Risk Assessment Information as Input to Public Decision-Making 
            Provision of Comprehensive, Probabilistic Risk Assessment Methods  
            Application of Risk Communication Framework for Risk Analysis 
             
            In 1994, Drs. John Shortreed, Frank Saccomanno of the University
            of Waterloo and Dr. Stephen Ramsay of the University of Western Ontario
            completed a comprehensive, probabilistic transportation risk assessment
            study for the Alberta Special Waste Management System. The report
            documents the risks of transporting wastes to the Swan Hills Treatment
            Centre of Chem- Security (Alberta) Ltd. In the study, Review of the
            Transportation Risk Assessment Submitted by Chem-Security (Alberta)
            Ltd. for Proposed Expansion of Swan Hills Waste Treatment Centre,
            the IRR introduced a number of innovative risk analysis and risk
            management techniques that attempted to provide decision-makers (in
            this case AlbertaUs Natural Resources Conservation Board) with a
            basis for the assessment of risks including the effects of changes
            in operating procedures, changes in travel routes, and changes in
            waste composition. The risk analysis innovations described in the
            contract report include: 
          Presentation of the risk analysis
              in a "risk communication" framework
            (i.e., 10 key questions Albertans wanted answered);  
            Accurate representation of the waste streams, avoiding the use of "worst
            case" assumptions;  
            Analysis of accident rates based on estimates for individual road
            sections using a province wide accident analysis;  
            Use of probabilistic analysis rather than expected value analysis;
            and  
            Development of a family of consequence models that can deal with
            many waste streams and many different accident situations.  
                                 Assessing Potential Health Impacts of Environmental Airborne Emissions 
            Detailed Multi-Pathway Exposure Assessment of Environmental Airborne
            Emissions  
            Independent Review of Assessment  
            Risk Assessment of Dioxin and Furan Emissions 
          In April 1994, Dr. John Hicks
              of Ryerson Polytechnic University and Dr. Steve McColl of the University
              of Waterloo completed
              a contract
            on Risk Assessment of Dioxin & Furan Emissions from the Elk Falls
            Power Boiler. This study, Health Risk Assessment of Airborne Dioxin
            and Furan Emissions at the Elk Falls Pulp Mill, evaluates the health
            risk to local populations from exposure to airborne emissions of
            dioxins and furans from the No. 5 power boiler at the Fletcher Challenge
            Canada pulpmill in Elk Falls, British Columbia. The study was co-funded
            by: Natural Resources Canada (Program on Energy Research and Development);
            Environment Canada; and Health Canada. The IRR work has lead to a
            subsequent research contract with Health Canada to examine "Probabilistic
            Risk Assessment and Uncertainty Analysis of Emissions of PCBs, PAHs,
            and PM10 from the Elk Falls Power Boiler".  
          In March 1995, Dr. John Hicks
              of Ryerson Polytechnic University and Dr. Steve McColl of the University
              of Waterloo completed
              an "Exposure
            Assessment of Airborne Dioxins and Furans Emitted from the EDC/VCM
            Facility at the Dow Chemical Canada Fort Saskatchewan Site" to
            determine the potential for human health effects on populations in
            the vicinity of the plant. Exposure was estimated from dispersion
            modelling and consideration of background exposure from environmental
            and food sources. The IRR report also discusses the difficulties
            in assessing human health effects given the controversy regarding
            dioxin toxicity. The exposure resulting from the plant was compared
            to background sources and regulatory exposure standards. 
          In the aforementioned exposure
              modelling study the exposure of local livestock was not examined
              as original queries
              indicated that the
            were only grains and rapeseed oil harvested in the vicinity of the
            Dow facility. An external reviewer of the exposure assessment study
            suggested that pathways for exposure to dioxins/furans from consumption
            of agricultural produce need to be addressed. A modelling study ("Preliminary
            Characterization of Agricultural Dioxin Exposure") was commissioned
            by Dow Chemical Canada Ltd. to provide the first approximation predicted
            values for agricultural exposure to dioxins and furans from the Dow
            facility.  
                      
