Health Impact Assessment - Curated Guidance for Stage 1 Assess where you are in health impact assessment to determine which stage you are in and identify the key activities you need to undertake as an air quality manager to go to the next stage. The guidance below is for Stage 1.Additional guidance for Stages 2 through 5 is being developed for future iterations of AQMx. StageCapacityData availabilityObjectivesActivitiesSustainability plan01.Basic technical training on impacts of air pollution on public healthNo practical experienceNo local air quality monitors, but access to global air quality datasets and other relevant data at the national level (population, mortality, morbidity)Develop plan to conduct Health Impact Assessment (HIA) and gather the necessary data. Policy mapping and analysisCapacity building and stakeholder outreachData collectionDonor / project dependent budget02.Basic technical training on health risk assessment (HRA)Some technical or analytical capacityLimited practical experienceAccess to national level air quality data and other relevant data (population, mortality, morbidity)Develop a health surveillance system for air pollutionConduct initial Health Risk Assessment (HRA) for air pollution Donor / project dependent budgetDevelop sustainability plan with continuous use of data and analysis for public health messages03.Some advanced technical or analytical capacitySome practical experienceAir quality data and other relevant data is accessible, but not entirely robust nor comprehensiveHealth surveillance system for air pollution starting to provide robust dataEmission-exposure-impact modellingLimited studies on socioeconomic impacts of air pollution, qualitative variablesCost-benefit / cost-effectiveness analysisSome central fundingRoutine collection of HIA-relevant health dataUpdate sustainability plan with continuous use of data and analysis for public health messages04.Advanced technical training and technical or analytical capacityExtensive practical experienceComprehensive and robust air quality data and other relevant data are availableHealth surveillance system for air pollution fully deployed, acting as basis for HIASystemic epidemiologic studies on health impacts due to air pollution exposureSpecific HIA studies for major areas or vulnerable populations conducted using rapid assessment techniquesMajor central fundingSome project dependent budget for special studiesUpdate sustainability plan with continuous use of data and analysis for public health messages05.Advanced technical trainingSpecialists in air quality management, data management, communications, economics, etc.Extensive practical experienceComprehensive and robust air quality data is availableIntersectoral and interagency agreement for data sharingHealth surveillance system is fully operationalRegular and consistent HIAs)Systemic epidemiologic studies on health impacts due to air pollution exposureSpecific HIA studies for major areas or vulnerable populations conducted using sophisticated assessment techniquesCentrally fundedIn-house researchUpdate sustainability plan with continuous use of data and analysis for public health messages 01 Commit to conducting a Health Impact AssessmentMake sure you/your department have adequate staffing, resources and authority to carry through with what is required in the Health Impact Assessment guidance (including data collection, quality assurance, and data analysis). Ensure that your management is committed to sustaining your efforts beyond your/their tenure. An overview of information on Health Impact Assessment is available in the resources below. A place in the public health toolbox: Policy brief 1 on health impact assessments and incorporating health into environmental assessments 2023 Guidelines, Tools & Models The Health Impact Assessment (HIA) Resource and Tool Compilation: A Comprehensive Toolkit for New and Experienced HIA Practitioners in the U.S. 2016 Guidelines, Tools & Models Previous Next Show Resources Hide Resources 02 Map existing policies and identify key questionsIdentify the relevant policies that need to be assessed across sectors, including household energy, waste, transport, industry, agriculture, energy and buildings, considering WHO’s One Health approach. Identify the key questions you would like to address in your Health Impact Assessment. Clean Household Energy Solutions Toolkit (CHEST) 2023 Guidelines, Tools & Models Actions on Air Quality: A Global Summary of Policies and Programmes to Reduce Air Pollution - Full Report 2021 Reports, Case Studies & Assessments Opportunities for increasing ambition of nationally determined contributions through integrated air