Environmental Health Flashcards
House
Physical structure we live in
Dwelling or physical shelter for living purposes
Healthy house
House that is sited, designed, built, Renovated, and maintained in ways that support the health of its residents
Housing environment
Physical structure used for shelter and it’s environment containing all necessary services , facilities, equipments, and devices required for for health of an individual or a family
Housing tenure
legal conditions under which people live in their dwellings
Room occupancy
Number of persons living in a single room
Household
Individuals who share a single dwelling unit and share common spaces
Why is having a healthy house important ?
Because people spend about 70% of their time in their houses
Tenants living in poor conditions can expose to health hazard like mold, air pollution, pests exposure etc..
Protection of most vulnerable population as they are more fragile ( children, elderly, immune compromised )
Prevent apparition of diseases and injuries so that there’s no high cost for health
Reduce chances of deaths due to home injuries and fires etc.
Types of houses in Ghana
Rooms in compounds Rooms Separate house Flats and apartments Semi detached houses Huts Buildings Tents Improvised housing like
principles of healthy housing
Satisfaction of physiological needs
Protection against infections
Types of physiological needs to satisfy to have a healthy house
Adequate ventilation
Sleep
Lighting
Temperature regulation.
What is considered adequate ventilation
At least 2 windows with one opened to an open space
20% of floor areas should be windows
40% of floor area should be doors and windows
How to ensure good sleep
Separate room
No disturbance and pollution
What is good Lighting
Enough Sun and artificial lights
How to have good Temperature regulation
Should protect from outside weather
How to protect against infections in a house
Safe water supply - protected water source , safe storage and use
Safe human waste management - proper latrines use and presence
Safe solid waste management - waste storage and disposal arrangement
Safe liquid waste management - liquid waste disposal facilities
Good personal hygiene - handwashing facilities
Food safety - hygienic kitchen, proper storage
Vector control - good cleaning, separate animal shed
How to protect against injury in a house
Trip and falls - avoid slippery floor, avoid high or low steps
Collapse of buildings - ensure good structure of roof and walls
Burns - good electrical wire, no improper fuel
Chemical poisoning - good handling and storage of drugs and chemicals
Lack of air breathing - separate kitchen with hood or vents
Electric shock - good installation, no rats to eat wires
How can a house protect against psychological and social stress
Presence of school for children
Presence of water
Presence of places of worship
Presence of places of recreation
Humanitarians assistance and shelter for displaced persons
Diseases associated with substandard housing
Crowding cause PTB , Meningococcal disease, gastroenteritis ,home injury, social tension
Cold indoor causes highBP, Asthma, poor mental health
Poor hygiene causes diarrheal diseases
Factors that affect quality of housing
Poverty Éducation Climate Culture Population mobility
Location guidelines for model housing
Elevated site to prevent flooding
Avoid site of potential natural disaster
Avoid site with unprotected hazard
Site with access to Main Street
Subsoil water at least 3m below
Site away from nuisance, excessive noise breeding sites
Setback definition
Open space around house which allows light and ventilation
Setback guidelines for model housing
Built up area should be 1/3 of overall area in rural and 2/3 in urban
Floor guidelines in model housing
Imperméable
Smooth
Not prone to cracks
Kitchen guidelines for model housing
Separate room
Vented
Impervious floor
Separate storage space for food and provisios’
Latrines guidelines for model housing
Improved facility
Provision for handwashing
Bathrooms and laundry guidelines for model housing
Privacy
Exclusive to the dwelling
Region of Africa where decrease in slums is the most remarkable
West Africa
Slums definition
Dwelling with lack of at least one of these :
Infrastructural integrity
Sufficient living space with no more than 3 persons in a room
Easy access to safe water
Accès to adequate sanitation
Security of tenure with no forced evictions
Benefits of improved housing conditions
Save lives Reduce disease Increased quality of life Reduce poverty Help mitigate climate change Health and sustainable cities
Housing sector percentage in global greenhouse gas emissions
19%
Housing sector percentage in black carbon emissions
1/3
Pollutant types in kitchen
Nitrogen oxides ( respiratory irritants )
Particulate matter, carbon monoxide ( respiratory disorders, lung cancer )
Bathroom indoor air pollution
Mold, Bacteria ( allergies , asthma, respiratory disorders)
Utilities room indoor air pollution
Animal dander from pets ( allergies )
Living room air pollution
Tobacco smoke ( lung cancer )
Furniture chemicals ( respiratory problems )
VOCs , formaldehyde ( mucosal irritant )
Bedroom air pollution
Dust mite
Bed bugs
Pet hais
Insect debris
All cause allergies
Bathroom air pollution
Mildew
Cleaning chemicals
Asthma , exacerbations, cough, wheeze, dyspnoea
The 4Hs determinants of health
Hereditary
habitats
habits
health systems
All the parts scope of environmental health
Ecosystem ecology housing water foods meat hygiene waste solids and liquids pests and vector control
Ecology or ecosystem definition
Community of living things and the environment in which they live
Human ecology defintion
Interaction of humans with the physical environments
Physical environment types
Land water air weather plants animals
Social cultural environment types
Beliefs
practices
norms and values
religion
Challenges of rural environment
Soil depletionn Bush burning continuous cropping Deforestation oil spillage river pollution
Urban environment challenges
No planning in expansion of Cities Noise pollution industrial pollution overcrowding poor refuse and sewage disposal  Indiscriminates location of industries fuel stations
