Practical Opportunities to Improve the Impact of Health Risk Assessment on Environmental and Public Health Decisions.

Following alerts about the diminishing role of health risk assessment (HRA) in informing public health decisions, this study examines specific HRA topics with the aim of identifying possible solutions for addressing this compelling situation. The study administered a survey among different groups of stakeholders involved in HRA or decision-making, or both. The responses show various understandings of HRA in the decision-making context-including confusion with the health impact assessment (HIA)-and confirm recurring foundational issues within the risk analysis field that contribute to the growth of inconsistency in the HRA praxis. This inconsistency lowers the effectiveness of HRA to perform its primary purpose of informing public health decisions. Opportunities for improving this situation come at the beginning of the assessment process, where greater attention should be given to defining the assessment and decision-making contexts. Both must reflect the concerns and expectations of the stakeholders regarding the needs and purpose of an HRA on one side, and the methodological and procedural topics relevant for the decision case at hand on the other. The HRA process should end with a decision follow-up step with targeted auditing and the participation of stakeholders to measure its success.

Human Biomonitoring Data in Health Risk Assessments Published in Peer-Reviewed Journals between 2016 and 2021: Confronting Reality after a Preliminary Review.

Human biomonitoring (HBM) is a rapidly developing field that is emphasized as an important approach for the assessment of health risks. However, its value for health risk assessment (HRA) remains to be clarified. We performed a review of publications concerned with applications of HBM in the assessment of health risks. The selection of publications for this review was limited by the search engines used (only PubMed and Scopus) and a timeframe of the last five years. The review focused on the clarity of 10 HRA elements, which influence the quality of HRA. We show that the usage of HBM data in HRA is limited and unclear. Primarily, the key HRA elements are not consistently applied or followed when using HBM in such assessments, and secondly, there are inconsistencies regarding the understanding of fundamental risk analysis principles and good practices in risk analysis. Our recommendations are as follows: (i) potential usage of HBM data in HRA should not be non-critically overestimated but rather limited and aligned to a specific value for exposure assessment or for the interpretation of health damage; (ii) improvements to HRA approaches, using HBM information or not, are needed and should strictly follow theoretical foundations of risk analysis.

Evaluating the success of Slovenia's policy on the health of children and adolescents: results of an audit.

OBJECTIVES: The aims of this audit were twofold: (1) to demonstrate the contribution of the auditing process in evaluating the success of child and adolescent health policy in Slovenia between 2012 and 2019, and (2) to expand on the commentary published in the International Journal of Public Health in 2019 to demonstrate the benefits of auditing in improving public health policy in general. METHODS: The audit followed health, safety and environmental approaches as per the standards of public health policy. RESULTS: Due to poor intersectoral coordination and weak associations between environmental and health indicators, no clear evidence could be established that child and adolescent health policy contributed to positive changes in child and adolescent health from 2012 to 2019. CONCLUSIONS: Auditing should become an essential component of measuring the success of public health policies. Attention should also be paid to the following issues affecting youth health: sleeping and eating habits, economic migration, poverty, etc.

Use of strategic environmental assessment in the site selection process for a radioactive waste disposal facility in Slovenia.

The benefits of strategic environmental considerations in the process of siting a repository for low- and intermediate-level radioactive waste (LILW) are presented. The benefits have been explored by analyzing differences between the two site selection processes. One is a so-called official site selection process, which is implemented by the Agency for radwaste management (ARAO); the other is an optimization process suggested by experts working in the area of environmental impact assessment (EIA) and land-use (spatial) planning. The criteria on which the comparison of the results of the two site selection processes has been based are spatial organization, environmental impact, safety in terms of potential exposure of the population to radioactivity released from the repository, and feasibility of the repository from the technical, financial/economic and social point of view (the latter relates to consent by the local community for siting the repository). The site selection processes have been compared with the support of the decision expert system named DEX. The results of the comparison indicate that the sites selected by ARAO meet fewer suitability criteria than those identified by applying strategic environmental considerations in the framework of the optimization process. This result stands when taking into account spatial, environmental, safety and technical feasibility points of view. Acceptability of a site by a local community could not have been tested, since the formal site selection process has not yet been concluded; this remains as an uncertain and open point of the comparison.

The role of environmental accidental risk assessment in the process of granting development consent.

Environmental impact assessment (EIA) is a procedure that must be followed for certain types of development before they are granted development consent. The procedure requires the developer to compile an environmental impact report (EIR) describing the likely significant effects of the project on the environment. A regulatory requirement in Slovenia is that an accidental risk assessment for a new installation should be a part of an EIR. The article shows how risk assessment (RA) related to accidental release of methylene diphenyl diisocyanate (MDI) or a polyvalent alcohol mixture from a new planned unit of a chemical factory in the Alpine region of Slovenia was performed in the framework of an EIA for the purpose of obtaining a construction permit. Two accidental scenarios were considered: (a) a spill of 20 m(3) of MDI or polyvalent alcohol mixture into the river Soca (the river runs close to the chemical factory) and (b) a fire in the warehouse storing the raw material, where emission of toxic gases HCN, NO(x), and CO is expected during combustion of MDI. One of the most important results of this case is the agreement among the developer, the competent authority, and a consultant in the field of EIA and RA to positively conclude the licensing process despite the absence of formal (regulatory) limit values for risk. It has been approved that transparent, reasonably uncertain, and semi-quantitative environmental risk assessment is an inevitable component of an EIA, and an essential factor in informed, licensing-related decision making.

Introduction of threat analysis into the land-use planning process.

The subject of this paper is a method for introducing risk assessment into the land-use planning (LUP) process. Due to adaptations of the results of risk assessment, which are needed to make the risk assessment usable by land-use planners, we term the overall process threat analysis. The key features of the threat analysis can be summarised as follows. (i) It consists of three main steps. The first is determination of the threat intensity level of an accident, the second is analysis of the environmental vulnerability of the surroundings of an accident, and the third, integrating the previous two, is determination of a threat index in the accident impact zone. All three are presented in GIS based maps, since this is a common expression in LUP. (ii) It can and should be applied in the early stages of the LUP process. The methodology is illustrated by an example in the context of renewal of a land-use plan for the Municipality of Koper in Slovenia. The approach of threat analysis follows directions of the Article 12 of the Directive 96/82/EC of the European Commission (the Seveso II Directive).

How powerful is ARAMIS methodology in solving land-use issues associated with industry based environmental and health risks?

The first experience on how a part of the ARAMIS methodology has contributed to demonstration of safety in the licensing process in Slovenia for a new Seveso II plant is described. There are two foci of this description: first, trustworthy of the methodology for evaluating safety, and second, the role of a land-use plan in issuing a construction permit for the new plant. In the context of the first focus, we present why has been safety report first rejected by the regulator, and later-on accepted after applying components of the ARAMIS methodology in its revised version. In the context of the second focus, we discuss a relationship between the land-use plan and the licensing process for the new plant. The outcomes of this Seveso II plant licensing case are that the ARAMIS approach, in spite it was still under development when applied, is more transparent and credible comparing to the others, which have also been applied. This is related to the demonstration of how safety management system and general safety behaviour is integrated into the overall management policy. The conclusions take into account regulator's response in the licensing process.