RISK MANAGEMENT IN NATIVE AMERICAN COMMUNITIES

美洲原住民社区承受着不成比例的风险负担， 美国的核活动，从铀矿开采到废物处理。和 虽然辐射风险得到了广泛的一般性研究，但很少 研究已经深入了解这些风险， 美国原住民的生活背景。至少一些这些 社区已经得出结论， 这种不平衡是为了社区本身获得更好的 了解辐射健康问题。更好的理解将有助于 赋予社区成员管理风险和阐明 更有效地满足未来研究和控制的需要， 未来曝光 该项目的主要目标是发展美洲原住民社区 社区成员了解辐射健康的能力 影响他们生活的问题。这是一项合作努力， 两个美洲原住民社区组织和医疗保健提供者 在内华达州和俄克拉荷马州的21个社区工作， 研究机构和研究风险的大学研究中心 评估、风险管理和风险管理中的公平问题 建议将：1）制定和评估可行性和有效性 教育和技术支持计划; 2）建立和测试 在涉及四个土著民族的两个受影响的土著地区实施的方案; 3） 征求社区对需要 在设计教育和技术支持之前， 计划并保持对计划的持续社区评估; 4） 发展外展计划，以其他美洲原住民社区和 政府和学术研究机构。 主要有五个方面的任务：1）卫生研究的协同鉴定 （2）制定培训人员的培训计划; 3)由社区培训员介绍社区教育单元; 4)当地风险管理的战略规划; 5）与 其他美洲原住民社区和研究社区。 对未来活动的评价和规划将是 每一项任务。

Native American communities bear a disproportionate burden of risk from U.S. nuclear activities ranging from uranium mining to waste disposal. And while radiation risks have received extensive general study, very little research has gone into understanding these risks within the specific contexts of the lives of Native American peoples. At least some of these communities have concluded that a necessary part of an effort to redress this imbalance is for the communities themselves to acquire a better understanding of radiation health issues. Better understanding will help empower community members both in managing the risks and in articulating more effectively their needs for future research and for controls on future exposure. The principle goal of this project is to develop Native American community based capabilities for community members to learn about radiation health issues as they affect their lives. It is a collaborative effort involving two Native American community organizations and health care providers working in 21 communities in Nevada and in Oklahoma,a small public health research institute, and a university research center which studies risk assessment, risk management, and equity concerns in hazard management This proposal will: 1) develop and evaluate the feasibility and effectiveness of an educational and technical support program; 2) build and test the program in two affected Native areas involving four Native nations; 3) solicit community input on the nature and scope of the topics that need to be addressed prior to designing the educational and technical support program and maintain on-going community evaluation of the program; 4) develop outreach programs to other Native American communities and to the government and academic research establishment. There are five tasks: l) collaborative identification of health research and information needs; 2) development of a training program for trainers; 3) presentation of community education modules by the community trainers; 4) strategic planning for local risk management; 5) communication with other Native American communities and with the research community. Evaluation and planning for future activities will be a key component of each of the tasks.