Transcript Understanding Our Environment

Environmental Health and Toxicology
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Outline
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Environmental Health
 Infectious and Emergent Diseases
 Antibiotics and Pesticide Resistance
Toxicology
Movement, Distribution, and Fate of Toxins
Minimizing Toxic Effects
Measuring Toxicity
Risk Assessment
Establishing Public Policy
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ENVIRONMENTAL HEALTH
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Health - A state of complete physical, mental,
and social well-being.
Disease - A deleterious change in the body’s
condition in response to an environmental
factor.
 Diet and nutrition, infectious agents, toxic
chemicals, physical factors, and
psychological stress all play roles in
morbidity (illness) and mortality (death).
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Environmental Health Risks
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Global Disease Burden
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WHO reports communicable diseases are
responsible for nearly half of all 1.4 billion
DALY’s lost each year.
 About 90% of all DALY losses occur in
developing world where one-tenth of all
health care dollars are spent.
- Malnutrition exacerbates many diseases.
 By 2020, heart disease may become
leading source of disability and
disease worldwide.
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Recent Outbreaks of Infectious Diseases
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Infectious Diseases
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For most of human history, the greatest health
threats have been pathogenic organisms,
accidents or violence.
 Communicable diseases are still
responsible for about 1.3 of all diseaserelated deaths.
- Majority in countries with poor nutrition,
sanitation, and vaccination programs.
 Malaria is a major disease in tropical
areas.
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Emergent Diseases
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An emergent disease is one never known
before, or has been absent for at least 20
years.
 An important factor in the spread of many
diseases is the speed and frequency of
modern travel.
- SARS
- West Nile Virus
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Funding Health Care
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Heaviest burden of illness borne by poorest
people who cannot afford a healthy
environment or adequate health care.
 WHO estimates 90% of all disease burden
occurs in developing countries where less
than 10% of all health care dollars are
spent.
- Worldwide, only 2% of people with AIDS
have access to modern medicines.
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Ecological Diseases
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Domestic animals and wildlife also
experience sudden and widespread
epidemics.
 Distemper in seals in western Europe.
 Chronic Wasting Disease in deer and elk in
North America.
 Sudden Oak Death Syndrome in
California.
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Antibiotic and Pesticide Resistance
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Protozoan parasite that causes malaria is
now resistant to most antibiotics, while the
mosquitoes that transmit it have developed
resistance to many insecticides.
 Short life spans.
- Speeds up natural selection and
evolution.
 Human tendency to overuse pesticides
and antibiotics.
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Antibiotic Use
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At least half of the 100 million antibiotic
doses prescribed in the US every year are
unnecessary or are the wrong drug.
Many people do not finish full-course.
More than half of all antibiotics manufactured
in the US are routinely fed to farm animals to
stimulate weight gain.
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Antibiotic Resistance
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Toxicology
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Dangerous chemicals are divided into two
broad categories:
 Toxic - Poisonous
- Can be general or very specific. Often
harmful even in dilute concentrations.
 Hazardous - Dangerous
- Flammable, explosive, irritant, acid,
caustic.
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Toxic Chemicals
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Allergens - Substances that activate the
immune system.
 Antigens - Allergens that are recognized as
foreign by white blood cells and stimulate
the production of specific antibodies.
- Other allergens act indirectly by binding
to other materials so they become
antigenic.
 Sick Building Syndrome
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Toxic Chemicals
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Endocrine Disrupters disrupt normal hormone
functions.
 Thyroxine
 Insulin
 Adrenalin
 Endorphins
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Steroid Hormone Action
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Toxic Chemicals
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Neurotoxins - Metabolic poisons that
specifically attack nerve cells.
 Different types act in different ways.
- Heavy Metals kill nerve cells.
- Anesthetics and Chlorinated
Hydrocarbons disrupt nerve cell
membranes.
- Organophosphates and Carbamates
inhibit signal transmission between nerve
cells.
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Toxic Chemicals
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Mutagens - Agents that damage or alter
genetic material.
 Radiation
Teratogens - Specifically cause abnormalities
during embryonic growth and development.
 Alcohol - Fetal Alcohol Syndrome
Carcinogens - Substances that cause cancer.
 Cigarette smoke
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Diet
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Sixty-percent of all U.S. adults are now
considered overweight.
 Estimated 1 billion worldwide.
U.S. Centers for Disease Control warn one in
three U.S. children are at risk of becoming
diabetic.
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MOVEMENT, DISTRIBUTION,
AND FATE OF TOXINS
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Solubility - One of most important
characteristics in determining the movement of
a toxin.
Chemicals are divided into two major groups:
- Those that dissolve more readily in water.
- Those that dissolve more readily in oil.
