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Diseases, Toxins and Pollution Types of Hazards Biological Physical Chemical Cultural Lifestyle choices Hazard - Anything that causes: Injury, disease, or death to humans Damage to property Destruction of the environment http://www.chathamjournal.com/weekly/moxiepix/a3463.jpg Major Causes of Death in the World and in the United States in 2005 Diseases Since 1900, and especially since 1950, the incidences of infectious diseases and the death rates from such diseases have been greatly reduced (antibiotics, vaccines). However, it appears that the world today is becoming more vulnerable to the outbreak of “new” diseases and the re-emergence and spread of old ones. Since the 1970s, an average of one new emergent disease has appeared each year. WHY? Top 5 Infectious Diseases 1) Influenza 2) AIDS 3) Dysentery (diarrheal diseases) 4) Tuberculosis 5) Malaria The World’s Seven Deadliest Infectious Diseases Kill 12.5 Million People Annually Diseases Hosts, Vectors and Reservoirs Lyme disease can be processed to humans through a bite from an infected tick Mosquitoes transmit malaria, the vector for Plasmodium The protozoan of the genus Plasmodium is the causative agent of malaria Disease Outbreaks Outbreaks result from change in a physical, social, or biological environment of host, vectors, or disease reservoirs. Vectors – agents of disease transmission; an intermediate host of pathogens/parasites. Examples – mosquitoes, birds, fleas, ticks Disease-causing organisms can be spread by natural disasters – floods, landslides, hurricanes. Katrina, Haiti, Japan Tracking the Spread of Infectious Diseases to Humans from Other Animals Human practices that encourage the spread of diseases – i.e., global travel, animal feed consisting of dead carcasses, an increasing human population. Emerging infections HIV SARS West Nile virus Lyme virus Ebola virus Bird flu Historical Diseases Plague Tuberculosis Malaria Influenza Cholera Typhus Growing Global Threat from TB Why is tuberculosis on the rise? Not enough screening and control programs Genetic resistance to a majority of effective antibiotics Person-to-person contact has increased AIDS individuals are very susceptible to TB Case Study: Malaria Malaria Caused by Plasmodium species of protozoa Carried by Anopheles mosquitoes Symptoms = chills, fever; enlarged spleen Change in disease reservoirs El Nino Case Study: Malaria Malaria decreased sharply during mid1900s draining swamplands and reservoirs Spraying mosquito breeding areas with insecticides (DDT) Using drugs/vaccines to kill parasites (Plasmodium) in the bloodstream Malaria on the rise since 1970 Reservoirs for hydropower have increased Drug resistant Plasmodium Insecticide resistant mosquitoes Effect of climate change AIDs patients particularly vulnerable Increased Genetic Resistance to Antibiotics Rise in antibiotic-resistant pathogens are attributed to Rapid reproduction rate of microbes allows for natural selection for resistance Global travel allows for quick movement between continents/countries Overuse of antibiotics; full prescription not always followed to the end Use of antibiotics in cattle feed Overuse of pesticides Methicillin-resistant Staphylococcus aureus (MRSA) Resistant to most antibiotics How will it be controlled? Global Outlook: Distribution of Malaria at Present A Model for Increased Malaria Risk Due to Climate Change Disease SARS West Nile Mad Cow Disease Malaria Cholera Tuberculosis Category E = Emerging H = Historical Mode of Transmission Method of Controlling Spread Environmental Factor Contributing to Emergence/Reemergence Disease Category E = Emerging H = Historical SARS E West Nile E Mad Cow Disease E Malaria H Cholera H Tuberculosis H Mode of Transmission Method of Controlling Spread Environmental Factor Contributing to Emergence/Reemergence Disease Category E = Emerging H = Historical SARS (Severe Acute Respiratory Syndrome) E West Nile E Mad Cow Disease E Malaria H Cholera H Mode of Transmission Method of Controlling Spread Environmental Factor Contributing to Emergence/Reemergence •Direct – animals to humans •Destroy infected animals Growth in human population ⱡ Human →human - respiratory droplets - person to