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Environmental Impacts On Health PowerPoint PPT Presentation


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Environmental Impacts On Health. Dorothy Cumbey, Ph.D., RN Jerry Dell Gimarc, MA with the special help of Lill Mood, MPH, RN, Community Liaison, EQC South Carolina Department of Health and Environmental Control.

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Environmental Impacts On Health

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Environmental ImpactsOn Health

Dorothy Cumbey, Ph.D., RN

Jerry Dell Gimarc, MA

with the special help of

Lill Mood, MPH, RN,

Community Liaison, EQC

South Carolina Department of Health and Environmental Control


Developed as part of an Enhanced AHEC Community Partnership for Health Professions Workforce and Educational Reform project funded by the Health Resource and Service Administration (HRSA)


Objectives

  • Discuss environmental impacts on health

  • Describe the role of public health in responding to environmental threats

  • Identify your role as citizen and health care provider


Environmental Impactson Health

  • Much of our health improvement has come from clean water and pure air

  • Health and the environment are inextricably linked

  • New data are emerging that demonstrate this linkage


Health and the Environment Are Inextricably Linked

  • Air quality

  • Water quality

  • Soil contamination


Health Care Providers must be knowledgeable and active to

  • Relate to patient concerns

  • Communicate effectively about real concerns and fears

  • Be active as citizens in policy decisions that affect the environment

  • Understand how human health is affected


EverythingIs Connected to Everything

  • Air to water and soil

  • Water to air and soil

  • Soil to water and air

  • Soil and water to food

  • Waste has to go somewhere

  • Population pressures - especially in vulnerable areas like coast


Click for larger picture


Discussion Time

  • Identify at least 3 ways your community has been altered in recent times in a way that might affect health status


New Concerns

  • Growing number and complexity of chemicals in everyday life

  • No data on small doses of many chemicals over a long term or on vulnerable populations

  • Continuing data on health effects of small doses of some contaminants (lead)


Everything Is Connected: The Case of Lead

  • Naturally occurring

  • Used for centuries because of its malleablity and chemical properties

  • Found in air, water, soil and food

  • Has known health effects


Everything Is Connected: The Case of Lead

  • Children and other vulnerable populations are at particular risk

  • Removal of lead from gasoline has dramatically lowered children’s blood lead levels

  • Researchers are identifying impacts at smaller doses


Challenges to Minimize Impacts on Health

  • Challenges

    • Prevention

      • Education

      • Waste Minimization

      • Land Use Planning


Environmental Protection to Minimize Impacts on Health

  • Challenges

    • Prevention

    • Regulation for protection and control

      • Permitting based on environmental standards

      • Monitoring

      • Compliance and enforcement


DISCUSSION

  • Identify roles of health care providers as citizens and professionals in the community


Your Role as Citizen and Health Care Provider

  • Trusted source of information

  • Interpreter of scientific information

  • Spokesperson for citizen concerns

  • Data gatherer on community concerns

  • Leader in community mobilization

  • Evaluator of public policy with implications for health


Public Communication

  • Risk

    • Magnitude X Probability

  • Perceived Hazard

  • Outrage

    Perceived Hazard + Outrage

    = Perceived Risk


Decreases Outrage

Voluntary

Natural

Familiar

Not memorable

Not dreaded

Chronic

Increases Outrage

Involuntary (Coerced)

Industrial (Artificial)

Exotic

Memorable

Dreaded

Catastrophic

Sandman’s Outrage Factors


Decreases Outrage

Knowable (Detectable)

Individual controls

Fair

Morally irrelevant

Trustworthy sources

Responsive process

Increases Outrage

Unknowable (Undetectable)

Controlled by others

Unfair

Morally relevant

Untrustworthy sources

Unresponsive process

Sandman’s Outrage Factors


Discuss the difference in challenge to public health when

the threat is real, but not perceived

the outrage exists but has the wrong target

Discussion Time


Resources for the Health Professional

  • National Library of Medicine (NLM)

  • NLM toxicology data bases

  • CDC

  • EPA

  • Scorecard


Summary

  • The complex environment in which we live will continue to present threats to our health and we must continue to work as a community to minimize those threats


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