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Environmental Risk Transition |
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-changes in environmental risks that happen as undeveloped regions of the world evolve -prior to this this is poor air,food and water quality -results in increase of chronic conditions |
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-being sound in body, mind or spirit -not just the absence of disease |
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-physical status and functional ability -psychological status and well-being -social interactions -economic and vocational factor -religious and spiritual status |
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-Mortality -Morbidity -Life expectancy -Functional Status and Capacity -Quality of life |
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Basic Environmental Requirements for Health |
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-clean air -safe and sufficient water -safe and adequate food supply -safe and peaceful settlements -stable global environment |
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-the circumstances, objects, or conditions by which one is surrounded |
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Environment (more technical) |
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complex of climatic, edaphic (soil-based) and biotic factors that act upon an organism or an ecological community |
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Environment (Public Health Definition) |
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- all which is external to the individual host. It can be divided into physical, biological, social and cultural factors which influence health status in populations |
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-trouble or condition of the living animal or plant body of one of its parts that impairs the performance of a vital function; morbidity |
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Contributors to the "Environment" (6) |
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Definition
-Chemical -Biological -Physical -Social-Cultural -Built -Natural |
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Environmental Epidemiology |
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Definition
-study of patterns of illness amount humans and the factors that might create these patters (exposure to environmental agents and development of disease) |
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-mechanisms between exposure and development of disease -understanding toxicokinetics and toxicodynamics of environmental chemicals |
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Environmental Justice (3 aspects) |
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-Equal Protection -Equal Access -Fair treatment and meaningful involvement of people -e.g. Baltimore's Wagner's Point |
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Executive Oder 12898 (1994) |
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Definition
-created to address Environmental Justice in minority and low income populations |
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Health Improvements in 20th Century |
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-Water, food, milk sanitation -Reduced physical crowding -Improved nutrition -Central heating + cleaner fuel -Chlorination of water -Removal of lead from gasoline |
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-banned in 1977 -Still exist |
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- In Bengaladesh and West Bengal -causes lung/live/bladder cancer and skin lesions |
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what the body does to the agent (I.E. absorption, distribution, metabolism, excretion, storage) |
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-what the agent does to the body (i.e. the molecular, biochemical, cellular and organ changes that occur) |
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- the determination of the probability that an adverse effect will result from the defined exposure This includes: +hazard identification +exposure assessment +risk characterization |
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-the process of weighing policy alternatives and selecting the most appropriate regulatory actions based on the results of risk assessment |
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Clinical Intervention Model |
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-prevent diseases from becoming death |
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Public Health Intervention Model |
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-Prevent public + environment form causing disease |
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Environmental Stewardship Model |
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-Prevent public from harming environment |
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The Three P's (Principle Determinants of Health Worldwide) |
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-Population -Pollution -Poverty |
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Environmental Impact Model |
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I = P x A xT
I = environmental impact p = population a = affluence t = technology |
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Definition
- Municipal Solid Waste - Industrial Waste - Medical Waste - Radioactive Waste - Hazardous Waste |
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Characteristics of Hazardous Waste |
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Definition
- Ignitability - Corrosivity - Reactivity -Toxicity |
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Hazardous Waste Wake-up Calls (Superfund) |
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Definition
-Love Canal -Valley of the Drums -Times Beach -Libby, Montana |
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RCRA (Resource Conservation and Recovery Act) |
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Definition
- 1976 - defined hairdos waste - instituted "manifest system" for tracking - set standards for hazardous waste facilities and issued operating licenses |
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CERCLA (Comprehensive Environmental Response, Compensation and Liability Act) |
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(1980) - Established a national priority list for expenditure of superfund cleanup dollars |
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- land previously used from industrial purposes of certain commercial uses. The land may be contaminated by low concentrations of hazardous waste or pollution. |
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-Concentrated Animal Feeding Operations -Factory Farms -Produce large amounts of waste - lagoon -Nitrogen and phosphorus -Contaminate groundwater and drinking wells -ODOR POLLUTION |
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- when an agent enters the body - can be acute or chonic - can occur indoors or outdoors - by various vectors (routes) exposure =intensity x frequency x duration
-often is related unequal protection |
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- qualification of the human engagement with environmental contaminants and health problems |
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Health Assessment in the contact of Environmental Exposure |
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- the quantification of health effects that may be related to specific exposures |
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- study of patterns of illness amount human populations -uses math and statics to make deductions -uses disease clusters |
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- occurrence of new disease of mortality within a defined period of observation |
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- a measure of disease frequency and refers to existing cases of diseases or deaths |
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- all cases of a disease that exist at a particular point in time relative to a specific population from which cases are derived |
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- measure of association for case-control studies -the odd in favor of exposure among the disease group (cases) to the ratio in favor of exposure among the no-disease group (control) |
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- the ratio of the incidence rate of a disease or health outcome in an exposed group to the incidence rate of the disease or condition in a non-exposed group |
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- causal association must exist between an agent factor and disease in the host for there to be casusality |
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Factors that make disease hard to identify (6) |
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Definition
- latency - multi-factorial etiology - disease non-specificity - individual characteristics - changed in response with chaining does - mixed exposures |
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- chemical, molecular, biochemical or cellular alterations that are measurable in biological media such as human tissues, cells or fluids |
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- state, local and national governments |
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-Laws that protect nature and ecology, public health and welfare |
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agency decisions that affect groups of people, especially the regulated community |
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- a decision about a particular claim by a particular entity |
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-Risk Assessment = chosen methodology for environmental standard setting |
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Industrial Union Dep’t, AFL-CIO v. American Petroleum Institute, 448 U.S. 607 (1980) |
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Definition
- Agency does not need scientific certainty to regulated if at the frontiers of scientific knowledge |
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Risk Assessment Process (4 steps) |
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Definition
-Hazard Identification - Dose/Response Assessment -Exposure Assessment - Risk Characterization |
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Definition
the utilization of biomarkers in the measurement of the body burden of toxic chemical compounds, elements, or their metabolites in biological materials |
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-Continuous -Intermittent -Cyclic -Random -Concentrated |
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-Filtration and Chlorination -Typhoid and Cholera |
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