Risk assessment in public health
Submitting Institution
University of the West of ScotlandUnit of Assessment
Allied Health Professions, Dentistry, Nursing and PharmacySummary Impact Type
HealthResearch Subject Area(s)
Medical and Health Sciences: Public Health and Health Services
Studies In Human Society: Policy and Administration
Summary of the impact
Human health risks and population vulnerabilities are easily identifiable
globally in communities exposed to the effects of climate change and the
legacy of industrial contamination. Research by Dr Gagnon and Professor
Hursthouse pioneered decision support frameworks and web tools that have
been applied at local and national strategy level to improve environment
links to public health. Authoritative Guidebooks developed by UWS
researchers facilitated locally grounded adaptation to risks from climate
change, while web tools enable robust case evaluation, prioritisation and
new resources to be secured for the management of a variety of risks to
human health from environmental contamination.
Underpinning research
The legacy of land contamination, the impact of climate change on
government services and the protection of public health are global issues.
They require complex and highly uncertain information to be assessed and
policies developed to allow robust decision making. Implementation at the
local level must be transparent and effective in its use of resources to
meet statutory obligations in adapting to risks posed by the wider
environment. Major challenges for local and national government are to
continually adopt best practice and integrate new knowledge.
Building on over a decade of research, UWS researchers generated
integrated tools and frameworks to help these decision makers develop
their plans. Engaging local stakeholders is essential because of
differences in local circumstances and priorities and the UWS tools allow
for risk assessment and a range of criteria to be incorporated in decision
making actively adopted by local authority, government and community
groups. The publication (3.1) of an online, computer-mediated decision
making framework resulted in a tool to integrate spatial environmental
data (GIS) with consultation methods (e-Delphi). Within an EU project
[3.a] this tool was used to identify barriers to information exchange,
collaboration and consultation in soil quality management, providing
methods to efficiently collect and present heuristic rules, decision
threads and derive transferable indicators.
A research project to integrate spatial decision support techniques in
land contamination assessment, (Highland Council grant) [3.b], with the
British Geological Survey, fully demonstrated the capability of integrated
GIS tools to enhance the response to statutory obligations through data
decision support. The tool was further refined through extensive
engagement with regulatory stakeholders and demonstrated the potential to
integrate wide ranging information and practitioner feedback/opinion. Work
on risk based land management policy, identified the opportunity to
harmonise strategy internationally (3.2) for implementation at the local
level [3.c]. This facilitated further application in a local authority,
combining socio-economic factors with health risk assessment procedures
enabling decision making to be proportionate, transparent and relevant to
community and government issues. This approach, integrating environmental
science with socioeconomic and public health issues, was extended to
address the complexity of micro-nutrition on maternal health in
subsistence communities (Malawi) [3.d]. Led by Professor Hursthouse, a
multidisciplinary team was funded to develop a community engagement
framework and gathered evidence to better understand iron and zinc
transfer in the food chain, coupling ethnographic methods with physical
science techniques and thus providing direction for bottom-up
interventions to community health.
The Scottish Alliance for Geoscience, Environment and Society (SAGES)
Lectureship in Environmental Decision Support (2007), appointed Dr Gagnon
to extend research into climate change adaptation and environmental health
(SFC funded [3.e]). Gagnon and Hursthouse collaborated to identify
barriers to information exchange between academic institutions and local
government stakeholders. The framework developed was adopted to facilitate
research in the Hebrides (EU NPP "CoastAdapt") on the perceptions of local
authority decision-makers of their vulnerability to climate change (3.3),
and introduced a participatory approach in developing adaptation
strategies (3.4). Dr Gagnon [3.f] critically assessed the conceptual
elements to be considered when conducting a vulnerability assessment
(3.5), and was subsequently applied in contrasting communities (3.6)
[3.g].
