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Open AccessArticle

Community, State, and Federal Approaches to Cumulative Risk Assessment: Challenges and Opportunities for Integration

1
National Exposure Research Laboratory, U.S. Environmental Protection Agency, Research Triangle Park, NC 27709, USA
2
School of Public Health, University of Maryland, College Park, MD 20740, USA
3
Oak Ridge Institute for Science and Education (ORISE), U.S. Environmental Protection Agency, Research Triangle Park, NC 27709, USA
*
Author to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Int. J. Environ. Res. Public Health 2015, 12(5), 4546-4571; https://doi.org/10.3390/ijerph120504546
Received: 29 January 2015 / Revised: 10 April 2015 / Accepted: 14 April 2015 / Published: 24 April 2015
(This article belongs to the Special Issue Eliminating Health Disparities to Achieve Health Equity)
Community, state, and federal approaches to conventional and cumulative risk assessment (CRA) were described and compared to assess similarities and differences, and develop recommendations for a consistent CRA approach, acceptable across each level as a rigorous scientific methodology, including partnership formation and solution development as necessary practices. Community, state, and federal examples were described and then summarized based on their adherence to CRA principles of: (1) planning, scoping, and problem formulation; (2) risk analysis and ranking, and (3) risk characterization, interpretation, and management. While each application shared the common goal of protecting human health and the environment, they adopted different approaches to achieve this. For a specific project-level analysis of a particular place or instance, this may be acceptable, but to ensure long-term applicability and transferability to other projects, recommendations for developing a consistent approach to CRA are provided. This approach would draw from best practices, risk assessment and decision analysis sciences, and historical lessons learned to provide results in an understandable and accepted manner by all entities. This approach is intended to provide a common ground around which to develop CRA methods and approaches that can be followed at all levels. View Full-Text
Keywords: cumulative risk assessment; environmental health; community-based participatory research; exposure assessment; susceptibility; vulnerability cumulative risk assessment; environmental health; community-based participatory research; exposure assessment; susceptibility; vulnerability
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Barzyk, T.M.; Wilson, S.; Wilson, A. Community, State, and Federal Approaches to Cumulative Risk Assessment: Challenges and Opportunities for Integration. Int. J. Environ. Res. Public Health 2015, 12, 4546-4571.

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