The precautionary principle and risk‐risk tradeoffs

Abstract

In this paper we examine cases commonly characterised as risk‐risk tradeoffs (i.e., creating new risks while solving existing ones), in an attempt to learn lessons that can be valuable for future regulatory decision‐making. A broad range of environmental and health literature was reviewed and numerous cases of proclaimed risk‐risk tradeoffs were analysed in order to determine: 1) why regulatory measures were initially taken, 2) why these measures caused a countervailing risk to emerge, 3) how tradeoffs could have been avoided, and 4) whether the case is a good example of a risk‐risk tradeoff. The analysis reveals that only a small number of these cases can actually be considered risk‐risk tradeoffs. In a large number of cases safer alternatives are and were available at the time decisions were made. In some cases the proclaimed risk‐risk tradeoff simply did not exist or occur, and in some cases countervailing risks were ignored for reasons unknown. In many cases, the countervailing risks could have been anticipated and avoided by proactively seeking safer alternatives, completing a tradeoff and impact assessment, or increasing stakeholder input in the decision‐making process. We conclude that concerns about risk‐risk tradeoffs are not a reasonable argument against future application of the precautionary principle. Indeed, sound decision‐making processes in the face of uncertainty should always consider and attempt to mitigate reasonable risk‐risk tradeoffs.

Keywords:

• precautionary principle
• risk‐risk tradeoffs
• uncertainty
• alternatives assessment
• regulatory decision‐making

Notes

1. Graham cited in Public Citizen. 2001. Safeguards at risk: John Graham and corporate America's back door to the Bush White House. Washington, DC: Public Citizen.

2. Public Citizen. 2001. Safeguards at risk: John Graham and corporate America's back door to the Bush White House. Washington, DC: Public Citizen.

3. Green, K. 1999. Seeking safety in a dangerous world: A risk reduction framework for policymakers. Policy Study No. 261. Los Angeles: Reason Public Policy Institute. http://reason.org/ps261.html.

4. Wiener, J.B. 1998. Managing the iatrogenic risk of risk management. Risk: Health, Safety & Environment [Winter] 39: 29–82.

5. MMWR Weekly. 1993. Warnings on interaction between air bags and rear‐facing child restraints. MMWR Weekly April 16, 42, no. 14: 280–2.

6. Department of Transportation (US), National Highway Traffic Safety Administration (NHTSA) 2004. Traffic Safety Facts 2003: Children. Washington, DC: NHTSA.

7. Glass, R.J., M. Segui‐Gomez, and J.D. Graham. 2000. Child passenger safety: Decisions about seating location, airbag exposure, and restraint use. Risk Analysis 20: 521–7.

8. Braver, E.R., R. Whitfield, and S.A. Ferguson. 1997. Seating positions and children's risk of dying in motor vehicles crashes. Injury Prevention 4: 181–7.

9. Graham, J.D., S.J. Goldie, M. Segui‐Gomez, K.M. Thompson, T. Nelson, R. Glass, A. Simpson, and L.G. Woener. 1998. Reducing risks to children in vehicles with passenger airbags. Pediatrics 112: e3.

10. Claybrook, J. 1997. The safest air bags of all. The Washington Post August 12, A19.

11. Marchant, G. 2000. A regulatory precedent for Hormesis. Human & Experimental Toxicology 20: 143–4.

12. Lutter, R., and H. Gruenspecht. 2001. Assessing benefits of ground‐level ozone: What role for science in setting national air quality safety standards. Regulatory Analysis 01‐04. AEI‐Brookings Joint Center for Regulatory Studies.

13. Ontario Medical Association. 2005. OMA Ground Level Ozone Position Paper. http://www.oma.org/phealth/ground.htm.

14. EPA. 2004. Chief causes for concern. http://www.epa.gov/air/urbanair/ozone/chf.html.

15. EPA. 2003. National ambient air quality standards for ozone: Final response to remand 68 FR 613–45.

16. Anderson, P.D., and J.B. Wiener. 1995. Eating fish. In: Risk vs. risk tradeoffs in protecting public health and the environment, eds. J.D. Graham and J.B. Wiener, 104–23. Cambridge, MA: Harvard University Press.

17. Scientific Advisory Committee on Nutrition. 2004. Advice on fish consumption: Benefits & risks. London: Food Standards Agency and the Department of Health.

18. Reuters. 2005. Nutrient benefits babies in womb, study finds. Reuters 20 April. http://www.alertnet.org/thenews/newsdesk/N20245453.htm.

19. Scientific Advisory Committee on Nutrition. 2004. Advice on fish consumption: Benefits & risks. London: Food Standards Agency and the Department of Health.

20. US FDA. 2004. FDA and EPA announce the revised consumer advisory on methylmercury in fish, March 19. US Department of Health and Human Services and US Environmental Protection Agency. http://www.fda.gov/bbs/topics/news/2004/NEW01038.html.

