Tiered approaches to exposure estimation: a basis for risk assessment
14.7.2. Modelling residential exposures
In the absence of measured data on exposure or repre- sentative data on analo- gous substances, exposure must be estimated using recommended modelling approaches. To ensure that the predictions are realistic, all rele- vant exposure-related information on the substance should be used iteratively. General predictive models are available for generic substances and for specific scenarios. These models take into consideration the physical properties of active substances, such as the particle size of aerosols and volatility of liquids. Mathematical and empirical data- base models exist for a number of scenarios and tasks. Mathematical models for physical evapo- ration processes are nor- mally for a specific sub- stance and require data on such physical properties as saturated vapour pressure. Models for dispersive pro- cesses, such as spraying, typically apply to the pro- duct in use, emerging from the spray nozzle. Database models may be highly specific for exam- ple, an active substance discharged from a hand- held aerosol can or gene- ric for example, a product Pesticides: risks and hazards 510 mated from underlying physical processes, the physicochemical properties of the pro- duct, characteristics of the formulation and an understanding of the nature of contact with the chemical.14.7.1.2. Tiered approaches to exposure estimation: a basis for risk assessment
The tiered approach is a logical stepwise approach to risk assessment that uses the avai- lable information to the optimum extent, while reducing unnecessary requirements for human exposure surveys or studies. Alternatively, the need for an exposure study can be justified through elimination of all other possibilities. Tiered approaches use increasin- gly sophisticated analyses, exposure controls and parameter sets. Initial tiers should pro- vide conservative assessments of exposure that are refined in subsequent tiers. The tiered process explained below is a standardized approach to the evaluation of risk. In residential settings, most risk assessments can be characterized as Tier 1 assessments. If a Tier 1 assessment does not adequately address the margin of safety for a pesticide use pattern, a Tier 3 level approach may be applied to refine the assessment, to eliminate uncertainty. Tier 2 assessments apply to professional applicators and occupational expo- sures only. In Tier 1, the assessor selects an indicative exposure value from an empirical database or mathematical model, or a reasoned worst case, or by selecting validated data from tasks likely to produce similar exposure distributions. For example, Tier 1 estimates must not take PPE into account. When the result of a Tier 1 exposure assessment produces an unacceptable outcome in risk assessment, a Tier 2 estimate is required. In Tier 2, the exposure estimate needs to state the default values – these are the assump- tions used in the absence of scientific data, and they are set on the basis of scientific infor- mation and for conservative purposes – selected and also all assumptions; the assessments may combine some chemical-specific data with standard default values or generic data. Tier 2 estimates are appropriate for a detailed exposure assessment of specialized pro- fessional users – for example, protective measures are supposed to be carefully observed. If the resulting exposure estimate produces an unacceptable outcome in the risk assess- ment, the exposure abatement measures may be successively refined and the exposure estimate revised, until the options for exposure reduction are exhausted. If after this remodelling the predicted exposure is still unacceptable, then a third iteration of the expo- sure assessment will be required. In Tier 3, the final tier of the assessment, valid estimates of human exposure are produ- ced through surveys or studies with the actual product or with a surrogate. Studies may need to cover an entire scenario and may include biomonitoring to show systemic uptake. The information is particularly useful in the case of a workforce that has been studied over a period of time and at a known fairly continuous level of exposure. For residen- tial settings, these types of studies are the exception and usually involve environmental monitoring for pesticide residue or air concentration levels instead of biomonitoring. Fig. 14.5. Tiered approach to estimation of inhalation exposure Source: Modified from EC 2002. Fig. 14.6. Tiered approach to estimation of dermal exposure Source: Modified from EC 2002. Public Health Significance of Urban Pests 513 rical models, they are likely to account for the many variables that influence exposure. Currently, no empirical models exist for predicting consumer exposures, since the avai- lable databases on exposure measurements are not sufficiently large. Pesticides: risks and hazards 512 in use, including propel- lant, held within the can. T he use of exposure models requires the selec- tion of various input para- meters. Insufficiently detailed information on exposure scenarios or lack of sufficient data may require the use of default values. Input data or default values used for the calculations must be clearly documented. Computer programs have been developed to imple- ment mathematical pre- dictive models and empiri- cal models. Statistical models have been develo- ped using available data and appropriate statistical methods. Model choice should be jus- tified by showing that the model uses the appropriate exposure scenario – for example, as judged from the underlying assumptions of the model. Expert judgement may be required to check the realism of the exposure value derived from a model, particularly if default or so-called reasonable worst-case values have been used. Modelling exposure can be performed either by taking discrete values point estimates or distributions for the model variables probabilistic modelling. Generally, exposure models fall into one of three types: mathematical mechanistic models, empirical or knowledge-based models, and statistical mathematical models. T hese models predict exposure levels from a mechanistic description of a process, an empirical database or statistical relationships.14.7.2.1. Mathematical mechanistic models
Parts
» TAP.COM - PUBLIC HEALTH SIGNIFICANCE OF URBAN PESTS - WHO/EUROPE - WORLD ...
