Rothwell C J, Hamilton C B, Leaverton P E
Data Processing and Services, National Center for Health Statistics, Rockville, MD 20782.
Environ Health Perspect. 1991 Aug;94:261-3. doi: 10.1289/ehp.94-1567956.
The consensus process was applied to addressing a public health topic; this was a novel endeavor. The following question was addressed: What role, if any, should sentinel health events play in the decision-making process for identifying the effects of environmental exposure? The panel developed three levels of sentinel health events lists: those that are clearly identifiable, those that are potential signs, and those that are indicators of body burdens. Additionally, the panel developed several salient statements regarding the principles of environmental health surveillance and, especially, recommendations for future research.
共识过程被应用于解决一个公共卫生话题；这是一项全新的尝试。讨论了以下问题：在确定环境暴露影响的决策过程中，哨兵健康事件应发挥何种作用（如有）？该小组制定了三个级别的哨兵健康事件清单：明确可识别的事件、潜在迹象以及身体负荷指标。此外，该小组还就环境卫生监测原则，特别是未来研究建议，制定了若干重要声明。
