Abstract
In association with the proposed goals of the conference, this paper is presented to support the conference discussions on environmental health indicators by providing background on indicators for environmental health and their identification, selection, organization and use. This paper discusses the purpose of indicator use, frameworks used to organize indicators and the common types of indicators in use in monitoring programs today. It proposes a process for the identification and selection of indicators within the different environments, stressing the importance of clear goal definition and scientific and use-based criteria selection to support decisions. Finally, the paper suggests methods by which to organize and limit the number of indicators retained within a program, and the development of a potential “core” of indicators common to many environments and geographical scales.
Résumé
En lien avec les objectifs de la conférence, l’article alimente les discussions sur les indicateurs de l’hygiène de l’environnement en présentant le cadre de tels indicateurs et de leur choix, leur organisation et leur utilisation. Les auteurs analysent le but du recours aux indicateurs, les cadres servant à leur organisation et les types courants d’indicateurs qui sont utilisés de nos jours dans les programmes de surveillance. Ils suggèrent une méthode de détermination et de choix des indicateurs dans divers milieux, en insistant sur l’importance de définir précisément les objectifs ainsi que les critères scientifiques et ceux qui sont fondés sur l’utilisation et qui servent à justifier les décisions. Enfin, l’article propose des méthodes pour organiser les indicateurs retenus dans le cadre d’un programme et en limiter le nombre et pour définir un groupe potentiel d’indicateurs communs à nombre de milieux et d’échelles géographiques.
Similar content being viewed by others
References
Last JM. A Dictionary of Epidemiology. New York, NY: Oxford University Press, 1995.
Eylenbosch WJ, Noah ND (Eds.). Surveillance in Health and Disease. New York, NY: Oxford University Press, 1988.
Cole DC, Eyles J, Gibson BL, Ross N. Links between humans and ecosystems: The implications of framing for health promotion strategies. Health Prom Int 1999;14(1):65–72.
Fortin M. Definitions and uses of indicators. In: Canadian Institutes for Health Information, as in Hancock T, Labonte R, Edwards R. Indicators that count! Final Report to Health Canada, Ottawa, 1999.
City of Toronto. Indicators and Information Sources for Community Health Planning: A Resource Guide. Toronto, ON: Department of Public Health, 1995.
Hancock T, Labonte R, Edwards R. Indicators that Count! Measuring Population Health at the Community Level. Final Report. Toronto, ON: York University, 1999.
Alonso W, Starr P. The Politics of Numbers. New York, NY: Russell Sage Foundation, 1987.
Olson M, Canan P, Hennesey M. A value-based community assessment process. Social Methods and Research 1985;13(3):325–61.
Allen TFH, Hoekstra TW. The Ecosystem Approach. Windsor, ON: International Joint Commission, 1992.
Stone D. Policies, Paradox. New York, NY: W.W. Norton, 1997.
Porter TM. Trust in Numbers. Princeton, NJ: Princeton University Press, 1995.
Eyles J. A political ecology of environmental contamination? In: Armstrong P, Armstrong H, Coburn D (Eds.). Unhealthy Times. Don Mills, ON: Oxford University Press, 2001;171–94.
Innes JE. Knowledge and Public Policy: The Search for Meaningful Indicators, Second Edition. Jacksonville, FL: Jacksonville Community Council, 1990.
International Joint Commission. A Proposed Framework for Developing Indicators of Ecosystem Health for the Great Lakes Region. Windsor, ON: International Joint Commission, 1991.
Briggs D, Corvalan C, Nurminen M. Linkage Methods for Environment and Health Analysis. Geneva: UNEP/US EPA/WHO, 1996.
Eyles J, Cole D, Gibson B. Human Health in Ecosystem Health: Issues of Meaning and Measurement. International Joint Commission, 1996.
Organization of Economic Co-operation and Development (OECD). Organization of Economic Co-operation and Development Core Set of Indicators for Environmental Performance Reviews. A synthesis report by the Group on the State of the Environment. Paris, 1973.
von Schirnding YER. Indicators for Policy and Decision-making in Environmental Health. Draft report prepared for the Office of Global and Integrated Environmental Health. Geneva: World Health Organization, 1997.