pollution and climate change planning: a practical guidance document 2019 Reports, Case Studies & Assessments Ambient air pollution and health in Accra, Ghana 2021 Reports, Case Studies & Assessments Previous Next Show Resources Hide Resources 03 Develop capacityOrganize training/capacity building for staff in governmental institutions, academics, and experts by cooperating with institutions and specialists that can provide expertise. This basic technical training could include webinars, online courses, or in-person workshops. The goal at this stage is to develop baseline information on the health impacts of air pollution to lay the foundation to conduct a health risk assessment (HRA) in the future. Air pollution and health: an introduction for health workers 2023 Online Training & Resources Mapping opportunities for training in air pollution and health for the health workforce 2021 Reports, Case Studies & Assessments Twinning Project - Support to implementation of Health Impact Assessment Practice inGeorgia 2023 Reports, Case Studies & Assessments Previous Next Show Resources Hide Resources 04 Conduct outreach to populations and stakeholdersEnsure participatory mechanisms to discuss the different steps and scenarios that will be developed. Communities for a Better Environment: Triangulating NASA Data and Participatory GIS with Local Organizing to Advance Environmental Justice in Los Angeles 2024 Reports, Case Studies & Assessments Citizen engagement in air pollution: transforming social, scientific and technical research 2021 Reports, Case Studies & Assessments Partnerships and participation for urban health 2024 Reports, Case Studies & Assessments Previous Next Show Resources Hide Resources 05 Evaluate possible tools to conduct the air pollution health risk assessmentModelling criteria may differ among countries because of the different levels and sources of air pollution and availability of data; however, best practices follow similar principles. In several cases there is the need to adapt and apply methodologies as dictated by available data and the information needs of policymakers and stakeholders. AirQ+: software tool for health risk assessment of air pollution Guidelines, Tools & Models Environmental Benefits Mapping and Analysis Program-Community Edition (BenMAP-CE) Guidelines, Tools & Models Climate Change Mitigation, Air Quality and Health (CLIMAQ-H) Guidelines, Tools & Models C40 Air Quality through Urban Action (AQUA): Technical Document 2023 Guidelines, Tools & Models Integrated Transport and Health Impact Modelling Tool (ITHIM) 2009 Guidelines, Tools & Models Benefits of Action to Reduce Household Air Pollution (BAR-HAP) Tool 2021 Guidelines, Tools & Models iSThAT: the Integrated Sustainable Transport and Health Assessment Tool 2023 Guidelines, Tools & Models The use of Health Impact Assessment tools in European Cities 2018 Reports, Case Studies & Assessments Previous Next Show more Hide 06 Collect dataA key priority is to collect data input for the analysis. Data to be considered first are: 1) population data, 2) air quality data and 3) health data for mortality and morbidity following International Statistical Classification of Diseases and Related Health Problems (ICD) codes. To assess policies or build scenarios (for example reaching WHO Air Quality Guidelines Interim targets) it is important to have access to air quality monitoring representative of ambient conditions across the area, in particular for residential areas. For exposure characterization, it is also important to have data from potential hotspots, for example affected by traffic or industrial activities. Initial data sources can be found in the resources below. Epidemiological repository on particulate matter and mortality Guidelines, Tools & Models Urban AQ Explorer Database Air Quality and Health in Cities - State of Global Air Report 2024 2024 Reports, Case Studies & Assessments OpenAQ Explorer Database Previous Next Show more Hide 07 Start the process to quantify the health risk from exposure to ambient airAnalyze the data with experts. Aim to provide an idea of the current burden of disease of air pollution and conduct an economic evaluation of the different scenarios evaluated. Be specific on sectors (e.g. transport, waste, etc.) contributions and impacts. Do not hide alternative solutions or potential existing conflicts. Consider also potential co-benefits related for example to reduction in noise levels or road injuries. Ambient air pollution and health in Accra, Ghana 2021 Reports, Case Studies & Assessments Health and economic impacts of transport interventions in Accra, Ghana 2020 Reports, Case Studies & Assessments Solid waste