RESUMEN

Risk assessments and risk management efforts to protect human health and the environment can benefit from early, coordinated research planning by researchers, risk assessors, and risk managers. However, approaches for engaging these and other stakeholders in research planning have not received much attention in the environmental scientific literature. The Comprehensive Environmental Assessment (CEA) approach under development by the United States Environmental Protection Agency (USEPA) is a means to manage complex information and input from diverse stakeholder perspectives on research planning that will ultimately support environmental and human health decision making. The objectives of this article are to 1) describe the outcomes of applying lessons learned from previous CEA applications to planning research on engineered nanomaterial, multiwalled carbon nanotubes (MWCNTs) and 2) discuss new insights and refinements for future efforts to engage stakeholders in research planning for risk assessment and risk management of environmental issues. Although framed in terms of MWCNTs, this discussion is intended to enhance research planning to support assessments for other environmental issues as well. Key insights for research planning include the potential benefits of 1) ensuring that participants have research, risk assessment, and risk management expertise in addition to diverse disciplinary backgrounds; 2) including an early scoping step before rounds of formal ratings; 3) using a familiar numeric scale (e.g., US dollars) versus ordinal rating scales of "importance"; 4) applying virtual communication tools to supplement face-to-face interaction between participants; and 5) refining criteria to guide development of specific, actionable research questions.

Asunto(s)

RESUMEN

We monitored 108 children ≤5 years on a 6-month basis for up to 5 years in a major urban setting. Samples (n ∼ 7000) included blood, urine, handwipes (interior, and after exterior playing), 6-day duplicate diet, drinking water, interior house and day care dust-fall accumulation using petri dishes, exterior dust-fall accumulation, exterior dust sweepings, paint, soil and urban air. The geometric mean blood Pb (PbB) was 2.1 µg/dL and blood Mn (MnB) was 10.0 µg/L. Following a path modelling approach, mixed model analyses for a fully adjusted model showed the strongest associations for PbB were with interior house dust and soil; for MnB there were no significant associations with any predictors. Predictor variables only explained 9% of the variance for Pb and 0.7% for Mn. Relationships between environmental measures and PbB in children are not straightforward; soil and dust sweepings contribute only about 1/5th of the amounts to PbB found in other studies.

Asunto(s)

RESUMEN

As efforts to develop new applications of engineered nanoscale materials (ENMs) continue to grow, so too has interest in the environmental, health, and safety (EHS) implications of these materials. However, thorough evaluation and interpretation of such implications could require substantial resources (e.g., estimated as >$120 million per year in federal funding 2013-2017). A structured, strategic approach for transparently planning research would support improved linkages between ENM research and risk assessments, and thereby enhance the utility of financial and other resources for EHS studies of ENMs. For this reason, we applied Comprehensive Environmental Assessment (CEA) as an approach to provide transparent input into research planning for 2 types of ENMs: nanoscale titanium dioxide and nanoscale silver. For each of these CEA applications, we employed a collective judgment method known as Nominal Group Technique (NGT) in 2 workshops sponsored by the US Environmental Protection Agency (USEPA). The objective of this paper is to present the outcomes of these CEA applications in the context of how our methodology can inform future efforts to identify collective goals in science (e.g., research priorities) through structured decision support approaches. Outcomes include clear lists of research priorities for each ENM developed through transparently engaging stakeholders having diverse technical and sector perspectives. In addition, we identified several procedural aspects that could be refined, including emphasizing breakout group interactions, identifying broad information priorities before more detailed research questions, and using rating rather than ranking prioritization methods. Beyond the research directions identified for specific ENMs, lessons learned about engaging stakeholders in research planning are expected to inform future research planning efforts for ENMs and other emerging materials across the scientific community.

