Chapter 3 - Environmental & Occupational Health & Illness Flashcards

1
Q

(3) fundamental components of environment

A

land

water

air

  • affect health directly & indirectly
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2
Q

Major environmental issues facing CDNs today include.. (9)

A
  1. climate change
  2. chemicals
  3. air pollution
  4. second-hand smoke
  5. medical pollution
  6. land pollution
  7. e-waste
  8. biodiversity
  9. food safety
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3
Q

Link between health & environmental issues = hard to substantiate

A

effects on health are unseen in short term & only evident in long-term in health of future generations

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4
Q

Health Risk of Environmental Issues in last Century

A

increased → estimated 60-90% of all cancers environmentally caused

  • diseases of major organ systems & reproductive problems
  • *50-70k chemicals in commercial use **(farming, manufact, forestry)
  • *1000 **new chemicals introduced every year → mostly untested

Ubiquitous & growing → affect whole world

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5
Q

Unequal distribution of health hazards

A

SES → poorer ppl in all countries - less likely to be ablee to move away from toxic waste dumps, drink bottled water & buy organic foods

US Study noted visible minorities more likely to live near uncontrolled waste site

poor/less-developed countries unequally subjected to damaging effects of env degredation b/c of lack of alternatives & money
- more likely to allow dumping of waste within borders for money

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6
Q

Climate Change

A

**global warming **

result of CO2 production by burning fossil fuels & methane produced (livestock)

Gases/air pollutants reflect sun energy back to earth causing warming

  • less snow cover - earth absorbs more heat

**direct & indirect effects **

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7
Q

Average Surface Temp of Globe Increase since end of 19th Century

Canada’s mean temp increase?

A

avg surface temp of globe has grown between 0.2 -0.6 % since end of 19C

Canada’s mean temp increased 1 degree (higher in North)

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8
Q

Environmental risks are ubiquitous

A

changes in one nation-states env. policies/procedures affect ecology of whole world

Snows of remote Antarctic contains residue of PCBs, DDT & lead emanated from industries in NA & former soviet union

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9
Q

Kyoto Protocol & Canada

A

Target was 6% less in 2012 than in 1990

  • opted out in December 2011

by 2008 → 24% above 1990 emissions

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10
Q

Poor, less-developed countries are unequally subjected to destructive effects of environment.

Why?

A

when they allow destruction of rain forest for agribusinesss (cattle ranching), provide timber for furniture, housing etc.

Lack alternatives & money → more likely to allow dumping of waste within borders in return for cash payments

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11
Q

Studies about Climate Change

A

US study showed increased rates of death & stroke at ~25 degrees

LA → during heat wave (41°) - peak mortality b/w 172-445% higher than at lower temps

2003 European Heat Wave - 35,000 deaths

1995 Chicago heat wave

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12
Q

Canada’s role in climate change = significant

A

2003740 mill tonnes of GHGs emitted

2007-2009 → dropped significantly to **690 megatonnes **

  • Env Canada (2011) attributes this to global recession & reduced use of coal

Rate of GHG production surpassed rate of popn growth

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13
Q

Chemicals & Health

A

WHO summarized research on health threats of chem that are part of everyday life

Lead → neurotoxic effects (children especially - hand/mouth contact)

MethylMerucury → from coal plant combustion - deposited into water → fish take it up

Pesticides → leading cause of poisoning in Canada

Benzene → live near busy road & 50% increasse in child leukemia

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14
Q

Air Pollution & Human Health

A

indoor & outdoor

1994 - 2004: ground-level ozone increased almost 1% per year

Study examined deaths in 11 CDN cities 1980-1991 - [ambient air pollutants] in body → N dioxide biggest effect on mortality (14% increased risk)

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15
Q

sick-building syndrome

A

extreme case of indoor pollution in which presence of air poll inside sealed building leads to variety of illnesses

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16
Q

Air Pollutants

A

Radon

Asbestos

Second-hand Smoke

Motor vehicle emissions

burning medical wastes

17
Q

Radon

A

Most seriously harmful indoor pollutant

odorless, tasteless gas formed during radioactive decay of uranium in earth’s crust

  • seeps through earth & into basements
  • greatly increases harmful effects on lungs of smokers
18
Q

Asbestos

A

often used in insulation (doesn’t conduct heat/electricity)

  • can break down into small fibers that can be inhaled
  • irritate lungs & related to lung cancer & mesothelioma (rare & mostly fatal cancer)
19
Q

