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Environmental Health encompasses the physical, chemical, and biological factors in the environment that affect human health and influence their behavior. It focuses on the identification, assessment, and control of these factors to prevent environmental health hazards, nuisances, and diseases. Environmental Health is a community-based service integral to Primary Health Care and essential to an effective health system. Since 1994, the field of Environmental Health has undergone significant transformation in terms of professional training, governance responsibilities, and scope of practice. The profession has evolved from Sanitation Inspectors in the early 1960s, to Health Inspectors during the 1970s and 1980s, Environmental Health Officers from the 1980s to the early 2000s, and is currently designated as Environmental Health Practitioners (EHPs) from 2008 onwards. While the term “Health Inspector” remains widely used, “Environmental Health Practitioner” is the official title, reflecting the expanded and modernized role of the profession. Environmental Health Practitioners are qualified professionals registered with the Health Professions Council of South Africa (HPCSA) in terms of the Health Professions Act 56 of 1974.

EHPs address environmental risk factors through rendering environmental health services with the application and enforcement of relevant legislation. Their duties include investigating environmental health-related complaints, conducting routine and follow-up inspections, interviewing stakeholders, seizing and detaining suspected items, collecting and monitoring samples, and overseeing the exhumation of human remains where required. EHPs implement corrective measures such as issuing compliance notices and inspection reports, reporting to relevant authorities, imposing fines, issuing notices to appear in court, prohibiting non-compliant business operations, and conducting public awareness initiatives.
In addition, municipal EHPs are responsible for issuing Certificates of Acceptability, Certificates of Competence, and health certificates or permits for premises, including food establishments, funeral undertakers, health facilities, schools, and early childhood development centers.