Midterm 1 Flashcards

(236 cards)

1
Q

natural environment

A

water, soil, air/atmosphere

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2
Q

built environment

A

home, school, work, public spaces, parks, gyms, hospitals

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3
Q

transportation environment

A

BART, airplanes, trains, cars, spaceships

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4
Q

public health

A

focuses on population and population-based intervention

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5
Q

environmental health science

A

the environment informs how diseases can be initiated, sustained, improved

people’s interactions with their environment is an important part of PH

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6
Q

environmental health pathways

A

source to exposure to uptake/dosage to biokinetics (biomarkers) to health effects

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7
Q

exposure assessment

A

A process to identify populations exposed to specific toxicants, toxins, infectious agents, or work conditions and examine the source, magnitude, frequency and duration of such exposure

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8
Q

types of hazards

A

biological/microbial
chemical
radiological
physical/mechanical

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9
Q

core disciplines of EHS

A
`biostatistics
toxicology
biology/microbial biology
epidemiology
exposure assessment 
risk assessment
GIS (mapping skills)
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10
Q

toxicology

A

the study of how toxicants and toxins produce injury that results in adverse health effects once they enter the body

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11
Q

epidemiology

A

a quantitative research method for the analyzing the associations between environmental health hazards and health effects

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12
Q

risk assessment

A

used to determine whether or not something is likely to cause harm

goal is to characterize the likelihood of harm in a format that assists decision makers who must act to tolerate, mitigate, or eliminate the potential harm

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13
Q

risk management

A

identifies exposures to populations at risk, controls environmental sources of disease, proposes effective and affordable intervention strategies

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14
Q

poisons

A

able to produce an adverse effect in a biological system

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15
Q

toxins

A

toxic substances produced by living organisms

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16
Q

toxicants

A

toxic substances that are man-made or result from human activity

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17
Q

toxic substances

A

materials that have toxic properties

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18
Q

xenobiotics

A

chemical substances that are foreign substances

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19
Q

dose-response relationship

A

The relationship between exposure to a chemical and the spectrum of effects caused by the chemical

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20
Q

dose

A

The amount of a chemical or physical agent that comes into contact with a living organism
Amount of toxin (mg)/weight of the consumer (kg) (mg/kg/day)

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21
Q

absorbed dose

A

the amount of a substance that enters the body through the skin, eyes, lungs, or digestive tract and was taken up by organs or particular tissues

