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Scientific investigations have progressively refined our understanding of the influence of the environment on human health, and the many adverse impacts that human activities exert on the environment, from the local to the planetary level. Nonetheless, throughout the modern public health era, health has been pursued as though our lives and lifestyles are disconnected from ecosystems and their component organisms. The inadequacy of the societal and public health response to obesity, health inequities, and especially global environmental and climate change now calls for an ecological approach which addresses human activity in all its social, economic and cultural complexity. The new approach must be integral to, and interactive, with the natural environment. We see the continuing failure to truly integrate human health and environmental impact analysis as deeply damaging, and we propose a new conceptual model, the ecosystems-enriched Drivers, Pressures, State, Exposure, Effects, Actions or 'eDPSEEA' model, to address this shortcoming. The model recognizes convergence between the concept of ecosystems services which provides a human health and well-being slant to the value of ecosystems while equally emphasizing the health of the environment, and the growing calls for 'ecological public health' as a response to global environmental concerns now suffusing the discourse in public health. More revolution than evolution, ecological public health will demand new perspectives regarding the interconnections among society, the economy, the environment and our health and well-being. Success must be built on collaborations between the disparate scientific communities of the environmental sciences and public health as well as interactions with social scientists, economists and the legal profession. It will require outreach to political and other stakeholders including a currently largely disengaged general public. The need for an effective and robust science-policy interface has never been more pressing. Conceptual models can facilitate this by providing theoretical frameworks and supporting stakeholder engagement process simplifications for inherently complex situations involving environment and human health and well-being. They can be tools to think with, to engage, to communicate and to help navigate in a sea of complexity. We believe models such as eDPSEEA can help frame many of the issues which have become the challenges of the new public health era and can provide the essential platforms necessary for progress.

Intro -- Contents -- Preface -- 1 INTRODUCTION -- PART ONE: REGIONAL ECONOMIC IMPACT ANALYSIS -- 2 Economic Base Analysis -- Case Study 1: An Economic Base Study of a Nova Scotia Region -- Case Study 2: A Regression Base Multiplier Model for Kentucky Counties -- 3 Income-Expenditure Analysis -- Case Study 1: An Income-Expenditure Multiplier for a Newly Locating Firm -- Case Study 2: The Local Economic Impact of Kent State University -- 4 Input-Output Analysis -- Case Study 1: An Input-Output Model of Metropolitan Vancouver -- Case Study 2: An Input-Output Model of the Yukon Territory -- Appendix 1: A Mathematical Summary of the Input-Output Model -- Appendix 2: The Rectangular Commodity by Industry Input-Output Format -- 5 Regional Economic Impact Analysis: A Comparison of Approaches -- PART TWO: PROJECT EVALUATION ANALYSIS -- 6 Cost-Benefit Analysis: The Evaluation of Social Costs and Benefits -- Case Study 1: The Evaluation of Recreation Benefits at Grafham Water -- Case Study 2: Cost-Benefit Analysis in the Evaluation of STOL Air Transport -- 7 Cost-Benefit Analysis: Discounting Future Benefits and Costs -- Case Study 1: A Cost-Benefit Analysis of an Urban Renewal Project -- Case Study 2: A Cost-Benefit Analysis of a New Zealand Aluminum Smelter -- 8 Cost-Benefit Analysis: Risk Adjustment and Distributional Considerations -- Case Study 1: Distributional Analysis and the Third London Airport -- Case Study 2: An Evaluation of Alternative Uses for an Urban Land Parcel -- 9 Economic Evaluation Analysis: A Summary -- Notes -- Indexes -- Author Index -- A -- B -- C -- D -- E -- F -- G -- H -- I -- J -- K -- L -- M -- N -- O -- P -- S -- T -- V -- W -- Y -- Subject Index -- A -- B -- C -- D -- E -- F -- G -- H -- I -- L -- M -- N -- O -- P -- R -- S -- T -- U -- V -- W.