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      Protecting health using an environmental impact assessment: a case study of San Francisco land use decisionmaking.

      American Journal of Public Health
      City Planning, legislation & jurisprudence, organization & administration, Consumer Participation, Decision Making, Organizational, Environment Design, Environmental Health, Health Status Indicators, Housing, Humans, Organizational Case Studies, Policy Making, Public Health Administration, Public Policy, Risk Assessment, methods, San Francisco, Sociology, Medical, Urban Health, standards

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          Abstract

          Laws and regulations for an environmental impact assessment enable a health impact assessment whenever physical changes in the environment may significantly affect health. In this case study, I describe 2 instances in which a local public health agency used the procedural requirements for an environmental impact assessment to account for societal-level health determinants that are not traditionally evaluated in land-use decisions. These examples show that a public health critique can contribute both to the scope of analysis in an environmental impact assessment and to substantive changes in land-use decisions. I have evaluated this health appraisal approach as a form of a health impact assessment and will make recommendations for law, research, and practice that support its technical, cultural, and political feasibility.

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