Policy Sciences

, Volume 30, Issue 2, pp 47–70 | Cite as

The sun safety metanarrative: Translating science into public health discourse

  • Theresa Garvin
  • John Eyles
Article

Abstract

A case study examining the relationship between ozone depletion, UV radiation and skin cancer shows how scientific uncertainty is reduced and, through consensus building, translated into certainty in public health messages. Using narrative analysis we examine Canadian consensus statements on the dangers of UV and reconstruct the supporting logical claims and scientific evidence. Though considerable uncertainty remains about the relationship between the environment and skin cancer, both public health messages and the UV-Index formalize uncertainty and risk; concern then shifts from the less-certain, scientific realm into the apparently more-certain arena of public health messages. In this process the distinctions between science and policy become blurred. The case can be interpreted in two ways: as the result of various players acting in their self-interests or as a moral drama based on the importance of simple, clear messages to allow ‘correct’ actions.

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References

  1. Aase, A. and G. Bentham (1994). ‘The geography of malignant melanoma in Nordic countries: The implications of stratospheric ozone depletion,’ Geografiska Annaler76 (B2): 129–139.Google Scholar
  2. Albæk, E. (1995). ‘Between knowledge and power: Utilization of social science in public policy making,’ Policy Sciences 28: 79–100.Google Scholar
  3. Allen, T. F. H. and T.W. Hoekstra (1992).Toward a Unified Ecology. NewYork: Columbia UP.Google Scholar
  4. Amron, D.M. and R. L. Roy (1991). Stratospheric ozone depletion and its relationship to skin cancer. J Dermatol Surg Oncol 17: 370–372.Google Scholar
  5. Bailey, R. (1993). Ecoscam: The False Prophets of Ecological Apocalypse. New York: St. Martin's Press.Google Scholar
  6. Beck, U. (1992). ‘From industrial society to the risk society: Questions of survival, social structure and ecological enlightenment,’ Theory, Culture & Society 9: 97–123.Google Scholar
  7. Benedick, R. (1991). Ozone Diplomacy: New Directions in Safeguarding the Planet. Cambridge: Harvard University Press.Google Scholar
  8. Bonett, A., D. Roder and A. Esterman (1989). ‘Epidemiological features of melanoma in South Australia: Implications for cancer control,’ Medical Journal of Australia 151: 502–509Google Scholar
  9. Borland, R., D. Hill and S. Noy (1990). ‘Being SunSmart: Changes in community awareness and reported behaviour following a primary prevention program for skin cancer control,’ Behaviour Change 7 (3): 126–135.Google Scholar
  10. Brandon, W. P. (1984). ‘Public policy as the continuation of moral philosophy by other means.’ Policy Studies Review 4 (1): 60–70.Google Scholar
  11. Burger, E. J. (1990). ‘Health as a surrogate for the environment.’ Daedalus 114 (4): 133–153.Google Scholar
  12. Burrows, W. R., M. Vall ée, D. I. Wardle, J. B. Kerr, L. J. Wilson and D.W. Tarasick (1994). ‘The Canadian operational procedure for forecasting total ozone and UV radiation,’ Met Apps. 1: 247–265.Google Scholar
  13. Canadian Cancer Statistics (1996). Toronto: National Institute of Cancer.Google Scholar
  14. Colborn, T., D. Dumanoski and J. Peterson Myers (1996). Our Stolen Future. New York: Dutton.Google Scholar
  15. Cotgrove, S. (1982). Catastrophe or Cornucopia. NewYork: Wiley.Google Scholar
  16. Crutzen, P. J. (1992). ‘Ultraviolet on the increase,’ Nature 336: 104.Google Scholar
  17. Davenport, W. A. (1982). Fifteenth–century English Drama. Totowa, NJ: Rowman & Littlefield.Google Scholar
  18. DeMuer, D. and H. DeBacker (1992). Revision of 20 years of Dobson total ozone data at Uccle (Belgium). Fictitious Dobson total ozone trends induced by sulfur dioxide trends. Journal of Geophysical Research–Atmospheres April 20, 1992: p. 5921.Google Scholar
