Historical perspective on risk assessment in the federal government

Gender, Ethnicity and Environmental Risk Perception Revisited: The Importance of Residential Location

Studies in the U.S. have found that white men are less concerned about pollution than are women or people of other ethnicity. These studies have not assessed respondents' proximity to localized sources of pollution. Our objective was to assess lay perceptions of risk from air pollution in an ethnically diverse sample in which proximity to a major perceptible source of pollution is known. Cross sectional interview study of combined area probability and convenience sample of individuals 40 and older in the Boston area, selected according to proximity to high traffic controlled access highways. Of 697 respondents 46% were white, 37% Asian (mostly Chinese), 6.3% African-American, 6.3% Latino, and 7.6% other ethnicity. While white respondents, and particularly white men, were less concerned about air pollution than others, this effect disappeared when controlling for distance from the highway. White men were slightly less supportive than others of government policy to control pollution. The "white male" effect may in part be accounted for by the greater likelihood of minority respondents to live near perceptible localized sources of pollution.

Heavy metals in Pacific cod (Gadus macrocephalus) from the Aleutians: location, age, size, and risk

Considerable attention has been devoted to the risks from mercury (Hg) and polychlorinated biphenyls (PCB) to high-level predators (including humans) who consume freshwater fish. Although the U.S. Food and Drug Administration (FDA) issued advisories because of Hg for four marine fish species, there are few data on lead (Pb), cadmium (Cd), or other metals in Bering Sea fish generally, or on the risk these levels pose to the fish themselves or to consumers of marine fish. Levels of arsenic (As), Cd, chromium (Cr), Pb, Hg, and selenium (Se) levels were examined in muscle and liver of 142 Pacific Cod (Gadus macrocephalus) collected in 2004 at Nikolski, Adak, Amchitka, and Kiska Islands in the Aleutian Chain (Alaska) in the Bering Sea/North Pacific Ocean, a major source of commercial fishing. One key objective was whether there were location, age, gender, and size effects on tissue concentration that might pose a risk to the fish or their predators (including humans). All fish were measured and weighed, and a subset was aged by examining otolith layers. As was higher in liver than in muscle (geometric mean 2420 versus 1590 ng/g or ppb wet weight), as were Cd (GM 224 versus 1.92) and Se (GM 1380 versus 165). Conversely, Cr was higher in muscle (76.8 versus 45 ppb), as were Pb (23.7 vs 12 ppb) and surprisingly Hg (128 versus 82 ppb). Adak, until recently a large military base, had the highest levels of As, Hg, and Se, while Amchitka had the highest Pb levels, but Nikolski, which generally had the lowest levels, had relatively high Pb in liver. In general, interisland differences were significant for most metals in muscle, but only for Cr in liver. Weight and length were positively related to age, but age tended to explain more of the variance in metal levels. The multiple regression relationships differed by tissue in an unanticipated manner. Location contributed significantly to the models for muscle Cd, Pb, Hg, and Se, but not for liver levels. Conversely the length by weight interaction entered all of the liver models but none of the muscle models. Se and Hg were positively but weakly correlated in both liver (tau = +0.16) and muscle tissue (tau = 0.12). Hg was positively correlated with length, weight, and age in muscle, but not in liver. As showed a significant negative correlation with size variable in both tissues, and Cr was negatively correlated in muscle. Cd was positively correlated with Hg, Se, and As. Between liver and muscle there were significant positive correlations for Hg (tau = .24), As (tau = .407), and Cr (tau = 0.17), but not for Pb, Cd, or Se. In this study, the only metals that might pose a risk to cod-eating predators is Hg, as well as some of the higher values of Pb at Amchitka and Nikolski . The U.S. Environmental Protection Agency (EPA) reference dose (RfD) (not available for lead) was used to evaluate the risk to people consuming an 8-ounce (228g) meal of cod once per day and once per week, and to calculate risk using the levels found in this study. If a subsistence fisher from one of the Aleut villages ate one meal of cod per week for As, or one meal per day for Hg, they would exceed the U.S. EPA reference dose for As and Hg (set at a level to be without adverse effect for any person with this average daily exposure).

