2022 Environmental Health Flashcards

1
Q

What is the Grasshopper Effect?

A

Pollutants can move across vast distances from the southern hemisphere to the northern hemisphere by what is called the “grasshopper effect”. This means that they evaporate with warm air and return to earth with rain and snow in the colder areas of the globe.

Therefore, persistent organic pollutants released in one part of the world can, through a repeated (and often seasonal) process of evaporation and deposit, be transported through the atmosphere to regions far away from the original source. Over the course of several years, they approach the Arctic in a series of seasonal jumps.

https://www.unep.org/news-and-stories/story/grasshopper-effect-serves-pollutants-plates-arctic-peoples

https://www.youtube.com/watch?v=3CMlWQodtYs

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2
Q

Which organization is responsible for pesticide regulation in Canada?

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3
Q

What is Integrated Pest Management?

A

Integrated Pest Management (IPM) is a decision making process for managing pests effectively, economically, and environmentally.

Techniques range from the use of:

  • biological
  • physical
  • behavioural
  • chemical controls

It may include pesticides but does not rely on them (looks at alternative approaches first).

https://www2.gov.bc.ca/gov/content/industry/agriculture-seafood/animals-and-crops/plant-health/integrated-pest-management

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4
Q

List the 6 Steps of Integrated Pest Management

A

The 6 Steps of Integrated Pest Management are:

  1. Planning and managing agricultural production systems to PREVENT insects, plant diseases and weeds from becoming pests
  2. IDENTIFYING pests, their natural enemies and damage
  3. MONITORING populations of pests and beneficial organisms, pest damage, and environmental conditions
  4. THRESHOLD- Making control decisions based on potential damage, cost of control methods, value of production, impact on other pests, beneficial organisms and the environment
  5. MANAGEMENT- Using strategies that may include a combination of behavioural, biological, chemical, cultural and mechanical methods to reduce pest populations to acceptable levels
  6. EVALUATING the effects and efficacy of management decisions

https://www2.gov.bc.ca/gov/content/industry/agriculture-seafood/animals-and-crops/plant-health/integrated-pest-management

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5
Q

What is the difference between a primary and a secondary pollutant?

List one example pollutant from each category.

A

Primary Pollutants are emitted directly from the source (directly produced)

  • Example: Vehicle exhaust emission of CO
  • Other examples: Sulphur Oxides (SOx), Volatile Organic Compounds (VOCs), Particulate Matter (PM), Nitrogen Oxides (NOx)

Secondary Pollutants are formed from other precursor pollutants reacting in the atmopshere (result o chemical reaction)

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6
Q
A
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7
Q

List direct and indirect effects of climate change

A
  • Direct effects due to changes in temperature and precipitation, occurrence of heat waves, floods, droughts and fires
  • Indirect effects due to ecological disruptions (e.g., crop failures, shifting patterns of disease vectors) or social responses (e.g., displacement of populations due to prolonged drought)
  • Until mid-century, climate change will act mainly by exacerbating health problems that already exist and existing diseases (e.g., vector-borne infections) may extend their range into areas that are presently unaffected
  • Largest risks will apply in populations that are currently most affected by climate-related diseases (e.g., under-nutrition in areas that are already food insecure such as global South or country foods in Northern Canada)
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8
Q

You are an MOH for your provincial health authority and are part of a working group to develop a provincial climate change strategy.

A) List two major categories of actions that you would suggest to be part of the strategy and list 4 potential actions under each category

B) Identify 4 direct and 4 indirect potential health effects from climate change

C) Identify 4 different categories of geographical areas relevant to climate change effects and provide one unique consideration for climate change planning related to each location.

A

A) Two major categories of action: Mitigation & Adaptation

Mitigation

  1. Invest in energy efficient public transportation
  2. Change building codes to improve energy efficiency
  3. Increase tax on motor vehicle fuels
  4. Invest in renewable energy sources
  5. Regulations requiring reduced vehicle emissions

Adaptation

  1. Improve disaster preparedness and response e.g. heat response planning
  2. Enhance environmental monitoring e.g. Air Quality Health Index
  3. Infrastructure upgrades to reduce heat island effect
  4. Collaboration between sectors e.g. health, animal, emergency services
  5. Increased disease/outcome surveillance e.g. heat-related illnesses

B) List 4 Direct and Indirecct Health Effects from climate change

Direct Health Effects

  1. Heat and cold-related illness and death
  2. Deaths and injuries from weather disasters (floods, storms)
  3. Psychological impacts from increased illness and deaths in families/communities
  4. Increased skin cancers due to increased UV exposure

