Over the past 25 years there has been a steady decline in the role of
public health agencies in environmental protection. This paper examine
s the major factors that have contributed to that decline, including t
he impact of federal environmental laws, the disparity in funding betw
een regulatory and public health activities in environmental protectio
n, and the emergence of risk assessment as a basis for environmental d
ecisions. The methods of risk assessment and traditional public health
approaches are contrasted, and the advantages of the involvement of p
ublic health agencies are discussed. Recommendations are presented for
strengthening the role of public health in environmental decisionmaki
ng to address more effectively public concerns about environmental ris
ks.