Disclaimer: The views expressed in this paper/presentation are the views of the

author and do not necessarily reflect the views or policies of the Asian Development
Bank (ADB), or its Board of Governors, or the governments they represent. ADB
does not guarantee the accuracy of the data included in this paper and accepts no
responsibility for any consequence of their use. Terminology used may not
necessarily be consistent with ADB official terms

Health and economic development

in 21st century Asia: ADBs crucial role

On average, how many years less do

people in Metro Manila live for compared
to the Asia and Pacific average?
Air pollution causes chronic lung and heart disease as well as
cancer

A
A

1 year

5 years

10 years

On average, how many years less do

people in Metro Manila, live for compared
to the Asia and Pacific average?

A
A

1 year

5 years

10 years

People in the
Philippines have a
life expectancy of 68
years compared to
73 years for the Asia
and Pacific region as
a whole

What is the yearly cost of outdoor air

pollution-related premature deaths in
Metro Manila?
Air pollution causes chronic lung and heart disease as well as
cancer

A
A

US$ 10 million

US$ 100 million

US$ 1 billion

What is the yearly cost of outdoor air

pollution-related premature deaths in
Metro Manila?

A
A

US$ 10 million

US$ 100 million

In fact it is
estimated
to be:
16,000
premature deaths
US$ 1.6 billion

US$ 1 billion

The environmental and social determinants of health

3
2
1
STORY 1: HEALTH IMPACTS OF ENERGY DEVELOPMENT
positives: affordable, lighting, refrigeration, time saving
negatives: resettlement, ecosystem disruption, malaria

STORY 2: HEALTH IMPACTS OF TRANSPORT DEVELOPMENT

positives: physical activity, access to markets, jobs, goods, services, family and friends
negatives: air pollution (asthma, heart disease, cancer), noise, injury, severance

dam
irrigation

resettlement
land compensation

suicide
facilitated by easy
access to pesticides

depression

unsustainable
livelihoods

sale of land to
urban residents
STORY 3: HEALTH IMPACTS OF AGRICULTURE DEVELOPMENT
positives: food security, food to sell at market, farming resilience
negatives: japanese encephalitis, malaria, plus the above

STORY 4: HEALTH IMPACTS OF WASTE DEVELOPMENT

positives: reduced pests, infectious disease and odour, aesthetics
negatives: infectious disease, cancer and organ damage, endocrine disrupters,

STORY 5: HEALTH IMPACTS OF URBAN DEVELOPMENT

positives: wellbeing, mental health, life expectancy, resilience
negatives: stress, anxiety, depression, respiratory and heart disease

Ensure health is taken into

account in infrastructure design
to optimize health impact
Maximise the public goods from health
and the health sector
Health for health, universal health care
US$ 1 Billion a year by 2020

IF YOU WOULD LIKE TO KNOW MORE

PLEASE GET IN TOUCH:
ADB Project Lead
Dr Susann Roth (sroth@adb.org)
Dr Beverly Ho (bho1.consultant@adb.org)

Health Impact Assessment Advisory Group

Professor Yanyong Inmuong
Partnership and Advocacy (yanyong.i@msu.ac.th)
Dr Martin Birley
Research and Development (martin@birleyhia.co.uk)
Mr. Robert Bos
Capacity Development (robert.bos53@gmail.com)
Dr Salim Vohra
Technical Lead (sal@publichealthbydesign.com)

www.adb.org