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Jessie Damman Fundamentals of Public Health Concordia University

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1 Jessie Damman Fundamentals of Public Health Concordia University
Air Quality Jessie Damman Fundamentals of Public Health Concordia University

2 Epidemiology Cause of the disease, rate of the disease, needs for medical and public health services and evaluation of effectiveness of medical and public health interventions Schneider, M. (2011). Introduction to Public Health. Sudbury, Massachusetts: Jones and Bartlett Publishers.

3 Cause Influences Natural disasters (tornadoes, hurricanes, earthquakes, tsunami, floods, blizzard, forest fire) Bioterrorism Chemical Exposure Globalization Rapid Industrialization Urbanization Pesticides Climate Change – Global Warming Smith, K.R. (2002). Indoor Air; 12: 198–207. Blackwell Munksgaard.

4 Risk Factors Acute Respiratory Infections
Chronic Obstructive Pulmonary Disease Lung Cancer Cataracts Tuberculosis Asthma Smith, K.R. (2002). Indoor Air; 12: 198–207. Blackwell Munksgaard.

5 Mortality and Morbidity
3 % mortality – Cardiopulmonary Disease 5 % mortality – Cancer of trachea, bronchus and lung 1 % mortality – Acute Respiratory Infections (children) .8 million premature deaths (6.4 million years of life lost) - worldwide World Health Organization. (2013). Priority Risks.

6 Rate China Ethiopia Guatemala Haiti Nicaragua
South Africa Venezuela Vietnam 2 million deaths in developing countries 3-7 hours of high exposure daily in developing countries Bruce, N., Perez, R., and Albalak, R. (2000). Indoor air pollution in developing countries: a major environmental and public health challenge. Bulletin of the World Health Organization; 78:

7 Evaluation Hybrid Ecologic Study
Based upon hospitalizations and emergency room visits Limitations Measurement of exposure Uniform exposure to air pollutants assumed Etzel, R. & French, J. (1997). Air Pollution. Public Health Consequences of Disasters. New York: Oxford University Press

8 Biostatistics Analysis of biological and medical data

9 Influential Factors Allow for development of priorities
Varies upon climate, material and disaster occurrence Disease is measurable Side effects disability factor related to expected life years Health indicators Environmental Trends Environmental Data Quantifying environmental health impacts Environmental mapping system Children environmental health indicators Databases Allow for development of priorities Monitor progress or lack of Establish standards and guidelines established for controlled pollution levels World Health Organization. (2013). Priority Risks.

10 Linked to Water systems Disposal systems Deforestation
Natural or man-made disasters World Health Organization. (2013). Priority Risks.

11

12 Environmental Hazards
Indoor Smoke – up to 1.6 million deaths/year Poor Infrastructure/Water systems – over 1.2 million/year Inner City air pollution – deaths/year Exposure to poisons – 355,000 deaths worldwide/yearly Climate change – over 150,000 deaths/yearly World Health Organization. (2013). Priority Risks.

13 Biological Characteristics

14 Effects Concluded by weight of the air quality or air quality weight
Amount of exposure time Cariou, S., Guillot, J.,Laurence P., Pascal K., and Faure, L. A global indicator as a tool to follow airborne molecular contamination in a controlled environment. Anal Bioanal Chem (2005) 381: 850–853

15 Molecular Characteristics

16 Pollutants – Particulate Matter
Dust Fumes Mist Smoke Gas Vapor Odor Kjellstrom, T., Lodh, M., McMichael, T., Ranmuthugala, G., Shrestha, R., and Kingsland, S. (2012). Air and Water Pollution: Burden and Strategies for Control. Disease Control Priorities in Developing Countries, pp

17 Pollutants - Condensation
Diesel exhaust Coal Fly ash Wood smoke Asbestos Limestone Cement Pesticide mist Kjellstrom, T., Lodh, M., McMichael, T., Ranmuthugala, G., Shrestha, R., and Kingsland, S. (2012). Air and Water Pollution: Burden and Strategies for Control. Disease Control Priorities in Developing Countries, pp

18 Pollutants – Burning Fuel
Gasoline Oil Coal Wood Charcoal Natural Solvents Paints Glues Kjellstrom, T., Lodh, M., McMichael, T., Ranmuthugala, G., Shrestha, R., and Kingsland, S. (2012). Air and Water Pollution: Burden and Strategies for Control. Disease Control Priorities in Developing Countries, pp

19 Caused by Motor Vehicles Industries Power stations
Kjellstrom, T., Lodh, M., McMichael, T., Ranmuthugala, G., Shrestha, R., and Kingsland, S. (2012). Air and Water Pollution: Burden and Strategies for Control. Disease Control Priorities in Developing Countries, pp

20 Future Improvements Air Quality principles Minimize personal exposure
Restructure engines and fuel technology Future Improvements Genc, S. (2012). The adverse effects of air pollution on the nervous system. Journal of Toxicology, Volume 2012; Article

21 Social Characteristics

22 Factors Future Improvements Socioeconomic groups Race Outreach Gender
Marital Status Income Education Occupational status Outreach Communities Regulators Legislators Public Health Officials Gilliand, F. Impact of air pollution on health. Environmental Impact. Ustun, A. (2006). Towards an estimate of the environmental burden of disease. Preventing disease through healthy environments. Geneva: World Health Organization

23 Behavioral Characteristics

24 Ecological Model Public Policy Ability to set guidelines and protocols
Factories Sanitation Car manufacturers Disaster recovery Education Availability and Amount Family/Friend/Work Influences Values, beliefs, morals Lifestyles as a child and adult Making behavioral changes Access to sanitation and disposal

25 Developing Countries These countries are faced with adverse effects to basic living. Poor infrastructure, lack of resources, a reliable government and perpetuating the current way of living only worsens concerns around air pollution.

26 Proper housing infrastructure
Deficiencies in Haiti Proper waste disposal Proper housing infrastructure

27 Future of Air Quality Public Health and Disease Prevention programs can be developed based upon beliefs in personal threat, response and personal efficacy and behaviors. Advocating for change can bring positive impacts to individual, community, and global air quality.

28 Work Cited

29 Bruce, N. , Perez, R. , and Albalak, R. (2000)
Bruce, N., Perez, R., and Albalak, R. (2000). Indoor air pollution in developing countries: a major environmental and public health challenge. Bulletin of the World Health Organization; 78: Cariou, S., Guillot, J.,Laurence P., Pascal K., and Faure, L. A global indicator as a tool to follow airborne molecular contamination in a controlled environment. Anal Bioanal Chem (2005) 381: 850–853 Etzel, R. & French, J. (1997). Air Pollution. Public Health Consequences of Disasters. New York: Oxford University Press Genc, S. (2012). The adverse effects of air pollution on the nervous system. Journal of Toxicology, Volume 2012; Article

30 Kjellstrom, T. , Lodh, M. , McMichael, T. , Ranmuthugala, G
Kjellstrom, T., Lodh, M., McMichael, T., Ranmuthugala, G., Shrestha, R., and Kingsland, S. (2012). Air and Water Pollution: Burden and Strategies for Control. Disease Control Priorities in Developing Countries, pp Schneider, M. (2011). Introduction to Public Health. Sudbury, Massachusetts: Jones and Bartlett Publishers. Smith, K.R. (2002). Indoor Air; 12: 198–207. Blackwell Munksgaard. World Health Organization. (2013). Priority Risks.


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