Health Impact Assessment in the United States Bethany Rogerson Health Impact Project brogerson@pewtrusts.org
The Robert Wood John‐ son Foundation is the United States' largest health and health care philanthropic founda‐ tion. Its mission is to improve the health and health care of all Ameri‐ cans and to "address the nation’s most complex health and health care issues”. The Pew Charitable Trusts is a significant independent US non‐ profit organisation. It seeks to serve the public interest by "improving public policy, informing the public, and stimulat‐ ing civic life”.
In late October 2009, the Robert Wood Johnson Foun‐ dation and The Pew Charita‐ ble Trusts launched a new initiative, the Health Impact Project, to promote the use of health impact assessments (HIAs) in the United States. The project is the beginning of a collaboration between two of the nation's leading philanthropic organizations working to improve health and to serve the public inter‐ est. Under the direction of Dr Aaron Wernham, the project will support the growth and institutionalization of HIA in the U.S.
Among the core activities planned, the Health Impact Project will:
• fund a series of demon‐ stration HIAs;
• build a training and techni‐ cal assistance network; • convene training and meetings of policy leaders to build capacity for, and interest in, HIA; • complete HIAs of federal‐ level policy decisions; • produce policy briefs and educational materials to reach non‐health sectors and educate them about HIAs;
• undertake a review of ex‐ isting laws, regulations and policies that might support the use of HIAs; • help practitioners find new opportunities to imple‐ ment them; • and collaborate with and support other HIA practi‐ tioners and organizations in the U.S. The early response to the project’s launch and call for proposals suggests that there is a growing demand for HIA. Since its launch, the project has received an exciting vari‐ ety of proposals that are di‐ verse in geography, sector and subject area. To date, the project has received pro‐ posals from approximately 40 states, and from agencies and organizations seeking to use HIA to address the health implications of a broad range of issues including: land use and transportation, climate change, housing policies, la‐ bor standards, natural re‐ source extraction, education and economic policies. Health Impact Project staff are excited to see the grant projects take shape, and are looking forward to helping the field move ahead over the coming years.
Health Impact Project Website http://www.healthimpactproject.org
HIA eNews
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HIA in the United States Highlights from Human Impact Partners Marnie Purciel Health Impact Partners marnie@humanimpact.org
The use of HIA is growing in the United States, and demand for HIA training and technical assistance is simultane‐ ously increasing. In the US, Human Impact Partners (HIP) is the leading non‐profit organisation conducting HIAs and providing training, mentor‐ ship and technical assistance to others seeking to institute a HIA practice. The past year witnessed many exciting developments with respect to HIA, and HIP was privileged to support or coor‐ dinate many of these endeavors. Be‐ low we highlight several projects that HIP has been involved in. Training and Technical Assistance HIP was recently awarded a grant from the Health Impact Project, a collabora‐ tion between the Robert Wood John‐ son Foundation and the Pew Charita‐ ble Trusts. As part of the grant, HIP will be training and providing technical assistance to grantees from the Health Impact Project’s recently announced $7.2 million Health Impact Assessment grants program. This grant advances the development of training and tech‐ nical assistance programs and recog‐ nizes HIP’s leadership in building the capacity of others to conduct HIA. Policy, Land Use and Transportation Three HIA efforts show increasing in‐ terest on the part of government to analyze the health consequences of policy, land use and transportation decisions. Cap and Trade The California Department of Public Health (CDPH) is working with the Cali‐ fornia Air Resources Board on a HIA of a state‐wide Cap and Trade policy, which is similar to other proposed emissions trading schemes. The HIA focuses on how levers within the Cap and Trade program, such as the number of offsets allowed and whether the allowances will be auc‐ tioned or given away, will impact the
health of communities that are cur‐ rently negatively affected by emissions from polluters. HIP provided CDPH staff with a HIA training and is continu‐ ing to provide ongoing support in this effort. http://www.humanimpact.org
Freeway Expansion As a result of advocacy by a coalition of community groups, public agencies, universities and HIP the highest deci‐ sion‐making body for a major freeway expansion project proposal in Los An‐ geles, California voted to conduct a HIA. A HIA practitioner is in the proc‐ ess of being selected to conduct the HIA. This is a huge step forward, as it opens the door for mitigation meas‐ ures to improve the health of those living in close proximity to this free‐ way, which carries cargo to and from the busiest ports in the country.
near a new light rail station in Denver, Colorado. The Denver Housing Au‐ thority (DHA), a leader in advancing health goals in redevelopment plan‐ ning, ultimately awarded the architec‐ ture firm, The Buchanan Yonushewski Group (BYG), the bid to design and build 100 units of senior and disabled low‐income housing. HIP is now pro‐ viding input into the design of the pro‐ ject.
Port Expansion The U.S. Environmental Protection Agency hired HIP to develop a scope for a HIA of expansion projects at the Ports of Los Angeles and Long Beach, California. The EPA and communities affected by port activities have been asking the Ports to conduct HIAs as part of Environmental Impact Assess‐ ment under the National Environ‐ mental Policy Act. By participating in this scoping process, the Ports have agreed to explore what a HIA could provide. A public meeting to inform the scope took place in early February and discussions are underway regard‐ ing how to comprehensively evaluate the health effects of Port projects.
Incarceration HIP is launching HIA work in a new policy area – pathways to incarcera‐ tion. In the coming year two HIAs have the potential to use health to change our understanding about the effects of school discipline policies and policies to try minors as adults. HIP is currently establishing partnerships with organi‐ zations that would contribute to and use these HIAs, starting to look for funding, and beginning research.
