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HSCI 202 Exam 1
Environmental Health
185
Health Care
Undergraduate 4
09/27/2009

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Term
field of science that studies how the environment influences human health and disease
Definition
environmental health
Term
3 types of environment
Definition
natural (air, water, soil), man-made (homes, farms, factories), social (lifestyle)
Term
system of dynamic interdependent relationships among living organisms and their physical environment
Definition
ecosystem
Term
Example of an unhealthy ecosystem: Harmful Algal Blooms
Definition
HAB - occurs when certain types of algae grow quickly in water forming visible patches that deplete oxygen and block sunlight for other organisms
Term
red tides
Definition
harmful algal blooms that make the ocean appear red and produce brevetoxins that kill fish... humans that eat intoxicated fish can get sick and can get sick by breathing in the air the contains the toxins
Term
single celled organsisms that live in estuaries and have been linked to mass fish deaths
Definition
pfiesteria piscicida
Term
Causes of increased algal blooms
Definition
increased nutrient load (eutrophication), still waters, temperature changes
Term
ways to improve a population's health
Definition
building healthy housing, promoting healthy lifestyles, cleaning up industrial pollution, changing dietary habits
Term
1st public health law initiated in ___ and focused on ___?
Definition
1848 -- clean water and health hazards related to infectious disease
Term
2nd phase of environmental concern involved establishment of ____ and focus on ____.
Definition
national parks ... toxic substances
Term
Rachel Carson's book ____, largely fueled the environmental concerns related to toxic substances in the mid-20th century
Definition
Silent Spring
Term
3rd wave of environmental concern focused on ____, which is (definition).
Definition
sustainable development: level of production and activity that can be undertaken in one generation wtihout compromising the environmental integrity or depleting resources for the next generation
Term
Basic requirements for a healthy environment (5)
Definition
clean air, safe and sufficient water, adequate and safe food, safe and peaceful environment, stable global environment
Term
__ days without water can be fatal
Definition
4
Term
___-___ calories/day required for people. ____ weeks without food can be fatal
Definition
1000-2000, 4 weeks
Term
measurement or estimation of levels of exposure to environmental hazards
Definition
exposure assessment
Term
___ is the direct measurement of pollutant concentration taken in by individuals. ex?
Definition
direct assessment --- blood/lead levels
Term
___ uses mathematical models to estimate exposures
Definition
indirect assessment
Term
field of science that carries out health measurements in a population. the study of the distribution and determinants of health-related states or events in a specified population and the application of this to control of health problems
Definition
epidemiology
Term
obstacles to resolving environmental health problems (4)
Definition
demographic issues, poverty, consumption patterns, macroeconomic policies
Term
how are macroeconomic policies an obstacle to resolving environmental health problems?
Definition
they influence the use and degradation of natural resources
Term
how are demographic issues an obstacle to resolving environmental health problems?
Definition
the impact on the environment is related to the size of a population and levels of consumption, environment may not be able to sustain population growth
Term
2 types of environmental health hazards
Definition
anthropogenic (man-made) and natural
Term
environmental health hazards can be studied in what two ways?
Definition
by the nature of the hazard (physical, mechanical, biological, chemical, psychosocial) and by the route of exposure (air, water, land, indoor/outdoor)
Term
5 classes of environmental health concerns by nature
Definition
physical, biomechanical, psychosocial, biological, chemical
Term
Examples of physical health hazards
Definition
sound waves, radiation, light energy, thermal energy, electrical energy
Term
examples of biomechanical health hazards
Definition
injuries -- at work, home, on the road, or at recreation
Term
Stress and anxiety are ___ health hazards, and the health effects of these are?
Definition
psychosocial - increase in heart rate, bp, resp, and blood supply to muscles, increases production of stress hormones, increased chance of survival -- can be bad if long term (decreased ability to cope wtih other diseases)
Term
the process and interaction between humans and the environment
Definition
stress
Term
____ can survive outside a living organism, but ____ are dependent on other living organisms to sustain life.
Definition
bacteria ;; viruses
Term
___ is the #1 biological environmental health problem
Definition
bacteria
Term
inherent capacity of a chemical to cause injury to a living organism
Definition
toxicity
Term
in terms of chemicals, the amount of a substances to be absorbed is the ____
Definition
dose
Term
dose is dependent on ___, ____, and ___ of exposure
Definition
length, duration, and frequency
Term
chemical health hazards are grouped into what 4 categories?
