[COMPARATIVE ASSESSMENT OF THE MULTIMEDIA CANCER HEALTH RISKS CAUSED BY CONTAMINATION OF THE KRASNOIARSK KRAI REGIONS' ENVIRONMENT].

Krasnoyarsk Krai is a region with developed mining and processing industries, notoriously known industries, as sources of carcinogenic emission. For 55 administrative units of the Krai 303 large enterprises' industrial emissions were preliminary prioritized and their location was designated. Only 52% out of the carcinogens emitted into the ambient air by industries were controlled, in other environments the figures ranged from 20% (soil, food) to 48% (drinking water), 10 carcinogens were not controlled in the environment at all. Based on the results of ranking carcinogenic emission and analysis of the carcinogens monitoring in the environment in 2007-2011 31 substances were selected. A comparative analysis of multiple environmental carcinogenic risks showed that 78% of the areas, based on the receipt ofcarcinogensfrom two media, and 80% ofthe areas taking into account the receipt ofcarcinogens from three media attributed to the alarming level of risk for population, that requires continuous monitoring and routine health interventions for its mitigation. The maximal multiple environmental risk values that took into account inputs from all sources were close to the upper boundary alarming level of risk, in Divnogorsk (7,80E-04), Norilsk (7,97 E-04), Krasnoyarsk (8,84E-04) and Achinsk (9,4 E-04). The greatest inputs to total individual cancer risk from polluted ambient air were made by benzene, chromium VI, formaldehyde and nickel, from drinking water--by arsenic, aldrin and heptachlor from soil--by arsenic and lead. The ambient air input into total multiple environmental carcinogenic risk ranged from 31.5 to 99.5%, drinking water input--from 0.5 to 68.5%, soil--up to 0.1%. Areas with maximum levels of total carcinogenic risk are characterized by the highest levels of average long-term indices of cancer development. The study discussed in this article has screening nature. Further in-depth researches for carcinogenic and toxic multimedia risks are required.

[The urgent problems of the improvement of the environment management system based on the analysis of health risk assessment].

The lack of adequate legislative and regulatory framework for ensuring minimization of the health risks in the field of environmental protection is the obstacle for the application of the risk analysis methodology as a leading tool for administrative activity in Russia. "Principles of the state policy in the sphere of ensuring chemical and biological safety of the Russian Federation for the period up to 2025 and beyond", approved by the President of the Russian Federation on 01 November 2013, No PR-25 73, are aimed at the legal support for the health risk analysis methodology. In the article there have been supposed the main stages of the operative control of the environmental quality, which lead to the reduction of the health risk to the acceptable level. The further improvement of the health risk analysis methodology in Russia should contribute to the implementation of the state policy in the sphere of chemical and biological safety through the introduction of complex measures on neutralization of chemical and biological threats to the human health and the environment, as well as evaluation of the economic effectiveness of these measures. The primary step should be the legislative securing of the quantitative value for the term: "acceptable risk".

[Problems in the system of state regulation of chemical safety].

In the paper the analysis of the problems of chemical safety abroad and in Russian Federation is presented, possible ways for their solutions, including the need for legal and scientific-methodical support for population health risk assessment are considered.

[Problems of improving the assessment of health risk for assurance of the sanitary and epidemiological well-being].

There are considered the current problems of improving population health risk assessment for assurance of the sanitary and epidemiological well-being. Their solution permit to improve the risk assessment methodology in Russia and overcome unnecessary barriers in the way of a practical application of the criteria of acceptable risk and damage to health to support management decisions.

[Results of analysis of ratios of indices of toxic and sensory effect of chemicals].

In the article there are presented results of the analysis of the quantitative relations between the parameters of toxicometry and indices of sensory effect of chemicals permitting to improve the accuracy of prediction of reference concentrations.

[Problems and ways of solutions to harmonize standards for air pollution].

In the article the basic problems of harmonization of domestic regulatory framework of air pollution with the WHO recommendations and normative values adopted in the EU, U.S. and other countries are considered. The important role of health risk analysis methodology in the process of harmonization of regulation and control of air quality has been pointed out. The necessity of radical changes in the structure and content of the basic normative document GN 2.1.6.1338-03 "maximum permissible concentration (MPC) of pollutants in the air of populated areas" has been shown. The algorithm of the procedure that justifies the new list of normative values in the air harmonized with international recommendations and standards of developed countries has been proposed.

[Characteristics of quantitative values of regional factors of exposure in the studied areas].

In the paper the results of a comparative evaluation of the Russian and the standard, recommended by US EPA, factors of population exposure in seven areas of different federal districts of Russia are presented. Concerning the adult population differences reach 3.5 times, for children (1-6 years) - 4.2 times. An example of the effect of regional differences and standard factors on levels of exposure and risk is considered. Promising areas for further research on regional factors to improve the accuracy and reliability of the forecast assessments of the risks to public health have been identified.

[The structure of environmental risk factors to the population's health in the Kolsky North].

The paper considers the problem in the comparative assessment of a carcinogenic risk and harm from ionizing irradiation and some chemical ambient air pollutants (formaldehyde, suspended matter) to the population's health in the Kolsky peninsula. The findings suggest that a chemical risk factor has a much greater impact on human health than a radiation risk factor, which should be taken into account while developing a nature-conservation policy in the region.

[Prediction of acute inhalational effects in the assessment of a risk to human health].