Asunto(s)

RESUMEN

The anticipated benefits of engineered nanomaterials (ENMs) should be weighed against their possible negative impacts. Comprehensive environmental assessment (CEA) provides a means of evaluating such trade-offs in a holistic and systematic manner. CEA consists of both a framework for organizing information and a process for using collective judgment to identify and prioritize the issues presented by ENMs. As a meta-assessment approach, CEA is designed to assist both research planners and risk managers by building on various assessment and analytic tools used by risk assessors. Given the immature state of the science for ENMs, CEA is currently being primarily used for prioritizing research directions. Therefore, highlights of case studies of selected ENM applications are presented to illustrate how CEA has been applied thus far to help guide research efforts to support future assessment efforts. In addition, CEA is discussed in relation to topical subjects, such as sustainability, transparency, and stakeholder engagement. Finally, comparisons to other life cycle-based assessment approaches directed at ENMs are noted.

Asunto(s)

RESUMEN

With growing calls for changes in the field of risk assessment, improved systematic approaches for addressing environmental issues with greater transparency and stakeholder engagement are needed to ensure sustainable trade-offs. Here we describe the comprehensive environmental assessment (CEA) approach as a holistic way to manage complex information and to structure input from diverse stakeholder perspectives to support environmental decision-making for the near- and long-term. We further note how CEA builds upon and incorporates other available tools and approaches, describe its current application at the U.S. Environmental Protection Agency, and point out how it could be extended in evaluating a major issue such as the sustainability of biofuels.

Asunto(s)

RESUMEN

Nanomaterials and their associated technologies hold promising opportunities for the development of new materials and applications in a wide variety of disciplines, including medicine, environmental remediation, waste treatment, and energy conservation. However, current information regarding the environmental effects and health risks associated with nanomaterials is limited and sometimes contradictory. This article summarizes the conclusions of a 2008 NATO workshop designed to evaluate the wide-scale implications (e.g., benefits, risks, and costs) of the use of nanomaterials on human health and the environment. A unique feature of this workshop was its interdisciplinary nature and focus on the practical needs of policy decision makers. Workshop presentations and discussion panels were structured along four main themes: technology and benefits, human health risk, environmental risk, and policy implications. Four corresponding working groups (WGs) were formed to develop detailed summaries of the state-of-the-science in their respective areas and to discuss emerging gaps and research needs. The WGs identified gaps between the rapid advances in the types and applications of nanomaterials and the slower pace of human health and environmental risk science, along with strategies to reduce the uncertainties associated with calculating these risks.

RESUMEN

There are limited data on essential nutrients in the whole blood of young children. As part of a longitudinal study of the impact on young children and the environment from the introduction of an organic Mn compound into unleaded gasoline in Australia, we have measured a suite of elements in whole blood. The children, aged between 6 and 31 months at recruitment, have been monitored at 6-month intervals for up to 5 years. Blood samples were analysed by inductively coupled plasma mass spectrometry for Ca, Mg, Fe, Mn, Cu, Zn and Pb. Mixed model analyses of 665 blood samples using backward elimination showed significant positive relationships between Ca, Mg and Zn and season, variable relationships with time, but no association with gender or traffic exposure. The elements Ca, Mg and Zn showed higher concentrations in summer compared with winter, whereas Fe and Pb showed lower concentrations in summer compared with winter. Concentrations of all elements except Fe showed significant effects over time: Ca, Cu, Mg, Pb and Mn showed decreases over time, whereas Zn showed an increase. The mixed model analyses with the individual elements as the dependent variable showed some interesting relationships and require further follow-up as some of these appear to conflict with pre-existing concepts, although the multi-element data on which these concepts are based are limited. The variance for blood Pb and blood Mn arising from the other elements was small with 0.5% in the case of blood Pb and 3.7% for blood Mn.

