Chemistry International
Vol. 23, No. 2
March 2001
Risk
Assessment Terminology
by
Dr. John H. Duffus **
This article is a summary of the main points of a report
of the work of a joint International Program on Chemical Safety/Organization
for Economic Cooperation and Development (IPCS/OECD) Working Party that
was published in 1999 in Terminology Standardization and Harmonization
(see ref 1).
The problem of "risk" and "hazard" terminology has bedeviled discussions
relating to the safe use of chemicals, because there have been different
usages, although a consensus is emerging. This paper describes that
consensus and how the Working Party identified it. We believe that the
chemical community should be aware of the consensus position, and we
think that the methodology applied is of considerable interest and agrees
with that used by IUPAC terminologists.
Introduction
Recently, because of my IUPAC experience in compiling the "Glossary
for Chemists of Terms Used in Toxicology", I was invited to take part
in a project with the objective of harmonizing the chemical hazard/risk
assessment terminology used by risk assessors. The project was established
under the auspices of the International Program for the Good Management
of Chemicals (IOMC), with the active involvement of the International
Program on Chemical Safety (IPCS) and the Organization for Economic
Cooperation and Development (OECD). Experts on chemical risk assessment
from a variety of backgrounds, including chemistry, biochemistry, pharmaceuticals,
toxicology, food safety, environmental sciences, and epidemiology, contributed
to the project. Most importantly, the core working group included specialists
in terminology, and this composition greatly facilitated its procedures.
A full account of the project with detailed annotation has recently
been published [2]. This paper presents an
outline of the process adopted to identify consensus definitions of
the relevant terms and lists the definitions in their current forms.
For a thorough discussion, see the full published account [2].
Methodology Used
A joint terminology steering committee (TSC) was established with a
balanced representation from the parent organizations to provide guidance
and validate proposed approaches ex ante. In particular, each member
of the TSC had to define the nature and magnitude of the terminological
difficulties encountered by their constituency.
A smaller terminology planning group (TPG) was established to propose
solutions and, once proposals were endorsed, to proceed accordingly.
The work plan was organized in five phases.
1. Preliminary work. The members of the TSC were invited to
identify, independently and individually:
a) terms that, in their opinion, should be covered by the project.
Terms were eligible for inclusion in the project when differences
in usage in various groups were perceived to hamper interdisciplinary
cooperation. For practical reasons, it was agreed to limit the initial
list to 50 terms;
b) reference materials, such as glossaries, dictionaries, and other
documents which, in their individual opinion, were the most reliable
for understanding the meaning of the selected key terms;
c) peers who would constitute an international reference group (IRG)
and participate in a large consultation that would inform the harmonization
process.
2. Priming the process. Materials received from the TSC members
were preprocessed as follows:
a) An initial cumulative list of more of than the 200 terms was compiled
and circulated iteratively to the terminology steering committee for
reduction to the agreed level of 50 terms;
b) All reference materials were screened and all definitions entered
in a database for future reference. The database eventually totaled
some 5 000 terms and 15 000 definitions;
c) A survey document was prepared listing the 50 selected key terms
in alphabetical order, together with the corresponding definitions
collected from the reference materials; the number of definitions
per term ranged from 1 to 23, giving a total of 350 in all.
3. Launching the survey. A consensus-building exercise was initiated
among the 200 peer-nominated experts constituting the IRG. Participants
in the survey were invited to indicate, for each of the selected terms,
the definition they preferred. Only one choice was permitted. Comments
were invited, where necessary, to refine ones opinion on the selected
preferred definition. A none-of-the-above option was added to permit
rejection of any of the listed definitions; in such a case, comments
were mandatory. Survey forms were sent on paper to the participants
and made available through the Internet.
4. Analyzing the data. Ten thousand records were received, stored
in a database, and tabulated. Preferences were counted, and comments
were studied. Possible interdisciplinary biases were checked. A detailed
report was prepared, giving a snapshot picture of the terminology understanding
that emerged from the survey.
5. Review by the terminology planning group. A critical review
was conducted to assess the conformity of the results arrived at during
the analytical process. The outcome of the project, the final list of
definitions adopted, is given below.
List of Terms
The terms are not listed here in alphabetical order, because we were
dealing with concepts and it was found best to consider each term in
the appropriate conceptual environment. We called the base terms "data-oriented
terms" and their combinations with action concepts "action-oriented
terms".
