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A Step Toward Health in All Policies

Janet Collins, PhD; Jeffrey P. Koplan, MD, MPH

JAMA. 2009;302(3):315-317.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

For the past 4 decades, the environmental impact statement (EIS) process has been used to assess the environmental effects of major projects and policies that involve federal funds, such as designing highways, altering waterways, extracting resources on federal lands, and setting Corporate Average Fuel Economy standards. Created under the National Environmental Policy Act of 1969, EISs do not determine policy but rather ensure that stakeholders have full information about unintended environmental impacts before reaching a decision.¹ By evaluating alternative proposals and their relative risks and benefits, an EIS helps decision makers choose options that promote favorable outcomes and mitigate adverse environmental consequences.

A natural extension of this work is the use of health impact assessment (HIA) to examine the effects that a policy, program, or project may have on the health of a population. An HIA is defined as "a combination of . . . [Full Text of this Article]

Author Affiliations: National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia (Dr Collins); and Emory Global Health Institute, Emory University, Atlanta (Dr Koplan).

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