Indirect

  1. Changes to vector-borne disease patterns
  2. Increased food and water borne infections due to decreased hygiene
  3. Malnutrition
  4. Injuries and illness due to overcrowding/displacement
  5. Increased asthma and allergies due to changes in air pollution/pollens/spores

C) Categories of geographical areas relevant to climate change effects and one unique consideration for climate change planning related to each location

  1. Urban - urban heat island effect
  2. Coastal/waterfront areas - flooding
  3. Rural - disruption of agriculture
  4. Northern - disruption of communities dependent on country food
  5. Communities that neighbour forested areas - wildfires
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9
Q

List 4 ways that climate change may directly or indirectly affect transmission of infectious diseases

A
  1. Increased flooding worsening water-borne outbreaks
  2. Increased food spoilage leading to food-borne outbreaks
  3. Longer disease transmission cycles, altering vector-borne transmission
  4. Faster maturation cycles for pathogens, altering vector-borne transmission
  5. Rodents may be displaced or may move due to changing climates, altering their disease transmission
  6. Displacement of people may lead to overcrowding and increased outbreaks
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10
Q

Besides injury and death, list 4 ways increased extreme weather events and natural disasters due to climate change affect people’s health

A
  1. Mental health effects
  2. Increased infectious diseases
  3. Food and water shortages
  4. Disrupted health care services
  5. Displaced populations
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11
Q

What is the urban heat island effect and what are three factors that contribute to this phenomenon?

A

When urban areas experience warmer temperature than nearby rural areas

  1. Lack of vegetative cover (less shade and less cooling of air)
  2. Lack of ventilation by tall buildings and narrow streets
  3. Dark construction materials such as ashphalt that absorb heat
  4. Heat generated from human activities such as driving
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12
Q

What are the ecological determinants of health?

A

Air, water, food, fuel and materials, protection from UV radiation, waste recycling and detoxification and a relatively stable and livable climate

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13
Q

What is the triple crisis?

A
  1. Climate disruption
  2. Biodiversity Loss
  3. Pollution
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14
Q

What is planetary health and how can we promote it?

A

Planetary health describes the health of the human species and the state of the natural systems on which it depends. It is based on the understanding that human health and human civilization depend on flourishing natural systems and the wise stewardship of those natural systems.

Ideas on ways to promote planetary health:

  • include in the curriculum for all health sciences
  • promote contact with nature, parks and green cities, etc.
  • create planetary health officers to do this work
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15
Q

How can you reduce your carbon footprint? (4 categories)

A
  • Food is 50% of our footprint, which we can reduce it by tackling food waste and shifting to plant-rich diets.
  • Mobility is 25% of our footprint, and we can reduce it by finding alternatives to personal car ownership and increasing the percentage of trips by walking, cycling and public transit.
  • Buildings are 15% of our footprint, and we can reduce it by lowering our housing energy needs and tackling our building and construction waste.
  • Stuff is 10% of our footprint, which we can reduce by reusing and repurposing furnishings and appliances.
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16
Q

At what body temperature can hypothermia first be diganosed?

A

Hypothermia results when the core body temperature drops below 35 degrees celsius (<95 degrees F)

Hypothermia causes cardiac arrhythmias, decreased respiratory drive, and neurological changes (sensory changes, ataxia, decreased reflexes, altered mental status)

17
Q
  1. Under the Canada Labour Code, please list 3 rights and 3 duties of the employee and list the 3 duties of employers.
A

3 rights of employees:

  1. Right to know about hazards
  2. Right to refuse dangerous work
  3. Right to participate in ensuring a safe workplace

3 duties of employees:

  1. Use protective materials, equipment and devices given by employer to protect employee
  2. Report all work-related accidents to employer
  3. Report hazards to employer.

3 duties of employers:

  1. Ensure workers have the needed training, information, and supervision to be safe at work.
  2. Ensure that complaints, accidents, and injuries are thoroughly investigated
  3. Ensure health and safety committees are formed and carry out their functions including inspections
18
Q

Please list 3 interventions that can reduce radon levels in the home and other buildings such as schools

A
  1. Adequate ventilation
  2. Sealing cracks and holes in a building’s foundation
  3. Sub-slab depressurization (which actively draws radon from the soil to the outside environment, bypassing the building.)
19
Q

List 5 most common heavy metals of environmental public health significance

A
  1. Lead 2. Mercury 3. Cadmium 4. Chromium 5. Arsenic
20
Q

What are the health effects of cadmium?