Private planning firms are also begin‐ ning to see the value in HIA for incor‐ porating health in public projects. Public Housing Development For the first time, architecture and construction firms invited HIP to pro‐ vide health‐based design recommen‐ dations as part of their bid to build a public housing development project
New Areas The use of HIA in policy analysis may inform decision‐makers who have tra‐ ditionally not considered the relevance of health in their work.
These examples highlight the range of ways HIA is being used in the US and also signal an important time for the field. The coming years offer opportu‐ nities for practitioners to advance the field in meaningful ways, and HIP looks forward to working with others to in‐ crease the use of HIA, ultimately im‐ proving the consideration of health in decision‐making and creating healthier communities.
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University of New South Wales
HIA in New Zealand New Zealand HIA Support Unit’s Learning by Doing Fund: Round 3 Christine Stewart Health Impact Assessment Support Unit, NZ Ministry of Health christine_stewart@moh.govt.nz
Round Three of the New Zea‐ land HIA Support Unit’s Learning by Doing investment shows great potential to in‐ crease the breadth of HIA and Whānau Ora HIA (WOHIA) activities, and further develop relationships between the health and non‐health sectors in New Zealand. The Support Unit hopes this will maintain the momentum for health impact assessment methods and approaches that has de‐ veloped over the last few years. There have been two previ‐ ous rounds for investment by the Support Unit in HIA activi‐ ties ‐ Round One in 2007/08 and Round Two in 2008/09. These both focused on HIA activities by District Health Boards (DHBs). In Round Whanau Ora Health Impact Three the focus was widened Assessment focuses on to increase the number of using HIA to reduce and HIA/WOHIA activities in prevent Maori health health and non‐health sec‐ inequalities tors, and from a broader range of health providers. http://j.mp/cp0H3B In total, there have been 45 HIAs completed or in pro‐ gress in New Zealand, with 14 of these conducted between 2004 and 2007, and the re‐ maining 31 since 2007. Twenty three of the 31 HIAs conducted in New Zealand since 2007 have been funded by the Support Unit. The ten HIA/WOHIA activities under Round Three for the 09/10 period are:
• a transport strategy WOHIA in the Waikato
• a transport strategy HIA in Canterbury
• a transport HIA in Dunedin understand and undertake • a spatial structure plan HIA evaluation, as a key compo‐ • • • • • •
in Manukau (Wiri) an alcohol HIA in Northland an alcohol WOHIA in the Wairarapa a WOHIA on a District Health Board prioritisation policy in Northland a WOHIA on an integrated Whanau Ora centre in Taranaki a WOHIA training project in Auckland and Northland an HIA training project in Christchurch and the West Coast
nent of HIA.
In line with the focus on evaluation, the Support Unit has itself been evaluated, by looking at the first two years work as well as identifying opportunities for the future work of the Support Unit. The evaluation report has been received and the results will be featured in our next e‐ newsletter. You can view the newsletter and register to receive the newsletter at http://j.mp/ddzqzI
Reports and evaluations of these HIAs will be made avail‐ Evaluation is a key focus and able on the HIA Support Unit objective of the Support Unit. webpage as they come in. Several of the previous HIAs The webpage can be found at funded by the Support Unit http://j.mp/cneMsD have been externally evalu‐ ated and these reports are available on the Support Unit’s webpage. The Support Unit has com‐ missioned an evaluation of the largest HIA funded by the Support Unit, the Central Plains Water Scheme HIA in 2007/2008. The evaluation of this HIA is considered par‐ ticularly important as the HIA intersects with environment and health sectors and the different roles which these sectors should play in regard to assessing potential health impacts. The Support Unit plans to publish an evidence practice bulletin based on learnings from the available evalua‐ tions. The bulletin will aim to assist HIA practitioners to
HIA eNews
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HIA Capacity Building in Christchurch, New Zealand Alison Bourn Canterbury District Health Board & Canterbury HIA Joint Venture alison.bourn@cdhb.govt.nz
• Canterbury District Health Board (a government health agency), • Christchurch City Council (a local government council), • Environment Canterbury (a regional council) and • Partnership Health (a primary care organisation). HIAs have been conducted in Christ‐ church since 2005, when an HIA was carried out on the Christchurch Urban Development Strategy. Some of this HIA activity has been funded by the Ministry of Health, though most of it is now locally supported The Canterbury District Health Board has received several requests to pro‐ vide support for HIAs over the past five years. These HIAs have raised aware‐ ness of the health impacts of local and
regional planning and poli‐ cies. In order to address local capacity requirements and to embed consideration of health impacts into the plan‐ ning processes of key organi‐ sations in the Canterbury region, the partners agreed to jointly fund a position for two years to focus on HIA in Canterbury. HIA is seen as vital to ensure a local and regional “Health In All Poli‐ cies” approach.
Image: Trailsource
A two year local HIA capacity building project has recently started in Christ‐ church. The project is a joint venture between four key organisations in Can‐ terbury, the region around Christ‐ church:
Mountain biking at Bottle Lake Forest Park northeast of Christchurch, New Zealand
The organisations have formed a steer‐ ing group to provide strategic over‐ sight to the position. The group is meets regularly, has developed a Memorandum of Understanding be‐ tween the agencies and Terms of Ref‐ erence and appointed a project officer. This project with its dedicated HIA worker is a first in New Zealand. As two of the partner agencies have 30 year transport plans to complete by
mid‐2011, the initial focus of the pro‐ ject is to undertake two HIAs with a transport planning focus. The two HIAs are being run closely together and are sharing and combining resources wherever possible. Planning is also underway to support a range of capac‐ ity building activities for the four or‐ ganisations as well as supporting fur‐ ther HIAs and training sessions in HIA.
