Friday, September 19, 2014
YOLO COUNTY NEWS
99 CENTS

Consider health in all policies

By Mark B. Horton

What is “Health in All Policies” (HiAP) and what are its implications for public health practice and for policymakers in all sectors of the community?

HiAP is simply the acknowledgement that virtually all policies, programs and services put in place that affect the community as a whole likely will have an impact on the health of the community and its constituents.

It is obvious that policies, programs and services put into place relating to the health care and public health systems have (or hope to have) a direct impact on health. It is also obvious that many other community services that are put in place to serve society’s interest in maintaining and improving the well-being of the community also have a direct or indirect impact on health.

Examples include law enforcement, fire and rescue services, waste and sewage management, regulatory programs that monitor air quality and food safety, the design of consumer products, traffic control, etc.

Not so obvious is that yet other sectors put in place policies, programs or services that have a direct or indirect impact on the community’s health. Here, examples include:

* Agricultural policy (what foods are grown, how and where they are grown, and whether they are subsidized);

* Transportation policy (where and how roads are built, how fast automobiles are allowed to travel on the roads, what other vehicles share right-of-way on the roads, who has access to public transportation and how much it costs);

* Education policy (requiring immunization prior to school entry, providing healthful foods in the school cafeteria); and

* Zoning policy (where commercial and industrial enterprises are located relative to residential areas, where critical community services like hospitals and schools are located).

Health in All Policies has significant implications for the practice of public health. The public health process typically involves the identification and diagnosis of an acute or chronic health condition or threat to the community (e.g., rising levels of obesity or an outbreak of influenza in the community); the development and implementation of a plan to address the condition or threat, which may involve mobilizing health care (e.g., medications) or preventative health (e.g., immunizations) interventions; and the ongoing monitoring of the condition or threat with an eye to ensuring that everyone is benefiting from the plan that’s been put into place and that the impact of the condition or threat on the community has been reduced or eliminated.

This process by its nature focuses on health conditions or outcomes (e.g., deaths from heart disease or HIV/AIDS) and/or risk factors for those conditions or outcomes (e.g., smoking, unhealthy diet, and physical inactivity) that lead to the development of programs that are focused on those conditions or threats, funded and carried out by public health entities or agencies at the appropriate jurisdictional level depending on the scope of the condition or threat.

Through a HiAP approach, we acknowledge that there are social factors (e.g., poverty, unemployment rate) and environmental factors (e.g., access to parks and transportation, community safety) that play a powerful role in determining the degree of likelihood of citizen exposure to an environmental threat or in influencing human behavior.

These social and environmental factors or determinants of health are frequently the result of a broad range of policy decisions, programs or services that have been put into place by many different sectors of the community.

This acknowledgement of the health impact of a broad range of social and environmental health determinants leads to an expanded role for public health. Public health leaders must educate the community about the role of social and environmental factors in determining the health of the community and must bring partners in those various community sectors to the table to develop processes for systematically assessing the health impact of policies, programs and services being considered prior to their being implemented. When these assessments are done formally, we call them environmental impact or health impact assessments.

All sectors of the community need to be made aware of the potential health impact of the policies, programs and services they put into place and evaluate every policy they are considering putting into place through a health lens.

The ultimate goal of a Health in All Policies approach to health, however, is not simply the avoidance of unintended health consequences of policies, programs or services being considered or implemented. Rather, the ultimate goal is for every community sector to be aware of and acknowledge the potential health impact of everything they do, and to adopt as part of its core mission the maintenance and improvement of the health of the community.

— Mark B. Horton, M.D., MSPH, is the state public health officer in the California Department of Public Health.

Comments

comments

Special to The Enterprise

.

News

School district may redevelop downtown site

By Jeff Hudson | From Page: A1

 
Grant means new push for moving tracks out of town

By Dave Ryan | From Page: A1 | Gallery

Some say council needs to reconsider MRAP

By Dave Ryan | From Page: A1

 
UC to create $250 million venture capital fund

By San Francisco Chronicle | From Page: A1

DUI suspected in crash

By Lauren Keene | From Page: A2

 
Master Gardeners share their wisdom at free workshops

By Enterprise staff | From Page: A2

 
Scots vote to stay in UK

By The Associated Press | From Page: A2

France strikes Islamic State group’s depot in Iraq

By The Associated Press | From Page: A2

 
Man faces arson charge in huge California wildfire

By The Associated Press | From Page: A2

Rabid bat found at Holmes Junior High

By Enterprise staff | From Page: A3

 
Students invited to apply for Blue & White grants

By Enterprise staff | From Page: A3

Halloween costume sale benefits preschool

By Enterprise staff | From Page: A3

 
Telling tales, on ‘Davisville’

By Enterprise staff | From Page: A3

Volunteers sought to make veggie bags

By Enterprise staff | From Page: A3

 
Storyteller will draw on music, dance

By Enterprise staff | From Page: A3

Woodland Healthcare offering flu shots

By Enterprise staff | From Page: A3

 
Putah Creek Bike Path to close temporarily

By Enterprise staff | From Page: A3

 
Little Free Libraries open at Montgomery

By Anne Ternus-Bellamy | From Page: A3

Project Linus seeks donations

By Enterprise staff | From Page: A3

 
Register to vote by Oct. 20

By Enterprise staff | From Page: A4

Free workout class set at library

By Special to The Enterprise | From Page: A4

 
Explorit: Lots of ways to be a volunteer

By Lisa Justice | From Page: A4 | Gallery

 
Sierra Club remembers longtime walker

By Special to The Enterprise | From Page: A4

DHS Classes of 1954 and 1955 will hold 60th reunion

By Enterprise staff | From Page: A4

 
Nonprofits can get DCN’s help

By Enterprise staff | From Page: A4

Davis maps available at Chamber office

By Enterprise staff | From Page: A5

 
Need a new best friend?