1. Data-oriented terms. "Risk" and "hazard" are the key data-oriented
terms, and there are clusters of related terms around them. Others include
"guidance value", "margin of exposure", "safety factor", and "threshold".
2. Action-oriented terms. These are terms used in conjunction
with single-word terms, except for "assessment", which is defined in
isolation also.
TERMS AND DEFINITIONS
Note: For the purpose of this terminology, the term "agent" refers
to any chemical, physical, or biological entity.
SYMBOLS USED |
None
|
term from the original list of terms, considered
to be a base term |
 |
term added to the initial list of terms for reasons of consistency
|
 |
term intimately related to the preceding base term |
 |
term loosely related to the preceding base term |
hazard: inherent property of an agent or situation
capable of having adverse effects on something. Hence, the substance,
agent, source of energy, or situation having that property
risk: the probability of adverse effects caused
under specified circumstances by an agent in an organism, a population,
or an ecological system
DOSE vs. CONCENTRATION
dose: total amount of a substance administered
to, taken, or absorbed by an organism
concentration: quantity of a material or substance
contained in unit quantity of a given medium or system
EFFECT vs. RESPONSE
effect: change in the state or dynamics of
a system caused by the action of an agent
response: change developed in the state or
dynamics of a system in reaction to the action of an agent
adverse
effect: change in morphology, physiology, growth, development,
or life span of an organism, which results in an impairment of functional
capacity, an impairment of the capacity to compensate for additional
stress, or an increase in susceptibility to other environmental influences
dose-related
effect: change to a system as a function of the quantity of a substance
administered, taken, or absorbed by it
dose-effect
relationship: link between the total amount of a substance administered,
taken, or absorbed by a system and the magnitude of a specific, continuously
graded change affecting it
Related term: effect assessment below
concentration-effect
relationship: link between the exposure of a given system to a substance
over time and the magnitude of a specific, continuously graded change
to that system
exposure: Concentration, amount, or intensity of a particular
agent that reaches a target system. It is usually expressed in numerical
terms of substance concentration, duration, frequency, and intensity
(after ref. 3)
dose-response relationship: link between the amount of an agent
absorbed by a population and the change developed in that population
in reaction to it
Note: It may be expressed as the proportion of a population exposed
to an agent that shows a specific reaction. It may also be used to signify
the magnitude of an effect in one organism (or part of an organism);
in that case, it is more specifically called "dose-effect
relationship".
dose-response
curve: graphical presentation of a dose-response relationship
SAFETY AND UNCERTAINTY
safety: practical certainty that adverse effects
will not be caused by an agent under defined circumstances
Note: It is a reciprocal of risk.
safety
factor: factor by which an observed or estimated toxic concentration
or dose is divided to arrive at a criterion or standard that is considered
safe
uncertainty factor
margin
of exposure: ratio of the no-observed-adverse- effect level (NOAEL)
to the estimated exposure dose (EED) or concentration (EEC)
Note: In the case of environmental risk assessment, predicted environmental
concentration (PEC) is used instead of EEC.
uncertainty: imperfect knowledge concerning
the present or future state of a system under consideration
ACCEPTABLE DAILY INTAKE
acceptable daily intake: maximum amount of a
substance to which a subject may be exposed daily over the subjects
lifetime without appreciable health risk
tolerable intake: estimate of the amount of
a substance that can be ingested or absorbed over a specified period
of time without appreciable health risk
MISCELLANEOUS
guidance value: value, such as concentration
in air or water, that is derived after appropriate allocation of the
reference dose among the possible media of exposure to assist regulatory
authorities in establishing permissible levels of a potential toxicant
Note: "Reference dose" is a term used in the United States for an estimate
(with uncertainty spanning perhaps an order of magnitude) of daily exposure
to the human population (including sensitive sub-groups) that is likely
to be without appreciable risk of deleterious effects during a lifetime
[4].