HIA of the Manukau Built Form and Spatial Structure Plan Adrian Field Synergia adrian.field@synergia.co.nz
In late 2008, Manukau City Council commissioned a HIA of the Manukau Built Form and Spatial Structure Plan (BF&SSP). The BF&SSP is centred on the long term development of the city centre area of Manukau. The aim of the Manukau City BF&SSP is to recon‐ nect the city centre to the rest of the city by reducing car dominance, enhancing accessibility, and providing public open spaces and parks. Manukau City is in the south of the Auckland region of New Zealand. In the 2006 Census, the city had a population of nearly 350,000 people. It is a culturally diverse area with over 165 ethnic groups within the city, and
with almost a third of residents speaking two or more languages. The city has high populations of Maori and Pacific people , and has relatively high levels of deprivation. The city grew significantly from the 1970s, and its city centre is dominated by car‐ oriented urban form.
which have treated cars and public interest as one and the same. Al‐ though the private car has undeniably increased mobility of the individual, the car‐oriented basis of much urban planning has at the same time eroded the ability for people to live actively in their local environments.
Creating and sustaining urban environ‐ ments that actively promote health are a key opportunity for planners and policy‐makers. With the majority of New Zealanders now residing in cities, one of the fundamental challenges is to build, re‐build, or retro‐fit urban environments that counter the direction of 40 years of urban planning
The HIA explored four overarching issues:
• Accessibility ‐ To identify opportuni‐ ties for increasing accessibility for visitors and residents to be able reach service, amenities and facilities that support healthy living. • Active Transport and Mobility – To
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University of New South Wales
HIA of the Manukau Built Form and Spatial Structure Plan Cont. identify opportunities for embedding active modes of transport within Manukau city centre, as well as enhancing access and mobility, particularly for disadvantaged groups and people with disabili‐ ties • Safety – To identify opportunities for ensuring optimal safety of residents and visitors within the city centre. • Liveability and vitality of area ‐ To identify oppor‐ tunities to improve the social, cultural, and environ‐ mental charac‐ ter of Manukau City to create a healthy city. Image: Wikipedia
These issues were explored through stake‐ holder discus‐ sions at three consultation Manukau City's location (shown in workshops: a orange) within the Auckland mainstream metropolitan area. The darker orange workshop with a indicates the urban area. variety of interested organisations; a workshop with Maori stakeholders, and a children’s consultation meeting held at a local primary school. The consultation undertaken for the heath impact assess‐ ment revealed significant support for the changes to the environment of the city centre, proposed under the Built Form and Spatial Structure Plan. To achieve this however will require
agreement on the implemen‐ tation of the Plan’s vision for the future that would create a more walkable city centre supporting a diversity of uses beyond its retail dominance.
City Council will become part of the new Super‐City in late 2010, the HIA provided a reference point for concerns and aspirations of the future of the city centre area.
A central finding of the HIA was that the long‐term development of the Manukau City Centre area should be focused on ensuring accessi‐ bility for families and people with disabilities; by doing so this will support development of an environment that is accessible and health pro‐ moting for all population groups. There was strong support for better provision of open space in the city centre area, including improving the safety and accessibility of Hayman Park, and the revitalisation of the Puhinui Stream.
The HIA was funded by the Ministry of Health’s Learning by doing Fund, and under‐ taken by Adrian Field of Synergia Ltd, working in partnership with Hapai te Hauora Tapui Ltd. The HIA was completed in June 2009, and endorsed by Manukau City Council in late 2009.
The HIA was an important process in building relation‐ ships and collective action between health interests and urban design. The HIA is informing further urban design initiatives in council, most immediately the Public Domain Manual, by providing principles to guide develop‐ ment of open spaces in the central city area. The HIA challenged historic assumptions of city planning and design, and posed the question of how the city centre, with an expected population of 10,000 people, will come to life. The direct engagement of Maori, through a whanau ora (healthy families) workshop, brought valuable perspec‐ tives that were not explored through mainstream consul‐ tation. Although Manukau
The HIA reports are available on the New Zealand Ministry of Health’s HIA Support Unit webpage http://j.mp/cfqNMs For further information, please contact Angela O'Carroll at Manukau Healthy Cities by email angela.o'carroll@ manukau.govt.nz You can also contact Adrian Field of Synergia by email adrian.field@synergia.co.nz
HIA eNews
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An HIA on a Proposal to Improve Natural Resource Management Among Farmers in Rural New South Wales, Australia Andrew Gow, Greater Southern Area Health Service andrew.gow@gsahs.health.nsw.gov.au Patrick Harris, CHETRE UNSW patrick.harris@unsw.edu.au
Greater Southern Area Health Service in NSW recently undertook an HIA in collaboration with another govern‐ ment agency responsible for natural resource management ‐ the Southern Rivers Catchment Management Au‐ thority (SRCMA). The HIA assessed the health impacts of proposed expansion of ‘extension’ work conducted by SCRMA with farmers to change farm‐ ing practice and support natural re‐ source management principles, par‐ ticularly using native pastures. The types of activities proposed under extension included field days, training programs, printed materials, media communication and advice and sup‐ port, all with a focus on developing sustainable native pasture enterprises. While the business of a Catchment Management Authority and an Area Health Service (AHS) may initially seem quite unrelated, the HIA made it clear that through the strong parallels be‐ tween extension and health promo‐ tion, there is much common ground both in methods and in desired out‐ comes. A significant motivation for undertaking the HIA was the growing sense that extension services were often reaching people who were po‐ tentially in crisis and that further sup‐ port may be required.