  19. Deslauriers, Y. (1996). Health Canada. Personal telephone interview. April 21, 1996.Google Scholar
  20. Diffy, B. L., ed. (1996). Measurement and Trends of Terrestrial UVB Radiation in Europe. Milan, Italy: OEMF spa.Google Scholar
  21. Drake, F. (1994). Stratospheric Ozone Depletion–An Overview of the Scientific Debate. Working Paper 94/9. University of Leeds: School of Geography.Google Scholar
  22. Dubin, N., M. Moseson and B. S. Pasternack (1989). ‘Sun exposure and malignant melanoma among susceptible individuals.’ Environmental Health Perspectives 81: 139–151.Google Scholar
  23. Dunn, W.N. (1981). Public Policy Analysis. Prentice Hall: Englewood Cliffs.Google Scholar
  24. Epp, J. (1986). Achieving health for all: A framework for health promotion. Ottawa: Health & Welfare Canada.Google Scholar
  25. Farman, J.C., B.G. Gardiner and J.D. Shanklin (1985). 'Large losses of total ozone in Antarctica reveal seasonal CLOx/NOx interaction. Nature 315: 207–210.Google Scholar
  26. Frank, J.W., B. Gibson and M. Macpherson (1988). ‘Information in epidemiology: Detecting the health effects of environmental chemical exposure,’ Information Needs for risk Management University of Toronto.Google Scholar
  27. Glass, A.G. and R.N. Hoover (1989). ‘The emerging epidemic of melanoma and squamous cell skin cancer,’ JAMA 262 (15): 2097–2100.Google Scholar
  28. Globe and Mail. Researchers confirm link between ozone, UV levels. November 12, 1993; p. A8. Toronto, Canada.Google Scholar
  29. Harvey, I. (1995). Prevention of Skin Cancer: A Review of Available Strategies. University of Bristol: Health Care Evaluation Unit.Google Scholar
  30. Hennekens, C. and J. Buring (1987). Epidemiology in Medicine. Boston: Little Brown.Google Scholar
  31. Keesling, B. and H. S. Friedman (1987). ‘Psychosocial factors in sunbathing and sunscreen use,’ Health Psychology 6 (5): 477–493.Google Scholar
  32. Kerr, J. B. and C.T. McElroy (1993). ‘Evidence for large upward trends of ultraviolet–B radiation linked to ozone depletion,’ Science 262: 1032–1034.Google Scholar
  33. Kerr, J. B. and D. I. Wardle (1993). ‘Ozone and UV–B monitoring program in Canada,’ Atmospheric Ozone 2047: 160–168, SPIE: Tromsö, Norway.Google Scholar
  34. Kingwell, M. (1996). Dreams of Millennium. Toronto: Viking.Google Scholar
  35. Kuhn, T. (1962).The Structure of Scientific Revolutions. Chicago: University of Chicago Press.Google Scholar
  36. Latour, B and S. Woolgar (1979). Laboratory Life. London: Sage.Google Scholar
  37. Litfin, K.T. (1994). Ozone Discourses: Science and Politics in Global Environmental Cooperation. NewYork: Columbia University Press.Google Scholar
  38. Liu S. et al. (1992). ‘Effect of anthropogenic aerosols on biologically active ultraviolet radiation,’ Geophysical Research Letters 2265: (Jan. 3, 1992).Google Scholar
  39. Lloyd, S.A., E. S. Im and D. E. Anderson, Jr. (1994). ‘Modeling the latitude–dependent increase in non–melanoma skin cancer incidence as a consequence of stratospheric ozone depletion,’ in R. H. Biggs and M. E.B. Joyner, eds., Stratospheric Ozone Depletion/UV–B Radiation in the Biosphere. NATO ASI Series Vol I 18: 329–337.Google Scholar
  40. Majone, G. (1989). Evidence, Argument and Persuasion in the Policy Process. New Haven: Yale University Press.Google Scholar
  41. Marks, R. (1992). ‘From Slip! Slop! Slap! to SunSmart–the public health approach to skin cancer control in Australia in the 1990s,’ in R. Marks and S. Plewig, eds., The Environmental Threat to the Skin. London: Martin Dunitz.Google Scholar
  42. Miller, A.G., W.A. Ashton, J.W. McHoskey & J. Gimbel (1990). ‘What price attractiveness? Stereo–type and risk factors in suntanning behavior,’ Journal of Applied Social Psychology 20 (15): 1272–1300.Google Scholar
