This work was written to develop a better understanding and thinking about the cumulative impacts of multiple natural resource development projects. Cumulative impacts are now one of the most pressing, but complex, challenges facing governments, industry, communities, and conservation and natural resource professionals. There has been technical and policy research exploring how cumulative environmental impacts can be assessed and managed. These studies, however, have failed to consider the necessary integration of community, environment and health. Informed by knowledge and experience in northern British Columbia, this book seeks to expand our understanding of the cumulative impacts of natural resource development through an integrated lens.