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AJPH First Look, published online ahead of print Jan 31, 2007
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American Journal of Public Health, 10.2105/AJPH.2005.073817

Analytic Essay Forum

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

Rajiv Bhatia 1*

1 San Francisco Department of Public Health

* To whom correspondence should be addressed. 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.

Key Words: Environment, Government, Health Law, Health Policy, Public Health Practice, Urban Health




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