This synthesis highlights key findings of our surroundings Linkages Initiative, and introduces a "tool-kit" to aid integration of atmosphere and future health concerns into decision-making. The record represents the end result of a two-year strategy of operating with stakeholders to spot: present gaps in wisdom and instruments that restrict greater judgements; techniques for addressing these gaps; a clearinghouse of associated wellbeing and fitness and atmosphere wisdom and assets; associated healthiness and setting information on overview systems; and pilot-testing of the techniques within the field.Each bankruptcy outlines a key subject matter, and refers the reader to designated historical past reviews and data resources on hand at the CD-ROM that accompanies the file.

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Extra info for Health Environment: Managing the Linkages for Sustainable Development: A Toolkit for Decision-makers

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What capacity for change exists or could be promoted? It is important to consider the wide range of potential interventions that could be implemented, either on their own or in combination. These include economic incentives, technological interventions, social measures such as health promotion, and legal or regulatory measures. Obviously, responses must be compatible with local priorities, institutional structures and capacity. Focusing on policies that are either in development or already “on the table” can help to ensure that the assessment is relevant to local needs.

Current practice and problems in HIA and EIA There is general agreement that systematic impact assessment processes can, in principle, support improved decision-making. However, the effectiveness of current approaches in achieving decisions that protect the environment and health is less clear. The manner in which health and environment linkages are reflected in current impact assessment approaches was addressed at a HELI needs assessment workshop in 2003, convened in Cuernavaca Mexico; in the subsequent review of health and environment decision-making outlined in Chapter II; in a workshop convened at the 2004 conference of the International Association of Impact Assessment; and finally in two studies of health impact assessment (HIA) and environmental impact assessment (EIA) presented in this chapter.

Integrated impact assessment tools and processes linking health and environment assessment. 2. Integration of qualitative and quantitative methods, particularly burden of disease and economic valuation. 3. An environment which encourages and facilitates exchange, participation and interaction between scientists, policymakers and stakeholders. 1. Integrating health and environment impact assessment with economic development Uni-sectoral assessments may produce accurate and useful conclusions within the limits of that specific sector.

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