Part I
Health and the Environment
Introduction
Laura Westra and Colin L. Soskolne
Foundational to the 2011 meeting of the Global Ecological Integrity Group (GEIG) in Prague ā with its focus on public health ā the first part of this book contains five chapters. Each chapter addresses the key elements that connect life, health and the environment. The right to health as embodied in supranational conventions and law is addressed throughout. The main focus is on the legal aspects of the interface between environment and health. The final chapter appeals to Aldo Leopold to remind the reader of the pivotal importance of ecological integrity, not only to the GEIG, but to anyone considering health and the environment, as Leopold himself did.
In Chapter 1, Westra discusses the flaws in present international legal regimes, and the denied connection between environment and the human right to health. These flaws emerge clearly in the paucity of jurisprudence dealing explicitly with that link, even when environmental causes and the resulting illnesses are the reason why a case is brought to the courts. Despite the presence of explicit appeals to the right to health and to a āhealthy environmentā existing in various instruments, the link between that right and the environment is denied by omission in all case law.
In Chapter 2, Kintzele discusses the presence of environmental and public health clauses in numerous constitutions, in the states on all continents. She notes that biodiversity conservation is explicitly named in Article 38 of the Statute of the International Court of Justice. Thus, it is entirely appropriate for state statutes to adopt not only that principle, but also to support explicitly the connection between it and public health. This interconnection is clearly present in the constitutions of states from South Africa to Bahrain, from Somalia to Kenya, and from Bolivia and Ecuador to Sweden and France. Kintzele notes especially the importance of safety in food, brought to the attention of the world community in Europe with their resistance to genetically modified organisms (GMOs), and ā even more recently ā in Japan, as the impact of radiation on food was noted after the Fukushima disaster.
In Chapter 3, Mitchell attempts to trace an āecological interpretation of international lawā. Her starting point is the necessity for change, a change that acknowledges ecological integrity as the basis of all possible instruments that attempt to connect public health and environment, and the right to life. What she proposes is an āecologically literate interpretation of the lawā, but she also hopes for more explicit declarations to emerge from the work of the UN Human Rights Committee.
Taylor turns to international law in Chapter 4, where she carefully examines the possibilities inherent in the principle of the Common Heritage of Mankind (CH), a well-respected principle of international law since its emergence in 1960. Taylor views that principle as a possible antidote to the ongoing āfinal enclosure of the commonsā (Westra), as she considers whether the CH could be used to āovercome some of the traditional democratic deficit of international lawā, as she traces its history and present and earlier usage. Particularly important is the question she raises as to whether āhumanityā can now be considered a subject of international law, given the unique language of the CH.
Finally, in Chapter 5, Carrick examines the GEIGās starting point, in some sense; that is, the work of Aldo Leopold. Leopold had explicitly connected health and the environment, clarifying how the ācommunity health perspectiveā, āthe holistic health perspectiveā and the āperspective of legal moralismā combine to support and reinforce the emphasis on ecological and biological integrity. The latter have been the main platform of our group, and of this book.
The importance of including principles relating to human rights in soft-and hard-law instruments is revealed to be essential for protecting human health and, indeed, all life on Earth. Without these foundational governance instruments, the weight of argument for protecting the right to health will be less compelling and persuasive.
1 Life, Health and the Environment
The Denied Connection
Laura Westra
Introduction
This chapter is intended to explore the interface between human rights violations of human health and legal regimes intended for environmental protection. The time seems appropriate to explore this topic, on which a number of initiatives have converged over the last decade, and particularly over the last year. Examples include:
⢠the United Nations General Assembly (UNGA) Human Rights Council Resolution (16th Session) of 12 April 2011 on āHuman rights and the environmentā;
⢠preparatory meetings under way for the Rio+20 United Nations Conference on Sustainable Development in June 2012;
⢠the World Health Organization (WHO) work on the social determinants of health in 2008; and
⢠the United Nations Commission on Human Rights (UNCHR) Resolution 2002/31 (22 April 2002), addressing āThe right of everyone to the enjoyment of the highest attainable standard of physical and mental healthā.
My concern is that, for the most part, the interface between human rights and environmental hazards is not well represented in legal regimes; in fact, most often the interface is deliberately misunderstood, with a view to protecting commercial interests and maintaining the status quo (Mattei and Nader 2009). In order to present a concise but inclusive summary of some of the problems we face in this regard, I briefly discuss the issue under the following four separate (but interconnected) topic areas:
⢠explicit denial of the interface in jurisprudence, from United States cases under the Alien Torts Claims Act (ATCA), to the European Court of Human Rights and the International Court of Justice;
⢠lack of explicit prohibitions on the part of the WHO regarding industrial chemical and agricultural processes, despite the abundant evidence
⢠amassed by that UN body and available in medical journals regarding the human health consequences of those industrial activities, which today can be compared with the evidence gathered by the WHO before drafting their Framework Convention on Tobacco Control (WHO, 2003);
⢠ongoing denial of the egregious human rights violations that follow upon climate change, including glacial melts in the Arctic through drought and famine in sub-Saharan Africa, while the same Western practices continue to contribute to global warming, including the overuse of water and grains in industrial meat production with its resulting methane releases;
⢠insistence on the ārightā to āsustainable developmentā, without the right of Indigenous and other land-based communities to say ānoā when the development in question is unwanted, as it continues to impact gravely these peoplesā very subsistence, as well as their health and survival, both as individuals and as peoples.
