A method for human health impact assessment in social LCA: lessons from three case studies

Purpose

Improving human health is a long-lasting endeavour of mankind. In the field of social life cycle assessment (SLCA), the importance of human health is often highlighted, and further development of impact assessment methods has been recommended. The purpose of this article is to present a method for assessing human health impacts within SLCA.

Methods

By using a systematic combining approach, knowledge and experience about assessing human health impacts were obtained from three previously conducted case studies. The first case study was about an airbag system, the second about a catalytic converter and the third about gold jewellery. The disability-adjusted life years (DALY) indicator was used for impact assessment in all three case studies.

Results and discussion

Both positive and negative human health impacts associated with the products were identified and assessed in the three case studies. For the airbag system, avoided health impacts in the use phase outweighed health impacts during production. For the catalytic converter, whether health impacts avoided exceeded health impacts caused or not depended on which time perspective regarding impacts was employed. Gold jewellery does not help avoiding any health impacts but caused considerable health impacts when produced at a certain location. Based on experience from these case studies, a generic human health impact assessment method was developed, and a life cycle human health typology for products was developed based on the method. The method provides a basis for analysis and interpretation of health impacts along product life cycles, and it is therefore important to report both positive and negative health impacts separately for different actors.

Conclusions

The developed human health impact assessment method involves the assessment and comparison of both positive and negative human health impacts along product life cycles. In addition to the products assessed in the three case studies, we suggest additional products that could be particularly interesting to assess with the developed method, including medicines, seat belts, other conflict minerals, alcoholic beverages and products with a high chemical impact.

     

Fostering Industrial Symbiosis With Agent-Based Simulation and Participatory Modeling

The sciences of industrial ecology, complex systems, and adaptive management are intimately related, since they deal with flows and dynamic interdependencies between system elements of various kinds. As such, the tool kit of complex systems science could enrich our understanding of how industrial ecosystems might evolve over time. In this article, I illustrate how an important tool of complex systems science— agent-based simulation —can help to identify those potential elements of an industrial ecosystem that could work together to achieve more eco-efficient outcomes. For example, I show how agent-based simulation can generate cost-efficient energy futures in which groups of firms behave more eco-efficiently by introducing strategically located clusters of renewable, low-emissions, distributed generation. I then explain how role-playing games and participatory modeling can build trust and reduce conflict about the sharing of common-pool resources such as water and energy among small clusters of evolving agents. Collective learning can encourage potential industrial partners to gradually cooperate by exchanging by-products and/or sharing common infrastructure by dint of their close proximity. This kind of coevolutionary learning, aided by participatory modeling, could help to bring about industrial symbiosis.     

Landscape-level toxicant exposure mediates infection impacts on wildlife populations

Anthropogenic landscape modification such as urbanization can expose wildlife to toxicants, with profound behavioural and health effects. Toxicant exposure can alter the local transmission of wildlife diseases by reducing survival or altering immune defence. However, predicting the impacts of pathogens on wildlife across their ranges is complicated by heterogeneity in toxicant exposure across the landscape, especially if toxicants alter wildlife movement from toxicant-contaminated to uncontaminated habitats. We developed a mechanistic model to explore how toxicant effects on host health and movement propensity influence range-wide pathogen transmission, and zoonotic exposure risk, as an increasing fraction of the landscape is toxicant-contaminated. When toxicant-contaminated habitat is scarce on the landscape, costs to movement and survival from toxicant exposure can trap infected animals in contaminated habitat and reduce landscape-level transmission. Increasing the proportion of contaminated habitat causes host population declines from combined effects of toxicants and infection. The onset of host declines precedes an increase in the density of infected hosts in contaminated habitat and thus may serve as an early warning of increasing potential for zoonotic spillover in urbanizing landscapes. These results highlight how sublethal effects of toxicants can determine pathogen impacts on wildlife populations that may not manifest until landscape contamination is widespread.     

