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Department of Global Environmental Health Sciences (GEHS) Tulane University School of Public Health and Tropical Medicine 1440 Canal Street New Orleans, La 70112 Abdelghani, Assaf [email protected] 504 988 5374 Professor Local , National & International Environmental Health Current and Future Challenges Local , National & International Environmental Health Current and Future Challenges • • • • • • • • • • • • Water Quality and Quantity: amount of available fresh waters Acute and chronic human exposure to toxic chemicals in the environment Natural and man-made disasters? Earth Quakes / Haiti Katrina/Molds/Floods/ Typhoons, Genetically modified foods/food supplies Food and Feed Additives Nano - particles Newly emerging diseases/ TB/Aids/ Air quality: highly populated cities/ Transportations/Diesel engines/molds Aqua-culture and accumulation of chemical contaminants Environmental terrorism/food/water/air Solid waste gasification Climate Change Selected Global Research Projects 1- Organochlorine compounds in Breast Milk • 2- The use of animal fat to determine the body burden of exposure to pesticides • 3- Solar Disinfection • 4- Impact of Toxic Chemicals on Human Health in Kazakhstan • 5- Mercury in Fish /Suriname/South America Sampling and Testing of Village Water Sources Uncovered well Test result: FC 430/100ml Natural spring Water hole Test result: FC >480/100ml Test result: FC 2000/100ml SODIS USE Those with high roofs developed other strategies for bottle supports Survey of Environmental Health California Noctiluca Bloom Introduction • Session 1, • 1. Identify and discuss current environmental health issue ( Biological, chemical and physical) environmental contaminants Environmental Hazards/Environmental Microbiological • Session 2: • Discuss environmental health hazards, including microorganisms in the environment: benefits and risk associated with microorganism in water, air, food, and soil and Hurricane Katrina related molds. Discuss a Testable Model of Environmental Insults ( water, air, food and work place Environmental Health Hazards: Water • Session 3: • . Identify and discuss the physical, chemical, and biological hazards associated with water pollution, as well as the importance of water quality related to contamination, protection, and monitoring of water supplies. • Discuss a Testable Model of Environmental Insults ( water, air, food and work place • Discuss current risk assessment methods Environmental Health Hazards: Wastewater • Session 4: • . Identify and discuss health hazards associated with methods of collection, treatment, disposal and recycling of human waste and bio-solids, • solid and hazardous waste, infectious waste and describe the health hazards associated with improper management of these wastes. Environmental Health Hazards/Air Quality Session 5: Identify and discuss health risks associated with indoor and outdoor air pollutions and methods of hazard control Environmental Hazards : Food Safety Session 6: • Identify and discuss food-borne pathogens and the importance of the protection of food sources. • Outline Environmental Epidemiology: investigation of food out break diseases. • Acute and chronic effects of food additives and pesticide residues. • Explain benefits and concerns of genetically modified foods (GMF) Environmental hazards: Solid Waste Session 7: • Identify and discuss methods of collection, treatment, disposal and recycling of solid waste and describe the health hazards associated with improper management of these wastes – Session 8 Mid-Term Examination Vectors of Disease • Session 9: • Identify and describe vectors of public health importance, including insects and rodents; discuss transmission and control; identify breeding and control methods Environmental Health Ethics/Environmental Justice Session 10: • Discuss ethical issues of environmental health such as environmental injustice and racial inequality in environmental rule-making and environmental management. • . Occupational & Radiological Health • Session 11: • Identify and discuss adverse health effects in occupational settings due to exposure to dust, gases, vapor fumes, noise, and their mitigation and control and discuss the legal, regulatory processes to provide workers with a safe workplace. • Define radioactive particles including Gamma, Beta and Alpha, discuss the health effects and methods of protection and control Environmental Toxicology • Session 12: • Classify toxic chemicals in the environment; explain their beneficial and detrimental effects, their persistence, • distribution, mechanism of toxicity , dose-response timeexposure , genetic factors affecting response to toxic chemicals, disrupting properties and transformation in the environment. • Discuss pesticides and hazardous waste Health Risk Assessment • Session 13 • Discuss federal, local and international legal, regulatory and policy aspects of environmental assessment, evaluation and control, including risk assessment, management and communication Environmental Health in Developing Countries • Session 14: • Define global environmental health issues, especially those facing developing countries, such as water supply, waste • disposal, pathogen issues, wetland management, and the misuse of agricultural pesticides. • • Session 15: Final Examination Environmental Health : Definition If we include all factors in our environment affecting health and every illness related to the environment, then Environmental Health will include all Aspects of Health including Medicine. Environmental Health : Definition This will include genetic diseases since environmental factors , such as exposure to toxic chemicals, may cause mutations which may be responsible for genetically transmitted conditions Environmental Health : Definition It can be defined as THE STUDY OF ENVIRONMENTAL AGENTS INTRODUCED BY HUMANS CAUSING ADVERSE HEALTH EFFECTS Global Environmental Principles Principles of Global Commons: pollution has no limits, and we are responsible for our own pollution; everyone is downstream or down wind from everybody Global Environmental Principles Principles of Moderation: Use resources to meet vital needs, and use them as efficiently as possible, so you can reduce pollution and reduce waste. Global Environmental Principles Principle of Limits: Resources are limited and must not be wasted, there is not always more. Principle of Sustainable Yield: use renewable resources but not faster than they are naturally renewed. Do not deplete the Earth’s budget Global Environmental Principles Principle of Recycling and Reuse: Recycle and/or reuse in order to minimize pollution and reduce wastage. Global Environmental Principles Principle of Localism: Stress the use of locally available resources and try to dispose of YOUR WASTE LOCALLY Global Environmental Principles Principles of Respect your Earth: The earth can live without us, but we cannot get along without the earth. Global Environmental Principles Principle of Prevention and Control: Anticipating and preventing Environmental problems is MUCH CHEAPER and more EFFECTIVE than reacting and trying to cure them; AN OUNCE OF PREVENTION IS WORTH A TON OF CURE. Aspects of Environmental Health Practice Aspects of Environmental Health practice are the first line of defense against disease. These include: 1) 2) 3) Providing water safe for human consumption Proper disposal of human waste Proper management of solid and hazardous waste. Aspects of Environmental Health Practice 4) Control of Vectors of Disease 5) Food and Milk Protection 6) Providing safe work Environment (noise, injury, exposure to chemical and biological agents) Aspects of Environmental Health Practice 7) Control of air pollutants 8) Providing housing with conditions necessary for the physiological and psychological well-being of humans Aspects of Environmental Health Practice 9) Protection of recreational areas from contamination 10) Protecting the public from Radiation Aspects of Environmental Health Practice 11) Preventing the spread of nosocomial infections in health care institutions. 12) Environmental planning and mgt. 13) Product safety and consumer protection : safe drugs, toys, tools etc.