<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1657-7027</journal-id>
<journal-title><![CDATA[Revista Gerencia y Políticas de Salud]]></journal-title>
<abbrev-journal-title><![CDATA[Rev.Gerenc.Polit.Salud]]></abbrev-journal-title>
<issn>1657-7027</issn>
<publisher>
<publisher-name><![CDATA[Pontificia Universidad Javeriana]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1657-70272008000200002</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Environmental Fate of Bioaccumulative and Persistent Substances - A Synopsis of Existing and Future Actions]]></article-title>
<article-title xml:lang="es"><![CDATA[Destino ambiental de la bioacumulación y las sustancias persistentes - Una sinopsis de las acciones existentes y futuras]]></article-title>
<article-title xml:lang="pt"><![CDATA[Destino meio ambiental das substâncias Bioacumulativas e Persistentes - uma sinopse]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pacheco Ferreira]]></surname>
<given-names><![CDATA[Aldo]]></given-names>
</name>
<xref ref-type="aff" rid="A01"/>
</contrib>
</contrib-group>
<aff id="A01">
<institution><![CDATA[,Escuela Nacional de Salud Pública Sergio Arouca/FIOCRUZ posgrado en Salud Pública y Ambiente ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2008</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2008</year>
</pub-date>
<volume>7</volume>
<numero>15</numero>
<fpage>14</fpage>
<lpage>23</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S1657-70272008000200002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S1657-70272008000200002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S1657-70272008000200002&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Cercada por los riesgos derivados de su gran progreso técnico, la sociedad del riesgo ve sorprendida la confianza en la ciencia y en los poderes públicos, en la proporción en que los accidentes se producen y los efectos secundarios son imposibles de anticipar y prevenir. Así, ganan preeminencia conceptos tales como seguridad química. La extensión que han alcanzado las nuevas tecnologías en el tiempo y el espacio hace imposible predecir todos sus efectos secundarios negativos, y es frente a esa incertidumbre que surge el principio de precaución. Los aspectos del medio ambiente y la salud relacionados con los contaminantes orgánicos persistentes (COPS) son un excelente ejemplo de la necesidad de la adoptar el principio de precaución, porque solo cuando la contaminación con estos contaminantes ha llegado a proporciones mundiales, es imposible de demostrar sus efectos nocivos para la salud humana y animal. Con el objetivo de reducir y eliminar algunos de los más peligrosos COPS, el Convenio fue firmado en Estocolmo en 2001, pero la falta de recursos financieros en los países en desarrollo y el poderoso lobby de las empresas multinacionales en la industria química podrían poner en peligro la aplicación de este importante tratado multilateral.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Bordered by risks arising from their massive technical progress, the risk society sees surprised the confidence in the science and the public authorities in the proportion of accidents occur and side effects are impossible to be anticipated and prevented. Thus, gaining prominence concepts such as chemical safety. The extent that it has reached new technologies in time and space makes it impossible to predict all its negative side effects, and in front of that uncertainty, it is the precautionary principle. The environmental and health issues related to the Persistent Organic Pollutants (POPs) are an excellent example of the need for adoption of the precautionary principle, because only when the pollution with these contaminants have reached global proportions that it was impossible to prove its harmful effects to human and animal health. Aiming to reduce and eliminate some of the most dangerous POPs, the convention was signed in Stockholm in 2001, but the lack of financial resources in developing countries and the powerful lobby of multinational corporations in the chemical industry could jeopardize the implementation of this important multilateral treaty.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[contaminadores]]></kwd>
<kwd lng="es"><![CDATA[salud ambiental]]></kwd>
<kwd lng="es"><![CDATA[exposición]]></kwd>
<kwd lng="es"><![CDATA[medición de riesgo]]></kwd>
<kwd lng="es"><![CDATA[salud pública]]></kwd>
<kwd lng="es"><![CDATA[salud ambiental]]></kwd>
<kwd lng="es"><![CDATA[medición de riesgo]]></kwd>
<kwd lng="es"><![CDATA[contaminantes]]></kwd>
<kwd lng="en"><![CDATA[pollutants]]></kwd>
<kwd lng="en"><![CDATA[environmental health]]></kwd>
<kwd lng="en"><![CDATA[exposure]]></kwd>
<kwd lng="en"><![CDATA[risk assessment]]></kwd>
<kwd lng="en"><![CDATA[public health]]></kwd>
<kwd lng="en"><![CDATA[environmental health]]></kwd>
<kwd lng="en"><![CDATA[risk assessment]]></kwd>
<kwd lng="en"><![CDATA[pollutants]]></kwd>
</kwd-group>
</article-meta>
</front><body><![CDATA[  <font face="verdana" size="2"></font>     <p align="center"><font size="4" face="verdana"><b>Environmental Fate of Bioaccumulative   and Persistent Substances - A Synopsis of Existing and Future Actions</b></font></p> <font face="verdana" size="2"></font>     <p align="center"><font size="2" face="verdana"><b><font size="3">Destino ambiental de la bioacumulaci&oacute;n y las   sustancias persistentes - Una sinopsis de las   acciones existentes y futuras</font></b></font></p>     <p align="center"><font size="3" face="verdana"><b> Destino meio ambiental das subst&acirc;ncias   Bioacumulativas e Persistentes - uma sinopse</b></font></p>      <p align="center">&nbsp;  </p> <font face="verdana" size="2">     <p align="center">Fecha de recepci&oacute;n: 24-04-08. Fecha de aceptaci&oacute;n: 24-05-08</p>     <p>&nbsp;  </p>     <p>Aldo Pacheco Ferreira*</p>     <p>  * Coordinador adjunto en el programa de posgrado en Salud P&uacute;blica y Ambiente, Escuela Nacional de Salud P&uacute;blica Sergio Arouca/FIOCRUZ. Correo electr&oacute;nico: <a href="mailto:aldoferreira@ensp.fiocruz.br">aldoferreira@ensp.fiocruz.br</a></p> <hr size="1">     <p><b>Resumen</b></p>     ]]></body>
