Cranor Carl F
Department of Philosophy, University of California, Riverside, CA 92521, USA.
Int J Occup Med Environ Health. 2004;17(1):17-34.
In creating a legal agenda in service of the Precautionary Principle, the idea of precaution requires more inventories and better monitoring of the condition of public and workforce health than at present. Rectifying problems of the past to better serve the aims of precaution will require more affirmative pre-market and much more post-market knowledge-generation by those who create and use potentially toxic substances, improved pre-market review of substances, better responses to early warnings, and quicker protective post-market responses to evidence of toxicity. This paper conceptualizes a model pre-market screening law to highlight the need for primary prevention measures and to provide philosophic ideas for improving post-market laws and addressing a large universe of existing substances that have been poorly characterized. Although retrospective personal injury law does not have good mechanisms for precaution, even this can be more protective than it is at present by enhancing causes of action for reasonable fear of disease and medical monitoring, and moving to create new causes of action for failure to develop and disseminate information needed to assess the toxicity of substances.
在制定一项服务于预防原则的法律议程时,预防理念需要比目前更多的清单,并对公众和劳动力健康状况进行更好的监测。纠正过去的问题以更好地服务于预防目标,将需要那些创造和使用潜在有毒物质的人在上市前进行更积极的行动,并在上市后产生更多的知识,改进对物质的上市前审查,更好地应对早期预警,以及对毒性证据更快地做出上市后保护反应。本文构想了一项示范上市前筛查法,以突出初级预防措施的必要性,并为改进上市后法律以及处理大量特性描述不足的现有物质提供哲学思路。尽管追溯性人身伤害法没有良好的预防机制,但即使如此,通过加强对合理疾病恐惧和医学监测的诉讼理由,并着手为未能开发和传播评估物质毒性所需信息而创造新的诉讼理由,它也可以比目前更具保护性。