21. Goldstein, B.D. 2001. The precautionary principle also applies to public health actions. American Journal of Public Health 91: 1358–61.

22. Clayton, M. 2005. A race to fix a 30‐year‐old ‘solution’. The Christian Science Monitor. http://www.csmonitor.com/2005/0217/p14s01‐sten.html.

23. Wiener, J.B. 2000. Toward sustainable governance. Opinion Pieces. Policy Matters 00‐8. AEI‐Brookings Joint Center. http://aei‐brookings.org/policy/page.php?id = 58.

24. Paustenbach, D., L.F. Brent, L.T. Lu, G.P. Borby, and P.J. Sheeman. 2004. Environmental and occupational health hazards associated with the presence of asbestos in brake linings and pads (1900 to presence): A ‘state‐of‐the‐art’ review. Journal of Toxicological and Environmental Health, Part B 7: 33–110.

25. Politiken. 2001. Olivenolie ‐ Fødevaredirektorat overreagerer [In Danish]. Politiken August 27: 4.

26. Cohen, J.T., B. Beck, and R. Rudel. 1997. Life year lost at hazardous waste sites: Remediation worker fatalities vs. cancer deaths to nearby residents. Risk Analysis 17: 419–25.

27. NRC. 1991. Environmental epidemiology: Public health and hazardous wastes. Vol. 1. Washington, DC: National Academy Press.

28. Hoskin, A.F., J.P. Leigh, and T.W. Planek. 1994. Estimated risk of occupational fatalities associated with hazardous waste site remediation. Risk Analysis 14: 1011–17.

29. Gray, G.M., and J.K. Hammitt. 2000. Risk/risk trade‐offs in pesticide regulation: An exploratory analysis of the public health effects of a ban of organophosphates and carbamate pesticides. Risk Analysis 20: 665–80.

30. See Charnly, G. 2003. Pesticide exposures and children's risk tradeoffs. Environmental Health Perspectives 111: A689 and Curl, C.L., R.A. Fenske, and K. Elgethun. 2003. Organophosphate exposure: Response to Krieger et al. Environmental Health Perspectives 111: A689–91.

31. Consumers Union. 1998. Worst first: High‐risk insecticides, children's foods and safer alternatives. www.ecologic‐ipm.com.

32. Gray, G.M., and J.D. Graham. 1995. Regulating pesticides. In: Risk vs. risk tradeoffs in protecting public health and the environment, eds. J.D. Graham and J.B. Wiener, 173–92. Cambridge, MA: Harvard University Press.

33. See Schettler (2005).

34. Wiener, J.B. 2003. Whose precaution after all? A comment on the comparison and evolution of risk regulatory systems. Duke Journal of Comparative & International Law 13: 207–62.

35. Whelan, E.M. 1985. Toxic terror. Ottawa, IL: Jameson Books.

36. See Wildavsky (1995).

37. Brown, D. 1994. When disease resists; malaria's toll rises in tropical regions as effectiveness of chloroquine falls off. The Washington Post February 14, A3.

38. UN. 1999. With climate, including global warming, as complicators malaria, in second place, sees fewer victims, but greater difficulty of control. United Nations Chronicle Online Edition XXXVI, Department of Public Information. http://www.un.org/Pubs/chronicle.

39. Myers, N., and P. Montaque. 2006. Answering the critics. In Precautionary tools for reshaping environmental policy, eds. N. Myers and C. Raffensperger, 269–96. Cambridge, MA: MIT Press.

40. Benbrook cited in Myers and Montaque (2006, 285).

41. Adams, M.E., H. Chang, and H.S. Frazier. 1995. Clozapine therapy for schizophrenia. In Risk vs. risk tradeoffs in protecting public health and the environment, eds. J.D. Graham and J.B. Wiener, 53–71. Cambridge, MA: Harvard University Press.

42. William, C., and J.D. Graham. 1995. Licensing elderly to drive. In Risk vs. risk tradeoffs in protecting public health and the environment, eds. J.D. Graham and J.B. Wiener, 72–86. Cambridge, MA: Harvard University Press.

43. Behrensdorff, I., and I.M. Bernhoff. 2003. Temanummner om ældre [In Danish]. Forskningsinformation 3. Danmarks Trafik Forskning, Rådet for Større Færdselssikkerhed.

44. Graham, J.D. 1995. Saving gasoline and lives. In Risk vs. risk tradeoffs in protecting public health and the environment, eds. J.D. Graham and J.B. Wiener, 87–103. Cambridge, MA: Harvard University Press.

45. OTA. 1991. US Congress, Office of Technological Assessment, improving automobile fuel economy: New standards, new approaches, OTA‐E‐504. Washington, DC: US Government Printing Office.

46. Gearhart, J., D. Menke, C. Griffith, and K. Mills. 2003. Getting lead out: Impact of and alternatives for automobile lead uses. Environmental Defense, Ecology Center, Clean Car Campaign.

