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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.65 JYOTHIKUMAR, V; University of Virginia;<br />

vinzymes@gmail.com<br />

Biological weapons and bioterrorism threat assessment.<br />

Present day terrorists do not officially represent countries or<br />

states, but often they represent a religious ideology expressed<br />

through violence and death. The use of weapons of mass<br />

destruction (WMD) against civilian noncombatants is not novel<br />

or unique to present times. Mankind has exploited diseases,<br />

toxins, and poisons since the earliest days of recorded history<br />

to wage warfare, commit crimes, and <strong>for</strong>ce others. However,<br />

accessibility to biological weapon agents, and their enhanced<br />

capacity to cause morbidity and mortality, as well as<br />

improvement of tactics <strong>for</strong> their employment, have significantly<br />

increased the need <strong>for</strong> the development of more effective<br />

means of detecting and countering such weapons. Infectious<br />

diseases have unquestionably played a significant and defining<br />

role in the overall progression of mankind, religions, and<br />

cultures to the structure and organization of economies and<br />

governments. Bacterial pathogens that can be potentially used<br />

as biological threat are typically 1–2 microns and are most<br />

effective when inhaled or ingested into the body.<br />

Antibiotic-resistant strains of anthrax, plague, and tularemia<br />

are known to exist naturally and may be exploited <strong>for</strong> weapons.<br />

Bacillis anthracis , <strong>for</strong> example, can be weaponized by attaching<br />

spores to carrier particles. A new economical way to screen<br />

such samples in nature is by using autofluorescence.<br />

Autofluorescence is based on the detection of natural intrinsic<br />

tissue fluorescence emitted by endogenous molecules such as<br />

co-enzyme, collagen and flavins. After excitation by a<br />

short-wavelength light source, these fluorophores emit light of<br />

longer wavelengths. The overall fluorescence emission patterns<br />

differ among various bacterial species due to corresponding<br />

differences in fluorophores concentration, metabolic state.<br />

Bacterial spores contain a high concentration of endogenous<br />

fluorophores besides other elements, which may allow a proper<br />

discrimination of spores from other suspicious particles.<br />

T4-G.5 KAIN, NA*; JARDINE, CG; WONG, J; University of<br />

Alberta; nkain@ualberta.ca<br />

Learning from SARS and H1N1: A comparison of survey<br />

data from nurses in Alberta, Canada<br />

Over the past decade, two major communicable respiratory<br />

disease outbreaks affected Canada: the Severe Acute<br />

Respiratory Syndrome (SARS) outbreak in 2003 and the<br />

pandemic H1N1 influenza outbreak in 2009. Playing the dual<br />

role of both front-line caregivers and in<strong>for</strong>mation conduits,<br />

nurses were an integral component in the public health and<br />

healthcare response to both outbreaks. In the Canadian<br />

province of Alberta, surveys of nurses were conducted after<br />

these public health crises (2004/5 and 2010, respectively) to<br />

assess nurses’ perspectives on the risk communication issues<br />

related to the SARS and H1N1 outbreaks in Canada. Both<br />

surveys were components of larger research projects examining<br />

the various risk communications processes surrounding these<br />

public health events, so that communications strategies in<br />

Alberta and Canada might be improved in the incidence of a<br />

future infectious disease outbreak. A total of 361 Alberta nurses<br />

completed the SARS self-administered paper-based mailed<br />

survey in 2004/5, and 1,953 Alberta nurses completed the<br />

H1N1 anonymous internet-based online survey in 2010. Both<br />

open and closed-ended questions were asked in the surveys,<br />

including demographic in<strong>for</strong>mation, questions related to<br />

nurses’ in<strong>for</strong>mation sources about the outbreak/disease, access<br />

to in<strong>for</strong>mation about the disease/outbreak, understanding of the<br />

disease symptoms, their perceived roles and responsibilities<br />

during the outbreak, and whether or not the in<strong>for</strong>mation they<br />

