35 research outputs found

    A Phased Approach for Assessing Combined Effects from Multiple Stressors

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    We present a phased approach for evaluating the effects of physical, biological, chemical, and psychosocial stressors that may act in combination. Although a phased concept is common to many risk-based approaches, it has not been explicitly outlined for the assessment of combined effects of multiple stressors. The approach begins with the development of appropriate conceptual models and assessment end points. The approach then proceeds through a screening stage wherein stressors are evaluated with respect to their potential importance as contributors to risk. Stressors are considered individually or as a combination of independent factors with respect to one or more common assessment end points. As necessary, the approach then proceeds to consider interactions among stressors. We make a distinction between applications that begin with effects of concern (effects based) or with specific stressors (stressor based). We describe a number of tools for use within the phased approach. The methods profiled are ones that have been applied to yield results that can be communicated to a wide audience. The latter characteristic is considered especially important because multiple stressor problems usually involve exposures to communities or to ecologic regions with many stakeholders

    Regulating under uncertainty : newsboy for exposure limits

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    Setting action levels or limits for health protection is complicated by uncertainty in the dose-response relation across a range of hazards and exposures. To address this issue, we consider the classic newsboy problem. The principles used to manage uncertainty for that case are applied to two stylized exposure examples, one for high dose and high dose rate radiation and the other for ammonia. Both incorporate expert judgment on uncertainty quantification in the dose-response relationship. The mathematical technique of probabilistic inversion also plays a key role. We propose a coupled approach, whereby scientists quantify the dose-response uncertainty using techniques such as structured expert judgment with performance weights and probabilistic inversion, and stakeholders quantify associated loss rates

    Facing the environmental risk issues of the cold war legacy

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    Introduction

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    Roger M Cooke and Margaret MacDonell provide the introduction to this issu

    Example output from the relative risk model (RRM) illustrating combined stressor loadings ()

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    <p><b>Copyright information:</b></p><p>Taken from "A Phased Approach for Assessing Combined Effects from Multiple Stressors"</p><p></p><p>Environmental Health Perspectives 2007;115(5):807-816.</p><p>Published online 24 Jan 2007</p><p>PMCID:PMC1868003.</p><p>This is an Open Access article: verbatim copying and redistribution of this article are permitted in all media for any purpose, provided this notice is preserved along with the article's original DOI</p
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