Presentation on theme: "Chapter 17 Environmental Hazards and Human Health"— Presentation transcript:
1Chapter 17 Environmental Hazards and Human Health
217-1 What Major Health Hazards Do We Face? Concept We face health hazards from biological, chemical, physical, and cultural factors, and from the lifestyle choices they make.
3Human Chemical Exposure We are exposed to numerous chemicals every day:environmental sources such as air and water pollutionpesticidescleaning productsfood additivesSome of these chemicals are threats to human health, but tracing exposures and determining what levels of risk they pose is a painstaking process.How do harmful substances enter the body, and how do they damage cells?In this chapter, we learn how dangers are assessed, what kind of regulations we use to reduce exposures, and how we manage associated human health risks.
4Science: Risk Assessment and Risk Management Figure 17.2: Science.Risk assessment and risk management are used to estimate the seriousness of various risks and how to reduce such risks. Question: What is an example of how you have applied this process in your daily living?Risk assessment and risk management are used to estimate the seriousness of various risks and how to reduce such risks. Question: What is an example of how you have applied this process today?Fig. 17-2, p. 437
5We Face Many Types of Hazards Biological:Pathogens are organisms that causes disease in other organisms.ChemicalPhysicalCulturalLifestyle choicesWrite down two examples of each.
617-2 What Types of Biological Hazards Do We Face? Concept The most serious biological hazards we fade are infectious diseases such as flu, AIDS, tuberculosis, diarrheal diseases, and malaria.
7Some Diseases Can Spread from One Person to Another, Others Cannot Infectious diseasePathogen invades the body and multipliesTransmissible diseaseContagious or communicable diseaseInfectious disease transmitted between peopleFlu, tuberculosis, measlesNontransmissible diseaseNot caused by living organismsHeart disease, most cancers, diabetesWhich of theseare communicable?HIVMalariaAsthmaEbolaFlu
8Vast Improvements…Since 1950, death from infectious diseases have declined due to:Better health careBetter sanitationAntibioticsVaccines
9However … Infectious Diseases Are Still Major Health Threats Infectious diseases spread through:AirWaterFoodBody fluidsEpidemics and pandemicsResistance of bacteria and insects to drugs and pesticides
10Science: Pathways for Infectious Diseases in Humans Figure 17.3: Science.There are a number of pathways on which infectious disease organisms can enter the human body. Question: Can you think of other pathways not shown here?Fig. 17-3, p. 439
12From the Centers for Disease Control and Prevention (CDC) (Current)
13What are the major causes of death from infectious diseases in the world? Figure 17.4: Global outlook: The World Health Organization estimates that each year, the world’s seven deadliest infectious diseases kill 11.3 million people—most of them poor people in less-developed countries (Concept 17-2). This averages about 31,000 mostly preventable deaths every day—roughly the same as wiping out everyone in the U.S. states of Massachusetts and Alabama or all the people in Delhi, India, each year. Question: How many people, on average, die prematurely from these diseases every hour? (Data from the World Health Organization, 2007)
14Major Causes of Death from Infectious Diseases in the World, 2007 Figure 17.4: Global outlook: The World Health Organization estimates that each year, the world’s seven deadliest infectious diseases kill 11.3 million people—most of them poor people in less-developed countries (Concept 17-2). This averages about 31,000 mostly preventable deaths every day—roughly the same as wiping out everyone in the U.S. states of Massachusetts and Alabama or all the people in Delhi, India, each year. Question: How many people, on average, die prematurely from these diseases every hour? (Data from the World Health Organization, 2007)Fig. 17-4, p. 439
15Current Event and W.H.O. Information Blitz Homework (About 2 nights worth):Readings for Harkness on Thursday, Ebola.Active reading establishes your base score.Prompt for discussion already written.Read Core Case Study, p. 436; Science Focus, p. 442Review Questions 2 and 3, p. 463Reading as appropriate
19Case Study: Malaria — The Spread of a Deadly Parasite (1) Caused by Plasmodium sp. carried by Anopheles mosquitoesTropical and subtropical regionsAfricaCentral and South AmericaSoutheast Asia
20Case Study: Malaria — The Spread of a Deadly Parasite (2) Malaria on the rise since 1970Drug resistant PlasmodiumInsecticide resistant mosquitoesClearing of tropical forestsAIDS patients particularly vulnerablePrevention of spread and current researchDDT effective against mosquitoes but banned in U.S.DDT (dichlorodiphenyltrichloroethane) is a colorless, crystalline, tasteless and almost odorless organochloride known for its insecticidal properties.
