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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 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


Slide2 l.jpg

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)


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Objectives for Health Professions Workforce and Educational Reform project funded by the Health Resource and Service Administration (HRSA)

  • 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


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Environmental Impacts for Health Professions Workforce and Educational Reform project funded by the Health Resource and Service Administration (HRSA)on 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


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Health and the Environment Are Inextricably Linked for Health Professions Workforce and Educational Reform project funded by the Health Resource and Service Administration (HRSA)

  • Air quality

  • Water quality

  • Soil contamination


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Health Care Providers must be knowledgeable and active to for Health Professions Workforce and Educational Reform project funded by the Health Resource and Service Administration (HRSA)

  • 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


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Everything for Health Professions Workforce and Educational Reform project funded by the Health Resource and Service Administration (HRSA)Is 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


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Click for larger picture for Health Professions Workforce and Educational Reform project funded by the Health Resource and Service Administration (HRSA)


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Discussion Time for Health Professions Workforce and Educational Reform project funded by the Health Resource and Service Administration (HRSA)

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


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New Concerns for Health Professions Workforce and Educational Reform project funded by the Health Resource and Service Administration (HRSA)

  • 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)


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Everything Is Connected: The Case of Lead for Health Professions Workforce and Educational Reform project funded by the Health Resource and Service Administration (HRSA)

  • Naturally occurring

  • Used for centuries because of its malleablity and chemical properties

  • Found in air, water, soil and food

  • Has known health effects


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Everything Is Connected: The Case of Lead for Health Professions Workforce and Educational Reform project funded by the Health Resource and Service Administration (HRSA)

  • 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


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Challenges to Minimize Impacts on Health for Health Professions Workforce and Educational Reform project funded by the Health Resource and Service Administration (HRSA)

  • Challenges

    • Prevention

      • Education

      • Waste Minimization

      • Land Use Planning


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Environmental Protection to Minimize Impacts on Health for Health Professions Workforce and Educational Reform project funded by the Health Resource and Service Administration (HRSA)

  • Challenges

    • Prevention

    • Regulation for protection and control

      • Permitting based on environmental standards

      • Monitoring

      • Compliance and enforcement


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DISCUSSION for Health Professions Workforce and Educational Reform project funded by the Health Resource and Service Administration (HRSA)

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


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Your Role as Citizen and Health Care Provider for Health Professions Workforce and Educational Reform project funded by the Health Resource and Service Administration (HRSA)

  • 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


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Public Communication for Health Professions Workforce and Educational Reform project funded by the Health Resource and Service Administration (HRSA)

  • Risk

    • Magnitude X Probability

  • Perceived Hazard

  • Outrage

    Perceived Hazard + Outrage

    = Perceived Risk


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Decreases Outrage for Health Professions Workforce and Educational Reform project funded by the Health Resource and Service Administration (HRSA)

Voluntary

Natural

Familiar

Not memorable

Not dreaded

Chronic

Increases Outrage

Involuntary (Coerced)

Industrial (Artificial)

Exotic

Memorable

Dreaded

Catastrophic

Sandman’s Outrage Factors


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Decreases Outrage for Health Professions Workforce and Educational Reform project funded by the Health Resource and Service Administration (HRSA)

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


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Discuss the difference in challenge to public health when for Health Professions Workforce and Educational Reform project funded by the Health Resource and Service Administration (HRSA)

the threat is real, but not perceived

the outrage exists but has the wrong target

Discussion Time


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Resources for the Health Professional for Health Professions Workforce and Educational Reform project funded by the Health Resource and Service Administration (HRSA)

  • National Library of Medicine (NLM)

  • NLM toxicology data bases

  • CDC

  • EPA

  • Scorecard


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Summary for Health Professions Workforce and Educational Reform project funded by the Health Resource and Service Administration (HRSA)

  • 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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