Health & Pollution Action Plan
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HEALTH & POLLUTION ACTION PLAN in support of the NATIONAL ENVIRONMENTAL HEALTH ACTION PLAN 2017-2022 Inter-Agency Committee on Environmental Health of the Republic of the Philippines March 2019 HEALTH & POLLUTION ACTION PLAN in support of the NATIONAL ENVIRONMENTAL HEALTH ACTION PLAN 2017-2022 A project implemented by the United Nations Industrial Development Organization in partnership with the World Health Organization and in collaboration with the Inter-Agency Committee on Environmental Health of the Republic of the Philippines Completed as part of the UNIDO global project entitled Mitigating Toxic Health Exposures in Low- and Middle-Income Countries Co-funded by the European Union and the United States Agency for International Development March 2019 Disclaimer The designations employed and the presentation of material in this project publication do not imply the expression of any opinion whatsoever on the part of the EU, the UNIDO or the USAID Secretariat concerning the legal status of any country, territory, city or area, or of its authorities, or concerning the delimitation of its frontiers or boundaries. Designations such as “developed,” “industrialized” and “developing” are intended for statistical convenience and do not necessarily express a judgment about the state reached by a particular country or area in the development process. The mention of firm names or commercial products does not imply endorsement by EU, UNIDO and USAID. Material in this project publication may be freely quoted or reprinted, but acknowledgement is requested, together with a copy of the publication containing the quotation or reprint. © United Nations Industrial Development Organization, 2019 This publication has been co-funded by the European Union and the United States Agency for International Development. i i ii iii ACKNOWLEDGEMENTS This document was developed under the technical cooperation agreement between UNIDO and the Department of Environment and Natural Resources (DENR) through the Foreign Assisted and Special Projects Service (FASPS) and the Environmental Management Bureau (EMB), to complement the National Environmental Health Action Plan 2017-2022 and support the DENR, Vice-Chair of the Inter-Agency Committee on Environmental Health (IACEH), in addressing environmental risks related to health. We thank the DENR for the strong support they have given to the whole process of developing this Health and Pollution Action Plan (HPAP). Equally important has been the crucial support received from the Department of Health (DOH) through the Bureau of International Health Cooperation (BIHC) and the Disease Prevention and Control Bureau (DPCB). DOH is the Chair of the IACEH, and was key in getting the active involvement of the IACEH members in the development of the HPAP and the extended project concept notes. IACEH members include the Department of Public Works and Highways (DPWH), the Department of Interior and Local Government (DILG), the Department of Agriculture (DA), the Department of Trade and Industry (DTI), the Department of Transportation (DOTr), the Department of Information and Communications Technology (DICT), the Department of Labor and Employment (DOLE), the National Economic and Development Authority (NEDA) and the Philippine Information Agency (PIA). Our thanks go to our international partners: the European Union (EU) and the United States Agency for International Development (USAID), for providing the financial support; the World Health Organization (WHO), for actively partnering in the initiative; and the United Nations Children’s Fund (UNICEF), for the support which it gave to the initiative. A special thanks to Pure Earth, which brought to bear its previous experience with soil contamination in the Philippines and which accepted to develop one of the extended project concept notes. We are grateful to all the representatives from the government, development organizations, non- government organizations and academic institutions who participated in the HPAP workshops and meetings, as well as through their assistance in the review and editing of this document. They are listed in Annex 5. We thank you all! iiiiv CONTENTS Page i Forewords iii Acknowledgements vi Acronyms and Abbreviations viii Executive Summary 1 Introduction 1 Pollution and Health 3 International Normative Context 4 Health and Environment Framework in the Philippines 11 HPAP Methodology in the Philippines: Activities and Timeline 11 HPAP and Extended Concept Notes 14 Support to the iACEH 15 Summary of Health Impacts from Major Pollution Challenges 15 Pollution Impacts Data from IHME 2016 GBD Study 20 Impacts of Pollution on Health from Available National and Regional Data 22 Economic Costs of Pollution