Healthy People 2000 Citizens Chart the Course (1990) / Chapter Skim
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18 Environmental Public Health
18 Environmental Public Health
Pages 148-152
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From page 148... ...
Thus, from a quantitative or population-based perspective, public health should devote more of its environmental efforts toward high-risk populations and to surveillance of the health outcomes of environmental conditions on populations such as these. Conversely, public health should not be expending as much of its limited funds, Spear urges, on "programs whose health benefits are difficult to Justin on the basis of procedures like quantitative risk assessment, let alone on epidemi 148 Healthy People 2000: Citizens Chart the Course ological grounds." (~275J Although most witnesses addressed either the immediate environment of the home and workplace or the proximate physical environment in terms of land, water, and air, Malcolm Watts of the University of California, San Francisco pointed out that to help ensure health for all people in the year 2000 and beyond, attention also must be paid to longer-term issues related to protecting our global environment.
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From page 149... ...
This includes the Toxic Substances Control Act and the Resource Conservation and Recovery Act. It is now up to the scientific community, he claims, "to develop an understanding of the potential and real effects on the health of individuals resulting from their exposure to toxic agents because they live near hazardous waste sites." Meeks proposes comprehensive risk assessment and health monitoring for individuals who are faced with having hazardous waste or toxic agent storage facilities in their communities.
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From page 150... ...
Allen Bell of the Texas Air Control Board suggests a mixture of public and private initiatives to reduce contamination of the environment and keep the public safe from environmental health threats. These include product bans, required or voluntary emission standards, voluntary changes in products to reduce emissions from product manufacture and use, information strategies to promote private behavior that reduces emissions, government subsidies to promote emission reductions, legal sanctions and financial penalties to compensate for past damages, and other economic incentives.
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From page 151... ...
Scheckler suggests that All major environmental health protection initiatives undertaken by the federal government be analyzed by appropriate experts in epidemiology and cost benefit and then reviewed in the context of other health promotion and disease prevention priorities before being funded and implemented." (#194) A representative of the Detroit Department of Health feels that the EPA should "have established firm guidelines for acceptable levels of risk for exposure to asbestos and most toxic agents," based on the assumptions that "the focus of safety and health practice will continue to shift toward prevent~on as opposed to control" and that "technology advances will continue to outgrow data requirements." This testifier also feels that an expeditious method of controlling potentially harmful chemicals would be to change current EPA regulatory procedures.
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From page 152... ...
Food Technol, July 1987 TESTIFIERS CITED IN CHAPTER 18 008 Anderson, Dave; American Automobile Association 017 Bell, Allen; Texas Air Control Board 067 Freeman, S David, et al.; Lower Colorado River Authority 111 Johnson, Carl; South Dakota Department of Health 194 Scheckler, William; University of Wisconsin 210 Gaines, George; Detroit Department of Health 275 Spear, Robert; University of California, Berkeley 318 Kamberg, Larry; Washington State Environmental Health Association 342 Black, James; Oregon Department of Agriculture 348 Treser, Charles; University of Washington 357 Murphy, Sheldon; University of Washington 362 Mangione, Ellen; Colorado Department of Health 379 Sowinski, Joan; Colorado Department of Health 384 Messenger, Tom; Association of Food and Drug Officials 412- Strauther, John; Detroit Department of Health 456 Weinstein, I
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