1. Assessing Effects on Human Health Meadowbank Gold Project Margaux Brisco Nunavut Impact Review Board Final Hearings, Baker Lake, Nunavut March 27 to 31, 2006

2. 2 Nunavut Land Claim Agreement Requires a consideration of environmental and socio-economic effects

3. 3 Health Canada Expert information and knowledge about human health Promotes a holistic definition of human health: -complete physical, mental and social well- being -not only the absence of disease or infirmity.

4. 4 Health Canada’s Review of the Meadowbank Gold Project –Air Quality –Drinking Water Quality –Noise –Country Foods –Socio-economic –Occupational Health & Safety Plan

5. 5 Air Quality Issues: - Dust -construction -road traffic -mine operations - Emissions from burning fuel -trucks -machinery -power plant

6. 6 Air Quality Health Canada’s initial comments have been addressed No indication of concern for human health We encourage monitoring

7. 7 Drinking Water Quality Issues: - Dike construction (construction phase) - Discharge to lakes (operational phase) - Reflooding of mine pits (decommissioning)

8. 8 Drinking Water Quality Predicted maximum values for Third Portage Lake are not expected to have any health effects. Monitoring will indicate if drinking water guidelines are exceeded.

9. 9 Noise Issues: - Construction - Mine operations -blasting, crushing, drilling… - Road traffic

10. 10 Noise Potential for sleep disturbance at workers’ quarters World Health Organization’s Community Noise Guidelines

11. 11 Noise Possibility of summer camps near the mine site Recommendation: noise at the camp sites should also be monitored

12. 12 Country Foods Fish Mammals Birds

13. 13 Country Foods Issues: - Changes to bodies of water -dikes -reflooding

14. 14 Country Foods Monitoring of foods recommended -Arctic char A baseline should be collected to verify predictions

15. 15 Socio-Economics Issues: - Rotational Employment - Housing - Community Wellness - Public Health & Safety - Effects of Closure

16. 16 Socio-Economics Concerns have been addressed It is acknowledged that there is potential for some negative effects Mitigation and management are important

17. 17 Occupational Health & Safety Plan Health Canada recommends that a nurse be hired at the mine site. -To meet workers’ needs –Accidents –Infectious disease -To prevent pressure on health services in Baker Lake

18. 18 References Canadian Handbook on Health Impact Assessment http://www.hc-sc.gc.ca/ewh-semt/pubs/eval/index_e.html Determinants of Health website: www.phac-aspc.gc.ca/ph- sp/phdd/determinants/index.html Health Canada website: www.hc-sc.gc.ca Environmental Health Assessment Services website: www.hc-sc.gc.ca/ehas