            Balancing Risks, Costs, and Benefits of Hazardous
            and Solid Waste 
            Integrated approach to hazardous and solid waste management 
             
            In 1992, the Canadian Battery Manufacturer's Association funded IRR
            to undertake an independent investigation into the impacts of used
            household battery disposal and management practices on the environment,
            including an evaluation of the potential risks associated with the
            identified options. Dr. Murray Haight lead the interdisciplinary
            IRR team that produced the report Assessing the Environmental Effects
            of Disposal Alternatives for Household Batteries. The report discusses
            the issues relating to used dry-cell battery disposal practices,
            their potential impacts on the environment, the potential risks to
            humans, and offers recommendations for what is considered as acceptable
            disposal practices for used household batteries.
                        In 1991, Dr. Daniel Duah completed
              a risk-cost-benefit assessment of the economic and environmental
              implications of the
              toxic/hazardous
            waste trade on West Africa while on a World Bank Fellowship. His
            policy report "The Economic and Environmental Implications of
            the Hazardous Waste Trade on West Africa" presents the results
            of an investigation of the potential environmental and economic impacts
            to developing communities from indiscriminate disposal of hazardous
            wastes; the special focus is on West Africa. The investigation was
            designed to provide the necessary tools to help answer the question: "Should
            the toxic/hazardous waste trade be encouraged, and under what terms
            or circumstances should it be approved?" 
          Another important contribution to waste management is the IRR publication
            Municipal Solid Waste Management: Making Decisions in the Face of
            Uncertainty. This volume is intended to assist those involved in
            the decision-making process for municipal solid waste management
            in selecting effective, integrative management strategies. The various
            options (landfilling, combustion and the 3R's) are evaluated from
            risk assessment and risk management perspectives. The health and
            environmental risks, economic implications, principles of operation
            and future directions of each of these municipal solid waste management
            strategies are explored. The contributions are from various professions
            including industry, government departments, consultants and academia.
            Their treatment of the issues addresses the needs of other professionals
            as well as those of the public in general. 
                      
                  Ineffective and Inefficient Allocation
                  of Public Resources for Health and Safety 
                  Development of a framework and index to evaluate health and
              safety policy  
               
              IRR has examined general policy areas. For example, Drs. Niels Lind,
                Jatin Nathwani, and Ernest Siddall developed an analysis framework
                for better resource allocation in characterizing and managing risks
                in the public interest (Lind et al., 1991) and then applied the framework
                to energy production (Nathwani et al., 1992). The framework employs
                indicators of social well being developed by the United Nations.
                Subsequent work by Nathwani and Pandey has lead to the refinement
                of the life-quality approach. We have made continuous improvement
                in reaching our goal of having a rational, workable and acceptable
                method for expressing the Public Interest in issues such as: nuclear
                energy; siting of chemical plants; safety of consumer products; and
                provision of health care.
                                
                                                   Ineffective Risk Communication  
                      Decision-Making Processes that Yield Unstable Solutions 
            Poor Integration of Science into Risk Policy 
            Effective Risk Communication 
             
            The Institute's 1989 book Prospects and Problems in Risk Communication
            edited by W. Leiss is in its second printing and remains the only
            Canadian text on this topic. The articles in this book cover a wide
            range of current issues in risk communication. These include: a comprehensive
            review of the obstacles that have been encountered in communicating
            risk management controversies in North America; analyses of the distinction
            between technical risk and perceived risk; reviews of communication
            case studies, controversies, and practices involving Canadian government
            departments; studies on the place of quantitative risk assessment
            results in effective risk communication practices; and recommendations
            for improving current policies and practices. The contributors are
            from various professions - the media, industry, government departments,
            consultants, and academic fields. Their treatment of these issues
            addresses the needs of other professionals in these areas as well
            as those of the public in general. 
          Consensus Approaches to Decision Making 
            Dr. William Leiss' 1992 report Multi-Stakeholder Negotiation in Environmental
              Controversies: The Case of Antisapstain Chemicals in the British
              Columbia Wood Products Industry, documents the background, process,
              outcome and implications of a new approach used to resolve an environmental
              controversy concerning antisapstain chemicals used to control the
              growth of mold on freshly-cut lumber in the wood products industry.
              This approach resulted in a consensus agreement among the major
              stakeholders (labour, industry, government, environmental groups)
              and provides an important case study of toxic chemical risk management
              in Canada. 
          Ensuring Value Assumptions in Risk Assessment are Explicit 
  In their 1991 publication "Value Assumptions in Risk Assessment",
            Drs. Haworth, Brunk, and Lee, explore the value aspects of risk assessment
            through a case study of the alachlor pesticide controversy. This
            book brings to light various problems public policymakers encounter
            as they grapple with recommendations from scientific advisors. 
           