<body><![CDATA[<p>  Cercada por los riesgos derivados de su gran progreso t&eacute;cnico, la sociedad del riesgo ve sorprendida   la confianza en la ciencia y en los poderes p&uacute;blicos, en la proporci&oacute;n en que los accidentes   se producen y los efectos secundarios son imposibles de anticipar y prevenir. As&iacute;, ganan preeminencia   conceptos tales como seguridad qu&iacute;mica. La extensi&oacute;n que han alcanzado las nuevas   tecnolog&iacute;as en el tiempo y el espacio hace imposible predecir todos sus efectos secundarios   negativos, y es frente a esa incertidumbre que surge el principio de precauci&oacute;n. Los aspectos del   medio ambiente y la salud relacionados con los contaminantes org&aacute;nicos persistentes (COPS)   son un excelente ejemplo de la necesidad de la adoptar el principio de precauci&oacute;n, porque solo   cuando la contaminaci&oacute;n con estos contaminantes ha llegado a proporciones mundiales, es   imposible de demostrar sus efectos nocivos para la salud humana y animal. Con el objetivo de   reducir y eliminar algunos de los m&aacute;s peligrosos COPS, el Convenio fue firmado en Estocolmo   en 2001, pero la falta de recursos financieros en los pa&iacute;ses en desarrollo y el poderoso lobby   de las empresas multinacionales en la industria qu&iacute;mica podr&iacute;an poner en peligro la aplicaci&oacute;n de este importante tratado multilateral.</p>     <p>  <b>Palabras clave autor:</b> contaminadores, salud ambiental, exposici&oacute;n, medici&oacute;n de riesgo, salud   p&uacute;blica.</p>     <p>  <b>Palabras clave descriptor:</b> salud ambiental, medici&oacute;n de riesgo, contaminantes. </p> <hr size="1">     <p><b>Abstract</b></p>     <p>  Bordered by risks arising from their massive technical progress, the risk society sees surprised   the confidence in the science and the public authorities in the proportion of accidents occur and   side effects are impossible to be anticipated and prevented. Thus, gaining prominence concepts   such as chemical safety. The extent that it has reached new technologies in time and space makes   it impossible to predict all its negative side effects, and in front of that uncertainty, it is the   precautionary principle. The environmental and health issues related to the Persistent Organic   Pollutants (POPs) are an excellent example of the need for adoption of the precautionary principle,   because only when the pollution with these contaminants have reached global proportions that   it was impossible to prove its harmful effects to human and animal health. Aiming to reduce   and eliminate some of the most dangerous POPs, the convention was signed in Stockholm in   2001, but the lack of financial resources in developing countries and the powerful lobby of   multinational corporations in the chemical industry could jeopardize the implementation of this important multilateral treaty.</p>     <p>  <b>Key words author:</b> pollutants, environmental health, exposure, risk assessment, public   health.</p>     <p> <b>Key words plus: </b>environmental health, risk assessment, pollutants.</p> <hr size="1">     <p><b>Introduction</b></p>     <p>The success of modern societies is in   part based on extensive achievements of   chemistry. This statement has as base the   mechanisms utilized in the modern world,where occurs a systematic development of   products in medicine, agriculture, in almost   all manufacturing sectors of industry and   materials for everyday use. With it, chemistry   contributes to the progress of the quality   of life of billions of human beings. But, the price for these progresses to be paid by our   environment seems to be more and more too   high to the public. Goods and how they are   created by the chemical industry today influence   the environmental quality of tomorrow.   The social and ecological interests should not   be disregarded.</p>     <p> In analogous with the development of the   chemical industry over the last decades, an   increasing require has been recognised to   normalize chemicals that have been proved   or supposed to make unwanted, adverse effects   on human health and the environment.   The need for an improved chemicals regulation   has lately, for a number of reasons,   become increasingly imperative &#91;1&#93;.</p>     ]]></body>
<body><![CDATA[<p> Among factors contributing to this urgency is   the fact that the annual world production of   chemicals has increased from around 7 million   tonnes per year in the 1950s to 400 million   tonnes today &#91;2, 3&#93;. The number of substances   that are commercially produced today is not   precisely known, but the upper possible limit   should be close to the about 100,000 &#91;4&#93;.</p>     <p>Mounting evidence of damage to human   health and the environment has focused the   attention of the international community   on a category of substances referred to as   Persistent Organic Pollutants (POPs). POPs   are pesticides, industrial chemicals or unwanted   by-products of industrial processes   or combustion. They are characterized by   persistence - the ability to resist degradation   in various media (air, water, sediments, and   organisms); bio-accumulation - the ability to   accumulate in living tissues at levels higher   than those in the surrounding environment;   and potential for long range transport - the   potential to travel great distances from   the source of release through various media   (air, water, and migratory species). Because   of these properties, POPs can be found throughout the world, including in areas far from their original source. The harm these   chemical substances can cause to humans and   animals includes disruption of the endocrine   system, suppression of the immune system,   reproductive dysfunction, and developmental   abnormalities. Organisms at the top of   food chains such as predatory birds, marine   mammals, and humans absorb the greatest concentrations of POPs &#91;3, 5-7&#93;.