threshold: dose of a substance or exposure
concentration below which a stated effect is not observed or expected
to occur
expert judgment: opinion of an authoritative
person on a particular subject
toxicity: inherent property of a substance
to cause an adverse biological effect
validation: process of assessing whether the
predictions or conclusions reached in a risk assessment are correct
ACTION-ORIENTED TERMS
ASSESSMENT VS. ANALYSIS
assessment: combination of analysis of facts
and inference of possible consequences concerning a particular object
assessment
endpoint: quantitative expression of a specific factor with which
a risk may be associated as determined through an appropriate risk assessment
assessment
factor: numerical adjustment used to extrapolate from experimentally
determined dose- response relationships to estimate the substance exposure
at and above which adverse effects may occur
analysis: detailed examination of anything
complex made in order to understand its nature or to determine its essential
features
HAZARD ASSESSMENT
[back to chart]
hazard
assessment: process designed to determine factors contributing to
the possible adverse effects of a substance to which a human population
or an environmental compartment could be exposed. The process includes
three steps: hazard identification, hazard
characterization, and hazard evaluation (see Fig.
1).
Note: Factors may include mechanisms of toxicity, dose-effect and dose-response
relationships, variations in target susceptibility, etc.
hazard
identification: [HAZARD ASSESSMENT] the first stage in hazard
assessment, consisting of the determination of substances of concern,
the adverse effects they may have inherently on target systems under
certain conditions of exposure, taking into account toxicity data
Note: Definitions may vary in wording, depending on the context. Thus,
here: [RISK ASSESSMENT] the first stage in risk
assessment, consisting of the determination of particular hazards
a given target system may be exposed to, including attendant toxicity
data.
hazard
characterization: the second step in the process of hazard
assessment, consisting in the qualitative and, wherever possible,
quantitative description of the nature of the hazard associated with
a biological, chemical, or physical agent, based on one or more elements,
such as mechanisms of action involved, biological extrapolation, dose-response
and dose-effect relationships, and their respective attendant uncertainties
hazard
evaluation: the third step in the process of hazard
assessment aiming at the determination of the qualitative and quantitative
relationship between exposure to a hazard under certain conditions,
including attendant uncertainties and the resultant adverse effect
RISK ASSESSMENT
[back to chart]
risk
assessment: process intended to calculate or estimate the risk for
a given target system following exposure to a particular substance,
taking into account the inherent characteristics of a substance of concern
as well as the characteristics of the specific target system. The process
includes four steps: hazard identification, dose-response
assessment, exposure assessment, and risk
characterization. It is also the first step in risk
analysis.
hazard
identification: [RISK ASSESSMENT] the first stage in risk
assessment, consisting of the determination of particular hazards
a given target system may be exposed to, including attendant toxicity
data
Note: Definition may vary depending on the context. Thus, here: [HAZARD
ASSESSMENT] the first stage in hazard assessment,
consisting of the determination of substances of concern and the adverse
effects they may inherently have on target systems under certain conditions
of exposure, taking into account toxicity data.
dose-response
assessment: the second of four steps in risk assessment,
consisting of the analysis of the relationship between the total amount
of an agent absorbed by a group of organisms and the changes developed
in the group in reaction to the agent, and inferences derived from such
an analysis with respect to the entire population
effect assessment: combination of analysis and inference of possible
consequences of the exposure to a particular substance based on knowledge
of the dose-effect relationship associated with it
in a specific target system
exposure
assessment: [RISK ASSESSMENT] step in the process of risk
assessment, consisting of a quantitative and qualitative analysis
of the presence of an agent (including its derivatives) that may be
present in a given environment and the inference of the possible consequences
it may have for a given population of particular concern
Note 1: [engineering] determination, through the use of a variety of
analytical techniques, of the quantity and fate of a chemical, physical,
or biological agent in a medium of concern.
[hazard assessment] process to analyze, using a range
of different techniques, the amount of a chemical, physical, or biological
agent that could be present in a given medium and the fate of such agent
under a number of potential circumstances, and to infer possible consequences
for a hypothetical system that could be affected by it.
Note 2: Exposure assessment may imply taking into account duration,
frequency, or concentration, including considerations of bioavailability.
exposure scenario: set of conditions or assumptions about sources,
exposure pathways, concentrations of toxic chemicals, and populations
(numbers, characteristics, and habits) that aid the investigator in
evaluating and quantifying exposure in a given situation [5]
or
set of assumptions concerning how an exposure may take place, including
assumptions about the exposure setting, stressor characteristics, and
activities that may lead to exposure [1]
fate: pattern of distribution of a substance, its derivatives,
or metabolites in a system of concern as a result of transport, partitioning,
transformation, or degradation
risk
characterization: integration of evidence, reasoning, and conclusions
collected in hazard identification, dose-response
assessment, and exposure assessment and the estimation
of the probability, including attendant uncertainties, of occurrence
of an adverse effect if an agent is administered, taken, or absorbed
by a particular organism or population. It is the last step of
risk assessment.