Multiple indicators of human impacts on the environment in the Pechora Basin,north-eastern European Russia

The Pechora Region (PR) has extensive natural resources supporting forestry, oil and gas industries. The objective of this integrated study was to identify if local and long range pollution and biodiversity impacts were detectable on a regional scale using multi-indicators by selecting paired sites, close to industrial/forestry activities and in ‘reference’ areas (remote from any industrial centers, settlements or commercial activities). Chemistry of lichens, topsoil, lake water and sediments, plus diversity of lichens, birds and aquatic indicators along with landscape analysis were measured at eight sites in the PR to assess local impacts of oil/gas and forestry operations. Furthermore, an analysis of water and sediment chemistry was made at river stations and sites within the Pechora Delta. Local areas around industrial towns of Vorkuta and Usinsk showed increased pollution and decreased biodiversity. Among remote areas, subtle changes in pollution and biodiversity were detected close to oil/gas operations on the Kolva and Ortina Rivers, indicating early signs of environmental impact. Delta analyses showed limited impacts and most other sites remained unmodified reflecting low ecological impacts. Changes in forest landscape structure over large areas were apparently too small to cause significant negative impacts on bird diversity. This was the first attempt showing how multi-indicators can be used over broad spatial scales to assess environmental impacts in the PR.     

How City Dwellers Affect Their Resource Hinterland

This article links databases on household consumption, industrial production, economic turnover, employment, water use, and greenhouse gas emissions into a spatially explicit model. The causal sequence starts with households demanding a certain consumer basket. This demand requires production in a complex supply-chain network of interdependent industry sectors. Even though the household may be confined to a particular geographical location, say a dwelling in a city, the industries producing the indirect inputs for the commodities that the household demands will be dispersed all over Australia and probably beyond. Industrial production represents local points of economic activity, employment, water use, and emissions that have local economic, social, and environmental impacts. The consumer basket of a typical household is followed in Australia's two largest cities—Sydney and Melbourne—along its upstream supply chains and to numerous production sites within Australia. The spatial spread is described by means of a detailed regional interindustry model. Through industry-specific emissions profiles, industrial production is then translated into local impacts. We show that annually a typical household is responsible for producing approximately 80 tonnes of greenhouse gas emissions, uses around 3 million liters of water, causes about A$140,000 to circulate in the wider economy, and provides labor worth just under three full-time employment-years. We also introduce maps that visually demonstrate how a very localized household affects the environment across an entire continent. Our model is unprecedented in its spatial and sectoral detail, at least for Australia.     

Bioprospecting the African Renaissance: The new value of <Emphasis Type="Italic">muthi</Emphasis> in South Africa

This article gives an overview of anthropological research on bioprospecting in general and of available literature related to bioprospecting particularly in South Africa. It points out how new insights on value regimes concerning plant-based medicines may be gained through further research and is meant to contribute to a critical discussion about the ethics of Access and Benefit Sharing (ABS). In South Africa, traditional healers, plant gatherers, petty traders, researchers and private investors are assembled around the issues of standardization and commercialization of knowledge about plants. This coincides with a nation-building project which promotes the revitalization of local knowledge within the so called African Renaissance. A social science analysis of the transformation of so called Traditional Medicine (TM) may shed light onto this renaissance by tracing social arenas in which different regimes of value are brought into conflict. When medicinal plants turn into assets in a national and global economy, they seem to be manipulated and transformed in relation to their capacity to promote health, their market value, and their potential to construct new ethics of development. In this context, the translation of socially and culturally situated local knowledge about muthi into global pharmaceuticals creates new forms of agency as well as new power differentials between the different actors involved.     