Image: Kent3ed
New South Wales and much of Austra‐ lia has undergone a prolonged period of drought in recent years. This has brought with it many potential issues and stressors for farmers, their fami‐ lies and communities.
A Farm at Major’s Creek, South of Braidwood in New South Wales The HIA gathered demographic data, statistics on relevant service provision, and scanned the relevant health and natural resource management litera‐ ture. Local knowledge was sought through focus groups with landholders who had received at least one exten‐ sion service from the SRCMA in the past 5 years, and another with SRCMA staff. Once the information was gath‐ ered, it was placed into an assessment matrix to identify consistencies (or otherwise) between the literature and local knowledge. One of the key achievements of the HIA was to generate an understanding of the ways in which SRCMA clients may experience health impacts from their interaction with extension ser‐ vices. The HIA suggested two primary ways in which SRCMA clients could experience health impacts. The first is from the experience of the biophysical
change that appears on a property following extension services (for exam‐ ple the impact on the landscape fol‐ lowing the adoption of positive land management practices such as a wind‐ break or fencing creeks from cattle). The second is from the experience of an interpersonal relationship between the extension officer and landholders (for example the sense of empower‐ ment – or otherwise – reported by landholders when SRCMA extension officers visit and notice progress.) The HIA made a range of recommen‐ dations against each area of impact, and highlighted which of these are applicable to other geographic areas. For more information please contact Andrew Gow at andrew.gow@ gsahs.health.nsw.gov.au
The HIA was scoped to have a particu‐ lar geographic focus on the region of Braidwood, which is located between Canberra and the South Coast of NSW. Three areas of impact were chosen to assess and make recommendations for:
• access and reach of services; • mental wellbeing & empowerment; • water quality.
Overview of Potential Health Impacts Resulting from the Southern Rivers Catchment Management Authority’s Extension Services
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University of New South Wales
Heart Foundation ‘Influencing Healthy Planning and Policy Development in Local Government’ Research Patrick Harris, CHETRE UNSW patrick.harris@unsw.edu.au
CHETRE and the New South Wales Branch of the Heart Foundation recently undertook a project to investigate how healthy planning fits within the policy and planning processes of local governments in New South Wales. The work builds on the NSW Heart Foundation’s activities in supporting healthy built environments. The aim of the research was to (i) gain more detailed understanding of the planning and policy development procedures and practices within NSW local governments and (ii) opportunities for health planning activities to be incorporated.
Two councils agreed to participate in the research, with each nominating a plan or policy with potential relevance to healthy planning as detailed case studies. A number of interviews we undertaken and relevant local government documents were analysed. The main implication of the research was that NGOs or civil society organisations such as the Heart Foundation should build on their recognised credibility and influence, based on strong connections to the community. In doing so NGOs can take leadership roles in working with communities, councils and other sectors to influence the planning of healthy environments that affect the lives, wellbeing and health of communities. However, this requires going beyond the provision of healthy planning principles or guidance to:
• actively working with communities to influence their local councils, • providing local support for Councils to include healthy planning in their business, and • taking an advocacy role at differing levels of government that in turn influence the business of local councils. During the project it became clear that HIA was is an important mechanism in assisting council staff to identify health impacts and to make trade‐offs when developing policies and plans. However it was also clear that health needs to demonstrated to be a useful concept and goal for council staff, management and elected councillors. A summary of the report’s findings can be found at http://j.mp/dnSRhy For more information on the Heart Foundation please go to http://www.heartfoundation.org.au
Social Media and Public Health: Should we drink the Kool-Aid? Ben Harris-Roxas, CHETRE UNSW b.harris-roxas@unsw.edu.au
Social media is getting more attention within public health, but should we uncritically embrace it? I've been an advocate for using new forms of media to assist in communication efforts but I’ve had an experience in the past two months that made me think that we shouldn't forget the established modes of communication yet. I twitter quite a lot (@hiablog), which usually results in around 900 clickthroughs to links I post per week. For the last two months I’ve sent around an email "round‐up" that contained some of the more interesting links I'd posted to twitter in the previous past month. I distributed them directly to 800 people on our e‐ newsletter list and through six email listservs. There’s an example of the
round up at the end of this eNews and you can find past ones at http://j.mp/ aJC8GV and http://j.mp/909Xzf The graph below shows what happened.
In three days there were 11,000 clicks. That's as much as I get in 12 weeks of twittering. Further, each individual link on twitter usually gets between 20 and 50 clicks. Every link included in the round‐up got more than 400.