                      Eastern Arctic Eco-Research Project 
             
            The Institute has received a 3 year grant under the Canadian Tri-Council
            Eco-Research program for a project dealing with environmental contaminants
            in Northern Quebec and Labrador. The overall objectives of the research
            program are to document the effects of exposure to environmental
            contaminants in Nunavik and Labrador on human health, including impacts
            on the quality of life of the Inuit, and to develop a risk management
            framework in collaboration with Inuit groups. The Institute's study
            of the risk management aspects of the problem is one of nine sub-projects
            on health (animal and human), socio-economic impacts and risk management
            issues involving researchers from Memorial University of Newfoundland,
            Manitoba, Waterloo, UQAR and Laval. The research program is under
            the direction of principal investigator Dr. Eric Dewailly of Laval
            and the Quebec Centre for Public Health.            The risk management research project involves: Dr.
            Eric Dewailly, Director, Quebec Centre for Public Health;  
            Dr. Robbie Keith, Environment and Resource Studies, UW; 
            Dr. John Shortreed, Civil Engineering, UW; 
            Lorraine Craig, IRR; and 
            Chris Furgal, Urban Planning, UW  
             
            The purpose of the risk management research project is to enhance
            the decision-making capacity of regional and community organizations
            in Nunavik and Labrador to deal effectively with the many aspects
            of contaminants exposure, effects and impacts. 
          Phase I  
            Phase I of the project consisted of workshops held January 16 - 19,
              1995 in Kuujjuaq, Quebec and Nain, Labrador in order to understand
              community and regional perspectives on contaminant issues and to
              involve Inuit groups and regional organizations in the planning
              and process of the Eco-Research sub-projects. A report on the workshops
              is available  
               
            Phase II  
            Phase II involves the development of specific project/site activities
            that evolve from the workshop discussions. The risk management research
            team will be working closely with the steering committees in Nunavik
            and Labrador to define and implement the research strategy.  
             
            Phase III  
            Phase III will conclude the research project with publication of
            a resource document which summarizes the results of the sub-projects
            in a plain language fact sheet format. The purpose of the document
            is to enhance the capacity of organizations, particularly those in
            Nunavik and Labrador, to communicate more effectively on food chain
            contaminant issues.  
             
            Phase I - 
            Year 1 Progress Report - 
            Research Undertaken to Date 
            The first risk management workshops were held in Kuujjuaq, Quebec
            January 16 -17, 1995 and Nain, Labrador January 18-19, which brought
            together the principal investigator and researchers from the nine
            Eco-research subprojects, the project steering committee, field co-ordinators
            and key members of the community from Nunavik and Labrador. The purpose
            of the workshops was to provide an opportunity for discussion on
            contaminants andgeneral environmental health concerns among Inuit
            representative, regional decision-makers and researchers and to introduce
            and discuss the Eco-research sub-projects. The workshops were the
            first activity of the risk management project which aims to enhance
            the capacity of communities in Nunavik and Labrador to manage the
            impacts of environmental contaminants on their health and lifestyles.  
          Results Obtained 
            A $10,000 contribution from Health Canada towards the workshop travel
              expenses allowed the workshop to be held in two locations, which
              was critical in view of the major differences between the regions
              of Nunavik and Labrador. In addition to co-funding the workshop,
              Health Canada also provided a representative, Dr. Frank Iverson,
              to attend the workshop in Kuujjuaq.  
          The workshop successfully provided a forum for active
            discussion, in which Northerners expressed their concerns, perspectives
            and needs
            in relation to local and regional environmental contaminant issues
            and made queries and comments concerning the Eco-research projects.
            Some of the new issues raised by the workshop participants included:
             
