title: Discrepancy among acute guideline levels for emergency response.
abstract: Acute guidance values are tools for public health risk assessment and management during planning, preparedness and response related to sudden airborne release of hazardous chemicals. The two most frequently used values, i.e. Acute Exposure Guidance Levels (AEGL) and Emergency Response Planning Guideline (ERPG), were compared in qualitative and quantitative terms. There was no significant difference between the general level of AEGL and ERPG values, suggesting the two systems are equally precautious. However, the guidance values diverged by a factor of 3 or more for almost 40% of the substances, including many of high production volume. These deviations could be explained by differences in selection of critical effect or critical study and in a few cases differences in interpretation of the same critical study. Diverging guidance values may hamper proper risk communication and risk management. Key factors for broad international acceptance of harmonized values include transparency of the decision process, agreement on definition of toxicological tiers, and a target population including sensitive groups of the general population. In addition, development of purely health based values is encouraged. Risk management issues, such as land use and emergency response planning should be treated separately, as these rely on national legislation and considerations.
authors.affiliation: Karolinska Institute, Institute of Environmental Medicine, Unit of Work Environment Toxicology, Stockholm, Sweden. Electronic address: mattias.oberg@ki.se.
authors.forename: Mattias
authors.initials: M
authors.lastname: Öberg
authors.affiliation: Karolinska Institute, Institute of Environmental Medicine, Unit of Work Environment Toxicology, Stockholm, Sweden.
authors.forename: Nicole
authors.initials: N
authors.lastname: Palmen
authors.affiliation: Karolinska Institute, Institute of Environmental Medicine, Unit of Work Environment Toxicology, Stockholm, Sweden.
authors.forename: Gunnar
authors.initials: G
authors.lastname: Johanson
mesh_terms: D004630:Emergencies; D017408:Guidelines as Topic; D011634:Public Health; D018570:Risk Assessment