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