References to the research
1. Hossack I., Robertson D., Tucker P., Hursthouse, A.S., Fyfe, C. 2004.
A GIS and web-based decision support tool for the management of urban
soils. Cybernetics & Systems 35: 499-509.
2. Rodrigues S.M., Pereira M.E., da Silva E.F., Hursthouse A.S., Duarte
A.C. 2009. A review of regulatory decisions for environmental protection:
Part I — challenges in the implementation of national soil policies.
Environment International 35: 202-213.
3. Gray S.R., Gagnon A.S., Gray S.A., O'Dwyer B., O'Mahony C, Muir D.,
Devoy R.J.N., Falaleeva M., Gault J. Are coastal managers detecting the
problem? Assessing stakeholder perception of climate vulnerability using
Fuzzy Cognitive Mapping. Ocean & Coastal Management (in press).
4. Muir D., Dawson, A.G., Gagnon, A.S., O'Mahony C. (2013). Vulnerability
and adaptation to extreme coastal flooding: An example from the South Ford
area, Scottish Outer Hebrides. In Coasts, Marine Structures and
Breakwaters: From Sea to Shore — Meeting the Challenges of the Sea,
Edinburgh, 18-20 September. London: ICE Publishing (in press).
5. Bruno Soares M., Gagnon A.S., Doherty R.M. 2012. Conceptual elements
of climate change vulnerability assessments: a review. International
Journal of Climate Change Strategies and Management 4: 6-35. [Highly
Commended Award Winner at the Emerald Literati Network Awards for
Excellence 2013].
6. Bruno Soares M. and Gagnon A.S. 2012. Reflecting on the challenges and
barriers of performing climate change vulnerability assessments in
Scotland. International Journal of Global Warming 4: 346-364.
Grant awards:
[a] URBSOIL: Urban soils as sources and sinks for pollution
(EVK4-CT-2001-00053) £199,000
[b] The integration of earth science data in decision-support for
contaminated land inspection strategy in the Highland Council area,
(Highland Council/British Geological Survey 2002-2003) £13,000.
[c] Sustainable Management of Urban Ecosystems: Integration of
Environmental Quality Assessment Techniques (British Council, 2005-2006),
£1,000
[d] Bridging the Gap between Environmental Research and Local
Decision-Makers; (Scottish Funding Council SPIRIT programme, 2008-2009),
£68,804
[e] Micronutrient deficiency in maternity and child health: scope for
agricultural and educational intervention in soil-food-human transfer:
(NERC Environment & Human Health Programme, 2007- 2009), NE/E00831 3/1
£123,549 (+ £30k extension)
[f] Performing Climate Change Vulnerability Assessments at the Local
Level in Scotland — Challenges, Analytical Trade-offs, and Implications
for Local Adaptation; (SAGES, 2008-2012), £40,000.
[g] Climate Change Impacts and Adaptive Capacity in the Outer Hebrides
and Shetland Islands; (Carnegie Trust), £1,595.
Details of the impact
Our research has directly impacted on the engagement of stakeholders,
including the general public, in the development of frameworks and data
integration tools. These tools have been applied across local government
to improve public engagement, integrate new scientific knowledge to ensure
planning decisions are more robust, and thus lead to improvements in the
quality of life at the community level. Specifically:
Adoption of a framework The Western Isles, (Scotland) local authority and
Hammerfest (Norway) municipality adopted a framework developed by Gagnon
to provide a vulnerability assessment of local coastal communities to
climate change (4.1, 4.2).
Public engagement: Both Professor Hursthouse and Dr Gagnon have sustained
dissemination of research-informed decision-making, contributing to
bottom-up community engagement. This forms a critical feedback to
framework and decision support tool development. Dr Gagnon debated the
likely impact of climate change on coastal communities at a series of
meetings in October and November 2009 and May 2011 in Benbecula, Stornoway
and South Uist, with OXFAM and Local Authority participation (4.1 and
4.2). Hursthouse has sustained long term public engagement with the debate
on risk assessment based land management. This has included invited
participation community council meetings and national TV interviews (BBC
News) along with wider public discussions of land use and soil management
through key stakeholder meetings.
