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PRINCIPLES OF TOXICOLOGY

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472 RISK ASSESSMENT<br />

TABLE 18.7 Activities Estimated to Increase Your Chances of Dying in Any Year by One in a Million<br />

Activity Cause of Death<br />

Smoking 1.4 cigarettes Cancer, heart disease<br />

Drinking 0.5 L of wine Liver cirrhosis<br />

Spending 1 h in a coal mine Black lung disease<br />

Spending 3 h in a coal mine Accident<br />

Living 2 days in New York or Boston Air pollution<br />

Traveling 6 min by canoe Accident<br />

Traveling 10 miles by bicycle Accident<br />

Traveling 150 miles by car Accident<br />

Flying 1000 miles by jet Accident<br />

Flying 6000 miles by jet Cancer from cosmic radiation<br />

Living 2 months in Denver on vacation from New York Cancer from cosmic radiation<br />

Living 2 months in average stone or brick building Cancer from natural radioactivity<br />

One chest X-ray taken in a good hospital Cancer from radiation<br />

Living 2 months with a cigarette smoker Cancer, heart disease<br />

Eating 40 tablespoons of peanut butter Liver cancer from aflatoxin B<br />

Drinking Miami drinking water for 1 year Cancer from chloroform<br />

Living 5 years at site boundary of a nuclear power plant Cancer from radiation<br />

Eating 100 charcoal-broiled steaks Cancer from benzopyrene<br />

Source: Allman (Oct. 1985).<br />

18.9 RISK COMMUNICATION<br />

In order to be useful, risk assessment results must be effectively communicated to nontechnical<br />

audiences. This can include risk managers, legislators, the public, industry, and environmental groups.<br />

If risk managers don’t understand the results, it can lead to bad regulatory and policy decisions. Public<br />

understanding of risk assessment results is also essential if they are to participate in, or at least accept<br />

the results of, risk-based decision-making.<br />

Effectively communicating the results of risk assessments is an enormous challenge. Problems lie<br />

in virtually all aspects of the risk communication process, including (1) the individual, agency, or<br />

company that conducts and presents the risk assessment; (2) the risk assessment itself; (3) the means<br />

to convey risk information; and (4) the audience. Examples of these problems are listed in Table 18.8.<br />

One of the biggest hurdles is the fact that risk analyses are often very complex, technical exercises.<br />

Making the process and outcome of the risk analysis transparent to laypersons is next to impossible<br />

unless there is some opportunity to provide background education to “bring them up to speed” on the<br />

subject. In most situations, this opportunity doesn’t exist. The public is arguably one of the most<br />

important recipients of risk information, yet one of the most difficult audiences for risk assessors to<br />

communicate with. One problem is that the most common channel for communicating risk information<br />

to the public is through the news media. This presents at least three difficulties in trying to communicate<br />

a clear and accurate message: (1) reporting of the information may be biased, incomplete, or inaccurate;<br />

(2) news accounts may tend to sensationalize or focus on ancillary issues, such as disagreements<br />

between parties or human interest stories; and (3) news media have generally shown little interest in<br />

providing the background information needed to educate the public on risk analysis and to help them<br />

interpret findings for themselves.<br />

No doubt one reason why the media have not invested much effort in educating the public about<br />

risk assessment is that the public itself, for the most part, has shown little interest in the technical<br />

complexities and nuances of risk analysis. In most situations for which a risk assessment is needed,<br />

they just want a straight answer to the simple question, “Is it safe?” Anything other than a clear “yes”<br />

answer to this question signals cause for concern. Herein lies a second major problem for risk

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