W2-H.1 Lazo JK, Morrow BH, Rhome JR, Feyen JC, Demuth J*; lazo@ucar.eduNational Center <strong>for</strong> Atmospheric ResearchINUNDATION OR IGNORANCE? PERCEPTION AND COMMUNICA-TION OF STORM SURGE RISKThe National Weather Service (NWS) issues a wide array of text and graphicalproducts to communicate the <strong>for</strong>ecasted conditions associated with storm surge(defined as an abnormal rise in sea level accompanying a tropical or extratropicalcyclone). The serious threat to life and property posed by storm surge suggests thatthis threat be specifically communicated to members of the public so that they canmake better proactive and protective decisions. We report on two recent surveys exploringand assessing awareness and understanding, or lack thereof, concerning stormsurge and currently available storm surge in<strong>for</strong>mation. First we report on an analysisof the general public’s actual and perceived risk of inundation, their stated intendedbehavioral responses to hurricane risks, and their in<strong>for</strong>mation preferences. Second wereport on a survey of coastal emergency manager’s preferences <strong>for</strong> storm surge riskcommunication. This work is designed in part to assess whether the National WeatherService (NWS) should consider developing new storm surge in<strong>for</strong>mational approachesto improve the communication and decision-making with respect to storm surgerisk. We discuss ongoing and future ef<strong>for</strong>ts to support NWS ef<strong>for</strong>ts.P.22 Ledezma F; ledezmafernando@hotmail.comWater and Sanitation CentreLANDSLIDE RISK ASSESSMENT IN FUNDAMENTAL ROADS OF BO-LIVIA USING MULTI-CRITERIA AND GEOGRAPHIC INFORMATIONSYSTEMS ANALYSISOne of the mayor risks in Bolivia is the landslides that occurs on roads. Thispaper present the results of landslide risk assessment in fundamental roads of Boliviausing multicriteria and Geographic in<strong>for</strong>mation systems analysis.W4-F.1 Lee RC, Ryti R, Fitzgerald M, Black P; rlee@neptuneinc.orgNeptune and Company, Inc.NATURAL RESOURCE DAMAGE ASSESSMENT, RISK ASSESSMENT,AND DECISION ANALYSIS: WHY CAN’T WE ALL BE FRIENDS?Natural resource damage assessment (NRDA) is conducted under the UnitedStates Comprehensive Environmental Response, Compensation, and Liability Act(CERCLA) or the Oil Protection Act to quantify economic compensation <strong>for</strong> currentand future environmental damage in cases such as oil spills or other CERCLA-regulatedreleases. <strong>Risk</strong> assessment (RA) is typically conducted under CERCLA or similarregulations to in<strong>for</strong>m whether environmental toxicants or other stressors are causingor will cause adverse effects on human health or the environment, and whether actionshould be taken. Decision analysis (DA) coupled with economic analysis may beconducted to decide what the best course of action might be to mitigate or prevent134adverse health effects or environmental damage, but is not currently a routine or explicitcomponent of environmental regulation in the US. These three broad areas ofquantitative assessment are often conducted in isolation and in response to separateregulatory and legal requirements. However, there are no compelling scientific or analyticreasons that the three disciplines cannot in<strong>for</strong>m each other; and ultimately theycan perhaps be harmonized. We discuss NRDA, RA, and DA in turn; including theregulatory and legal contexts, typical applications, methodology, and role in in<strong>for</strong>mingenvironmental decision-making. We also present a case study in which these differentapproaches could be combined. We conclude with recommendations with regard toa harmonized approach, which consists of an overarching DA framework that incorporatesNRDA and/or RA.P.33 Lei HL, Chien LC, Liao KW, Yeh CY; d508099002@tmu.edu.twTaipei Medical UniversityEXPOSURE ASSESSMENT OF METAL CONCENTRATION AND REL-EVANT FACTORS ON WOMEN REPRODUCTIVITY ABILITYThis cross-sectional study investigated the level of blood mercury, arsenic, leadand relevant factors on