Exam #3 Study Guide Flashcards

1
Q

What is the importance of Rachel Carson’s Book “Silent Spring?”

A

→ called attention to the harmful effects of pesticide DDT
→ launched the environmental movement that led to sweeping legislation in the 1970s, including the banning of DDT in the US in 1972

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2
Q

What are some reasons why health officials are concerned about BPA and phthalates?

A
  • BPA & phthalates are endocrine disruptors in human and wildlife, meaning they interfere with normal hormone action in the body
  • Both BPA & phthalates are components of plastics commonly used in food and drink containers, capable of leaching into the containers’ contents and being consumed
  • BPA & phthalates may be safe in low levels commonly found in humans, but there is evidence that they may be especially harmful to infants and developing fetuses
  • Traces of BPA and phthalates are found in the blood of almost everyone in the US
  • Concentrations of phthalates in the urine of adult American men are associated with increased waist circumference and insulin resistance, adding to evidence that exposure to phthalates may contribute to the prevalence of obesity and diabetes.
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3
Q

What are 3 barriers facing the advancement of the regulation of toxic chemicals in the US?

A
  • There are more than 80,000 chemicals registered for use, with about 2000 new ones introduced each year. That’s way too much to test for safety.
  • Toxicity testing on any single chemical can be expensive and time-consuming; the EPA has information suggesting that 10-15% of the new introduced chemicals each year need more extensive toxicological evaluation. The National Toxicology Program (NTP) can test only a few dozen agents each year, based on the extent of human exposure and/or suspicion of toxicity.
  • Each chemical must be regulated separately, each with potential for controversy, legal challenge, and extensive litigation over each proposed regulation.
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4
Q

What are the targets from the Millennium Development Goals to ensure environmental sustainability?

A
  • Target 9 : Integrate the principles of sustainable development into country policies and programs: reverse the loss of environmental resources
  • Target 10 : Reduce by half the proportion of people without sustainable access to safe drinking water
  • Increase proportion of the population with sustainable access to an improved water source and proportion of the population with access to improved sanitation
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5
Q

What is active transit?

A

Integrating physical activity into daily routines such as walking or biking to destinations such as work, grocery stores, or parks.
Active transportation policies and practices in community design, land use, and facility access have been proven effective to increase physical activity.

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6
Q

What are some reasons for supporting active transport?

A
  • Benefits of regular physical activity include: lower risk of developing heart disease, high blood pressure, and diabetes; cuts risk of falling and bone fractures; helps manage discomfort of arthritis; develops and maintains strong bones, muscles, and joints; improves mood and sense of well-being; helps control weight
  • Lack of physical activity, combined with poor diet, is the leading cause of preventable death and disease in the US. In order to make real, sustainable change in the overall health of the community and save healthcare dollars, we must increase opportunities for physical activity
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7
Q

What are the health consequences of climate change? (Understand the relationship between the diseases and mechanisms).

A
  • changes in air quality (increased mold, pollen, toxins, dust) → asthma, allergies
  • increased exposure to ultraviolet radiation (decrease in stratospheric ozone) → skin cancer, cataracts
  • high temperatures and poor air quality increase incidence of heart attacks and strokes
  • changes in temperature and precipitation can reduce crop yields → undernutrition → nutritional diseases
  • stress involved with extreme weather issues, internally displaced persons → mental health issues
  • increase vector-borne and zoonotic diseases, as well as waterborne diarrheal disease → infectious disease
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8
Q

What are the consequences of climate change on population growth?

A

• increase in violent conflicts
• climate change can lead to human migration (refugees, internally displaced persons)
→ the UNHCR says that more people are refugees or internally displaced today more than at any time since 1994, and 81% of the world’s refugees are hosted in impoverished developing nations. The #1 reason is war (which can be tied to climate change), but natural hazards are also cited as a reason for being a refugee.

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9
Q

What are the regional effect of climate change in the Northeast?

A
  • heat waves
  • heavy downpours
  • sea level rise
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10
Q

What are some factors limiting the carrying capacity of the Earth?

A
  • availability of fresh water
  • availability of fuel
  • the amount and productivity of arable land
  • the amount and disposition of wastes
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11
Q

How does the production of livestock affect water issues?

A
  • agriculture is the largest global user of water, with 60-80% of all global water withdrawals used to grow crops
  • livestock is the largest human land use, accounting for 70% of all agricultural land
  • 1/3 of total arable land is used to produce animal feed
  • In the US, 74% of agricultural land is used to grow eight commodity crops; therefore the US is using someone else’s land to raise livestock, meaning we are using someone else’s water to produce our food. We import that virtual water in the form of beef, pork, and other meats.
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12
Q

What is the easiest way to positively influence the water crisis?

