Env Health Ch 8, 11, 13, 15 Flashcards

1
Q

What are the health effects of NO2?

A

NO2 exposure is associated with eye, nose, and throat irritation, and short-term decreases in lung function. But, NO2 is a precursor to ozone and PM, so it is hard to separate the effects of NO2 from the effects of other pollutants.

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2
Q

Define TDM.

A

Transportation Demand Management = strategies to reduce traffic congestion, such as:

  1. Ride-sharing incentives.
  2. HOV lanes.
  3. Promotion of telecommuting.
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3
Q

Describe NAAQS.

A

National Ambient Air Quality Standards. Under the Clean Air Act, the EPA has set NAAQS for 6 major pollutants. The standards include primary standards (designed to protect human health) and secondary standards (designed to protect public welfare, such as soil, water, crops, livestock, transportation, visibility, etc).

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4
Q

Define cumulative exposure.

A

This is defined as aggregate exposure to a series of compounds that affect health through similar mechanisms.

Example = organophosphates (all grouped together, because they have the same mechanism of toxicity).

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5
Q

What are the health effects of PM?

A

Increased hospital and ER visits, respiratory symptoms, decline in lung function, exacerbation of chronic respiratory and cardiovascular diseases, and premature death.

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6
Q

Explain direct reading devices vs sample collection devices.

A

Direct reading devices provide real-time measurements of the exposure of interest.

Sample collection devices store or trap samples for later analysis.

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7
Q

Name the 4 stages of urban development, and the diseases associated with each stage.

A
  1. Poverty (infectious diseases).
  2. Industrial (respiratory problems).
  3. High-consumption (obesity and heart disease).
  4. Healthy eco-city (maximum health potential).
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8
Q

Define PM10 and Coarse PM.

A

PM10 = particles with an aerodynamic diameter of 10 µm or less.

Coarse PM = particles with an aerodynamic diameter between 2.5 µm and 10 µm.

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9
Q

Describe how NO2 is absorbed into the body.

A

NO2 is nearly insoluble in water, so it easily reaches the lower respiratory tract.

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10
Q

Describe patch sampling.

A

It is a direct assessment technique, in which an absorbent patch of material is placed on someone’s skin or outer clothing. The subject then goes about their work. Then, the patch is collected and analyzed. The amount of contaminant collected is calculated, and extrapolated to the whole body, based on how much skin area the patch covered.

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11
Q

Name 4 examples of naturally-occurring air pollutants.

A
  1. VOCs from vegetation
  2. Pollen
  3. Volcanic gases
  4. Dust from deserts
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12
Q

What are the health effects of SO2?

A

SO2 exposure is associated with reduced lung function, bronchoconstriction, hospitalizations, and more. But, SO2 is a precursor to PM and usually exists as a complex mixture of pollutants, so it is hard to attribute these effects specifically to SO2.

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13
Q

Explain how water-soluble vs water-insoluble gaseous pollutants penetrate the respiratory system. Name an example of each.

A

Water-soluble gases are largely removed by the upper airway (example = SO2).

Water-insoluble gases penetrate deeper into the lungs (example = ozone).

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14
Q

Describe the fluorescent tracer method.

A

It is used in pesticide sampling. A nontoxic fluorescent tracer is added to the pesticide spray mix. Then, the worker goes about their work. Later, the worker is video-imaged under UV light. This helps visualize where the worker was exposed to the pesticide.

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15
Q

Explain what photochemical smog is, and how it is formed.

A

When VOCs react with NOx in the presence of sunlight, tropospheric ozone is formed. The resulting mixture is called photochemical smog.

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16
Q

Describe criteria pollutants. Name all of them.

A

They are a group of key outdoor air pollutants defined by the Clean Air Act. The EPA sets standards for these pollutants. They are: CO, lead, NO2, ozone, particulates, and SO2.

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17
Q

What is the name given to areas that fail to meet the national air quality standards?

Explain how this can be fixed. In other words, who is normally responsible for maintaining air quality?

A

Nonattainment areas.

States have a major role in achieving acceptable air quality. They develop state implementation plans (SIPs), which may limit emissions from power plants, factories, and mobile sources. If the EPA does not approve of a SIP, the federal government may withhold highway funding.

