Development of health impact assessment in the Netherlands

Lea den Broeder and Brigit Staatsen

in Health Impact Assessment

Published in print November 2012 | ISBN: 9780199656011
Published online January 2013 | e-ISBN: 9780191748028 | DOI:
Development of health impact assessment in the Netherlands

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This chapter discusses the development of health impact assessment (HIA) in The Netherlands. HIA in The Netherlands began in the early 1990s and developed along two different lines: one shaped by the public health approach and the other stemming from the environmental field. Public health-based HIA evolved according to the paradigm presented by the Lalonde model of health. The HIAs mainly concerned national policies and addressed a variety of policy fields, ranging from tobacco discouragement and health insurance policy to national housing policy and the high-speed rail link. The environmental-based HIA focused on preventing environmentally related health risks and did not consider health in a broader sense. There is no legal obligation for environmental impact assessments to consider health impacts outside an environmental scope. If a first screening of the planned activity points to large health impacts or many concerns about potential health effects, a more detailed quantitative health impact assessment should be carried out.

Keywords: HIA; Dutch public health; environmental impact assessment; health policy

Chapter.  3380 words. 

Subjects: Public Health and Epidemiology

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