Assessing health impacts in complex eco-epidemiological settings in the humid tropics: advancing tools and methods
JournalArticle (Originalarbeit in einer wissenschaftlichen Zeitschrift)
ID 524411
Author(s) Winkler, Mirko S.; Divall, Mark J.; Krieger, Gary R.; Balge, Marci Z.; Singer, Burton H.; Utzinger, Juerg
Author(s) at UniBasel Utzinger, Jürg
Year 2010
Title Assessing health impacts in complex eco-epidemiological settings in the humid tropics: advancing tools and methods
Journal Environmental impact assessment review
Volume 30
Number 1
Pages / Article-Number 52-61
Keywords Health impact assessment, Developing countries, Environmental health areas, Risk analysis matrix, Gold-mining project, Democratic Republic of the Congo
Abstract In the developing world. large-scale projects in the extractive industry and natural resources sectors are often controversial and associated with long-term adverse health consequences to local communities. In many industrialised countries, health impact assessment (HIA) has been institutionalized for the mitigation of anticipated negative health effects while enhancing the benefits of projects. programmes and policies. However, in developing country settings, relatively few HIAs have been performed. Hence, more HIAs with a focus on low- and middle-income countries are needed to advance and refine tools and methods for impact assessment and subsequent mitigation measures. We present a promising HIA approach, developed within the frame of a large gold-mining project in the Democratic Republic of the Congo. The articulation of environmental health areas, the spatial delineation of potentially affected communities and the use of a diversity of sources to obtain quality baseline health data are utilized for risk profiling. We demonstrate how these tools and data are fed into a risk analysis matrix, which facilitates ranking of potential health impacts for subsequent prioritization of mitigation strategies. The outcomes encapsulate a multitude of environmental and health determinants in a systematic manner, and will assist decision-makers in the development of mitigation measures that minimize potential adverse health effects and enhance positive ones. (C) 2009 Elsevier Inc. All rights reserved
Publisher Elsevier
ISSN/ISBN 0195-9255
Full Text on edoc No
Digital Object Identifier DOI 10.1016/j.eiar.2009.05.005
ISI-Number WOS:000272928500006
Document type (ISI) Article

MCSS v5.8 PRO. 0.467 sec, queries - 0.000 sec ©Universität Basel  |  Impressum   |