Definition
physical and chemical properties, route of entry, distribution and metabolism, effects on body
Term
2 types of inorganic chemicals
Definition
halogens, metals
Term
3 types of organic chemicals
Definition
hydrocarbons, alcohols, organic solvents (benzene and toluene)
Term
5 routes of exposure to chemical hazards
Definition
inhlation, oral ingestion, absorption through skin, absorption through eyes, mom to baby/fetus
Term
an effect on the body after absorption and spread throughout the body
Definition
systemic toxicity
Term
local reaction to specific organs
Definition
organ toxicity
Term
7 types of toxicities
Definition
systemic, organ, reproductive, developmental, neurotoxicity, immunotoxicity, genotoxicity
Term
___ toxicity damages DNA and may lead to cancer
Definition
genotoxicity
Term
5 steps to conducting a risk assessment
Definition
identify hazards based on results of toxicological and epidemiological studies, dose-response assessment, exposure-assessment, risk characterization (integrating the other 3 steps to produce a quantitative estimate of risk), risk management (action to reduce or eliminate hazards or reduce the harm of their effects)
Term
LD50
Definition
lethal dose that will kill 50% of a population
Term
LC50
Definition
concentration that will kill 50% of the population
Term
ED50
Definition
effective dose - dose that will cause an effect in 50% of test population
Term
2 phases of epidemiological field studies
Definition
descriptive (to describe current situation) and Analytical
Term
What is the goal of epidemiological studies?
Definition
to determine if environmental factors are indeed associated with the problem
Term
4 components of risk characterization
Definition
exposure - combines concentration of pollutant with duration of exposure, dose, lifetime individual risk, risk to exposed population
Term
4 steps in risk management
Definition
risk evaluation, risk perception and communication, control of exposure, risk monitoring
Term
DDT
Definition
insecticide used around WWII that was sprayed everywhere. found out that it accumulated in bird tissue and persists in the environment... human health effects still undefined
Term
___ first noted the health effects of dust on the lungs in the early 1500's
Definition
Agricola
Term
Fluoride emissions from steel mills caused 19 deaths and hundreds of illnesses in what air pollution disaster?
Definition
donora, PA "death fog"
Term
temperature inversion and high winter coal use killed about 4,000 people in december of 1952 in the ___.
Definition
London Fog
Term
an accidental release of methyl isocyanate (MIC) from a pesticide plant caused temperature inversion and killed over 20,000 people total ... considered the worst industrial disaster in history
Definition
bhopal, india 1984
Term
6 criteria air pollutants monitored by what agency?
Definition
ozone, particulate matter, sulfur dioxide, nitrogen dioxide, carbon monoxide, lead ::: EPA
Term
why is ozone considered a secondary pollutant?
Definition
it is formed by the interaction of air pollution and sunlight
Term
each kind of particle size and and it's EPA standard
Definition
ultrafine - 0-0.1um - not regulated ::: PM2.5 - 0-2.5um - 15ug/m3/year ::: PM10 - 0-10um - 150ug/m3/day
Term
why is PM2.5 of most concern?
Definition
particles are small enough to reach deep into the lung, but have a large surface area that is chemically reactive
Term
____ is caused by tight buildings with inadequate ventilation
Definition
sick building syndrome
Term
a black mold that accumulates in buildings and can be toxic if inhaled
Definition
stachybotrys
Term
why are molds harmful to inhale?
Definition
contain mycotoxins that trigger asthma attacks
Term
importance of environmental tobacco smoke
Definition
responsible for 3000 lung cancer deaths/year ... doubles incidence of pneumonia, bronchitis, and bronchiolitis in children and may impair their lung development
Term
3 groups of people most at risk with air pollution
Definition
children, elderly, workers
Term
3 indoor air pollutants discussed
Definition
mold, radon, environmental tobacco smoke
Term
humans require __L of fresh water/day
Definition
2
Term
3 examples of communicable diseases spread through water
Definition
cholera, typhoid, salmonella
Term
__% of all diseases and __% of all deaths in developing countries are due to consumption of contaminated water
Definition
80, 33
Term
__B people do not have access to safe drinking water and __B people do not have adequate sanitation
Definition
1.4, 2.9
Term
3 categories of substances that may be in water
Definition
essential for proper health (fluoride), toxins (nitrates), genotoxic substances
Term
___ causes "blue baby syndrome"
Definition
nitrates
Term
4 main sources of water pollution world-wide
Definition
industrial effluent, sewage, storm and urban runoff, agricultural runoff
Term
groundwater accounts for __% of the US drinking water supply
Definition
25
Term
6 aspects of water quality
Definition
biological contaminants, chemical contaminants, color, taste and odor, temperature, turbidity
Term
WHO guidelines for drinking water quality
Definition
adequate supply of water, adequate supply of microbially safe water, adequate supply of microbially safe water that meets the guidelines for chemical parameters
Term
the ___ is the comprehensive federal program to deal with water pollution. they prioritize a list of contaminants of most concern.
