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CHAPTER 9 Environmental Health Lesson 9.1 An Overview of Environmental Health One third of death and disease in the least developed nations is a direct result of environmental causes. Objectives • List the types of environmental health hazards • Compare and contrast epidemiology and toxicology • Describe the reasons why individuals respond differently to the same environmental risks • Discuss risk assessment. Lesson 9.1 An Overview of Environmental Health Types of Environmental Health Hazards • Biological: Viruses, bacteria, and other organisms that cause diseases (ex: Flu, pet dander) • Social: Lifestyle choices that endanger health (ex: smoking) • Chemical: Harmful artificial and natural chemicals in the environment (ex: disinfectants) • Physical: Natural disasters and ongoing natural phenomena, such as UV radiation, that can cause health problems (Ex: earthquake) Lesson 9.1 An Overview of Environmental Health Epidemiology (Biological Environmental Hazard) • The study of disease in human populations—how and where they occur and how they can be controlled • Often involves studying large groups over long periods • Can determine statistical associations between health hazards and effects, but can’t prove the hazards actually caused the effects Lesson 9.1 An Overview of Environmental Health Toxicology (Chemical Environmental Hazard) • The study of how poisonous substances affect an organism’s health • Toxicity is a measure of how harmful a substance is. • Toxicologists look at toxicity by determining doseresponse relationships. Dose-Response Relationship • Dose – the amount of substance an organism is exposed to. Includes: • Concentration of substance • Time of exposure • Response – effect an organism shows as a result of exposure • Examples: • Exposure to radiation in high doses can result in death • Exposure to radiation in low doses can result in illness • Threshold dose – level of dosage that must be met to bring about a response Determining Dose-Response Relationships • Hard to determine in humans because: • Most people are accidentally exposed to a hazard which is then difficult to determine the dose • People are exposed to different environmental hazards daily • Scientists test effects of hazard on animals which makes it easier to control dosage Lesson 9.1 An Overview of Environmental Health Individual Responses • Sensitivity to hazards varies with age, sex, weight, and immune system health. • A person’s genes and environment affect chances of suffering from a disease Did You Know? Thalidomide, a drug that currently shows promise for treatment of Alzheimer's, AIDS, and some cancers, caused thousands of severe birth defects when it was used as an anti-nauseal in the 1950s and 60s. Lesson 9.1 An Overview of Environmental Health Risk Assessment • Risk: The probability that a hazard will cause harm • Risk assessment: The process of measuring risk • Takes into account: • The type of hazard • How frequently humans will be exposed to it • How sensitive people are to it Lesson 9.2 Biological and Social Hazards Three quarters of infectious disease deaths are caused by five types of diseases: respiratory infections, AIDS, diarrheal diseases, tuberculosis, and malaria. Tuberculosis-causing bacteria Objectives • Describe how infectious diseases are spread • Explain why emerging diseases are important to monitor and control • Differentiate between social hazards that are lifestyle choices and those that cannot be controlled Lesson 9.2 Biological and Social Hazards Infectious Diseases • Caused by pathogens (virus, bacteria) • Spread by human and animal contact and through contaminated food and water • Cause of almost half of all deaths in developing nations • Covering your mouth when you cough, washing your hands often, and staying home from school if you’re sick help prevent the spread of infectious disease. Did You Know? In 2002, AIDS killed about 2 million people worldwide— almost equal to the entire population of Arkansas. Infectious Diseases • Human to Human: HIV spread through blood and bodily fluids, TB spread through coughing, sneezing, speaking, spitting • Water or Food: Cholera is spread through contaminated water • Other Organisms: spread by “vectors” who do not suffer from the disease themselves; example is ticks and mosquitoes Lesson 9.2 Biological and Social Hazards Emerging Diseases • Diseases appearing in the human population for the first time or suddenly beginning to spread rapidly • Humans have little or no resistance, and no vaccines have been developed. • Facilitated by increasing human mobility, growing antibiotic resistance, and environmental changes Emerging Diseases • Example is H1N1 • Pandemic – an outbreak that becomes widespread and affects a whole region, continent, or world. • Increasing mobility – when people move around the Earth, they may be taking pathogens with them • Antibiotic Resistance – disease becomes resistant to our medicines through natural selection • A Changing Environment – when people cut down forests, they come in contact with new pathogens; climate change allows spread of disease into new, formerly cooler areas Lesson 9.2 Biological and Social Hazards Responding to Emerging Diseases • World Health Organization (WHO): Monitors health events worldwide and coordinates international responses to emerging diseases • Centers for Disease Control and Prevention (CDC): Responds to emerging diseases in the United States; the CDC developed pandemic plans to deal with the spread of the H1N1 flu virus. H1N1 Virus Lesson 9.2 Biological and Social Hazards Social Hazards • Some social hazards are easier to avoid than others. • Examples of social hazards include smoking, being exposed to secondhand smoke, living near an old toxic waste site, working with harmful chemicals, and eating fatty foods. Objectives Revisited • Describe how infectious diseases are spread • Explain why emerging diseases are important to monitor and control • Differentiate between social hazards that are lifestyle choices and those that cannot be controlled Lesson 9.3 Toxic Substances