women reproductivity ability. Study participants consisted of79 polycystic ovary syndrome (PCOS) and 259 non-PCOS infertility women recruitedat the center <strong>for</strong> reproductive medicine and 58 pregnant women at the department ofgynecology and obstetrics in Taipei, Taiwan. Between August 2008 and March 2010,there are 396 participants recruited from a hospital and written in<strong>for</strong>med consent.The participants were interviewed face-to-face by a trained interviewer who collectedin<strong>for</strong>mation about sociodemographic characteristics, occupation, pregnancy and reproductivehistory, fish intake, and other lifestyle characteristics. Mercury, arsenic, leadconcentrations in blood were measured by inductively coupled plasma mass spectrometry(ICP-MS; Thermo X-series II). The results were: the median concentrationin blood was mercury: 1.67± 1.35 /1.79± 1.18 ppb, arsenic: 13.58± 15.47/12.99±4.22 ppb , lead: 16.51± 0.43/15.68± 8.19ppb respectively <strong>for</strong> PCOS /non-PCOSinfertility women and mercury: 1.57± 0.98ppb, arsenic: 10.81±2.9 ppb, lead: 11.62±4.79 ppb. A multiple logistic regression model is shown that women with taking herbmedicine 1~3 times per month associated with a 3.91 fold risk <strong>for</strong> infertility of PCOSwomen (adjusted odds ratio = 3.91, 95%CI = 1.13-13.46). Women with exercising1-2times per week were associated with a 0.39 fold risk <strong>for</strong> non-PCOS infertilitywomen (adjusted odds ratio = 0.39, 95%CI =0.17-0.88), thus exercise may play aprotective role in ability of pregnancy. Blood lead and arsenic level in infertility womenwere higher than pregnant women with adjusted odds ratio 1.14(1.06-1.23) and1.24(1.1-1.39) fold <strong>for</strong> PCOS and non-PCOS infertility women respectively. Thesefindings suggest of taking herb medicine, without exercising habits and higher lead,arsenic concentrations in blood would play an important role in the risk of infertilityin women.
P.71 Lemus-Martinez C, Lemyre L, Pinsent C, Boutette P, Johnson C, Blust S,Corneil W; clemu040@uottawa.caUniversity of OttawaRISK COMMUNICATION IN MULTI ORGANIZATIONAL COMPLEXCRISIS: EXPERIENCES FROM KEY DECISION MAKERSCrisis risk communication is one core element of response and mitigation ef<strong>for</strong>tsof complex multi organizational crisis and extreme events. During these incidentsthe levels of uncertainty, complexity and risks increase, and so do the challengesentailed in conveying the multiple stakes implicated throughout the risk decision makingdevelopment. Given that the levels of risk and uncertainty cannot be avoided,the objective of this work is to bring <strong>for</strong>th facilitators <strong>for</strong> inter organizational communicationduring crisis to overcome the many fold barriers found in these complexevents. Ten interviews were run with senior decision makers from organizationsgoverned by dissimilar command structures, who have managed complex events andcrises such as H1N1, SARS, the G8-G20 summits, and the 2003 Blackout. The interviewguide design was based on a modified version of the critical decision method,under a semi-structured <strong>for</strong>mat. Relational and phenomenological analyses were usedto elicit trends and patterns from the interviews’ verbatim transcripts with the use ofthe NVivo software. Results indicate that communication is one of the main challengesto overcome during emergencies, should in<strong>for</strong>mation pieces be missing, theprocess of strategic risk decision making could potentially be blocked. There<strong>for</strong>e,in the experience of the interviewees, in<strong>for</strong>mation sharing plays a major role in thenegotiation needed <strong>for</strong> the risk decision making process. On the other hand, patternselicited, showed a positive relationship between organizational resources shared andcommunication levels, similar patterns were found in the interaction between powerand authority with inter-organizational communication. The expected contributionof this work is to provide knowledge tools to