Skip to main content

Utility of Risk Assessment in Public Health Policy Decisions

  • Chapter
  • First Online:
Public Health Risk Assessment for Human Exposure to Chemicals

Part of the book series: Environmental Pollution ((EPOL,volume 27))

  • 1240 Accesses

Abstract

Risk assessment has become a vital decision-making tool for informing risk managers and the public about the different prospective policy options for protecting public health and the environment; in particular, it seems to be gaining wider grounds in making public health policy decisions on the control of risks associated with human exposures to chemicals. This state of affairs may be attributed to the fact that, the very process of performing a risk assessment can lead to a better understanding and appreciation of the nature of the risks inherent in a study—and it further helps develop steps that can be taken to reduce these risks. Overall, the application of risk assessment to chemical exposure problems helps identify critical receptor exposure routes, as well as expose other extraneous factors contributing most to total risks. It also facilitates the determination of cost-effective risk reduction policies. Indeed, the risk assessment process is intended to give the risk management team the best possible evaluation of all available scientific data—in order to arrive at justifiable and defensible decisions on a wide range of issues. For example, to ensure public safety in chemical exposure situations, receptor exposures must not exceed some stipulated risk-based exposure levels or acceptable public health goals—typically established through a risk assessment process. On the whole, it is apparent that, some form of risk assessment is inevitable if public health and environmental management programs are to be conducted in a sensible and deliberate manner. Ultimately, based on the results of a risk assessment, a more effectual decision can be made in relation to the types of risk management actions that might be necessary to address a given chemical exposure problem or a hazardous situation.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 199.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Suggested Reading

  • American Academy of Pediatrics. (1997). Breastfeeding and the use of human milk. Pediatrics, 100, 1035–1039.

    Article  Google Scholar 

  • ATSDR. (1990–Present). ATSDR case studies in environmental medicine. Atlanta, GA: Agency for Toxic Substances and Disease Registry (ATSDR), US Dept. of Health and Human Service.

    Google Scholar 

  • ATSDR. (1994). Priority health conditions: An integrated strategy to evaluate the relationship between illness and exposure to hazardous substances. Atlanta, GA: Agency for Toxic Substances and Disease Registry (ATSDR), US Dept. of Health and Human Service.

    Google Scholar 

  • Awasthi, S., Glick, H. A., Fletcher, R. H., & Ahmed, N. (1996). Ambient air pollution and respiratory symptoms complex in preschool children. The Indian Journal of Medical Research, 104, 257–262.

    CAS  Google Scholar 

  • Bates, D. V. (1992). Health indices of the adverse effects of air pollution: the question of coherence. Environmental Research, 59, 336–349.

    Article  CAS  Google Scholar 

  • Bates, D. V. (1994). Environmental health risks and public policy. Seattle: University of Washington Press.

    Google Scholar 

  • Bellinger, D. C. (2008). Lead neurotoxicity and socioeconomic status: Conceptual and analytical issues. Neurotoxicology, 29, 828–832.

    Article  CAS  Google Scholar 

  • Bellinger, D. C., & Needleman, H. L. (2003). Intellectual impairment and blood lead levels. The New England Journal of Medicine, 349, 500–502.

    Article  Google Scholar 

  • Benedetti, M., Lavarone, I., & Comba, P. (2001). Cancer risk associated with residential proximity to industrial sites: A review. Archives of Environmental Health, 56(4), 342–349.

    Article  CAS  Google Scholar 

  • Brunekreef, B. (1997). Air pollution and life expectancy: Is there a relation? Occupational and Environmental Medicine, 54, 781–784.

    Article  CAS  Google Scholar 

  • Canfield, R. L., et al. (2003). Intellectual impairment in children with blood lead concentrations below 10 μg per deciliter. The New England Journal of Medicine, 348, 1517–1526.

    Article  CAS  Google Scholar 

  • Churchill, J. E., & Kaye, W. E. (2001). Recent chemical exposures and blood volatile organic compound levels in a large population-based sample. Archives of Environmental Health, 56(2), 157–166.

