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Risk, Toxicology, and Human Health G. Tyler Miller’s Living in the Environment 13th Edition Chapter 11 Dr. Richard Clements Chattanooga State Technical Community College Key Concepts Types of hazards people face Methods of toxicology Types and measurement of chemical hazards Types and effects of biological hazards Risk estimation, management, and reduction Risk and Probability Risk= Probability of exposure X Probability of Harm Probability how risk is measured Risk assessment Risk management Fig. 11-2 p. 229 Hazards Cultural hazards Unsafe working conditions, poor diet, drugs, drinking, driving, criminal assault, unsafe sex, poverty Chemical hazards Chemical in the air, water soil and food Physical hazards Ionizing radiation, fire, earthquake, volcanic eruption, flood, tornadoes, and hurricanes Biological hazards Pathogens, pollen, and other allergens, and animals (such as bees, and poisonous snakes) Fig. 11-1 p. 228 Toxicology Toxicity: measures how harmful a substance is. Dose: the amount of potentially harmful substance that a person has ingested, inhaled, or absorbed through the skin Solubility: water soluble toxins and fat or oil soluble toxins Persistence: resistance to breakdown Chemical Interactions: synergistic interaction, and antagonistic interactions Response: type and amount of health damage that results from exposure to a chemical or other agent Acute Effect Chronic Effect Dose-affect Curve 1. 2. 3. 4. 5. Size of dose How often exposed Who is exposed How well the body’s detoxification system responds Genetic makeup in regards to sensitivity (graph below) Fig. 11-3 p. 230 DDT and Bioaccumulation(absorbed or stored in organs) and Biomagnification (through a food chain) Fig. 11-4 p. 231 Poisons: “The dose makes the poison” Paracelsus, 1540 Poison: LD50 of 50 mg or less/Kg of body weight LD50: median lethal dose: the amount that in one dose kills exactly 505 of the animals in a test population in a 14 day period See Table 11-1 p. 232 Fig. 11-5 p. 231 How to Estimate Toxicity • Case Reports: usually made by physicians; not very reliable; but do give clues to suggest further laboratory tests • Epidemiological studies: health of people exposed to a toxin (experimental group) is compared to a statistically similar group of people not exposed to the toxin. Determine if there is any statistically significant association between exposure and health. Many problems with this technique. How to Estimate Toxicity • Laboratory experiments: most widely sued method: expose a population of live laboratory animals (usu. Rats and mice) to a measured dose of a specific substance under controlled conditions. Take 2-5 years and $200,000 – $2 million. • More humane procedures increasing in use Dose-Response Curves: acute toxicity Dose-response Nonthreshold Threshold Fig. 11-6 p. 233 Chemical Hazards Hazardous chemicals Mutagens Teratogens Carcinogens Neurotoxins Hormonally active agents Precautionary principle Hormonally Active Agents (HAA’s) Hormone Estrogen-like chemical Antiandrogen chemical Receptor Cell Normal Hormone Process Hormone Mimic Attach to estrogen receptor molecules Hormone Blocker Prevent natural hormones from attaching to their receptors Figure 11-7 Page 234 Biological Hazards: Diseases Nontransmissible disease: disease that are not caused by living organisms and not spread person to person. Transmissible disease: caused by a living organism and spread person to person Pathogens: infectious agents that cause disease include viruses, bacteria, fungi, and protozoans Vectors: agents that transmit disease such as mosquito, fly, rat, etc. Antibiotic resistance Malaria AIDS See Case Study p. 241 Viruses HIV (AIDS) Smallpox Hepatitis B Pathogens Ebola On this scale, a human hair would be 6 meters (20 feet) wide Protozoa 1 micrometer Bacteria Vibrio cholerae (cholera) Treponema pallidum (syphilis) 6 micrometers Myobacterium tuberculosis (tuberculosis) Plasmodium (malaria) 10 micrometers Figure 11-8 Page 236 Genetic material Virus Structure Surface proteins Figure 11-9 (1) Page 237 Virus Reproduction The virus attaches to the host cell. The entire virus may enter or it may inject its genetic material, or genome. Virus Cell membrane Host cell The viral genetic material uses the host cell's DNA to replicate again and again. Each new copy of the virus directs the cell to make it a protein shell. The new viruses emerge from the host cell capable of infecting other cells. This process often destroys the first cell. Antibiotic Resistance Bacterial colony Drug-resistant bacterium Drug-resistant bacterial colony Mutation Antibiotic Treating a colony of bacteria with an antibiotic kills most of the microbes. Sometimes, a bacterium has a genetic mutation that makes it resistant to the drug. When the colony grows back, all of its members will be descended from the drug-resistant survivor. Harmful microbe Conjunction Harmful drug-resistant microbe Antibiotic Drug-resistant bacterial colony Harmless, drug-resistant microbe Antibiotics attack harmless and harmful microbes. Drug resistance that develops in harmless bacteria may be transferred to harmful bacteria. One bacterium attaches itself to another, and a channel is opened between them in a process called conjugation. A copy of the genes that make the microbe resistant can then be passed from one microbe to the other. In-text figure Page 238 Antibiotic World HIV Distribution in 2001 (number of deaths due to AIDS) North America 940,000 (20,000) Eastern Europe & Central Asia 1 million (23,000) Western Europe 560,000 (6,800) Caribbean 420,000 (30,000) Latin America 1.4 million (80,000) East Asia & Pacific 1 million (35,000) North Africa & Middle East 440,000 (30,000) South & Southeast Asia 6.1 million (400,000) Sub-Saharan Africa 28.1 million (2-3 million) Figure 11-10 Page 240 Australia & New Zealand 15,000 (120) Synergy between AIDS/TB/ Malnutrition HIV/AIDS • HIV immune suppression facilitates active TB development • AIDS can lead to job loss and poverty Malnutrition Figure 11-11 Page 240 TB • Malnutrition weakens body and may facilitate HIV transmission and progress • TB can lead to job loss and malnutrition because of lack of money • Malnutrition may facilitate development of active TB • Active TB facilitates HIV replication and speeds up HIV progression Malaria Life Cycle and Infection Fig. 11-14 p. 243 Global TB Epidemic Deaths per 100,000 people <2.5 2.5-10 10-35 35-70 70-100 100+ In-text figure Page 241 Worldwide Malaria Distribution Figure 11-12 Page 243 Malaria-free areas Malaria largely eliminated Malaria transmission areas Risk Analysis Risk analysis Comparative risk analysis Cost-benefit analysis Risk management Risk perception Fig. 11-17 p. 247