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18
Q

Define temperature inversion. How does it affect air quality?

A

Temperature inversion = when there is a layer of warm air above a layer of cooler air at the earth’s surface.

This causes air pollutants to be trapped near the ground.

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19
Q

Define dose.

A

Dose refers to the mass of contaminant that crosses the tissue barrier and enters the body.

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20
Q

Explain the temporal and spatial variation in ozone levels.

A

[O3] is higher in summer.

Ozone problems tend to be regional, not localized.

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21
Q

What are the 2 “types” of ozone?

A
  1. Stratospheric ozone (forms the ozone layer that protects us from UV rays).
  2. Tropospheric ozone (ground-level ozone, a harmful pollutant).
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22
Q

Define job-exposure matrix.

A

It is a method used to estimate indirect exposure to a contaminant.

It is a carefully-constructed table, which assigns each worker to an exposure level, based on his job assignment and work zone location.

It is usually the only way to assess exposures in a retrospective study.

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23
Q

Define potential dose.

A

The potential dose is what the dose would be, assuming that all the material crosses the tissue boundary and enters the body.

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24
Q

How are sulfur oxides formed? What is the main source of SO2 emissions?

A

They are formed from the combustion of sulfur-containing fuels and materials, such as coal and metal ores.

Main source of SO2 emissions = Power plants.

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25
Q

Explain active sampling.

A

Active sampling devices draw air through an absorbing medium, using an electric pump.

Active sampling is highly versatile, sensitive, and specific to the contaminant of interest, due to the existence of specific lab methods such as mass spectrometry.

However, they are bulky and noisy, so are sometimes not suitable for personal sampling.

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26
Q

Define NOx-limited and VOC-limited.

A

Due to the complex chemistry of ozone formation, decreased emissions of either NOx or VOCs could change ozone levels.

For NOx-limited locations, reduction of NOx levels may be the best way to reduce ozone levels.

For VOC-limited locations, reduction of VOC levels may be the best way to reduce ozone levels.

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27
Q

Name 3 reasons why unequal societies may be more likely to pollute or degrade their environment.

A
  1. Power asymmetry - The wealthy accrue more of the economic benefits of polluting activities, both as producers (shareholders) and consumers (consumption increases with wealth). But, the wealthy are better able to avoid the effects of pollution.
  2. Inequality leads people to consume more, due to a desire to emulate the privileged.
  3. Inequality erodes social cohesion and trust. This increases competition and insecurity about the future, which in turn decreases investment in public services which would lessen environmental impact.
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28
Q

Describe brownfield redevelopment.

A

Brownfield = Land that was previously used for industrial or commercial purposes, which now has suspected or known pollution / contaminants.

Brownfield redevelopment = when this land is re-purposed and used again for something else.

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29
Q

What is the difference between primary and secondary pollutants? Name an example of each.

A

Primary pollutants are directly emitted from a source (example = CO2 from cars).

Secondary pollutants are formed in the atmosphere through physical and chemical conversion of precursors (example = ozone is formed when sunlight chemically converts other precursors into ozone).

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30
Q

How is mercury released into the environment?

A

Mercury is naturally found in fossil fuels, especially coal. When these are burned, mercury is released into the air.

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31
Q

Name 4 disadvantages of / problems with biomarkers.

A
  1. The timing can be tricky to understand (some biomarkers last a long time, others are gone within minutes).
  2. There are usually multiple metabolic pathways that influence biomarkers, and they may behave similarly for related compounds.
  3. Biomarkers integrate over all routes and pathways. This is good, but also bad because the route of exposure cannot be identified.
  4. Different people can metabolize contaminants at different rates.
32
Q

What are the primary causes of acid precipitation?

A

NOx and SOx.

33
Q

Name one way to overcome the limitations of biomarkers.

A

Use a panel of biomarkers (measure multiple markers at once).

34
Q

How are nitrogen oxides formed?

A

They are formed through combustion, when the nitrogen in the air becomes oxidized.

35
Q

Define PM.

A

PM = particulate matter (solid or liquid particles suspended in air).

36
Q

Describe stratified sampling.

A

This is when a population is divided into subgroups (strata), and each individual that is monitored represents a known number of individuals in the subgroup.

