The Health Impact Project currently funds a series of HIA demonstration projects working across a range of sectors and geographic locations throughout the country.

Second round of grantees (announced March 2012)

• The County of Alameda, California Public Health Department will conduct an HIA to examine the impacts of changes to the Regional Transportation Plan, specifically changes to bus access. Availability of transportation may affect health through changing access to jobs, quality schools, medical care and social services, and grocery and retail stores. The HIA will focus on equity impacts, or how the new plan might affect different populations in different ways. (Supported by funding from The California Endowment.)

• California Rural Legal Assistance will conduct two HIAs to inform the development of state-mandated plans in Kern and Fresno Counties that will guide local land use, transportation, and other policies relevant to greenhouse gas emissions, as required by California’s Senate Bill 375. The HIAs will examine the ways in which these plans may influence factors important to health, such as access to sidewalks, bike lanes, open space, healthy foods, health care services, as well as exposure to air pollution. (Supported by funding from The California Endowment.)

• The City of Minneapolis Department of Health and Family Support will conduct an HIA to inform revisions to the city’s Above the Falls Master Plan, which will guide redevelopment of an industrial area near low-income neighborhoods along the upper Mississippi riverfront. This HIA is being conducted in collaboration with the City of Minneapolis Department of Community Planning and Economic Development and the Minneapolis Park and Recreation Board. It will assess the ways in which proposed elements of the master plan could affect health through, for example, changing exposure to air and water pollution, developing parkland along the riverfront to provide opportunities for exercise, revitalizing substandard housing, and attracting businesses to the area. (Supported by the Blue Cross and Blue Shield of Minnesota Foundation.)

• The Georgia Health Policy Center and Department of Sociology at Georgia State University will conduct an HIA to provide recommendations on the selection of sites for and the design of public housing in Galveston, Texas that is being rebuilt after Hurricane Ike destroyed much of the low-income housing in the region in 2008. (Supported by The Kresge Foundation.)

• Hennepin County Department of Housing, Community Works and Transit (Minnesota) will conduct an HIA to inform planning and funding decisions on the proposed Bottineau Transitway. The new system would create a bus or light rail line extending from downtown Minneapolis through North Minneapolis and into neighboring suburbs. (Supported by the Blue Cross and Blue Shield of Minnesota Foundation.)

• The Illinois Public Health Institute (IPHI) will conduct an HIA on a legislative proposal under consideration in the Illinois General Assembly that would require the Illinois Department of Human Services to seek a waiver from the U.S. Department of Agriculture to ban the use of Supplemental Nutrition Assistance Program (SNAP) benefits to purchase sugary drinks. IPHI will conduct a balanced, science-driven assessment. The HIA will consider both potential health benefits – such as a lower risk of obesity, tooth decay, and diabetes – and risks, including reduced participation in SNAP by eligible families, hunger, and the potential for such policies to add to the stigma associated with SNAP participation.

• Kane County (Illinois) will conduct an HIA of a proposed amendment to the county’s farmland protection ordinance, which may affect the health of local residents through, for example, changes in availability and price of fresh fruits and vegetables, food safety, and economic changes resulting from increased food production in the region.

• The Kansas Health Institute will conduct an HIA of casino development in southeast Kansas that might result from changes proposed in three state Senate bills. Some studies suggest that casinos elevate the risk of alcohol abuse, violence, stress, mental illness, injury, and bankruptcy, which can lead to loss of housing and health insurance. However, casinos also can provide economic development, employment, and insurance, as well as county and state revenues to support services and infrastructure improvements that promote health. KHI will assess, and develop recommendations to address, the risks, benefits, and trade-offs of the legislation.

• The National Center for Healthy Housing will conduct an HIA to determine and compare the impacts of the proposed Baltimore-Washington Rail Intermodal Facility at several potential sites in the region. The facility would transfer freight cargo between trains and trucks. It poses potential health concerns that include, for example, air and noise pollution and substantial increases in local truck traffic leading to safety risks. Its construction and operation may create local jobs and generate community tax revenue that supports services that benefit health. (Supported by The Kresge Foundation.)

