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254                            CHAPTER 5 PHYSIOLOGICAL AND TOX1COLOGICAL CONSIDERATIONS




















                  FIGURE 5.31  Subdivision of the 100-fold uncertainty factor showing the relationship
                  between the use of uncertainty factors (above the dashed line) and proposed subdivisions based
                  on toxicokinetics and toxicodynamics. Actual data should be used to replace the default values if
                  available. 48


                     Usually risk assessment procedure, discussed in more detail later (see
                  Chapter 6), is divided into four different stages or steps (see Fig. 5.32): 49
                     1. Hazard identification through animal experiments, epidemiological
                        studies, or structure activity analyses
                     2. Hazard characterization, or dose-response characterization, by using
                        experimental animals to reveal target organs and toxic doses, and the
                        shape of the dose-response curve
                     3. Exposure assessment to reveal the exposure of different groups of
                        people, and to compare their exposure levels to the doses that cause
                        harmful effects in humans as shown in epidemiological studies, or to
                        doses that cause toxic effects in experimental animals
                     4. Risk assessment, a synthesis of the preceding three steps, which
                        aims to assess both qualitatively and quantitatively the risks
                        induced by a chemical at a given or at different exposure levels.
                        This step utilizes either a safety factor approach or various
                        extrapolation models.

                     Based on the results of risk assessment, decision makers have to at-
                  tempt to manage risks, e.g., by determining various exposure limits to
                  protect individuals against deleterious effects of chemical exposures. This
                  kind of procedure is commonly used for determining acceptable daily in-
                                   49
                  take values (ADIs)  for contaminants in foods and acceptable operator
                  exposure level (AOELs) for pesticides. Even though the results obtained
                  in experimental animal tests are part of the basic data on which the OELs
                  have been based, the levels result from consideration of many other as-
                  pects, especially epidemiological data. In addition, these decisions take
                  into consideration economic and political consequences of the decisions,
                  is well as perception of various risks by the general public. Furthermore,
                  properties such as strong odor or irritation influence the levels of OELs.
                  tt needs to be kept in mind that even though risk assessment of exposures
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