PU530 Environmental Health Unit 1 What is Environmental Health? Flashcards

1
Q

What is the segment of public health that is concerned with assessing, understanding, and controlling the impacts on people on their environment and the impacts of the environment on them?

A

Environmental health

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2
Q

This field is defined more by the problems it addresses versus the approaches it uses. What are some of these problems?

A

These problems include the treatment and disposal of liquid and airborne wastes, the elimination or reduction of stresses in the workplace, the purification of drinking-water supplies, the
provision of food supplies that are adequate and safe, and the development and application of measures to protect hospital and medical workers from being infected with diseases such as acquired immune deficiency syndrome (AIDS) and severe acute respiratory syndrome (SARS).

Environmental health professionals also face long-range problems that
include the effects of toxic chemicals and radioactive wastes, acidic deposition, depletion of the ozone layer, global warming, resource depletion,
and the loss of forests and topsoil.

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3
Q

What are the two different environments?

A

Within the body and outside the body.

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4
Q

What are the three principal protective barriers that separate the two different environments within and outside the body?

A

The gastrointestinal (GI) tract, the membranes within the lungs, and the skin.

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5
Q

What protects the body from contaminants outside the body?

What protects the inner body from contaminants that have been ingested?

What protects the inner body from contaminants that have been inhaled?

A

The skin, the GI tract, and the membranes of the lungs.

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6
Q

How are the three protective barriers vulnerable?

A

For the skin, when contaminants dissolve the layer of wax generated by the sebaceous glands. The GI tract, when contaminants are soluble and are readily absorbed into the body cells, and the lungs when contaminants are absorbed.

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7
Q

How does the body rid of unwanted material?

A

Vomiting and diarrhea.

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8
Q

When contaminants enter the circulatory system, how are they detoxified and excreted?

A

Detox by the liver and excreted by the kidneys.

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9
Q

Fun Fact: How much food, water, and air is breathed by humans daily?

A

1.5 kg (3.3 pounds) of food, 2 kg (4.4 pounds) of water, and 24 kg (52 pounds) of air. Air can be weighed underwater.

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10
Q

What is the most important pathway for the intake of environmental contaminants?

A

The lungs because people usually cannot be selective about what air is available. The lungs are also by far the most fragile and susceptible of the three principle barriers.

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11
Q

Characteristics of the principal barriers between the outer and inner body (See attached)

A
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12
Q

What are mechanisms for protecting the lungs from contaminants?

A

Macrophages that engulf and promote the removal of foreign materials or simple coughing.

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13
Q

What is the personal environment? What is the ambient environment?

A

The personal environment is one that a person has control over while the outdoor or ambient environment is one someone essentially has no control over.

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14
Q

What % of deaths accounts for the personal environment and lifestyles followed?

A

70

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15
Q

What are the three forms environment can exist as?

A

Gaseous, liquid, or solid.

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16
Q

What are the four avenues or mechanisms by which various factors affect people’s health?

A

Chemical, Biological, Physical, and Socioeconomic factors.

Chemical constituents and contaminants include toxic wastes and
pesticides in the general environment, chemicals used in the home
and in industrial operations (Chapter 4), and preservatives used in
foods (Chapter 6).

Biological contaminants include various disease organisms that may
be present in food and water (Chapters 6 and 7), those that can be
transmitted by insects and animals (Chapter 10), and those that can
be transmitted by person-to-person contact.

Physical factors that influence health and well-being range from injuries and deaths caused by accidents (Chapter 11) to excessive noise, heat, and cold and to the harmful effects of ionizing and
nonionizing radiation (Chapter 12).

Socioeconomic factors, though perhaps more difficult to measure and
evaluate, significantly affect people’s lives and health. Statistics
demonstrate compelling relationships between morbidity and mortality and socioeconomic status. People who live in economically
depressed neighborhoods are less healthy than those who live in
more affluent areas.

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17
Q

Why is the urban environment assuming ever more increasing importance?

A

Because 60% of the world’s population lives in urban environments, with a major share of it occurring within less developed countries.

Furthermore, health islands created by urban centers increase both the costs for cooling and the concentrations of air pollutants.

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18
Q

What are the effects on populations in the U.S. and abroad when referring to tobacco?

A

In the U.S., it causes 450k deaths a year and is responsible for 30% of all cancer-related deaths. 35k deaths are attributable to cancers in people subjected to secondhand smoke.

On a global basis, tobacco causes more than 4 million deaths each year, around 11k per day.

The associated annual medical costs and productivity losses exceed $50–$70 billion, and
$50 billion, respectively. In fact, the medical costs represent about 8 percent
of personal health-care expenditures (CDC, 2002a).

If current smoking patterns continue, the annual number of people
killed by tobacco will increase from a level of about 3 million per year in
1990 to about 10 million per year in 2030.

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19
Q

How much of the U.S. population does not achieve minimum daily recommended minutes of walking or its equivalent?

A

70%. And 40% of adults engage in no leisure time physical activity at all.

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20
Q

What % of children are not provided an opportunity for any form of physical education whatsoever?

A

25%

21
Q

What % increase of melanoma, the most serious form of skin cancer, has the U.S. seen since 1975?

A

150%. The number of related deaths has increased by more than 40%.

More than half of a person’s lifetime of sun exposure to the sun occurs during younger years, it is particularly important that these age groups be protected.

22
Q

What percent of adults, children, and adolescents in the U.S. are overweight?

A

61%, 13%, and 14%. This is a threefold increase since 1980.

23
Q

How many deaths is obesity supposedly responsible for?

A

300,000 deaths a year in the U.S.

24
Q

When did the International Agency for Research in Cancer conclude that alcohol is a carcinogen and an independent risk factor for cancers of the liver and upper aerodigestive tract?

