Rall D P
Department of Health and Human Services, National Institute of Environmental Health Sciences, Research Triangle Park, NC 27709.
Public Health Rep. 1988 Jul-Aug;103(4):342-7.
In 1980, the Department of Health and Human Services set national prevention objectives for 1990 in 15 health priority areas, 1 of which is the control of toxic agents and radiation. Ten objectives related to this area are priorities for the national control effort. Progress is reviewed on those priorities within the responsibilities of the Public Health Service. Six key program elements, or types of support activities, are deemed essential to preventing, identifying, and controlling toxic agent and radiation threats. Significant progress has been made toward achieving objectives for which all key program elements have been successfully implemented to provide the requisite know-how, manpower, and tools. Important advances have been made in reducing the blood lead levels of the population, reducing unnecessary exposure to medical X-rays, evaluating the toxicities of chemicals in toxic waste dumps, and improving the scientific and technical information base and its availability for prevention and control efforts. The most important priority for the forseeable future will be to expand our knowledge of potential health risks posed by toxic agents and radiation. Expanded surveillance systems and data bases are essential to determining the extent of the problems in terms of human health effects and for measuring the impact of prevention programs. Emphasis on the activities embodied in the key elements will encourage the expansion of the knowledge base and its effective application to prevention and control problems.
1980年,卫生与公众服务部针对15个卫生重点领域制定了1990年的国家预防目标,其中之一是控制有毒物质和辐射。与该领域相关的10项目标是国家控制工作的重点。公共卫生服务部职责范围内会对这些重点工作的进展进行审查。六种关键的项目要素或支持活动类型被认为对于预防、识别和控制有毒物质及辐射威胁至关重要。在实现那些所有关键项目要素都已成功实施以提供必要的专门知识、人力和工具的目标方面已取得重大进展。在降低人群血铅水平、减少不必要的医用X射线照射、评估有毒废物堆中化学物质的毒性以及改善科学技术信息库及其在预防和控制工作中的可获取性方面都取得了重要进展。在可预见的未来,最重要的重点将是扩大我们对有毒物质和辐射所造成潜在健康风险的认识。扩大监测系统和数据库对于确定就人类健康影响而言问题的严重程度以及衡量预防项目的影响至关重要。对关键要素中所包含活动的重视将有助于扩大知识库并将其有效地应用于预防和控制问题。