in the Environment Chemicals are all around us, and all of them can be harmful to our health in large enough amounts. In other words, “The dose makes the poison.” Objectives • Explain what makes chemicals hazardous • Discuss how chemical hazards affect human health • List some indoor chemical hazards • Discuss where chemical hazards can be found in the environment • Describe biomagnifications Lesson 9.3 Toxic Substances in the Environment Chemical Hazards • Any chemical can be harmful in large enough amounts, even water • A pollutant is something released into the environment that has some harmful impact on people and other organisms. • Chemical hazards are not necessarily pollutants, and pollutants are not necessarily chemical hazards. • Poison Ivy is a chemical hazard but not a pollutant Oil Pollution Lesson 9.3 Toxic Substances in the Environment Types of Chemical Hazards • Carcinogens: Cancer-causing chemicals • Chemical mutagens: Chemicals that cause genetic mutations • Teratogens: Chemicals that harm embryos and fetuses • Neurotoxins: Chemicals that affect the nervous system (lead, mercury, pesticides) • Endocrine disruptors: Chemicals that interfere with the endocrine system (hormones) • Allergens: Chemicals that over-activate the immune system (Asthma) Dust mite protein is a common allergen. Lesson 9.3 Toxic Substances in the Environment Indoor Chemical Hazards Indoor Chemical Hazards • Asbestos – • used widely in insulation • when disturbed releases fibers into the air, fibers can be inhaled and lodged in lung tissue causing lung cancer • Radon – • • • • colorless, odorless, highly toxic radioactive gas Made and released naturally when uranium decays Can cause lung cancer We live in an area with high radon potential • Volatile Organic Compounds (VOCs) • Released into air from plastic, perfume, pesticide • Usually level of human exposure is low Indoor Chemical Hazards • Carbon Monoxide • Colorless and odorless gas • Unvented stoves, car exhaust, cigarette smoke • Can cause headaches, dizziness, nausea, fatigue, death • Lead – • In air, drinking water (lead pipes), soil, paint, dust, etc. • Causes damage to brain, liver, kidneys, stomach, learning problems, behavior abnormalities, anemia, hearing loss, death Lesson 9.3 Toxic Substances in the Environment Sources of Outdoor Chemical Hazards • In the air: Natural sources, such as volcanic eruptions, or human sources, such as pesticides • Wind can carry chemicals far away from their original location • Pesticide drift – airborne transport of pesticides A leaking oil line Sources of Outdoor Chemical Hazards • In the ground: • Pesticide use, improper disposal of electronics, etc. • Humans can inhale them, absorb them by touching contaminated soil, or ingest them through produce • In the water: Chemical runoff from land or direct drainage of toxic substances into water • Amphibians are a good indicator of water quality • Contaminants in streams and rivers can seep into drinking water Lesson 9.3 Toxic Substances in the Environment Bioaccumulation and Biomagnification • Bioaccumulation: The buildup of toxic substances in the bodies of organisms • Biomagnification: The increased concentration of toxic substances with each step in a food chain • Persistent organic pollutants (POPs) are biomagnified and stay in the environment for long periods of time and over long distances. • Example: DDT Objectives Revisited • Explain what makes chemicals hazardous • Discuss how chemical hazards affect human health • List some indoor chemical hazards • Discuss where chemical hazards can be found in the environment • Describe biomagnifications Lesson 9.4 Natural Disasters Although we cannot prevent most natural disasters, there are steps that scientists, engineers, governments, and citizens can take to resist damage and deal with the aftermath. A landslide caused by the Great Sichuan Earthquake in Sichuan Province, China Objectives • Discuss how earthquakes affect structures on Earth’s surface • Discuss how volcanoes affect human lives and property • Describe tornadoes, hurricanes, and thunderstorms • Discuss the dangers of avalanches Lesson 9.4 Natural Disasters Earthquakes • Earth’s crust is broken into large pieces called tectonic plates, which float on a layer of molten rock. • Earthquakes tend to occur along active plate boundaries. • Earthquakes can damage structures and trigger landslides and tsunamis. Earthquakes: Surface Effects • Can cause ground to sink and soil to liquefy • Landslide – occur when rock and soil slide down a slope • Tsunami – large ocean wave that results from an earthquake at the bottom of the ocean Lesson 9.4 Natural Disasters Volcanoes • Openings in Earth’s crust that eject molten lava and other materials • Ash and gases from volcanic eruptions can block sunlight, causing temperatures to drop. • Eruptions can trigger landslides and mudflows. Did You Know? In 1991, Mount Pinatubo erupted in the Philippines, covering the area around the volcano with a layer of volcanic materials up to 180 m (600 ft) thick. • Molten lava can cover and destroy surrounding land. Lesson 9.4 Natural Disasters Storms • Tornadoes: Rotating funnels of air that can travel over 400 km (250 mi) per hr • Hurricanes: Storms that form over tropical oceans, with winds over 119 km (74 mi) per hour • Thunderstorms: Produce lightning and thunder, usually with heavy rain Did You Know? Hurricane Katrina, which struck New Orleans in 2005, caused more than $80 billion in damage and killed 1800 people. Lesson 9.4 Natural Disasters Avalanches • Masses of snow that slide down a slope • Conditions favoring avalanches: • • • • Slope greater than 30 degrees Unstable snowpack (hard snow on top of weak snow) Heavy snowfall Warm temperatures Did You Know? A big North American avalanche can contain 230,000 m3 of snow—about the equivalent of 20 football fields filled with snow 3 m (10 ft) deep. Objectives Revisited • Discuss how earthquakes affect structures on Earth’s surface • Discuss how volcanoes affect human lives and property • Describe tornadoes, hurricanes, and thunderstorms • Discuss the dangers of avalanches