ABSTRACT
A health impact assessment (HIA) of the Trans-Pacific Partnership (TPP) trade agreement proposal was conducted by the Crane Institute for Sustainability (Crane). The HIA employed a rapid proactive desk based HIA that incorporated the results of previous HIAs of the TPP and similar trade agreements. The context for the HIA was in a local setting. The purpose was to reveal relevant information to the mandate of Crane, and to demonstrate the practical, community and human aspects of the health impacts and the policy and program relevance of the TPP. Results identified important community characteristics affecting local health outcomes from the TPP suggesting that population health in Sault Ste. Marie would be adversely impacted by the TPP. From these results we conclude that a local HIA can inform local, regional and state level authorities about important local health effects of international trade agreements and corresponding policy and program development needs.