enhance organizational capabilities thatallow efficient risk communication between organizations from dissimilar governanceand command structures, during complex extreme events. With financial support ofDRDC, NSERC and CONACYT.P.61 Lin MH, Ho WC, Chen PC, Cheng TJ, Wu TN; linmh911@yahoo.comChina Medical UniversityEFFECTS OF EARLY LIFE EXPOSURE TO AIR POLLUTION ONCHILDHOOD ADHD AMONG NEWBORN INFANTS IN TAIWANSeveral animal and epidemiological studies have suggested that air pollutionmay have adverse neurologic effects. However, the studies of neurobehavioral effectsin children were limited. In this study, the aim was to examine the association betweenair pollution exposure and its effects on attention deficit hyperactivity disorder(ADHD) in children based on a longitudinal birth cohort. The subjects were participantsin National Health Insurance program of newborn infants who were bornbetween January 2000 and December 2004, and followed until December 31, 2009.Incident ADHD was defined as ever having had medical records of ADHD diagnosisconfirmed by a physician during the study period. Incidence density was calculatedwith the Poisson assumption and the cumulative incidence assessed by Kaplan-Meieranalysis over the follow-up period. Furthermore, the relative hazards of childhoodADHD in relation to prenatal and postnatal air pollution were evaluated by Cox proportionalhazard model, adjusted with demographics and potential confounding factors.The cumulative incidence of childhood ADHD was 7.28% (1505 events) and2.37% (456 events) <strong>for</strong> boy and girl, respectively. After controlling <strong>for</strong> gender, birthyear, urbanization status, the adjusted relative hazard ratios (HR) <strong>for</strong> ADHD was 1•05(95% confidence interval, CI: 1.03 - 1.07) <strong>for</strong> nitrogen dioxide per unit increased.The similar effect also found in ozone (HR: 1.03; 95% CI: 1.01 - 1.05). Our findingssuggest that early life exposure to air pollution were associated with development ofADHD in early childhood.M3-F.2 Linkov I, Rosoff H, Valverde LJ, Bates M, Trump B, Friedman D, EvansJ, Keisler J; igor.linkov@usace.army.milUS Army Engineer Research and Development Center, US Department of State, University ofMassachussetsGETTING CONSENSUS ACROSS INTERAGENCY STAKEHOLDERS:APPLICATION OF MULTI-CRITERIA DECISION ANALYSIS TO PRI-ORITIZE SKILLS REQUIRED FOR FUTURE DIPLOMATIC MISSIONSVarious situations arise within federal government departments and agencieswhere several stakeholders wield a significant amount of the organization’s decisionmaking ability. Oftentimes, disagreements amongst these stakeholders creates gridlockin the agency’s ability to act, and prevents federal agencies from gaining a full understandingof risks facing the organization through risk-in<strong>for</strong>med decision making.Such an example includes the U.S. Department of State’s Civilian Response Corps,where the 9 stakeholder agencies which comprise the Corps’ membership disagreedon how to reorganize their employment scheme to meet the current and futuristicneeds and prepare <strong>for</strong> the potential risks in their international engagements overseas.To resolve such instances of high-level stakeholder disagreement, multi-criteria decisionanalysis (MCDA) may be employed as a method to incorporate value judgmentsinto the decision making process and resolve stakeholder disagreements through aquantitatively robust and scientifically-defensible methodology. This method ensuresthat all stakeholder opinions and preferences are accounted <strong>for</strong> in a transparent mannerand are included in the final decision making process. For the Civilian ResponseCorps, MCDA was used method to engage their 9 interagency partners in order toelicit an understanding of the ‘ideal’ proportion and types of civilian skills <strong>for</strong> inclusionin the Corps. Where the 9 interagency partners who comprised CRC’s membershipcould not initially agree on how to restructure their employment structure to135
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