By Enterprise staff | From Page: A5 | Gallery

Reception benefits endangered gorillas

By Special to The Enterprise | From Page: A5

 
Downtown history tour planned in October

By Enterprise staff | From Page: A7

Davis hosts its own climate change rally

By Special to The Enterprise | From Page: A8

 
Sutter Farmers Market offers local goods

By Enterprise staff | From Page: A8 | Gallery

Wolk applauds approval of stronger rules for olive oil

By Special to The Enterprise | From Page: A8

 
Qigong classes available for heart health

By Enterprise staff | From Page: A9

.

Forum

Sick of being the bad guy

By Creators Syndicate | From Page: B5

 
Project has safety risks

By Letters to the Editor | From Page: A6

Learn more about Paso Fino

By Letters to the Editor | From Page: A6

 
Educate homeless with dogs

By Letters to the Editor | From Page: A6, 1 Comment

Cheers and Jeers: Not the end of the rainbow

By Our View | From Page: A6

 
Tom Meyer cartoon

By Debbie Davis | From Page: A6

Return to previous plan

By Letters to the Editor | From Page: A6

 
Save the ‘pine cone place’

By Letters to the Editor | From Page: A6

Affirm our community values

By Letters to the Editor | From Page: A6

 
.

Sports

Devils hope the light bulb turns on at Edison

By Enterprise staff | From Page: B1

 
River Cats and Giants sign two-year deal

By Enterprise staff | From Page: B1

Blue Devil volleyballers hold off Herd

By Spencer Ault | From Page: B1 | Gallery

 
Aggies’ new energy could be scary for Big West

By Bruce Gallaudet | From Page: B1

No rest for the weary: Aggie TE Martindale busy on and off the field

By Bruce Gallaudet | From Page: B1 | Gallery

 
Mustangs are no match for DHS boys in water polo

By Enterprise staff | From Page: B2

Take Zona and Bama this week

By Bob Dunning | From Page: B2

 
A’s slide continues as Rangers sweep

By The Associated Press | From Page: B8

.

Features

Name Droppers: Awards keep coming for UC Davis retiree

By Enterprise staff | From Page: A7

 
.

Business

Redesigned 2015 Escalade remains breed all its own

By Ann M. Job | From Page: B3 | Gallery

 
.

Obituaries

Carol L. Walsh

By Special to The Enterprise | From Page: A4

 
.

Comics

Comics: Friday, September 19, 2014

By Creator | From Page: A10

 
.

Real Estate Review

Featured Listing

By Zack Snow | From Page: RER1

Professional Services Directory

By Zack Snow | From Page: RER2

Taylor Morrison

By Zack Snow | From Page: RER3

Malek Baroody

By Zack Snow | From Page: RER4

Norcal Land

By Zack Snow | From Page: RER5

Robin Garland

By Zack Snow | From Page: RER6

Karen Waggoner

By Zack Snow | From Page: RER7

Dana Hawkins

By Zack Snow | From Page: RER7

Martha Bernauer

By Zack Snow | From Page: RER8

Joe Kaplan

By Zack Snow | From Page: RER8

Lynne Wegner

By Zack Snow | From Page: RER8

Remax

By Zack Snow | From Page: RER9

Melrina A Maggiora

By Zack Snow | From Page: RER10

Wells Fargo Home Mortgage

By Zack Snow | From Page: RER11

Julie Leonard

By Zack Snow | From Page: RER11

Coldwell Banker

By Zack Snow | From Page: RER12

Kim Eichorn

By Zack Snow | From Page: RER14

Lyon Real Estate

By Zack Snow | From Page: RER15

Marcelo Campos

By Zack Snow | From Page: RER16

Julie Partain

By Zack Snow | From Page: RER16

Jamie Madison & Associates

By Zack Snow | From Page: RER16

Kim Merrel Lamb

By Zack Snow | From Page: RER17

Bob Bockwinkel

By Zack Snow | From Page: RER17

Juan Ramirez

By Zack Snow | From Page: RER17

Chris Snow

By Zack Snow | From Page: RER18

James Hanna

By Zack Snow | From Page: RER18

Raul Zamora

By Zack Snow | From Page: RER19

Susan von Geldern

By Zack Snow | From Page: RER19

Travis Credit Union

By Zack Snow | From Page: RER20

Jamie Madison

By Zack Snow | From Page: RER21

Karen Waggoner

By Zack Snow | From Page: RER21

Tracy Harris

By Zack Snow | From Page: RER22

Lisa Haass

By Zack Snow | From Page: RER22

First Street Real Estate

By Zack Snow | From Page: RER24