</p>     <p> Furthermore, once in the environment they   do not degrade, instead they recycle and   partition between the major environmental   media, being an environmental concern   since toxic effects do not disappear and the   control is difficult &#91;7&#93;. In addition, they have   low aqueous but high lipid/organic solubilities   which result in their bioaccumulation in   lipoids tissues and in their biomagnification   through foodchains &#91;8&#93;. Even at low concentrations   they are toxic to humans and wildlife,   with suspected effects including carcinogenesis,   immune dysfunction, neurobiological   disorders and reproductive and endocrine disruption &#91;9&#93;.</p>     <p> This article is proposed to provide an overview   of today&#39;s regulation of POPs, management   and strengthening of the regulatory   and intuitional arrangements for long term   control of POPs and other toxic substances in   line with the requirements of the Stockholm   Convention and other related conventions   and protocols. It will also address the question   of whether proven toxicity is a necessary   prerequisite, before regulatory action is decided upon against these chemicals.</p>     <p><b>Methods</b></p>     <p> The aim of the literature search was to   identify all studies that analyzed the distribution   of concentrations of persistent organic   pollutants in a representative sample of the general population. All countries and re gions worldwide were eligible for inclusion. Articles published in the academic literature were as eligible as reports from governmental and nongovernmental organizations. It was searched in Medline/PubMed and in other abstracting, indexing and citation databases like ScienceDirect, Scopus, ISI / Thomson&#39;s, SciELO and Blackwell&#39;s Synergy. Searches were based on combinations of the following terms: &quot;persistent organic pollutants&quot;, &quot;POPs&quot;, &quot;persistent toxic substances&quot;, &quot;PTS&quot;, &quot;PTSs&quot;, &quot;persistent toxic pollutants&quot;, &quot;persistent toxic residues&quot;, &quot;environmental pollutants/toxicity/prevention and control&quot;, &quot;environmental exposure/adverse effects&quot;, &quot;general population&quot;, &quot;hydrocarbons, chlorinated&quot;, &quot;insecticides/blood&quot;, &quot;pesticides&quot;, &quot;pesticide residues&quot;, &quot;human biomonitoring&quot;, &quot;environmental monitoring&quot;, &quot;human samples&quot;, &quot;representative sample&quot;, &quot;Stockholm Treaty&quot;, &quot;reports&quot;, &quot;serum&quot;, &quot;blood&quot;, &quot;adipose tissue&quot;, or &quot;breast milk&quot;.</p>     <p> Specific chemical names were also used in   conjunction with previous terms (e.g., dioxins,   dichlorodiphenyltrichloroethane, dichlorodiphenyldichloroethane,   polychlorinated   biphenyls, hexachlorobenzene, hexachlorocyclohexane).   Both printed and electronic   media were searched; we hence looked for   reports in the web pages of environmental   and health ministries and agencies, related   organizations, and surveillance programs of   many countries and institutions worldwide.   Although some studies analyzed POPs   concentrations on substantial numbers of   people, studies were excluded if their population   was mainly occupationally exposed, had   suffered an accident and or was some other   specific population that did not stand as representative   of the general population. Also   outside the scope of the paper fell etiologic   studies on POP effects, even though some of   them provide useful estimates of concentrations   in the population.</p>     <p> <b>Chemical pollution: Effects in   health and environment</b></p>     <p> As distinguished, health is defined in the   World Health Organization&#39;s Constitution   &#91;10&#93; as a state of complete physical, mental and   social well-being and not merely the absence   of disease or infirmity. Also according to the   WHO &#91;11&#93;, environmental health comprises   those aspects of human health, including quality   of life, that are determined by physical,   chemical, biological, social, and psychosocial   processes in the environment. It also refers to   the theory and practice of assessing, correcting,   controlling, and preventing those factors in   the environment that can potentially adversely affect the health of present and future generations.</p>     <p>Chemicals that resist degradation in the environment,   bioaccumulate in body tissues of   organisms and demonstrate inherent toxicity   to organisms in the environment or humans   are of special concern when taking into account   chemical impacts on the environment   and human health. As these substances stay   in the environment for a long time and are   easily taken up by organisms, there is a risk   of long-term adverse effects in environmental   organisms and ecosystems and also in humans (<a href="#t1">table 1</a>).</p>     ]]></body>
