Chapter 1 Intro To Environmental Health Technology
Chapter 1 Intro To Environmental Health Technology
Chapter 1 Intro To Environmental Health Technology
Introduction to Environmental
Health
Learning Objective
• Describe relationship between human & environment
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Health & Environment
Environmental health
Public Health
Occupational Health
Family Health
Personal
Health
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Definition of Environment
• Natural environment
– Physical, chemical, biological factors & processes external to
people
• Built environment
– Human made settings – buildings, housing, sanitation,
transportation systems – all settings
• Social environment
– Conditions w/in which people live, shaped by cultural, social,
economic, political relations & factors
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Environmental Exposure
• Natural exposures
– Seasonal, latitudinal, altitudinal gradients in solar irradiation
– Extremes of hot/cold weather
– Physical disasters
– Local micronutrient deficiencies in soil
• Human interventions
– Chemical contaminants → air, water, soil, food, work place
– Physical hazards: ionizing radiation, urban noise, road trauma
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Forces Driving Global Economy
– Industrial & agricultural production
– Resource exploitation & contamination
– Energy extraction & use
– Transportation & building patterns
– Militarism
– Market driven consumption patterns
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Global Environmental Change &
Population Health
• Climate Change
• Stratospheric Ozone depletion
• Biodiversity: Losses & Invasions
• Land Degradation, food & Malnutrition
• Persistent Organic Pollutants
• Exporting Hazards
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Magnitude of environmental
change
• During the 20th century we humans
– ↑2x our average life expectancy
– ↑4x the size of our population
– ↑ x 6 the global food yield & water consumption
– ↑ x 12 the production of carbon dioxide
– ↑ x 20 overall level of economic activity
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Environmental Threats
• Household Exposures • Community level Exposure
– Sanitation & clean – Outdoor air quality
drinking water – Traffic & transport
– Solid household fuels – Industry & manufacturing
– Housing quality – Waste management
• Workplace Environment – Microbial & chemical
– Agriculture contamination or water & food
– Mining & Extraction – Urbanization
– Construction • Regional Exposures:
– Manufacturing Transboundary
– Service Occupations – Atmospheric dispersion of
contaminants
– Land use & water Engineering
World Health report
• Global level risks (climate change)
– Highest in poor countries
– Greenhouse gases emitting activities in rich countries→
– “environmental risk transition”
• MDG monitoring by WHO
– on health & environment related indicator
– →Global & national time trend analyses for certain
environmental health hazards
eg: # proportion of population access to clean water&
sanitization, use solid fuels etc.
– Global statistical data is Increasingly ambitious & sophisticated &
multidisciplinary
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World Health report
• Low & middle income countries
– Largest environmental health burden
• Significant household level risks, ↓ w/ development
• Young children particularly affected
• Community level environmental risks (urban air pollution) ↑
w/ development, then ↓
• Rich countries
– Environment least important factor in illness
– Behavioral risks dominate (smoking, diet, physical activity, etc)
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Environmental Risk Transition
• Risks in low & middle income societies
– Dominated by poor food, water, & air quality
– Household level
– Poor sanitation, contaminated water, low quality fuels
– Activities that solve these problems→ Community problems
• urban air pollution, hazardous waste, chemical pollution
• Industrialized societies
– Household and community problems have come under control
– Problems → Global scale
• Greenhouse gas emissions
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Characteristics of Environmental
Risk Transition
• Economic Development
→Environmental Risk Transitions
→Epidemiological transition (shift in diseases)
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Scale & Distribution of
Environmental Risks to Health
• Relative importance of environmental exposure as cause of
human disease & premature death remains contentious
– Knowledge of disease etiology incomplete
– Statistic is moving target
– Latency period (for non-acute outcomes)
– Past exposures that have changed/ceased
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Scale & Distribution of
Environmental Risks to Health
• Complex bidirectional relationships
– Environmental conditions, socioeconomic circumstances,
demographic change & human health
– Difficulty estimating the environmental contribution to disease
burden
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Interdisciplinary roles in
Environmental Health
• To implement the systematic approach, role players are needed
• 3 major classes of role players are:
1. Environmental health problem investigators
2. Environmental problem responders
3. Health problem responders
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1. Environmental Health problem
investigators
• monitors populations to identify health trends
• measures the range of effects of health trends- to
characterize degrees of adverse intensity
• identify potential hazards, potential pathways of hazards, and
populations susceptible to hazards
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Related Disciplines
Health Service
Toxicologists Microbiologists Administrators
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Related Disciplines
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Related Disciplines
Medical Doctors/
Surgeons Dentists Biostatisticians
Psychologists/
Nutritionists Psychiatrists Nurses
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End of Chapter 1
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