health impact assessment a case study from austria
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Health Impact AssessmentHealth Impact AssessmentA case study from AustriaA case study from Austria
Sprenger M, Pueringer U, Cardiff 04/2006
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The HIAThe HIAA trans-national project:
- Austria
- France
- Malta
- the Netherlands
- Sweden
- Switzerland
Data is based on one Data is based on one interview with project interview with project coordinatorcoordinator
Online Information Online Information
http://herry.at/the-pep/
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Aim of the HIAAim of the HIA
The aimaim of the HIA was to provide areview on transport related health impacts,costs and benefits and to make a set ofevidence based recommendations on
politicalimplementation strategies with a particularfocus on children. fourth WHO Ministerial Conference on Environment and
Health “The Future for our Children”, Budapest 23-25 June 2004
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Some details about the HIASome details about the HIA
• Started in 2002 out of a 3-countries project (Switzerland, Austria, France)
• Driving force was a „single“ person from the the Austrian Federal Ministry of Agriculture, Forestry, Environment and Water
• Due to their contacts and experience a consultancy office became responsible for the overall project management
• No explicit definition of HIA has been used• Work was based on an intersectoral and
interdisciplinary approach (incl. steering group)
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Some details about the HIASome details about the HIA
• Clear aim (Assessment of the transport related health
effects on children) and a clear endpoint (fourth WHO Ministerial Conference on Environment and Health)
• ScreeningScreening has been done together• ScopingScoping and appraisalappraisal has been done
independently in every project country for the special transport related health effects (2-3 days workshops)
• ReportingReporting and evaluationevaluation has been done together
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… … the health determinants the health determinants ……
• Air pollution exacerbation of asthma, chronic respiratory symptoms, allergic symptoms, increased prevalence of atopic sensations, reduction in lung function
• Climate change + road traffic injuries• Noise sleep disturbance, affection of
children’s learning, cognition, motivation and annoyance
• Physical activity obesity, positive effects on psychological and physical well-being
• Psychological and Social Effects • Economic evaluation
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1. The assessment of the negative transport related health effects on children
2. The provision of an extensive HIA for the fourth WHO Ministerial Conference on Environment and Health “The Future for our Children”, Budapest 23-25 June 2004
3. Putting health effects on children into the centre of attention
4. Making the issue more important to politicians by looking at economic costs and making them transparent
5. Strengthening research on transport related health effects
6. Using new approaches in the assessment of transport related health effects (e.g. risk value, willingness to pay, sensitivity analyses)
The „effectiveness“The „effectiveness“
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7. Looking at transport related health effects as an international and NOT national issue
8. In Austria, mobility management is happening more often then in the past. Action papers have been launched, CO2 emission has been reduced, measures to reduce transport related health effects (noise, air pollution, traffic related injuries, etc.) have been financed and implemented.
9. Health effects are more often considered in big projects (transport, urban planning, etc.), e.g. bicycle lane, public transport
10. Unification of the calculation of health related external costs. This lack is the reason that the consideration of transport related health affects fails to pass international bodies and parliaments (e.g. EU commission, EU parliament)
The „effectiveness“The „effectiveness“
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• Boosting transport related health effects on the agenda of the UNECE; OECD, EU big freight companies, economic departments, etc.
• Informing the public. Especially informing the public with the right, easy to understand, communication tools (social marketing).
• EquityEquity was NOT a main issue• As so many communities are affected by
transport related health effects NO community participationcommunity participation
The HIA was NOT effective The HIA was NOT effective regarding …regarding …
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• Is it appropriate / effective to do a HIA without community involvement?
• Does it make sense to focus on economic costs and benefits?
The questions areThe questions are
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THANK you very much for THANK you very much for your attentionyour attention
Contact:
Dr.med. Martin Sprenger MPHMedical University of GrazUniversitätsplatz 4/38010 GrazAustria / EuropeTel: ++43-(0)316-380-7772Fax: ++43-(0)316-380-9668E-mail: [email protected]