D. Hattis et Ws. Minkowitz, RISK-EVALUATION - CRITERIA ARISING FROM LEGAL TRADITIONS AND EXPERIENCE WITH QUANTITATIVE RISK ASSESSMENT IN THE UNITED-STATES, Environmental toxicology and pharmacology, 2(2-3), 1996, pp. 103-109
Making use of quantitative estimates of risk involves sometimes painfu
l choices about risk control options and ethical and social policies f
or additional control and/or acceptance of remaining risks. Out of the
history of these choices in the U.S., we have drawn four broad catego
ries of risk control criteria: fair process, open disclosure and, to t
he extent practicable, Voluntary acceptance of risk; equity (fairness)
in the distribution of risks in relation to the benefits derived from
accepting those risks; the greatest possible effectiveness of governm
ental agencies in using limited resources to achieve health and safety
goals ('Do the very best you can'); andthe principle of 'First, do no
harm' from medical ethics. The first of these is entirely qualitative
; the last three can be informed by different kinds of quantitative an
alyses. The analyses differ in the implications of variability and unc
ertainty, among other factors. These suggested criteria should not be
seen as a kind of formula to be programmed into a computer in place of
human decision making. Rather, we hope they will contribute to an evo
lving language that can accurately represent our advancing technical u
nderstanding of the facts and frankly and compassionately convey our m
aturing understanding of the relevant value questions.