Pease W S
School of Public Health, University of California, Berkeley 94720.
Risk Anal. 1992 Jun;12(2):253-65. doi: 10.1111/j.1539-6924.1992.tb00673.x.
The extent of carcinogen regulation under existing U.S. environmental statutes is assessed by developing measures of the scope and stringency of regulation. While concern about cancer risk has played an important political role in obtaining support for pollution control programs, it has not provided the predominant rationale for most regulatory actions taken to date. Less than 20% of all standards established to limit concentrations of chemicals in various media address carcinogens. Restrictions on chemical use are more frequently based on concerns about noncancer human health or ecological effects. Of the chemicals in commercial use which have been identified as potential human carcinogens on the basis of rodent bioassays, only a small proportion are regulated. There is an inverse relationship between the scope of regulatory coverage and the stringency of regulatory requirements: the largest percentages of identified carcinogens are affected by the least stringent requirements, such as information disclosure. Standards based on de minimis cancer risk levels have been established for only 10% of identified carcinogens and are restricted to one medium: water. Complete bans on use have affected very few chemicals. The general role that carcinogenicity now plays in the regulatory process is not dramatically different from that of other adverse human health effects: if a substance is identified as a hazard, it may eventually be subject to economically achievable and technically feasible restrictions.
通过制定监管范围和严格程度的衡量标准,对美国现有环境法规下致癌物监管的程度进行评估。虽然对癌症风险的担忧在获得对污染控制项目的支持方面发挥了重要的政治作用,但它并不是迄今为止大多数监管行动的主要理由。在为限制各种介质中化学物质浓度而制定的所有标准中,涉及致癌物的不到20%。对化学品使用的限制更多地基于对非癌症人类健康或生态影响的担忧。在根据啮齿动物生物测定法被确定为潜在人类致癌物的商业用途化学品中,只有一小部分受到监管。监管覆盖范围与监管要求的严格程度之间存在反比关系:已确定的致癌物中,最大比例受到最宽松要求的影响,如信息披露。基于极小癌症风险水平的标准仅针对10%已确定的致癌物制定,且仅限于一种介质:水。完全禁止使用的化学品极少。致癌性目前在监管过程中所起的总体作用与其他对人类健康的不利影响没有显著差异:如果一种物质被确定为有害物,它最终可能会受到经济上可行且技术上可行的限制。