            - need for background information on contaminants, including sources
            and effects on humans and wildlife  
            - need for information on the health of the caribou  
            - need for information on the benefits of eating country food and
            the risks of eating store bought food  
            - importance of culturally appropriate communication concerning the
            Eco-research project and the research results  
             
            The ideas expressed at the workshops will assist researchers in structuring
            their research activities, and planning implementation and communication
            strategies at the community and regional levels. In some cases, this
            has meant exploring the feasibility of extending the scope of the
            studies to include communities in Labrador as well as Nunavik (i.e.
            Duhaime study, Pellerin-Massicotte study).  
          The workshops also provided an opportunity for discussion among
            researchers, to explore ways to integrate the various subprojects
            and improve access to one another's data.  
          A draft report on the proceedings of the Risk Management workshops
            has been distributed to all in attendance at the workshops. Field
            co-ordinators have been requested to communicate the information
            in the document to non-English speaking participants. The draft report
            will be amended based on comments received from the workshop participants.  
          An additional $5,000.00 has been requested from Health Canada for
            publication, promotion, and distribution of the final workshop report,
            Inuit Perspectives on Environmental Contaminants. The report will
            provide an important example of the application of the risk management
            approach to community-based studies on contaminants and will be a
            resource document for researchers planning studies on contaminants
            in the North. The final report will be prefaced with a summary of
            the workshop translated into Inuktitut.  
          
          Current Activities 
          The risk management team is currently developing a proposal for co-funding
          of specific community-based initiatives for years 2 and 3 of the project.
          The research objectives have been organized according to the following
          three themes:
                  
          Theme 1: Contaminants in the ECA: Developing an Adaptive Risk Management
            Strategy 
            to document the characteristics of Nunavik and Labrador that require
            adaptations to components of the traditional risk management approach  
            to integrate Inuit perspectives on ecosystem contaminants by adapting
            the risk management study framework  
            to assist in the development of a culturally appropriate information
            network on contaminants issues to meet the needs of residents and
            organizations in these regions  
            Theme 2: Measures and Indicators of Community Empowerment  
            to identify indicators to measure the effectiveness of the risk management
            process in Nunavik and Labrador  
            Theme 3: Evaluation of the Risk Management process in Nunavik and
            Labrador 
            To evaluate the risk management process in terms of its ability to
            :  
            - 
            link researchers, Inuit groups and regional decisionmakers;  
            - enhance the capacity of the Inuit to understand and manage the
            risks of contaminants in the food chain;  
            - incorporate the needs, issues and concerns of the Inuit into the
            Eco- research project;  
            - integrate the results of the sub-projects in a way which is useful
            for decisionmakers.  
             
            The risk management team is currently preparing a paper on Empowering
            Communities through Risk Management for submission to the journal
            Arctic. The paper will document the application of the risk management
            process to the study of contaminants in the North.  
          Training opportunities offered  
            The project provided training support for Chris Furgal, a graduate
              student in the School of Urban Planning at the University of Waterloo.
              Chris has a M.Sc. degree in Biology and began a Ph.D. program in
              January. He studied Decision Making Capacity in Northern Communities
              as his thesis topic under the supervision of Dr. Robbie Keith of
              the Department of Environment and Resource Studies.  
          Phase II - 
            Year 1 Progress Report - 
            Research to Date and Results  
            Objectives 
            This project is the integrative component of the Avativut/Ilusivut
            (Eco-Research) Program. The project seeks to strengthen linkages
            between Inuit communities, local and regional decision-makers, Inuit
            groups and researchers. The primary objective of this research project
            is to enhance the decision-making capacity of individuals, community
            and regional organizations in Nunavik and Labrador to deal effectively
            with the issue of contaminants in country food. The project seeks
            to accomplish this through the following activities:  
          Implementation and adaptation of the risk management framework to
            link both Inuit and scientific perspectives and decision-making processes
            on ecosystem contaminants.  
            Development of a risk communication document to assist decision-makers
            n the regions of Nunavik and Labrador. The document will integrate
            the results of the Avativut/Ilusivut research program with other
            scientific and indigenous information.  
             
