HW315 Chapter 15: “Global Perspectives on Environmental Health” Flashcards

1
Q

What was the issue with mink reproduction in 1980 Japan?

A

No other animals in the area exhibited the same response as the mink did. PCBs from a heat transfer agent in transformers contaminated the great lakes. Salmon then stored it in their fat which was largely present in the mink’s diet leading to reproductive issues.

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2
Q

What about the issue of cats showing staggered gait from neurotoxicities in Japan in 1950s?

A

Minimata disease was methyl mercury poisoning. This was caused by a chemical plant dumping methyl mercury in the Minimata Bay. The fish then stored this chemical in their fat. The cats ate this fish and showed symptoms. Humans also showed symptoms. It was even more evident when Japan shipped grain to Iran where the symptoms existed.

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3
Q

Why is selenium a good example of how chemicals can have two effects?

A

Selenium is important in the diet. It is normally consumed as the sulfur amino acids, methionine and cysteine. A deficiency is characterized by cardiomyopathy and muscle pain while an excess can cause characteristic neurotoxicities.

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4
Q

What is a good example of Vitamin A in excess, a essential fat-soluble vitamin?

A

Artic explorers and eskimos have seen an excess consumption when eating polar bear liver. The liver is saturated in vitamin A because of their diet of mostly fish. Vitamin A in excess effects the skin, mucous membrane and other systems while a deficiency can cause night blindness and connective tissue disorders.

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5
Q

How is an environment defined?

A

The environment is defined as the air we breathe, the water we drink, and the food we eat.

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6
Q

How is an environmental agent defined?

A

An environmental agent is the chemical or infectious agent or radiation source that is alleged to induce an environmental health incident.

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7
Q

What are the two critical characteristics of an environmental agent?

A

The quality of data linking the agent with the effect is important.
Second, there must be an analytical technique for the agent in question.

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8
Q

How is an adverse health effect defined?

A

An adverse health effect is usually defined in preclinical toxicology as any significant deviation from the norm.

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9
Q

What is a good example of an adverse health effect in the human population?

A

Hypnotics are safe and effective in large doses. Sleep induction is a therapeutic response. However, in the manufacturing environment, they may cause workers to fall asleep on the job; this is an adverse outcome. As this example demonstrates, the definition of adverse health effect is subjective.

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10
Q

How is risk defined?

A

Risk is the probability that an adverse outcome will occur. The opposite of individual risk is population risk—the expected number or percentage of adversely affected individuals in a population who will suffer an adverse outcome.

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11
Q

What are the three components to risk?

A

Risk has three components: exposure, causation, and dose-response.

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12
Q

Why is ecology important when dealing with environmental concerns?

A

There are normally second and third order of effects that may not seem obvious.

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13
Q

How is toxicology defined?

A

Toxicology is the study of the adverse effects of materials, chemicals, or radiation on living organisms. Although not explicit in the definition, what makes a toxicologist different from other scientists is that a toxicologist relates dose and response rather than just studying response.

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14
Q

How do the terms “statistical significance” and “toxicological significance” relate to different levels of findings?

A

The former is dependent on characteristics of the assay and the sample size, while the latter deals with hazards.

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15
Q

How is intrinsic activity defined?

A

Intrinsic activity can be defined as the maximum response that can be induced by a toxicant. Intrinsic activity is a biological property of a substance.

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16
Q

What is something to remember about intrinsic activity and does relationship?

A

High potency doses can reach maximum responses in fewer normalized does. Low potency doses can be highly intrinsic to the point of reaching maximum activity if enough normalized does occur. However; high potency low intrinsic activity can occur.

17
Q

What is potency?

A

Potency relates to the dose at which an effect is observed. The units of expression of potency are either expressions of doses where no responses occur or expressions of doses where a 50% response occurs.

18
Q

What is NOAEL?

A

In the case of the doses with no response, the “no observed adverse effect” level (NOAEL) is used; it depends on the dose spacing and sensitivity of the assay to detect responses.

19
Q

What is the theory behind the expression where 50% response occurs?

A

In the case of measuring a 50% response, the ED50 (effective dose in 50% of the population), LD50 (lethal dose in 50% of the population), or benchmark dose (BMD; a curve-fitting exercise) is used. These metrics are the most reproducible experimental observations. Finally, a mathematical curve fitting can be used that will generate the best-fitting curve—that is, the curve that takes into account all of the data points. This mathematical expression can then be used to generate a theoretical 10% dose-response, which is the BMD.

20
Q

In government, how are laws and regulations passed?

A

First, laws are passed by an elected legislature that provides direction for governance. Second, within these laws is the delegation of responsibility to, or establishment of, an executive agency for implementation and enforcement of these laws.

