On the determination and proof of damage to human health due to an unacceptable health risk caused by environmental factors

View or download the full article: 
PDF icon health-risk-analysis-2013-2-2.pdf
UDC: 
620:65, 422
DOI: 
10.21668/health.risk/2013.2.02.eng
Authors: 

N.V. Zaitseva, I.V. May, S.V. Kleyn

Organization: 

Federal Budget Scientific Institution “Federal Scientific Center for Medical and Preventive Health Risk Management Technologies”, Russian Federation, Perm, 82 Monastyrskaya St, 614045

Abstract: 

It has been shown that Russian Federation legislation requires health risk assessments when taking civil and criminal liability measures in violations of laws in the fields of health and epidemiological well-being and consumer protection. Current scientific data on cause-and-effect relationships in the “environment and health” system and the implementation of risk assessment methodology in the practice of public health services allow us to develop a sufficient evidentiary base of the harmful impact of environmental factors on human health, particularly when unacceptable risk levels are identified. An algorithm for producing an evidentiary base for health damage, which includes health risk assessment and special bio-medical testing, for health and epidemiological investigations, studies and expert examinations is proposed in this article. The elements of an evidentiary base at both group and individual level are presented.

Keywords: 
health risk, health damage, negative environmental factors, evidentiary base, health and epidemiological investigation
Zaitseva N.V., May I.V., Kleyn S.V. On the determination and proof of damage to human health due to an unacceptable health risk caused by environmental factors. Health Risk Analysis, 2013, no. 2, pp. 14-26
References: 
  1. Ananyev V.Yu. Faktory riska sredy obitaniya, vliyayushchiye na zdorovye naseleniya Primorskogo kraya [Environmental risk factors that affect the health of the population of Primorye Territory]. Zdravookhraneniye Ros-syskoy Federatsii, 2011, no. 4, pp. 13a.
  2. Vlasov V.N. Reaktsiya serdechno-sosudistoy sistemy na sochetannoye vozdeystviye khimicheskikh i fizicheskikh faktorov maloy intensivnosti [Reaction of the cardiovascular system to the combined effect of chemi-cal and physical factors, the low intensity]. Byulleten Nauchnogo soveta "Mediko-ekologicheskiye problemy rabo-tayushchikh", 2006, no. 1, pp. 47–52.
  3. Vorobyov V.A. K voprosu o ponyatii i soderzhanii prava cheloveka na kompensatsiyu vreda, prichinen-nogo zhizni i zdorovyu [On the concept and content of the human right to compensation for damage caused to life and health]. Pravo i gosudarstvo: teoriya i praktika, 2008, no. 1, pp. 37–39.
  4. Gildenskiold R.S., Vinokur I.L., Bobyleva O.V., Gorelenkova N.A Risk narusheniya zdorovya v uslovi-yakh tekhnogennogo zagryazneniya sredy obitaniya [The risk of health problems in man-caused environmental pollution]. Zdravookhraneniye Rossyskoy Federatsii, 2003, no. 3, pp. 23–24.
  5. Zaytseva N.V., Alekseyev V.B., Kiryanov D.A. Vozdeystviye faktorov okruzhayushchey sredy na repro-duktivnoye zdorovye rabotayushchikh zhenshchin fertilnogo vozrasta [The impact of environmental factors on the reproductive health of working women of child-bearing age]. Ekologiya cheloveka, 2005, no. 6, pp. 56–59.
  6. Zaytseva N.V., Dolgikh O.V., Dianova D.G. Kharakteristika limfotsitarnogo zvena u detey, prozhiva-yushchikh na tekhnogenno izmenennykh territoriyakh [Characterization of lymphocyte level in children living in areas of technologically modified]. Laboratoriya, 2011, no. 1, pp. 10.
  7. Zaytseva N.V., May I.V., Balashov S.Yu. Mediko-biologicheskiye pokazateli sostoyaniya zdorovya nase-leniya v usloviyakh kompleksnogo prirodno-tekhnogennogo zagryazneniya sredy obitaniya [Medical and biological indicators of the health of the population in conditions of complex natural and man-caused environmental pollu-tion]. Izvestiya Samarskogo nauchnogo tsentra Rossyskoy akademii nauk, 2009, vol. 11, no. 1–6, pp. 1144–1148.
  8. Kadyrmayeva D.R. Klinicheskoye znacheniye kompleksa faktorov sredy obitaniya v rasprostranennosti ostrykh narusheny mozgovogo krovoobrashcheniya Avtoreferat dissertatsii na soiskaniye uchenoy stepeni kandidata meditsinskikh nauk [The clinical significance of complex environmental factors in the prevalence of stroke dissertation for the degree of Candidate of Medical Sciences]. Orenburgskaya gosudarstvennaya meditsinskaya akademiya. Orenburg, 2004.