The audiences for this blog, the twitter account and the email are predominantly groups of already‐ interested professionals. This is very different to the one being pursued through mass social marketing campaigns targeting the public about vaccination, outbreaks and health promotion. It's great that serious thought is being given to public health communication within a shifting information landscape. We just need to remember that email and print continue to have considerable reach. So drink the social media Kool‐Aid, just in moderation. What do you think? Post your comments at http://j.mp/btfNwR
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HIA eNews
Upcoming Issue of Environmental Impact Assessment Review on HIA in the Asia Pacific Ben Harris-Roxas, CHETRE UNSW b.harris-roxas@unsw.edu.au
A special issue of Environmental Impact Assessment Review on HIA in the Asia Pacific that I have guest edited will be coming out in the next couple of months. The issue features articles from seven countries on topics such as:
• A Typology for Health Impact As‐ sessments
• Linking HIA and Other Forms of Im‐ pact Assessment
• Using Gross National Happiness as a • • • • • •
Framework for HIA HIA in Australia HIA in Korea HIA in China HIA of Climate Change in Western Australia Community Health Impact Assess‐ ment Community Capacity Building for HIA in Canada
• Participatory HIA in Thai Local Gov‐ ernment • HIA of the Whitsunday Hinterland and Mackay Regional Plan, Austra‐ lia • HIA of the Coffs Harbour “Our Living City” Settlement Strategy
Did you know that Environmental Impact Assessment Review has published 55 articles on HIA? That’s more than any other journal.
I will distribute details when the issue is published. Several of the articles in the special issue are al‐ ready available online in‐ press. Go to http://j.mp/bwOZrt and scroll down to “Recent Articles”.
HIA in Korea: A Workshop to Assist Promoting and Developing HIA Patrick Harris, CHETRE UNSW patrick.harris@unsw.edu.au Eunjeong Kang, Korean Institute for Health and Social Affairs marchej@kihasa.re.kr
In 2009 Patrick Harris and Marilyn Wise from CHETRE ran a workshop on HIA in Seoul, South Korea. The workshop was provided by the Korea Institute for Health and Social Affairs (KIHASA) as part of their ‘developing and managing HIA’ program, which aims to explore HIA within the Korean context and eventually institutionalise HIA in South Korea. Patrick and Marilyn were asked by KIHASA to provide the workshop to assist promoting HIA within the Korean Healthy Cities Movement. Those who attended were from a range of health professional backgrounds including epidemiology, preventive medicine, health promotion, health policy and environmental health. Patrick and Marilyn provided an overview of HIA’s core concepts and approaches, examples from HIAs from across Australia that CHETRE has been involved in, equity in HIA, and incorporating health promotion principles and evidence into HIA. Given the interactive nature of the workshop, participants also undertook the screening, scoping and
assessment steps on a draft proposal that aimed to extend a road to include bike paths. Additional meetings with stakeholders responsible for progressing HIA in South Korea focused on capacity requirements for HIA, reflecting on the experience of building capacity for HIA in Australia. Since the workshop KIHASA and others have taken the view that HIA should focus on two related streams of activity; HIA within EIA and HIA for health promotion and healthy public policy. This approach is outlined in a short report in Environmental Impact Assessment Review that is available from http://dx.doi.org/10.1016/j.eiar.2010.02.005
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University of New South Wales
A Different Kind of Health Reform: Health in All Policies Ben Harris-Roxas, CHETRE UNSW b.harris-roxas@unsw.edu.au
While many western countries have been debating health care reform another, quieter debate has been underway. A conference organised by the World Health Organization and the South Australian Government was held in Adelaide from 13‐15 April. It debated how to ensure that health is considered in all government policies. This approach, known as Health in All Policies, is familiar to most HIA practitioners. It seeks to make ensuring health and wellbeing a shared goal across government. Increasingly the issues that health systems and governments face worldwide are complex and lie beyond the direct control of health agencies. These are issues like ageing populations, sustainability of financ‐ ing, rising rates of chronic disease, pandemics, and an increasing recogni‐ tion of the importance of early childhood in determining health throughout a person’s life. Health in All Policies recognises this and seeks to make health not only a feature of joined‐up government but also the driving force for it. As South Australian Premier Mike Rann noted when he opened the conference, health expenditure will account for the entire South Australian Government budget by 2030 unless bold steps are taken.
Image: Ben Harris‐Roxas
Health in All Policies origi‐ nated from Finland as a major initiative under its Presidency of the European Union in 2006 South Australian Premier (http:// Mike Rann opening the j.mp/9C2b0q). In Australia, the Health in All Policies South Australian Conference Government has
led the way. It has built Health in All Policies into South Australia’s Strate‐ gic Plan (http://j.mp/ds0MAV) and health lens analyses have been undertaken on policies across govern‐ ment. Some of the details of these are available from the South Australian HiAP website (http://j.mp/ckBMPG). Health lens analyses are not as widespread a practice as HIA, though the approach is broadly similar. A notable difference is that health lenses lack a discrete integrative assessment step, which brings together the evidence gathered to make predictions about potential impacts. This may make it difficult to reconcile disparate, conflicting or contradictory evidence about poten‐ tial impacts. To date health lenses have been used in South Australia (http://j.mp/cOFtVE) and New Zealand (http://j.mp/90JAEU). Health in All Policies is not new idea. Twenty‐two years ago another Adelaide WHO conference developed Recommendations on Healthy Public Policy (http://j.mp/9EPTIP) that emphasised the important role of all government policies in ensuring people’s health. There’s been inter‐ sectoral action for health since then (see for example the Public Health Agency report Crossing Sectors http:// j.mp/cAohmJ), but it hasn’t necessar‐ ily resulted in lasting changes to the way health ministries relate to other government agencies. The impetus for re‐focusing on the role of intersectoral policy now is that we face a number of “wicked prob‐ lems” that have implications across government. These are issues such as rising rates of obesity or managing finite water resources, which involve a complex array of stakeholders, a lack of agreement about what the nature of the problem actually is, and interlocking constraints on resources. Wicked problems can’t be solved, only managed.
