1. ‘Impactitis’- fighting an epidemic in local government? Karen Chambers Well being Development Officer Flintshire County Council

2. Content  Definitions  Diagnosis  Causes  Treatment

3. Some definitions Disease a..condition which can be defined by objective, physical signs subjective symptoms or mental phobias, disorder of function or structure (anatomic or pathological change).... Adapted from: cns.miis.edu/flu_watch/glossary.htmcns.miis.edu/flu_watch/glossary.htm epidemic - derived from the Greek epi- upon demos -people

4. Diagnosis  Apathy  “Hostility”  Minimal awareness  Confusion with other assessments  Lack of capacity to make HIA mainstream

5. Causes  Knowledge/awareness – health determinants etc  Competition  Perceptions  Practicalities  Capacity..

6. Treatment  Clarity – language and process  Flexibility in application  Embedding “health” in decision making and organisational conscience  Focus on and promote the outcome of using HIA  Evidence of value of HIA to/within local government  Improved practitioner networking