            Activities to Date and Results 
            Briefly, in review, the Year 1 Risk Management Workshops held in
            Kuujjuaq, Québec and Nain, Labrador in January 1995 brought
            together Eco-researchers, local and regional decision-makers and
            Inuit residents of Nain and Labrador. The workshop discussions resulted
            in the identification of deficiencies in the scope and conceptualization
            of the research program. These identified limitations, namely the
            absence of a study to provide information on caribou health and the
            narrow focus of the program towards risks of country food diets without
            consideration of benefits, resulted in a subsequent adaptation of
            the research program. A caribou health study has been initiated with
            funding from Hydro Québec and studies assessing Inuit perceptions
            of the risks of country food diets have been broadened to determine
            cultural, social, economic and health benefits. This shift in contaminants
            risk management and communications towards a balancing of benefits
            and risks reflects recent findings from other country food contaminants
            research initiatives. A recent report by the Inuit Tapirisat of Canada,
            entitled "Communicating about Contaminants in Country Food:
            The Experience in Aboriginal Communities" (Usher, 1995) identifies
            the need for health authorities to assess the benefits of country
            food and weigh these against the health risks of exposure to contaminants
            when developing health advisories. Recommendations from contaminant
            workshops organized by the Department of Health and Social Services
            in the Northwest Territories have included the need to discuss both
            health risks and benefits in contaminant communications. The final
            report of the Risk Management workshops was published with financial
            assistance from Health Canada and distributed to workshop participants,
            following a process of review and revision by those in attendance
            in Nunavik and Labrador.  
          Year 2 project activities focused
              on further assessing Inuit needs and perceptions on contaminant
              issues through
              interviews and observations
            conducted by Chris Furgal during the introduction of the Eco-Research
            program in the community of Kangiqsujuaq in July 1995. Interviews
            were also conducted with Nunavik Regional Board of Health and Social
            Services (NRBHSS) and Makivik Corporation to obtain feedback on the
            Eco-Research risk management workshops. Meetings were held with the
            Regional co-ordinators in Nunavik and Labrador (Lucy Grey and Katie
            Harris) to assess community needs, provide consultation on approaches
            for introducing the Eco-Research program in the communities, and
            obtain feedback on the Risk Management workshops. The common theme
            arising from the discussions was the need for improved collaboration
            between researchers and communities during the course of research
            studies and better communication of results following the completion
            of studies. Robbie Keith participated in a "Workshop on Social
            Health and Environmental Change" held in Nain in March 1996.
            Chris Furgal has strengthened collaborative links with researchers
            undertaking contaminants risk management activities in other regions
            of the Canadian North. He attended the Nunavut Contaminants Workshop
            in Cambridge Bay, NWT in March, 1996. The Workshop indicated that
            Inuit of Nunavut have a need for very basic level information on
            contaminants.  
          A proposal to leverage Eco-Research project funding for the risk
            management project was submitted to NHRDP in November 1995. The proposal
            was to conduct mid-project risk management workshops and implement
            and evaluate risk communication activities. While three of four reviewers
            were supportive of the proposed initiatives, the proposal was not
            funded.  
          Phase III 
  Phase III of the project also focused on developing the risk communication
              document entitled "Country Foods Benefits and Risks: A Resource
              Guide for Nunavik and Labrador". This document will assist
              decision-makers at the regional, community and individual levels
              by establishing a framework and a system for organizing the information
              resulting from the many studies on contaminants risks and benefits.
              This would include results of the Eco-Research studies and information
              from other indigenous and scientific sources. A survey of Eco-Researchers
              was undertaken in July, 1995 to begin the process of identifying
              existing research related to the Eco-Research program.  
          The final organizational structure and content of the document was
            determined by Inuit partners in the regions of Nunavik and Labrador
            to ensure its success and relevance to community needs. 
          References 
            Usher, P. J., Baikie, M., Demmer, M., Nakashima, D., Stevenson, M.G.
              and M. Stiles. 1995. Communicating about Contaminants in Country
              Food: The Experience in Aboriginal Communities. Ottawa: Inuit Tapirisat
              of Canada.  
          Furgal, C., Shortreed, J., Keith,
              R., Craig, L. and É. Dewailly.
            1995. Inuit Perspectives on Environmental Contaminants. Institute
            for Risk Research, University of Waterloo.  
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