The conference put out a declaration ‐ The Adelaide Statement on Health in All Policies (http://j.mp/aGvBzk). It sets out the rationale for Health in All Policies, identifies some of its drivers and mechanisms, and discusses the role the health sector will play. A Health in All Policies approach is not a panacea but it does represent an important shift from the health sector describing the importance of the determinants of health to working constructively across government on them. It’s about making health an explicit goal of all of government, rather than a silo to be maintained. This activity is not without risk however. Having failed to reorient health systems to prevention are we now going to fail spectacularly to reorient the whole of government? Health in All Policies approaches may also focus on centralised government processes to the exclusion of other areas of government, such as local government. There may also be only limited avenues for civil society and community participation. There may be cause for hope how‐ ever. Reform is in the air in many countries, and increasing health costs are providing a renewed focus on a broader prevention agenda. South Australia, whilst still in the early days of its Health in All Policies agenda, has demonstrated that high‐level action is possible. More Information on HiAP The Adelaide Statement on Health in All Policies http://j.mp/aGvBzk Health in All Policies ‐ South Austra‐ lian Department of Health http://j.mp/9XZlms Health in All Policies – European Union http://j.mp/9qiBaJ
HIA eNews
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HIA2010 Third Asia Pacific Health Impact Assessment Conference Dunedin, New Zealand 17-19 November 2010 Ben Harris-Roxas, CHETRE UNSW b.harris-roxas@unsw.edu.au
The 3rd Asia and Pacific HIA Confer‐ ence, to be held at the University of Otago, Dunedin, New Zealand, from 17th ‐19th November 2010. This builds upon the successful conferences held in Sydney in 2007 and Chiang Mai in 2009. The conference organiser is the Health, Equity and Wellbeing Impact Assessment Research Unitat the Uni‐ versity of Otago (http://j.mp/a2X5xP). The conference is being supported by the International Association for Im‐ pact Assessment (IAIA).
http://www.iaia.org/hia2010
For more information on the confer‐ ence go to http://www.iaia.org/ hia2010
Good Practice Guidance on HIA of Mining and Metals Projects Salim Vohra, Institute of Occupational Medicine salim.vohra@iom-world.org
The International Council on Mining and Metals (ICMM) has just published its guidance on HIA ‐ see http://j.mp/ ccL1AF The Institute of Occupation Medicine with the support of Martin Birley and Judith Ball ‐ with peer review from Mark Divall, Ben Harris‐Roxas, Fran‐ cesca Viliani and Aaron Wernham ‐ helped ICMM produce this guide. A few of the interesting and innovative things in the guide that are worth high‐ lighting are:
• It provides a developed and develop‐ ing country perspective with a strong focus on the social determinants. of health • It advocates for the mainstreaming of 'first look' in‐house rapid HIAs that are undertaken by HSE teams during the early internal feasibility and planning stages of a project that are followed up with more formal external commissioned HIAs and ESHIAs.
• It incorporates a competency frame‐ work for commissioners to consider when recruiting HIA consultants. • It develops a Hierarchy of Health Enhancement that sits alongside the existing Hierarchy of Health Risk Mitigation that is used in Occupa‐ tional Risk Assessment and Environ‐ mental Impact Assessments/ Environmental, Social and Health Impact Assessments for considering mitigation and enhancement meas‐ ures. • It highlights the link between occu‐ pational health risk assessment and (community) health impact assess‐ ment. For more information on the guide please go to http://j.mp/ccL1AF
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University of New South Wales
Health Impact Assessment Round-Up
A collection of links to HIA-related resources, report and news Ben Harris‐Roxas, CHETRE UNSW b.harris‐roxas@unsw.edu.au The HIA Round‐Up is an activity of the International Union for Health Promotion and Education Global Working Group on Health Impact Assessment, produced by the Centre for Health Equity Training, Research and Evaluation at UNSW Health Impact Assessment International recognition for HIA at UNSW http://j.mp/d5msgN Marco Martuzzi from WHO Europe on the importance of using the right metrics when communicating HIA results [YouTube Video] http://j.mp/c1kplO Job: HIA Consultant for RPS, Brighton UK http://j.mp/9vxRLg Guide to Human Rights Im‐ pact Assessment and Man‐ agement [IFC & IBLF] http://j.mp/bKYAWY New HIA Gateway Resources ‐ April 2010 http://j.mp/bkp8D3
Follow us on Twitter
@hiablog http://twitter.com/hiablog
Four Stories from the Field: The Increasing Momentum of Health Impact Assessment Methods and Approaches in New Zealand http://bit.ly/bxAatR