  9. Koldibekova Yu.V. Obosnovaniye biokhimicheskikh markerov tsitotoksicheskikh effektov u detey pri khronicheskoy vneshnesredovoy ekspozitsii aromaticheskikh uglevodorodov [Justification of biochemical markers of cytotoxic effects in children with chronic exogenous exposure of aromatic hydrocarbons]. Uralsky meditsinsky zhurnal, 2011, no. 7, pp. 43–46.
  10. Kuzmin S.V., Gurvich V.B., Plotko E.G., Selyankina K.P., Makarenko N.P Faktory riska sredy obitaniya i zdorovye novorozhdennykh detey v rayonakh razmeshcheniya predpriyaty alyuminiyevoy promyshlennosti [Risk factors for the environment and health of newborn children in the areas where the aluminum industry]. Sistemnaya integratsiya v zdravookhranenii, 2009, no. 1, pp. 40–44.
  11. May I.V., Khoroshavin V.A., Yevdoshenko V.S. Algoritm i metody sanitarno-epidemiologicheskogo rassledovaniya narusheny prav grazhdan na blagopriyatnuyu sredu obitaniya s etapom otsenki riska dlya zdorovya [Algorithm and methods of sanitary-epidemiological investigation of violations of the rights of citizens to a healthy environment to the stage of health risk assessment]. Zdorovye naseleniya i sreda obitaniya, 2010, no. 11, pp. 28–30.
  12. Onishchenko G.G. Vliyaniye faktorov vneshney sredy na zdorovye cheloveka [The influence of environ-mental factors on human health]. Immunologiya, 2006, vol. 27, no 6, pp. 352–356.
  13. Protasova V.V., Korenevsky N.A., Artemenko M.V., Smirnov V.S. Issledovaniye vliyaniya eko-logicheskikh faktorov na dinamiku urovney serdechno-sosudistoy zabolevayemosti v gorode [Investigation of the influence of environmental factors on the dynamics of the levels of cardiovascular disease in]. Vestnik Vo-ronezhskogo gosudarstvennogo tekhnicheskogo universiteta, 2010, vol. 6, no. 1, pp. 123–127.
  14. Sadovnikova Yu.M., Zolotnikova G.P. Pokazateli fizicheskogo razvitiya i neyropsikhologichesky status doshkolnikov iz detskikh sadov tekhnogenno-zagryaznennykh urbanizirovannykh territory [Indicators of physical development and neuropsychological status of preschool children kindergarten technologically-contaminated urban areas]. Ekologiya urbanizirovannykh territory, 2011, no. 2, pp. 34–37.
  15. Simonova N.I., Fasikov P.M., Larionova T.K., Garifullina G.F. Ispolzovaniye biologicheskikh markerov pri otsenke zagryazneniya sredy obitaniya metallami [The use of biological markers in the evaluation of environ-mental pollution metals]. Meditsina truda i promyshlennaya ekologiya, 2008, no. 5, pp. 37–41.
  16. Brunekreef B. Environmental Epidemiology and Risk Assessment. Toxicology Letters, 2008, vol. 180, no. 2, pp. 118–122.
  17. Identifying the environmental cause of disease: how should we decide what to believe and when to take action? UK, London, Academy of Medical Sciences, available at: http://www.acmedsci.ac.uk/index.php.
  18. Human Right & Environmental Protection: Linkages in Law & Practice. Health and Human Rights Work-ing Series, 2002, no. 1. 174 р.
  19. Garte S., Taioli E., Popov T., Kalina I., Sram R., Farmer P. Role of GSTT1 Deletion IN DNA Oxidative Damage by exposure to Polycyclic Aromatic Hydrocarbons in Humans. International Journal of Cancer, 2007, vol. 120, no. 11, pp. 2499–2503.
  20. Lin A.C. Beyond tort: compensating victims of environmental toxic injury. Southern California Law Re-view, 2005, pp. 1439–1511.
  21. Ong C.N., Shen H.M., Chia S.E .Biomarkers for male reproductive health Hazards: are they Available. Toxicology Letters, 2002, vol. 134, no. 1–3, pp. 17–30.
  22. Phillips D.H. DNA Adduts as Markers of Exposure and Risk. Mutation Research / Fundamental and Mo-lecular Mechanisms of Mutagenesis, 2005, vol. 577, no. 1–2 Spec. iss. pp. 284–292.
  23. Rosenberg D. The Causal Connection in Mass Exposure Cases: «A public Law» Vision of the Tort Sys-tem. Harvard Law Review, 1984, vol. 97, pp. 849–919.
  24. Schulte P.A., Talaska G. Validity Criteria fro the Use of Biological Markers of Exposure to Chemical agents in environmental Epidemiology. Toxicology, 1995, vol. 101, no. 1–2, pp. 73–88.
  25. Zeka A., Sullivan Ja.R., Vokonas P.S., Sparrow D., Schwartz J. Inflammatory Markers and Particulate air Pollution: Characterizing the pathway to Disease. International Journal of Epidemiology, 2006, vol. 35, no. 5, p. 1347.

You are here

Home