Classes of host
Definitive hosts intermediates hosts paratenic hosts natural hosts accidental host Reservoir host
Definitive host
Harbor parasites while it reproduces sexually
Intermediate host
Harbor parasites during some developmental
Paratenic host
Harbor parasites without showing any developments of parasites
Natural host
Naturally infected with certain species of parasites
Accidental host
Host which is usually not infected with a particular
Reservoir host
Infected animals that make Thursday it’s available for transmission to other hist
Classification of parasites based on location in the host
Ectoparasites (ticks, flies, lice …)
endoparasites (protozoans, worms ..)
Classification of parasites based on level of dependence on the host
Obligates ( Must spend some of the lifecycle in host)
accidental (When parasite attack unusual host)
aberrant (reaches site in hosts where he cannot leave or develop further)
facultative ( I free living normally but kind of thing nutrients from the host)
Types of biological relationships
Symbiosis ( Live in close association)
commensalism ( One organism benefits and the other unaffected)
parasitism ( An organism benefits at the cost of the other)
Mutualism (Both partners benefits)
opportunism (Harm host in state of immune depression)
Some causes of food insecurity
Low technology poor funding noexposure to current knowledge politicization of fertilizer distribution food distribution challenge food storage challenges
Some consequences of food insecurity
malnutrition
weak immune system
morbidity
Factors Contributing in morbidity and mortality in
Communicable disease non-communicable disease STI’s HIV / aids water borne disease avoidable deaths
Factors affecting environmental decay
frustration
poverty
ignorance
cultural beliefs and practices
imbalance between population size and resources
lack of political will to implement environmental laws
Some recommendation to obtain ecological homeostasis
Policies that are formulated by experts, that are people oriented , feasible , backed by political will and legislation , draw from needs assessment
Mass education 
Moderate fertility
migration only when necessary
appropriate hygiene practices
increase in food production
environment friendly and sensitive
sanctions and rewards of application of environmental laws 
attitudinal and behavioral change
preparedness response and recovery of the governments and the citizens
How many deaths can be avoided by making environment healthier
13 million deaths
Proportion of disease burden caused by environmental factors for children below five years
1/3
Developing countries main environmentally- caused disease
Diarrhea
lower respiratory tract infections
malaria
unintentional injuries
Public health definition
Science and art of preventing disease prolonging health through organized effort and informed choices of society organizations public and private communities and individuals
Environment definition
Living in nonliving things that make up our surroundings
Health definition
State of complete physical mental social well-being of an individual and he’s not necessarily the absence of this is
Disease definition
Illness resulting from infection
Infection definition
Entry multiplication and survival of an organism within a host regardless of whether symptoms develop
Hazard definition
Event or situation which has the potential for causing harm to people property or environments
Risk definition
Measure of undesirable events in terms of the likelihood of its occurrence
Sustainable development definition
Developments that meets the needs of the present without compromising ability of future generations to meet their own needs
Environmental health definition
Branch of public health which protects against effects of environmental hazards that can affect health or the ecological balance essential to human health and the environmental quality
Physical hazard
Physical elements from natural or man-made activity which insurance health by damaging effects on sale tissues organs and homeostatic systems or on mental or social well-being
Biological hazards
Biological elements which are from natural or man-made origin which was direct risk to human health through ingestion inhalation inoculation or physical contact
Social hazards
Behaviors associated with human life that are a consequence of settlement in communities and habitation and Influence health and well-being
Psychological hazards
Attitudes and mental processes that have an adverse effects on healthy person or community
Operational skills of environmental health practitioners
Assess consult advise enforce Train / educates advocates evaluates Research report
What are the different landmarks in the evolution of environmental Health
Hunting and gathering age
age of agriculture
colonization of the New World
Industrial revolution
What was the challenge for environmental health in the hunting and gathering age
Humans settled in Africa and Americas and Europe in small groups and relied on hunting specific species of animals which caused some damage to the nature but was limited because the groups of humans were small so small pressure on resources
What event created to switch from hunting and gathering to agriculture
Global population had reached maximum that could be supported by gathering in hunting so it was difficult to get food
What are the Environmental healthchallenges of the age of agriculture
Depletion of nutrients in the land
depletion of water holding capacity
bareness of the soil
animals could not lived anymore in certain places
disruption of nutrient recycling
usage of fertilizers
irrigation techniques which altered content of the soil
What are the Environmentalhealth challenges of colonization each
Settlers used lands for habitation
used animal for food
amount of population went beyond capacity of land
created cities which were against the way of life of natives
brought disease
Environmental health challenges in the industrial revolution
Consumption of raw materials for steam engine and railroads etc.