This is an efficient way to estimate exposures, when there is a large group of people with different exposure levels.

37
Q

Explain how SO2 emissions are regulated by the federal government.

A

Under the Clean Air Act, the EPA created a cap and trade system for SO2. This began in the 1990s.

38
Q

Define “windows of vulnerability”. Explain the effects that can occur.

A

This refers to the times during fetal development, childhood, and adolescence, when the human body is extra sensitive to chemical exposure.

Prenatal chemical exposure has been linked to adverse health effects, both at birth (low birth weight and birth defects) and later in life (cancer and cardiovascular disease).

39
Q

Describe the Global Warming Solutions Act.

A

This is a California law that passed in 2006. AKA Assembly Bill 32 (AB 32).

This requires that GHG emissions be reduced to 1990 levels by 2020, and to 80% below 1990 levels by 2050.

40
Q

Define biomarkers.

A

Biomarkers are used to assess an individual’s exposure to a contaminant. They are collected by sampling body fluids or tissues.

41
Q

Define exposome.

A

The totality of exposure events that affect a person.

42
Q

Describe universal design.

A

The designing of products and environments so they are usable by all people, to the greatest extent possible, without the need for adaptation or specialized design.

43
Q

Describe tape stripping.

A

A special tape is applied to the skin, and then stripped away. This removes a single layer of exposed skin cells. The tape is then analyzed. The amount of contaminant collected is calculated, and extrapolated to the whole body, based on how much skin area the tape covered.

44
Q

Define TSP.

A

Total Suspended Particles = refers to almost all particles suspended in the air. Typically, it is measured as particles up to about 45 µm in aerodynamic diameter.

45
Q

Explain how different exposure profiles may have different health effects, even with equivalent total exposures.

A

Some contaminants are easily cleared by the body at low exposure levels, but toxic at higher levels.

46
Q

Explain why environmental justice benefits everyone, not just the marginalized groups.

A

Social inequality is linked to greater environmental degradation, such as air pollution and water contamination (these issues affect everyone).

47
Q

Define environmental justice.

A

It is the principle that all people and all communities are entitled to equal protection of environmental and public health laws and regulations.

48
Q

Define HIA.

A

Health Impact Assessment. It is a method for assessing the health impacts of proposed policies and projects. It explicitly addresses socially excluded or vulnerable people.

It focuses on the health impacts of decisions made in non-health sectors, such as community design. It can make recommendations to increase positive and minimize negative health outcomes.

49
Q

Define VOCs.

A

Volatile organic compounds = they have a high vapor pressure, so they evaporate easily.

Examples: Benzene, chloroform, formaldehyde, isoprene, methanol, and monoterpenes.

50
Q

Define aggregate exposure.

A

This refers to the practice of simultaneously assessing all routes and exposure pathways (dermal, inhalation, etc) for a single compound.

51
Q

Describe the Clean Air Act.

A

Originally passed in 1963. Greatly expanded in 1970 (EPA was created this same year). It is the major piece of legislation that addresses air quality in the USA.

52
Q

Describe HAPs.

A

Hazardous Air Pollutants - established by the Clean Air Act Amendments of 1990. This regulatory category includes a number of VOCs, pesticides, herbicides, and radionuclides.

53
Q

Name 4 sources of PM.

A
  1. Burning of fuel
  2. Driving on unpaved roads
  3. Industrial activity
  4. Natural sources (pollen, dust, salt spray, etc)
54
Q

Define absorbed dose. How is it calculated? What are the units?

A

The absorbed dose is the amount of contaminant that actually enters the body.

Absorbed dose =

(Potential dose) x (Absorption factor)

The units are expressed in grams or micrograms (there is no time component)

55
Q

Define duplicate diet study. How does it work?

A

It is a direct approach to assessing ingestion exposure. Duplicate portions of the food eaten by test subjects are collected and analyzed for contaminant levels.

56
Q

Describe LEED.

A

Leadership in Energy and Environmental Design. This is a certification program managed by the US Green Building Council.

57
Q

Name 3 facts about lead toxicity.