management and health in Accra, Ghana 2021 Reports, Case Studies & Assessments Economic costs of air pollution in Accra, Ghana 2021 Reports, Case Studies & Assessments Evidence-based strategies to reduce the burden of household air pollution in Accra, Ghana 2021 Reports, Case Studies & Assessments Previous Next Show more Hide 08 Make the data availableIt is essential to make the data available to the research community and the public by establishing a public data archive that is accessible within a reasonable period and includes all the appropriate information to understand the analysis done. Future HIA and policy tracking cannot be done without publicly accessible data. Health Risk Assessment of Air Pollution: Assessing the environmental burden of disease in Europe in 2021 2024 Reports, Case Studies & Assessments Air Quality Benefits Assessment Tool (AQBAT) 2020 Guidelines, Tools & Models Tracking urban health policies: a conceptual framework with special focus on air pollution in African cities 2023 Reports, Case Studies & Assessments Previous Next Show more Hide 09 Develop a sustainability plan and use the data and analysis for public health messagesDeveloping public messages should be done targeting different audiences. Communication experts should be involved since the first step of the health impact assessment activities and should consulted on the best use of media. Urban Health Initiative 2021 Reports, Case Studies & Assessments BreatheLife - A Global Campaign for Clean Air Guidelines, Tools & Models International Day of Clean Air for Blues Skies 2024 Guidelines, Tools & Models Communicating the health impacts of air pollution 2019 Guidelines, Tools & Models Previous Next Show more Hide 10 Allow informed decisions and policy trackingThe role of policy tracking is to enable policy-makers and stakeholders to identify potential setbacks, delays, and negative impacts of policies and develop corrective measures rapidly, increasing the chance of the policy being successful. Tracking urban health policies: a conceptual framework with special focus on air pollution in African cities 2023 Reports, Case Studies & Assessments Health Impact Assessment Guidance - A Manual 2021 Guidelines, Tools & Models Previous Next Show more Hide Curated Guidance Developed by
A place in the public health toolbox: Policy brief 1 on health impact assessments and incorporating health into environmental assessments 2023 Guidelines, Tools & Models
The Health Impact Assessment (HIA) Resource and Tool Compilation: A Comprehensive Toolkit for New and Experienced HIA Practitioners in the U.S. 2016 Guidelines, Tools & Models
Actions on Air Quality: A Global Summary of Policies and Programmes to Reduce Air Pollution - Full Report 2021 Reports, Case Studies & Assessments
Opportunities for increasing ambition of nationally determined contributions through integrated air pollution and climate change planning: a practical guidance document 2019 Reports, Case Studies & Assessments
Mapping opportunities for training in air pollution and health for the health workforce 2021 Reports, Case Studies & Assessments
Twinning Project - Support to implementation of Health Impact Assessment Practice inGeorgia 2023 Reports, Case Studies & Assessments
Communities for a Better Environment: Triangulating NASA Data and Participatory GIS with Local Organizing to Advance Environmental Justice in Los Angeles 2024 Reports, Case Studies & Assessments
Citizen engagement in air pollution: transforming social, scientific and technical research 2021 Reports, Case Studies & Assessments
Environmental Benefits Mapping and Analysis Program-Community Edition (BenMAP-CE) Guidelines, Tools & Models
iSThAT: the Integrated Sustainable Transport and Health Assessment Tool 2023 Guidelines, Tools & Models
The use of Health Impact Assessment tools in European Cities 2018 Reports, Case Studies & Assessments
Air Quality and Health in Cities - State of Global Air Report 2024 2024 Reports, Case Studies & Assessments
Health and economic impacts of transport interventions in Accra, Ghana 2020 Reports, Case Studies & Assessments
Evidence-based strategies to reduce the burden of household air pollution in Accra, Ghana 2021 Reports, Case Studies & Assessments
Health Risk Assessment of Air Pollution: Assessing the environmental burden of disease in Europe in 2021 2024 Reports, Case Studies & Assessments
Tracking urban health policies: a conceptual framework with special focus on air pollution in African cities 2023 Reports, Case Studies & Assessments
Tracking urban health policies: a conceptual framework with special focus on air pollution in African cities 2023 Reports, Case Studies & Assessments