Thailand’s New Rules & Pro‐ cedures for the Health Impact Assessment of Public Policies [HIA Blog] http://j.mp/aYbUPX Framework to Understand How Health Can Contribute to Impact Assessment of Ex‐ tractive Industry Projects [CHETRE Poster] http://j.mp/aFdXwQ The Role of Conceptual Learning in Health Impact Assessment [CHETRE Slides] http://j.mp/djl5rg Methodology for Integrated Environmental and Health Impact Assessment ‐ A focus on Latin America and the Caribbean [UNEP] http://j.mp/cZTtep Health impact assessment of the 2012 London Olympic transport plans http://j.mp/aBcAZw
Healthy Places, Strong Foun‐ dations [Belfast Healthy Cities Report] http://j.mp/crHe6t
Population Health and Primary Care Health Equity and Prevention Primer [Prevention Institute] http://j.mp/b8mD39
Working on a health impact assessment in the U.S.? Share what you are learning via the Health Impact Project http://j.mp/bbquKC
The Canadian Facts: Free downloadable book on the social determinants of health in Canada [York University] http://j.mp/chqC1K
Conference Paper: Health Impacts of the Transport Transition [Birley HIA] http://j.mp/9TetT1
Adelaide Statement on Health in All Policies [Conference Statement] http://j.mp/arsRS0
“Why I've given up on the mainstream media”: Dennis Raphael [Croakey] http://j.mp/akFlSp Aboriginal health group backs Australian tobacco reforms "Aboriginal people have just as much right to good health" [Croakey] http://j.mp/coafTx The Grocery Gap: Who Has Access to Healthy Food and Why It Matters [Policy Link & The Food Trust PDF] http://j.mp/c80L6K How urban planning can im‐ prove public health [Miller McCune] http://j.mp/d224RM Promoting health equity in conflict‐affected fragile states [Soc Sci & Med Jnl Article] http://j.mp/aGoTlH Interview with former UN Rapporteur on the Right to Health [IUHPE] http://j.mp/9szUqt Call for research proposals from civil society organiza‐ tions: Advancing health eq‐ uity through research and practice [WHO & PHM] http://j.mp/cY6dCe London Health Inequalities Strategy [PDF] http://j.mp/cu2YKu Text Messaging as a Tool for Behavior Change in Disease Prevention and Management [ICMCC Review] http://j.mp/auexEX
HIA eNews
The Adelaide Health in All Policies Con‐ ference Presentations http://j.mp/d1s4Dg Where is the US Commission on Health Equity? [Healthy Policies Blog] http://j.mp/dmmS5c Health Diplomacy and the Enduring Relevance of Foreign Policy Interests [PLoS Medicine Open Access] http://j.mp/at96wf Netherlands Health System: [European Observatory on Health Systems & Poli‐ cies Report PDF] http://j.mp/bnwDrs World Malaria Day: White House re‐ leases plan to combat malaria with goal to halve deaths [White House] http://j.mp/c8qUBg Urban Health Matters: World Health Day 2010 [WHO Vid] http://j.mp/aFKFNs Issue of South Australian Public Health Bulletin on Environmental Toxicology [Open Access Issue PDF] http://j.mp/dfZhtC Can preschool improve child health outcomes? A systematic review [Soc Sci & Med Article] http://j.mp/9vpWHS
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Indigenous Peoples Still Among Poor‐ est in World, but Progress Reported in Some Countries [World Bank Discus‐ sion Paper] http://j.mp/cGnnyc Evaluating the Relative Environmental Impact of Countries [PLoS ONE Open Access] http://j.mp/bF0NSi John Sterman from MIT on why calls for a Manhattan Project on climate change is not a helpful analogy [YouTube Video] http://j.mp/bI7YNn What are we dumping into the Gulf of Mexico to fix the oil spill? [Grist Blog] http://j.mp/aAOBtX Deepwater offshore development re‐ mains a vital enterprise [Reuters Fo‐ rum] http://j.mp/alNTLD Wind energy's latest problem: It makes power too cheap? [The Oil Drum, com‐ ments are interesting] http://j.mp/b0aRBA The dark side of cloud computing: soaring carbon emissions [The Guard‐ ian] http://j.mp/aRnOno
South Australia's Health in All Policies Portal [SA Dept of Health] http://j.mp/9iIOCX
Australian Government’s Response to its Government 2.0 Taskforce [AGIMO Blog] http://j.mp/dchTlp
Ideas for eco‐friendlier hospitals [Climate Progress] http://j.mp/agxmwY
Europe's 'Urban Atlas' [European Envi‐ ronment Agency] http://j.mp/cEAeJe
Understanding Health Inequalities: Theories, concepts & evidence [slides by Prof Gareth Williams] http://j.mp/aXNdG5
Summary of evidence on the impact of climate change policies on employ‐ ment [European Parliament] http://j.mp/cS8DTA
Healthy Policy Making: Report of a UK Cross‐Government Workshop held in Feb 2010 http://j.mp/9k07Bc
Growing Out of Crisis: The Crisis and the World's Poorest [Special Issue of Development Outreach] http://j.mp/dj3aCf
Other Items of Interest Chevron Issues 2009 Corporate Re‐ sponsibility Report [Health Impact Pro‐ ject] http://j.mp/bNmXK8
After 40 Years does Earth Day still mat‐ ter? 20 environmental bloggers offer their opinions http://j.mp/akW8Mz
