Uncertainty in the assessment of hazard, exposure and risk

The terminology, concepts and current approaches to uncertainty in the assessment of hazard, exposure and risk are reviewed. Five generic questions are discussed on uncertainty, including sources, levels, when and how it should be dealt with or reduced, what are our gaps in understanding and how they can be addressed. A case study of lead exposure of children in Lavrion, Greece, is used to exemplify these questions and possible answers. Estimation of uncertainty may be improved by the use of interorganizational studies to capture sources of uncertainty that are often overlooked. Gaps identified in our understanding of uncertainty include: a limitation in the availability of basic measurements, a lack of knowledge of the environmental processes, an inability to predict the effects of mixtures, the aetiology of disease and devising procedures for optimal resource allocation in impact assessment.