Definition
US Clean Water Act
Term
MCL
Definition
EPA's Maximum Contaminant Level for conaminants
Term
4 most common water treatment methods
Definition
pre-treatment in reservoirs (chlorination) :: coagulation, flocculation, and sedimentation :: filtration :: disinfection
Term
process of coagulation, flocculation, and sedimentation in water treatment
Definition
coagulation is the addition of aluminum or iron to react with the impurities, this causes flocculation, which creates flocs, the flocs then attach to organic matter and can be separated out via sedimentation
Term
Trihalomethanes
Definition
THMs - results from reaction of chlorie wtih organic matter during water treatment -- may be linked to cancer
Term
chemicals commonly used in coolants, insulators, etc that was banned in 1976 but is still persistant in the environment and can bioaccumulate/magnify
Definition
PCBs
Term
physical effects of PCBs on humans
Definition
acute = rashes, chronic = endocrine disruptors, immune system/liver damage, cancer
Term
4 main sources of water pollution
Definition
industrial wastes (PCBs), domestic sewage, stormwater runoff, agricultural runoff
Term
primary sewage treatment
Definition
sewage held in settling tanks and solid materials settle out -- can be used as fertilizer
Term
secondary sewage treatment
Definition
degradation of organic matter by bacteria
Term
tertiary sewage treatment
Definition
chemical separation of nitrates and phosphates -- stabilization ponds and activated sludge plants
Term
3 ways to reduce urban stormwater runoff
Definition
frequent street sweeping, limited application of lawn fertilizers and pesticides, more green spaces where storm water can be soaked up
Term
practice of cultivating soil, producing crops and raising livestock for human use and consumption
Definition
agriculture
Term
positive impacts of modern agriculture
Definition
less land needed as crop land, slowed deforestation, slowed rates of habitat conversion, preservation of biodiversity and natural ecosystems
Term
negative impacts of modern agriculture
Definition
intensive water use, increased use of fossil fuels, increased soil erosion, contamination by chemical fertilizers and pesticides
Term
eutrophication
Definition
soil runoff ends runs down to gulf of mexico and delivers a lot of nutrients that eat up the oxygen
Term
methods to reduce problems created by synthetic fertilizers
Definition
crop rotation to give soil chance to replenish, reduced tillage practices, better application of only what is needed
Term
3 types of chemical pesticides
Definition
insecticides, herbicides, fungicides
Term
integrated pest system
Definition
IPM - works to implement best attributes of chemical and biological control
Term
herbicides
Definition
weed killers
Term
3 ways herbicides get into water
Definition
runoff from fields into surface waters, leach through soil into groundwater, tiles (underground spaces that prevent standing water in the fields)
Term
most commonly used herbicide in the US and it's effects
Definition
atrazine: leaches into waters at high levles.. is associated with various cancers, endocrine disruptor
Term
example of a method to reduce herbicide use
Definition
round-up ready crops -- genetically modified crops that don't need an herbicide
Term
sustainable agriculture
Definition
decreased to no effect on the environment
Term
low-input agriculture
Definition
utilizes decreased amounts of pesticides, fertilizers, water and fossil fuel energy
Term
organic agriculture
Definition
use of no synthetic fertilizers or pesticides
Term
the goal of agriculture
Definition
healthy diet
Term
Rickets is caused by lack of what nutrient?
Definition
vitamin D
Term
GMO crops
Definition
golden rice with increased vitamin A to promote healthy vision
Term
food poisoning
Definition
food contaminated by microbes -- requires microbial growth and toxin production in the food, not in the individual
Term
foodborne disease
Definition
transfer of microbes to the individual and subsequent distribution and multiplication in the body --- diff than food poisoning
Term
most notable viral foodborne disease
Definition
hepatitis a
Term
mycotoxins
Definition
secondary metabolites of fungi that exert various health effects.. ex: aflatoxins
Term
4 types of foodborne disease
Definition
bacterial contamination, viral and parasitic contamination, mycotoxins (fungi), and chemical contaminants
Term
ex of chemical contaminants that cause foodborne disease
Definition
PCBs and mercury in fish, lead in cooking utensils
Term
food quality assurance is monitored at what 5 stages of production?