21Global Outlook: Distribution of Malaria Figure 17.6: Global outlook: About 40% of the world’s population lives in areas in which malaria is prevalent. Malaria kills at least 1 million people a year or about 2 people every minute. More than 80% of these victims live in sub-Saharan Africa and most of them are children younger than age 5. According to the WHO, every 45 seconds, a child in Africa dies of malaria. (Data from the World Health Organization and U.S. Centers for Disease Control and Prevention)Fig. 17-6, p. 444
24Science Focus: Genetic Resistance to Antibiotics Is Increasing (1) Bacteria: rapid reproduction, easily spreadOveruse of antibioticsOveruse of pesticidesWidespread use of pesticides or antibiotics eliminates the weaker individuals in a rapidly reproducing population.This causes an increase in the frequency of individuals in the population who have genetic resistance to pesticides or antibiotics because they are the ones left to rapidly reproduce.
25Case Study: The Growing Global Threat from Tuberculosis One in ten will become sick with TB1.8 million deaths each year, primarily in less-developed countriesWhy is tuberculosis on the rise?Not enough screening and control programsGenetic resistance to a majority of effective antibioticsPerson-to-person contact has increasedAIDS individuals are very susceptible to TB
26Lung Tissue Destroyed by Tuberculosis Figure 17.5: The colorized red areas in this chest X-ray show where TB bacteria have destroyed lung tissue.Fig. 17-5, p. 440
27Science Focus (p. 442) Ecological Medicine: How Humans Get Infectious Diseases from Animals Human practices that encourage the spread of diseases from animals to humansEmerging infectionsHIVEbola virusAvian fluHepatitis BLyme virus
28A Boy in Brazil’s Amazon Sleeps Under an Insecticide-Treated Mosquito Net Figure 17.7: This boy, who lives in Brazil’s Amazon Basin, is sleeping under an insecticide-treated mosquito net to reduce his risk of being bitten by malaria-carrying mosquitoes. Such nets cost about $5 each and can be donated through groups such asThis boy, who lives in Brazil’s Amazon Basin, is sleeping under an insecticide-treated mosquito netto reduce his risk of being bitten by malaria-carrying mosquitoes. Such nets cost about $5 each ancan be donated through groups such asFig. 17-7, p. 445
29We Can Reduce the Incidence of Infectious Diseases Good newsVaccinations on the riseOral rehydration therapyBad newsMore money needed for medical research in developing countries
30Solutions: Infectious Diseases Figure 17.8: There are a number of ways to prevent or reduce the incidence of infectious diseases, especially in less-developed countries. Question: Which three of these approaches do you think are the most important?Fig. 17-8, p. 445
3117-3 What Types of Chemical Hazards Do We Face? Concept There is growing concern about chemicals in the environment that can cause cancers and birth defects, and disrupt the human immune, nervous, and endocrine system.
32Some Chemicals Can Cause Cancers, Mutations, and Birth Defects Toxic chemicalsCarcinogensChemicals, types of radiation, or certain viruses the cause or promote cancerMutagensChemicals or radiation that cause mutations or increase their frequencyTeratogensChemicals that cause harm or birth defects to a fetus or embryo
33Top 5 Toxic Substances—Human and Environmental Health ArsenicLeadMercuryVinyl chlorideUsed to make PVC plasticsPolychlorinated biphenylsPCBs
34Case Study: PCBs Are Everywhere— A Legacy from the Past Polychlorinated Biphenyl (PCB)--Class of chlorine-containing compoundsVery stableNonflammableBreak down slowly in the environmentTravel long distances in the airFat solubleBioaccumulationBiomagnificationFood chains and websBanned, but found everywhere
35Case Study: PCBs Are Everywhere— A Legacy from the Past PCBs belong to a broad family of man-made organic chemicals known as chlorinated hydrocarbons. PCBs were domestically manufactured from 1929 until their manufacture was banned in 1979.PCBs were used in hundreds of industrial and commercial applications including electrical, heat transfer, and hydraulic equipment; as plasticizers in paints, plastics, and rubber products; in pigments, dyes, and carbonless copy paper; and many other industrial applications.