Asunto(s)

RESUMEN

Physician groups now face a dynamic medical real estate market that can provide an attractive alternative to self-owned and self-financed outpatient facilities and medical office buildings. The ownership and financing options available to physicians and physician groups considering the development of new medical projects have expanded greatly over the past few years and are likely to continue to evolve in the foreseeable future. This changing environment, driven by new sources of institutional capital and the emergence of qualified developers, has led to a more competitive market for physicians and groups seeking real estate capital partners, and physicians are starting to take advantage of it. Physicians and groups have embraced third-party ownership and management of real estate, because it can preserve capital resources and minimizes risk. These groups are using third parties to develop and own new medical real estate projects. This article describes medical real estate project development alternatives, the attributes and concerns of developers, typical transaction terms, and a recommended process for physicians and groups to select the best real estate development partner.

Asunto(s)

RESUMEN

We have measured high precision lead isotopes in PM(2.5) particulates from a highly-trafficked site (Mascot) and rural site (Richmond) in the Sydney Basin, New South Wales, Australia to compare with isotopic data from total suspended particulates (TSP) from other sites in the Sydney Basin and evaluate relationships with source fingerprints obtained from multi-element PM(2.5) data. The isotopic data for the period 1998 to 2004 show seasonal peaks and troughs that are more pronounced in the rural site for the PM(2.5).samples but are consistent with the TSP. The Self Organising Map (SOM) method has been applied to the multi-element PM(2.5) data to evaluate its use in obtaining fingerprints for comparison with standard statistical procedures (ANSTO model). As seasonal effects are also significant for the multi-element data, the SOM modelling is reported as site and season dependent. At the Mascot site, the ANSTO model exhibits decreasing (206)Pb/(204)Pb ratios with increasing contributions of fingerprints for "secondary smoke" (industry), "soil", "smoke" and "seaspray". Similar patterns were shown by SOM winter fingerprints for both sites. At the rural site, there are large isotopic variations but for the majority of samples these are not associated with increased contributions from the main sources with the ANSTO model. For two winter sampling times, there are increased contributions from "secondary industry", "smoke", "soil" and seaspray with one time having a source or sources of Pb similar to that of Mascot. The only positive relationship between increasing (206)Pb/(204)Pb ratio and source contributions is found at the rural site using the SOM summer fingerprints, both of which show a significant contribution from sulphur. Several of the fingerprints using either model have significant contributions from black carbon (BC) and/or sulphur (S) that probably derive from diesel fuels and industrial sources. Increased contributions from sources with the SOM summer fingerprints could explain the summer-time peaks in isotopic ratio at both sites and, at the rural site, be associated with meteorological influences. Nevertheless, the SOM results indicate that there are multiple overlapping 'weak' sources.

Asunto(s)

RESUMEN

Nanotechnology may yield a plethora of beneficial applications, but it can also be expected to present risks. The challenge is to anticipate and reduce environmental and health risks or, at a minimum, identify and deal with such threats once they begin to become evident. Past experience, particularly with the fuel additive MTBE (methyl tertiary butyl ether), provides valuable guidance on how to assess the potential risks of nanotechnology using a comprehensive environmental assessment approach, which combines a product life-cycle perspective with the risk assessment paradigm. This systematic approach can serve not only to guide the development of a research strategy for assessing the risks of nanotechnology but possibly even help avert unintended consequences of nanotechnology.

Asunto(s)

RESUMEN

The fuel additive methyl tertiary butyl ether (MTBE) has been used in an effort to improve air quality in the United States, but other undesirable effects, particularly the contamination of water resources, were eventually judged to outweigh any air quality benefits it may have offered. The experience with MTBE offers many lessons, including the need to evaluate potential positive and negative environmental impacts associated with fuel choices using a comprehensive approach that combines a product life-cycle perspective with the risk assessment paradigm. Such an approach, referred to as "comprehensive environmental assessment" (CEA), is illustrated here by highlighting some of the issues that might be considered in evaluating reformulated gasoline (RFG) produced with MTBE, ethanol, or no oxygenate.