21
Q

What is the best example of the difference between regulation and legislation?

A

Failed attempts of the FDA to regulate cigarette smoking. Clearly, the FDA is responsible for a major component of public health, and clearly cigarette smoking is detrimental to public health. However, there was no authorization in the Food, Drug, and Cosmetic Act that would allow the FDA to regulate smoking. It was only recently that the FDA embarked on regulating cigarette smoke by declaring cigarettes to be a drug delivery system, delivering nicotine as a drug. This allegation brought cigarettes under the Food, Drug, and Cosmetics Act and, therefore, made them subject to FDA regulation.

22
Q

What are the four major classes of air-polluting gases?

A

Irritating chemicals, asphyxiating chemicals, air toxics, and atmospheric reactants.

23
Q

What do irritants damage?

A

Respiratory tract. Highly water-soluble irritants such as formaldehyde cause irritation of the upper respiratory tract, whereas less water-soluble irritants such as nitrogen oxides cause lower respiratory tract irritation.

24
Q

What are the two major classes of atmospheric reactants?

A

Smog and Greenhouse gases.

25
Q

How does water contamination result in exposure from two sources?

A

The water we drink and the seafood harvested from water. The ability of materials to accumulate and persist in wildlife is a measurable characteristic of organic and inorganic chemicals.

26
Q

What are some of the most recognizable persistent chemicals we see in wildlife?

A

DDT, PCB, and TCDD.

27
Q

What substance in food causes cancer in virtually all species tested to include humans?

A

Nitrosamines.

28
Q

[Food Storage] What toxic mold produces a specific toxin in peanuts, bread, corn, wheat?

A

Aspergillus flavus produces the unique metabolite, aflatoxin.

29
Q

What is a unregulated activity in everyday life?

A

Toxicants created when cooking.

30
Q

What contaminants are present and associated with grilling food at high temperatures? And can be found on the charred surfaces of meats and other grilled foodstuffs?

A

Polynucleated aromatic hydrocarbons (PAHs). These materials are carcinogenic and mutagenic, and they induce reproductive disorders when present at elevated concentrations. This chemistry occurs at elevated temperatures for all organics.

31
Q

What is another example of polynucleated aromatic hydrocarbons (PAHs) chemistry happening?

A

Smoke from fires and automobile exhaust.

32
Q

What does the reaction between amino acids and creatine (found in muscle tissue) produce?

A

Heterocyclic amines (HCAs).

33
Q

What is a major source of heterocyclic amines (HCAs)?

A

The major source of these chemicals is cooking of muscle meat from animals and fish. Epidemiologists have linked this cooking process with cancer of the stomach. Frying, broiling, and barbequing cause much more HCA production than baking or microwaving, as they induce higher temperatures in the foodstuff. One study showed that with acute or chronic supplementation of creatine did not show an increase in HCAs and that were more diet based.

34
Q

What is a large contributor of greenhouse gases that interact with the ozone layer in which it descreases the atmospheric filter of harmful sunshine?

A

Substance called chlorofluorocarbons (CFCs) like carbon dioxide. Sunlight and other radiation turn methane and carbon dioxide into free radicals which then interact with ozone.

35
Q

What are the two effects of ionizing radiation on the body?

A

Ionization mutates DNA. Dividing cells with damaged DNA either will be repaired, will die, or will be transformed into cancer cells. The resulting oxidative stress has many sequelae such as aging and many diseases. The most significant lesion entails chromosome breakage, a nonrepairable phenomenon.

36
Q

What is nonionizing radiation responsible for and what can become of it?

A

Nonionizing radiation (UV radiation) is responsible for suntans and other dermal responses. It does not penetrate the skin to any great depth. While the chemical reaction resulting in tanning is not deleterious, nonionizing radiation can cross-link dermal DNA, thereby inducing mutagenic reactions. This results in severe dermatological responses such sunburns and melanomas.

37
Q

What is a previous example of when food has disease causation from integral parts of the food itself?

A

These substances can arise through food storage, manufacture, or cooking, or they can be integral parts of the food being consumed. For example, some Guam inhabitants chew on cycad nuts. As a result, these individuals may develop a disease similar to amyotrophic lateral sclerosis (ALS, also known as Lou Gehrig’s disease).

38
Q

What is like the event of heterocyclic amines (HCAs) in meat but exists in the realm of cooking starchs?

A

Acrylamide is produced by heating starchy foods in excess of 230ºF.

39
Q

What was the first human known carcinogen and what is it found in?

A

Aristocholic acid. It is found in many herbal medicinals.