Chapter 10: Public Health Risk Management Programs

Formulation of public health and environmental management decisions
*these decisions entail
**weighing policy alternatives
**selecting the most appropriate regulatory action
*risk management programs are directed at:
**risk reduction
**risk mitigation
**risk prevention
*risk assessments provide decision-makers with scientifically defensible information for management decisions
**levels of risk
**levels of health hazards
***imminent health hazards
***risks
Comparative risk analysis
*as part of a corrective action assessment program, it is almost inevitable that
**the analyst will have to make choices between alternative remedial actions
***based on risk tradeoffs, decision alternatives, evaluation of cost-effectiveness, risk-cost-benefit comparison analysis
Cost-effectiveness analysis
*involves a comparison of the costs of alternative methods to achieve some set goal of risk reduction
**benchmark risk
**environmental clean-up criteria
*process compares the costs associated with different methods of achieving a specific risk management goal
**looks at specified level of acceptable risk and compares options based on monetary costs of reaching goal
Risk-cost-benefit optimization
*technique that encompasses risk assessment and the inclusive evaluation of risks, costs, and benefits of alternative projects or policies
Multi-attribute decision and analysis and utility theory applications
*suggested for use with problems having multiple conflicting objectives
**in these situations, decision-makers are faced with the problem of having to trade off the performance of one objective for another
Utility attribute analysis
*attributes measure how well a set of objectives is being achieved
*through the use of
**multiple attributes scaled in the form of utilities and
**weighted according to their relative importance
*analysts can describe an expanded set of consequences associated with an environmental or public health risk management program