Caring Through Restraint: Violence,Intimacy and Identity in Mental Health Practice

In this article, I discuss the meanings of “restraints,” or physical intervention strategies that are used at a total institution for mentally ill adolescents in the United States. This paper argues that this particularly complex form of mental health treatment is simultaneously a violent and an intimate way in which men relate to one another and also takes on complex meanings about trust and identity in mental health recovery. Using data from 18 months of ethnographic fieldwork at one residential treatment center, this article examines what restraints reveal and embody about intimate interpersonal staff/client relationships, how Black men relate to one another in this setting and how staff members use physical interventions to link institutional mental health treatment with street violence in the outside world. I conclude that understanding these meanings of restraints provides a valuable way of understanding local knowledge in mental health practice, treatment and recovery.     

Climate change and local public health in the United States: preparedness, programs and perceptions of local public health department directors

While climate change is inherently a global problem, its public health impacts will be experienced most acutely at the local and regional level, with some jurisdictions likely to be more burdened than others. The public health infrastructure in the U.S. is organized largely as an interlocking set of public agencies at the federal, state and local level, with lead responsibility for each city or county often residing at the local level. To understand how directors of local public health departments view and are responding to climate change as a public health issue, we conducted a telephone survey with 133 randomly selected local health department directors, representing a 61% response rate. A majority of respondents perceived climate change to be a problem in their jurisdiction, a problem they viewed as likely to become more common or severe over the next 20 years. Only a small minority of respondents, however, had yet made climate change adaptation or prevention a top priority for their health department. This discrepancy between problem recognition and programmatic responses may be due, in part, to several factors: most respondents felt personnel in their health department--and other key stakeholders in their community--had a lack of knowledge about climate change; relatively few respondents felt their own health department, their state health department, or the Centers for Disease Control and Prevention had the necessary expertise to help them create an effective mitigation or adaptation plan for their jurisdiction; and most respondents felt that their health department needed additional funding, staff and staff training to respond effectively to climate change. These data make clear that climate change adaptation and prevention are not currently major activities at most health departments, and that most, if not all, local health departments will require assistance in making this transition. We conclude by making the case that, through their words and actions, local health departments and their staff can and should play a role in alerting members of their community about the prospect of public health impacts from climate change in their jurisdiction.     

The impact of civil conflict on child health: Evidence from Colombia

Internal armed conflicts have become more common and more physically destructive since the mid-20th century, with devastating consequences for health and development in low- and middle-income countries. This paper investigates the causal impacts of the long-term internal conflict on child health in Colombia, following an identification strategy based on the temporal and geographic variation of conflict intensity. We estimate the effect of different levels of conflict intensity on height-for-age (HAZ), weight-for-age (WAZ), and weight-for-height z-scores among children under five years old, and explore the underlying potential mechanisms, through maternal health behavior and health care utilization. We find a harmful effect of exposure to conflict violence in utero and in early childhood for HAZ and WAZ, in the full sample and even more strongly in the rural sample, yet these estimates are smaller than those found for shorter term conflicts. The underlying pathways appear to operate around the time of the pregnancy and birth (in the form of maternal alcohol use, use of antenatal care and skilled birth attendance), rather than during the post-birth period (via breastfeeding or vaccination), and the impacts accumulate over the childhood. The most adverse impacts of conflict violence on child health and utilization of maternal healthcare were observed in municipalities which suffered from intermittent presence of armed groups.     

Newspaper Portrayals,Local Policies,and Dog-Supportive Public Space: Who's Wagging Whom?

ABSTRACT

Dog-walking promotes physical activity and positive social interactions, and thus dog-walking has implications for people's physical and mental health. As a result, experts in public health have endorsed designing and managing public space to support dog-walking. Nevertheless, the presence of dogs in public space is subject to negotiation and can be controversial. Generally, municipal governments or local councils exercise political jurisdiction over both dogs and public space. As a case study, we systematically collected and analyzed a local newspaper's portrayals of issues relating to dog-walking in public space. Our purpose was to understand how public and policy agendas were being represented by local media, during a period of time when local policies on dog ownership and dog-supportive public space were being reviewed and revised. The analysis involved three phases: 1) thematic content analysis; 2) issue framing analysis; and 3) policy analysis. Thematically, we found that social conflict predominated. In terms of issue framing, local policy and individual dog owner behavior were both problematized. Over time, the policy agenda evolved to emphasize the design and management of public space, especially park land. Policy-makers presented this emphasis on public space as a proactive strategy to reduce social conflict and to promote compliance with existing rules on dog ownership. When it comes to promoting dog-walking to benefit animal welfare and human health, our findings underscore the importance of paying close attention to local policies and media coverage. In fact, we found that endogenous conflict and public controversies can actually represent significant opportunities to bring about positive changes in the lives of humans and nonhuman animals.     

