From 2010 through 2013, Oregon Health Authority’s Public Health Division conducted its first health impact assessment (HIA), a procedure in which a public health organization draws on an array of analytical techniques to estimate the likely health effects of a policy or proposal in a different sector (in this instance, the HIA examined the potential effects of wind farms – which represented a big and growing component of the state’s alternative energy strategy – on residents’ health). After situating the HIA in the context of the state’s “health in all policies” approach (which calls for public health to deepen its connection to other sectors), the case captures the genesis of the HIA, the implementation procedure, as well as the response following its publication. The case focuses on the way in which the public health division’s small staff handled the HIA’s astonishingly large workload and the way the public health team worked to integrate the views of a varied-and occasionally opposed-set of stakeholders, most notably grassroots opposition groups and representatives of the renewable energy sector. Case number is 2038.0.
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