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Abstracts (PDF file, 1.8MB) - Society for Risk Analysis

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SRA 2013 Annual Meeting <strong>Abstracts</strong><br />

P.82 Wilson, P*; Kubatko, A; Hawkins, B; Cox, J; Gooding, R;<br />

Whitmire, M; Battelle Memorial Institute and the Department of<br />

Homeland Security Chemical Security <strong>Analysis</strong> Center;<br />

wilsonph@battelle.org<br />

Challenges Associated with Communicating<br />

Multidimensional <strong>Risk</strong> Data to a Diverse Set of<br />

Stakeholders<br />

The Chemical Terrorism <strong>Risk</strong> Assessment (CTRA) is a DHS<br />

CSAC funded program that estimates the risk among chemical<br />

terrorism attack scenarios and assists in prioritizing mitigation<br />

strategies. Presentation of multidimensional results, specifically<br />

frequency, consequence, and risk results <strong>for</strong> a wide variety of<br />

attack scenarios, in a manner that is easily digestible to<br />

stakeholders from diverse backgrounds is a perpetual challenge<br />

on the CTRA. Graphical <strong>for</strong>mats are commonly more<br />

comprehensible and meaningful than vast numeric tables;<br />

however, visually capturing multiple dimensions poses a<br />

difficult challenge. Experience has shown that pie and bar<br />

charts are the most aesthetically appealing and easily<br />

understood <strong>for</strong>mats, yet such <strong>for</strong>mats generally only present<br />

one dimension of the data and do not capture the uncertainty<br />

inherent in the results. Whisker and box plots portray the<br />

uncertainty associated with a single dimension of the data, but<br />

are generally not well understood by, and thus not appealing to<br />

stakeholders. <strong>Risk</strong> square plots that mimic traditional risk<br />

assessment matrices have proven useful at effectively<br />

communicating results, but struggle to depict the vast number<br />

of attack scenarios comprising the CTRA and wide range of<br />

scenario aggregates of interest to the various types of<br />

stakeholders. Often CTRA stakeholders desire drastically<br />

different aggregations in order to meet their specific needs of<br />

their missions. To better meet the needs of the wide array of<br />

CTRA stakeholders, notional data will be used to illustrate<br />

examples of risk visualizations <strong>for</strong> potential use in<br />

communicating results. Interactive data visualization concepts<br />

that allow stakeholders to customize scenario aggregation to<br />

meet specific needs will also be discussed.<br />

P.129 Winkel, DJ*; Hawkins, BE; Roszell, LE; BATTELLE<br />

MEMORIAL INSTITUTE, US ARMY PUBLIC HEALTH<br />

COMMAND; winkeld@battelle.org<br />

Development of exposure guidelines <strong>for</strong> chronic health<br />

effects following acute exposures to TICs<br />

Joint Chemical, Biological, Radiological, and Nuclear doctrine<br />

(JP 3-11) requires military commanders to minimize total risk in<br />

operational planning and execution. Incorporation of Military<br />

Exposure Guidelines (MEGs) into risk estimates provides a<br />

mechanism to consider short- and long-term chemical exposure<br />

risks. However, current MEGs (and civilian guidelines) do not<br />

address chronic non-cancer health effects resulting from a<br />

single acute exposure. This gap is a source of concern <strong>for</strong><br />

planners in the medical community, as these effects may have<br />

implications <strong>for</strong> long-term protection of exposed military or<br />