A

Acute - headache, weakness, severe GI irritation, pneumonitis with pulmonary edema, Itai-Itai disease (in Japan)

Chronic- COPD (occupational exposure), renal tubular dysfunction, kidney stones, osteoporosis, IARC Group 1 for lung cancer

21
Q

What are the 7 steps of a Hazard Analysis Critical Control Point?

A

HACCP is a systematic and preventative approach to the identification, evaluation, and control of food hazards from farm to fork.

  1. Conduct a hazard analysis
  2. Identify critical control points (CCP)
  3. Establish Critical Limits
  4. Monitor critical control points
  5. Undertake correction action
  6. Keep records
  7. Verify procedures
22
Q

What is the fundamental concept of waste management?

A

Containment – maintaining separation of waste from human activity

23
Q

What are the primary and secondary principles of waste management?

A
  1. Primary: DIVERT waste using the 3 R’s
    1. Reduce (most effective way to reduce flow of waste to landfill)
    2. Reuse
    3. Recycle anything not reused
    4. Composting organic wastes
    5. Secondary: residual waste requiring treatment or disposal
      1. Soil (sanitary landfill, deep well injection)
      2. Air (incineration, open burning)
      3. Water (ocean disposal)
24
Q

What are three human health risks of poorly managed solid waste?

A
  1. Contamination of drinking water and soil (biological, chemical, mining wastes)
  2. Formation of air pollutants, gas migration, and leachate discharges from landfills
  3. Emission of air pollutants from incinerators
  4. Contamination of food by waste chemicals that escape into the environment (chemical, pathogens)
  5. Infectious disease from poorly managed solid waste
25
Q

What proportion of all waste goes to landfills?

A

95%

26
Q

What are drawbacks of landfill use as waste management?

A
  1. Groundwater contamination: leachate is a mixture of water and dissolved solids produced as water passes through waste and collects at the bottom of a landfill),
  2. Gas emissions: methane, VOCs, greenhouse gases. Emissions from landfills account for 20% of Canadian methane emissions
  3. Other: aesthetics, nuisance fires, infestations/scavenging
27
Q

What measures are used to mitigate issues associated with landfill use?

A
  1. Site selection: specially designated area, size, groundwater separation, soil for daily cover, population buffer, rainfall/winds, accessibility, elevation
  2. Preparation: pre-constructed “cell” lined with impermeable layer as barrier for leachate (surface water protection), sediment/erosion controls (surface water protection), methane gas collection
  3. Operations: waste spreading and compaction followed by 6” soil cover
28
Q

What measures are used to minimize pollutants during incineration?

A
  1. Controlled combustion processes (waste oxidized to CO2 and water) using mass burn systems, refuse-derived fuel (RDF) systems and other types of modern incinerators using pollution control devices
  2. Maximizing complete combustion – three T’s – time, temperature, turbulence (oxidize as completely as possible)
29
Q

What are concerns regarding incineration as a means of waste management?

A
  1. Aesthetics
  2. Atmospheric emissions of greenhouse gases, heavy metals, polycyclic aromatic hydrocarbons (PAHs), polychlorinated biphenyls (PCBs), and potential carcinogenic agents
30
Q

What are the main system elements of solid waste management?

A
  • Waste generation
  • Waste handling, separation and storage at source: waste and recyclable materials are sorted, placed in containers, stored until collection, then transported to collection point.
  • Collection, transfer and transport: Wastes and recyclable materials collected from homes, businesses, institutions, industry etc. , then taken to materials recovery facilities (MRFs), transferred onto larger vehicles at transfer stations, or taken directly to disposal facilities.
  • Separation and processing: Commingled waste is separated, recyclables are recovered, and separated waste is processed further at MRFs, transfer stations, incinerators, and landfills.
  • Final disposal: Collected wastes are transported to landfills and incinerators and disposed of. Residual materials from MRFs and composting facilities, as well as ash from incineration are also disposed of
31
Q

What are consequences of soil contamination?

A
  • Water body: compounds that form weak bonds with soil and organic matter are more mobile and bioavailable (e.g., phenol compounds have low tendency to absorb they are highly mobile in soil and can leach into ground or surface water)
  • Direct human contact: routes of exposure include ingestion, inhalation, dermal. Other than children and persons working with soil, little direct human contact. Must consider the source-pathway-receptor pathway
    • Source: location from which contamination is or was derived (e.g. arsenic in surface soils)
    • Pathway: mechanism by which a receptor is being or could be exposed or affected by an identified contaminant (e.g. soil ingestion)
    • Receptor: which may be adversely affected by the contaminant (e.g. young children)
    • Vegetation: food chain implications, (e.g. cadmium, dioxins)