Definition
porduction of raw materials, food processing, storage and transport, food preparation, food consumption
Term
among children 0-14yrs, __% of premature deaths are due to environmental factors
Definition
36
Term
Major environmental causes of death (4)
Definition
diarrheal disease, lower respiratory tract infection, accidents/workplace hazards, malaria
Term
6 ways to decrease environmental health-related disease in children
Definition
vaccinations, nutrition, sanitation, malaria control, breast feeding (so kids aren't drinking bad water), and education
Term
Why are kids more susceptible to environmental health-related diseases?
Definition
developmental factors (high rate of cell proliferation), physiological factors (smaller airways, greater doses per body mass), behavioral factors (kids eat dirt)
Term
Spatial working memory deficit, decreased problem solving ability, lower IQ, ADHD, and behavioral problems are all impairments found in children who've been exposed to ___.
Definition
lead
Term
lead can cause irreversible damage to what 3 organs/systems?
Definition
brain, kidney, CNS
Term
why is lead such a potent poison?
Definition
it can substitute for calcium and therefore interfere with physiological processes... also has a very long half life (20-30 years)
Term
lead poisoning can cause what disease?
Definition
anemia
Term
Mental impairment occurs at blood/lead levels greater than __ug/dL
Definition
10
Term
ways to reduce lead poisoning in children
Definition
eliminated lead from gasoline (1976), remove smelters from highly populated areas (china), gov't programs to assist less fortunate people in removing lead paint from their homes, free blood/lead level testing
Term
health effects of ozone in children
Definition
resp. infections, asthma attacks
Term
3 "zones" in diagnostic testing by peak flow meters
Definition
Green = 80-100% of personal best, Yellow = 50-80% of personal best, Red = <50% of personal best
Term
Children exposed to ozone would show poorer results on what respiratory test?
Definition
peak flow meter
Term
The graph about ozone concentration in summer camp children showed what?
Definition
that the epa standards might not be low enough
Term
danger of combustion particulates
Definition
contain highly reactive substances that can cause cell death, inflammation, cancer, and birth defects
Term
about __% of children between 2 and 11 years live in a home with a smoker
Definition
40
Term
children under 1 year are __times as likely to be hospitilized if their mother smokes.
Definition
4
Term
children and infants exposed to ETS are at increased risk for what 2 health problems?
Definition
asthma and ear problems
Term
probability of infant mortality is greater if people use ___ as cooking fuel as opposed to ___. why?
Definition
biomass (wood/plant-burning stoves) as opposed to liquified gas ... because biomass stoves produce particulate matter and are not often ventilated
Term
the risk of getting asthma if you live in a home with a smoker is greatly increased by your ___.
Definition
genetics
Term
how many children in the us still have elevated blood lead levels?
Definition
250,000
Term
how many children in the us still have elevated blood lead levels?
Definition
250,000
Term
6 principles of a sustainable urban ecosystem
Definition
ensure adequate water supply, maintain vegetation and natural environment, preserve quality soils for agriculture, ensure sustainable conditions for wildlife, maintain regional food production, create an urban environment on a human scale
Term
urban areas must provide for the ___, ____, and ____ needs of the public
Definition
economic, physical health, psychological health
Term
all dynamic conditions among inhabitants and activities within urban areas or regions
Definition
urban ecosystem
Term
a ____ exists when one group of people or activities does not destroy or harm the natural or human-made environment
Definition
sustainable urban ecosystem
Term
gastrointestinal and other communicable diseases can be caused by what 2 conditions in an urban ecosystem?
Definition
inadequate water supply and sanitation :: overcrowded conditions with poor domestic and environmental hygiene
Term
What conditions in an urban ecosystem can lead to psychological problems?
Definition
overcrowded conditions, poor hygiene
Term
over crowded conditions and poor hygiene :: coal, kerosene, or biomass fuels for heating cooking and lighting :: exposure to indoor air pollutants from fires and environmental tobacco smoke :: shelter in close proximity to pollution-producing industry ... can all lead to what problem in an urban ecosystem?
Definition
environment-related respiratory conditions
Term
problems with urban migration in developing countries
Definition
migrants have little money and few skills for jobs :: formation of shanty towns with no sanitation, poor water, illegal electricity, few health facilities, overcrowding, unemployment, crime, and widespread disease :: rural areas are left without enough labor to produce agriculture
Term
megacities are cities with populations of _____ people or more. compare megacities in 1900 and in 2000.
