Strategies for improving human health in contaminated situations: a review of past,present and possible future approaches |
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Authors: | John G Farmer Richard Jarvis |
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Institution: | (1) School of GeoSciences, University of Edinburgh, Crew Building, West Mains Road, Edinburgh, EH9 3JN, Scotland, UK;(2) Cheshire and Merseyside Health Protection Unit, Suite D, Moorgate Point, Moorgate Road, Kirkby, Merseyside, L33 7XW England, UK |
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Abstract: | Strategies for improving human health in contaminated situations have traditionally been based on restricting emissions, remedial
reduction of exposure and, where appropriate and possible, medical reconnaissance of efficacy. We review these and the broader
aspects of general public health approaches, including necessary understanding of epidemiology and the wider social context,
before considering a specific local case study involving health issues associated with chromium-contaminated land and its
remediation in an area of urban regeneration. The impact of remediation upon the common good, in its broadest environmental,
health and socio-economic sense, including enhanced opportunities for members of the community to take personal responsibility
for health-improving activities, should be taken into account in addition to conventional theoretical assessments and practical
measurements of relief from environmental risk. Rapidly emerging toxicogenomic technologies may have a role to play in informing
future risk assessment and remediation approaches in contaminated situations, although the ethical challenges of using personal
genetic information could well be considerable. |
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Keywords: | |
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