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Health Impact Assessment : Process and Evaluation Overview

Health Impact Assessment : Process and Evaluation Overview. Elizabeth Hodges Snyder, PhD, MPH; Assistant Professor of Public Health; Soil and Water Scientist; UAA Department of Health Sciences. Health Impact Assessments in Alaska. Alaska Pipeline Project Oil & Gas (Comprehensive )

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Health Impact Assessment : Process and Evaluation Overview

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  1. Health Impact Assessment : Process and Evaluation Overview Elizabeth Hodges Snyder, PhD, MPH; Assistant Professor of Public Health; Soil and Water Scientist; UAA Department of Health Sciences

  2. Health Impact Assessments in Alaska Alaska Pipeline Project Oil & Gas (Comprehensive) Chuitna Project Coal (Comprehensive) Donlin Creek Project Gold (Comprehensive) Foothills West (Umiat) Roadway (Comprehensive) Pt. Thomson Project Oil & gas (Rapid Assessment) Pebble Prospect Gold/Copper (Comprehensive) Susitna-Watana Hydro (Comprehensive) Wishbone Hill Project Coal (Rapid Assessment)

  3. HIA and the State of Alaska Program • First HIAs conducted in 2004 (North Slope) • First HIA workshop in state in 2008 • Produced HIA toolkit • State program founded in DHSS in Summer 2010 • Identified key activities include: • Maintaining toolkit • Performing HIAs • Collaborating on HIAs • Refining scientific approach • Identifying best practices

  4. http://www.epi.alaska.gov/hia/AlaskaHIAToolkit.pdf

  5. http://www.epi.alaska.gov/hia/AlaskaHIAToolkit.pdf

  6. http://www.epi.alaska.gov/hia/AlaskaHIAToolkit.pdf

  7. http://www.epi.alaska.gov/hia/AlaskaHIAToolkit.pdf

  8. http://www.epi.alaska.gov/hia/AlaskaHIAToolkit.pdf

  9. http://www.epi.alaska.gov/hia/AlaskaHIAToolkit.pdf

  10. http://www.epi.alaska.gov/hia/AlaskaHIAToolkit.pdf

  11. http://www.epi.alaska.gov/hia/AlaskaHIAToolkit.pdf

  12. http://www.epi.alaska.gov/hia/AlaskaHIAToolkit.pdf

  13. Prioritization of Effect Probability of Effect Category of Effect • Physical • Economic • Sociocultural Immediacy of Effect Strength of Evidence Severity of Effect Direction of Effect • Proportion of population affected • Application of DALYs • Acute versus chronic effects • Positive • Negative • Neutral Modifiability of Effect Effects on Underserved Duration of Effect Association With Climate Change(?) Level of Community Concern Natural Resource Effect • Air • Water • Soil

  14. http://www.epi.alaska.gov/hia/AlaskaHIAToolkit.pdf

  15. http://www.epi.alaska.gov/hia/AlaskaHIAToolkit.pdf

  16. http://www.epi.alaska.gov/hia/AlaskaHIAToolkit.pdf

  17. Evaluation of Stakeholder Engagement • Various interpretations of what an HIA can and cannot do • Issues of trust • Issues of confidence in the HIA process • Concerns about objectivity • Concerns over weight and use of local information • Concerns over the inclusion of cultural information • Understanding community context • Participant selection • Community conflict (retribution and racism) *Findings will be available Summer 2013

  18. Positives of HIA in Alaska • Alaska is leading the way in the field of HIA, particularly in the area of resource development • Increasing community awareness of new policies, programs, and projects – and of their potential health impacts • Increasing community opportunities for public participation • Increased collaboration between State and Tribal entities

  19. Positives of the HIA Process • The HIA process encouraged the community to begin thinking about health in the context of resource extraction projects. • The HIA brought up several key areas for further evaluation which would likely have gone without attention had the HIA not been completed. • The HIA helped to develop a collaboration between Tribal and State entities which we hope will be further developed on future projects.

  20. Adapted from Harvard iSites

  21. Resources • State HIA Program • http://www.epi.alaska.gov/hia/ • See Alaska HIA Guidance Document • HIA on Line One: Your Health Connection • http://feeds.kska.org/kska-lineone • Health Impact Project • http://www.healthimpactproject.org/ • Human Impact Partners • http://www.humanimpact.org/ • UCLA Health Impact Assessment Clearinghouse • http://www.hiaguide.org/

  22. Conferences/Associations • International Association of Impact Assessment • http://www.iaia.org/default.aspx • Society of Practitioners of Health Impact Assessment (SOPHIA) • http://www.hiasociety.org/

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