Definition
10M :: 1900 - London was the largest city with 5M ... 2000 - 19 megacities, 13 of which are in developing countries
Term
qualities of a healthy city
Definition
clean, safe physical environment :: stable, sustainable ecosystem :: supportive, non-exploitative community :: participation and control by public in health decisions :: meet basic needs for all :: education :: diverse and vital economy :: encouragement of connection with past culture :: good health care and prevention
Term
5 factors in global change
Definition
ozone depletion, greenhouse effect, deforestation/desertification, loss of biodiversity, trans-boundary movement of pollutants
Term
UV_ radiation has the most energy but is completely absorbed by the upper atmosphere
Definition
C
Term
UV_ energy is of most concern because it has a lot of energy but can still get through the atmosphere... causes lots of skin damage
Definition
B
Term
what layer of the ozone is the "protective layer" that is currently being depleted?
Definition
stratosphere
Term
what layer of the atmosphere is currently accumulating due to the greenhouse effect?
Definition
troposphere
Term
what is the main cause for ozone depletion in the last 30 years?
Definition
CFCs (chlorofluorocarbons) from freon in refrigerators and aerosol cans
Term
How do CFCs damage the ozone?
Definition
the release their Chlorine by photolysis in the atmosphere, which scavenges ozone and destroys it
Term
what are the human health effects of ozone depletion?
Definition
increased UV exposure, which causes cell death and leads to: non-melanoma skin cancer, malignant melanoma, retinal degeneration, cataracts
Term
what are the effects of global climate change?
Definition
greenhouse effect - causes earth to trap heat, which causes chaotic weather :: also causes some areas to lose heat, which = longer winters, and trapping of water in ice caps
Term
How does the greenhouse effect work?
Definition
carbon dioxide, water vapor, and other gases in the atmosphere act like a pane of glass, letting heat and radiation into the earth but not letting it out
Term
From the movie Hot Zones, what country had an increase in arsenic poisoning?
Definition
Bangladesh
Term
What environments are included in environmental health?
Definition
social, man-made, and natural
Term
Which is not a requirement for a healthy environment?
Definition
medical staff
Term
Mosquito borne virus discovered in the US in 1999?
Definition
West Nile
Term
Which is a biological environmental health problem?
Definition
fecal bacteria in the water
Term
Which is not included in the risk assessment model?
Definition
elimination of hazards
Term
What is the goal of epidemiology?
Definition
determine environmental factors associated with a problem
Term
Dose of exposure is dependent on what 3 things?
Definition
frequency, length, and route of exposure
Term
Why is ozone a secondary pollutant?
Definition
formed in atmosphere, not from a source
Term
Why are kids at increased risk for ozone exposure?
Definition
smaller airways
Term
Why is mold growth promoted in an indoor environment?
Definition
contains excess moisture
Term
Why is fine particulate matter toxic?
Definition
all of the above
Term
Ex of a non-point source?
Definition
agricultural runoff
Term
___ is a process of natural disposal of organic material
Definition
biodegradation
Term
What is not a current reduction process limiting contamination from stormwater runoff?
Definition
covering the land with concrete
Term
blue baby syndrome is caused by?
Definition
nitrates
Term
70% of freshwater is used for
Definition
irrigation
Term
Rickets is caused by a deficiency in?
Definition
Vitamin D
Term
What factor directly influences the hypoxic dead zone?
Definition
fertilizer runoff
Term
What is a positive impact of modern agriculture?
Definition
less land needed for crops, decreased habitat conversion
Term
Factors that increase the sensitivity of kids to environment?
Definition
physiological, developmental, behavioral
Term
# of kids in US today with elevated blood lead levels?
Definition
250,000
Term
Eliminating lead from gasoline caused?
Definition
a dramatic decrease in lead poisoning
Term
child health is affected from a mom who smokes for how long/
Definition
before birth, first years of life
Term
What layer of atmosphere is ozone located?
Definition
stratosphere
Term
What greenhouse gas is of most concern?
Definition
CO2
Term
What is not a principle of a sustainable ecosystem?
Definition
use the best soils for urbanization
Term
What is the effect of exposure to air pollutants and ETS?
Definition
respiratory conditions
Term
What was the 1st Superfund site?
Definition
Love Canal
Term
Who was affected by the dust and smoke from 9/11?
Definition
everyone in the area
Term
What was the major source of PAHs from 9/11?
Definition
partially burned jet fuel
Term
What was the original intent of love canal?
Definition
construction of a model industrial city
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