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22
Q

total dose

A

the sum of all individual doses

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23
Q

LD50

A

The dose it takes to kill 50% of the population exposed

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24
Q

local effects

A

damage at the site where a chemical first comes into contact with the body

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25
systemic effects
generalized distribution of the chemical throughout the body by the bloodstream to internal organs
26
target organ effects
``` some chemicals may confine their effects to specific organs Hepatotoxicity Cardiovascular toxicity Nephrotoxicity Lung toxicity Neurotoxicity Immunotoxicity Reproductive toxicity ```
27
acute exposure
usually a single exposure for less than 24 hours
28
subacute exposure
exposure for one month or less
29
subchronic exposure
exposure for one to three months
30
chronic exposure
exposure for more than three months
31
Paracelsus
founder of toxicology the dose makes the poison
32
ADME
Absorption: chemical enters the body (absorbed dose) Distribution: chemical travels through bloodstream to target organ Metabolism: bioactivation and detoxification Excretion: chemical/metabolites removed from body
33
additive
the combined effect of two or more chemicals is equal to the sum of the individual effects
34
synergistic
the combined effect of two or more chemicals is greater than the sum of their individual effects
35
potentiation
when a non-toxic chemical causes another chemical to become more toxic (Ex. Benadryl/Codeine)
36
anatagonism
two chemicals interfere with each other’s actions or one interferes with the action of the other
37
bioactivation
toxins activated through bodily processes
38
detoxification
Toxins neutralized in the body
39
excretion
excreted out of body by kidneys
40
distribution
distributed through the different body systems
41
LOAEL(lowest observed adverse effect level)
lowest dose that an effect is observed | study specific
42
NOAEL(no observed adverse effect level)
highest non-zero dose that no effect is observed
43
Bernadino Ramazzini
father of occupational medicine
44
Sir Percival Pott
demonstrated that cancer can be caused by an environmental carcinogen
45
Mathieu Orfila
father of toxicology contributed to the foundation of forensic toxicology (arsenic)
46
Alice Hamilton
influential voice on addressing lead and other hazards first woman appointed to Harvard faculty
47
Rachel Carson
wrote Silent Spring: founding text on environmental health
48
`fields within toxicology
``` environmental reproductive developmental forensic clinical regulatory ```
49
dose-response curve
usually shows a linear relationship, except when dealing with endocrine disruptors U-shaped for homeostasis, such as with vitamins
50
administered dose
the quantity administered usually orally or by injection
51
toxic dose
outcome that is not lethal, but still reaps adverse effects
52
factors that influence toxicity
route of entry into the body duration f exposure interactions between multiple chemicals individual sensitivity/susceptibility
53
routes of exposure
ingestion: first goes through liver inhalation: directly into blood dermal contact: directly into blood placenta: directly into blood
54
population dose-response
witness a normal distribution resistant individuals on the left, sensitive individuals on the right
55
factors that influence toxicity
``` age sex race health status exercise genetic make-up history of previous exposures ```
56
phase 1,2,3 reactions
1: modification via oxidation, reduction, hydrolysis 2: conjugation 3: further modification and excretion
57
types of toxicity studies
experimental studies in animals tissue culture human studies: epidemiology & clinical trials
58
limitations of animal studies
extrapolating across species to humans extrapolating high exposures to actual human exposures that are lower accounting for variation in human living conditions accounting for interactions between chemicals
59
OSHA (occupational safety and health admin)
for workplace exposures
60
EPA (environment protection agency)
for chemicals in ambient air and water important policies include TSCA, FIFRA, and Superfund (CERCLA)
61
endogenous
internal exposure | hormones, ROS, lipid peroxidation, gut flora
62
exogenous
external exposure | air, water, diet, skin
63
exposure assesment
quantitative estimation of exposure | classification of exposure status relative to other members
64
approaches for assessing exposure
direct(more accurate) indirect(less accurate) all about concentration + context
65
tools for assessing exposure
``` questionnaires record review environmental measurements personal monitoring modeling: using models to make predictions real time geographic/spatial assessments biomonitoring measurements biologically-based exposure markers ```
66
exposure dose equation
D= C*IR*AF*EF/BW ``` C= contaminant concentration IR= intake rate of contaminated medium AF= bio-availability factor EF= exposure factor BW= body weight ```
67
exposure factor equation
EF=(F*ED)/AT ``` F= frequency of exposure (days/year) ED= exposure duration (years) AT= averaging time (ED*365 days/year) ```
68
global-positioning systems (GPS)
allows individuals locations to be recorded over time
69
common exposure biomarkers
``` urine blood breast milk saliva hair meconium ```
70
DAPs/Ops
organophosphate pesticide metabolite have a short half-life in the body can be collected via dust and biological samples