Note: In ecological risk assessment, concentration-response assessment
is carried out instead of dose-response assessment.
or
qualitative and/or quantitative estimation, including attendant uncertainties,
of the severity and probability of occurrence of known and potential
adverse effects of a substance in a given population
risk estimation: quantification of the probability, including
attendant uncertainties, that a chemical, physical, or biological agent
administered, taken, or absorbed by a system with have a specific effect,
based on hazard identification, dose-response
assessment, and exposure assessment for that particular
agent in relation to that particular system
acceptable risk: type of risk such that the benefits derived
by an organism, a population, or an ecological system outweigh the adverse
effects that might affect them as a result of being administered or
exposed to a particular agent
RISK MANAGEMENT
[back to chart]
risk
management: decision-making process involving considerations of
political, social, economic, and technical factors with relevant risk
assessment information relating to a hazard so as to develop, analyze,
and compare regulatory and nonregulatory options and to select and implement
the optimal decisions and actions for safety from that hazard. Essentially,
risk management is the combination of three steps: risk
evaluation, emission and exposure control, and risk
monitoring.
Note: The intermediate step (emission and exposure control) was not
listed in the survey, but is included here for the sake of consistency.
Control is used here in a general rather than specific regulatory sense.
risk
evaluation: establishment of a qualitative or quantitative relationship
between risks and benefits, involving the complex process of determining
the significance of the identified hazards and estimated risks to those
organisms or people concerned with or affected by them. It is the first
step in risk management.
Note: It is synonymous with risk-benefit evaluation.
risk
monitoring: process of following up the decisions and actions within
risk management in order to ascertain that risk containment
or reduction with respect to a particular hazard is assured
RISK ANALYSIS [back to chart]
risk
analysis: process for controlling situations where populations or
ecological systems could be exposed to a hazard. It usually comprises
three steps, namely risk assessment, risk
management, and risk communication.
risk
assessment: process intended to calculate or estimate the risk for
a given target system to be affected by a particular substance, taking
into account the inherent characteristics of the substance of concern
as well as the characteristics of the specific target system. The process
includes four steps: hazard identification, dose-response
assessment, exposure assessment, and risk
characterization.
risk
management: decision-making process involving considerations of
political, social, economic, and technical factors with relevant risk
assessment information relating to a hazard so as to develop, analyze,
and compare regulatory and nonregulatory options, and to select and
implement the optimal response for safety from that hazard. Essentially,
risk management is the combination of three steps: risk
evaluation, emission and exposure control, and risk
monitoring.
Note: The intermediate step (emission and exposure control) was not
listed in the survey, but is included here for the sake of consistency.
risk
communication: interactive exchange of information about risks among
risk assessors, managers, news media, interested groups, and the general
public
References
1. P. Lewalle. "Risk Assessment Terminology: Methodological
Considerations and Provisional Results". Terminology Standardization
and Harmonization 11 (1-4), 1-28. (1999).
2. D. G. Barnes and M. Dourson. Regul. Toxicol. Pharmacol. 8,
471-486 (1988).
3. J. H. Duffus. "Glossary for chemists of terms used in toxicology",
Pure Appl. Chem. 65 (9), 2003-2122 (1993).
4. IRIS. Glossary of Risk Assessment Related Terms, U.S. Environmental
Protection Agency, Washington, DC (1992).
IRIS online <http://www.epa.gov/ngispgm3/iris/>
5. Council on Environmental Quality. Risk Analysis: A Guide to Principles
and Methods for Analyzing Health and Environmental Risks. PB89-137772.
National Technical Information Service, Washington, DC (1989).
** Dr. John H. Duffus (Director,
Edinburgh Centre for Toxicology, 43 Mansionhouse Road, Edinburgh, EH9
2JD, Scotland, UK; E-mail: [email protected]),
Chairman of the IUPAC Commission on Toxicology (VII.C.2), submitted
the article that appears above.