person contact ⱡ Wash hands frequently Wear facial masks Quarantine Disease SARS West Nile Category E = Emerging H = Historical E E Mode of Transmission E Malaria H Environmental Factor Contributing to Emergence/Reemergence •Direct – animals to humans ⱡ Human →human - respiratory droplets - person to person contact •Destroy infected animals Growth in human ⱡ Wash hands frequently population Wear facial masks Quarantine • and ⱡ Bitten by infected mosquitoes •Reduce mosquito pop - (insecticides, intro. predators) - eliminate standing water - Barriers – clothing, screens, insect repellant ⱡ Blood transfusions Mother to fetus Mad Cow Disease Method of Controlling Spread - ↓ in mosquito predators - Climate variability - Global transport of materials Disease Category E = Emerging H = Historical SARS E West Nile E Mad Cow Disease E Mode of Transmission •Animal feed containing remains of infected animals Method of Controlling Spread Environmental Factor Contributing to Emergence/Reemergence - Destroy infected animals - Protein mutation (ind. cows_ - Adding ground-up remains of dead cattle and sheep to cattle feed - Let cows eat grass! ⱡConsumption of beef containing prions Malaria H Cholera H Tuberculosis H Disease Category E = Emerging H = Historical SARS E West Nile E Mad Cow Disease Malaria E Mode of Transmission Method of Controlling Spread Environmental Factor Contributing to Emergence/Reemergence •Animal feed containing remains of infected animals - Destroy infected animals ⱡConsumption of beef containing prions • and ⱡ Mosquito bite - Let cows eat grass! - Protein mutation (ind. cows_ - Adding ground-up remains of dead cattle and sheep to cattle feed - ↓ in mosquito predators - Climate variability - Genetic resistance H ⱠBlood transfusions Cholera H Tuberculosis H Ditto West Nile Disease Category E = Emerging H = Historical SARS E West Nile E Mad Cow Disease E Malaria H Cholera Tuberculosis H H Mode of Transmission Method of Controlling Spread Environmental Factor Contributing to Emergence/Reemergence Ingestion of food or water contaminated with human feces - Water treatment - Standards for food prep - Boil water to kill bacteria - - Lack of sanitation/potable water Flooding Climate variability Disease Category E = Emerging H = Historical SARS E West Nile E Mad Cow Disease E Malaria H Cholera H Mode of Transmission Ingestion of food or water contaminated with human feces Method of Controlling Spread Environmental Factor Contributing to Emergence/Reemergence - Water treatment - Standards for food prep - Boil water to kill bacteria - Tuberculosis H Respiratory droplets (coughing, sneezing, mucus) - Immunization programs - Quarantine - Antibiotics if infected Lack of sanitation/potable water Flooding Climate variability - ↑ in population density - Bacterial resistance to antibiotics Waterborne Diseases Lack of access to safe drinking water is a major cause of disease transmission in developing countries. (cholera, giardia) Epidemiology is the study of the presence, distribution and control of a diseases in a population Morbidity is the incidence of disease in a population Mortality is the incidence of death in a population Waterborne Diseases – Protozoan Infections Disease and Transmission Microbial Agent Sources of Agent in Water Supply Amoebiasis (hand-tomouth) Protozoan (Entamoeba histolytica) (Cyst-like appearance) Abdominal discomfort, Sewage, non-treated fatigue, weight loss, drinking water, flies in water explosive diarrhea, bloating, supply fever Cryptosporidiosis (oral) Flu-like symptoms, watery Collects on water filters and diarrhea, loss of appetite, Protozoan (Cryptosporidium membranes that cannot be substantial loss of weight, parvum) disinfected, animal manure, bloating, increased gas, seasonal runoff of water. nausea Cyclosporiasis Protozoan parasite (Cyclospora cayetanensis) Sewage, non-treated drinking water General Symptoms cramps, nausea, vomiting, muscle aches, fever, and fatigue Untreated water, poor disinfection, pipe breaks, leaks, groundwater Protozoan (Giardia lamblia) contamination, Diarrhea, abdominal Giardiasis (fecal-oral) (handMost common intestinal campgrounds where humans discomfort, bloating, and to-mouth) parasite and wildlife use same source