71
biokenetics
residence time of a toxicant in the body determines its utility as an exposure biomarker
72
adducts
relatively stable covalent bonds between toxicants and biological receptors DNA-reactive small molecule + genomic dna 🧬 PAHs(smoking)
73
exposome
full lifetime of exposure environmental exposure measurement in molecular biology
74
range of tools
``` classification modeling measurement based (chemistry&biology) ```
75
industrial hygiene
Occupational hygiene is the anticipation, recognition, evaluation, control, and confirmation of protection from hazards at work that may result in injury, illness, or affect the well being of workers divided between occupational sources
76
evaluation of current exposures
``` disasters(quick, real-time assessments) environmental monitoring(everyday measurements) ```
77
post-hoc (post event) evaluation
prioritizing hazardous waste sites closed factories brownfield redevelopment
78
a priori assessment
future exposures hazardous industrial facilities pesticide registration chemicals to be used in consumer products
79
risk assessment components
hazard ID: determine whether or not a chemical poses a hazard based on extensive scientific literature review exposure assessment: estimate exposure under a particular scenario dose-response assessment:quantify dose-response relationship risk characterization: combine toxicity and exposure assessments to determine risk
80
top-down approach
population level linking disease to the causes(chemicals): epidemiological, health stats
81
bottom-up approach
organism toxicological harm: linking chemicals to disease : cells, animal models
82
risk assessors
provide scientific input to risk managers specific intake levels options for reducing risk
83
risk managers
decide how to response, may consider other factors than health protection alone
84
non -cancer risk assessment approaches
1: estimate dose; compare dose to health-based benchmarks 2: measure environmental concentration; compare environmental measurement to standard
85
reference dose
an estimate of the daily acute or chronic exposure, that is likely to be without risk of adverse effects LOAEL,NOAEL, BENCHMARK/UF*MF
86
hazard quotient
ratio of exposure to the RfD | HQ= exposure dose/RfD or EC/RfC or concentration/REL(reference exposure level)
87
maximum lifetime risk
maximum lifetime exposure * dose-response relationship normal levels: 10^-5(Prop 65) or 10^-6(EPA)
88
Prop 65
safe drinking water and toxic enforcement act 1986 | chemicals have to labeled as carcinogens or reproductive toxicants
89
prop 65 benchmarks
maximum allowable dose level: reproductive risk; MADL -NOAEL/1000 no significance risk level: cancer; NSRL
90
mass spectral fingerprinting
for chemical ID | strong clean peak produces high quality match
91
sensitivity factor for young children
10
92
high priorities for future exposure/risk studies
siloxanes fragrance-related compounds terpenes
93
types of laboratory studies
in vitro: cell lines | in vivo: primates, mice, etc
94
epidemiology
the study of the distribution and determinants of health and diseases, morbidity, injuries, disability, and mortality in populations looking at presence and absence of disease
95
confounding variable
affects response variable (Y) and is also related to explanatory variable (X)
96
randomized control trial
often in clinical trials, experimental gold standard for stats unethical, expensive, limited generalizability
97
prospective cohort
follow group exposures and disease incidence can assess temporal relationships need large numbers for rare outcomes, confounding
98
case-control
compare w/ and w/o disease/exposure/risk cost ands time efficient must be careful about selection of cases and controls
99
retrospective cohort
defines incidence in an existing group
100
cross-sectional
snap-shopt in time: exposure vs. prevalence ethical, easy to implement, prevalence prone to reverse causation, non-response bias
101
ecological study
group exposure and group level prevalence/outcome | great for groups, but subject to ecological fallacy, no causality
102
disease cluster
group of similar diseases (usually cancer cluster)
103
case series
collection of cases, subject to selection bias systematic review of common features of a small number of cases timely, but no causation
104
broad types of epidemiology
descriptive: examines the distribution of a disease analytical: tests a specific hypothesis(cohort, case-control, RCT)
105
epidemiological triangle
host, agent, environment
106
Bradford-Hill's Criteria pf Causality
``` strength consistency specificity temporality biological gradient plausibility coherence ```
107
challenges in environmental epi
contaminants usually at very low levels many are in complex mixtures multiple routes of exposure exposure levels do not differ much amongst individuals relative risk can be low although exposed populations may be large
108
limits of epi studies
long latency periods low incidence and prevalence difficulties in exposure assessment nonspecific effects
109
importance of environmental epi
reduction of infectious diseases increase in human lifespan increase in chronic disease
110
relative risk (RR)
``` `for probability calculated from cohort/prospective studies >1: risk =1: no association <1: protective factor ```
111
odds ratio (OR)
event that already happened calculated for cross-sectional studies\>1: risk =1: no association <1: protective factor
