Title: Health aspects of environmental impact assessment
 1Health aspects of environmental impact assessment
a report of the findings of the European 
Commissions IMP3 project on IMProving the 
IMPlementation of environmental IMPact 
Assessment in Europe
Presented by Salim Vohra on behalf of the IMP3 
team7th International Health Impact Assessment 
Conference, Cardiff, April 2006 
 2Project background
- European Commission regularly reviews the 
workings of EU Directives.  - This is the second review of the EIA Directive 
since its amendment in 1997  - Carried out by six partners from five countries 
Austria, Portugal, Slovakia, Sweden and the UK  - 1 year research project
 
  3Project partners
- ÖIR, Österreichisches Institut für Raumplanung 
 Austria(Austrian Institute for Regional 
Studies and Spatial Planning)  -  
 - UBA, Umweltbundesamt (Austrian Federal 
Environment Agency) Austria  - CITTA, Faculdade de Engenharia da Universidade do 
Porto Portugal(Research Centre for Territory, 
Transports and Environment)  -  
 - SZAP, Slovenská Agentúra Životného Prostredia 
 Slovakia(Slovak Environmental Agency)  - Nordregio, Nordic Centre for Spatial 
Development Sweden  - WCfH, Wales Centre for Health UK
 
  4Research background
- Questionnaires 
 - 970 EIA stakeholders were sent questionnaires 
 - 183 responded from 24 EU countries (19) 
 - Interviews 
 - 38 stakeholders in 10 EU countries 
 - 26 stakeholders in Canada and the US
 
  5Number of responses by country 
 6Definition of health used in EIA
- Majority view - environmental risks to health 
i.e. air, water, soil and noise pollution  - Minority view - in 12 countries - mental health 
and social wellbeing recognised in legislation  - Small but significant shifts in recognition of 
need to assess health more broadly in EIA 
practice compared to previous studies  
  7Definition of health used in EIA by country 
 8Health impacts assessed in EIA
- Physical health impacts are always or most often 
considered  - Social and mental health-wellbeing impact are 
less often or rarely considered  - Inequalities in health impacts between different 
groups within a community are very rarely, if at 
all, considered 
  9Influences on health considered in EIA 
 10Barriers to strengthening health
- No or insufficient guidance on how to consider 
health issues in EIA (65)  - Insufficient knowledge and understanding of 
health and health determinants (49)  - Definition of human health in EIA regulations is 
inadequate or too narrow or missing(40)  - Failure to include health experts in EIA teams 
(34) 
  11EU-level policy options identified 
 12Overall findings
- Human health is being assessed within EIAs in 
Europe  - Most are health risk assessments of the affect of 
emissions into the air, water and soil  - or completely separate HIAs carried out after the 
EIA has already been completed  - Few examples of integrated environmental and 
health impact approaches and methodologies  - There are signs of small but significant shifts 
in attitudes among EIA stakeholders about the 
need to consider human health in a broader way in 
EIA  
  13Emerging challenges strengthening health in EIA
- Should we integrate HIA into EIA or keep them 
separate?  - How do we create better links and more 
collaboration between environmental impact and 
health impact practitioners?  - More and better guidance but what precisely on? 
 - How do we develop better baseline health 
information and health evidence bases, that fit 
the EIA legislative framework at EU and national 
levels? 
  14?? A team effort and great fun!!! ??
- Antonia Cornaro, Erich Dallhammer, Valérie 
Dumont, Ulrike Fasching, Peter Schneidewind, 
Gregori Stanzer, Gabriele Tatzberger  - Wolfgang Lexer, Sabine Mayer, Bernhard Schwarzl 
 - Maria Rita Correia, Paulo Pinho, Sara Santos Cruz 
 - Daniela Bugánová, Mária Hrncárová, Zuzana 
Lieskovská, Katarína Palúchová, František Parišek  - Tuija Hilding-Rydevik, Åsa Pettersson, Arto 
Ruotsalainen  - Ceri Breeze, John Kemm, Nicola Pearce, Lynnette 
Thomas, Salim Vohra