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Improving Health Risk Assessment as a Basis for Public Health Decisions in the 21st Century

机译:将健康风险评估提高为21世纪公共卫生决策的基础

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摘要

One-fifth of the way through the 21st century, a commonality of factors with those of the last 50 years may offer the opportunity to address unfinished business and current challenges. The recommendations include: (1) Resisting the tendency to oversimplify scientific assessments by reliance on single disciplines in lieu of clear weight-of-evidence expressions, and on single quantitative point estimates of health protective values for policy decisions; (2) Improving the separation of science and judgment in risk assessment through the use of clear expressions of the range of judgments that bracket protective quantitative levels for public health protection; (3) Use of comparative risk to achieve the greatest gains in health and the environment; and (4) Where applicable, reversal of the risk assessment and risk management steps to facilitate timely and substantive improvements in public health and the environment. Lessons learned and improvements in the risk assessment process are applied to the unprecedented challenges of the 21st century such as, pandemics and climate change. The beneficial application of the risk assessment and risk management paradigm to ensure timely research with consistency and transparency of assessments is presented. Institutions with mandated stability and leadership roles at the national and international levels are essential to ensure timely interdisciplinary scientific assessment at the interface with public policy as a basis for organized policy decisions, to meet time sensitive goals, and to inform the public.
机译:通过21世纪的五分之一,过去50年来的普通因素可以提供解决未完成的业务和当前挑战的机会。建议包括:(1)抵制通过依赖单学科来超越科学评估的趋势,代替明确的证据表达,以及政策决策的健康保护价值的单一定量点估计; (2)通过使用明确表达对公共卫生保护的保护定量水平的判断范围的明确表达,改善了风险评估中的科学和判断的分离; (3)使用比较风险,以达到卫生和​​环境中最大的收益; (4)如果适用,逆转风险评估和风险管理步骤,以促进公共卫生和环境的及时和实质性的改进。风险评估过程的经验教训和改进适用于21世纪的前所未有的挑战,如流行病和气候变化。提出了风险评估和风险管理范式的有益应用,以确保及时研究评估的一致性和透明度。国家和国际一级的强制稳定性和领导作用的机构对于在与公共政策的界面中及时跨学科科学评估作为组织政策决策的基础是必不可少的,以满足时间敏感的目标,并通知公众。

著录项

  • 来源
    《Risk analysis》 |2020年第s1期|2272-2299|共28页
  • 作者单位

    Exponent Inc 1800 Diagonal Rd Alexandria VA 22314 USA;

    Univ Michigan Dept Computat Med & Bioinformat Ann Arbor MI 48109 USA|Univ Michigan Dept Internal Med Ann Arbor MI 48109 USA|Univ Michigan Dept Human Genet Ann Arbor MI 48109 USA|Univ Michigan Sch Publ Hlth Ann Arbor MI 48109 USA;

    Exponent Inc 1800 Diagonal Rd Alexandria VA 22314 USA;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

    Climate; COVID#8208; 19; health risk assessment; policy; risk management;

    机译:气候;Covid-19;健康风险评估;政策;风险管理;

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