Determining the Impacts on Human Health Attributable to Hazardous Waste Sites

Author(s):  
VERNON N. HOUK
1997 ◽  
Vol 5 (3-4) ◽  
pp. 167-180 ◽  
Author(s):  
L D Saunders ◽  
W Chen ◽  
S E Hrudey

We conducted a systematic review of English-language analytical epidemiological studies assessing whether contaminants from hazardous waste sites cause adverse human health effects. From 900 candidate studies identified from computerized searches, bibliographic reviews, reference lists, and personal contacts, 43 potentially eligible studies were chosen. These were independently screened by two reviewers and 14 studies were selected for the final review. Each study was assessed independently by three reviewers. The methodology and main results were summarized. Studies were rated for different aspects of internal validity and criteria for causation. Inter-rater reliability was evaluated and differences were resolved by consensus. Most (11 of 14) studies selected for the final review were case-control studies. Hazardous exposures ranged from a single chemical in groundwater to multiple compounds in contaminated landfill sites. Health outcomes assessed included various cancers, various reproductive outcomes, and a variety of nonspecific health conditions and symptoms. Reported statistically significant relative risks (RRs) or odds ratios (ORs) were generally modest. Overall, for these 14 studies exposure measures were poorly rated; outcome measures were well rated and measurement bias, selection bias, and confounding biases were intermediately rated. Adherence to criteria for temporal association and biological plausibility was better than for other criteria of causality. The studies reviewed did not provide convincing evidence of causal relationships between hazardous waste site exposure and adverse human health effects, in particular because of poor exposure measurement. This does not mean that such causal relationships do not exist. Substantially better exposure assessment methodology is needed to establish the harmful effects caused by hazardous waste exposures.


Author(s):  
Larry J. Zaragoza

The Environmental Protection Agency’s (EPA) Superfund program was established to identify, assess and clean up the nation’s worst hazardous waste sites to protect human health and the environment. Community involvement is an important part of the Superfund program for at least three reasons. First, involving communities in decision making at Superfund sites is a statutory requirement. Second, community involvement is important so that clean up decisions will support reuse in the surrounding community. Third, because even after cleanup many sites have residual contamination that warrants administrative and legal controls to protect health and the environment, community members should understand these controls to both help protect community members and any limitations on site reuse. Community feedback informs both proposed actions and local reuse decisions. While the EPA recognizes that the agency performs many activities that are helpful to support community involvement, there are areas in need of improvement and further research would be helpful for communities in the future.


1998 ◽  
Vol 5 (12) ◽  
pp. 761-763 ◽  
Author(s):  
Pingo Wang ◽  
Alok K. Bohara ◽  
Robert P. Berrens ◽  
Kishore Gawande

1993 ◽  
Vol 13 (5-7) ◽  
pp. 431-437 ◽  
Author(s):  
P.N. Murthy ◽  
A.R. McFarland

2007 ◽  
Vol 103 (3) ◽  
pp. 405-412 ◽  
Author(s):  
Carrie M. Kuehn ◽  
Beth A. Mueller ◽  
Harvey Checkoway ◽  
Marcia Williams

2018 ◽  
Vol 2 (1) ◽  
pp. 1-7 ◽  
Author(s):  
Tee L. Guidotti

On 16 October 1996, a malfunction at the Swan Hills Special Waste Treatment Center (SHSWTC) in Alberta, Canada, released an undetermined quantity of persistent organic pollutants to the atmosphere. An ecologically based, staged health risk assessment was conducted to evaluate the human health risk, the findings of which are presented in Part 2, on Ecotoxicology and Human Health Risk. The incident resulted in the largest fine for an environmental infraction in Alberta history up to that time. Despite the incident, the province of Alberta has continued to subsidize the facility and has kept it in operation, with changes in management. The policy rationale is that if the facility were not available, accumulation and possible diversion of hazardous waste into illegal disposal alternatives would threaten the environment much more than operation of the plant. This case study illustrates an ecological approach to risk assessment and an attempted culturally sensitive approach to risk management. Incidents in which people are exposed to toxic substances do not occur in a social vacuum. Risk management strategies must be adapted to groups with different cultural values and expectations. Community and individual responses to such incidents, and the development of health advisory messages, may depend on presenting information on exposure and risk in terms consistent with cultural patterns among subpopulations in the community.


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