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Human Health & Toxicology Three Major Categories • Physical – Natural disasters • Biological * Most deaths – disease • Chemical – Natural or synthetic Infectious Disease • Caused by pathogens – Bacteria, virus, fungi, protist, & helminths (parasitic worms) • Top three infectious diseases – Respiratory – AIDS – Diarrhea Infectious Disease Categories • Chronic – Disease that slowly impairs function – Ex. Heart disease, most cancers • Acute – Rapidly impairs bodily functions – Ex. Ebola Risk Factors (Chronic) • Low income countries – Poverty – Unsafe drinking water – Poor sanitation – Malnutrition • High income countries – Availability of tobacco – Less active lifestyle – Poor nutrition/overeating Historically Important Infectious Diseases Plague • • • • Cause:Yersinia pestis (bacteria) Vector: fleas 1300 – ¼ of European population died Today - antibiotics Historically Important Infectious Diseases Malaria • Cause: Plasmodium (protist) • Vector: mosquito • Hardest hit: Africa, Asia, Middle East, & Central & South America • 1951 – eradicated from the US Historically Important Infectious Diseases • • • • Tuberculosis Cause: Mycobacterium tuberculosis (bacteria) Affects the lungs Today – antibiotics Drug resistant strains – Hardest hit: Africa & Russia (20% MRTb) Emergent Infectious Diseases • • • • • • HIV/AIDS Cause: Human immunodeficiency virus Discovered in the 1980s (coined in 1982) Jump from chimpanzees to humans Today – 33 million worldwide (1 million US) can affect With meds – 24 yrs Poverty access to meds Without meds – 10 yrs HIV/AIDS Timeline of Events • 1959 – first case confirmed from male in Congo from preserved blood samples • 1980 – first death in US • 1996 – first meds published to block progression of AIDS • 1999 – study published to suggestion the retrovirus began in chimpanzees • 2007 – first patient cured via bone marrow transplant (Germany) – Still HIV free in 2011 • 2013 – first toddler cured by bone marrow transplant but relapsed Emergent Infectious Diseases Mad Cow Disease • Cause: Prions (proteins that act as pathogens) • Vector: transmission requires an uninfected cow to consume the nervous system of an affect cow • 1980 in Europe – many cow diets included ground up remains of cattle for extra protein Emergent Infectious Diseases Ebola • • • • • Cause: Ebola virus 1st seen: Republic of Congo (Ebola River) Also infected other primates 50-89% death rate Source: Remains unknown Harmful Chemical Categories • • • • • Neurotoxins Carcinogens Teratogens Allergens Endocrine disruptors Neurotoxins • Disrupts the nervous system of animals • Insecticides • Lead – Improved – eliminate lead in gas and paint • Mercury Carcinogens • Chemicals that cause cancer – Interfering with metabolic processes – Damaging DNA • Examples: – Asbestos – Formaldehyde – Tobacco Teratogen • Chemicals that interfere with the normal development of embryos or fetuses • Famous teratogen: Thalidomide – Morning sickness – Birth defects • Famous teratogen: Alcohol – Fetal alcohol syndrome – • Reduce birth weight • Damage to brain & nervous system Allergens Chemicals that cause an abnormally high immune response from the immune system Endocrine Disruptors • Chemicals that interfere with normal hormone function in animals • Hormone binding = response • Sources: agriculture, birth control (unfiltered in sewage, pesticides Toxicology The study of harmful effects of chemicals on humans & other organisms • Toxicity – measure of the harmfulness of a substance (the ability to cause injury, illness, or death) • Basic principle: Any synthetic of natural chemical can be harmful if ingested in a large enough quantity Exposure • Key factors: – Dose - the amount of a harmful chemical that a person has ingested, inhaled, or absorbed – Response – resulting damage to health • Variables: – Age – Genetics – Functionality of detox systems (liver, kidney, etc.) – Solubility – Persistence Response Health damage • Acute – immediate or rapid – Dizziness, nausea, or death • Chronic – Liver damage Dose Response Curve • Median Lethal Dose – LD50 – The dose that can kill 50% of the population within a 18 day period