Foreword

One of the most persistent trends in American society has been an insistence on citizens' rights to be informed and to participate in all areas that affect their quality of life and personal health and welfare. This is particularly true in matters relating to environmental health. A relatively new dimension to the public's understanding of the potential threat of chemical and physical agents in the environment has been the recognition that the effects on health can be insidious, developing only after decades of exposure. The complexities involved in conveying health risk information on such effects has made health risk communication difficult.

For these reasons, the Public Health Service's Environmental Health Policy Committee (EHPC) created the Subcommittee on Risk Communication and Education. As its first assignment, the Subcommittee undertook an analysis of risk communication policies and procedures across Public Health Service (PHS) agencies, with the goal of developing recommendations on improving health risk communication.

The purpose of this report is to help public health professionals understand the basic principles that will assist them in fulfilling their responsibilities to provide to—and receive from—the general public needed environmental health information about environmental exposures and disease. The report suggests fundamental principles drawn from a series of case studies from PHS agencies about how best to plan and carry out risk communication activities.

This report is intended to be a guide—in a sense, a suggested framework of principles—that can be used not only in the mechanics of producing a single risk communication activity but also in organizing and operating an agency or institutional communication program. The recommendations contained in this report have been reviewed by PHS agencies, and their actions to implement the recommendations are found in
Appendix 3.

The Subcommittee's efforts were greatly aided by the many individuals who contributed their expertise by providing agency examples and cogent analysis during the review process. Our report would not have been possible without the dedicated efforts of Dr. Timothy Tinker of the Agency for Toxic Substances and Disease Registry (ATSDR), who provided the staff support for this activity.

Subcommittee on Risk Communication and Education
PHS Environmental Health Policy Committee

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