Second-hand smoke

A

env & occupational issue

contains over 100 chemicals (carcinogens & toxins)

(2) sources:

1) sidestream
2) exhaled
- lung cancer, nasal sinus cancer, bronchitis, emphysema, asthma, hay feer, headaches, coughs, SIDS, underweight babies at birth

20
Q

Automobiles & Motor vehicles

A

2006 → 83% of households owned vehicle

40% had 2

12% had 3

Shift in type of vehicles used for personal transportation

→ from automobile to vans, SUVs, trucks (consume more & release more emissions)

21
Q

Burning of medical wastes

A

another serious & overlooked source of air pollution

avg NA hosp produces 9kg of solid waste per patient-day

  • many med. incinerators DO NOT meet standards
  • burn incompletely & emit toxins 10-100x higher than waste in munic. inc.
22
Q

PCPPs

A

pharmaceuticals & personal care products (PCPPs)

Although trace amounts, chemicals bad for your health

  • found in water supply

reappear in consumable water supply

Farm animals → pharmacueticals (hormones & antib)

Cemeteries → emitted after death

23
Q

Water Pollution & Human Health

A

Water, sanitation & hygiene responsible for 4% of all deaths globally

CDNs use more water per person than any country except USA

~1,500 m3 of water per person yearly (US – 1,870 m3)

Great Lakes → 1/5 of FW supply - over 1000 chemicals & metal pol.

  • overuse of water
  • oil spills, overfishing

West Coast (early 20C) - hydroelectric dam & salmon

24
Q

Land Pollution & Human Health

A

Canada = **importer of hazardous wastes for disposal **

Many hazardous waste disposal facilities closed b/c don’t meet stricter regulatory standards & others never opened bc of local opposition

→ ammonia, asbestos, chlorine, fuel oils, hydrogen peroxide, lead, mercury etc.

E-waste

25
E-waste
= all waste that comes from/is caused by electronics - contains **lead, mercury, arsenic, chromium →** all known/suspected causes of harm to human & wildlife health **140k tonnes dumped annually into land fills** Ontario: **2000 → 4** E-waste recycling companies **2004 → 14**
26
Biodiversity
threats to air/water/land ALSO have **effect on future of life on the planet ** → decline of biodiversity * impact not entirely known but interdependance of ecosystems imply extinction of some may indirectly lead to extinc. of other that serve to protect human life Rainforests comprise **7% of earth’s surface** but home to almost **50% of living species**
27
Food Safety
**Sept. 2006 -** CDNs warned - spinach - E.Coli outbreak **Oct. 2006 -** 2 Toronto ppl **paralyzed** - drank organic carrot juice injected with **botulism** Frequent outbreaks of FBDs → 2003 Mad Cow **2008 - Listeriosis** in packaged meat → **57 sick** & **23 dead** Organic foods - 71% of CDNS tried - beleive its healthier, no pesticiides, not gen, mod, prevent allergic rxns
28
Women, Work & Stress
hazards associated with where women work = less documented **clerical work**- sitting, poor lighting, ventilation, toxic emissions from computer terminals **retail & service work -**standing, bend, lift etc. (hairdressers- *chemicals used) *
29
Occupational stress sources?
recently recognized as sig problem associated with health problems sources of stress: **27% = **unreasonable deadlines **23% **= conflict with co-workers **22% = **unclear duties **22% = **not enough influence over job
30
Women - Jobs - compared to men
lower pay/power/independance/autonomy/control - last hired, first fired
31
Potential reproduction hazards focus on women problems?
banned from jobs entirely or during pregnancy/child-bearing years - such legislation discriminates against women & ignores repro danger to men
32
Shift Work - health implications
1/3 of employed CDNs work shifts - associated with **cardiov disease, hypertension, repro problems ** - disruption of **circadian rhythm **
33
Time-Loss WOrk Injuries in HC industry
major source of accidents/illness/death = HC industry **BC - 1995 - **HC had higher injury rate than prov avg 71% of claims from within HC industry - RNs = most vulnerable to acts of violence
34
Survey on 9,000 AB & BC nurses
**38%** reported hurtful remarks
35
Agricultural work
after mining & construction, **most health-threatening job** - high rates of **accidents** & **fatalities** & poor working conditions - **pesticides ** many workers = immigrants, temporary, illegal etc. * will take whatever job they can
36
Leading Causes of Death/Injury in Canada (3)
auto accidents - **45% ** unintentional falls - **32% ** homocide/intentional injury - **9%**
37