Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, Colorado 80045, USA; email:
Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland 21205, USA; email:
Annu Rev Public Health. 2020 Apr 2;41:347-361. doi: 10.1146/annurev-publhealth-040119-094056. Epub 2020 Jan 6.
The quality of the environment is a major determinant of the health and well-being of a population. The role of scientific evidence is central in the network of laws addressing environmental pollution in the United States and has been critical in addressing the myriad sources of environmental pollution and the burden of disease attributable to environmental factors. We address the shift away from reasoned action and science to a reliance on belief and document the efforts to separate regulation from science and to remove science-based regulations and policies intended to protect public health. We outline the general steps for moving from research to policy, show how each has been undermined, offer specific examples, and point to resources that document the enormity of the current efforts to set aside scientific evidence.
环境质量是人口健康和福祉的主要决定因素。科学证据在美国解决环境污染问题的法律网络中起着核心作用,对于解决各种环境污染源以及归因于环境因素的疾病负担至关重要。我们讨论了从理性行动和科学转向依赖信仰的转变,并记录了将监管与科学分开以及取消旨在保护公众健康的基于科学的法规和政策的努力。我们概述了从研究到政策的一般步骤,展示了每个步骤是如何被破坏的,提供了具体的例子,并指出了记录当前搁置科学证据的巨大努力的资源。