Monte Carlo Simulation-Based Health Risk Assessment of Heavy Metal Soil Pollution: A Case Study in the Qixia Mining Area,China

In recent years, heavy metal pollution accidents have occurred in many regions of China, and the public has become increasingly concerned about its health. Based on a U.S. Environmental Protection Agency model and using Monte Carlo simulation techniques, this article presents a procedure for health risk assessment of heavy metal pollution. A case study was conducted in the Qixia lead and zinc mining area. Based on the magnitude of heavy metal contamination in the mine factory, vicinal Qixia scenic site and village, the potential health risk calculated for a lifetime of exposure (through ingestion and dermal contact) was determined as the cumulative carcinogenic and non-carcinogenic risk for workers, tourists, and local residents (including children and adults), respectively. The risk assessment indicated that the carcinogenic risk is not significant. However, Pb poses a significant cumulative non-carcinogenic risk, which tends to be serious for workers. Additionally, local children are more vulnerable than adults to the risks associated with heavy metal contamination. Accordingly, risk alleviation and preventive measures should be taken, especially for children and workers.     

Analyzing the Environmental Benefits of Industrial Symbiosis

Studies of industrial symbiosis (IS) focus on the physical flows of materials and energy in local industrial systems. In an ideal IS, waste material and energy are shared or exchanged among the actors of the system, thereby reducing the consumption of virgin material and energy inputs, and likewise the generation of waste and emissions. In this study, the environmental impacts of an industrial ecosystem centered around a pulp and paper mill and operating as an IS are analyzed using life cycle assessment (LCA). The system is compared with two hypothetical reference systems in which the actors would operate in isolation. Moreover, the system is analyzed further in order to identify possibilities for additional links between the actors. The results show that of the total life cycle impacts of the system, upstream processes made the greatest overall contribution to the results. Comparison with stand‐alone production shows that in the case studied, the industrial symbiosis results in modest improvements, 5% to 20% in most impact categories, in the overall environmental impacts of the system. Most of the benefits occur upstream through heat and electricity production for the local town. All in all it is recommended that when the environmental impacts of industrial symbiosis are assessed, the impacts occurring upstream should also be studied, not only the impacts within the ecosystem.     

Airborne particle monitoring in clean room environments for stem cell cultures

Modern high-technology industrial practices like pharmaceutical and stem cell line production demand high-quality environmental conditions to avoid particle contamination in the final product. Particles are important because their presence can affect both the output and the productivity and because they can have repercussion on human health. In this kind of production practice it is necessary to implement optimal methods for particle management and to introduce an environmental monitoring program. This should also address the regional regulatory requirements and will depend on local conditions in each processing center. Each center must evaluate its specific needs and establish appropriate monitoring procedures.     

Crop changes from the XVI century to the present in a hill/mountain area of eastern Liguria (Italy)

Background

Until recently, little attention has been paid to local innovation capacity as well as management practices and institutions developed by communities and other local actors based on their traditional knowledge. This paper doesn't focus on the results of scientific research into innovation systems, but rather on how local communities, in a network of supportive partnerships, draw knowledge for others, combine it with their own knowledge and then innovate in their local practices. Innovation, as discussed in this article, is the capacity of local stakeholders to play an active role in innovative knowledge creation in order to enhance local health practices and further environmental conservation. In this article, the innovative processes through which this capacity is created and reinforced will be defined as a process of "ethnomedicine capacity".

