Contemporary challenges and ways to improve health risk assessment and management

Автор: Rakitskii V.N., Kuzmin S.V., Avaliani S.L., Shashina T.A., Dodina N.S., Kislitsin V.A.

Журнал: Анализ риска здоровью @journal-fcrisk

Рубрика: Профилактическая медицина: актуальные аспекты анализа риска здоровью

Статья в выпуске: 3 (31), 2020 года.

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We analyzed basic trends in improving risk assessment and management in Russia taking into account international experience; these trends arise from needs occurring in contemporary hygienic science and necessity to provide stronger resistance against new threats to population health. We substantiated specific tasks in development of health risk analysis mythology basing on preconditions for finding solutions to them in Russia; we also determined practical issues in its implementation that are the most vital and need solu-tions in the nearest future in order to eliminate adverse impacts on the environment and population health. The primary results are creation of a long-term strategy for the development of health risk analysis principles that takes into account the latest scientific data and is aimed at solving the following methodological and practical tasks: imple-mentation of a systemic approach in estimating carcinogenic / non-carcinogenic risks; development of a unified approach to accomplishing toxicological «dose – response» examinations and interpreting their results which will take into account background morbidity and background dose burdens and determine susceptible population groups and behavioral models; threshold levels obtained via determining «benchmark» concentrations taking spontaneous background into account in order to determine new RfD and RfC and revise existing ones; use of micro-environmental approach in exposure estimation; use of risk assessment methodology in BAT parameters implementation for providing control over health safety after new ap-proaches aimed at reducing emissions have been implemented in environmental protection. The necessity to improve ap-proaches to health risk assessment and management and tasks solved within the process have been taken into account when the Branch scientific research program for 2021–2025 was developed by Rospotrebnadzor.

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Risk assessment, risk management, population health, environment, carcinogenic and non-carcinogenic effects, dose response, micro-environment exposure, bat

Короткий адрес: https://sciup.org/142226415

IDR: 142226415   |   DOI: 10.21668/health.risk/2020.3.03

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