The United States is among the wealthiest nations in the world, but it is far from the healthiest. Although life expectancy and survival rates in the United States have improved dramatically over the past century, Americans live shorter lives and experience more injuries and illnesses than people in other high-income countries. The U.S. health disadvantage cannot be attributed solely to the adverse health status of racial or ethnic minorities or poor people: even highly advantaged Americans are in worse health than their counterparts in other, "peer" countries. In light of the new and growing evidence about the U.S. health disadvantage, the National Institutes of Health asked the National Research Council (NRC) and the Institute of Medicine (IOM) to convene a panel of experts to study the issue. The Panel on Understanding Cross-National Health Differences Among High-Income Countries examined whether the U.S. health disadvantage exists across the life span, considered potential explanations, and assessed the larger implications of the findings. U.S. Health in International Perspective presents detailed evidence on the issue, explores the possible explanations for the shorter and less healthy lives of Americans than those of people in comparable countries, and recommends actions by both government and nongovernment agencies and organizations to address the U.S. health disadvantage.

Written by experts, this text deals with how environmental impact assessment should be carried out for specific environmental components such as air and water.

Neglect of the relation between the socio-economic system and its natural environment has had detrimental consequences in the past, for example - the pollution of the natural environment (water, air and soil) by producing, using and consuming the products of our industrialized economy, - the forseeable exhaustion of natural resources by continuing the increase of industrial production. Most of the recent activities, both in research and in adminis tration, against these impacts have been technically oriented, with the aim of stimulating and introducing new technologies of produc tion and new products to diminish the environmental pollution. But these efforts, which are of course necessary, cannot be successful in approaching the aim - which should and must in the long-term view be defined as the development of society in balance with the natural environment. Therefore, in addition to an assess ment of technologies, emphasis should be put on an assessment of socio-economic systems. On di~~erent levels, individual and social preferences determine quantities and qualities of production and consumption using economical values, e.g., market prices as regula tors. Following this argumentation, an environment assessment of activities against pollution has especially to consider the social response to environmental impacts. Of course, this topic must be a subject of interdisciplinary research. The challenge concerned in this context is to increase the knowledge of the relationship between social, economic and tech nical subsets.

Environmental and social impact assessment (ESIA) is an important and often obligatory part of proposing or launching any development project. Delivering a successful ESIA needs not only an understanding of the theory but also a detailed knowledge of the methods for carrying out the processes required. Riki Therivel and Graham Wood bring together the latest advice on best practice from experienced practitioners to ensure an ESIA is carried out effectively and efficiently. This new edition: • explains how an ESIA works and how it should be carried out • demonstrates the links between socio-economic, cultural, environmental and ecological systems and assessments • incorporates the World Bank’s IFC performance standards, and best practice examples from developing as well as developed countries • includes new chapters on emerging ESIA topics such as climate change, ecosystem services, cultural impacts, resource efficiency, land acquisition and involuntary resettlement. Invaluable to undergraduate and MSc students of ESIA on planning, ecology, geography and environment courses, this internationally oriented fourth edition of Methods of Environmental and Social Impact Assessment is also of great use to planners, ESIA practitioners and professionals seeking to update their skills.

Currently the writing on the subject is limited and comprises, for the most part, guidance documents and completed assessments.

How we produce and consume food has a bigger impact on Americans' well-being than any other human activity. The food industry is the largest sector of our economy; food touches everything from our health to the environment, climate change, economic inequality, and the federal budget. From the earliest developments of agriculture, a major goal has been to attain sufficient foods that provide the energy and the nutrients needed for a healthy, active life. Over time, food production, processing, marketing, and consumption have evolved and become highly complex. The challenges of improving the food system in the 21st century will require systemic approaches that take full account of social, economic, ecological, and evolutionary factors. Policy or business interventions involving a segment of the food system often have consequences beyond the original issue the intervention was meant to address. A Framework for Assessing Effects of the Food System develops an analytical framework for assessing effects associated with the ways in which food is grown, processed, distributed, marketed, retailed, and consumed in the United States. The framework will allow users to recognize effects across the full food system, consider all domains and dimensions of effects, account for systems dynamics and complexities, and choose appropriate methods for analysis. This report provides example applications of the framework based on complex questions that are currently under debate: consumption of a healthy and safe diet, food security, animal welfare, and preserving the environment and its resources. A Framework for Assessing Effects of the Food System describes the U.S. food system and provides a brief history of its evolution into the current system. This report identifies some of the real and potential implications of the current system in terms of its health, environmental, and socioeconomic effects along with a sense for the complexities of the system, potential metrics, and some of the data needs that are required to assess the effects. The overview of the food system and the framework described in this report will be an essential resource for decision makers, researchers, and others to examine the possible impacts of alternative policies or agricultural or food processing practices.