112
probability vs. odds
p: outcome/total trials o: probability/(1-probability)
113
CHAMACOS
Center for the Health Assessment of Mothers and Children of Salinas study to examine: growth, neurobehavioral development, respiratory disease, pubertal onset longitudinal birth cohort study
114
pesticide
any substance or mixture of substances intended for preventing, destroying, repelling, and mitigating any pest has both ecological and human health risks
115
types of pesticides
insecticides, herbicides, fungicides, microbide
116
first-generation
inorganic, sulfur was first | metals: arsenic, lead, mercury
117
DDT
Dichlorodiphenyltrichloroethane; pesticide used post WW2 was banned in 1972, replaced by OPs, pyrethroids, neonicotinids
118
FIFRA
``` federal insecticide, fungicide, and rodenticide act passed in 1947 addresses: toxicity exposure risk food tolerance propriety ```
119
why children are more exposed/vulnerable to toxins
frequent contact with ground hand-to-mouth activity less varied diet eat, drink, breathe more per kg spend most of time indoors(indoor contaminants) metabolically and developmentally underdeveloped
120
food quality protection act of 1996
considered specific vulnerabilities of children RfD= NOAEL/UF UF=10*10*MF
121
DMs
OP pesticide metabolites children who eat more inorganic fruits and veggies have more DMs
122
PON1 gene
if children have low concentration of PON1, they may be at higher risk
123
pyrethroids
constitute the majority of commercial household insecticides
124
nicotinyls
insecticide hurts bees
125
central dogma
dna-rna-protein
126
DNA
2 meters, 6.6 ft heterochromatin: dark, dense euchromatin: light, allows for dna expression
127
epigenetics
changes in gene expression that do not depend on the DNA sequence, can be stable through cell division ex: X-chromosome inactivation, as seen in Calico cats transgenerational inheritance seen in animals: seen in fear conditioning gatekeeper of info: biological memory(the past) + epigenetic programming(for the future)
128
common epigenetic modifications
DNA methylation and histone modifications for regulating gene expression
129
CpG site
C nucleotide followed by a G: CG dinucleotide
130
CpG islands
regions with high density of CpG sites
131
epigenetic signature
each cell-type has its own | epigenetic marks are tissue specific
132
epigenetic fingerprint
degree of methylation goes down significantly after implantation, in presence of imprinted genes during critical window
133
Barker's hypothesis
fetal programming of adult disease first 9 months can shape the rest of your life
134
types of epigenetic marker changes
some are rapid: flight or flight, infection | some are "ink", so hard to change
135
epigenome
biomarkers of exposure and response to the early life environment the epigenetic info in a cell is malleable different tissues have same genome but different epigenome
136
EWAS
epigenome-wide association study: testing CGs across the genome ex: prenatal smoking causes placental DNA methylation, lowering birth rate: PBX1 gene faulty, mediates osteogenesis cord blood as biomarker
137
DOHaD
Developmental Origins of Health and Disease: early life environment can program health and disease later in life
138
epigenetic clock
correlated with chronological age, using methylation of many genes an increase in PM2.5 from air pollution correlated with age acceleration
139
organochlorine pesticides
doubling in exposure correlated with age acceleration
140
nasal methylome
air pollution biomarker; accessible source of qDNA, direct contact with the environment
141
OSHA
encourages employers/employees to reduce number of hazards provides separate but dependent responsibilities for employers and employees authorizes formation of mandatory standards provides for research in the field provides new ways to discover latent diseases provides training programs provides enforcement provides appropriate reporting procedures
142
NIOSH (Northern California Center of Occupational & Environmental Health)
protects workers and communities from occupational and environmental health hazards through teaching, research, and service
143
occupational hygiene
anticipation, recognition, evaluation, control, and prevention of hazards from work
144
occupational hazards
biological chemical physical/ergonomic psychosocial
145
ergonomics
a multi disciplinary science that applies principles based on the physical and psychological capabilities of people to the design or modification of jobs, equipment, products, and workplaces contributing disciplines: psychology, medicine, physiology, anatomy, anthropology, industrial design
146
two injury mechanisms
sudden force/impact trauma: contusion, laceration, fracture, amputation, joint subluxation : prevent these through safety measures -acute injury volitional activity/overuse injury: tendonitis, tendonosis, nerve entrapment, myofascial pain, low back pain: what ergonomics deals with -repetitive strain, injury, fatigue
147
cause of musculoskeletal disorders
``` poor joint positioning causing weakening/lengthening of ligaments shortening/weakening of muscles overloading of muscles/tendons decreased circulation compression of nerves ```
148
tendon disorders
shoulder elbow wrist finger
149
tendon injuries
tendonopathies can occur in the midsubstance of a tendon or common near the enthesis: distributes and absorbs stress over a broader area tear area is higher in tendons from loaded limb
150
carpal tunnel
