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Artigo em Inglês | MEDLINE | ID: mdl-33105669


Health Impact Assessment (HIA) and Health in All Policies (HiAP) are policy tools used to include health considerations in decision-making processes across sectors such as transportation, education, and criminal justice that can play a role in improving health and equity. This article summarizes proceedings from an international convening of HIA and HiAP experts held in July 2019 in Barcelona, Spain. The presentations and panel discussions included different models, best practices, and lessons learned, including from government, international banks, think tanks, and academia. Participants discussed ideas from around the world for cross-sector collaboration to advance health. The convening covered the following topics: community engagement, building greater understanding of and support for HiAP, and exploring how mandates for HIA and HiAP approaches may advance health and equity.

Rev. bras. med. fam. comunidade ; 14(41): e1899, fev. 2019.
Artigo em Português | LILACS | ID: biblio-996071


Os participantes do 1º Simpósio Internacional de Saúde Planetária, reunidos em Porto Alegre, propõem que se dissemine a discussão do tema e se articule a resposta e a contribuição do sistema de saúde aos crescentes desafios que enfrenta a saúde da população decorrentes da mudança climática, poluição, redução da biodiversidade e outros fatores ambientais

The participants of the 1st International Symposium on Planetary Health, held in Porto Alegre, propose to disseminate the discussion of the theme and articulate the response and contribution of the health system to the growing challenges facing the health of the population due to climate change, pollution, reduction of biodiversity and other environmental factors.

Los participantes del 1º Simposio Internacional de Salud Planetaria, reunidos en Porto Alegre, proponen la diseminación de la discusión del tema y articulación de la respuesta y la contribución del sistema de salud a los crecientes desafíos que enfrenta la salud de la población derivada del cambio climático, contaminación, reducción de la biodiversidad y otros factores ambientales.

Mudança Climática , Sistemas de Saúde , Biodiversidade , Poluição Ambiental
Cad Saude Publica ; 31 Suppl 1: 18-9;discussion 22-3, 2015 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-26648357
Lancet ; 385(9965): 380-91, 2015 Jan 24.
Artigo em Inglês | MEDLINE | ID: mdl-24923529


The UN-led discussion about the post-2015 sustainable development agenda provides an opportunity to develop indicators and targets that show the importance of health as a precondition for and an outcome of policies to promote sustainable development. Health as a precondition for development has received considerable attention in terms of achievement of health-related Millennium Development Goals (MDGs), addressing growing challenges of non-communicable diseases, and ensuring universal health coverage. Much less attention has been devoted to health as an outcome of sustainable development and to indicators that show both changes in exposure to health-related risks and progress towards environmental sustainability. We present a rationale and methods for the selection of health-related indicators to measure progress of post-2015 development goals in non-health sectors. The proposed indicators show the ancillary benefits to health and health equity (co-benefits) of sustainable development policies, particularly those to reduce greenhouse gas emissions and increase resilience to environmental change. We use illustrative examples from four thematic areas: cities, food and agriculture, energy, and water and sanitation. Embedding of a range of health-related indicators in the post-2015 goals can help to raise awareness of the probable health gains from sustainable development policies, thus making them more attractive to decision makers and more likely to be implemented than before.

Conservação dos Recursos Naturais/tendências , Assistência à Saúde/tendências , Programas Gente Saudável/tendências , Cidades/estatística & dados numéricos , Mudança Climática , Fontes Geradoras de Energia/estatística & dados numéricos , Saúde Global , Política de Saúde/tendências , Nível de Saúde , Indicadores Básicos de Saúde , Humanos , Saneamento/tendências , Abastecimento de Água/estatística & dados numéricos
Environ Health Perspect ; 121(4): 420-6, 2013 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-23384642


BACKGROUND: Nearly 13 million new cancer cases and 7.6 million cancer deaths occur worldwide each year; 63% of cancer deaths occur in low- and middle-income countries. A substantial proportion of all cancers are attributable to carcinogenic exposures in the environment and the workplace. OBJECTIVE: We aimed to develop an evidence-based global vision and strategy for the primary prevention of environmental and occupational cancer. METHODS: We identified relevant studies through PubMed by using combinations of the search terms "environmental," "occupational," "exposure," "cancer," "primary prevention," and "interventions." To supplement the literature review, we convened an international conference titled "Environmental and Occupational Determinants of Cancer: Interventions for Primary Prevention" under the auspices of the World Health Organization, in Asturias, Spain, on 17-18 March 2011. DISCUSSION: Many cancers of environmental and occupational origin could be prevented. Prevention is most effectively achieved through primary prevention policies that reduce or eliminate involuntary exposures to proven and probable carcinogens. Such strategies can be implemented in a straightforward and cost-effective way based on current knowledge, and they have the added benefit of synergistically reducing risks for other noncommunicable diseases by reducing exposures to shared risk factors. CONCLUSIONS: Opportunities exist to revitalize comprehensive global cancer control policies by incorporating primary interventions against environmental and occupational carcinogens.