Methods

The field study undertaken by the first author took place in India, in the State of Tamil Nadu, over a period of four months in 2007. The data was collected through individual interviews and focus groups and was complemented by participant observations.

Results

The research highlights the innovation capacity related to ethnomedical knowledge. As seen, the integration of local and scientific knowledge is crucial to ensure the practices anchor themselves in daily practices. The networks created are clearly instrumental to enhancing the innovation capacity that allows the creation, dissemination and utilization of 'traditional' knowledge. However, these networks have evolved in very different forms and have become entities that can fit into global networks. The ways in which the social capital is enhanced at the village and network levels are thus important to understand how traditional knowledge can be used as an instrument for development and innovation.

Conclusion

The case study analyzed highlights examples of innovation systems in a developmental context. They demonstrate that networks comprised of several actors from different levels can synergistically forge linkages between local knowledge and formal sciences and generate positive and negative impacts. The positive impact is the revitalization of perceived traditions while the negative impacts pertain to the transformation of these traditions into health commodities controlled by new elites, due to unequal power relations.     

False alarms, real challenges--one university's communication response to the 2001 anthrax crisis

Considerable research exists on how government agencies at the federal, state, and local levels communicated during the fall 2001 anthrax attacks. However, there is little research on how other institutions handled this crisis, in terms of their response to potential anthrax contamination (aka "white powder scares") and their approach to disseminating important health and safety information. In this article, we investigate a major university's communication response to the anthrax crisis. First, we describe its communication experiences relating to a large white powder scare that occurred in October 2001. Second, we describe the university's broader communication efforts in terms of several important elements of risk communication research, including influence of source attributes, key messages, preferred channels, responses to information requests, and organizational influences. This study underlines that an institution does not have to be directly affected by a crisis to find itself on the communication "front lines." Moreover, other institutions may find it useful to learn from the experiences of this university, so that they may communicate more effectively during future crises.     

Witchcraft and the limits of mass mediation in Malawi

This article explores what the study of witchcraft in an African setting can contribute to current efforts to theorize mass mediation and the imagination it fosters. Recent ethnographies of witchcraft discourses in Africa have continued to associate them with the formation of small-scale groups, but evidence from Malawi shows how they enable subjects to imagine sociality on an indeterminate scale. The article deploys the concept of mediation to theorize how in this imagination witches mediate sociality as the unrecognized third parties who give rise to recognized social relationships of varying scale. The ethnography of witchcraft discourses in radio broadcasting and an impoverished peri-urban area demonstrates not only their relevance to apparently disparate contexts but also their potential to exceed the impact of the mass media. The case of a violent conflict involving Pentecostal Christians, South Asian entrepreneurs, Muslims, and members of a secret society provides an example of how arguments about witchcraft had a greater impact on the popular imagination than a mass-mediated report of the same conflict. The article concludes by arguing that witchcraft discourses should be accorded weight equal to the mass media in theorizing the imagination.     

Why academics should study the supply chains of individual corporations

Although fields such as industrial ecology have advanced our understanding of how cleaner technologies, recycling, and lifestyle changes can reduce the impacts of production and consumption on people and planet, environmental deterioration and social injustices stubbornly persist. New strategies are needed to achieve change in an era of increasing urgency. This paper proposes that academics study the supply chains of individual corporations and link them to environmental and social impacts in geographically specific areas. Nongovernmental organizations (NGOs) have used this approach successfully, issuing reports about corporate activity related to deforestation, sweatshops, and other issues of social concern. But academics, by and large, have studied generic products, industries, and sectors. To verify this, after reviewing approximately 11,000 studies on supply chains, we identified just 27 academic papers that focused on individual corporations. These were primarily by NGOs and social scientists, with no studies by industrial ecologists meeting our review criteria. To uncover corporate supply chains, researchers used two distinct methodological approaches: in situ (interviews, surveys, and surveillance) and ex situ (trade data, document analysis, and maps). In this paper, we explain why and how academics should study the supply chains of individual corporations. This is done by combining approaches from industrial ecology, with those from geography, sociology, and other social sciences to develop a political‐industrial ecology of supply chains. This both physically links actual product flows with their environmental impacts, and explores how they affect justice, equity, and welfare. The work we propose offers clear collaborative linkages with NGOs, industry, and the media.     

