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March 2007, Vol 97, No. 3 | American Journal of Public Health 406-413
© 2007 American Public Health Association
DOI: 10.2105/AJPH.2005.073817

PROTECTING THE PUBLIC FROM ENVIRONMENTAL HAZARDS

Protecting Health Using an Environmental Impact Assessment: A Case Study of San Francisco Land Use Decisionmaking

Rajiv Bhatia, MD, MPH

Rajiv Bhatia is with the San Francisco Department of Public Health and the University of California, San Francisco.

Correspondence: Requests for reprints should be sent to Rajiv Bhatia, MD, MPH, 1390 Market St, Ste 822, San Francisco, CA 94102 (e-mail: rajiv.bhatia{at}sfdph.org).

ABSTRACT

Laws and regulations for an environmental impact assessment enable a health impact assessment whenever physical changes in the environment may significantly affect health. In this case study, I describe 2 instances in which a local public health agency used the procedural requirements for an environmental impact assessment to account for societal-level health determinants that are not traditionally evaluated in land-use decisions.

These examples show that a public health critique can contribute both to the scope of analysis in an environmental impact assessment and to substantive changes in land-use decisions. I have evaluated this health appraisal approach as a form of a health impact assessment and will make recommendations for law, research, and practice that support its technical, cultural, and political feasibility.




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