• The Ohio Housing Finance Agency will conduct an HIA that will inform decisions on proposed modifications to housing inspection programs in the state that would reduce the number of inspections on affordable housing units by improving inter-agency coordination and streamlining the current system. Housing inspections help identify and remedy substandard physical conditions, like water leaks and mold, pests, peeling paint, and structural hazards, which can contribute to a wide range of health problems including asthma, injury, burns, and mental illness. The Ohio State University College of Public Health is a partner for this project.

• The Oregon Public Health Institute will conduct an HIA to inform the Portland City Council’s June 2012 decision on whether to fund the Bureau of Development Services’ Rental Housing Inspections Program at a level sufficient to continue the city’s Enhanced Inspections pilot program, and potentially expand it to other parts of the city. Inspections programs can influence housing conditions, and poor housing contributes to a range of health problems, such as asthma and other respiratory illness, injury, burns, and lead exposure.

• The Sequoia Foundation will conduct an HIA to identify impacts and inform decisions regarding a proposed biomass energy facility in Placer County, California. The proposed facility would be fueled by forest materials (wood chips, slash, bark, and pine needles) that are currently being generated as a result of ongoing programs enacted to reduce forest-fire hazards in the area. The HIA will ensure that these decisions factor in health considerations, such as how changes in air quality and truck traffic on local roads could affect things like asthma, injury rates, and access to services important to health.

• The University of Rochester will conduct an HIA to help inform a waterfront revitalization plan in low-income neighborhoods in Rochester, New York. Health-related issues that the HIA will address include, for example, how the plan will affect opportunities for physical activity, air and water pollution, and seafood contamination.

• The University of Washington School of Public Health will conduct an HIA to inform decisions by the Environmental Protection Agency and responsible parties related to the proposed cleanup of the Lower Duwamish Waterway Superfund site. The responsible parties include the Port of Seattle, the City of Seattle, King County, and the Boeing Company. Key health issues that the HIA will address include consuming contaminated seafood, air and soil pollution, as well as concerns such as construction noise, traffic safety, and access to goods and services in the neighborhoods surrounding the site during and after the cleanup.

• Virginia Commonwealth University (VCU) will conduct an HIA to inform the zoning and permitting decisions associated with a proposal to build a poultry litter-fired power plant as part of Virginia’s federally-mandated plan to reduce water pollution in the Chesapeake Bay watershed. The proposed facility poses potential health risks through increasing harmful air emissions, truck traffic, odor, and noise in nearby communities. Economic impacts, however, may benefit health by increasing employment opportunities, access to health insurance, and generating revenues that support local services important to health. The project, which will involve the VCU Center on Human Needs and the VCU Center on Environmental Studies, will conduct a balanced assessment with the goal of providing useful information for the public and decision makers looking to weigh trade-offs.

NACCHO Mentorship Program grantees

• RiverStone Health, in coordination with the City of Billings Planning Division, has completed an HIA of the South Billings Master Plan. The most important health risks or outcomes the HIA addressed are healthy food availability, physical activity through multi-modal transportation, housing, and safety. HIA recommendations were: promote the presence of a primary supermarket in South Billings; consider expanding public transit hours of operation; enable the development of affordable housing (e.g. through incentives); and, encourage neighborhoods to provide adequate street lighting and sidewalks. The HIA recommendations were incorporated into the draft Master Plan, and were voted on by the City Council in late February. 

• The Cuyahoga County Board of Health is conducting an HIA to examine the health effects of the Transportation for Livable Communities Initiative (TLCI) planning project for key intersections of the four mile stretch of Euclid Avenue in Euclid, Ohio.  At this time, the plan intends to produce specific recommendations for 1) pedestrian and bicycle friendly transportation improvements to increase safe opportunities to be active, 2) redevelopment scenarios and design guidelines for public and private improvements that promote mixed-use development, and 3) policy recommendations for creating healthy places and linkages for active living opportunities.   The goal of the Euclid HIA is to ensure that both health and equity considerations are integrated into the final Euclid Avenue TLCI plan, which is projected to be completed by September, 2012.