Hence, I begin with a summary survey of some of the existing material for the protection of health and the environment (without, however, disclosing any specific binding document defining the interface between the two). I then consider other issues mentioned in the list above, before finally arguing for the urgent need for reforms to the candidate most likely to propose enforceable legal instruments, without risking the āvetoā that often accompanies other attempts to propose resolutions in defence of human rights on the part of UN organs (Westra, 2012). As well, the WHO is particularly well positioned to offer guidelines and courses of action that are seen as being beyond dispute.
Health and the Environment: the Missing Linkages
In confronting the insalubrious ramifications of globalization, human rights scholars and activists have argued for greater national and international responsibility pursuant to the human right to health ⦠However, in pressing for the highest attainable standard for each individual, the right to health has been ineffective to address burgeoning inequalities in underlying determinants of health focusing on individual medical treatments at the expense of public health. (Meier, 2006, pp711ā712)
The problem is not a lack of instruments, declarations and resolutions that extol the value of health, and even the universal right to it; rather, it is that such a right is universally non-enforceable and that the instruments that prescribe it are non-binding. The main problem is that the abundant scientific information available to connect health and environment is not, in practice, considered. In addition, public health refers to collective (universal) rights, or at least to community rights, while for medicine it is individual rights that are central, and most significant.
On the one hand, there are declarations and even instruments that enshrine the right to health (if not the right to life); on the other hand, there is the research undertaken by the WHO and by scores of independent scholars, whose findings link health, inescapably, to environmental conditions. Nor are there only human rights in many documents clearly intended for the protection of health (e.g. UN, 2000; WHO, 2008), but both UN documents and recent scholarly work point clearly to the interface between environment and health as they advocate for the right to both.
Nevertheless, neither regulatory regimes nor judgements when cases come to court reflect that interface. One reason may be that neither lawmakers nor judges are trained to understand that connection and make it explicit. The other is the pervasive influence of economic interests and of the institutions that support them. Particularly significant is the recent UNGA document entitled āHarmony with natureā (UNGA, 2010). In 2009, resolution 64/196 (UNGA, 2009) was intended to promote life in harmony with nature; but the later document adds also the dubious notion of āsustainable developmentā that is oriented to trade and economics instead.
Annex B of this document addresses various worldwide efforts towards āsustainable developmentā, intended to āstrengthen stewardship of the global commonsā (UNGA, 2010, para. 67): they include new constitutional provisions in several countries in South America, including Argentina (forest preservation), Bolivia (Indigenous Peoplesā vision/new constitution); Cuba (environmental protection law, 1 July 1997), Chile (āsocioeconomic factors that promote a healthy lifeā), and several others. Other countriesā reported efforts bypass entirely the humanānature connection, as they refer to āthe right to have the environment protected, while promoting justifiable economic and social developmentā (South Africa Constitution), or even the Marrakesh Task Force on Education for Sustainable Consumption (UNEP, 2010).
The United Statesā Executive Order 13514, requires āfederal agencies to improve energy efficiency ⦠mitigation of greenhouse gas emissions ⦠and recyclingā (White House, 2009, para. 85); and the European Union is somewhat less inconclusive, as it explicitly recognizes that the natural resource base for human life and development is in great danger and that fundamental changes in the way societies produce and consume are vital for achieving sustainable development.
Yet even this ignores the necessity for degrowth (contraction and convergence), and the fact that, according to ecological footprint analysis (Rees, 2006, pp143ā158), the present rates of consumption and economic ādevelopmentā are completely unsustainable, as they already exceed the capacity of the Earth to sustain present human populations. Hence, the only possible ādevelopmentā may be spiritual, intellectual or moral, as every other form of material development is already unsustainable.
It is understandable that āHarmony with natureā (UNGA, 2010) would take such a position; a position of covert (if not explicit) support for globalized economics, given that it is based on the work of neoclassical economists (Stiglitz et al., 2009). Essentially, all that the UNGA document proposes, despite its promising title, is a list of empty justifications and band-aid solutions that will ā at best ā slightly modify the status quo, without any recognition of the gravity of the ongoing human rights violations that globalization supports and defends (Mattei and Nader, 2009; Westra, 2011). Even the wonderful new constitutions of many South American countries (Ecuador, Colombia, Bolivia), with their spirited defence of nature (Pachamama), and of Indigenous Peoples and their traditional ways, remain no better than paper tigers; once individuals or communities harmed by ādevelopmentā and globalized trade regimes attempt to use them in their defence, they carry no weight. I will return to this subject later in this chapter).
Nonetheless, the āConclusion and recommendationsā end on a more realistic note:
Nature has been treated as a commodity that exists largely for the benefit of people, and all environmental problems as solvable with a technological fix. Loss of biodiversity, desertification, climate change and the disruption of a number of natural cycles are among the costs of our disregard for nature and the integrity of its ecosystems and life-supporting processes. (UNGA, 2010, para. 101)
In its support of this conclusion, the document cites a three-page article in Nature (Rockstrƶm et al., 2009), ignoring the ample literature that exists on the necessity for ecological integrity and its relatio...