» Risk of developing allergic sensitization
» Risk factors for developing asthma
» Public health impact of urban asthma
» Dust sampling Airborne sampling Comparison of various methods of allergen exposure assessment
» Cockroach sensitization and asthma
» Size characteristics of airborne mouse and rat allergens Residential exposures
» Dust mites Studies examining thresholds of exposure relevant to disease
» Cockroaches Rodents Studies examining thresholds of exposure relevant to disease
» Comprehensive avoidance of dust mite allergens Multifaceted primary prevention studies
» Limited avoidance of dust mite allergens
» Targeting housing conditions of high-risk groups
» Smokybrown cockroach American cockroach Oriental cockroach
» Brownbanded cockroach Allergy and asthma overview
» Food contamination and disease transmission
» Cost of control and management
» Impact of poverty Cockroaches
» Public costs 1. Cost of health-related conditions
» IPM of cockroaches Cockroaches
» Baits Cockroach control: pesticide applications
» Alternative strategies Cockroach control: sanitation practices
» Biological control Conclusions Cockroaches
» Origins and natural history Habitats within the home
» Food Limiting factors Distribution in Europe and N orth America
» CEH Distribution in Europe and N orth America
» The building envelope Impact of building construction
» The ventilation and heating system
» Furniture and furnishings Overall effect of the housing environment on health or illness
» Sampling methods Dust mite and allergen inspection and detection methods
» Mechanical solutions Modifying environmental conditions
» Washing Dusting Dry cleaning Vacuuming
» Home disinfectants Electric blankets Bed heaters Freezing
» Sunlight Steam cleaning Cleaning
» Autoclaving Steam cleaning Temperature control
» Barrier fabrics Temperature control
» Habitat modification Carpets Physical control methods
» Soft furnishings Air filters
» Anti-allergy sprays Antimicrobial treatments Dehumidifiers
» Pesticides Building construction Methods of house dust mite control
» Control methods Medical practitioners Other
» Background Biology and bionomics
» Other species of Cimicidae that can affect people
» Evidence of resurgence in N orth America
» Future prospects Resurgence of bedbug populations in Europe and North America
» Importance as pests Economic impact Bites and health effects
» Conducive environmental conditions An integrated approach to bedbug management
» Physical removal Exclusion Physical removal and exclusion
» Inspection Detection Inspection, detection and education
» Heat Cold Controlled atmospheres
» Use of pest management products
» Benchmarks for success in bedbug management Conclusions
» Introduction Flea biology Fleas
» Health risk and exposure assessment
» Cost for control and management
» Cost of health-related conditions
» Flea exclusion and physical removal Pesticide applications for flea control
» Foggers General surface treatments IGRs
» On-animal products Conducive environmental conditions
» Pharaoh ant biology Overview of biology and distribution in Europe and North America
» Health hazards 1. Pharaoh ant infestations: pathogen transmission and contamination
» Pharaoh ant distribution and population monitoring
» Fire ant population assessment and monitoring methods
» Fire ant geographic range and potential expansion Fire ants: stinging incidents
» Fire ants: cost of eradication
» Physical exclusion Residual contact insecticides
» Insecticidal baits Fire ants: cost of health-related issues, control and management
» Efficacy of management practices
» Implementation of fire ant control programmes
» Confirmation. Determine where control is needed.
