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The work environment impact assessment: a methodologic framework for evaluating health-based interventions.

B J Rosenberg1, E M Barbeau, R Moure-Eraso

  • 1Department of Family Medicine and Community Health, Tufts University School of Medicine, Boston, Massachusetts 02111, USA.

American Journal of Industrial Medicine
|February 15, 2001
PubMed
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A new Work Environment Impact Assessment (WEIA) framework helps evaluate health interventions by considering all intended and unintended consequences. This approach aims to maximize benefits and minimize risks for a healthier work environment.

Area of Science:

  • Occupational Health
  • Environmental Health
  • Risk Assessment

Background:

  • Workplaces are complex ecologies requiring new evaluation frameworks for health interventions.
  • The proposed Work Environment Impact Assessment (WEIA) is analogous to Environmental Impact Assessment (EIA).
  • WEIA systematically identifies intended and unintended consequences of workplace interventions.

Purpose of the Study:

  • To introduce and illustrate the utility of the Work Environment Impact Assessment (WEIA) framework.
  • To evaluate a public health intervention aimed at reducing pesticide exposure.

Main Methods:

  • Applied the WEIA framework to assess an intervention reducing public exposure to the pesticide Alar.
  • Examined both direct and indirect outcomes of the intervention.

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Main Results:

  • The intervention successfully reduced public Alar exposure.
  • Unintended consequences included new ergonomic hazards for apple pickers and increased stress.
  • Potential for new worker and public exposure to neurotoxins was identified.

Conclusions:

  • WEIA facilitates consideration of all positive and negative ripple effects of interventions.
  • The goal is to design interventions for maximum benefit, avoiding risk-risk debates.
  • Comprehensive assessment through WEIA supports optimized intervention design for healthier work environments.