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EcoHealth

, Volume 4, Issue 4, pp 500–513 | Cite as

Inupiat Health and Proposed Alaskan Oil Development: Results of the First Integrated Health Impact Assessment/Environmental Impact Statement for Proposed Oil Development on Alaska’s North Slope

  • Aaron WernhamEmail author
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Abstract

We report on the first Health Impact Assessment (HIA) for proposed oil and gas development in Alaska’s North Slope region. Public health is not generally analyzed in the Environmental Impact Statement (EIS) process in the U.S. We conducted an HIA for proposed oil development within the National Petroleum Reserve - Alaska in response to growing concerns among North Slope Inupiat communities regarding the potential impacts of regional industrial expansion on their health and culture. We employed a qualitative HIA methodology, involving a combination of stakeholder input, literature review, and qualitative analysis, through which we identified potential health effects. The possible health outcomes identified include increases in diabetes and related metabolic conditions as a result of dietary change; rising rates of substance abuse, domestic violence, and suicide; increased injury rates; more frequent asthma exacerbations; and increased exposure to organic pollutant, including carcinogens and endocrine disruptors. There are also potential benefits, including funding for infrastructure and health care; increased employment and income; and continued funding of existing infrastructure. Based on these findings, we recommend a series of public health mitigation measures. This project represents the first formal effort to include a systematic assessment of public health within the U.S. EIS process. The inclusion of public health concerns within an EIS may offer an important and underutilized avenue through which to argue for environmental management strategies that focus on public health, and may offer communities a stronger voice in the EIS process.

Keywords

Inuit Environmental Impact Statement Health Impact Assessment National Environmental Policy Act human health 

Notes

Acknowledgments

The author thanks the people of the North Slope, the North Slope Borough, and the Alaska Inter-Tribal Council for advocating for this project. The Columbia University Institute on Medicine as a Profession provided funding for the project. The Alaska Conservation Foundation provided a travel grant.

