Public Health Linkages with Sustainability Workshop Summary (2013) / Chapter Skim
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6 NEW SUSTAINABILITY FRAMING
6 NEW SUSTAINABILITY FRAMING
Pages 105-116
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From page 105... ...
perspective, highlighting the need for integrated solutions to complex problems that cross economic, social, and environmental domains. Emphasis is placed on decision makers to consider the broader landscape and potential health impacts when adopting policies and programs.
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From page 106... ...
Jackson noted that political leaders often dismiss health issues, particularly environmental issues, until the leaders themselves are affected either personally or politically (such as when insecticide levels in the Sacramento River killed a significant number of fish or when New Orleans was confronted with the environmental health effects of Hurricane Katrina)
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From page 107... ...
21st-Century Solutions Jackson stated that we need to embrace 21st-century solutions with integrated strategies and plans to address multiple interlinked problems. He noted that with the exception of immunization efforts, overall population health is marginally affected by medical care decisions; health is determined more by decisions made about agriculture, transportation, housing, economic, and education policies than it is by medical decisions.
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From page 108... ...
These examples show how top-down and bottom-up leadership works and how solutions need to be driven from both ends. Jackson explained that a fourth feature of a 21st-century solution includes examining the positive and negative health impacts that may arise from government policies and decisions.
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From page 109... ...
Jackson stated that many people believe that NEPA has required HIAs all along. However, the typical environmental impact statement required by NEPA before a project can begin generally contains only a brief and perfunctory HIA statement indicating that no air or water standards will be violated.
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From page 110... ...
The act affirmed a national policy that "means to create and maintain conditions, under which humans and nature can exist in productive harmony, that permit fulfilling the social, economic, and other requirements of present and future generations." Reaffirmed in Executive Order 13514, signed by President Barack Obama on October 5, 2009, this act laid out the rationale for the importance of the United States to be economically productive while protecting valuable resources and human health. Goldstein stated that in an effort to incorporate sustainability concepts into their agency's program and to move toward an integrated systems approach to solve complex environmental challenges, the EPA commissioned a National Research Council (NRC)
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From page 111... ...
framework. Currently, he said, other countries are producing far more and potentially superior work regarding sustainability frameworks than 6 Clean Air Act of 1970, 84 Stat.
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From page 112... ...
John Balbus commented on the compelling way Jackson framed the obesity epidemic in the United States, and asked the presenter to describe the nature of the evidence that supports interventions in the built environment to address obesity. As an example, Jackson stated, of the additional 25 pounds on the average adult body, approximately 5 to 6 of those pounds seem to be well-linked to non-walkable environments.
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From page 113... ...
Looking at the health sustainability implications, Wilfried Kreisel stated that obesity could be addressed similarly to how we approach climate change and its impacts on health, given that both problems involve national, international, moral, and ethical constraints. Jackson noted how the research around public health and urban planning is changing, with joint programs being initiated throughout the United States to develop integrated solutions that cross domains.
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From page 114... ...
He pointed out that this framework could incorporate social, economic, and environmental benefits from an intervention which also decreases obesity within the United States. Goldstein concluded by noting that the major intervention put forward to address obesity will likely be medical if the quality of evidence to support environmental health interventions does not improve.
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From page 115... ...
2010. The effect of light rail transit on body mass index and physical activity.
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