    Article  CAS  Google Scholar 

  • Dixon, S. L., et al. (2009). Exposure of U.S. children to residential dust lead, 1999–2004: II. The contribution of lead-contaminated dust to children’s blood lead levels. Environmental Health Perspectives, 117, 468–474.

    Article  CAS  Google Scholar 

  • Dykeman, R., et al. (2002). Lead exposure in Mexican radiator repair workers. American Journal of Industrial Medicine, 41(3), 179–187.

    Article  CAS  Google Scholar 

  • Falk, H. (2003). International environmental health for the pediatrician: Case study of lead poisoning. Pediatrics, 112, 259–264.

    Google Scholar 

  • Gaitens, J. M., et al. (2009). Exposure of U.S. children to residential dust lead, 1999–2004: I. Housing and demographic factors. Environmental Health Perspectives, 117, 461–467.

    Article  CAS  Google Scholar 

  • Gould, E. (2009). Childhood lead poisoning: Conservative estimates of the social and economic benefits of lead hazard control. Environmental Health Perspectives, 117, 1162–1167.

    Article  Google Scholar 

  • Goyer, R. A. (1996). Results of lead research: Prenatal exposure and neurological consequences. Environmental Health Perspectives, 104, 1050–1054.

    Article  CAS  Google Scholar 

  • Gump, B. B., et al. (2008). Low-level prenatal and postnatal blood lead exposure and adrenocortical responses to acute stress in children. Environmental Health Perspectives, 116, 249–255.

    Article  CAS  Google Scholar 

  • Hauptmann, M., Pohlabeln, H., et al. (2002). The exposure-time-response relationship between occupational asbestos exposure and lung cancer in two German case-control studies. American Journal of Industrial Medicine, 41(2), 89–97.

    Article  CAS  Google Scholar 

  • Heikkila, P., Riala, R., et al. (2002). Occupational exposure to bitumen during road paving. AIHA Journal, 63(2), 156–165.

    Article  CAS  Google Scholar 

  • Hill, A. B. (1965). The environment and disease: Association or causation? Proceedings of the Royal Society of Medicine, 58, 295–300.

    CAS  Google Scholar 

  • Holtta, P., Kiviranta, H., et al. (2001). Developmental dental defects in children who reside by a river polluted by dioxins and furans. Archives of Environmental Health, 56(6), 522–528.

    Article  CAS  Google Scholar 

  • Johnson, D. L., McDade, K., & Griffith, D. (1996). Seasonal variation in paediatric blood lead levels in Syracuse, NY, USA. Environmental Geochemistry and Health, 18, 81–88.

    Article  CAS  Google Scholar 

  • Karmaus, W., Kuehr, J., & Kruse, H. (2001). Infections and atopic disorders in childhood and organochlorine exposure. Archives of Environmental Health, 56(6), 485–492.

    Article  CAS  Google Scholar 

  • Lanphear, B. P., et al. (2005). Low-level environmental lead exposure and children’s intellectual function: An international pooled analysis. Environmental Health Perspectives, 113, 894–899.

    Article  CAS  Google Scholar 

  • Levin, R., et al. (2008). Lead exposures in U.S. children, 2008: Implications for prevention. Environmental Health Perspectives, 116, 1285–1293.

    Article  CAS  Google Scholar 

  • Onalaja, A. O., & Claudio, L. (2000). Genetic susceptibility to lead poisoning. Environmental Health Perspectives, 108(Suppl. 1), 23–28.

    Article  CAS  Google Scholar 

  • Park, R., Rice, F., Stayner, L., et al. (2002). Exposure to crystalline silica, silicosis, and lung disease other than cancer in diatomaceous earth industry workers: A quantitative risk assessment. Occupational and Environmental Medicine, 59(1), 36–43.

    Article  CAS  Google Scholar 

  • Pocock, S. J., Smith, M., & Baghurst, P. (1994). Environmental lead and children’s intelligence: A systematic review of the epidemiological evidence. British Medical Journal, 309, 1189–1197.

    Article  CAS  Google Scholar 

  • Russell, M., & Gruber, M. (1987). Risk assessment in environmental policy-making. Science, 236, 286–290.

