regarding the relative contributions of positive and negative impacts of HVHF* on public
health is unlikely to ever be attained. In this instance, however, the overall weight of the
evidence from the cumulative body of information contained in this Public Health
Review demonstrates that there are significant uncertainties about the kinds of adverse
health outcomes that may be associated with HVHF, the likelihood of the occurrence of
adverse health outcomes, and the effectiveness of some of the mitigation measures in
reducing or preventing environmental impacts which could adversely affect public
health. Until the science provides sufficient information to determine the level of risk to
public health from HVHF to all New Yorkers and whether the risks can be adequately
managed, DOH recommends that HVHF should not proceed in New York State."
*high volume hydraulic fracturing
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