A systematic review of the risk management frameworks for potentially toxic chemical elements.

IF 1.7 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Toxicology and Industrial Health Pub Date : 2023-12-01 Epub Date: 2023-10-18 DOI:10.1177/07482337231209092
Sheunesu Ngwenya, Ntsieni S Mashau, Sphiwe E Mhlongo, Afsatou N Traoré
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Abstract

In the last 50 years, various frameworks have been used to control and manage potentially toxic chemical risks; however, these chemicals continue to negatively impact environmental and human health. This work was intended to provide a systematic review of the literature on essential aspects of current risk management frameworks for potentially toxic chemicals. The frameworks were reviewed using Organisation for Economic Co-operation and Development (OECD) principles that focus on elements, successes, shortcomings, similarities, and dissimilarities premised on the experiences of many countries. Keywords such as heavy metals, health risk, industrial chemicals, potentially toxic elements, chemical pollutants, and risk management framework were utilised to search the literature from databases and other sources. Ten risk framework documents selected from an initial yield of 1349 using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses flow processes met the inclusion criteria. The key elements of risk frameworks that were identified included the risk assessment paradigm, iteration, tiered approach, weight of evidence, uncertainty analysis, and multi-criteria decision analysis among others. Notable gaps in risk frameworks that required improvements to effectively manage health risks posed by potentially toxic chemicals were identified. While existing risk frameworks have made significant contributions to human health and environmental protection, new and comprehensive frameworks are needed to address the novel and dynamic risks posed by toxic industrial chemicals. Also, there is a need to promote the use of risk management frameworks in developing countries through technology transfer and the provision of financial assistance to improve environmental and public health protection from toxic chemicals.

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对潜在有毒化学元素风险管理框架的系统审查。
在过去的50年里,各种框架被用于控制和管理潜在的有毒化学品风险;然而,这些化学物质继续对环境和人类健康产生负面影响。这项工作旨在对现有潜在有毒化学品风险管理框架的重要方面的文献进行系统审查。这些框架是根据经济合作与发展组织(OECD)的原则进行审查的,这些原则以许多国家的经验为前提,重点关注要素、成功、缺点、相似之处和不同之处。利用重金属、健康风险、工业化学品、潜在有毒元素、化学污染物和风险管理框架等关键词从数据库和其他来源检索文献。使用系统评价和荟萃分析流程的首选报告项目从1349份初始收益中选择的10份风险框架文件符合纳入标准。确定的风险框架的关键要素包括风险评估范式、迭代、分层方法、证据权重、不确定性分析和多标准决策分析等。发现了风险框架中需要改进的显著差距,以有效管理潜在有毒化学品带来的健康风险。虽然现有的风险框架为人类健康和环境保护做出了重大贡献,但需要新的全面框架来应对有毒工业化学品带来的新的动态风险。此外,有必要通过技术转让和提供财政援助,促进发展中国家使用风险管理框架,以改善环境和公共卫生保护,使其免受有毒化学品的危害。
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来源期刊
CiteScore
3.50
自引率
5.30%
发文量
72
审稿时长
4 months
期刊介绍: Toxicology & Industrial Health is a journal dedicated to reporting results of basic and applied toxicological research with direct application to industrial/occupational health. Such research includes the fields of genetic and cellular toxicology and risk assessment associated with hazardous wastes and groundwater.
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