The paper deals with a problem in choosing the criteria for a risk of acute inhalational exposures. It analyzes Russian, foreign, and international criteria for ambient air quality, by using the most authoritative sources (Agency of Toxic Compounds and Diseases Registration; Office of Environmental Health Hazard Assessment of US Environmental Protection Agency, etc.). The priority indices of the severity of acute toxic effects upon acute (within one hour) inhalational exposure to the most common ambient air pollutions (nitric dioxide, sulfur dioxide, carbon dioxide, and ozone) are determined. The issues of prediction of the regulated indices of evaluation of varying toxic effects on the population's health are considered. Valid models have been developed to predict the reference concentrations upon acute inhalational exposure to chemical substances, which allow the uncertainty in the assessment of the risk caused by acute exposure to ambient air pollutions to be reduced.

[Impact of short weather changes on the population's health risk from ambient air pollution].

The paper considers the negative impact of weather changes in combination with the altered quality of ambient air on the economic and social spheres of society and on the population's health. It describes experience in assessing a possible damage to the health of the Moscow population from exposure to elevated concentrations of ambient air pollutants (suspended matter, nitrogen and sulfur dioxides, carbon oxide). The results of assessment simulation of dissemination of chemicals contained in the emission from the Moscow heat-and-power objects under poor weather conditions are presented.

[Guidelines for the assessment of regional factors of the urban populations' exposure].

The paper presents guidelines for assessing regional exposure factors (EFs) according to the results of a questionnaire survey of about two thousand persons, including urban workers and/or adult students of the Central Federal District (CFD) and Siberian Federal District (SFD) of Russia. It has been ascertained that in CFD, annual exposure (324 days/year) is less than the standard value defaulted in Guidelines P 2.1.10.1920-04 (350 days/year), which causes a reduction in the chronic average daily dose. Town-dwellers spend the bulk of a day indoors (86 and 87% in CFD and SFD, respectively); 8 and 3% of a day on transport in CFD and SFD, and 7 and 10% indoors in these districts. The findings are in agreement with the data obtained by Russian and foreign investigators and suggest that the daily distribution of a microenvironmental load should be taken into account when health exposures and risks are estimated. The average daily tap water consumption in CFD (2.2 l/day) and SFD (1.7 l/day) is close to 90% percentile of the values recommended by the U.S. EPA (2.4 l/day) and the WHO or less than the value used in the calculation of the Russian maximum permissible concentrations for water (3.0 l/day). The time spent on water procedures by town-dwellers is 36.4 min/day in CFD and 37.6 min/day in SFD (while 29.2 min/day in rural dwellers in SFD) with the standard value of 30 min/day. The findings suggest that the use of the regional values of water-associated EFs increases the chronic average daily dose and therefore a risk upon oral, dermal, and inhalational exposure. The regional features of FEs have been kept in mind on assessing the risk upon multienvironmental exposures to the characteristic components of emission caused by aluminum works in CFD.

[Current problems in the assessment of health risks and damages from the influence of environmental factors].

In the past decade, a great number of risk assessment projects have been implemented; experience in using the risk-assessing methodology in sociohygienic monitoring, in the hygienic evaluation of a possible impact of new or rebuilt plants on human health, and in the estimation of natural and cost damages from the influence of environmental factors has been gained. Along with the legal aspects of using the risk-assessing methodology, there is a diversity of urgent and unsolved problems: a discrepancy between the hygienic standards and the risk-assessing criteria established in our country, recommended by international organizations, or used in the leading countries of the world; evaluation of exposures; availability of data on exposures in both individual regions and Russia as whole; development of methods for the assessment of damages and for the comparative assessment of risks, including such indices and their value terms as lost life years and life years with consideration of the severity of abnormalities.

[Analyzing the population's health risks from the influence of environmental factors of various nature in vicinity of the Siberian chemical complex].

The paper provides the results of calculating the risks to human health in the cities of Seversk and Tomsk. The cancer risk from man-caused radiation is 2 orders of magnitude lower than that from air pollution with chemical carcinogens. Air contamination of classical chemical pollutants presents a major hazard to human health.

[Current lines of methodology for risk assessment].

The paper presents the results of some guidance studies assessing the risk, recently conducted at the A. N. Sysin Research Institute of Human Ecology and Environmental Health, such as validation of toxicological and hygienic criteria for risk assessment upon short- and long-term human exposures to deleterious substances; development and introduction of methods for assessing health risk and damage, by applying computer technologies; elaboration of guidelines for establishing the cause-and-effect relationship of changes in health indices to those in the environment; characterization of damage caused by ambient air pollution in Russian cities and towns; possibilities of using the guidance for assessing the risk to improve sociohygienic monitoring. It also gives the results of testing scientific developments in the assessment of a multienvironmental risk in the areas exposed to emission from aluminum works (Khakasia) and chemical and petrochemical enterprises (Samara Region) and in the determination of contribution of emission from the Moscow fuel-and-energy complex to risks and damages to human health, caused by ambient air pollution. The urgent issues of further development of modern trends in risk guidance studies are determined.

[The principles, criteria, and methods of evaluation of health hazards associated with short-term exposure to chemical atmospheric air pollutants].

The authors discuss the basic concepts of a system developed to evaluate health hazards associated with short-term exposure of different population groups to inhaled chemicals, including exposure that takes place in emergency situations. The article contains examples of acute exposition profiles for the most wide-spread air pollutants, such as nitrogen dioxide, ozone, sulfur dioxide, and carbon monoxide, developed using quantitative values of short-term exposure risk criteria.