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Sustainable Development and Society - GSA

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<strong>Sustainable</strong> <strong>Development</strong> <strong>and</strong> <strong>Society</strong><br />

Impacts of<br />

<strong>Development</strong> on Health<br />

Life Cycle Assessment (LCA) is a<br />

quantitative <strong>and</strong> comparative method for<br />

supporting the identification of<br />

environmentally preferable product choices<br />

<strong>and</strong> design options. At the core of LCA is<br />

the concept of the “functional unit”: a<br />

quantitative measure of the amount of<br />

function delivered by a product system or<br />

service. LCA as currently practiced takes<br />

the delivery of a specified unit of function<br />

as a given, then informs inquiries about the<br />

total system-wide environmental<br />

consequences of delivering this function via<br />

alternative product systems; thereby<br />

allowing consumers to select “greener”<br />

(that is, less environmentally damaging)<br />

products, <strong>and</strong> producers to manufacture<br />

greener products.<br />

LCA’s primary advantage lies in its ability to<br />

help decision makers avoid “burdenshifting”<br />

from one environmental problem<br />

to another or from one life cycle stage to<br />

another. The current impact scope of LCA<br />

is restricted to three “endpoints” of<br />

concern: human health, ecosystems, <strong>and</strong><br />

natural resources, focusing on those human<br />

health impacts that arise through<br />

environmental pathways from stressors in<br />

the product life cycle.<br />

In addition to environmental pathways,<br />

there are also important socio-economic<br />

pathways from product life cycles to human<br />

health consequences. The 2002 European<br />

Health report underlines the relation<br />

between socioeconomic factors <strong>and</strong> health.<br />

Poverty, in particular, is recognized as “the<br />

most important single determinant of ill<br />

health.” The report notes the influence of<br />

gross domestic product (GDP) on health at<br />

the national level, <strong>and</strong> explained: “While<br />

GDP [has] a significantly positive<br />

correlation with life expectancy, this<br />

relationship works mainly through the<br />

impact of GDP on (a) the incomes of the<br />

poor <strong>and</strong> (b) public expenditure. . . “[F]aster<br />

economic growth with a strong<br />

employment component [leads to] the<br />

enhanced economic prosperity being used<br />

to exp<strong>and</strong> relevant social services such as<br />

education, social security <strong>and</strong> health care...<br />

Unemployment as a cause of poverty <strong>and</strong> ill<br />

health is a major issue in all European<br />

countries.” 4<br />

The importance of poverty in the global<br />

burden of disease is even clearer in the<br />

World Health Organization’s (WHO) 2002<br />

report, that found, “In both Africa <strong>and</strong> Asia,<br />

unsafe water, sanitation <strong>and</strong> hygiene, iron<br />

deficiency, <strong>and</strong> indoor smoke from solid<br />

fuels are among the ten leading risks for<br />

disease... As with underweight, these risks<br />

continue to be some of the most formidable<br />

enemies of health <strong>and</strong> allies of poverty.” 5<br />

Health <strong>and</strong> socioeconomic status influence<br />

each other in a vicious/virtuous cycle, as<br />

increases in health promote economic<br />

development over time. Research shows<br />

that countries with weakest conditions of<br />

health <strong>and</strong> education find it much more<br />

difficult to achieve sustained growth than<br />

do those with better conditions of health<br />

<strong>and</strong> education. 6<br />

Extending the definition of LCA will enable<br />

it to capture the influence of product life<br />

cycles on health through the pathways<br />

summarized by the WHO reports<br />

mentioned above. When a consumer buys a<br />

product; or when a producer manufactures<br />

the product, these decisions have<br />

consequences throughout whole supply<br />

chains <strong>and</strong> life cycles—impacts that<br />

change the levels of activity in processes<br />

throughout their supply chains <strong>and</strong> life<br />

cycles. Activity levels are measured in both<br />

physical units (e.g., increased production)<br />

<strong>and</strong> economic units (increased sales).<br />

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