<body><![CDATA[<p align="center"><a name="t1"><img src="img/revistas/rgps/v7n15/a02t1.gif"></a></p>     <p>Emergent chemical concerns are specially   related with POPs, because in this category   are included all of the toxins that resist degradation,   persist in the environment, bioaccumulate   as they pass through a food web, and   pose significant health threats to organisms   which may ingest them &#91;12, 6&#93;. Additionally   in the air-water interface, which accounts   about the 70% of the Earth surface, take   place many vital processes that determine the   role of the oceans as a sink and as a reservoir   of POPs. However the interpretation of these   processes encounters difficulties because of   the lack of measurements in the remote oceanic areas, and the lack of understanding of the dominant mechanisms at different spatial   and temporal scales.</p>     <p> They have been detected in all the environmental   compartments, even in remote areas   like open ocean and polar regions, where   POPs have been never manufactured or used   &#91;13&#93;. In that way, atmospheric transport has   been suggested as the main route dispersing   these semivolatile compounds thousands of km away from industrialized and densely   populated areas &#91;9&#93;. POPs, also termed by   Persistent Bioaccumulable Toxic chemicals   (PBTs), are bioaccumulable compounds of   prolonged environmental persistence and   susceptible to long-range atmospheric transport   (<a href="#f1">figure 1</a>).</p>     <p align="center"><a name="f1"><img src="img/revistas/rgps/v7n15/a02f1.gif"></a></p>     <p>Uptake and retention of essential nutrients,     including vitamins, minerals and amino acids, occur through bioaccumulation pathways;     however, when harmful chemicals enter     these pathways and are accumulated in an     organism, death or other effects on reproduction     or growth may result. For example,     a predator must consume many food items     in its lifetime, and because POPs tend to     become concentrated in animal fats, predators     usually accumulate more POPs than are     present in their prey. This process is repeated     at each successive stage of the food chain,     with higher predators consuming increasingly tainted prey.</p>     <p> Within pollutants class, those considered the   most dangerous - are the dirty dozen - that   the United Nations Environment Program   - UNEP- aims to regulate internationally   under the Stockholm Convention are: PCBs,   dioxins, furans, aldrin, dieldrin, DDT, endrin,   chlordane, hexachlorobenzene, mirex, toxaphene   and heptachlor &#91;14&#93;. Most of these   chemicals are pesticides; others are industrial   by-products, flame retardants or additives   in consumer products like plastics. All have   been widely banned or restricted for more   than twenty years and yet all appear ubiquitously   in the environment (<a href="#t2">table 2</a>).</p>     <p align="center"><a name="t2"><img src="img/revistas/rgps/v7n15/a02t2.gif"></a></p>     <p><b>Safety trends: Pollutants Risk Assessment</b></p>     <p>Some worry that current practices and legal   frameworks are not adequate to protect   against pollutants exposition, with are being   spread in many places. Today we are   facing with preoccupations inserted in the   environmental context which had as base   the environmental assessment and their   guidelines, where is possible detach, especially,   the sustainable development and of   the precautionary principle &#91;15&#93;, that were   transformed in essential tools and support for environmental analyses.</p>     <p>The regulation of chemicals is usually preceded   by the process of risk assessment,   where the potential hazard of a chemical is   regarded in relation to its estimated, possible   exposure to man and to the environment.   The resulting regulation may range from   various degrees of risk management to prohibition   of use. The regulation of a chemical   is partly dependent on its toxic properties, as   can be determined by test systems designed   to identify such effects &#91;8, 9&#93;. Today, a limited   number of POPs have been regulated to   varying degrees, but doubts have been raised   about the sufficiency of current risk assessment   practices in appointing which individual chemicals need to be restricted.</p>     ]]></body>
<body><![CDATA[<p> Pereira &#91;16&#93; suggested that the use of persistent   and bioaccumulating chemicals should   be generally restricted, because when problems   are identified exposure cannot be easily   reduced by discontinuing production, and   discontinuation of their production and use   will not alleviate the situation for a long time   for those already exposed. The requirement   of knowledge of toxicity of POPs impedes   the possibility to take precautionary action.   Complements detaching that knowledge of   the possible toxicity of PB chemicals may   be restricted both by limitations in the existing   test systems addressing toxic effects,   considering only toxic mechanisms known   today, and by the scarcity of toxicity data for   a large number of chemicals, since it is not   possible to completely absolve a substance   from possible toxic effects. There is always   a residual risk of e.g.: (i) overlooked and   unforeseeable effects, (ii) effects in a more   sensitive system than that studied, (iii) additive   effects, (iv) synergistic effects, and (v) chronic low-dose effects.</p>     <p> Taking in account the imminent danger with   bioaccumulative and persistent substances,   becomes clear be is essential that environmental risk assessment studies be conducted, with protocols and methodologies agreed on at national and international levels. These questions that are denoted in <a href="#f2">figure 2</a> which expresses a consolidate of many environmental agreements in the last thirty years.