civilian populations. Challenges in establishing this type of<br />

guideline are small sample sizes, difficulties/inconsistencies in<br />

identifying long-term effects, and uncertainty in exposure<br />

concentration and duration. Given these challenges, this<br />

investigation describes an approach to develop such guidelines,<br />

using chlorine as an exemplar chemical. Chlorine was selected<br />

due to its use in attacks with improvised explosive devices, its<br />

presence in industry, and a prevalence of cases in the<br />

literature. Reports from chlorine exposures were reviewed and<br />

data on exposure concentration, duration, and long term health<br />

outcomes were compiled. Health outcomes ranged from the<br />

presence of physical symptoms (e.g., shortness of breath) to<br />

abnormal pulmonary function test results. Binomial<br />

distributions were used to address issues with a small sample<br />

population; uni<strong>for</strong>m distributions were used to address<br />

incomplete exposure terms. The approach was applied to data<br />

presently identified and a probit analysis was used to generate<br />

a probit curve capturing the dose-response of long term health<br />

effects due to acute chlorine exposure. The curve compares<br />

favorably to existing guidelines (both military and civilian) in<br />

that only severe exposures have the potential to cause chronic<br />

health effects. This approach is believed to be novel and may be<br />

applicable to other TICs with a limited data set.<br />

T2-B.2 Wise, K*; Beck, N; Fischer, D; Pottenger, LH; Beatty, P;<br />

Cruzan, G; Becker, RA; 1) American Chemistry Council 2)<br />

American Chemistry Council 3) American Chemistry Council 4)<br />

The Dow Chemical Company 5) American Petroleum Institute 6)<br />

ToxWorks 7) American Chemistry Council ; beattyp@api.org<br />

Getting the Science Right on Mode of Action: An<br />

Essential Element <strong>for</strong> IRIS Improvement<br />

All stakeholders have an expectation that EPA’s Integrated <strong>Risk</strong><br />

In<strong>for</strong>mation System (IRIS) assessments will rely on the best<br />

available scientific in<strong>for</strong>mation regarding hazard and exposure,<br />

and employ consistent, objective methods <strong>for</strong> establishing cause<br />

and effect. Given the importance of IRIS assessments in<br />

regulatory decisions, EPA must employ consistent,<br />

science-based frameworks, which utilize transparent<br />

approaches <strong>for</strong> evaluating study quality, integrating the most<br />

relevant scientific data, and clearly communicating uncertainty.<br />

Regulatory decisions have enormous public health and<br />

economic consequences, thus the scientific basis <strong>for</strong> IRIS<br />

assessments should include the full use of knowledge on modes<br />

of action (MOAs). In many ways, however, IRIS relegates MOA<br />

to a more limited role as a modifying feature, typically added<br />

only towards the end of an assessment, an approach which<br />

undervalues and undermines the vast extent of mechanistic<br />

research conducted over the last 30 years and current<br />

understanding of biology. One key litmus test <strong>for</strong> an improved<br />

IRIS will be adoption and use of a weight of evidence<br />

framework that incorporates all of the relevant and reliable<br />

data and knowledge of hypothesized MOAs, so that there is a<br />

clear and objective presentation of the extent to which existing<br />

data and knowledge do, or do not, support each hypothesis,<br />

including the default. The discussion will focus on best<br />

practices <strong>for</strong> considering scientific in<strong>for</strong>mation on MOA and<br />

why applying them consistently is essential <strong>for</strong> IRIS<br />

improvement, not only to improve the objectivity and scientific<br />

basis of assessments, but also to help improve risk<br />

communication.<br />

P.34 Wu, TT*; Chen, LH; Ho, WC; Lin, MH; Pan, SC; Fan, KC;<br />

Chen, PC; Wu, TN; Sung, FC; Lin, RS; China Medical<br />

University; martinwu1006@gmail.com<br />

Air Pollution Patterns May Modify the Effect of Weight<br />

Gain on Lung Function among Adolescents<br />

Lung function is a very important index of respiratory health.<br />

Weight gain and air pollution both can have adverse effect on<br />

lung function. The objective of this study is to assess the<br />

modifying effect of air pollution patterns on weight gain related<br />

to reducing lung function. The study design was a retrospective<br />

birth cohort through linking birth registry record (birth weight<br />

and gestational age) and nation-wide junior high school student<br />

respiratory health survey database in central Taiwan. The study<br />

subjects were based on 10% of random sampling. For robust<br />

exposure assessments, we excluded the subject who had ever<br />

moved during the follow up in the analysis. Air pollution data<br />

including SO2, CO, O3, NO2 and PM10 were collected by<br />

high-density Taiwan Environmental Protection Administration<br />

monitoring stations. Multiple regressions were used, the<br />

adjusted variables including sex, age, height, weight, parental<br />

education level, family smoking, incense burning, exercise and<br />

temperature. Obesity was related to reducing lung function.<br />

Low birth weight had the similar effect. Obese adolescents who<br />

were born with low birth weight had the most adverse effect on<br />

lung function. Furthermore, air pollution patterns might modify<br />

the effect. It is necessary to protect public from the adverse<br />

effect of weight gain, especially considering the potential<br />

interaction with air pollution patterns.<br />

December 8-11, 2013 - Baltimore, MD

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