received about the disease/outbreak was confusing or<br />

conflicting. Similarities and differences between nurses’<br />

responses post-SARS and post-H1N1 are outlined, compared<br />

and contrasted. Recommendations from nurses in Alberta<br />

relating to future risk communications regarding infectious<br />

disease outbreaks are summarized.<br />

P.104 KAIN, NA; University of Alberta; nkain@ualberta.ca<br />

Crisis and Emergency <strong>Risk</strong> Communication to Family<br />

Physicians in Canada<br />

Family physicians play the unique role in the Canadian health<br />

care system of being both recipients and translators of complex<br />

health risk in<strong>for</strong>mation. This role is especially highlighted<br />

during times of public health crisis, such as the SARS outbreak<br />

in 2003, the Maple Leaf Foods Listeria outbreak in 2008, and<br />

the H1N1 pandemic influenza outbreak in 2009. Reviews of<br />

these crises outline the necessity <strong>for</strong> improved risk<br />

communication of appropriate and timely in<strong>for</strong>mation to family<br />

physicians. Public health and professional agencies need to<br />

better understand the in<strong>for</strong>mation-seeking behaviours,<br />

knowledge requirements and trust relationships of this<br />

community, in order to maximize the potential of knowledge<br />

dissemination to this group, and to improve the risk<br />

communication of crisis/emergency in<strong>for</strong>mation to family<br />

physicians in Canada. This paper outlines an original research<br />

study that will: 1) explore the way in which Canadian family<br />

physicians access in<strong>for</strong>mation during times of public health<br />

crisis/emergency, 2) acquire a clear understanding of who<br />

family physicians trust <strong>for</strong> timely, accurate and credible<br />

in<strong>for</strong>mation, and 3) assess the knowledge requirements and risk<br />

communication needs of family physicians. Using a<br />

phenomenological approach, individual interviews will be<br />

conducted with family physicians from various practice settings<br />

and locations across Canada. The interviews will be<br />

audio-record and transcribed verbatim and coded to identify<br />

descriptions of the phenomenon of risk communication of<br />

crisis/emergency in<strong>for</strong>mation to family physicians, and then by<br />

clustering these descriptions into categories to describe the<br />

“essence” of this phenomenon. A set of recommendations <strong>for</strong><br />

public health and professional agencies in Canada to improve<br />

risk communication strategies <strong>for</strong> family physicians relating to<br />

crisis/emergency in<strong>for</strong>mation will be proposed.<br />

P.107 Kajihara, H; National Institute of Advanced Industrial<br />

Science and Technology; kajihara.hideo@aist.go.jp<br />

Selection of next-generation low<br />

global-warming-potential refrigerants by using a risk<br />

trade-off framework<br />

Because the refrigerants currently used in air-conditioners have<br />

high global-warming-potential (GWP), substances with lower<br />

GWP, such as R-1234yf, are being sought as candidate<br />

next-generation refrigerants. However, low-GWP substances<br />

often have comparatively high chemical reactivity and may<br />

carry increased risks of combustibility, toxicity, generation of<br />

degraded products, and CO2 emission increase caused by poor<br />

energy-saving per<strong>for</strong>mance. It is there<strong>for</strong>e possible that there is<br />

a risk trade-off between currently used refrigerants and<br />

low-GWP ones. In this research, I proposed a framework <strong>for</strong><br />

evaluating this risk trade-off in the following five categories: (1)<br />

environmental characteristics; (2) combustion characteristics;<br />

(3) toxicity; (4) volume of greenhouse gas emissions; and (5)<br />

applicability to air-conditioning equipment. I then selected<br />

substances well suited as next-generation refrigerants in<br />

accordance with a specific screening process. I showed the<br />

importance of clearly specifying the combination of a number of<br />

end points and assessment criteria in the process of<br />

decision-making based on risk trade-off. This yields a rapid<br />

understanding of the necessary data, as well as flexible<br />

decision-making that is relevant to the social conditions.<br />

December 8-11, 2013 - Baltimore, MD

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