?
Применение принципов доказательности при оценке причинной связи нарушений здоровья населения с воздействием вредных химических веществ в окружающей среде
The article deals with actual methodological and organizational and technical problems that prevent the correct obtaining and interpretation of evidence of the harmful effects of environmental pollution on public health, as well as non-critical application of the principle of linear summation of the frequency of harmful effects of unidirectional active substances at any level of their impact are considered. The limitations and conditions under which such summation can be applied if the content of harmful substances in the environment below the relevant MAC. The needs for further development of the methodology for the aggregated assessment of the harmful effects of pollution on health are identified. It is shown that the model cannot be considered evidence-based if it is unable to provide a sufficiently reliable prediction of harm to health in cases where the risk environment is represented by a combination of factors of different nature and conditions of their impact that do not meet the criteria of stability and coherence of the Association.