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Chapter 7 Human Health and Environmental Toxicology Overview of Chapter 7 o Human Health • • o Environmental Pollution and Disease • • o o o Health issues in developed countries Health issues in developing countries Environmental Contaminants Endocrine Disrupters Determining Health Effects of Pollutants Ecotoxicology Risk Assessment Human Health o Two indicators of human health • • o Life expectancy- how long people are expected to live Infant mortality- how many children die before age of 1 year Vary greatly between countries • • Developed countries Developing countries Health Issues in Highly Developed Countries o By many measures- health is good in these countries • • o Average life expectancy • • o Great sanitation Few childhood diseases Men = 75 years Women = 80 years Leading causes of death in US • • • Cardiovascular disease Cancer Chronic Obstructive Pulmonary Disease (of the lungs) Health Issue in Highly Developed Countries o Premature deaths caused by lifestyle • • • o Poor diet Lack of exercise Smoking Obesity is big problem • Body Mass Index (BMI) • • • • • (Weight X 740)/ (height (in))2 < 18.5 is underweight 18.5-24.9 is healthy weight 25-29 is overweight > 30 is obese Health Issues in Developing Countries o Biggest problems • o Malnutrition, unsafe water, poor sanitation Life Expectancy • • Overall is 65 years Very poorest developing countries = 45 years • o Most of these countries have high AIDS epidemics Childhood mortality is high (18% of deaths) • • • • Diarrheal diseases Malnutrition Malaria AIDS/HIV Emerging and Reemerging Diseases o Emerging Disease - not previously observed in humans • • o Usually jumps from animal host Ex: AIDS, lime disease, West Nile Virus Reemerging Disease- existed in the past and are recently increasing in incidence • Ex: tuberculosis, yellow fever, malaria Reasons for Emergence/Reemergence o o o o o o o Evolution of disease so it can move to human host Evolution of antibiotic resistance in disease Urbanization and overcrowding Increased pop. of elderly- susceptible to disease Pollution and environmental degradation Growth in international travel and commerce Poverty and social inequality Infectious Diseases o o Infectious diseases are the most serious biological hazard to humans. Types: • • • o o Bacteria Viruses Parasites How do they differ? What are their solutions? Bacteria o microscopic single-celled organisms that thrive in diverse environments. Virus o a small infectious agent that replicates only inside the living cells of other organisms. Parasite o an organism that lives in or on another organism (its host) and benefits by deriving nutrients at the host's expense Movement of Disease o Nontransmissible: Caused by non-living • o Cardiovascular, cancer, asthma, diabetes Transmissible: person to person • STDs, Colds, Ear infections Environmental Pollution and Disease o Often difficult to link pollutants to their effects on people • • • Persistence Bioaccumulation Biomagnification Persistence o A characteristic of certain chemicals that are extremely stable and may take many years to be broken down into simpler forms by natural processes • • o Synthetic chemicals (those not found in nature) Ex: DDT Natural decomposers (bacteria) have not evolved a way to break it down Bioaccumulation o The buildup of a persistent toxic substance in an organism’s body, often in fatty tissues • • Synthetic chemicals do not metabolize well They remain in the body for extended periods of time Biomagnification o o The increased concentration of toxic chemicals in the tissues of organisms that are at higher levels in food webs Diagram is example of biomagnification of DDT Toxic Chemicals o o Def: elements/compounds/radiation that can cause temporary or permanent harm or death to humans Carcinogen: Cause or promote Cancer • o Mutagen: cause/increase frequency of mutations in DNA molecules • o Arsenic, PCB, Radon, UV, Tobacco Nitrite preservatives Teratogen: harm fetus, embryo, or birth defects • Ethyl Alcohol, lead, mercury, PCB, PCP/angel dust Disrupted Body Systems o o Immune: body's defense against infectious organisms and other invaders. • Arsenic, methylmercury Nervous: part of the body that coordinates its actions and transmits signals to and from different parts of its body. • PCB, Arsenic, Lead, Pesticide Endocrine Disrupters o A chemical that mimics or interferes with the actions of the endocrine system in humans and wildlife • o Examples include: • • • o i.e. It effects the ability