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Health Promotion International, Vol. 6, No. 2, 147-156, 1991
© Oxford University Press 1991

other

Econology: integrating health and sustainable development Part two: guiding principles for decision-making

RONALD LABONTÉ

Community Health Consultant Toronto, Canada

Address for correspondence: Address for correspondence: Ronald Labonté Community Health Consultant 90 Coady Avenue Toronto, Ontario Canada M4M 278

Part One of this article explored three relationships (health-environment, health-economy and economy-environment) inherent in integrating health and sustainable development. Information about these relationships (and in some instances the lack of information or intrinsic uncertainty in the relationship) give rise to a number of principles that can be used to guide sustainable development decision-making. The 12 principles developed in this article are not exhaustive, but do capture the essential imperatives emanating from each of the three key relationships. The 12 principles, which comprise a mutually reinforcing packaged set, are: the necessity of principle-based decision-making, the inclusiveness of information, shrinking global inequities, shrinking national inequities, empowering equally, producing fairly and healthily, sustaining com munities, replenishing and replacing internalizing all costs, sustaining diversities, nurturing the intangibles, and planning across the generations. An interpretive commentary accompanies each principle. The article concludes with a discussion of the role of health promo tion professionals in sustainable development policy debates and program developments.

Key words: health and environment; sustainable development; health and economy


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