most common peripheral nerve entrapment syndrome due to compression
151
hand arm vibration syndrome
changes in sensory perception which can lead to permanent numbness of fingers, muscle weakness and in some cases, bouts of white finger vascular tissue constricts
152
lumbar spine disorders
usually having to do with disc problems
153
physical risk factors
force: N, kg repetition: reps/min, reps/cycle time awkward postures: degrees, % mechanical or contact pressure: N/cm^2 environmental factors: vibration, cold temperature, excessive light/sound
154
combination of risk factors
OR increases when high force, repetition and awkward posture coexist in a job
155
hierarchy of controls
elimination: best, most effective substitution: replace hazard engineering controls: isolate people from the hazard administrative controls: change the way people work PPE: least effective
156
reasons for software redesign
frustration: widespread user confusion and difficulty efficiency: extra time to complete the task health effects: widespread keyboard and mouse-related problems -clicking too much can lead to musculoskeletal disorders
157
load carrying
culturally significant activity negative musculoskeletal health impacts pelvic organ prolapse
158
microgesture project
fatigue and injury risk with long time manipulation
159
eugenics
deals with all influences which improve the inborn qualities of a race
160
Tuskegee Syphilis study
600 low income black people treatment with penicillin withheld resulted in Belmont report
161
Nazi Experiments: WW2
Jewish, Roma, POWs, disabled direct connection between California eugenics thinkers and Nazi policies resulted in Nuremberg code
162
Guatemala STD experiments (1946-1948)
soldiers, prostitutes, prisoners and mental patients intentionally infected with STDs discovered 2005 apology 2010
163
Jewish Chronic Disease study (1963)
``` Brooklyn, NY injection of live cancer cells consent not documented no ethics review unethical post WW2 ```
164
regulatory/ethical response to unethical research
``` Nuremberg Code (1948) Declaration of Helsinki 91964) Creation of NIH OPRR leading to IRBs (1966) National Research Act-NCPHS (19740 Belmont Report (1978) Common Rule (1991) ```
165
Nuremberg Code (1948)
voluntary about mitigating risk prior knowledge-animal data first
166
Declaration of Helsinki (1964)
world medical association set standard for clinical research m oral but not legal, no implications
167
modern system
idea that people who do research cannot be trusted to do it in an ethical way
168
National Research Act-NCPHS (1974)
national commission for the protection of human subjects of biomedical and behavioral research
169
Belmont Report
autonomy: respect for the person beneficence: do good justice: fair distribution of risk
170
Institutional Review Board (IRB)
protect the rights and welfare of human subjects, severe legal implications if stuff goes wrong support university's research mission review conduct of research guided by principles set forth in Belmont Report
171
casic committee recommendations
study is necessary and scientifically valid societal benefits outweigh anticipated risks reasonable certainty of no adverse effects all of recognized ethical standards are observed
172
Lockwood review
``` concerns with: scientific validity experimental design generalizability consent adherence to standards ```
173
EPA rules on pesticide studies
all pregnant, nursing women banned all children banned anyone who cannot provide consent banned
174
critique of Belmont Report
operates at individual level | fails to address environmental justice and community-based research
175
CHAMACOS Advisory Structure: Community Advisory Board
farmworker council scientific advisory board youth community council growers council
176
outdoor air pollution
multiple sources mixture of gases and particulate matter traffic-related air pollution secondary pollution occurs via a photochemical reaction
177
household air pollution
increase risk of lower BW and pneumonia | increase risk of COPD, lung cancer, cataracts, cardiovascular disease
178
air quality regulation in US
California Air Resourvces Board (1967) | Clean Air Act (1970)
179
EPA criteria pollutants
most dangerous: ozone, nitrogen dioxide, particulate matter
180
ozone
prototypic oxidant pollutant major source: motor vehicle emissions photochem during sunny afternoons can lead to asthma: increase exposure + increased respiratory rate
181
nitrogen dioxide
oxidant gas sources: combustion of fossil fuels marker of traffic emissions
182
particulate matter
mixture including particles of differing origin and varying size 2.5: fossil fuel combustion, most regulated: causes adipocyte inflammation and insulin resistance <0.1: ultrafines; fossil fuel combustion 10-2.5: road dust and crustal material effects: asthma, decreased lung function growth, mortality, lung cancer, adverse birth outcomes(low BW, premies), metabolic effects(obesity, diabetes), neurological effects
183
environmental justice
social determinants of environmental health disparities
184
Warren County
employed civil rights tactics notion of environmental racism changed the face and orientation of the movement even thought they lost the battle
185
cumulative impacts EJ
multiple hazards where communities live, work, and play vulnerability due to chronic social stressors
186
triple jeopardy social inequality
disparities in exposures social vulnerability biological susceptibility
187
