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Health impact assessment

    Overview

    Health impact assessments (HIA) provide decision-makers with sound information about the health implications of policies, programmes and projects, ranging, for example, from construction of a waste incinerator to the redesign of an urban neighbourhood.

    WHO response

    WHO/Europe provides support to Member States on HIA by developing methodologies and tools, carrying out assessments and reviews, and advising on policy options.

    Commonly agreed upon tools for carrying out HIAs are not yet available, although provisions for HIA in policy-making are included in international legislation (e.g. European Union directives), legally binding agreements (e.g. the Strategic Environmental Assessment or SEA Protocol), and policy commitments (such as those of the ministerial conferences on environment and health).

    As mandated by ministerial conference declarations, WHO/Europe works to fill this gap by developing HIA methodologies and tools for use by national or local authorities or institutions. Such methodologies and tools are usually piloted through projects.

    WHO/Europe also promotes the integration of health in environmental assessments through building capacity at local, national and subregional level and supporting Member States in the implementation of the SEA Protocol.

    Integrated HIAs focus on how policies, plans or projects affect health through their environmental, economic and social impacts. Examples include integrating health issues and policies in environmental performance reviews and making recommendations for progress in environmental health.

    Our work

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    Addressing the impact of nanotechnology on health

    Addressing the impact of nanotechnology on health

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    Overview

    Nanotechnology use is spreading quickly. Aside from its highly beneficial applications, there is concern about potential unwanted or unexpected interactions with biological systems and related health effects. WHO is addressing this emerging issue to provide guidance to countries in the European Region.  

    European ministers of environment and health agreed in the Parma Declaration (2010) that more research is needed on the use of nanomaterials and on the improvement of methods to assess health risks and benefits. WHO is assessing existing research and studies on nanotechnology and health, and promoting health-focused research in order to provide Member States and policy-makers with advice on risk governance.  

    Applications

    Nanotechnology is the science and application of materials with a size below 100 nanometres (a nanometre is 10-9 metres). Many substances at this scale acquire properties that can be different from those at other scales (atomic or molecular level as well as bulk). This has allowed a variety of applications in many different fields, from medicine to consumer products, from creation of new materials to food additives, whose benefits and returns have attracted considerable research and financial investments.  

    Products using nanomaterials include for example sunscreens, cell-growth-promoting plastics for implants, dew-free sunglasses, hard disks and bicycles.

    Health concerns

    The properties of nanomaterials, and of engineered nanoparticles in particular, have raised concern about unwanted or unexpected interactions with biological systems, which could result in adverse consequences to human and ecosystem health. Though rapidly growing, knowledge on these aspects is limited and many uncertainties remain. Even though applications are already widespread, nanotechnology can be considered to be in its early days and the potential for developing and applying new generations of nanomaterials is huge.

    Publications

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    Implementation of health impact assessment and health in environmental assessment across the WHO European Region

    Health impact assessments (‎HIAs)‎ offer crucial support to decision-makers within and outside the health sector to identify and estimate possible...

    Enabling the implementation of health impact assessment in Portugal

    Health impact assessment (‎HIA)‎ is a means of assessing the health impacts of policies, plans and projects in diverse economic, social and environmental...

    Assessing the health impacts of waste management in the context of the circular economy

    The circular economy (‎CE)‎ is about increasing re-use, recycling and energy recovery from existing resources, whilst minimizing disposal. This...

    Learning from practice: case studies of health in strategic environmental assessment and environmental impact assessment across the WHO European Region

    Health is routinely considered in strategic environmental assessment (‎SEA)‎ and environmental impact assessment (‎EIA)‎, following requirements...

    Policy briefs

    Generic guidelines and tools: policy briefs on health impact assessments and incorporating health into environmental assessments

    This policy brief aims to provide information on the availability of guidance documents and tools to support teams conducting health impact assessments...

    Methodological challenges and data needs: Policy briefs on health impact assessments and incorporating health into environmental assessments

    This policy brief aims to provide information about the availability of guidance and tools to support health impact assessments (HIAs) and incorporating...

    Setup, roles and tasks of a support unit: policy briefs on health impact assessments and incorporating health into environmental assessments

    This policy brief provides background information on establishing a health impact assessment (HIA) and health assessment in environmental assessment (EA)....

    Policy briefs on health impact assessments and incorporating health into environmental assessments: an overview

    This series of policy briefs aims to inform policy- and decision-makers of countries in the WHO European Region about health impact assessments (HIAs);...