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Despite progress in the design of surveillance systems, some technical challenges remain, specifically for emerging hazards.
Some key factors for identifying emerging hazards (or risks) and the requirements of information systems to support this are discussed.
It is recommended to add complementary data to RASFF data, including safety assessments, risk management measures, background data on hazards and surveillance patterns, for a holistic approach towards early identification of emerging hazards.
The safety diagnosability principle supports the development of a "living" or online quantitative risk assessment, which in turn can help re-order risk priorities in real time based on emerging hazards, and re-allocate defensive resources.
During her tenure, Tenenbaum appeared on The TODAY Show, CBS Early Show, Good Morning America, CNN, Bloomberg TV, CNBC Asia, and C-Span; in the New York Times, Washington Post, USA Today, Chicago Tribune, Huffington Post, Associated Press, and Reuters; and on network radio stations to inform the public about product recalls, seasonal safety warnings, and emerging hazards.
Although difficult to quantify, there were some very revealing examples of individual patients clearly not following the control viewing pattern and unambiguous cases where the patient was unaware of emerging hazards.
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Bluetongue virus (BTV) infection is an emerging hazard in small ruminants having socio-economic impacts on animals and associated people.
One major emerging hazard is the ability of many ENMs to adsorb hydrophobic chemicals resulting in increases in the accumulation of organic chemicals in the presence of otherwise harmless ENMs.
In contrast, an Italian trial (#104) that randomly assigned women to two years of goserelin plus tamoxifen versus no endocrine therapy following chemotherapy reported a hazard ratio for relapse of 0.57 for patients with ER-positive or unknown disease who received the endocrine therapy (P = 0.02), although no survival advantage has yet emerged (hazard ratio 0.86; P = 0.52).
The hazard connected with this kind of transportation can be considered an emerging risk and is the subject of this paper.
Such an approach is of particular importance to allow international agreement on appropriate risk management of emerging potential hazards for human and animal health.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com