of the hormones in the organisms to function properly PCBs, Dioxins Heavy metals – lead and mercury DDT Animals exposed to these chemicals have altered reproductive development and are often sterile Endocrine Disrupters o Case Study: 1980 chemical spill into Lake Apopka, FL • Male alligators began to exhibit low testosterone levels and high estrogen levels Endocrine Disrupters and Humans o Infertility and hormonally related cancers are increasing • o Phthalates have been implicated as potential endocrine disrupters • o Breast cancer and testicular cancer Common ingredient in: cosmetics, fragrances, nail polish, medication, toys, food packaging Cannot make a link between endocrine disrupters and human illness • Too few studies have been performed Determining Health Effects of Pollutants o Toxicology is the study of the effect of toxicants on the human body • o Acute toxicity • o Toxicant- chemical with adverse human health effects Adverse effects occur within a short period after exposure to toxin Chronic toxicity • • Adverse effects occur some time after exposure, or after prolonged exposure to toxin Symptoms often mimic other diseases- hard to assess source Toxicity o Toxicity measured by dose and response • • o Dose: amount that enters the body of an exposed organism Response: the amount of damage caused by a specific dose LD50 • • • Lethal dose to 50% of the test organisms Smaller the LD50, the more lethal the chemical Determined for all new synthetic chemicals Toxicity o ED50 • • o Effective dose to 50% of the test organisms ED50 causes 50% of the population to exhibit whatever effect is under study Dose-Response Curve • • Illustrates the effect of different doses on a population Threshold Level • Maximum dose with no measurable effects ED50 Children and Chemical Exposure o Children more susceptible to chemicals • • • Weigh less than adults Bodies are still developing Play on floors and lawns • • o Exposed to cleaning products and pesticides Put things into their mouths Diagram • • Children in foothills not exposed to pesticides Children in valley were exposed Identifying Cancer Causing Substances o Toxicologist • • o Dose rats with varying levels of chemicals to see if they develop cancer Difficult to extrapolate results to humans Epidemiologists • • Look at historical exposure of groups of humans See if exposed group have increased cancer rate Chemical Mixtures o Most studies look at one chemical, but humans tend to be exposed to chemical mixtures • o Chemical Mixtures interact by • • • o Ex: automobile exhaust Additivity Synergy Antagonism These studies are expensive and take a while to complete Chemical Testing Ecotoxicology o Dilution Paradigm is not valid • o Boomerang Paradigm is accepted • o “Dilution is the solution to pollution” “What you throw away can come back and hurt you” Ecotoxicology • • The study of contaminants in the biosphere and their harmful effects on ecosystems Helps policy makers determine costs and benefits of industrial and technological “advances” • And how they often adversely effect ecosystems Case Study: The Ocean o o Land based nutrient and pollution runoff into ocean is affecting microorganisms Ex: Red Tide • • Red pigmented poisonous algal blooms Toxins kill off fish and make humans sick Precautionary Principle o When there is substantial preliminary evidence that an activity, technology, or chemical can harm living things or the environment, decision makers should take measures to prevent or reduce such harm, rather then waiting for more conclusive evidence. Risk Assessment o o Risk- probability that a particular adverse effect will result from some exposure or condition We assess risk daily with four steps 1. 2. 3. 4. Hazard identification Dose response assessment Exposure assessment Risk characterization Risk Assessment Risk Assessment Ecological Risk Assessment o Difficult to assess because effects occur at wide range of scales • • o Human-induced environmental stressors also range greatly • • o Individual plants and animals Ecological communities over wide regions Good to bad Acceptable to unacceptable There is a need to quantify risks to the environment Case Study on Ecological Risk Assessment o Snake River Ecosystem in Southern Idaho • • • o River provides hydroelectric power and water for irrigation Human use causes reduced flow, elevated water temperature and nutrient enrichment Results in decrease in fish, algal blooms Ecol. Risk Assessment • Used to help government and locals set priorities to manage and protect ecosystem