A

Reduce your consumption of red meat.

→ if we lower the demand for red meat, we improve water.

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13
Q

What is the relationship between water issues and population growth?

A
  • growth in population is the single largest factor in the status of water. We have the same amount of water now that we have ever had, but more people are using water, demanding more consumer goods, more food, more everything.
  • when you have a growing population, you have more people doing more things that affect water. In general, the poorest countries lack the infrastructure to deliver safe drinking water to its population. But people have to have water. For everything. When there is no basic infrastructure for supplying water, the task of getting water generally falls to women and girls, who often walk miles to get it. When girls spend time getting water, they don’t go to school. Lack of education, and other forms of gender inequity, drive higher birth rates. So, educating girls means lower birth rates, which slows population growth and the demand for water.
  • as we add more people, they need something to do. They need to make a living. More and more people are moving to cities, which means cities are developing, getting bigger. When you develop cities, you put down more pavement, which fundamentally changes how water interacts with the land. In a purely natural landscape, half the water soaks into the ground and is stored there, and only 10% of the water runs off into lakes and rivers. As you develop and pave the land, more runs off. In a fully developed urban landscape, more than half the water runs off and maybe 15% soaks into the ground.
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14
Q

What is the “Buffer Law” and what is its purpose?

A

It establishes new perennial vegetation buffers of up to 50 feet along rivers, streams, and ditches that will help filter out phosphorus, nitrogen, and sediment. This will protect water resources from erosion and runoff pollution; studies show that buffers are critical to protecting and restoring water quality and healthy aquatic life, natural stream functions, and aquatic habitat due to its immediate proximity to the water.

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15
Q

What is virtual water?

A

It is the water used in the production of goods. When we sell commodities like grain, we are really selling water. If countries had enough water to grow their own food, they would.

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16
Q

What is de-institutionalization?

A

It is the formal movement to move people out of asylums.

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17
Q

How has de-institutionalization negatively impacted our society?

A

Many end up homeless or institutionalized through formal systems (jails, prisons, state-run hospitals) when treatment is not effective and they do not have a good support system.

18
Q

Which group of illnesses is responsible for the majority of disability in developed countries?

A

Mental illnesses, namely anxiety and mood disorders, account for more disability in developed countries than any other group of illness.

19
Q

What did Dr. Lando experience in the Roseham study?

A

• ninth pseudo-patient
• complained of hearing voices saying “empty,” “hollow,” and “thud”
→ diagnosed chronic undifferentiated schizophrenic
• remained in hospital for 19 days
• positive experience
→ excellent hospital facilities
→ ward was never locked
→ nobody wore uniforms
→ staff-patient ratio was 1:1
→ non-directive milieu-type approach therapy
→ special provisions given to patients who were considered severely disturbed
→ never depersonalized
→ treated as an intelligent person
→ staff listened to his suggestions and allowed him considerable freedom in organizing group activities

20
Q

How were the other pseudo-patients in the Rosenham study treated?

A

• most experiences were overwhelmingly negative
→ depersonalized
→ powerless
→ sensed that they were invisible
→ experienced the hierarchical structure of a psychiatric hospital
→ staff shortages
→ heavy reliance on psychotropic drugs

21
Q

What is the most commonly diagnosed behavior disorder in US children?

A

ADHD

22
Q

What is the most prevalent mental disorder in US adults?

A

Anxiety disorders, which has a lifetime prevalence of 29%

23
Q

Excluding simply an individual’s caloric intake, what other factors influence obesity?

A
  • family history/genes
  • family lifestyle
  • inactivity
  • unhealthy diet/eating habits
  • tobacco/alcohol use
  • stress
  • lack of sleep
  • various environmental aspects
24
Q

What is the double burden of disease?

A

Many low and middle income countries are facing a “double burden” of disease (infectious disease and malnutrition as well as obesity and overweight)

25
Q

What percentage of children are obese?

A

In the US, ~16% of children are obese

26
Q

What percentage of children are overweight or obese?

A

In the US, ~33% of children are obese or overweight

27
Q

What is the relationship between sleep loss and obesity?