36PCBsOnce in the environment, PCBs do not readily break down and therefore may remain for long periods of time cycling between air, water, and soil. PCBs can be carried long distances and have been found in snow and sea water in areas far away from where they were released into the environment. As a consequence, PCBs are found all over the world.PCBs can accumulate in the leaves and above-ground parts of plants and food crops. They are also taken up into the bodies of small organisms and fish. As a result, people who ingest fish may be exposed to PCBs that have bioaccumulated in the fish they are ingesting.PCBs have been demonstrated to cause cancer, as well as a variety of other adverse health effects on the immune system, reproductive system, nervous system, and endocrine system.
37Potential Pathways on Which Toxic Chemicals Move Through the Environment Figure 17.9: PCBs and other persistent toxic chemicals can move through the living and nonliving environment on a number of pathways.PCBs and other persistent toxic chemicals can move through thliving and nonliving environment on a number of pathways.Fig. 17-9, p. 447
38Bioaccumulation and Biomagnification Bioaccumulation: Organisms that consume toxic materials that do not break down will eventually excrete or store these chemicals in their fatty tissues (fat soluble) over time; organisms can have a build up of toxins/chemicals.Biomagnification: The increased concentration of toxins in the tissues of organisms that are in higher levels of the food web/chain.Example: DDT (dichlorodiphenyltrichloroethane) is a colorless, crystalline, tasteless and almost odorless organochloride known for its insecticidal properties.Found in tissues of different organisms within an aquatic ecosystem:DDT in a water system ppmWater is consumed by algae, and the toxin is concentrated to 0.04 ppm.Algae are consumed by primary consumers—shrimp—and the toxin is concentrated to 0.16 ppm.Shrimp are consumed by Secondary Consumers, eels, and the toxin is concentrated to 0.28 ppm.Eels are consumed by the Tertiary Consumers, the ring-billed gull, and the toxin is concentrated to 75.5 ppm.
39Some Chemicals May Affect Our Immune and Nervous Systems Some natural and synthetic chemicals in the environment can weaken and harm:Immune systemNervous systemNeurotoxins: PCBs, arsenic, lead, some pesticidesEndocrine systemHormones
40Some Chemicals Affect the Human Endocrine System Glands that release hormones that regulate bodily systems and control sexual reproduction, growth, development, learning, behaviorHormonally active agents have similar shapes and bind to hormone receptors“Gender benders”Thyroid disruptorsBPA?Phthalates in plastics
41Science Focus: Mercury’s Toxic Effects (1) Hg: teratogen and potent neurotoxinOnce airborne, persistent and not degradable1/3 from natural sources2/3 from human activitiesEnters the food chain: biomagnificationHow are humans exposed?Inhalation: vaporized Hg or particulatesEating fish with high levels of methylmercuryUnder certain conditions in aquatic environments, bacteria can convert inorganic mercury compounds to highly toxic methylmercury, which can be biomagnified in food chains/ webs.3. Eating high-fructose corn syrup??
42Science Focus: Mercury’s Toxic Effects (2) Effects of Hg on humansDamage nervous system, kidneys, lungsHarm fetuses and cause birth defectsWho is most at risk?Pregnant women75% of exposure comes from eating fish
43Solutions: Mercury Pollution Figure 17.10: There are a number of ways to prevent or control inputs of mercury into the environment from human sources—mostly coal-burning power plants and incinerators. Question: Which four of these solutions do you think are the most important?Fig , p. 449
44Superfund ActComprehensive Environmental Response, Compensation & Liability Act (CERCLA): Otherwise known as the Superfund Act- calls for a rapid cleanup of abandoned dumpsites containing toxic waste.