A
  1. Children are more susceptible than adults.
  2. Most of the effects of lead toxicity are due to effects on the nervous system.
  3. There is no threshold for lead toxicity (health effects can occur at levels below US regulatory standards).
58
Q

Name 3 reasons why children are more susceptible to lead poisoning than adults are.

A
  1. They eat more dust and soil, which may be contaminated with lead.
  2. The blood-brain barrier in young children is not fully developed.
  3. Children absorb lead from their GI tracts more efficiently than adults do.
59
Q

Describe how ozone is absorbed into the body, and what effects it has.

A

Ozone is not very soluble in water, so it can reach the lower respiratory tract. It can break molecular bonds and rapidly damage tissue.

Short-term exposure causes temporarily decreased lung function, increased airway resistance, and increased coughing and wheezing.

Long-term exposure may cause chronic lung diseases.

60
Q

Explain passive sampling.

A

Passive sampling devices use diffusion to collect an air sample. They require an absorbing medium that removes the compound of interest from the air (by reaction or absorption at the surface of the medium). The concentration gradient formed causes the compound to absorb. The compound is then analyzed in a lab.

61
Q

Define absorption factor.

A

It is the percentage of a contaminant that actually crosses the tissue barrier and enters the body.

62
Q

Describe worst-case sampling.

A

This is when the highest-risk workers are selected for an exposure study, or when measuring is conducted during the time of highest exposure.

The assumption is that if these workers are not being overexposed, then no one else is, either.

63
Q

Define climate gap.

A

This refers to the disproportionate impact that climate change has on certain social groups.

Specific impacts: sea level rise, hurricanes, floods, heat waves, air pollution, and infectious diseases.

64
Q

What are the units that are used for expressing exposure?

A

(units of concentration) x (time)

65
Q

Explain the difference between urbanization and urbanism.

A

Urbanization = the dynamic process of growth and change in cities.

Urbanism = how urban residents interact with the built environment.

66
Q

Define exposure profile, and total exposure.

A

It is a graph of the concentration of a chemical present in someone’s breathing zone (or drinking water) over time.

Total exposure = the area under the curve.

67
Q

What are the health effects of VOCs?

A

Irritation of the respiratory tract, headaches, and carcinogenicity.

68
Q

Describe how SO2 is absorbed into the body.

A

SO2 is very water-soluble, so when inhaled, it is mostly absorbed by the mucous membranes of the upper airways. However, increased breathing rate and oral breathing can increase the dose delivered to the lung.

69
Q

Define aerosol.

A

Small, solid or liquid particles suspended in air.

70
Q

Name 3 advantages of biomarkers.

A
  1. They can prove that an individual has absorbed a compound into his body.
  2. They account for bioavailability (how readily a compound can cross the tissue barrier and enter the body).
  3. They integrate across all routes of exposure, so they are useful to assess aggregate exposure.
71
Q

How are VOCs formed?

A

They are formed from natural sources (vegetation), industrial processes, and motor vehicles.

In many places, biogenic sources contribute more to VOCs than anthropogenic sources do.

72
Q

Define MPOs.

A

Metropolitan Planning Organizations.

They are groups of local and state officials, who are responsible for planning the use of transportation funds in their metro areas.

73
Q

Define aerodynamic diameter.

A

It is defined as the diameter of the spherical particle with a density of 1000 kg/m3 and the same settling velocity as the particle you are measuring.

In other words, it allows you to compare particles that have irregular shapes and densities.

It is used to classify particulate matter. It can be used to predict where in the respiratory tract a particle will deposit (smaller particles penetrate more deeply).

74
Q

Name 3 things that determine the ability of a pollutant to penetrate the respiratory system.

A
  1. The physical form and chemical composition of the pollutant (example = solubility, if it is a gas).
  2. The concentration of the pollutant.
  3. The individual’s ventilation rate (breathing rate).
75
Q

How are people exposed to mercury?

A

Oral, inhalation, and dermal exposure.

Oral is the most common, through ingesting contaminated food (when airborne mercury is deposited in water and on farmland).

76
Q

How is CO formed?

A

By the incomplete combustion of carbon-containing molecules.

77
Q

Why are low-income communities particularly vulnerable to heat waves?

A

Because they often live in inner-city neighborhoods (heat islands).