    Article  CAS  Google Scholar 

  • Schell, L. M., et al. (2004). Relationship between blood lead concentration and dietary intakes of infants from 3 to 12 months of age. Environmental Research, 96, 264–273.

    Article  CAS  Google Scholar 

  • Schwartz, J. (1996). Air pollution and hospital admissions for respiratory disease. Epidemiology, 7, 20–28.

    Article  CAS  Google Scholar 

  • Seaton, A. (1996). Particles in the air: The enigma of urban air pollution. Journal Royal Society of Medicine, 89, 604–607.

    CAS  Google Scholar 

  • Selevan, S. G., et al. (2005). Blood lead exposure and delayed puberty in girls. New England Journal of Medicine, 348, 1527–1536.

    Article  Google Scholar 

Bibliography

  • Brooks, S. M., Gochfeld, M., Herzstein, J., Schenker, M. B., & Jackson, R. J. (Eds.). (1995). Environmental medicine. St. Louis, MI: Mosby-Year Book.

    Google Scholar 

  • Callahan, M. A., & Sexton, K. (2007). If cumulative risk assessment is the answer, what is the question? Environmental Health Perspectives, 115(5), 799–806.

    Article  CAS  Google Scholar 

  • Carson, R. (1962). Silent spring. New York: Houghton Mifflin.

    Google Scholar 

  • Carson, R. (1994). Silent spring—With an introduction by Vice President Al Gore. New York: Houghton Mifflin.

    Google Scholar 

  • CENR (Committee on Environment and Natural Resources). (1999). Ecological risk assessment in the Federal Government. CENR/5-99/001, Committee on Environment and Natural Resources, National Science and Technology Council, Washington, DC.

    Google Scholar 

  • Moeller, D. W. (1997). Environmental Health (Revisedth ed.). Cambridge, MA: Harvard University Press.

    Google Scholar 

  • NRC. (2008). Public participation in environmental assessment and decision making. Washington, DC: The National Academies Press.

    Google Scholar 

  • NRC. (2009). Science and decisions: Advancing risk assessment. Washington, DC: Committee on Improving Risk Analysis Approaches Used by the U.S. EPA The National Academies Press.

    Google Scholar 

  • Schwartz, J. (1991). Lead, blood pressure, and cardiovascular disease in men and women. Environmental Health Perspectives, 91, 71–76.

    Article  CAS  Google Scholar 

  • Silbergeld, E. K. (1991). Lead in bone: Implications for toxicology during pregnancy and lactation. Environmental Health Perspectives, 91, 63–70.

    Article  CAS  Google Scholar 

  • Tellez-Rojo, M. M., Hernandez-Avila, M., et al. (2002). Impact of breastfeeding on the mobilization of lead from bone. American Journal of Epidemiology, 155(5), 420–428.

    Article  Google Scholar 

  • USEPA. (1990a). Environmental asbestos assessment manual, Superfund method for the determination of asbestos in ambient air, Part 1: Method (EPA/540/2-90/005a) & Part 2: Technical Background Document (EPA/540/2-90/005b), US Environmental Protection Agency (USEPA), Washington, DC.

    Google Scholar 

  • USEPA. (1990b). Guidance for data useability in risk assessment. Interim Final, Washington, DC: Office of Emergency and Remedial Response. EPA/540/G-90/008.

    Google Scholar 

  • USEPA. (1996a). Guidelines for reproductive toxicity risk assessment. EPA/630-96/009, USEPA, Washington, DC.

    Google Scholar 

  • USEPA. (1996b). Interim approach to assessing risks associated with adult exposures to lead in soil. US Environmental Protection Agency (USEPA), Washington, DC.

    Google Scholar 

  • USEPA. (1996c). PCBs: Cancer dose-response assessment and application to environmental mixtures. EPA/600/P-96/001F, September 1996, National Center for Environmental Assessment, Office of Research and Development, U.S. Environmental Protection Agency, Washington, DC.

    Google Scholar 

  • USEPA. (1996d). Radiation exposure and risk assessment manual. EPA 402-R-96-016, US Environmental Protection Agency (USEPA), Washington, DC.

    Google Scholar 

  • USEPA. (1996e). Soil screening guidance: Technical background document, EPA/540/R-95/128. Office of Emergency and Remedial Response, Washington, DC.