</p>     <p align="center"><a name="f2"><img src="img/revistas/rgps/v7n15/a02f2.gif"></a></p>     <p><b>Discussion and Conclusion</b></p>     <p>In many countries POPs are still used for   agricultural and disease vector control, as   well as for industrial purposes. There are   countless facts that take us to affirm that,   in these countries the stockpiles of obsolete   POPs create significant problems that are   compounded by municipal-waste burning   on open sites. When this waste is burned   at low temperatures, it produces significant   quantities of polychlorinated dioxins and related chemicals. Recent surveys indicate that such activities lead to local, regional and widespread global contamination. Studies show that alarming levels of POPs are present in the environment as well as in human beings.</p>     <p> Many of the existing methods for the measurement   of POPs, in particular dioxins and   furans, are highly technical and relatively expensive,   involving sophisticated instruments   and special chemicals. Because laboratories   in developing countries often do not have the   required equipment, they often find it difficult   to detect and measure these chemicals in   their environment. The high cost of analysis   is another significant barrier to routine monitoring.   Moreover, because many of the   pollutants are present in ultra-low levels in   the environmental samples, large number   of samples must often be collected, parti-cularly from the marine environment. This   means that the pollutants are also difficult   to quantify.</p>     <p> According to Scott &#91;17&#93;, there are two views   of the relationship between health and   development, each correct but each also   very different. One view is that life expectancy   improves with increases in per capita   income. The other is that economic growth   is helped by improvements in public health.   Two examples may suffice to emphasize the   importance of improvements in health to   development: (i) the decline in mortality   over the past century, and (ii) the contrast   between the rich and poor countries.</p>     <p> One of the greatest events of human history   had a variety of causes: improvements in   nutrition, public health, and personal hygiene,   decontamination of foot and water,   improved housing, and advances in technology.   The contrast between the rich and   poor countries today is striking, but so is the   contrast between the rich countries today   and these same countries one-to-two centuries   before. Of course, poor countries today   have an advantage over the rich countries   of yesterday: the availability of technologies   like vaccines, antibiotics, and drugs, not to   mention knowledge of the causes of disease.   But the ecological circumstances of poor   countries today are very different, and as we   shall see, the challenge is not just to bring the   technologies developed for the rich countries   to the aid of the poor.</p>     <p> In contrast to ordinary development assistance,   the supply of global public goods   yields benefits both to developing and   industrialized countries. If industrialized   countries gain enough from a public good,they may be willing to finance its supply for   their own benefit, even though doing so also   aids developing countries &#91;18&#93;.</p>     <p> It is increasingly outdated and unacceptable   to think that humanity has to choose   between economic growth and environmental   protection. Without environmental   security, economic growth is not sustainable.   Advanced engineering, management   concepts, and a better educated market are   making it profitable to synergistically further   economic growth and a healthy environment.   Environmental security continues to move   up on national, regional, and international   agendas due to increasing scientific evidence   of climate change, extreme weather events,   the number and intensity of natural disasters,   pollution, potentials for pandemics, and   nuclear-biological-chemical threats.</p>     ]]></body>
<body><![CDATA[<p> The challenges confronting humanity are   increasingly transnational, transdisciplinary,   and transinstitutional. They cannot be fully   addressed by any government or institution   acting alone. They require collaborative   action among governments, international   organizations, corporations, universities,   Non-governmental Organizations, and   individuals. Global futures research should   draw on all these sources and not be too attached   to any one of them. It is imperial the   maintenance of the life.</p>     <p><b>References</b></p>     <!-- ref --><p>  1. Zarkera KA, Kerrb RL. Pollution Prevention   through Performance-Based Initiatives and Regulation   in the United States. J. Cleaner Production 2008; 16(6): 673-685.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[&#160;<a href="javascript:void(0);" onclick="javascript: window.open('/scielo.php?script=sci_nlinks&ref=000055&pid=S1657-7027200800020000200001&lng=','','width=640,height=500,resizable=yes,scrollbars=1,menubar=yes,');">Links</a>&#160;]<!-- end-ref --><!-- ref --><p>  2. Freitas CM, Amorim AE. Vigil&acirc;ncia ambiental em   sa&uacute;de de acidentes qu&iacute;micos ampliados no transporte   rodovi&aacute;rio de cargas perigosas. Inf. Epidemiol. Sus 2001; 10(1):31-42.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[&#160;<a href="javascript:void(0);" onclick="javascript: window.open('/scielo.php?script=sci_nlinks&ref=000056&pid=S1657-7027200800020000200002&lng=','','width=640,height=500,resizable=yes,scrollbars=1,menubar=yes,');">Links</a>&#160;]<!-- end-ref --><!-- ref --><p>3. Allen VG, Brown CP, Segarra E, Green CJ, Wheeler   TA, Acosta-Martinez V, Zobeck TM. In Search   of Sustainable Agricultural Systems. Agriculture, Ecosystems &amp; Environ 2008; 124(1-2):3-12.