flatulence of water. Beavers and muskrats create ponds that act as reservoirs for Giardia. Parasitic infections Sources of Agent in Water Supply General Symptoms Schistosomiasis Members of the genus Schistosoma Fresh water contaminated with certain types of snails that carry schistosomes Blood in urine (depending on the type of infection), rash or itchy skin. Fever, chills, cough and muscle aches Taeniasis Tapeworms of the genus Taenia Drinking water contaminated with eggs Intestinal disturbances, neurologic manifestations, loss of weight, cysticercosis Drinking water contaminated with eggs Abdominal pain, severe weight loss, itching around the anus, nervous manifestation Drinking water contaminated with feces containing eggs Mostly, disease is asymptomatic or accompanied by inflammation, fever, and diarrhea. Disease and species Hymenolepiasis (Dwarf Tapeworm Infection) Ascariasis Microbial Agent Hymenolepis nana Ascaris lumbricoides Waterborne Bacterial Infections Cholera Spread by the bacterium Vibrio cholerae E. coli Infection Certain strains of Escherichia coli Dysentery Caused by a number of species in the genera Shigella and Salmonella Legionellosis (two distinct Caused by bacteria forms: Legionnaires' disease belonging to genus and Pontiac fever) Legionella Drinking water contaminated with the bacterium Water contaminated with the bacteria Water contaminated with the bacterium Contaminated water: the organism thrives in warm aquatic environments. In severe forms it is known to be one of the most rapidly fatal illnesses known. Symptoms include very watery diarrhea, nausea, cramps, nosebleed, rapid pulse, vomiting (in severe cases), at which point death can occur in 12–18 hours. Mostly diarrhea. Can cause death in immunocompromised individuals, the very young, and the elderly due to dehydration from prolonged illness. Frequent passage of feces with blood and/or mucus; some cases vomiting of blood. Pontiac fever produces milder symptoms resembling acute influenza without pneumonia. Legionnaires' disease has severe symptoms such as fever, chills, pneumonia The Current Leading Sources of Impaired Waterways in the United States Streams and rivers Lakes, ponds and reservoirs Bays and estuaries Causes of Impairment Sources of Impairment Bacterial pathogens, Agriculture, water habitat alteration, diversions, dam oxygen depletion construction Mercury, PCBs, Atmospheric nutrients deposition, agriculture Bacterial pathogens, oxygen depletion, mercury Atmospheric deposition, municipal discharges including sewage Maximum Levels for Contaminants in Drinking Water Allowed by EPA (ppb) Contaminant Category Contaminant Maximum Contaminant Level (ppb) Microorganism Giardia 0 Microorganism Fecal coliform 0 Inorganic chemical Arsenic 10 Inorganic chemical Mercury 2 Organic chemical Benzene 5 Organic chemical Atrazine 3 Solutions Increase research on diseases and vaccines Reduce poverty Increase quality of drinking water Educate people about antibiotic use/reduce antibiotic use to promote livestock growth Immunizations/vaccinations Hazardous Wastes A class of waste materials that poses immediate or long-term risks to human health or the environment and requires special handling for detoxification or safe disposal. Considered “hazardous” if it possesses one of 4 properties Flammable 2. Unstable 3. Corrosive 4. Classified as a “toxic chemical” 1. Carcinogenic, mutagenic or teratogenic Electronic Waste E-waste consists of toxic and hazardous waste such as PVC, lead, mercury and cadmium. Toxic Components in E-Waste Some Metals in Cell Phones Common Household Hazardous Wastes Motor oil Paints Batteries Antifreeze Fertilizers Computers Cell phones Types of Chemical Hazards Toxic chemicals Neurotoxins Carcinogens Mutagens Teratogens Endocrine disruptors Many can weaken or harm the nervous system, immune system, and endocrine system Toxic Chemicals Carcinogenic - cancer-causing Examples – cigarette smoke, radon, asbestos, PCBs Mutagenic – cause changes in DNA resulting in mutations; can also cause birth defects Examples – exposure to radiation, viruses, high temperatures Toxic chemicals (cont.) Teratogenic – cause birth defects Examples – dioxin, PCBs, DDT, thalidomide, steroids, bisphenol-A Include