week 2 risk assessment/managment Flashcards

1
Q

What is a hazard?

A

threat to human health or the environment; could be chemical, physical, biological, or cultural

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2
Q

What is risk?

A

probability of harm (there is no such thing as zero risk)

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3
Q

What is safety?

A

freedom from danger, risk, or injury (there is no such thing as 100% safe)

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4
Q

What is risk assessment?

A

determination of probability that an adverse effect will result from a define exposure (this is a scientific process)

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5
Q

What are the four steps of risk assessment?

A

Hazard identification, dose-response assessment, exposure assessment, risk characterization

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6
Q

What is risk management?

A

Process of weighing policy alternatives and selecting the most appropriate regulatory actions based on the results of risk assessment and social, economic, and political concern; science and value judgement; “what do we do about it?”

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7
Q

What are the components of risk? How is risk calculated?

A
  • Existence and severity of a hazard
  • likelihood or probablity of exposure

RISK= (SEVERITY OF HAZARD) X (PROBABILITY OF EXPOSURE)

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8
Q

What factores influence risk perception?

A
  • trust
  • control
  • dread
  • risk vs. benefit
  • human-made vs. natural
  • “could it happen to me?
  • new or familiar
  • children
  • uncertainty
  • age
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9
Q

How does controllabity and observability affect risk?

A
  • observable & controllable= low risk
  • not observable & controllable/ observavble & not controllable= medium risk
  • not observable or controllable= high risk
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10
Q

What level of risk is acceptable?

A

Arbitrary number, depends on situation; see slides for examples

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11
Q

What is the purpose of risk assesment?

A
  • weigh the harms and benefits (risk/rewards)
  • set target exposure/dose levels
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12
Q

What is hazard identification?

A

Looking at if a hazard is having an impact on health; might use observational or experimental data

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13
Q

How do we weigh evidence in hazard identification?

A
  • Human data prefered (relevant species, capture genetic variation, real-world exposures)
  • Animal data (more controlled, similar physiological patterns, some correlation with human effects, accepted by scientific community, require by regulatory community)
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14
Q

What is the dose-resposnse assesment?

A
  • characterization or quantification of the relationship between exposure/dose and effect
  • describes how likelihood/severity of adverse health effects are related to amount/condition of exposure to agent
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15
Q

What are the two steps in dose-response assessment?

A
  • Model the shape of the dose-response curve in observable range
  • Extrapolate the dose-response curve to estimate dose that starts to cause increased risk in population of interest
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16
Q

When and why is linear extrapolation used?

A

Used for carcinogens, suggests there is NOT a safe level

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17
Q

When and is nonlinear extrapolation used?

A

curved line is used for carcinogens, suggests there is no safe level

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18
Q

What is NOAEL?

A
  • No Observable Adverse Effect Level
  • Highest expoure level at which no statistically or biologically increases are seen
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19
Q

What is LOAEL?

A
  • Lowest Observable Adverse Effect Level
  • lowest expoure level at which no statistically or biologically increases in frequency or severity of adverse effects
20
Q

What is BMD?

A
  • Benchmark Mark Dose
  • dose or concentration that produces a predetermined change in response rate of an adverse effect compared to background
21
Q

What is BMDL?

A
  • Benchmark Dose Lower Level
  • a statistical lower confidence limit on the dose or concentration at the BMD
22
Q

What do you use to graph non-carcinogens?

A

NOAEL, LOAEL, or threshold (BMD/BMDL)

23
Q

What do you use to graph carcinogens?

A

slope (q*) and point of departure (POD)

24
Q

What is the end-product of dose-response step for carcinogens and non-carcinogens?

A

Carcinogens: slope factor

Noncarcinogens: NOAEL, LOAEL, BMDL

25
What is exposure assesment?
* who, where, to how much * media, routes * special populations * exposure pathways
26
What is exposure population? exposure media? exposure routes?
population= affected group of people media: air, soil, food, water routes: inhalation, ingestion, dermal
27
What is LADD?
**_L_**ifetime **_A_**verage **_D_**aily **_D_**ose
28
How is LADD calculated?
LADD (mg/kg-day)= (concentration X intake rate X exposure duration) / (body weigh X lifespan)
29
What is LADD used for?
Calculating exposure/dose for carcinogens
30
What is ADD (measurement, not attention deficit disorder...)?
**_A_**verage **_D_**aily **_D_**ose
31
How is ADD calculated?
ADD= (concentration X intake rate X frequency X duration) / (body weight X averaging time)
32
What is ADD used for?
estimating exposure/dose for noncarcinogens (for time of interest, not whole lifetime)
33
What is risk characterization?
summarizing and intergrating information from the preceeding steps of risk assesment to synthesize an overall conclusion about risk
34
What are the end products of risk characterization?
Carcinogens: estimate of increase in the number of cancer cases per year due to chemical (UCL) Non-carcinogens: RfD or MOE
35
How do you deterime the UCL risk for carcinogens?
UCL (mg/kg/day)-1= Slope facotr (q\*) X LADD (mg/kg/day) units should all cancel out and you end up with unitless number that tells you probability of harm
36
What is the difference between RfD and RfC?
RfD= reference dose; RfC= reference concentration dose= inside body (ingestion), concentration= outside body (inhlation)
37
What is the goal of an RfD?
determine a safe level, estimated daily dose that is likley to have no appreciable adverse effects during a lifetime exposure
38
How is RfD calculated?
RfD= (NOAEL or LOAEL or BMDL) / (UFX UFX UF3...)
39
What are sources of uncertainty?
* dose-response: lack of data, especially at real world dose * exposure assesment: lack of data, ambient monitoring rather than personal exposure assesment, modeling instead of data, occupational rather than environmental
40
List uncertainty factors (UF).
* human variability * extrapolation from human to animal * extrapolation from high to low dose * short study duration * use of LOAEL instead of NOAEL * incomplete database * children \* all are UF of 10
41
What is MOE?
Margin of exposure
42
What is MOE used for?
* non-linear endpoints (so for non-carcinogens) * compare "safe levels" to levels humans are actually exposed to (use exposure level from highly exposed group to be safe
43
How is MOE calculated? How do you know if the MOE is good?
* MOE= (NOAEL or LOAEL or BMDL)/ human exposure level * want the # to be big (greater than 100 or the combination of uncertainty factors)
44
What is the precautionary principle?
* 1992 Rio Declaration * "where there are threats of serious or irreversible damage, lack of full scientific certainty shall not be used as a reason for postponing cost-effective measure to prevent environmental degradation" * philosiphy towards being conservative
45
What is risk communication?
process of making risk assesment and management info understandable to public, lawyers, politicians, media, public interest groups