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• W4317181864 abstract "Background: Globally there are hundreds of thousands of registered and unknown chemicals in production. There is sufficient evidence that industrial chemicals can increase the risk of adverse health outcomes across the lifecourse and these effects are amplified in historically marginalized communities that experience systemic racism and injustice. As such, there is a need for timely and effective decisions and policies on interventions to prevent and mitigate the exposures and health effects attributable to harmful chemicals, while ensuring health equity. Methods: To meet this need, we developed a transparent framework to guide decision making for environmental health interventions. We convened a multi-disciplinary Steering Committee to evaluate current evidence-to-decision frameworks in medicine and public health. Building from a scoping review of this literature, we proposed the Navigation Guide Evidence-to-Decision Framework for Environmental Health. We then assembled a diverse group of researchers, government and non-profit practitioners, and community-based leaders working on environmental justice to provide feedback. Results: This new framework considered several criteria previously published in the World Health Organization’s INTEGRATE framework. The framework includes three key criteria for decision making: environmental justice, sociopolitical climate, and maximizing benefits and reducing harms for communities that are affected by harmful chemical exposures. For each of these criteria, we proposed potential signaling questions for data gathering. In addition, three foundations are relevant to all criteria: human rights, quality and strength of evidence, and essentiality. Conclusions: This proposed framework can improve the basis of decision making by incorporating key considerations, including health equity and social justice, when formulating recommendations, in addition to scientific evidence on harmful effects. This will facilitate effective and timely decisions that reduce harmful exposures and protect public health, particularly for the most vulnerable populations. Piloting of the framework at local and national levels of decisions will further refine its utility in real-world settings." @default.
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• W4317181864 date "2022-09-18" @default.
• W4317181864 modified "2023-09-27" @default.
• W4317181864 title "Development of the Navigation Guide Evidence-to-Decision Framework for Environmental Health" @default.
• W4317181864 doi "https://doi.org/10.1289/isee.2022.p-0793" @default.
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