National authorities alone cannot normally solve local environment and health (EH) problems in an efficient manner. Almost all EH problems affect some localities and communities more than others. Consequently, local-level projects, involving a mix of public, community and even private participation, can be viewed as natural catalysts for the implementation of larger EH national and regional projects.
Participation of the public and NGOs in decision-making by public bodies on environment and health matters is desirable because it tends both to improve the quality of the resulting decisions and to increase the level of public support for the outcome. Less tangibly but of no less importance, a society in which people feel that their voices can be heard and can make a difference might be expected to have a higher morale than one in which people feel powerless to influence the conditions in which they live and work. This morale factor has numerous and far-reaching implications which, even if hard to quantify, should not be ignored.
The [Ã…rhus Convention on Access to Information, Public Participation in Decision-Making and Access to Justice in Environmental Matters] (1998) sets out a broad legal framework for such participation, establishing minimum requirements for public participation in decisions on specific activities (Article 6), on plans, programmes and policies (Article 7) and on general rules and regulations (Article 8) relating to the environment.
The [Declaration of the Third Ministerial Conference on Environment and Health] (London, June 1999) states: We recommend that local plans to improve health and the environment should be drawn up and implemented in our countries, either as part of other relevant plans, such as Local Agenda 21 or [Healthy Cities Action Plans], or separately. These should be developed preferably by existing bodies and designed to achieve distinct local environment and health improvements.
It continues: We will identify mechanisms within each of our countries, involving but not limited to public sector organizations, community groups and NGOs, to promote well managed local environment and health projects, develop data and monitoring systems, and devise a training and information exchange programme on alternative intersectoral approaches for local implementation. These mechanisms should also promote health issues within the context of [Health21] and Agenda 21.