OIDD 261 Lecture Notes - Lecture 5: Saccharin, Food Additives Amendment Of 1958, Confirmation Bias

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Notes for Slides 7:
Estimating Probabilities of Accidents and Their Consequences
Fault Trees--Always starts with the definition of undesired effect and reasons how it may
have happened (how)
Event Trees--Proceeds forward in time from a failure to their accident implications (what)
Normal Accidents--Produced by complexity and tight coupling
Events are not independent--interactive complexity
Processes are tightly coupled--no organizational slack
example : Three Mile Island
Notes for Slides 8:
Differences in Probability Values between Pruned and unpruned Trees (?)
unpruned trees: more info, more accurate
Three Supreme Court Cases judging Science:
1. Daubert--is Bendectin a carcinogen?
2. Joiner--do PCBs cause lung cancer?
3. Kimho Tire--is automobile tire explosion due to manufacturing defect?
Attributes for determining whether association means causality
Strength of association
Consistency across studies
Specificity to a particular organ or group of people
Temporality
Does effect increase with dose?
Plausibility
Is relationship coherent with other data?
Did effect vanish when cause was removed?
Steps in risk assessment process for carcinogens
1. Collection of toxicity information about the substation
2. Identifying whether substance represents a carcinogenic risk
3. Degree of risk substance might pose to humans
4. Extrapolation from animal risk estimates to potential human risk
Methods of risk assessments used by agencies
Overstate risk posed by carcinogens for the following reasons:
Chemical which causes cancer in animals will do so in humans
Assume greatest risk at lowest dose
Use mathematical models that yield highest prediction of risk at low doses
Do not assume threshold for any carcinogen
Maintaining integrity of risk assessment process:
Make explicit all assumptions and uncertainties
Peer review of risk assessments
Agencies separate risk assessment from risk management
Assessing Risk: Role of Epidemiology
Definition: Study of the occurrence and causes of disease (and health) in human populations
Goals: disease prevention
Layperson V Expert Disagreement of Cancer Cluster
Layperson seeks explanation, fears cancer
Similarities between state cancer rate and block cancer rate is reassuring to
epidemiologists but alarming to laypersons
Confirmation bias is used by laypersons but not experts
Leads to the Delaney Clause
1958 ban of all carcinogens from any processed food
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Document Summary

Estimating probabilities of accidents and their consequences: fault trees--always starts with the definition of undesired effect and reasons how it may have happened (how, event trees--proceeds forward in time from a failure to their accident implications (what) Normal accidents--produced by complexity and tight coupling: events are not independent--interactive complexity, processes are tightly coupled--no organizational slack, example : three mile island. Differences in probability values between pruned and unpruned trees (?: unpruned trees: more info, more accurate. Steps in risk assessment process for carcinogens: collection of toxicity information about the substation, identifying whether substance represents a carcinogenic risk, degree of risk substance might pose to humans, extrapolation from animal risk estimates to potential human risk. Maintaining integrity of risk assessment process: make explicit all assumptions and uncertainties, peer review of risk assessments, agencies separate risk assessment from risk management. Definition: study of the occurrence and causes of disease (and health) in human populations.

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