more wood usage for houses furniture etc.
Expanded markets of wheat corn beef
more productive and efficient agriculture reducing biological diversity
mining activities leading to pollution of the land and water
deforestation
oil discovery leading to pollution
garbage accumulation
consummation of more natural resources
damage to the ecosystem from pesticides
Several environmental issues in the early industrial age
Inadequate water supplies
Unemptied privy vaults
Ill functionning sewers
Unpaved streets littered
stench
noise from horse hooves ,wagon ,wheels ,and railways
regular outbreaks of cholera ,yellow fever
Air pollution water pollution land pollution
What’s Charles Turner thackrah outcry created
The factory act 1833 and mines acts 1842 in UK
Where was occupational health pioneered and by who
In the US by Alice halmiton She documented links between Taxi Gh and exposure and illness in working groups
Who became a pioneer of demography by analyzing the bills of mortality the weekly death records in London
John Graunt
Who showed that Environmental conditions contributed to illness and death
William farr Which led to the passing of the Liverpool sanitary act in 1846
Who pioneered social epidemiology mixed with environmental health
Edwin Chadwick after showing that there is a link between living conditions and health which led to public health act in 1848
Who pioneered the first environmental epidemiological study
Jon Snow for cholera outbreak by observing her proportion of illness among persons we lived near or drink from a Broad Street pump compared to other sources of water
What is the epidemiological triad
Host human
agent
environment
What are the components of the environment
Physical environment
the biological environment
the psycho social environment
Environmental risk factors for disease
Pollution microbes food contaminants weather conditions natural disasters pesticides chemicals Pests,parasites radiation poverty lack of access to healthcare
Are healthy people more productive
Yes
How is life expectancy at birth and economy growth linked
For every 10% increase in life expectancy at birth there’s 0.4% economic growth per
What are the key determinants of health in Africa
Food and nutrition
physical environment
risk factors because of lifestyle
What are the components of the total disease burden in Africa
2/3 communicable disease
1/3 noncommunicable disease, injury
Malaria mortality evolution in Africa
Decreased by 50%
Maternal mortality rate evolution in Africa
Declined by 41%
Under five mortality rate evolution in Africa
Declines from 173 to 95 per thousand
Millennials development goals directly relevant to environmental health
Goal7: ensure environmental sustainability
What are some development gaps in Africa
Access to improve drinking water 64%
access to improved toilets 33%
How many AFRICAN countries were on tract to meet MDG targets
4
According to the Libreville declaration of health what are some major challenges in Africa
Safe drinking water sanitation and hygiene services water soil and air pollution vector control chemicals and waste management food safety health in the workplace
What are some factors contributing to poor health environments in Africa
Climate change
unplanned urbanization
Uncontrolled rapid population growth
urban migration
What are the consequences to public systems of poor environment
Pressure on health systems due to illnesses and cancers
pressure on public utilities due to increased population and unplanned settlements
pressure on public authorities to maintain environmental sanitation education and prevention
What are some consequences of poor environments to human health
Physical ( aesthetics ;odors, noise)
biological (microbial burden , rodents, pest, illnesses, cancers)
social (stigma of minority groups ,conflict ,antisocial behavior
psychological (depression and anxiety)
Is it better to have water sources located upstream of human activity to limit contamination ?
Yes
How much does a person should drink per day
2L per day