some endocrine disruptors or synthetic hormone mimics Endocrine system – system responsible for growth, reproductive development and much of our behavior. Endocrine Disrupters Aka “gender benders” Organisms affected are mostly aquatic Can interfere with reproduction Case study – feminization of alligators in Lake Apopka, Orlando, FA Males produce eggs as well as sperm; however, they do NOT develop female reproductive organs Interfere with normal hormone action i.e. – interfere with the production of testosterone males have higher than normal levels of estrogen Can interfere with development Are often connected to cancer Are found in plastics and some pesticides Bisphenol A – estrogen mimic Potential Pathways on Which Toxic Chemicals Move Through the Environment Case Study: PCBs Are Everywhere—A Legacy from the Past Class of chlorine-containing compounds Break down slowly in the environment Travel long distances in the air Fat soluble – bioaccumulation in body tissues Biomagnification – amplified at higher trophic levels of food chains and webs Banned, but found everywhere DDT accumulates in fat body tissues of animals (bioaccumulation) DDT – an insecticide used to kill body lice, mosquitoes DDT is a persistent, synthetic organic compound subject to biomagnification in food chains Pesticide Exposure Mercury’s Toxic Effects 2007: Hg hotspots identified How are humans exposed? Inhalation: vaporized Hg or particulates of inorganic salts Eating fish with high levels of methyl mercury Effects of Hg on humans Who is most at risk? Cycling of Mercury in Aquatic Environments Many Factors Determine the Harmful Health Effects of a Chemical Toxicology – a measure of how harmful a substance is in causing injury, illness or death to an organism. Toxicity dependents on Dose – the amount of substance a person ingests, inhales or absorbs through the skin. Frequency of exposure Genetic makeup or sensitivity Ability of body to detoxify (children) Solubility and persistence of the chemical Biomagnification Response – the type & amount of health damage that occurs from exposure to a chemical or agent. Acute effect – high-level doses over short period Chronic effect – low-level doses over long period of time; can effect immune, endocrine and nervous systems. Dose-Response Curve Showing LD50 Level • LD50 (lethal dose) or LC50 (lethal concentration) – the amount of substance, given all at once, which causes the death of 50% (one half) of a group of test animals. • LD50 is one way to measure that shortterm poisoning potential (acute toxicity) of a substance. • Threshold level – the maximum level of a chemical (toxic substance) before effects are observed and no lethal effects are apparent. Toxicity Ratings and Average Lethal Doses for Humans Why are Children More Susceptible to Toxic Chemicals? Eat, drink water, and breathe more per unit of body weight than adults Put their fingers in their mouths Less well-developed immune systems and body detoxification processes Risks Cultural hazard - a risk that a person chooses to engage in Risk The probability of suffering (1, 2, or 3) as a result of a hazard Perception What people think the risks are The Greatest Health Risks Come from Poverty, Gender, and Lifestyle Choices Risk analysis Often a person’s perception of actual risk may not match reality Actual risk assessment is based on mathematical probabilities The US keeps data on various hazards which is used to determine actual risk Assessing actual risk involves quantitative analysis Greatest health risks Poverty Gender Lifestyle choices Cigarette Smoking Leading cause of cancer in U.S. Can cause cancer, lung disease, a bigger risk of death in addition with other types of air pollution. Synergistic effect Radon and smokers Asbestos and smokers Highest health risk in U.S. Comparative Risk Analysis: Most Serious Ecological and Health Problems Annual Deaths in the U.S. from Tobacco Use and Other Causes in 2004 Global Outlook: Number of Deaths per Year in the World from Various Causes Comparison of Risks People Face in Terms of Shorter Average Life Span Air Pollution Criteria pollutants – Dirty half dozen Primary Secondary Indoor pollutants Legislation Related to Toxic Chemicals Toxic Substances Control Act of 