Health Impact Assessments for Environmental Restoration: The Case of Caño Martín Peña

Background: Health Impact Assessment (HIA) is a methodology for predicting the effects of a proposed policy or plan on health. A proposed environmental restoration and development plan presented an opportunity for an HIA in an environmental justice community surrounding the Martín Peña channel in Sa...

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Autores principales: Perry Sheffield, Meghan Rowe, Damiris Agu, Lyvia Rodríguez, Katia Avilés
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Publicado: Ubiquity Press 2014
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Acceso en línea:https://doaj.org/article/e009afc74ae94fc6a3034b53ee723d6f
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spelling oai:doaj.org-article:e009afc74ae94fc6a3034b53ee723d6f2021-12-02T04:24:26ZHealth Impact Assessments for Environmental Restoration: The Case of Caño Martín Peña2214-999610.1016/j.aogh.2014.07.001https://doaj.org/article/e009afc74ae94fc6a3034b53ee723d6f2014-11-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/2060https://doaj.org/toc/2214-9996Background: Health Impact Assessment (HIA) is a methodology for predicting the effects of a proposed policy or plan on health. A proposed environmental restoration and development plan presented an opportunity for an HIA in an environmental justice community surrounding the Martín Peña channel in San Juan, Puerto Rico. The HIA focused on the dredging of the channel, debris removal, road, sewer, and storm water infrastructure improvements, housing demolition, and resident relocation. Objective: The aim of this study was to determine the potential effects of the proposed plan on the community's health to inform the funding decision by the Puerto Rican legislature. As the first HIA in Puerto Rico, a secondary objective was to build HIA capacity in Puerto Rico. Methods: This HIA used community training, literature reviews, existing local studies, focus groups, interviews, and <a title="Learn more about Disease Surveillance" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/disease-surveillance">disease surveillance</a> data to assess baseline health, determine expected effects, and build capacity. Findings: The Martín Peña community is experiencing deteriorating environmental conditions. Flooding and negative environmental exposures, such as mold, limits to physical activity, stress, chemical toxicants, pathogenic bacteria, and pests, are worsening. The higher rates of diseases, such as asthma and diarrhea, in the community compared with elsewhere in Puerto Rico appear to be largely attributable to these factors. Overall, the proposed plan is expected to improve many of these health disparities but the successful implementation depends on continued community acceptance and participation, particularly with the relocation process. Recommendations are for full financing and several mitigation efforts to avoid negative and preserve beneficial health consequences. Conclusions: As the first HIA in Puerto Rico, this assessment provided specific recommendations to benefit the health of the community affected by an environmental restoration and development plan and also capacity building for a larger audience in Puerto Rico. This approach could be generalized to other Latino environmental justice communities in Puerto Rico and abroad.Perry SheffieldMeghan RoweDamiris AguLyvia RodríguezKatia AvilésUbiquity Pressarticleecosystem restorationenvironmental justicePuerto Ricovulnerable populationsInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 80, Iss 4, Pp 296-302 (2014)
institution DOAJ
collection DOAJ
language EN
topic ecosystem restoration
environmental justice
Puerto Rico
vulnerable populations
Infectious and parasitic diseases
RC109-216
Public aspects of medicine
RA1-1270
spellingShingle ecosystem restoration
environmental justice
Puerto Rico
vulnerable populations
Infectious and parasitic diseases
RC109-216
Public aspects of medicine
RA1-1270
Perry Sheffield
Meghan Rowe
Damiris Agu
Lyvia Rodríguez
Katia Avilés
Health Impact Assessments for Environmental Restoration: The Case of Caño Martín Peña
description Background: Health Impact Assessment (HIA) is a methodology for predicting the effects of a proposed policy or plan on health. A proposed environmental restoration and development plan presented an opportunity for an HIA in an environmental justice community surrounding the Martín Peña channel in San Juan, Puerto Rico. The HIA focused on the dredging of the channel, debris removal, road, sewer, and storm water infrastructure improvements, housing demolition, and resident relocation. Objective: The aim of this study was to determine the potential effects of the proposed plan on the community's health to inform the funding decision by the Puerto Rican legislature. As the first HIA in Puerto Rico, a secondary objective was to build HIA capacity in Puerto Rico. Methods: This HIA used community training, literature reviews, existing local studies, focus groups, interviews, and <a title="Learn more about Disease Surveillance" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/disease-surveillance">disease surveillance</a> data to assess baseline health, determine expected effects, and build capacity. Findings: The Martín Peña community is experiencing deteriorating environmental conditions. Flooding and negative environmental exposures, such as mold, limits to physical activity, stress, chemical toxicants, pathogenic bacteria, and pests, are worsening. The higher rates of diseases, such as asthma and diarrhea, in the community compared with elsewhere in Puerto Rico appear to be largely attributable to these factors. Overall, the proposed plan is expected to improve many of these health disparities but the successful implementation depends on continued community acceptance and participation, particularly with the relocation process. Recommendations are for full financing and several mitigation efforts to avoid negative and preserve beneficial health consequences. Conclusions: As the first HIA in Puerto Rico, this assessment provided specific recommendations to benefit the health of the community affected by an environmental restoration and development plan and also capacity building for a larger audience in Puerto Rico. This approach could be generalized to other Latino environmental justice communities in Puerto Rico and abroad.
format article
author Perry Sheffield
Meghan Rowe
Damiris Agu
Lyvia Rodríguez
Katia Avilés
author_facet Perry Sheffield
Meghan Rowe
Damiris Agu
Lyvia Rodríguez
Katia Avilés
author_sort Perry Sheffield
title Health Impact Assessments for Environmental Restoration: The Case of Caño Martín Peña
title_short Health Impact Assessments for Environmental Restoration: The Case of Caño Martín Peña
title_full Health Impact Assessments for Environmental Restoration: The Case of Caño Martín Peña
title_fullStr Health Impact Assessments for Environmental Restoration: The Case of Caño Martín Peña
title_full_unstemmed Health Impact Assessments for Environmental Restoration: The Case of Caño Martín Peña
title_sort health impact assessments for environmental restoration: the case of caño martín peña
publisher Ubiquity Press
publishDate 2014
url https://doaj.org/article/e009afc74ae94fc6a3034b53ee723d6f
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