References

  1. Aarluk Consulting Inc. (2006) A consultation-based review of the harvester support programs of the Government of Nunavut and NunavutTunngavik Inc. Nunavut, CanadaGoogle Scholar
  2. Ahtuangaruak R (2001) Testimony at public hearing on the Draft Environmental Impact Statement for the Liberty Development and Production Plan OCS EIS/EA MMS 2000–2001. Nuiqsut, Alaska, March 1, 2001Google Scholar
  3. Ahtuangaruak R (2003) Public Testimony at the Public Hearing on the Draft Integrated Activity Plan/Environmental Impact Statement for the Northwest National Petroleum Reserve-Alaska. Washington, D.C., March 13, 2003Google Scholar
  4. Alaska Bureau of Vital Statistics (2006) Health Profiles for North Slope, Alaska, and the U.S. Available at: http://www.hss.state.ak.us/dph/bvs/profiles/body17.html [accessed July 1, 2006]
  5. Alaska Department of Fish and Game, Division of Subsistence (2000) Subsistence in Alaska: A Year 2000 Update. Juneau, AlaskaGoogle Scholar
  6. Alaska Department of Public Health (2002) HIV Infection in Alaska through 2002. Epidemiology Bulletins 8(1):1–40Google Scholar
  7. Alaska Department of Public Health (2005) Outbreak of infectious syphilis: update. Epidemiology Bulletins 14:1Google Scholar
  8. Alaska Department of Public Health (2006) Chlamydia trachomatis – Alaska, 2005. Epidemiology Bulletins 10:1Google Scholar
  9. ANMC Diabetes Program (2006) Diabetes maps [accessed December 15, 2006]Google Scholar
  10. ANTHC (2006) Department of Injury Prevention. Available at http://www.anthc.org/cs/dehe/envhlth/injprev/injurydata.cfm [accessed December 13, 2006]
  11. Arctic Monitoring and Assessment Program (AMAP) (2003) AMAP Assessment 2002: Human Health in the Arctic, Wilson S, Symon C (editors), Oslo, Norway: AMAPGoogle Scholar
  12. Bersamin A, Luick BR Ruppert E, Stern J, Sidenberg-Cherr S (2006) Diet quality among Yup’ik Eskimos living in rural communities is low: the Center for Alaska Native Health Research Pilot Study. Journal of the American Dietetic Association 106(7):1055–1063CrossRefGoogle Scholar
  13. Bhatia R (2007) Protecting health using an Environmental Impact Assessment: a case study of San Francisco land use decisionmaking. American Journal of Public Health 97(3):407–413CrossRefGoogle Scholar
  14. Bjerregaard P (2001) Rapid socio-cultural change and health in the Arctic. International Journal of Circumpolar Health 60(2):102–111Google Scholar
  15. Bjerregaard P, Young T, Dewailly E, Ebbesson S (2004a) Indigenous health in the Arctic: an overview of the circumpolar Inuit population. Scandanavian Journal of Public Health 32:390–395Google Scholar
  16. Bjerregaard P, Jorgensen M, Borch-Johnsen K (2004b) Serum lipids of Greenland Inuit in relation to Inuit genetic heritage, westernization, and migration. Atherosclerosis 174:391–398Google Scholar
  17. Bronson J, Noble B (2006) Health determinants in Canadian northern environmental impact assessment. Polar Record 42(223):315–324CrossRefGoogle Scholar
  18. Bureau of Land Management (1998) Northeast NPR—A Final Integrated Activity Plan/Final Environmental Impact Statement, Anchorage, AlaskaGoogle Scholar
  19. Bureau of Land Management (2004) Public hearing: northeast national petroleum reserve—Alaska draft amended IAP/EIS. Fairbanks, Alaska, 29 June 2004Google Scholar
  20. Bureau of Land Management (2005) Northeast NPR—A Final Integrated Activity Plan/Final Environmental Impact Statement. Anchorage, Alaska. Available at http://www.blm.gov/ak/nenpraeis/ [accessed February 16, 2007]
  21. Centers for Disease Control (2003) Diabetes prevalence among American Indians and Alaska Natives and the Overall Population – United States, 1994-2002. Available at http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5230a3.htm [accessed February 16, 2007]
  22. Chan H, Fediuk K, Hamilton S, Rostas L, Caughey A, Kuhnlein H, Egeland G, Loring E (2006) Food security in Nunavut, Canada: Barriers and recommendations. International Journal of Circumpolar Health 65(5):416–431Google Scholar
  23. Chiu AY, Perez PE (1998) The effect of an alcohol ban on the number of alcohol-related hospital visits in Barrow, Alaska. International Journal of Circumpolar Health 57(Suppl 1):439–442Google Scholar
  24. Cole B, Fielding J (2007) Health Impact Assessment: A tool to help policy makers understand health beyond health care. Annual Reviews of Public Health 28:393–412CrossRefGoogle Scholar
  25. Cole B, Wilhelm M, Long P, Fielding J, Kominski G (2004) Prospects for health impact assessment in the United States: new and improved environmental impact assessment or something different? Journal of Health Politics, Policy, and Law 29(6):1153–1186CrossRefGoogle Scholar
  26. Curtis T, Kvernmo S, Bjerregaard P (2005) Changing living conditions, lifestyle, and health. International Journal of Circumpolar Health 64(5):442–450Google Scholar
  27. Day G, Provost E, Lanier A (2006) Alaska Native Mortality Update 1999-2003. Alaska Native Epidemiology Center, ANTHC. Anchorage, AlaskaGoogle Scholar
  28. EPA (2006) Health Effects Notebook for Hazardous Air Pollutants. Website with links to information on specific pollutants. Available at http://www.epa.gov/ttnatw01/hlthef/hapindex.html [accessed February 16, 2007]
  29. EPA (2007) What are the six common air pollutants? Available at http://www.epa.gov/air/urbanair/6poll.html [accessed on February 7, 2007]
  30. Goldsmith S, Angvik J, Howe L, Hill A, Leask L (2004) The Status of Alaska Natives Report 2004. University of Alaska, Anchorage Institute for Social and Economic Research, Anchorage, Alaska. Available at: http://www.iser.uaa.alaska.edu/Home/ResearchAreas/statusaknatives.htm [accessed July 6, 2006]
  31. Ho L, Gittelsohn S, Harris SB, Ford E (2006) Development of an integrated diabetes prevention program with First Nations in Canada. Health Promotion International 21(2):88–97CrossRefGoogle Scholar