45Video: Hazardous Chemicals in Urban Environments Habitable Planet
4617-4 How Can We Evaluate and Deal with Chemical Hazards? Concept 17-4A Scientists use live laboratory animals, case reports of poisonings, and epidemiological studies to estimate the toxicity of chemicals, but these methods have limitations.Concept 17-4B Many health scientists call for much greater emphasis on pollution prevention to reduce our exposure to potentially harmful chemicals.
47Many Factors Determine the Harmful Health Effects of a Chemical (1) ToxicologyToxicity dependent onDoseAgeGenetic makeupMultiple chemical sensitivity (MCS)SolubilityPersistenceBiomagnification
48Many Factors Determine the Harmful Health Effects of a Chemical (2) ResponseAcute effect: immediate or rapidChronic effect: permanent or long-lasting
49Science: Estimating Human Exposure to Chemicals and Measuring Their Effects Figure 17.12: Science.Estimating human exposure to chemicals and measuring the effects of that exposure are very difficult because of the many and often poorly understood variables involved. Question: Which of these factors, if any, might make you more vulnerable to the harmful effects of chemicals?Fig , p. 452
50Case Study: Protecting Children from Toxic Chemicals Analysis of umbilical cord blood: significanceInfants and children more susceptibleEat, drink water, and breathe more per unit of body weight than adultsPut their fingers in their mouthsLess well-developed immune systems and body detoxification processesFetal exposure may increase risk of autism, asthma, learning disorders
51Scientists Use Live Lab Animals and Nonanimal Tests to Estimate Toxicity (1) Mice and ratsSystems are similar to humansSmall, and reproduce rapidlyIs extrapolation to humans valid?Dose-response curve: median lethal dose (LD50)Nonthreshold dose-response modelThreshold dose-response model
52Scientists Use Live Lab Animals and Nonanimal Tests to Estimate Toxicity (2) More humane methods using animalsReplace animals with other modelsComputer simulationsTissue culture and individual animal cellsChicken egg membranesWhat are the effects of mixtures of potentially toxic chemicals?
53Hypothetical Dose-Response Curve Showing Determination of the LD50 (median lethal dose) Figure 17.13: Science.This hypothetical dose-response curve illustrates how scientists can estimate the LD50, the dosage of a specific chemical that kills 50% of the animals in a test group. Toxicologists use this method to compare the toxicities of different chemicals.* LD50 is the dose required to be lethal for 50% of the test population.Fig , p. 453
54Toxicity Ratings and Average Lethal Doses for Humans Table 17-1, p. 453
55Science: Two Types of Dose-Response Curves Figure 17.14: Science.Scientist use two types of dose-response curves to help them estimate the toxicity of various chemicals. The linear and nonlinear curves in the left graph apply if even the smallest dosage of a chemical has a harmful effect that increases with the dosage. The curve on the right applies if a harmful effect occurs only when the dosage exceeds a certain threshold level. Which model is better for measuring the effects of a specific harmful agent is uncertain and controversial because of the difficulty in estimating the responses to very low dosages.Fig , p. 454
56There Are Other Ways to Estimate the Harmful Effects of Chemicals Case reports and epidemiological studiesLimitations of epidemiological studiesToo few people testedLength of timeCan you link the result with the chemical?Cannot be used for new hazards
57Are Trace Levels of Toxic Chemicals Harmful? Insufficient data for most chemicalsWe are all exposed to toxic chemicalsAre the dangers increasing or are the tests just more sensitive?