Social Media,Public Participation,and the 2010 BP Deepwater Horizon Oil Spill

This research examines how information about an oil spill, its impacts, and the use of dispersants to treat the oil, moved through social media and the surrounding Internet during the 2010 BP Deepwater Horizon oil spill. Using a collection of tweets captured during the spill, we employ a mixed-method approach including an in-depth qualitative analysis to examine the content of Twitter posts, the connections that Twitter users made with each other, and the links between Twitter content and the surrounding Internet. This article offers a range of findings to help practitioners and others understand how social media is used by a variety of different actors during a slow-moving, long-term, environmental disaster. We enumerate some of the most salient themes in the Twitter data, noting that concerns about health impacts were more likely to be communicated in tweets about dispersant use, than in the larger conversation. We describe the accounts and behaviors of highly retweeted Twitter users, noting how locals helped to shape the network and the conversation. Importantly, our results show the online crowd wanting to participate in and contribute to response efforts, a finding with implications for future oil spill response.     

Examining complexities of forest cover change during armed conflict on Nicaragua’s Atlantic Coast

The effects of armed conflict on biodiversity are an emerging concern in conservation due in part to the occurrence of war in biodiversity hotspots, though few studies have addressed it. We investigate this topic by examining changes in forest cover on the Atlantic Coast of Nicaragua from 1978 to 1993, a period covering their civil war. We predict an increase in forest cover between pre- and post-conflict periods as residents abandoned agriculture plots and migrated from conflict areas. We used a remote sensing approach to detect changes in forest cover area and fragmentation at two study sites. Results confirmed that in the first 5–7 years of the conflict, reforestation was greater than deforestation, but in the latter years of the conflict deforested land almost doubled that which was reforested. Although some forest loss was due to Category 4 Hurricane Joan, several conflict-related factors were partially responsible for these results, such as mass human migration and land reform. Understanding how and why forest cover changes during periods of conflict can help conservationists protect resources both during war and in the tumultuous period following the cessation of violence when nascent governments lack the power to effectively govern and community institutions are fractured by war. In areas where the livelihoods of people are directly dependent on local resources, anticipating ecological and social impacts can help improve future conservation efforts.     

Towards an Integrated Regional Materials Flow Accounting Model

A key challenge in attaining regional sustainability is to reduce both the direct and the indirect environmental impacts associated with economic and household activity in the region. Knowing what these flows are and how they change over time is a prerequisite for this task.
This article describes the early development of an integrated regional materials flow accounting framework. The framework is based on a hybrid (material and economic) multiregional input-output model. Using readily available economic and materials data sets together with transport and logistics data, the framework attempts to provide estimates of household resource flows for any U.K. region at quite detailed levels of product and material disaggregation. It is also capable of disaggregating these flows according to specific socioeconomic criteria such as income level or occupation of the head of household. Allied to appropriate energy and life-cycle assessment data sets, the model could, in addition, be used to map both direct and indirect environmental impacts associated with these flows.
The benefits of such an approach are likely to be a considerable reduction of uncertainties in (1) our knowledge of the household metabolism, and hence our predictions of regional household waste generation; (2) our assessment of the impacts of contemplated changes in industrial process siting, and thereby on other aspects of local and regional planning; and (3) our understanding of the impacts of changes in the pattern of demand for different materials and products. It is concluded that the use of such an integrated assessment tool has much to contribute to the debate on regional sustainability.