1976 – US legislation that provides for the regulation of many chemicals by the EPA, not including pesticides, food, and cosmetics. The Stockholm Convention of 2001 – an international agreement that placed restriction on a list of 12 chemicals, known as “the dirty dozen”. Referred to as POPs – persistent organic pollutants Include PCBs, dioxins and various pesticides Legislation Related to Hazardous Waste Resource Conservation and Recovery Act (RCRA) US law that gives the EPA the authority to control hazardous waste from “cradle-to-grave”, including the generation, transportation, treatment, storage and disposal of hazardous waste. Requires producers of hazardous waste to keep records of how their wastes are disposed Requires all hazardous waste treatment and disposal and facilities be built and operated according to standards that are designed to prevent the facilities from polluting the environment. Meant to protect human health and environmental integrity by reducing source hazardous waste. CERCLA and RCRA together directly address any and all handling of hazardous waste. Legislation Related to Hazardous Wastes Comprehensive Environmental Responsibility Compensation and Liability Act (CERCLA) Federal law that specifically deals with the cleanup of abandoned hazardous waste sites. The law imposes a tax on targeted industrial facilities and then utilizes those funds for cleanup. Gives the EPA the right to sue the owners of hazardous waste sites who had illegally dumped waste. Allows the EPA to force the owners to pay for cleanup Some use of taxpayer’s money Created a fund of money to pay for cleaning up abandoned hazardous waste sites, thus Also called the Superfund Act Superfund Program – was implemented in reaction to Love Canal incident. Map of Superfund Sites in the Contiguous United States Red – currently on National Priority List Yellow – proposed cleanup site Green – has been cleaned up Phytoremediation Indian mustard Sunflower Willow tree Poplar tree Brake fern Landfill Polluted groundwater in Decontaminated Soil water out Groundwater Rhizofiltration Roots of plants such as sunflowers with dangling roots on ponds or in greenhouses can absorb pollutants such as radioactive strontium90 and cesium-137 and various organic chemicals. Phytostabilization Plants such as willow trees and poplars can absorb chemicals and keep them from reaching groundwater or nearby surface water. Oil spill Polluted leachate Phytodegradation Plants such as poplars can absorb toxic organic chemicals and break them down into less harmful compounds which they store or release slowly into the air. Soil Groundwater Multiple Choice Strategies If you don’t know it – circle it an go back to it later. When you go back, try to eliminate one or more choices. Focus on key words Best suited vs. least suited Directly affected vs. not directly affected All of the following except Best example FRQs Four questions Math Graphing Reading a passage General knowledge TIMING AP Environmental test = 3 hours FRQ portion = 90 minutes. Four FRQs = 22 minutes per question SCORING FRQs account for 40% of exam score. Each FRQ = 10% of overall grade. Each FRQ = 10 points SCORING (cont.) FRQs consist of subparts (a,b,c…) Each subpart is typically worth 2-4 points, depending on complexity or number of parts to the question. It is possible for points available to total more than 10, but the maximum score given for any FRQ is 10. PARTIAL CREDIT Some parts are more simple, so do not omit/skip the entire question just because other parts may be difficult. Partial credit is always available as long as knowledge about the question being asked is demonstrated. FRQ Math Questions You must show your work in order to earn points on math questions. Answers with no work shown earn 0 points. Incorrect answers that show correct problem set-up earn partial credit. OTHER HELPFUL HINTS Use complete sentences – no bullets. Read the question carefully and be sure to follow the instructions. Be concise Label answers to subparts (a,b,c….) Show your work and include units. Mistakes don’t erase; cross out. – FRQ Commands List – short concise statements Describe – 2 to 3 sentences with vocabulary and examples Discuss or Explain – elaborate reasoning