Kjellstrom T, Corvalan C. Framework for the development of environmental health indicators. Source unknown. 1996.
Eyles J. Social Indicators, Social Justice and Well-being. CHEPA Working Paper Series. No. 94–1. Hamilton, ON: McMaster University, 1994.
Andrews F. Developing indicators of health promotion: Contributions from the social indicators movement. In: Kar S (Ed.), Health Promotion Indicators and Actions. New York, NY: Springer Publications, 1989.
Seedhouse D. Health. Chichester: John Wiley, 1986.
Dubos R. The Mirage of Health. New York, NY: Harper and Row, 1959.
World Health Organization. Constitution. Geneva: WHO, 1948.
Parsons T. Definitions of health and illness in the light of American values and social structure: In: Jaco E, Gartley E (Eds.). Patients, Physicians and Illness. London: Collier-Macmillan, 1972.
Cunningham WP, Saigo BW. Environmental Science: A Global Concern. Dubuque, IA: William Brown, 1990.
Haskell BD, Norton B, Costanza R. What is ecosystem health and why should we worry about it? In: Costanza R, Norton B, Haskell BD (Eds.). Ecosystem Health. Washington: Island Press, 1992.
Woodley S. Monitoring and measuring ecosystem integrity in Canadian National Parks. In: Woodley S, Francis G, Kay JJ (Eds.). Ecological Integrity and the Management of Ecosystems. Delray Beach, FL: St. Lucie Press, 1993;155–76.
Aggleton P. Health. London, UK: Routledge, 1988.
Cole DC, Eyles J, Gibson BL. Indicators of human health in ecosystems: What do we measure? Science of the Total Environment 1998;224:201–13.
Vogel J. The future direction of social indicators research. Social Indicators Research 1997;42:159–78.
U.S. Environmental Protection Agency. Indicator Development Strategy. Research Triangle Park, NC: Environmental Monitoring and Assessing Program, EMAP Centre, EPA 620/R-94/022, 1994.
Rump P. Sate of Environment Reporting: Source Book of Methods and Approaches. Division of Environment Information and Assessment Report No. UNEP/DEIA/TR.96-1, Nairobi, Kenya: United Nations Environment Programme, 1996.
Miller GA. The magical number 7, plus or minus 2. Psychological Review 1956;63:81–97.
Rothwell CJ, Hamilton CB, Leaverton PE. Identification of sentinel health events as indicators of environmental contamination. Environ Health Perspect 1991;94:261–63.
Mullan RJ, Murthy LI. Occupational sentinel health events: An updated list for physician recognition and public health surveillance. Am J Industrial Medicine 1991;19:775–99.
Seligman PJ, Frazier TM. Surveillance: The sentinel health event approach. In: Halperin W, Baker Jr. EL (Eds.). Public Health Surveillance. New York, NY: Van Nostrand Reinhold, 1992.
Lincoln Y, Guba A. Naturalistic Inquiry. Beverly Hills, CA: Sage Publications, 1985.
Baxter J, Eyles J. Evaluating qualitative research in social geography: Establishing ‘rigour’ in review analysis. Transactions Institute of British Geographers 1997;NS22:505–25.
Eyles J, Taylor SM, Baxter J, Sider D, Willms D. The social construction of risk in a rural community: Responses of local residents to the 1990 Hagersville (Ontario) tire fire. Risk Analysis 1993;13:281–90.
Gosselin P, et al. Feasibility study on the development of indicators for a sustainable society. Final Report to Health and Welfare Canada. Université Laval, Québec, 1991.
World Health Organization. Linkage Methods for Environment and Health Analysis: General Guidelines. A report of the Health and Environment Analysis for Decision-making (HEADLAMP) project. Geneva: WHO, 1996.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Eyles, J., Furgal, C. Indicators in Environmental Health: Identifying and Selecting Common Sets. Can J Public Health 93 (Suppl 1), S62–S67 (2002). https://doi.org/10.1007/BF03405121
Published:
Issue Date:
DOI: https://doi.org/10.1007/BF03405121