scholarly journals “Following the Science”: In Search of Evidence-Based Policy for Indoor Air Pollution from Radon in Ireland

2020 ◽  
Vol 12 (21) ◽  
pp. 9197
Author(s):  
Anthea R. Lacchia ◽  
Geertje Schuitema ◽  
Aparajita Banerjee

Radon, a naturally occurring radioactive gas that can accumulate inside dwellings, represents the second biggest cause of lung cancer globally. In Ireland, radon is linked to approximately 300 lung cancer cases every year, equating to 12% of all lung cancer deaths. Despite the health risks posed by radon air pollution, Ireland lacks well-defined and universally applicable air pollution-related public health policies. Through purposive literature sampling, we critically examine the case of indoor radon policy development in Ireland. Specifically, we analyse the evidence-based policymaking process relating to indoor radon pollution from three different knowledge dimensions, namely political, scientific, and practical knowledge. In doing so, we identify various challenges inherent to pollution-related public policymaking. We highlight the difficulties of balancing and integrating information from multiple disciplines and perspectives and argue that input from multiple scientific areas is crucial, but can only be achieved through continued, dialogic communication between stakeholders. On the basis of our analysis, we suggest that a transdisciplinary perspective, defined as a holistic approach which subordinates disciplines and looks at the dynamics of whole systems, will allow evidence-based policymaking to be effective. We end with recommendations for evidence-based policymaking when it comes to public health hazards such as radon, which are applicable to sustainable air pollution management beyond Ireland.

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
C E Chronaki ◽  
A Miglietta

Abstract Evidence-based decision-making is central to public health. Implementing evidence-informed actions is most challenging during a public health emergency as in an epidemic, when time is limited, scientific uncertainties and political pressures tend to be high, and reliable data is typically lacking. The process of including data for preparedness and training for evidence-based decision making in public health emergencies is not systematic and is complicated by many barriers as the absence of common digital tools and approaches for resource planning and update of response plans. Health Technology Assessment (HTA) is used with the aim to improve the quality and efficiency of public health interventions and to make healthcare systems more sustainable. Many of today's public health crises are also cross-border, and countries need to collaborate in a systematic and standardized way in order to enhance interoperability to share data and to plan coordinated response. Digital health tools have an important role to play in this setting, facilitating use of knowledge about the population that can potentially affected by the crisis within and across regional and national borders. To strengthen the impact of scientific evidence on decision-making for public health emergency preparedness and response, it is necessary to better define and align mechanisms through which interdisciplinary evidence feeds into decision-making processes during public health emergencies and the context in which these mechanisms operate. Activities and policy development in the HTA network could inform this process. The objective of this presentation is to identify barriers for evidence-based decision making during public health emergencies and discuss how standardization in digital health and HTA processes may help overcome these barriers leading to more effective coordinated and evidence-based public health emergency response.


2020 ◽  
Vol 55 ◽  
pp. S227-S233 ◽  
Author(s):  
C. Turcanu ◽  
C. Schieber ◽  
T. Schneider ◽  
C. Fallon ◽  
R. Geysmans ◽  
...  

Radon in buildings poses a significant health risk, being one of the most important causes of lung cancer deaths worldwide. Acknowledging that successful radon risk management requires engagement of stakeholders, this paper investigated prescriptions and practices for stakeholder participation. First, it points out the need to integrate radon risk management in a holistic approach to indoor air pollution, together with urban planning and energy saving policies. It then argues for establishing more systematic approaches to the involvement of stakeholders in the design, implementation and evaluation of radon actions. Finally, it suggests the development of context specific approaches for the engagement of stakeholders at local and regional level.


Science ◽  
1983 ◽  
Vol 221 (4605) ◽  
pp. 9-17 ◽  
Author(s):  
J. Spengler ◽  
K Sexton

2020 ◽  
Vol 29 (1) ◽  
pp. 433-456 ◽  
Author(s):  
J. D. Appleton ◽  
D. G. Jones ◽  
J. C. H. Miles ◽  
C. Scivyer

AbstractRadon (222Rn) is a natural radioactive gas that occurs in rocks and soils and can only be detected with special equipment. Radon is a major cause of lung cancer. Therefore, early detection is essential. The British Geological Survey and Public Health England have produced a series of maps showing radon affected areas based on underlying geology and indoor radon measurements, which help to identify radon-affected buildings. Many factors influence how much radon accumulates in buildings. Remedial work can be undertaken to reduce its passage into homes and workplaces and new buildings can be built with radon preventative measures.


2000 ◽  
Vol 10 (7) ◽  
pp. 469 ◽  
Author(s):  
RA Kleinerman ◽  
ZY Wang ◽  
JH Lubin ◽  
SZ Zhang ◽  
C Metayer ◽  
...  

Science ◽  
1987 ◽  
Vol 235 (4785) ◽  
pp. 217-220 ◽  
Author(s):  
J. Mumford ◽  
X. He ◽  
R. Chapman ◽  
Cao ◽  
D. Harris ◽  
...  

2008 ◽  
Vol 17 (5) ◽  
pp. 473-478 ◽  
Author(s):  
Carlotta Galeone ◽  
Claudio Pelucchi ◽  
Carlo La Vecchia ◽  
Eva Negri ◽  
Cristina Bosetti ◽  
...  

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