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Aide au choix des substances prioritaires du futur Plan national santé environnement (PNSE3) : élaboration et mise en œuvre d’un indicateur de risque collectif

Abstract : The third French National Environment and Health Action Plan (Plan national santé environment - PNSE3) will include a list of priority substances of concern. Those responsible for choosing these priority substances might well wish to base their decision on a public health criterion. Ranking substances of concern according to such a criterion implies focusing on their collective risk, measured by the number of deaths and/or diseases attributable to each. However, collective risk data are available for only a very few substances. Consequently, we built an indicator to characterize this collective risk (CRI) without having an exact value for each substance. This indicator is based on the one used by Eurostat to monitor the effectiveness of the implementation of the REACh Regulation, adapted to the specific context of the PNSE3. The CRI construction method and the practical details of each step were reviewed in a participatory approach that included experts in risk and members of civil society. A CRI was calculated for more than 300 substances. The results made it possible to: i) obtain, for the first time in France, a prioritized list of substances based on a simplified construction of collective risks; ii) distinguish the approximately 50 substances on the top of the list, which can be considered on initial analysis as the substances of the greatest concern, under the CRI public health criterion. As part of the procedure for preparing the PNSE3, a multicriteria analysis allowed us to generate different rankings of substances corresponding to other criteria or bases of decision, identified by different groups of stakeholders. The CRI prioritized list formalizes a public health-based rationale, sheds light on these other points of view, and provides useful information for decision makers.
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https://hal-ineris.archives-ouvertes.fr/ineris-01855562
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Submitted on : Wednesday, August 8, 2018 - 11:43:49 AM
Last modification on : Thursday, August 9, 2018 - 1:08:40 AM

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Guillaume Karr, Bénédicte Pecassou, Céline Boudet, Martine Ramel. Aide au choix des substances prioritaires du futur Plan national santé environnement (PNSE3) : élaboration et mise en œuvre d’un indicateur de risque collectif. Environnement, Risques and Santé, John Libbey Eurotext, 2014, 13 (3), pp.232-243. ⟨10.1684/ers.2014.0705⟩. ⟨ineris-01855562⟩

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