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[&#160;<a href="javascript:void(0);" onclick="javascript: window.open('/scielo.php?script=sci_nlinks&ref=000057&pid=S1657-7027200800020000200003&lng=','','width=640,height=500,resizable=yes,scrollbars=1,menubar=yes,');">Links</a>&#160;]<!-- end-ref --><!-- ref --><p> 4. Wei D, Kameya T, Urano K. Environmental Management   of Pesticidal POPs in China: Past, Present   and Future. Environ International 2007; 33(7):894-   902.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[&#160;<a href="javascript:void(0);" onclick="javascript: window.open('/scielo.php?script=sci_nlinks&ref=000058&pid=S1657-7027200800020000200004&lng=','','width=640,height=500,resizable=yes,scrollbars=1,menubar=yes,');">Links</a>&#160;]<!-- end-ref --><!-- ref --><p> 5. Carpenter DO. Polychlorinated Biphenyls and   Human Health. Int J Occup Med Environ Health 1998; 11: 291-303.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[&#160;<a href="javascript:void(0);" onclick="javascript: window.open('/scielo.php?script=sci_nlinks&ref=000059&pid=S1657-7027200800020000200005&lng=','','width=640,height=500,resizable=yes,scrollbars=1,menubar=yes,');">Links</a>&#160;]<!-- end-ref --><!-- ref --><p> 6. Rice DA. Consequences of Exposure from Persistent   Organic Pollutants (POPs): Session X Summary   and Research Needs. NeuroToxicol. 2004; 25(4):   521-523.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[&#160;<a href="javascript:void(0);" onclick="javascript: window.open('/scielo.php?script=sci_nlinks&ref=000060&pid=S1657-7027200800020000200006&lng=','','width=640,height=500,resizable=yes,scrollbars=1,menubar=yes,');">Links</a>&#160;]<!-- end-ref --><!-- ref --><p>7. Hung H, Blanchard P, Halsall CJ, Bidleman TF,   Stern GA, Fellin P, Muir DCG, Barrie LA, Jantunen   LM, Helm PA, Ma J, Konoplev A. Temporal and   Spatial Variabilities of Atmospheric Polychlorinated   Biphenyls (PCBs), Organochlorine (OC) Pesticides   and Polycyclic Aromatic Hydrocarbons (PAHs) in   the Canadian Arctic: Results from a Decade of   Monitoring. Sci. Total Environ. 2005; 342 (1-3):119- 144.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[&#160;<a href="javascript:void(0);" onclick="javascript: window.open('/scielo.php?script=sci_nlinks&ref=000061&pid=S1657-7027200800020000200007&lng=','','width=640,height=500,resizable=yes,scrollbars=1,menubar=yes,');">Links</a>&#160;]<!-- end-ref --><!-- ref --><p> 8. Rodan BD, Pennington DW, Eckley N, Boetling   RS. Screening for Persistent Organic Pollutants:   Techniques to Provide a Scientific Basis for POPs   Criteria in International Negotiations. Environ. Sci. Tech. 1999; 33: 3482-3488.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[&#160;<a href="javascript:void(0);" onclick="javascript: window.open('/scielo.php?script=sci_nlinks&ref=000062&pid=S1657-7027200800020000200008&lng=','','width=640,height=500,resizable=yes,scrollbars=1,menubar=yes,');">Links</a>&#160;]<!-- end-ref --><!-- ref --><p> 9. Lohmann R, Breivik K, Dachs J, Muir D. Global   Fate of POPs: Current and Future Research Directions. Environ. Pollution 2007; 150(1):150-165.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[&#160;<a href="javascript:void(0);" onclick="javascript: window.open('/scielo.php?script=sci_nlinks&ref=000063&pid=S1657-7027200800020000200009&lng=','','width=640,height=500,resizable=yes,scrollbars=1,menubar=yes,');">Links</a>&#160;]<!-- end-ref --><!-- ref --><p> 10. World Health Organization. Constitution of the World Health Organization. Geneva; 1948.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[&#160;<a href="javascript:void(0);" onclick="javascript: window.open('/scielo.php?script=sci_nlinks&ref=000064&pid=S1657-7027200800020000200010&lng=','','width=640,height=500,resizable=yes,scrollbars=1,menubar=yes,');">Links</a>&#160;]<!-- end-ref --><!-- ref --><p> 11. World Health Organization. Definitions of Environmental   Health, U.S. Department of Health   and Human Services, Environmental Health Policy   Committee, and Risk Communication and Education Subcommittee, 2001.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[&#160;<a href="javascript:void(0);" onclick="javascript: window.open('/scielo.php?script=sci_nlinks&ref=000065&pid=S1657-7027200800020000200011&lng=','','width=640,height=500,resizable=yes,scrollbars=1,menubar=yes,');">Links</a>&#160;]<!-- end-ref --><!-- ref --><p> 12. Macdonald R, MacKay D, Hickie B. Contaminant   Amplification in the Environment. Environ. Sci.   Technol. 2002; 36:456A-462A.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[&#160;<a href="javascript:void(0);" onclick="javascript: window.open('/scielo.php?script=sci_nlinks&ref=000066&pid=S1657-7027200800020000200012&lng=','','width=640,height=500,resizable=yes,scrollbars=1,menubar=yes,');">Links</a>&#160;]<!-- end-ref --><!-- ref --><p>13. Halsall CJ. Investigating the Occurrence of   Persistent Organic Pollutants in the Arctic: their   Atmospheric Behaviour and Interaction with the   Seasonal Snow Pack. Environ. Pollution 2004; 128: 163-175.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[&#160;<a href="javascript:void(0);" onclick="javascript: window.open('/scielo.php?script=sci_nlinks&ref=000067&pid=S1657-7027200800020000200013&lng=','','width=640,height=500,resizable=yes,scrollbars=1,menubar=yes,');">Links</a>&#160;]<!-- end-ref --><!-- ref --><p> 14. Nass DP, Francisco RHP. Fim de doze poluentes   org&acirc;nicos. Revista Eletr&ocirc;nica de Ci&ecirc;ncias. S&atilde;o Carlos 2002; (5).&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[&#160;<a href="javascript:void(0);" onclick="javascript: window.open('/scielo.php?script=sci_nlinks&ref=000068&pid=S1657-7027200800020000200014&lng=','','width=640,height=500,resizable=yes,scrollbars=1,menubar=yes,');">Links</a>&#160;]<!-- end-ref --><!