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A Framework to Understand how Health Can Contribute to the Assessment of Extractive Industry Project Impacts Patrick Harris, Ben Harris-Roxas Email: patrick.harris@unsw.edu.au | Phone +61 2 9612 0779  |Web http://www.hiaconnect.edu.au Mail: CHETRE, LMB 7103, Liverpool BC NSW 1871, Australia For More Harris P, Harris E, Thompson S, Harris-Roxas B, Kemp L.  Human Health and Wellbeing in Environmental Impact Assessment in New South Wales, Australia: Auditing health impacts within environmental assessments of major projects , Environmental Impact Assessment Review, 29(5):310-318, 2009. doi:10.1016/j.eiar.2009.02.002 http://j.mp/aZAG8F  Background Environmental impact assessment (EIA) is a powerful tool to consider the health impacts of extractive and other industry projects. However, EIA has consistently failed to incorporate these impacts either as determinants of health or traditional public health concerns like air quality or soil.  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],So what? Other studies have found that health is poorly considered in EIAs, though investigation has mostly been limited to whether health is explicitly addressed.  The broader analytic framework used in this study shows that EIAs routinely consider many of the broader determinants of health. This framework enables a more nuanced understanding of actual EIA practice.  There is scope to strengthen the links made in EIAs between the changes to the broader determinants of health and health impacts, through improved use of health data and the development of practical, jurisdiction-specific guidance for EIA practitioners. The health sector will have an important role to play in progressing this. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Results Health was mentioned in some way in the majority of EIAs (n =18, total n=22). However, the number of references made to per document was small (n = 46 EIAs and Government Scoping Requirement documents, mean = 2.09 references per document). These references were further limited within the section of the EIAs that made an assessment of impacts (n = 16 references, mean = 0.63 references per document). In addition, where references were made, these were single items or sentences in all but one EIA.  In contrast a range of impacts were coded under physical environmental impacts that in turn could impact on human health.  While the majority of EAs also mentioned social impacts, economic impacts and biological human impacts, these impacts were mentioned less often  and in less detail than physical environment impacts. However, more EA’s made more reference to social, economic and biological human impacts than were requested in the government scoping requirements (Director-General’s Requirements) issued to proponents .

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