Environmental Health Sciences Decision Making

Environmental health decision making can be a complex undertaking, as there is the need to navigate and find balance among three core elements: science, policy, and the needs of the American public. Policy makers often grapple with how to make appropriate decisions when the research is uncertain. The challenge for the policy maker is to make the right decision with the best available data in a transparent process. The Environmental Health Sciences Decision Making workshop, the first in a series, was convened to inform the Roundtable on Environmental Health Sciences, Research, and Medicine on emerging issues in risk management, "weight of evidence," and ethics that influence environmental health decision making. The workshop, summarized in this volume, included an overview of the principles underlying decision making, the role of evidence and challenges for vulnerable populations, and ethical issues of conflict of interest, scientific integrity, and transparency. The workshop engaged science interest groups, industry, government, and the academic sector.

Environmental health decision making can be a complex undertaking, as there is the need to navigate and find balance among three core elements: science, policy, and the needs of the American public. Policy makers often grapple with how to make appropriate decisions when the research is uncertain. The challenge for the policy maker is to make the right decision with the best available data in a transparent process. The Environmental Health Sciences Decision Making workshop, the first in a series, was convened to inform the Roundtable on Environmental Health Sciences, Research, and Medicine on emerging issues in risk management, "weight of evidence," and ethics that influence environmental health decision making. The workshop, summarized in this volume, included an overview of the principles underlying decision making, the role of evidence and challenges for vulnerable populations, and ethical issues of conflict of interest, scientific integrity, and transparency. The workshop engaged science interest groups, industry, government, and the academic sector.

This text examines the need for information in support of decision-making in environmental health. It discusses indicators of environmental health, methods of data collection and the assessment of exposure.

This book explores the challenges that confront leaders in government and industry when making decisions in the areas of environmental health and safety. Today, decision making demands transparency, robustness, and resiliency. However thoughtfully they are devised, decisions made by governments and enterprises can often trigger immediate, passionate public response. Expertise Under Scrutiny shows how leaders can establish organizational decision making processes that yield valid, workable choices even in fast-changing and uncertain conditions. The first part of the book examines the organizational decision making process, describing the often-contentious environment in which important environmental health and safety decisions are made, and received. The authors review the roles of actors and experts in the decision making process. The book goes on to address such topics as: · The roles of actors and experts in the decision making process · Ethics and analytics as drivers of good decisions · Why managing problems in safety, security, environment, and health Part II offers an outline for adopting a formal decision support structure, including the use of decision support tools. It includes a chapter devoted to ELECTRE (ELimination and Choice Expressing Reality), a multi-criteria decision analysis system. The book concludes with an insightful appraisal and analysis of the expertise, structure and resources needed for navigating well-supported, risk-informed decisions in our 21st Century world. Expertise Under Scrutiny benefits a broad audience of students, academics, researchers, and working professionals in management and related disciplines, especially in the field of environmental health and safety.

Modern industrial societies have created not only the goods and services that add productivity and pleasure to modern life, but also hazardous and unlooked-for side effects. Many significant technological advances - automobiles, fire retardation, durable paints, electrical appliances - have a dark side, their proven or putative implication in major risks to public health. How democratic societies discover and deal with such health hazards is the theme of Environmental Health Risks and Public Policy. Often frightening in its direct recitation of medical evidence, always compelling as a work of a medical man deeply concerned with human health, it examines the ways in which science and public policy interact, sometimes to protect the public, sometimes to thwart prompt action. A major concern of this book is air pollution, which has now been linked to chronic illness and loss of healthy lung function in all those who live in large cities. Cigarette smoking - the only self-inflicted health hazard covered here - has been responsible for an enormous burden of disease. The book’s discussion of asbestos deals with the difficulty of risk assessment when exposures are low, as is the case with current environmental levels. The public health hazards of lead - from paint ingestion by young children and from airborne lead emitted in automobile exhaust - and the disturbing figures linking exposure to electromagnetic fields to a variety of childhood and occupational cancers are described in detail. As society’s awareness of environmental effects on public health has grown, scientists (especially epidemiologists) have been increasingly drawn into the public arena. The design of studies, the manipulation of statistics, and additional risk factors influence the acceptance of "hazards" as clearly causing certain diseases. In addition, the often major economic effects of reducing these health hazards make formulation of public policy concerning their control a fractious business. Environmental scientists, the media, lawyers, and politicians have difficulty dealing with multifactoral disease, and are still learning how the questions should be framed for an informed public debate on issues raised. This book compares decision making in Canada, Britain, and the United States, and the impact of different political traditions on the process. The place and limitations of formal risk assessment are discussed. The book offers conclusions about the central role of environmental epidemiology as the "detective" science in elucidating health effects of human technological advances, and examines the different, often conflicting, sometimes colluding roles of government, industry, and the general public in the debate over public health hazards.

Morrone and Lohner assert that sound science is often misinterpreted, which leads to questionable policy decisions. This provocative look at environmental policymaking shows the importance of correctly interpreting science, and examines the full implications of using science as the major criterion in the decision-making process. Contemporary critics often argue that environmental policy problems are rooted in junk science. Yet Morrone and Lohner assert that many cases are based on sound science that is misinterpreted, which leads to questionable policy decisions. Revealing the way science is used in the environmental decision-making process, the authors illustrate how policies can go awry. Their combined experience in the public and private sectors is buttressed by a series of case studies, including: •Air pollution •Solid and hazardous waste management •Food protection •Vectors and their diseases •Drinking water safety This provocative look at environmental policymaking shows the importance of correctly interpreting science, and examines the full implications of using science as the major criterion in the decision-making process.