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AJPH First Look, published online ahead of print Dec 27, 2005
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February 2006, Vol 96, No. 2 | American Journal of Public Health 262-270
© 2006 American Public Health Association
DOI: 10.2105/AJPH.2005.069880

DEALING WITH INNOVATION AND UNCERTAINTY

Growing the Field of Health Impact Assessment in the United States: An Agenda for Research and Practice

Andrew L. Dannenberg, MD, MPH, Rajiv Bhatia, MD, MPH, Brian L. Cole, DrPH, Carlos Dora, PhD, Jonathan E. Fielding, MD, MPH, Katherine Kraft, PhD, Diane McClymont-Peace, MS, Jennifer Mindell, MBBS, PhD, FFPH, Chinwe Onyekere, MPH, James A. Roberts, PhD, CEP, Catherine L. Ross, PhD, Candace D. Rutt, PhD, Alex Scott-Samuel, MB, ChB, MCommH and Hugh H. Tilson, MD, DrPH

Andrew L. Dannenberg is with the National Center for Environmental Health, Centers for Disease Control and Prevention, Atlanta, Ga. Rajiv Bhatia is with the San Francisco Department of Public Health, San Francisco, Calif. Brian L. Cole is with the University of California, Los Angeles School of Public Health. Carlos Dora is with the World Health Organization Health Impact Assessment Programme, Geneva, Switzerland. Jonathan E. Fielding is with the University of California, Los Angeles School of Public Health and the Los Angeles County Department of Health Services. At the time of the study, Katherine Kraft was with the Robert Wood Johnson Foundation, Princeton, NJ. Diane McClymont-Peace is with Health Canada, Ottawa, Canada. At the time of the study, Jennifer Mindell was with the London Health Observatory, London, England. Chinwe Onyekere is with the Robert Wood Johnson Foundation, Princeton. James A. Roberts is an environmental impact assessment consultant, Sacramento, Calif. Catherine L. Ross is with the Georgia Institute of Technology College of Architecture, Atlanta, Ga. Candace D. Rutt is with the National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta. Alex Scott-Samuel is with the Liverpool Public Health Observatory, University of Liverpool, England. Hugh H. Tilson is with the University of North Carolina School of Public Health, Chapel Hill, NC.

Correspondence: Requests for reprints should be sent to Andrew L. Dannenberg, National Center for Environmental Health, CDC, 4770 Buford Highway, Mail Stop F-30, Atlanta, GA 30341 (e-mail: acd7{at}cdc.gov).

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.




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