 Water soluble compounds move rapidly
through the environment, and have ready
access to most human cells.
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Exposure and Susceptibility
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Airborne toxins generally cause more ill
health than any other exposure.
 Lining of lungs easily absorbs toxins.
Largest toxin exposure reported in industrial
settings.
Condition of organism and timing of
exposure also have strong influences on
toxicity.
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Exposure Routes
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Bioaccumulation and Biomagnification
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Cells have special mechanisms for
Bioaccumulation - Selective absorption and
storage.
 Dilute toxins in the environment can build
to dangerous levels inside cells and
tissues.
Biomagnification - Toxic burden of a large
number of organisms at a lower trophic level
is accumulated and concentrated by a
predator at a higher trophic level.
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Bioaccumulation and Biomagnification
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Persistence
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Some chemical compounds are very
unstable and degrade rapidly under most
conditions, thus their concentrations decline
quickly after release.
Others are more persistent.
 Stability can cause problems as toxic
effects may be stored for long period of
time and spread to unintended victims.
- (DDT)
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Persistence
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Persistent Organic Pollutants (POP’s)
 Polybrominated diphenyl ethers (PDBE)
 Perfluorooctane sulfonate (PFOS) and
Perfluorooctanic acid (PFOA).
 Phthalates
 Bisphenol A (BPA)
 Atrazine
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Chemical Interactions
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Antagonistic Reaction - One material
interferes with the effects, or stimulates the
breakdown, of other chemicals.
Additive Reaction - Effects of each chemical
are added to one another.
Synergistic Reaction - One substance
exacerbates the effect of the other.
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MECHANISMS FOR MINIMIZING
TOXIC EFFECTS
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Every material can be poisonous under
certain conditions.
 Most chemicals have a safe threshold
under which their effects are insignificant.
Metabolic Degradation
 In mammals, the liver is the primary site of
detoxification of both natural and
introduced poisons.
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Excretion and Repair
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Effects of waste products and environmental
toxins reduced by eliminating via excretion.
 Breathing
 Kidneys
- Urine
Tissues and organs often have mechanisms
for damage repair.
 Any irritating agent can be potentially
carcinogenic.
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MEASURING TOXICITY
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Animal Testing
 Most commonly used and widely accepted
toxicity test is to expose a population of
laboratory animals to measured doses of
specific toxins.
- Sensitivity differences pose a problem.
 Dose Response Curves
 LD50 - Dose at which 50% of the test
population is sensitive.
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Toxicity Ratings
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Moderate toxin takes about (1) g/kg of body
weight to produce a lethal dose.
 Very toxic materials require about 10% of
that amount.
- Extremely toxic materials require 1% of
that amount.
 Supertoxic chemicals can be lethal in
a dose of a few micrograms.
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Toxicity Ratings
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Many carcinogens, mutagens, and
teratogens are dangerous at levels far below
their direct toxic effect because abnormal cell
growth exerts a form of biological
amplification.
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Acute versus Chronic Doses and Effects
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Acute Effects - Caused by a single exposure
and result in an immediate health problem.
Chronic Effects - Long-lasting. Can be result
of single large dose or repeated smaller
doses.
 Very difficult to assess specific health
effects due to other factors.
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RISK ASSESSMENT AND ACCEPTANCE
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Risk - Possibility of suffering harm or loss.
Risk Assessment - Scientific process of
estimating the threat that particular hazards
pose to human health.
 Risk Identification
 Dose Response Assessment
 Exposure Appraisal
 Risk Characterization
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Understanding Risks
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Factors influencing risk perception:
 Rating risks based on agendas.
 Most people have trouble with statistics.
 Personal experiences can be misleading.
 We have an exaggerated view of our
abilities to control our fate.
 News media sensationalizes rare events.
 Irrational fears lead to overestimation of
certain dangers.
- Fear of the unknown.
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Accepting Risks
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Most people will tolerate a higher probability
of occurrence of an event if the harm caused
by that event is low.
 Harm of greater severity is acceptable only
at low levels of frequency.
- EPA generally assumes 1 / 1 million is
acceptable risk for environmental
hazards.
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ESTABLISHING PUBLIC POLICY
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It is difficult to separate the effects of multiple
hazards and evaluate their risks accurately,
especially when exposures are near the
threshold of measurement and response.
 May not be reasonable to mandate
protection, no matter how small the risk,
from every potentially harmful contaminant
in our environment.
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Summary
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Environmental Health
 Infectious and Emergent Diseases
 Antibiotics and Pesticide Resistance
Toxicology
Movement, Distribution, and Fate of Toxins
Minimizing Toxic Effects
Measuring Toxicity
Risk Assessment
Establishing Public Policy
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