58Some Potentially Harmful Chemicals Found in Most Homes Figure 17.15: A number of potentially harmful chemicals are found in many homes. Most people have traces of these chemicals in their blood and body tissues. We do not know the long-term effects of exposure to low levels of such chemicals. (Data from U.S. Environmental Protection Agency, Centers for Disease Control and Prevention, and New York State Department of Health) Questions: Does the fact that we do not know much about the long-term harmful effects of these chemicals make you more likely or less likely to minimize your exposure to them? Why?Fig , p. 455
59Why Do We Know So Little about the Harmful Effects of Chemicals? Severe limitations estimating toxicity levels and risksOnly 2% of 100,000 chemicals have been adequately tested99.5% of chemicals used in the United States are not supervised by government
60Pollution Prevention and the Precautionary Principle Those introducing a new chemical or new technology would have to follow new strategiesA new product is considered harmful until it can be proved to be safeExisting chemicals and technologies that appear to cause significant harm must be removed2000: global treaty to ban or phase out the dirty dozen persistent organic pollutants (POPs)2007 REACH program in the European Union
61Individuals Matter: Ray Turner and His Refrigerator 1974: Ozone layer being depleted by chlorofluorocarbons (CFCs)1992: International agreement to phase out CFCs and other ozone-destroying chemicalsRay Turner: citrus-based solvents to clean circuit boards
6217-5 How Do We Perceive Risks and How Can We Avoid the Worst of Them? Concept We can reduce the major risks we face by becoming informed, thinking critically about risks, and making careful choices.
63The Greatest Health Risks Come from Poverty, Gender, and Lifestyle Choices Risk analysisRisk assessmentRisk managementRisk communicationGreatest health risksPovertyGenderLifestyle choices
64Global Outlook: Number of Deaths per Year in the World from Various Causes Figure 17.16: Global outlook: Scientists have estimated the number of deaths per year in the world from various causes. Numbers in parentheses represent death tolls in terms of the number of fully loaded 200-passenger jet airplanes crashing every day of the year with no survivors. Because of the lack of media coverage of the largest annual causes of death and its sensational coverage of other causes of death, most people are misinformed and guided by irrational fears about the comparative levels of risk. Question: Which three of these items are most likely to shorten your life span? (Data from World Health Organization, 2007)Fig , p. 458
65Comparison of Risks People Face in Terms of Shorter Average Life Span Figure 17.17: Global outlook: This figure compares key risks that people can face, expressed in terms of an estimated shorter average life span (Concept 17-5). Excepting poverty and gender, the greatest risks people face come mostly from the lifestyle choices they make. These are merely generalized relative estimates. Individual responses to these risks differ because of factors such as genetic variation, family medical history, emotional makeup, stress, and social ties and support. Question: Which three of these factors are most likely to shorten your life span? (Data from Bernard L. Cohen)Fig , p. 459
66Case Study: Death from Smoking (1) Most preventable major cause of suffering and premature deathPremature death of 5.4 million per year globally and 442,000 in the United StatesCould be linked to increased dementia and Alzheimer’s diseaseNicotine: additiveEffects of passive smoking (secondhand smoke)
67Case Study: Death from Smoking (2) How to reduce smokingTaxesClassify and regulate nicotineBans on smoking in public placesEducation
68Normal Lung and Emphysema Lung Figure 17.18: There is a startling difference between normal human lungs (left) and the lungs of a person who died of emphysema (right). The major cause is prolonged smoking and exposure to air pollutants.Fig , p. 459
69Annual Deaths in the U.S. from Tobacco Use and Other Causes Figure 17.19: Smoking is by far the nation’s leading cause of preventable death, causing more premature deaths each year than all the other categories in this figure combined. (Data from U.S. National Center for Health Statistics, Centers for Disease Control and Prevention, and U.S. Surgeon General)Fig , p. 460
70Most People Do a Poor Job of Evaluating Risks FearDegree of controlWhether a risk is catastrophic or chronicOptimism biasWant instant gratification without thinking of future harm
71Several Principles Can Help Us to Evaluate and Reduce Risk Compare risksDetermine how much you are willing to acceptDetermine the actual risk involvedConcentrate on evaluating and carefully making important lifestyle choices
72Three Big IdeasWe face significant hazards from infectious diseases, malaria, and tuberculosis, and from exposure to chemicals that can cause cancers and birth defects, and disrupt the human immune, nervous, and endocrine systems.Because of the difficulty in evaluating the harm caused by exposure to chemicals, many health scientists call for much greater emphasis on pollution prevention.
73Three Big IdeasBecoming informed, thinking critically about risks, and making careful choices can reduce the major risks we face.