-- ref --><p> 15. Ferreira AP. The Precautionary Principle: Perspectives   Involving Human Health Aspects and   Environmental Pollution Rev. Gerenc. Polit. Salud   2007; 6 (12): 77-82.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[&#160;<a href="javascript:void(0);" onclick="javascript: window.open('/scielo.php?script=sci_nlinks&ref=000069&pid=S1657-7027200800020000200015&lng=','','width=640,height=500,resizable=yes,scrollbars=1,menubar=yes,');">Links</a>&#160;]<!-- end-ref --><!-- ref --><p>16. Pereira MS. Polychlorinated Dibenzo-p-Dioxins   (PCDD), Dibenzofurans (PCDF) and Polychlorinated   Biphenyls (PCB): Main Sources, Environmental Fate of Bioaccumulative   tal Behaviour and Risk to Man and Biota. Quim.   Nova 2004; 27(6):934-943.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[&#160;<a href="javascript:void(0);" onclick="javascript: window.open('/scielo.php?script=sci_nlinks&ref=000070&pid=S1657-7027200800020000200016&lng=','','width=640,height=500,resizable=yes,scrollbars=1,menubar=yes,');">Links</a>&#160;]<!-- end-ref --><!-- ref --><p>17. Scott B. Financing a Global Public Good: The   Smallpox Eradication Game. Mimeo, Johns Hopkins University, 2004.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[&#160;<a href="javascript:void(0);" onclick="javascript: window.open('/scielo.php?script=sci_nlinks&ref=000071&pid=S1657-7027200800020000200017&lng=','','width=640,height=500,resizable=yes,scrollbars=1,menubar=yes,');">Links</a>&#160;]<!-- end-ref --><!-- ref --><p> 18. Gonz&aacute;lez JI. Imparcialidad financiera y equidad:   otra lectura del informe de la Organizaci&oacute;n Mundial   de la Salud - a&ntilde;o 2000. Rev. Gerenc. Polit. Salud 2000; 1(1):39-47.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[&#160;<a href="javascript:void(0);" onclick="javascript: window.open('/scielo.php?script=sci_nlinks&ref=000072&pid=S1657-7027200800020000200018&lng=','','width=640,height=500,resizable=yes,scrollbars=1,menubar=yes,');">Links</a>&#160;]<!-- end-ref --> ]]></body><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Zarkera]]></surname>
<given-names><![CDATA[KA]]></given-names>
</name>
<name>
<surname><![CDATA[Kerrb]]></surname>
<given-names><![CDATA[RL]]></given-names>
</name>
</person-group>
<article-title xml:lang="en"><![CDATA[Pollution Prevention through Performance-Based Initiatives and Regulation in the United States]]></article-title>
<source><![CDATA[J. Cleaner Production]]></source>
<year>2008</year>
<volume>16</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>673-685</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Freitas]]></surname>
<given-names><![CDATA[CM]]></given-names>
</name>
<name>
<surname><![CDATA[Amorim]]></surname>
<given-names><![CDATA[AE]]></given-names>
</name>
</person-group>
<article-title xml:lang="pt"><![CDATA[Vigilância ambiental em saúde de acidentes químicos ampliados no transporte rodoviário de cargas perigosas]]></article-title>
<source><![CDATA[Inf. Epidemiol. Sus]]></source>
<year>2001</year>
<volume>10</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>31-42</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Allen]]></surname>
<given-names><![CDATA[VG]]></given-names>
</name>
<name>
<surname><![CDATA[Brown]]></surname>
<given-names><![CDATA[CP]]></given-names>
</name>
<name>
<surname><![CDATA[Segarra]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Green]]></surname>
<given-names><![CDATA[CJ]]></given-names>
</name>
<name>
<surname><![CDATA[Wheeler]]></surname>
<given-names><![CDATA[TA]]></given-names>
</name>
<name>
<surname><![CDATA[Acosta-Martinez]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Zobeck]]></surname>
<given-names><![CDATA[TM]]></given-names>
</name>
</person-group>
<article-title xml:lang="en"><![CDATA[In Search of Sustainable Agricultural Systems]]></article-title>
<source><![CDATA[Agriculture, Ecosystems & Environ]]></source>
<year>2008</year>
<volume>124</volume>
<numero>1</numero><numero>2</numero>
<issue>1</issue><issue>2</issue>
<page-range>3-12</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Wei]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Kameya]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Urano]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang="en"><![CDATA[Environmental Management of Pesticidal POPs in China: Past, Present and Future]]></article-title>
<source><![CDATA[Environ International]]></source>
<year>2007</year>
<volume>33</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>894- 902</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Carpenter]]></surname>
<given-names><![CDATA[DO]]></given-names>
</name>
</person-group>
<article-title xml:lang="en"><![CDATA[Polychlorinated Biphenyls and Human Health]]></article-title>
<source><![CDATA[Int J Occup Med Environ Health]]></source>
<year>1998</year>
<volume>11</volume>
<page-range>291-303</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rice]]></surname>
<given-names><![CDATA[DA]]></given-names>
</name>
</person-group>
<article-title xml:lang="en"><![CDATA[Consequences of Exposure from Persistent Organic Pollutants (POPs): Session X Summary and Research Needs]]></article-title>
<source><![CDATA[NeuroToxicol.]]></source>
<year>2004</year>
<volume>25</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>521-523</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hung]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Blanchard]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Halsall]]></surname>
<given-names><![CDATA[CJ]]></given-names>
</name>
<name>
<surname><![CDATA[Bidleman]]></surname>
<given-names><![CDATA[TF]]></given-names>
</name>
<name>
<surname><![CDATA[Stern]]></surname>
<given-names><![CDATA[GA]]></given-names>
</name>
<name>
<surname><![CDATA[Fellin]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Muir]]></surname>
<given-names><![CDATA[DCG]]></given-names>