Empty skies provide a chance to recon‐ sider the costs and benefits of air travel [NEF] http://j.mp/cKdeOT 15,000 participate in World People's Conference on Climate Change & Rights of Mother Earth in Bolivia [SciDv Net] http://j.mp/bju5Rx Climate Science: Dealing with the (Minor) Errors [Inside Story] http://j.mp/9Dyyb1 Strengthening Evidence‐based Policy in the Australian Federation: Roundtable proceedings [Productivity Commission] http://bit.ly/d7oGsh The pressures on peer review [Opinion piece in the Financial Times] http://bit.ly/aSzURf Reading: Does open‐access publishing increase future citations of a study? [Conservation Maven] http://j.mp/97hnNq Biodiversity and Forest Ecosystems in Europe [European Environment Agency] http://j.mp/9gSvHb For Good measure: Devolving account‐ ability for performance and assess‐ ment to local areas [Eldis] http://j.mp/93cd7k Building Cities: Neighbourhood Up‐ grading and Urban Quality of Life [Inter ‐American Development Bank PDF] http://j.mp/aMtc9U European Parliament Report on Agri‐ culture in Areas with Natural Handi‐ caps: A Special Health Check [PDF] http://j.mp/aaCVr7 Knowledge to Policy: Making the Most of Development Research [Free Cana‐ dian Downloadable Book] http://j.mp/bkZ5cj MIT Study: History, not just wealth access, causes inequality http://j.mp/9efN3V A different take or urban planning: the military implication of 'feral cities' http://j.mp/9DZXXU
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Effectiveness of health promotion and public health interventions: Lessons from Latin American Cases [CM] http://j.mp/dzG4ff Older Links That are New to Us Reviewing the Quality of Environ‐ mental Statements: An EIA Review Package, developed in the UK in 1992 [University of Manchester] http://j.mp/aX4XSW Looking for the right journal to publish in? This online tool might help http://j.mp/dwpCTj Report: Applying health impact assess‐ ment to land transport planning [New Zealand Transport Agency] http://j.mp/9z9y8N Conferences and Events Sustainability Assessment Symposium: Towards Strategic Assessment for Sus‐ tainability, Perth 25‐26 May 2010 http://j.mp/cBGsA5 20th IUHPE World Conference on Health Promotion, Geneva Switzer‐ land, 11‐15 July 2010 http://j.mp/bj89dA Design pour la santé ‐ Design for Health, Montréal Canada, 1 October 2010 http://j.mp/dfCWYP Double IAIA Symposia Climate Change & Impact Assessment Aalborg, Denmark 25‐26 October 2010 http://j.mp/9HvtyJ Washington DC USA, 15‐16 November 2010 http://j.mp/b8fJxA HIA2010 3rd IAIA Asia Pacific HIA Con‐ ference, Dunedin, New Zealand, 17‐19 November 2010 http://j.mp/cmbdiL IAIA11 Impact Assessment and Re‐ sponsible Development, Pueblo Mex‐ ico, 28 May‐4 June 2011 http://j.mp/ckNq5J
University of New South Wales
Training CHETRE Two Day HIA Training Course, Sydney CBD Australia, 3‐4 June 2010 http://j.mp/dbLL6d Three Day HIA Training, Liverpool UK, 14‐18 June 2010 http://j.mp/cD86FF
En français 10eme Colloque francophone des villes sante de l'OMS et des villes en sante, Montpellier 24‐26 novembre 2010 http://j.mp/cZreRI
One day training course on HIA, Bir‐ mingham UK, 14 July 2010 http://j.mp/cS3n3x
EIA de l’interdiction de la vente d’al‐ cool aux mineurs [HIA of alcohol sale restrictions for minors ‐ Switzerland] http://j.mp/aAdb2o
Monash University Four Day HIA Train‐ ing Course, Melbourne Australia, 27‐30 July 2010 http://j.mp/9sJAr9
Guide d’introduction à l’Evaluation d’Impact sur la Santé en Suisse [Guide for HIA in Switzerland] http://j.mp/9ZF8ue
One‐Day Course in Planning for Non‐ Planners, UWS Urban Research Centre, Sydney Australia, 28 June & 29 Novem‐ ber 2010 http://j.mp/d6QDxs
Sixième rapport de l’Observatoire na‐ tional de la pauvreté et de l’exclusion sociale http://j.mp/cmxsTE
Three Day HIA Training Course, Gregy‐ nog Wales, 5th‐7th October 2010 http://j.mp/aMXJmk
En español Metodología para una evaluación inte‐ grada de medio ambiente y salud. Un enfoque en América Latina y el Caribe [UNEP PDF] http://j.mp/96SG6S
International Association for Public Participation, training throughout Aus‐ tralia, more than 20 sessions through‐ out 2010 http://j.mp/a2VSuP Different & Interesting Water from Air: Fog catching in Peru [National Geographic] http://j.mp/dmNVBa
ภาษาไทย นโยบายสาธารณะกับการประเมินผล กระทบทางดานสุ ขภาพ (Health Im‐ ้ pact Assessment: HIA) http://j.mp/9nATk1
What would the amount of oil we use every second look like if it was a cas‐ cade of water? [Harryhammer’s Blog] http://j.mp/aDDGqj Adam Smith wasn’t the free‐market fundamentalist he is thought to have been ‐ piece by Amartya Sen [New Statesman] http://j.mp/dA2l8b Concept: A train that never stops ‐ This could shave 2.5 hours off the travel time between Beijing & Guangzhou [YouTube Video, audio in Mandarin] http://j.mp/d9qO5N Phylo: A free biodiversity trading card game for kids http://j.mp/chlBQu
UNSW HIA eNews The views expressed here are not necessarily those of the University of New South Wales. This newsletter is brought to you by the Healthy Public Policy Program at the Centre for Health Equity Training, Research and Evaluation (CHETRE), part of the UNSW Research Centre for Primary Health Care and Equity. If you’d like to contact us about the eNews please email b.harris‐roxas@unsw.edu.au