3 R's of participatory research (CBPR)
rigor: community involvement promotes good science relevance: asking the right questions reach: disseminate knowledge to advance policy change
188
endocrine-disrupting chemicals
interfere with endocrine system an exogenous chemical or mixture of chemicals, that interferes with any aspect of hormone action
189
Theo Colborn
mother of the field of EDCs
190
EDC effects
could be sex-specific timing of exposure matters: puberty, reproduction, aging route of exposure and kinetics matter
191
endocrine system function
``` maintain internal homeostasis support cell growth coordinate development coordinate reproduction facilitate responses to external stimuli ```
192
examples of hormones affected
``` leptin aldosterone cortisol E/NE estrogen progesterone testosterone glucagon insulin ```
193
sender
sending cell
194
signal
hormone
195
nondestructive medium
serum and hormone binders (transport proteins)
196
selective receiver
receptor protein
197
transducer
transducer proteins and secondary messengers(like GPCRS)
198
amplifier
transducer/effector enzymes
199
effector
effector proteins that carry out message
200
response
cellular response via secondary hormones
201
kinda of hormones
proteins/peptides lipids(steroids, eicosanoids) amino acid derived(thryronines, neurotransmitters) gases(NO, CO)
202
hormone receptors
cellular proteins that bind with high affinity to hormones and are altered in shape and function by binding; exist in limited numbers
203
binding to hormone
similar to lock&key mech is noncovalent and reversible
204
membrane receptors
embedded in target membrane
205
nuclear receptors
act in pairs and bind to specific hormone recognition elements (HREs), which are on the DNA promoter regions of target genes
206
agonist
ligand that binds and mimics action of endogenous ligand
207
antagonist
block effect of agonist through competitive binding
208
evidence for EDCs
abnormal thyroid function diminished fertility and demasculization/defeminization eggshell thinning
209
reasons for EDCs
synthesized commercially produced as byproduct of manufacturing process naturally-occurring substances found in plants
210
how EDCs are distributed
introduced by point and diffusion sources fate and transport: chemicals produced locally can show up in multiple places
211
types of edcs
``` pesticides ordinary household products industrial chemicals plastics pharmaceuticals heavy metals ```
212
classes of EDCs
``` estrogens anti-estrogens anti-androgens progestogens adrenal toxins thyrotoxic agents aryl hydrocarbons pancreatic toxins metals retinoids ```
213
results of disruptions
``` inability to maintain homeostasis altered growth and development altered responses to external stimuli altered behavior suppressed gametogenesis elevated gestational losses embryonic malformation induced neoplasia or carcinogenesis ```
214
most common health effects
diabetes/metabolic syndrome early puberty obesity
215
obesogens
EDCs that can increase adipose tissue mass
216
mechs of sex hormone endocrine disruption
interference with hormone synthesis disruption of transport effects on receptor binding/function
217
EDC dose-response curve
typically non-linear, no effects as you increase dose
218
DDT health effects
cancer impaired breast feeding decreased sperm counts/reduced fertility impaired neurological function type 2 diabetes
219
PFASs
non-stick, waterproof, oil resistant and stain-resistant chemicals long carbon-chain back stable in environment half-live is 3-8 years in humans nuclear receptors, affects metabolism of sex steroids
220
exposure dose
the amount of a xenobiotic encountered in the environment
221
administered dose
quantity administered usually orally or by injection
222
ppb
parts per billion a vey small quantity used to measure chemicals in the blood or urine
223
target effect
the specific organ that the toxin reaches
224
first pass effect
involves toxins reaching the liver fist to be detoxified, has to do with ingestion
225
lifetime exposure risk of cancer
40%
226
GGRF
revenue from regulation of industrial greenhouse gas emissions targeted fo investment in projects that educe pollution and emissions in poor communities as well as enhance co-benefits of GHG
227
AB32
global warming solutions act of 2006
228
AB1532
GHG reduction fund investment plan of 2012
229
SB535
GHG Reduction fun disadvantaged communities of 2012 more ambitious goals
230
benefits of EJSM pocess
enhances scientific validity of data ensures metric and ranking choices are transparent builds stakeholder trust in EJSM for regulatory policy, land use planning, and community processes
231
five categorries of cumulative impact
proximity to hazards and sensitive land uses health risk and exposure social and health vulnerability climate change vulnerability drinking water
232
SB32
40% reductions of GHG by 2030
233
AB 617
new “community focused” strategy to improve air quality in California
234
executive order 12898
This Executive Order directs federal agencies to make achieving environmental justice part of its mission by identifying and addressing, as appropriate, disproportionately high adverse human health or environmental effects of its activities on minority and low-income populations.
235
London Smog
took place in 1952 due to burning coal and stagnant wind UK parliament passed UK Clean Air Act in 1956
236
NAAQS
National Ambient Air Quality Standards protect agains HAPs, outdoor pollutants, carcinogens, reproductive toxicants