    Google Scholar 

  • USEPA. (1996f). Soil screening guidance: User’s Guide, EPA/540/R-96/018. Office of Emergency and Remedial Response, Washington, DC.

    Google Scholar 

  • USEPA. (2002a). Calculating upper confidence limits for exposure point concentrations at hazardous waste sites. Office of Emergency and Remedial Response, US Environmental Protection Agency, Washington, DC.

    Google Scholar 

  • USEPA. (2002b). Guidance for comparing background and chemical concentrations in soil for CERCLA sites. EPA 540-R-01-003. OSWER 9285.8-41. Office of Emergency and Remedial Response, US Environmental Protection Agency, Washington, DC.

    Google Scholar 

  • USEPA. (2002c). Risk assessment guidance for superfund, Volume I: Human health evaluation manual (Part E, Supplemental Guidance for Dermal Risk Assessment). EPA/540/R/99/005, Office of Emergency and Remedial Response, USEPA, Washington, DC.

    Google Scholar 

  • USEPA. (2002d). Role of background in the CERCLA cleanup program. OSWER 9285.6-07P. Office of Solid Waste and Emergency Response, Office of Emergency and Remedial Response, US Environmental Protection Agency, Washington, DC.

    Google Scholar 

  • USEPA. (2002f). Child-specific exposure factors handbook. EPA/600/P-00/002B, National Center for Environmental Assessment, Office of Research and Development, U.S. Environmental Protection Agency, Washington, DC.

    Google Scholar 

  • USEPA. (2003a). Framework for cumulative risk assessment. EPA/600/P- 02/001F. National Center for Environmental Assessment, Risk Assessment Forum, U.S. Environmental Protection Agency, Washington, DC.

    Google Scholar 

  • USEPA. (2003b). Human health toxicity values in superfund risk assessments. Office of Superfund Remediation and Technology Innovation. OSWER Directive 9285.8-53. December 5, 2003.

    Google Scholar 

  • USEPA. (2003c). Recommendations of the Technical Review Workgroup for Lead for an Approach to Assessing Risks Associated with Adult Exposures to Lead in Soil. Final. EPA-540-R-03-001.

    Google Scholar 

  • USEPA. (2004a). Community air screening how-to manual. A step-by-step guide to using risk-based screening to identify priorities for improving outdoor air quality. EPA 744-B-04-001. U.S. Environmental Protection Agency, Washington, DC.

    Google Scholar 

  • USEPA. (2004b). Risk assessment guidance for Superfund: Volume 1—Human health evaluation manual (Part E, supplemental guidance for dermal risk assessment). Final, July 2004. EPA/540/R/99/005. Office of Emergency and Remedial Response, US Environmental Protection Agency, Washington, DC.

    Google Scholar 

  • USEPA. (2004c). Example Exposure Scenarios. EPA/600/R-03/036. Center for Environmental Assessment, US Environmental Protection Agency, Washington, DC.

    Google Scholar 

  • USEPA. (2004d). Risk assessment principles and practices. Staff Paper, EPA/100/B-04/001. Office of the Science Advisor, U.S. Environmental Protection Agency, Washington, DC.

    Google Scholar 

  • USEPA. (2004e). User’s guide for evaluating subsurface vapor intrusion into buildings. Office of Emergency and Remedial Response, Washington, DC.

    Google Scholar 

  • USEPA. (2004f). Air quality criteria for particulate matter: Volume II. Office of Research and Development, Washington, D.C. EPA/600/P-95/001bF.

    Google Scholar 

  • USEPA. (2004g). An examination of EPA risk assessment principles and practices. Washington, DC: Office of the Science Advisor, Environmental Protection Agency.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer Science+Business Media B.V.

About this chapter

Cite this chapter

Asante-Duah, K. (2017). Utility of Risk Assessment in Public Health Policy Decisions. In: Public Health Risk Assessment for Human Exposure to Chemicals. Environmental Pollution, vol 27. Springer, Dordrecht. https://doi.org/10.1007/978-94-024-1039-6_15

Download citation

Publish with us

Policies and ethics