  43. Mills, C. J. and S. Jackson (1995). ‘Workshop Report: Public education messages for reducing health risks from ultraviolet radiation,’ Chronic Diseases in Canada 16 (1): 33–36.Google Scholar
  44. Moan, J. and A. Dahlback (1992). ‘The relationship between skin cancers, solar radiation and ozone depletion,’ Br. J. Cancer 65: 916–921.Google Scholar
  45. Molina, J. J. and F. S. Rowland (1974). ‘Stratospheric sink for chloroflouromethanes: Chlorine atom–catalysed destruction of ozone,’ Nature 249: 810–812.Google Scholar
  46. Mukhtar, H. and D.R. Bickers (1993). ‘Environmental skin cancer: Mechanisms, models and human relevance,’ Cancer Research 53: 3439–3442.Google Scholar
  47. Mulkay, M. (1980). Science and the Sociology of Knowledge. London: Allen and Unwin.Google Scholar
  48. Nance, J. J. (1991). What Goes Up: The Global Assault on our Atmosphere. New York: William Morrow.Google Scholar
  49. Nisbett, R. E. and L. Ross (1980). Human Inference. Englewood Cliffs: Prentice Hall.Google Scholar
  50. Potter, R. (1975).The English Morality Play. Boston: Routledge.Google Scholar
  51. Potter, R. (1989). ‘Afterword,’ in D. Gilman, ed., Everyman and Company. New York: AMS, pp. 329–334.Google Scholar
  52. Roan, S. (1989). Ozone Crisis. The 15–Year Evolution of a Sudden Global Emergency. New York: Wiley.Google Scholar
  53. Roe, E. (1994). Narrative Policy Analysis: Theory and Practice. Durham: Duke University Press.Google Scholar
  54. Salter, L. (1988). Mandated Science: Science and Scientists in the Making of Standards. Boston: Kluwer.Google Scholar
  55. Scotto, J., G. Cotton, F. Urbach, D. Berger and T. Fears (1988). ‘Biologically effective ultraviolet radiation: Surface measurements in the United States, 1974–1985.’ Science 293: 762–764.Google Scholar
  56. Steckler, A., J. P. Allegrante, D. Altman, R. Brown, J.N. Burdine, R.M. Goodman and C. Jorgen–sen (1995). 'Health Education Intervention Strategies. Health Education Quarterly 22: 307–328.Google Scholar
  57. Stone, D. A. (1988). Policy Paradox and Political Reason. Harper Collins.Google Scholar
  58. Tesh, S.N. (1993). ‘Environmentalism, pre–environmentalism, and public policy,’ Policy Sciences 26: 1–20.Google Scholar
  59. Torgerson, D. (1986). ‘Between knowledge and politics: Three faces of policy analysis.’ Policy Sciences 19: 33–59.Google Scholar
  60. Vancouver Sun. Intensity of sun's ultraviolet rays to be tabulated by government. May 28, 1992. p. A9.Google Scholar
  61. Virtual Elimination Taskforce (1993). A Strategy for Virtual Elimination of Persistent Toxic Sub stances. IJC: Windsor.Google Scholar
  62. Weinstock, M. A. (1993). ‘Epidemiology of Melanoma,’ Cancer Treatment & Research 65: 29–56.Google Scholar
  63. Wildavsky, A. (1995). But is it True? A Citizen's Guide to Environmental Health and Safety Issues. Cambridge, MASS.: Harvard Press, 304–339.Google Scholar
  64. Winnipeg Free Press. Canadians link ozone, UV rays in settled areas. November 12, 1993. Canada: Winnipeg.Google Scholar
  65. WMO (World Meteorological Organization) (1994). Scientific assessment of ozone depletion: 1994. WMO Global Ozone Research and Monitoring Project, Report No. 37.Google Scholar
  66. Zerefos, C. S. (1996). ‘An update of the recent UV–B change over Greece,’ in B. L. Diffey, ed., Measurement and Trends of terrestrial UVB Radiation in Europe. 87–92.Google Scholar

Copyright information

© Kluwer Academic Publishers 1997

Authors and Affiliations

  • Theresa Garvin
    • 1
  • John Eyles
    • 2
    • 3
  1. 1.Department of GeographyMcMaster UniversityHamiltonCanada
  2. 2.EcoResearch Chair in Environmental HealthEnvironmental Health ProgramCanada
  3. 3.McMaster UniversityHamiltonCanada

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