  32. Kemm JR (2000) Can Health Impact Assessment fulfill the expectations it raises? Public Health 114:431–433CrossRefGoogle Scholar
  33. Kreiger G, Balge M (2005) A guide to Health Impact Assessments in the oil and gas industry, London: International Petroleum Industry Environmental Conservation Association/International Association of Oil and Gas ProducersGoogle Scholar
  34. Lanier A, Ehrsam G, Sandidge J (2002) Alaska Native Mortality 1979-2002. Alaska Native Epidemiology Center, ANTHC, Anchorage, AlaskaGoogle Scholar
  35. Martin S (2005) Doctoral dissertation, Determinants of Well-Being in Inupiat and Yupiit Eskimos: Do Communities Matter? University of Texas, DallasGoogle Scholar
  36. Max-Neef M (1991) Human Scale Development: Conception, Application, and Further Reflections, New York: Apex PressGoogle Scholar
  37. May P, Dabbs A, et al. (1999) Corporate Roles and Rewards in Promoting Sustainable Development: Lessons Learned from Camisea. Energy and Resources Group, University of California, Berkeley, Berkeley, CA. Available at http://www.socrates.berkeley.edu/erg/documents/camisea.pdf [accessed March 23, 2007]
  38. McMichael A (2006) Population health as a primary criterion of sustainability. EcoHealth 3(3):182–186CrossRefGoogle Scholar
  39. Minerals Management Service (2007) Outer Continental Shelf Oil and Gas Leasing Program: 2007-2012: Final Environmental Impact Statement, Washington, DCGoogle Scholar
  40. Murphy N, Schraer C, Thiele M, Boyko E, Bulkow L, Doty B, Lanier AP (1995) Dietary change and obesity associated with glucose intolerance in Alaska Natives. Journal of the American Dietetic Association 95:676–682CrossRefGoogle Scholar
  41. Murphy N, Schraer C, Thiele M, Boyko E, Bulkow L, Doty B, Lanier AP (1997) Hypertension in Alaska Natives: association with overweight, glucose intolerance, and mechanized activity. Ethnicity and Health 1997:267–275CrossRefGoogle Scholar
  42. National Research Council (2003) Cumulative environmental effects of oil and gas activities on Alaska’s North Slope, Washington, DC: National Academies PressGoogle Scholar
  43. Neher JO, Koenig JQ (1994) Health effects of outdoor air pollution. American Family Physician 49(6):1397–1404Google Scholar
  44. O’Hara T, Hoekstra P, Hanns C, Backus S, Muir D (2005) Organochlorine contaminants in store-bought foods from northern Alaska. International Journal of Circumpolar Health 64(4):303–313Google Scholar
  45. Parry J, Stevens A (2001) Prospective health impact assessment: pitfalls, problems, and possible ways forward. British Medical Journal 323:1177–1182CrossRefGoogle Scholar
  46. Quigley R, den Broeder L, Furu P, Bond A, Cave B, Bos R (2006) Health Impact Assessment International Best Practice Principles, Fargo, ND: International Association of Impact Assessment, Special Publication Series No. 5Google Scholar
  47. Sakhalin Energy Investment Company (2006) Sakhalin Indigenous Minorities Development Plan. First Five-Year Plan (2006–2010). Available at http://www.sakhalinenergy.com/en/documents/doc_lender_soc_4.pdf [accessed June 17, 2007]
  48. Schraer CD, Bulkow LR, Murphy NJ, Lanier AP (1993) Diabetes prevalence, incidence, and complications among Alaska Natives, 1987. Diabetes Care 16(1):257-259CrossRefGoogle Scholar
  49. Shephard R, Rode A (1996) The Health Consequences of Modernization: Evidence from Circumpolar Peoples, Cambridge, UK: Cambridge University PressGoogle Scholar
  50. Steinemann A (2000) Rethinking human health impact assessment. Environmental Impact Assessment Review 20:627–645CrossRefGoogle Scholar
  51. Travis R (1984) Suicide and economic development among the Inupiat Eskimo. White Cloud Journal 3:14–20Google Scholar
  52. Tukle D (2004) Public testimony at Nuiqsut ANILCA 810 public hearing on the Northeast NPR-A Amended IAP/EIS, Nuiqsut, Alaska, December 1, 2004. Available at http://www.blm.gov/ak/nenpraeis/Public%20Comment%20Letters/197990_Nuiqsut%20Transcript.pdf [accessed February 14, 2007]
  53. U.S. Department of Health and Human Services, Office on Women’s Health (2006) Quick Health Data Online, North Slope regional data. Available at http://www.healthstatus2010.com/owh/index.html [accessed December 18, 2006]
  54. U.S. District Court for the District of Alaska (2006) Memorandum Decision: National Audubon Society et al., Plaintiffs, vs Dirk Kempthorne, Secretary of the Interior et al., Defendants. September 25, 2006. Available at http://www.blm.gov/ak/nenpraeis/memorandumdecisiondkt_107.pdf [accessed February 15, 2007]
  55. Veerman J, Mackenbach J, Barendregt J (2006) Validity of predictions in health impact assessment. Journal of Epidemiology and Community Health 61:262–366Google Scholar
  56. World Health Organization (2007) The HIA Procedure. Available at http://www.who.int/hia/tools/process/en/print.html [accessed on June 18, 2007]
  57. Wood D, Gruenewald P (2006) Local alcohol prohibition, police presence and serious injury in isolated Alaska Native villages. Addiction 101(3):393–403CrossRefGoogle Scholar
  58. Young T, Schraer C, Shubnikoff E, Szathmary E, Nikitkin Y (1992) Prevalence of diagnosed diabetes in circumpolar indigenous populations. International Journal of Epidemiology 21(4):730–736CrossRefGoogle Scholar
  59. World Bank (2005) Operational Directive 4.10: Indigenous Peoples. Available at http://www.wbln0018.worldbank.org/Institutional/Manuals/OpManual.nsf/B52929624EB2A3538525672E00775F66/DBB9575225027E678525703100541C7D?OpenDocument [accessed February 16, 2007]

Copyright information

© Ecohealth Journal Consortium 2007

Authors and Affiliations

  1. 1.Alaska Inter-Tribal CouncilColumbia University Institute on Medicine as a ProfessionFairbanksUS

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