Asunto(s)

RESUMEN

A 4-year longitudinal study is being conducted to evaluate potential changes to the environment and exposure of young children associated with the introduction of methylcyclopentadienyl manganese tricarbonyl (MMT) into Australia in 2001. The cohort consists of 57 females and 56 males, with an age range of 0.29-3.9 years. Samples are collected every 6 months from children in residences located at varying distances from major traffic thoroughfares in Sydney. Environmental samples include air, house, and daycare center dustfall, soil, dust sweepings, and gasoline; samples from the children include blood, urine, handwipes prior to and after playing outdoors, and a 6-day duplicate diet. All samples are analyzed for a suite of 20 elements using inductively coupled plasma methods. Results are presented for the first three 6-month sampling periods for lead (Pb) and manganese (Mn). For dustfall accumulation, expressed as metal concentration/m2/30 days, there was no significant difference between homes and daycare centers for either Pb or Mn, no significant change over the three sampling periods (time) for Pb or Mn, and a positive relationship between "traffic exposure" (traffic volume and proximity to the road) and Pb but not Mn. Lead concentrations in soil was a significant predictor for Pb in the house dustfall. For handwipes, the concentrations of Pb and Mn in wipes taken from children after playing outdoors was usually significantly greater than those for wipes taken prior to playing. There was no significant association between the concentrations of either Pb or Mn in handwipes and traffic exposure, and there was no significant association between Pb concentrations in the handwipes and gender, although the latter showed a marginally significant association for Mn (P = 0.053). Age was related to Pb level in the handwipes, with older subjects having higher Pb levels, and there were significant decreases in Pb and Mn concentrations over time. Dustfall accumulation was a significant predictor for Pb in the handwipes, and dust sweepings were a significant predictor of Mn in handwipes. Blood lead (PbB) concentrations ranged from 0.6 to 19 microg/dL (GM 2.6) (n = 269), and manganese in blood (MnB) ranged from 1.8 to 45 microg/L (GM 11.6) (n = 254). There was no significant difference between females and males for either mean PbB or MnB; over time there was a significant decline in PbB but no significant change in MnB. The only significant predictor for PbB was dustfall accumulation, although dietary intake may also be important, and the only significant predictor for MnB was Mn in handwipes prior to playing. At this early stage of the investigation we have not been able to detect any increases in Mn in these environmental samples or blood samples potentially associated with the use of MMT; in fact the Mn levels in handwipes declined over time.

Asunto(s)

RESUMEN

Lead regulations and standards have resulted in a lower exposure to lead in the general population of the United States of America. This paper highlights some of the know-how developed through lead-containing experiences, particularly regarding lead content in air and water. The availability of a solid and clear scientific knowledge is central to the success of these policies. Collateral effects of some air-related standards show the extent to which problem-oriented efforts may be beneficial in other areas, inasmuch as they may have untoward consequences if careful planning and evaluation are not considered. Finally, this paper presents a discussion of the differences between centralized and decentralized approaches to lead exposure control. The English version of this paper is available at: http://www.insp.mx/salud/index.html.

Asunto(s)

RESUMEN

En los Estados Unidos de América se ha logrado una disminución de la exposición a plomo de la población en general, gracias al establecimiento de diversas normas. En este artículo se destaca parte de los conocimientos adquiridos a través de la experiencia obtenida en este país en materia de plomo, en particular respecto al aire y al agua. Uno de los aspectos fundamentales es la posibilidad de contar con una base científica sólidamente establecida y claramente entendida, a partir de la cual se tomarán las medidas correspondientes. Los efectos secundarios de ciertas normas concernientes al aire ponen de manifiesto de qué manera los esfuerzos orientados a solucionar un problema pueden aportar beneficios en otras áreas, si bien pueden surgir consecuencias no deseadas, debido a la falta de previsión y de evaluación. Asimismo, en este documento se discuten las diferencias entre los enfoques centralizados y los descentralizados para el manejo de la exposición a plomo.

Asunto(s)