A
  • sleep loss → tiredness → reduced activity → obesity
  • sleep loss → low leptin, high ghrelin, other hormones → hunger, food selection, energy expenditure → obesity
  • sleep loss → opportunity to eat → increased energy dense food intake → obesity
28
Q

What strategies have been used in the United States to reduce air pollution?

A

The Clean Air Act identified particulate matter, sulfur dioxide, carbon monoxide, nitrogen oxides, ozone, and lead as air pollutants.
• Motor vehicles
→ limiting tailpipe emissions by mandating changes both in automobile engineering and fuel
→ use of catalytic converters
→ ban on leaded gasoline
→ use of less polluting alternative fuels (ethanol, reformulated gasoline)
→ “zero-emission” vehicles (hybrid cars)
• Industrial sources of pollution
→ installation of scrubbers on smokestacks
→ move to less-polluting fuels
→ creation of pollution allowances that allows pollution to be bought and sold
→ “New Source Review” requiring upgraded plants to be brought into compliance with new standards
→ “Right to Know” Act required businesses to report the locations and quantities of chemicals stored at their sites; communities became alarmed and pressured industries to cut back on emissions

29
Q

What is volume reduction and what are some examples of it?

A

Reducing the volume of garbage sitting in landfills.
• REDUCE, REUSE, AND RECYCLE
→ buy only what you need
→ choose items without excessive packaging
→ use reusable dinnerware
→ refundable deposits on bottles and cans
→ minimum percentage of recycled fibers for newspapers
• Composting ( food waste → mulch → gardening/fertilizer )
• Waste-to-energy incineration

30
Q

What are the roles and characteristics of a Community Health Worker?

A

They are FRONTLINE PUBLIC HEALTH WORKERS who are TRUSTED MEMBERS of and/or HAVE AN UNUSUALLY CLOSE UNDERSTANDING OF THE COMMUNITY SERVED. This trusting relationship enables the worker to SERVE AS A LIAISON/LINK/INTERMEDIARY BETWEEN HEALTH/SOCIAL SERVICES AND THE COMMUNITY TO FACILITATE ACCESS TO SERVICES AND IMPROVE THE QUALITY AND CULTURAL COMPETENCE OF SERVICE DELIVERY.
They also BUILD INDIVIDUAL AND COMMUNITY CAPACITY BY INCREASING HEALTH KNOWLEDGE AND SELF-SUFFICIENCY THROUGH A RANGE OF ACTIVITIES SUCH AS OUTREACH, COMMUNITY EDUCATION, INFORMAL COUNSELING, SOCIAL SUPPORT, AND ADVOCACY

31
Q

What are some interventions that address obesity on an institutional, school, or community level?

A
  • DC bikes for second graders
  • UMN Employee Wellness
  • Sit-stand desks
  • Walking meetings
  • Break during workday for exercise
  • Food access
  • Changing rooms/showers
  • UMN SNAC-College Cooking 101
32
Q

Compare rates of gun violence between homicides and suicides

A
  • Gun violence accounts for 2/3 of homicides
  • Gun violence accounts for over 50% of suicides
  • There are 11,000 gun-based homicides annually, compared with 19,000 gun-based suicides annually.
33
Q

What is the relationship between Congress and gun violence research?

A
  • Congress restricts funding for the research of police brutality, mass shootings, and other forms of gun violence.
  • There is a law preventing the CDC from doing research on gun violence, which was lobbied for by the NRA who did not want the CDC to advocate for gun bans.
34
Q

What are the principles of the healthy youth development paradigm?

A
  • strengths-based
  • protective factors
  • resilient
  • educational and restorative
  • culturally aware
  • responsibility and self-efficacy
  • connectedness
35
Q

What are the “5” C’s that you promote with teens?

A
  • connection
  • competence
  • caring
  • character
  • confidence
36
Q

What are the cognitive skills that develop during adolescence?

A
  • advanced reasoning skills (thinking about multiple options, hypotheticals, following logical thought processes)
  • abstract thinking (faith, love)
  • meta-cognition (thinking about thinking)
37
Q

What are the regional effects of climate change in the Northwest?

A
  • reduced water supplies
  • sea level rise
  • increased wildfire
  • insect outbreaks
38
Q

What are the regional effects of climate change in the Southeast?

A
  • sea level rise
  • extreme heat
  • decreased water availability
39
Q

What are the regional effects of climate change in the Southwest?

A
  • increased heat
  • drought
  • insect outbreaks
  • increased wildfires
  • declining water supplies
40
Q

What are the regional effects of climate change in the Midwest?

A
  • extreme heat
  • heavy downpours
  • floods