47. Walker, K., and J.B. Wiener. 1995. Recycling lead. In Risk vs. risk tradeoffs in protecting public health and the environment, eds. J.D. Graham and J.B. Wiener, 149–72. Cambridge, MA: Harvard University Press.

48. Putnam, S.W., and J.B. Wiener. 1995. Seeking safe drinking water. In Risk vs. risk tradeoffs in protecting public health and the environment, eds. J.D. Graham and J.B. Wiener, 124–48. Cambridge, MA: Harvard University Press.

49. US EPA. 2002. Disinfection byproduct health effects. Tuesday, June 18th, 2002. US Environmental Protection Agency. http://www.epa.gov/enviro/html/icr/dbp_health.html.

50. See Anonymous (1995).

51. See Wildavsky (1995).

52. Environmental Nutrition. 1997. The good (!) news about cured meat products. Environmental Nutrition 20: 8.

53. See Rosenberg (1995).

54. See Hatziandreu et al. (1995)

55. See Beral et al. (2002).

56. See Writing Group for the Women's Health Initiative Investigators (2002).

57. Tanne, J.H. 2003. Radiation for prostate cancer increases risk of rectal cancer. British Medical Journal 330: 809.

58. National Cancer Institute. 2005. Treatment options for localized disease. http://www.nci.nih.gov/cancertopics/understanding‐prostate‐cancer‐treatment/page6.

59. EPA. 1983. EPA acts to ban EDB pesticide. EPA press release ‐ September 30, 1983. http://www.epa.gov/history/topics/legal/02.htm.

60. Epstein, S., and J.W. Gofman. 1984. Irradiation of foods. Science 223: 1354.

61. See Marchant and Mossman (2002).

62. Roche, J.P. 2002. Print media coverage of risk‐risk tradeoffs associated with West Nile Encephalitis and pesticide spraying. Journal of Urban Health: Bulletin of the New York Academy of Medicine 79: 482–90.

63. Ross, G. 2004. A needless worry concerning breast milk. Wall Street Journal February 2.

64. Pronczuk, J., J. Akre, and C. Vallemas. 2002. Global perspectives in breast milk contamination: Infectious and toxic hazards. Environmental Health Perspectives 110: A349–51.

65. American Academy of Pediatrics. 2005. Breastfeeding and the use of human milk. Paediatrics 115: 496–506.

66. Lawless, E.W. 1977. Technology and social shock. New Brunswick/New Jersey: Rutgers University Press.

67. CSTEE. 2003. Opinion of the Scientific Committee on Toxicity, Ecotoxicity and the Environment (CSTEE) on WRc report on the impact on the environment (reduction in eutrophication) that would result from substituting phosphorous in household detergents (Adopted 10 March 2003). Brussels: European Commission.

68. See Cross (1996).

69. IARC. 1999. Saccharin and its salts. IARC Monograph Evaluation of Carcinogenic Risks to Humans 73: 517–624.

70. SCF. 1997. Opinion on saccharin and its sodium. Potassium and calcium salts (expressed on 2 June 1995). European Commission Annex III to document III/5157/97 CS/ADD/EDUL/148‐Final February 1997. Bruxelles: Science Committee For Food. European Commission.

71. Parker, K.J. 1978. Alternatives to sugar. Nature 271: 493–5.

72. Newell, G.R. 1981. Artificial sweeteners and cancer. Progress in Cancer Research and Therapy 17: 273–8.

73. Wilson, M. 2004. When environmental policy leads to occupational disease: A case study in the California vehicle repair industry. Project summary available at http://www.turi.org/home/hot_topics/worker_health_and_safety/related_topics/pollution_and_occupational_policy/when_environmental_policy_leads_to_occupational_disease_a_case_study_in_the_california_vehicle_repair_industry.

74. California Department of Health Services. 2001. n‐Hexane use in vehicle repair. http://www.dhs.ca.gov/ohb/HESIS/nhexane.pdf.

75. Hawaii State Department of Health. 2007. Auto repair. Pollution Prevention into Action 1, no. 1: 1–2. http://www.hawaii.gov/health/environmental/waste/p2wastemin/pdf/AutoRepairP2web.pdf.

76. US EPA Department of Toxic Substances Control. 2001. Aqueous brake washers. http://www.dtsc.ca.gov/PollutionPrevention/VSR/upload/Brakewash02.pdf.

77. D'Ruiz, C.D. 2001. Aqueous cleaning as an alternative to CFC and chlorinated solvent‐based cleaning. Park Ridge, NJ: Noyes Data Publications.

78. Koh, J.‐M., C.‐H. Kim, S.K. Hong, K.‐U. Lee, Y.T. Kim, O.J. Kim, and G.S. Kim. 1998. Primary ovarian failure caused by a solvent containing 2‐bromopropane. European Journal of Endocrinology 138: 554–6.

79. US EPA. 2007. Alternatives/Significant New Alternatives Policy (SNAP) Program. http://www.epa.gov/ozone/snap/index.html.