Risk characterization: principles and practice

In the field of risk assessment, characterizing the nature and magnitude of human health or environmental risks is arguably the most important step in the analytical process. In this step, data on the dose-response relationship of an agent are integrated with estimates of the degree of exposure in a population to characterize the likelihood and severity of risk. Although the purpose of risk characterizations is to make sense of the available data and describe what they mean to a broad audience, this step is often given insufficient attention in health risk evaluations. Too often, characterizations fail to interpret or summarize risk information in a meaningful way, or they present single numerical estimates of risk without an adequate discussion of the uncertainties inherent in key exposure parameters or the dose-response assessment, model assumptions, or analytical limitations. Consequently, many users of risk information have misinterpreted the findings of a risk assessment or have false impressions about the degree of accuracy (or the confidence of the scientist) in reported risk estimates. In this article we collected and integrated the published literature on conducting and reporting risk characterizations to provide a broad, yet comprehensive, analysis of the risk characterization process as practiced in the United States and some other countries. Specifically, the following eight topics are addressed: (1) objective of risk characterization, (2) guidance documents on risk characterization, (3) key components of risk characterizations, (4) toxicity criteria for evaluating health risks, (5) descriptors used to characterize health risks, (6) methods for quantifying human health risks, (7) key uncertainties in risk characterizations, and (8) the risk decision-making process. A brief discussion is also provided on international aspects of risk characterization. A number of examples are presented that illustrate key concepts, and citations are provided for approximately 100 of the most relevant papers.

Risk assessment in regulatory policy making for human and veterinary public health

Risk assessment is the method of systematically identifying and assessing factors that influence the probability and consequences of a negative event occurring. One responsibility of veterinary medicine is to protect animal and human health. Food animal production uses antibiotics to enhance production. Regulators evaluate new production technology to ensure animal safety and safe, edible products and to make public policy decisions by assessing risks/benefits. The U.S. Food and Drug Administration, Center for Veterinary Medicine's (CVM's) first risk assessment addressed the potential human health impact of campylobacter effects associated with the use of fluoroquinolines in food-producing animals. CVM used the Monte Carlo method to estimate risk byprobability distributions that reflect the uncertainty and variability in the data used for the assessment. Enterococci faecium is a species more likely to be resistant to antibiotics of last resort. Effective control of multidrug-resistant enterococci will requirea better understanding of the transfer of E. faeciumfrom animals to humans and the interaction between E. faecium, the hospital environment, and humans; prudent antibiotic use; better contact isolation in hospitals; and better surveillance. CVM will model these factors in a second, more complex risk assessment designed to examine the indirect transfer of resistance from animals to humans. Use of risk assessments allows researchers, the industry, regulatory authorities, and educators to make better policy decisions regarding antimicrobial use in food animals and humans and the development of resistance. Today the question of whether the use of antimicrobials for growth enhancement infood animals should or should not be terminated for the benefit of human health remains unresolved.

Educational issues in clinical pharmacology: who are our audiences and what are their specialized needs? One specialized need: "understanding the role of veterinary medicine in public health"

When considering educational issues and the need to update the curriculum for clinical pharmacologists for the new millennium, a number of questions must be raised. Who are our audiences? What are the specialized needs? This educational article identifies the audience, which includes those with diverse degrees such as MDs, PhDs, PharmDs, RNs, DVMs, and other non-MD prescribers working in academia, industry, clinical research organizations, and government in multifaceted disciplines requiring a knowledge base of physiology, pharmacology, biochemistry, anatomy, microbiology, pathology, medicine, and the drug development process of preclinical and clinical studies complete with protocols, pharmacokinetics, and statistics. One specialized current educational issue for clinical pharmacologists to understand is the impact of animal therapeutic and subtherapeutic use of antimicrobials on antibiotic use in human medicine.

Driving predictive modelling on a risk assessment path for enhanced food safety

How do we best protect our citizens to allow the highest quality of life? Where do we put our food safety resources so that we gain the greatest positive impact? Risk assessment provides the critical scientific basis for these types of important risk management decisions. Increasingly, risk assessment is used to guide legislated and voluntary changes intended to improve safety, yet its formal application for enhanced food safety is in its infancy. Risk assessment includes disease characterization. dose-response assessment, exposure assessment, and risk characterization. Quantitative data is critical for risk assessment to realize its full value, yet much of our knowledge about the incidence of pathogens or toxins in foods, dose-response knowledge, incidence of acute food-borne illness, incidence of chronic sequelae, and cost of food-borne illness is qualitative or estimates are controversial. Predictive modelling should help to improve estimates and thereby allow quantitation of food safety risks. Predictive modelling will also find application for assessing prevention strategies in risk management.