Evidence map›Paper›PMID 11527755›Full record

ReviewAmerican journal of public health2001

The precautionary principle also applies to public health actions.

B D Goldstein

Abstract readReview
In one paragraph

Review in American journal of public health, 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. The public health impacts of mining in Australia.The Medical journal of Australia · 2025
    Pooled it
  2. Observational
  3. Misplaced optimism about e-cigarettes for smoking cessation in New Zealand.The Lancet regional health. Western Pacific · 2026
    Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. WHO'Frontiers in public health · 2025
    Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Review
  16. Article
  17. Article
  18. Article
  19. Review
  20. Let fever do its job: The meaning of fever in the pandemic era.Evolution, medicine, and public health · 2021
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author.

B D GoldsteinUniversity of Pittsburgh Graduate School of Public Health, PA 15261, USA. bdgold@pitt.edu

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The precautionary principle asserts that the burden of proof for potentially harmful actions by industry or government rests on the assurance of safety and that when there are threats of serious damage, scientific uncertainty must be resolved in favor of prevention. Yet we in public health are sometimes guilty of not adhering to this principle. Examples of actions with unintended negative consequences include the addition of methyl tert-butyl ether to gasoline in the United States to decrease air pollution, the drilling of tube wells in Bangladesh to avoid surface water microbial contamination, and villagewide parenteral antischistosomiasis therapy in Egypt. Each of these actions had unintended negative consequences. Lessons include the importance of multidisciplinary approaches to public health and the value of risk-benefit analysis, of public health surveillance, and of a functioning tort system-all of which contribute to effective precautionary approaches.

Indexed as

Environmental HealthEvidence-Based MedicineHealth PolicyPhilosophy, MedicalPublic Health PracticeAir PollutionBangladeshEgyptEpidemiologic StudiesGasolineHumansMethyl EthersPatient Care TeamPopulation SurveillancePrimary PreventionRisk AssessmentGasolineMethyl Ethersmethyl tert-butyl ether

Identifiers

PMID11527755
PMCPMC1446778

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.