[http://www.brownfieldbriefing.com/news/60-second-interview-professor-andrew-hursthouse].
The latest example of our engagement involves the innovative options for
re use of brownfield sites through a project involving local School groups
(Grow wild: Big Lottery/Kew Gardens £100,000 award, First Flagship
Project).
Engaging the Stakeholder Community
a. The decision-support tool developed by Hursthouse and colleagues (3.1)
was used by a leading environmental policy NGO (National Society for Clean
Air & Environmental Protection/EPUK now EP-S) to gauge regulator
opinion on the implementation of the new statutory contaminated land
regime. High (>90%) response, identified discrete limitations in policy
and guidance and was used to develop a training programme for local
authority officers by the NGO (~£20,000 of funded training reaching
>100 local authority officers). This activity supported bottom up
development of a NGO policy forum (http://www.ep-scotland.org.uk/policy-focus/land-quality/)
(4.5)
b. Professor Hursthouse and colleagues in an EU expert group evaluated
emerging EU soil policy principles for national consideration (3.2) and he
was subsequently invited to Chair the group that consolidated the expert
review, for the Soil Framework for Scotland 2009 report (4.6) which was
used in the formulation of government strategic activities. Work directed
by Hursthouse, engaging with 19 other contaminated land regulators,
developed support to land developers through the publication of an
advisory leaflet (4.7)
Influence of research in the management of environmental risk
a. Using the integrated vulnerability assessment tool, the Western Isles
local authority has changed its approach to risk management and the
identification of adaptation strategies (Gagnon) and adopted the outcomes
of the community consultations and knowledge exchange activities. It has
been followed up by the creation of a guidebook for coastal
decision-makers wishing to assess their vulnerability to climate change.
This provides a route through the process of adaptation using a
participatory approach thereby making the outcomes of this research
relevant beyond the geographical region where it was conducted to other
coastal communities around the world facing similar threats from climate
change and sea level rise. Furthermore, the research (3.3) resulted in the
application of a decision-support tool and the formation of coastal
resilience groups in the Outer Hebrides and pilot sites in the Republic of
Ireland, which bring together various decision-makers from local
government and public bodies (e.g. in Scotland: Scottish Environmental
Protection Agency (SEPA) and Scottish Natural Heritage (SNH)) to identify
bottom-up adaptation ideas to the risks identified as a result of
integrated vulnerability assessments (4.8).
b. The Highland Council applied the decision support tool (3.1) to
combine spatial environmental information in the evaluation of over 5,000
locations across a region of >26,000 km2, allowing the local authority
to make a more cost effective assessment of land contamination and
resource prioritisation (4.9). The tool was subsequently extended within
Inverclyde Council to incorporate multidisciplinary factors in the
decision making (4.10). This extension allowed a proportionate response to
be developed integrating human health risk assessment and socio-economic
considerations where restrictions on funding existed. It sustained
community use of an area of land saving the local authority an estimated
>£130,000. The tool allowed planning decision makers to balance costs
against other factors as well as providing a visual output for clear
communication in potentially contentious situations.
Sources to corroborate the impact
Identifier *1
Adoption of the vulnerability assessment framework and its application in
the municipality of Hammerfest, Norway. Paper by Stokke, (in press) Ocean
& Coastal Management Public engagement in research
Identifier *1, Identifier *2, Identifier 3
Engaging the Stakeholder Community
Identifier *3
Scottish Government working group report:
http://www.scotland.gov.uk/Publications/2008/06/27092800/3#
Development & Control Leaflet:
http://www.inverclyde.gov.uk/planning-and-the-environment/environmental-issues/contaminated-land/land-contamination-development-management
Influence of research in the management of environmental risk
Identifier *1, Identifier *4, Identifier 5*