• The Independence Health Department plans to conduct an HIA on all major infrastructure changes related to the implementation of a Complete Streets policy, beginning with the placement of bike lanes. The HIA will allow the health department to identify the appropriate areas and neighborhoods that could positively benefit from bike lanes, through better access to grocery stores, improved safety, and increased physical activity. The City Council appointed a council bike committee that will make recommendations in late summer 2012. The HIA plans to inform that process.

• The City of Spokane is redeveloping the Division Street Gateway, a little over a mile of State Highway 2 that runs through the heart of downtown Spokane.  Together with the City of Spokane, other local organizations and city officials, the Spokane Regional Health District is conducting an HIA to measure the potential health impact of the construction plan. The issues studied include transportation, safety, physical and mental health, social cohesion, economy, built environment, and natural environment. Data and recommendations will be presented at informational meetings with the development consultant and city planners. The HIA is hoping to inform the final development plan and present HIA findings at a City Council meeting in mid-2012.  

First round of grantees

The Center for Quality Growth and Regional Development (CQGRD)

Aerotropolis Atlanta - A comprehensive HIA on the site of a former Ford assembly plant in Hapeville, Georgia.

Atlanta Regional Plan 2040 - An HIA that will examine how Plan 2040—a metropolitan transportation and comprehensive growth plan for counties in the Atlanta region—will consider a range of health issues that could be impacted, such as injury and asthma rates, and the risks of obesity and diabetes.

Green River District Health Department

Coal Gasification Plants - An HIA to inform the planning and permitting process for two proposed coal-gasification projects in Owensboro, Kentucky and the surrounding area.

 ISAIAH

St. Paul Light Rail - An HIA of proposed land-use changes related to a new light rail transit line that will connect Minneapolis and St. Paul, Minnesota.

The Kohala Center

Hawaii County Agriculture Development Plan - An HIA that guides the creation of the County of Hawaii’s Agriculture Development Plan.

National Center for Medical-Legal Partnership at Boston Medical Center

Advanced Metering Infrastructure - An HIA that will address the health effects of a proposal by Commonwealth Edison to implement “smart metering” technology in western metropolitan Chicago, focusing on how these innovations could alter the risk of potentially life-threatening exposure to heat or cold.

The Massachusetts Department of Public Health

Biomass Power Plant - An HIA that will assess the potential health impacts of a proposed biomass power plant in Springfield, Massachusetts.

The New Hampshire Center for Public Policy Studies

New Hampshire State Budget - An HIA that will inform lawmakers on how funding changes in parts of the state budget might affect the health of residents.

 Public Health Institute (PHI)

California Cap and Trade Rulemaking - An HIA done in coordination with the California Department of Public Health to inform the development of new regulations that aim to reduce emissions of carbon dioxide as a way to help curb global warming.

 Texas Southern University

Houston Transit-Oriented Development -  An HIA to examine the health impacts of possible development patterns that could occur in the neighborhood near a planned station on a 30-mile, five-corridor light rail expansion.

 The University of California, Los Angeles School of Public Health

Metro Westside Subway Extension (Wilshire Corridor) - An HIA done in coordination with the Los Angeles County Department of Public Health to assess the potential health effects of a proposed subway and other mass-transit alternatives through Los Angeles' highly congested, high-traffic Wilshire Corridor running from mid-town Los Angeles to the city of Santa Monica.

Local Water Conservation Policies - Although the final topic has not been determined, an HIA will likely focus on municipal water-conservation policies and help decision makers weigh the public health implications of different proposals to address long-term, projected water shortages tied to population growth and climate change.

Upstream Public Health

Oregon Farm to School Legislation - An HIA of proposed legislation in Oregon that would provide state funds to purchase locally-grown foods for schools and set up school teaching gardens. (Read the release about the HIA.)