ABSTRACT Sooner or later, Health Impact Assessment (HIA) will be conducted as a legal requirement (instead of a voluntary process) in a variable number of public and/or private projects worldwide. The Spanish Public Health Act 2011 introduced HIA into the national legal system but its regulatory development remains incomplete. This delay is partially justified because of the current lack of resources and the associated costs, which are not exclusively a Spanish problem, according to literature. Therefore, this situation invites stakeholders to promote the integration of HIA into other administrative consolidated procedures, such as strategic environmental assessment (SEA) of policies, plans and programmes and environmental impact assessment (EIA) of projects. However, SEA and EIA procedures unveil well-known weaknesses that have been publicly reported for decades. It is, therefore, befitting to promote a previous interdisciplinary debate on both the desirability of integrating HIA into both SEA and EIA, and the way of doing so. This article intends to serve as a starting point for discussion by practitioners involved in defining the role of HIA into environmental assessments and vice versa.

中文翻译：

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将健康影响评估纳入环境评估程序的挑战：未决辩论

摘要早晚，健康影响评估（HIA）将作为一项法律要求（而不是自愿程序）在全球范围内的众多公共和/或私人项目中进行。《 2011年西班牙公共卫生法案》将HIA引入了国家法律体系，但其监管制定工作仍不完善。据文献报道，这种延迟的部分原因是由于当前缺乏资源和相关费用，而这不仅仅是西班牙的问题。因此，这种情况邀请利益相关者促进将HIA集成到其他行政合并程序中，例如政策，计划和计划的战略环境评估（SEA）和项目的环境影响评估（EIA）。然而，SEA和EIA程序揭示了众所周知的弱点，这些弱点已经公开报道了数十年。因此，它很适合促进以前的跨学科辩论，既涉及将HIA纳入SEA和EIA的必要性，又涉及到这样做的方式。本文旨在作为参与人员的讨论的起点，这些从业人员参与了确定HIA在环境评估中的作用的过程，反之亦然。