Judd Nancy L, Drew Christina H, Acharya Chetana, Mitchell Todd A, Donatuto Jamie L, Burns Gary W, Burbacher Thomas M, Faustman Elaine M
Department of Environmental and Occupational Health Services, University of Washington, Seattle, Washington, USA.
Environ Health Perspect. 2005 Nov;113(11):1502-8. doi: 10.1289/ehp.7655.
Risk management provides a context for addressing environmental health hazards. Critical to this approach is the identification of key opportunities for participation. We applied a framework based on the National Research Council's (NRC) analytic-deliberative risk management dialogue model that illustrates two main iterative processes: informing and framing. The informing process involves conveying information from analyses of risk issues, often scientific, to all parties so they can participate in deliberation. In the framing process, ideas and concerns from stakeholder deliberations help determine what and how scientific analyses will be carried out. There are few activities through which affected parties can convey their ideas from deliberative processes for framing scientific analyses. The absence of participation results in one-way communication. The analytic-deliberative dialogue, as envisioned by the NRC and promoted by the National Institute of Environmental Health Sciences (NIEHS), underscores the importance of two-way communication. In this article we present case studies of three groups--an Asian and Pacific Islander community coalition and two Native American Tribes--active in framing scientific analyses of health risks related to contaminated seafood. Contacts with these organizations were established or enhanced through a regional NIEHS town meeting. The reasons for concern, participation, approaches, and funding sources were different for each group. Benefits from their activities include increased community involvement and ownership, better focusing of analytical processes, and improved accuracy and appropriateness of risk management. These examples present a spectrum of options for increasing community involvement in framing analyses and highlight the need for increased support of such activities.
风险管理为应对环境卫生危害提供了背景。这种方法的关键在于确定关键的参与机会。我们应用了一个基于美国国家研究委员会(NRC)分析性审议风险管理对话模型的框架,该模型展示了两个主要的迭代过程:信息告知和框架构建。信息告知过程涉及将对风险问题(通常是科学性的)分析得出的信息传达给所有各方,以便他们能够参与审议。在框架构建过程中,利益相关者审议中的想法和关切有助于确定将进行何种科学分析以及如何进行。受影响方能够通过很少的活动来传达他们在框架构建科学分析的审议过程中的想法。缺乏参与会导致单向沟通。美国国家研究委员会所设想并由美国国家环境卫生科学研究所(NIEHS)推动的分析性审议对话强调了双向沟通的重要性。在本文中,我们介绍了三个群体的案例研究——一个亚太岛民社区联盟和两个美国原住民部落——它们积极参与构建与受污染海产品相关的健康风险的科学分析。通过NIEHS区域城镇会议与这些组织建立或加强了联系。每个群体关注的原因、参与情况、方法和资金来源都有所不同。它们活动带来的好处包括社区参与度和自主权的提高、分析过程的更好聚焦以及风险管理的准确性和适当性的提升。这些例子展示了一系列增加社区参与框架构建分析的选项,并强调了加大对此类活动支持的必要性。