A

1988.

25
Q

T/F Zero pollution policies are neither realistic nor achievable in today’s world.

A

True.

26
Q

What typically happens when one tries to control the pollution in one segment of an environment?

A

It may result in the transfer of pollution to a different segment or the creation of a different form of pollution.

These can occur immediately or over time and the it can be in the same locality or some distance away.

27
Q

What is the difference between the clinical intervention model and the public health invention model?

What about the environmental stewardship model?

A

The goal of the physician is to prevent a specific disease from leading to death while the public health model, in contrast, calls for preventing the development of disease.

For the environmental stewardship model, the goal is to protect humans by preventing environmental degradation and its resulting impacts on health.

28
Q

What is the over-all goal in environmental health?

A

To achieve the maximum good for the maximum amount of people.

The overall objective should be to achieve both sustainable development and a sustainable environment.

29
Q

What does the concept of a sustainable environment based on?

A

The premise that renewable resources should only be used at a a rate that ensures their continued existence (sustained yield); nonrenewable resources should be used sparingly and recycled where possible (conservation); and natural systems should not be polluted to the point where they no longer able to cope with the resulting damage (pollution prevention).

30
Q

Food for Thought

What are some of the major environmental chemicals of concern to the environmental practitioner? See attached.

A

Health care is vital to all of us some of the time, but public health is vital to all of us all of the time.

31
Q

Remember:

Environment can mean many different things to many different people. For
example, some may view “environment” as the office environment, the creative environment, the learning environment, the corporate environment, the
virtual environment, the aquatic environment, the tropical environment, the
social environment, or the conservation environment. Or, in this digital age,
maybe we are referring to the desktop environment, the integrated development environment, the runtime environment, and so forth.

A
32
Q

What is the difference between the terms environmental science and ecology that are often used interchangeably, but are two different things?

A

Ecology refers to the study of organisms and their interactions with each other and their environment. Ecology could be considered a subset of environmental science.

33
Q

What are the components of Environmental Health?

A

See attached.

34
Q

What are the basic requirements for a healthy environment?

A

Clean air, safe and sufficient water, safe and adequate food, safe and peaceful settlements, and a stable global environment.

We need environmental health (and science in general), first for quantitative analysis. We use the precepts of environmental health and science to
obtain basic information of existing conditions of air, water, and soil

35
Q

What is used to know what causes the problem and to define its severity in environmental health?

A

The six step problem-solving paradigm.

36
Q

What is the Anthropocene epoch?

A

It is an unofficial unit of geologic time, used to describe the most recent period in Earth’s history when human activity started to have a significant impact on the planet’s climate and ecosystems.

37
Q

How is our planet changing because of humans?

A
  • Climate
  • Biogeochemical changes (land use and cover, to soil loss and degradation, and to water scarcity)
  • Biodiversity (losses; extinction of species and reductions in their population sizes)
  • Widespread contamination of the planet by pollutants
38
Q

How much has the average global temperature increased since the beginning of the 20th Century?

A

1 degree Celsius

The hottest year in the historical record, 2016, was 1.35°C warmer than the 1850–
1900 average.

The frequency and intensity of hot days and heatwaves have increased, as has the
fraction of rain falling in the heaviest events. A rise of approximately 20 centimeters in
global sea level has raised risks of coastal flooding.

39
Q

What are the two broad approaches used to respond to climate change?

A

Mitigation and adaptation.

40
Q

What, in public health terms (primary prevention), entails steps to stop climate change, such as reducing greenhouse gas emissions and reducing deforestation.

A

Mitigation

“Avoiding the unmanageable”

41
Q

What, in public health terms (disaster preparedness and resilience), entails coping with the changes to which we are committed?

A

Adaptation.

“Managing the unavoidable”

42
Q

What is responsible for an enormous cause of disease and premature death, responsible for an estimated 9 million deaths annually, 16% of total global mortality?

A

Pollution

43
Q

What are the top 4 things contributing most to pollution?

A
  1. Combustion of fossil fuels and biomass
  2. Exploitation of naturally occurring but dangerous substances, such as asbestos, lead, and arsenic.
  3. Manufacture of dangerous substances that do not occur naturally, such as pesticides and plasticizers.
  4. Unsafe disposal of human and animal waste, excess fertilizer, and other contaminants.
44
Q

What is a complex mix of gases and particles that varies in concentrations and composition from place to place and over time?

A

Air pollution.

Components include particulate matter (PM), oxides of sulfur and nitrogen, ozone, methane, and other hydrocarbons, and hydrofluorocarbons (HFCs).

45
Q

What accounts for 85% of PM globally and for almost all pollution by oxides of sulfur and nitrogen?

A

Combustion. Fuel, etc.

Combustion is also the major source of carbon dioxide (CO2) and short-lived climate pollutants such as black carbon that are the main anthropogenic drivers of global climate change.

46
Q

What happens to the air pollution content when there are strong westerly winds?

A

Winds blowing from China across the Pacific, 12-24% of sulfate concentrations, 2-5% of ozone, 4%-6% of carbon monoxide, and up to 11% of black carbon pollution detected in the western United States originated in export-oriented industrial activity in China.

47
Q

Water Pollution Facts (See Attached)

A

Soil Pollution Facts

48
Q

How many new chemicals and pesticides have been manufactured and introduced in commercial products? Some of these never before existed on the Earth.

A

140,000.

Many of these manufactured chemicals have never been tested for safety or potential toxicity. Annual growth rate of 3.5%, a rate that, if unabated, will result in doubling of chemical production in 25-30 years.

2/3 of manufacture takes place in low to middle class countries. Resource poor countries do not have the resources to implement environmental protections and public health infrastructure. Uncontrolled releases of toxic chemicals and unregulated exposures are the too frequent consequences.