</name>
<name>
<surname><![CDATA[Barrie]]></surname>
<given-names><![CDATA[LA]]></given-names>
</name>
<name>
<surname><![CDATA[Jantunen]]></surname>
<given-names><![CDATA[LM]]></given-names>
</name>
<name>
<surname><![CDATA[Helm]]></surname>
<given-names><![CDATA[PA]]></given-names>
</name>
<name>
<surname><![CDATA[Ma]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Konoplev]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang="en"><![CDATA[Temporal and Spatial Variabilities of Atmospheric Polychlorinated Biphenyls (PCBs), Organochlorine (OC) Pesticides and Polycyclic Aromatic Hydrocarbons (PAHs) in the Canadian Arctic: Results from a Decade of Monitoring]]></article-title>
<source><![CDATA[Sci. Total Environ.]]></source>
<year>2005</year>
<volume>342</volume>
<numero>1</numero><numero>3</numero>
<issue>1</issue><issue>3</issue>
<page-range>119- 144</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rodan]]></surname>
<given-names><![CDATA[BD]]></given-names>
</name>
<name>
<surname><![CDATA[Pennington]]></surname>
<given-names><![CDATA[DW]]></given-names>
</name>
<name>
<surname><![CDATA[Eckley]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Boetling]]></surname>
<given-names><![CDATA[RS]]></given-names>
</name>
</person-group>
<article-title xml:lang="en"><![CDATA[Screening for Persistent Organic Pollutants: Techniques to Provide a Scientific Basis for POPs Criteria in International Negotiations]]></article-title>
<source><![CDATA[Environ. Sci. Tech.]]></source>
<year>1999</year>
<volume>33</volume>
<page-range>3482-3488</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lohmann]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Breivik]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Dachs]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Muir]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang="en"><![CDATA[Global Fate of POPs: Current and Future Research Directions]]></article-title>
<source><![CDATA[Environ. Pollution]]></source>
<year>2007</year>
<volume>150</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>150-165</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="">
<collab>World Health Organization</collab>
<source><![CDATA[Constitution of the World Health Organization]]></source>
<year>1948</year>
<publisher-loc><![CDATA[Geneva ]]></publisher-loc>
</nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="">
<collab>World Health Organization</collab>
<source><![CDATA[Definitions of Environmental Health, U.S. Department of Health and Human Services, Environmental Health Policy Committee, and Risk Communication and Education Subcommittee]]></source>
<year>2001</year>
</nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Macdonald]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[MacKay]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Hickie]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<article-title xml:lang="en"><![CDATA[Contaminant Amplification in the Environment]]></article-title>
<source><![CDATA[Environ. Sci. Technol.]]></source>
<year>2002</year>
<volume>36</volume>
<page-range>456A-462A</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Halsall]]></surname>
<given-names><![CDATA[CJ]]></given-names>
</name>
</person-group>
<article-title xml:lang="en"><![CDATA[Investigating the Occurrence of Persistent Organic Pollutants in the Arctic: their Atmospheric Behaviour and Interaction with the Seasonal Snow Pack]]></article-title>
<source><![CDATA[Environ. Pollution]]></source>
<year>2004</year>
<volume>128</volume>
<page-range>163-175</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Nass]]></surname>
<given-names><![CDATA[DP]]></given-names>
</name>
<name>
<surname><![CDATA[Francisco]]></surname>
<given-names><![CDATA[RHP]]></given-names>
</name>
</person-group>
<article-title xml:lang="pt"><![CDATA[Fim de doze poluentes orgânicos]]></article-title>
<source><![CDATA[Revista Eletrônica de Ciências. São Carlos]]></source>
<year>2002</year>
<numero>5</numero>
<issue>5</issue>
</nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ferreira]]></surname>
<given-names><![CDATA[AP]]></given-names>
</name>
</person-group>
<article-title xml:lang="en"><![CDATA[The Precautionary Principle: Perspectives Involving Human Health Aspects and Environmental Pollution]]></article-title>
<source><![CDATA[Rev. Gerenc. Polit. Salud]]></source>
<year>2007</year>
<volume>6</volume>
<numero>12</numero>
<issue>12</issue>
<page-range>77-82</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pereira]]></surname>
<given-names><![CDATA[MS]]></given-names>
</name>
</person-group>
<article-title xml:lang="en"><![CDATA[Polychlorinated Dibenzo-p-Dioxins (PCDD), Dibenzofurans (PCDF) and Polychlorinated Biphenyls (PCB): Main Sources, Environmental Fate of Bioaccumulative tal Behaviour and Risk to Man and Biota]]></article-title>
<source><![CDATA[Quim. Nova]]></source>
<year>2004</year>
<volume>27</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>934-943</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Scott]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<source><![CDATA[Financing a Global Public Good: The Smallpox Eradication Game]]></source>
<year>2004</year>
<publisher-name><![CDATA[MimeoJohns Hopkins University]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[González]]></surname>
<given-names><![CDATA[JI]]></given-names>
</name>
</person-group>
<article-title xml:lang="es"><![CDATA[Imparcialidad financiera y equidad: otra lectura del informe de la Organización Mundial de la Salud]]></article-title>
<source><![CDATA[Rev. Gerenc. Polit. Salud]]></source>
<year>2000</year>
<month>20</month>
<day>00</day>
<volume>1</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>39-47</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