Exposição Ambiental/prevenção & controle , Política de Saúde/legislação & jurisprudência , Neoplasias/induzido quimicamente , Neoplasias/prevenção & controle , Prevenção Primária , Humanos , Exposição Ocupacional/prevenção & controle
Lancet ; 379(9832): 2189-97, 2012 Jun 09.
Artigo em Inglês | MEDLINE | ID: mdl-22682465


In 2012, world leaders will meet at the Rio+20 conference to advance sustainable development--20 years after the Earth Summit that resulted in agreement on important principles but insufficient action. Many of the development goals have not been achieved partly because social (including health), economic, and environmental priorities have not been addressed in an integrated manner. Adverse trends have been reported in many key environmental indicators that have worsened since the Earth Summit. Substantial economic growth has occurred in many regions but nevertheless has not benefited many populations of low income and those that have been marginalised, and has resulted in growing inequities. Variable progress in health has been made, and inequities are persistent. Improved health contributes to development and is underpinned by ecosystem stability and equitable economic progress. Implementation of policies that both improve health and promote sustainable development is urgently needed.

Conservação dos Recursos Naturais/tendências , Saúde Global/tendências , Programas Gente Saudável/tendências , Conservação dos Recursos Naturais/métodos , Utensílios de Alimentação e Culinária , Assistência à Saúde/organização & administração , Assistência à Saúde/tendências , Desenvolvimento Econômico , Aquecimento Global/prevenção & controle , Aquecimento Global/estatística & dados numéricos , Política de Saúde , Nível de Saúde , Programas Gente Saudável/organização & administração , Humanos , Cooperação Internacional , Pobreza/prevenção & controle , Centrais Elétricas , Transportes/estatística & dados numéricos
Am J Public Health ; 96(2): 262-70, 2006 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-16380558


Health impact assessment (HIA) methods are used to evaluate the impact on health of policies and projects in community design, transportation planning, and other areas outside traditional public health concerns. At an October 2004 workshop, domestic and international experts explored issues associated with advancing the use of HIA methods by local health departments, planning commissions, and other decisionmakers in the United States. Workshop participants recommended conducting pilot tests of existing HIA tools, developing a database of health impacts of common projects and policies, developing resources for HIA use, building workforce capacity to conduct HIAs, and evaluating HIAs. HIA methods can influence decisionmakers to adjust policies and projects to maximize benefits and minimize harm to the public's health.

Planejamento em Saúde Comunitária/métodos , Tomada de Decisões Gerenciais , Indicadores Básicos de Saúde , Avaliação de Programas e Projetos de Saúde , Administração em Saúde Pública/métodos , Congressos como Assunto , Diretrizes para o Planejamento em Saúde , Política de Saúde , Humanos , Fatores Socioeconômicos , Estados Unidos
Bull World Health Organ ; 81(6): 391-8, 2003.
Artigo em Inglês | MEDLINE | ID: mdl-12894321


The most important public health priority in agricultural policy-making is currently food safety, despite the relatively higher importance of food security, nutrition, and other agricultural-related health issues in terms of global burden of disease. There is limited experience worldwide of using health impact assessment (HIA) during the development of agriculture and food policies, which perhaps reflects the complex nature of this policy sector. This paper presents methods of HIA used in the Republic of Slovenia, which is conducting a HIA of proposed agricultural and food policies due to its accession to the European Union. It is the first time that any government has attempted to assess the health effects of agricultural policy at a national level. The HIA has basically followed a six-stage process: policy analysis; rapid appraisal workshops with stakeholders from a range of backgrounds; review of research evidence relevant to the agricultural policy; analysis of Slovenian data for key health-related indicators; a report on the findings to a key cross-government group; and evaluation. The experience in Slovenia shows that the HIA process has been a useful mechanism for raising broader public health issues on the agricultural policy agenda, and it has already had positive results for policy formation. HIA is one useful approach to more integrated policy-making across sectors, but clearly it is not the only mechanism to achieve this. A comparison of the approach used in Slovenia with HIA methods in other countries and policy contexts shows that there are still many limitations with HIA application at a government level. Lessons can be learnt from these case studies for future development and application of HIA that is more relevant to policy-makers, and assists them in making more healthy policy choices.

Agricultura/legislação & jurisprudência , Abastecimento de Alimentos/legislação & jurisprudência , Nível de Saúde , Política Nutricional/legislação & jurisprudência , Avaliação de Processos e Resultados em Cuidados de Saúde , Saúde Pública , Política Pública , Tomada de Decisões , Prioridades em Saúde , Humanos , Modelos Teóricos , Medição de Risco , Eslovênia