Risk Perceptions and Analyses NIRT: Evaluating Oversight Models for Active Nanostructures and Nanosystems: Learning from Past Technologies in a Societal Context SES-0608791 Susan M. Wolf, J.D. (PI) Efrosini Kokkoli, Ph.D. (Co-PI) Jennifer Kuzma, Ph.D. (Co-PI) Jordan Paradise, J.D. (Co-PI) Gurumurthy Ramachandran, Ph.D. (Co-PI) Jee Ae Kim (Doctoral Student) NIRT Research Goals & Methodology 1. Assessment of 6 oversight models utilizing criteria (literature collection and analysis, expert elicitation, consensus): – – – – – – drugs medical devices chemicals in the environment* chemicals in the workplace* gene transfer research (“gene therapy”) genetically engineered organisms in the food supply 2. Application of oversight lessons to nano-bio-technology (mapping, consensus) 3. Development of oversight models for nanobiotechnology products and research (scenario analysis, consensus) Risk Perceptions and Analyses-Outline 1. Limitations of current risk assessment paradigm 2. Lessons learnt from oversight of chemicals and chemical RA 3. Implications for nano-bio 4. Risk perception criteria in evaluating oversight models Data needed for classical RA Production levels; Emission factors Environmental media monitoring Pollutant Emissions Exposure Quantification Environmental Concentrations Environmental Modeling Human exposure monitoring Risk Assessment Human Exposure Exposure Modeling Biologically relevant dose Pharmaco-kinetic modeling Effect Quantification Interactions with macromolecules Adverse Health Effect Quantitative Structure-Activity Relationships In vitro toxicity studies Animal toxicity studies Epidemiological Studies Limitations of current RA paradigm zQuantitative risk assessment: basis of considerable amount of policy making z Supreme Court (1980) Benzene decision: OSHA must find a significant risk to health (5th Circuit) z EPA adopted risk assessment and risk management as agency policy in 1984 z We have adequate information for only a handful of the thousands of chemicals in use. z Existing regulatory system is incapable of carrying out a detailed RA for every chemical. Pollutant Emissions Particle Characteristics Surface characteristics Particle shape Particle size distribution Agglomeration Environmental Concentrations Uncertainties about NP Human Exposure Concentration metric Mass Surface area Number Biologically relevant dose Bulk and surface chemical composition Dermal Ingestion Ocular Translocation mechanisms 2. Measures of effect in epidemiological studies Adverse health effects Exposure routes Inhalation 1. Mechanisms by which cell signaling and gene activation lead to physiological effects Mechanisms by which oxidative stress leads to cell signaling and gene activation Dose metric Mass Surface area Number Mechanisms of oxidative stress 1. Surface area 2. Transition metals 3. Intracellular transport of particles to mitochondria. Consequences of Limitations • Tremendous uncertainties precludes risk assessments using conventional methods. • Options to Conventional RA: – Screening assays – Performance-based standards (exposure limits) vs process-based standards (UK) – Tiered system of oversight (e.g., REACH in Europe) – Expert judgment in RA Expert Judgments and Risk • Assessment of probabilities is necessarily subjective (Herman Kahn, 1960) • Reactor Safety Study, 1975 – Subjective probability assessments show broad spread of values – Experts are overconfident – They tend to under-estimate risks Risk Perception • Risk = f (Probability, Consequences) • Perceived Risk = f (Perceived probability, Consequences, Outrage) • Risk is an emotional concept • Cannot be separated from psychology Past Experience with Chemical Risk Assessment • When faced with great uncertainty in RA, both experts (scientists, regulators, industry) and lay people behave in “predictably irrational ways”. (Kahneman and Tversky, 2000) – Exaggeration of small/negligible risks – Neglect of real risks – Possibility of extreme, unanticipated events 1. How can scientists, regulators and industry manage an unanticipated crisis,? 2. How does the oversight system engender public confidence ? Risk Perception Related Criteria for Evaluating Oversight Models A. Development i. Impetus ii. Public Input iii. Empirical basis B. Attributes i. Treatment of uncertainty ii. Stakeholder inputs iii. Compliance & enforcement iv. Considerations of fairness C. Evolution i. Extent of change in Attributes D. Outcomes i. Public Confidence
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