» Fire ants Emerging problems and policy options
» Introduction Biology and bionomics of filth flies in Europe and North America
» N uisance Health hazards 1. Diseases
» Myiasis Health hazards 1. Diseases
» Pesticide applications for fly control Granular baits
» Fly exclusion practices Crack-and-crevice treatments Biological control
» Ultraviolet light traps Sticky traps Jar or bag traps Window traps
» Attractants Perimeter treatments Fly management
» Togaviridae: genus Alphavirus Viruses
» Orthomyxoviridae: genus Orthomyxovirus Bacteria
» Coxiellaceae Anaplasmataceae Spirochaetaceae Bacteria
» Regular nonsporing Gram-positive rods Mycobacteriaceae
» Microsporidia Babesiidae Eimeriidae Protozoa
» Zoonoses and sapronoses of wild birds in the urban ecosystem
» Monitoring and surveillance Management implications 1. Benchmarks
» Techniques for dispersing birds in cities
» Control of wild and feral birds in urban areas
» Economic impact of wild urban birds on human health and of controlling birds
» Introduction Human body lice
» Biological factors Implications for public health
» Louse infestation in Europe and North America
» Physical removal Pesticides Louse management 1. Inspection and detection
» Socioeconomic influences Conducive environmental conditions
» Benchmarks for lice management
» Introduction Ticks of Europe and North America
» LB in Europe and N orth America
» Geographical distribution Lyme borreliosis
» Public health impact of TBE in Europe
» Geographical distribution Geographical distribution Epizootiology and epidemiology
» HME HGA Crimean-Congo haemorrhagic fever
» Boutonneuse fever Rickettsia helvetica
» Clothing Tick removal Clothing impregnation Vaccination
» Host-centred methods Habitat manipulation and urban design
» Tick and tick-borne disease surveillance IPM
» Public activities Pesticide applications
» Surveillance and management Research
» Other mosquito-borne viral infections that cause encephalitides
» Malaria Mosquitoes as a pest nuisance
» Dengue haemorrhagic fever and yellow fever
» Dirofilariasis The spread of mosquitoes and mosquito-borne pathogens
» National reporting and Mosquitoes
» Mosquito control and management
» Sanitation and water management
» Adulticiding Larviciding Mosquito monitoring
» Use of predators biological control Passive protection
» Genetic control and transgenic mosquitoes
» Feeding Biology of commensal rodents 1. Description and natural history
» Reproduction and life cycle of commensal rodents
» Behaviour relevant to control
» Movement Biology of commensal rodents 1. Description and natural history
» Population growth and socialization of commensal rodents
» Sewers and drains Association with urban infrastructure 1. Rodents in housing
» Case study 1 – rat bites in Philadelphia: identifying the factors contributing to risk
» Zoonoses of mice Public health risks in urban areas
» Case study 2: Fairhill case study
» Tree squirrels Types, distribution and abundance
» Chipmunks Ground squirrels, antelope ground squirrels and prairie dogs
» Hamsters Voles Types, distribution and abundance
» Beavers Types, distribution and abundance
» Rabbits and hares Types, distribution and abundance
» Francisella tularensis Major rodent- and lagomorph-related bacterial and rickettsial agents
» California group viruses primarily La Crosse virus CTF virus
» Yersiniae Major rodent- and lagomorph-related bacterial and rickettsial agents
» Borrelia burgdorferi s.l. Tick-borne relapsing fever borreliae
» Toxoplasma Toxocara Major rodent- and lagomorph-related parasitic agents
» Babesiae Leptospirae Major rodent- and lagomorph-related parasitic agents
» Bartonellae Rat-bite fever agents
» Flying squirrels Ground squirrels and antelope ground squirrels
» Tree squirrels Voles and other microtine rodents
» Chipmunks Disease associations with particular types of rodents
» Beavers Disease associations with particular types of rodents
» Rabbits and hares Old World mice
» Dormice N ew World rats and mice
» Introduction The impacts of anthropogenic transformations
» Risk factors for rodent- and lagomorph-related diseases Public health impact
» Costs, control and management of infestations
» Control and management of non-commensal rodents and rodent-related diseases
» Conclusions Non-commensal rodents and lagomorphs
» EU community-level authorization of technical grade active ingredients
» Acute toxicity The precautionary principle
» The substitution doctrine Special considerations given to children’s health
» Toxicity end-points Pesticide hazard identification
» Long-term effects Pesticide hazard identification
» Insecticide synergists N eonicotinoid insecticides
» Spot applications Primary exposure of non-professional users and secondary exposures
» Inhalation Routes of exposure
» Incidental oral exposure Routes of exposure
» Exposure potential Steps of pre-market risk assessment of pesticides
» Tiered approaches to exposure estimation: a basis for risk assessment
» Mathematical mechanistic models Empirical models Some existing models
» Statistical mathematical models SOPs and exposure scenario types
» Comparing pesticide risks from residential and dietary exposures
» Residential applicator exposure assessment
» Toxicity end-points and MOS Residential applicator exposure
» Future actions and data development
» Identification Establishment of threshold levels
» Inspection Evaluation of effectiveness
» Develop an IPM plan Employment of two or more control measures
» Definitions of IPM An integrated approach to managing urban insects and rodents
» Case study 3 Case study 4 Case study 5
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