in the Philippines 24 Summary of Priority Pollution Management Challenges and Recommendations 24 NEHAP Thematic Priority Areas 24 HPAP Priority Pollution Sectors 24 Priority Issue 1: Outdoor Air Pollution 31 Priority Issue 2: Wastewater and Sanitation 36 Priority Issue 3: Occupational Exposure 40 Priority Issue 4: Indoor Air Pollution 42 Priority Issue 5: Soil Contamination 46 Extended Concept Notes 46 Extended Concept Note 1: Mitigating Pollution from the Transport Sector 58 Extended Concept Note 2: Mitigating Water Pollution in Manila Bay 72 Extended Concept Note 3: Reduction of Lead Exposures from ULAB Recycling Activities 82 Extended Concept Note 4: Improvement of Indoor Air Quality from Household Energy Use 90 Annexes 90 Annex 1: Draft Version of the Implementing Guidelines of EO 489 98 Annex 2: About the Global Alliance on Health and Pollution 100 Annex 3: Available National Data 101 Annex 4: Global Burden of Disease Data 102 Annex 5: List of Participants iv Figures Page Figure 1 1 Percentage of all deaths in 2015 that were caused by pollution 15 2 Percentage of annual deaths attributable to communicable and non- communicable diseases 16 3 Percentage of total annual DALYs attributable to communicable and non- communicable diseases 16 4 Percentage of all annual deaths in the Philippines caused by leading risk factors 17 5 Percentage of annual deaths attributable to pollution vs HIV/AIDS, Malaria and Tuberculosis (combined) 25 6 Outdoor air pollution sources 31 7 Wastewater pollution sources 36 8 National workforce Tables Page Table 6 1 List of overarching basic legal and regulatory framework of the Philippines to address pollution 7 2 List of basic legal and regulatory framework of the Philippines to address outdoor air pollution 7 3 List of basic legal and regulatory framework of the Philippines to address indoor air pollution 8 4 List of basic legal and regulatory framework of the Philippines to address contamination of water 9 5 List of basic legal and regulatory framework of the Philippines on chemicals control 10 6 List of basic legal and regulatory framework of the Philippines on occupational exposure 12 7 Outline of HPAP methodology adopted process in the Philippines, with UNIDO- WHO partnership 14 8 Philippine government agencies and organizations that provided technical input in report drafting 17 9 Summary of annual deaths from pollution in the Philippines 18 10 Annual deaths and DALYs from ambient particulate matter pollution as estimated in the GBD study in 2016 19 11 Annual deaths and DALYs from indoor air pollution from solid fuels as estimated in the GBD study in 2016 19 12 Annual deaths and DALYs from unsafe water, sanitation and handwashing as estimated in the GBD study in 2016 20 13 Annual deaths and DALYs from occupational risks as estimated in the GBD study in 2016 25 14 National Ambient Air Quality Guideline Values (NAAQGV) based on the Clean Air Act 26 15 Roles and responsibilities in addressing outdoor air pollution 28 16 Accomplishments of other government agencies mandated under the Clean Air Act 33 17 Roles and responsibilities in addressing wastewater and sanitation 100 A.3.1 Available data sources v ACRONYMS AND ABBREVIATIONS ADB Asian Development Bank AO Administrative Order BFAR Bureau of Fisheries and Aquatic Resources BOD biochemical oxygen demand CAA Clean Air Asia CAR Cordillera Administrative Region CNG compressed natural gas CWA Clean Water Act DA Department of Agriculture DALYs disability adjusted life years DENR Department of Environment and Natural Resources DepEd Department of Education DICT Department of Information and Communications Technology DILG Department of the Interior and Local Government DO dissolved oxygen DOE Department of Energy DOH Department of Health DOJ Department of Justice DOLE Department of Labor and Employment DOST Department of Science and Technology DOTr Department of Transportation DPWH Department of Public Works and Highways DSWD Department of Social Welfare and Development DTI Department of Trade and Industry ECN extended concept notes EMB Environmental Management Bureau EO Executive Order EU European Union FHSIS Field Health Service Information System GAHP Global Alliance on Health and Pollution GBD Global Burden of Disease GDP Gross Domestic Product GES General Effluent Standards GHG Greenhouse Gases GNI Gross National Income HIV/AIDS human immunodeficiency virus/acquired immunodeficiency syndrome HPAP Health and Pollution Action Plan HCWH Health Care Without Harm IACEH Inter-Agency Committee on Environmental Health IAQ indoor air quality IG Implementing Guidelines IHME Institute for Health Metrics and Evaluation ILO International Labour Organization IRR Implementing rules and regulations JAO Joint Administrative Order LGU Local Government Unit LLDA Laguna Lake Development Authority