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World Commission on Dams on health impacts
The World Commission on Dams included health impact assessment into its recommendations for Strategic Impact Assessment and Project-Level Impact Assessment
Recommendations for health impact assessment were based on the working paper prepared by WHO. The Health Impact Assessment has the following components:
- Assessing the health condition of people in reservoir, infrastructure, downstream, resettlement, irrigation, and other impact areas. The assessment process should engage local people and resources. The parameters derived from the information collected constitute the baseline health situation of the population.
- Predicting changes in health determinants that can be reasonably attributed to the project and that could affect people during each stage of the project. The changes, taken together, produce health outcomes or changes in health states. These are expressed in a minimum of three ranks: no change, increased health risk, and health enhancement. Factors determining health outcomes in past projects involving comparable social, economic and environmental conditions can be used to enhance predictability.
- Assessing the cost of preventing and mitigating the potential health impacts in the overall cost assessment of the project.
- Developing measures to prevent, minimise and mitigate health impacts with the participation of the potentially affected people and incorporating these into contractual implementation arrangements with adequate financial provision.
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