Podcast
Questions and Answers
What was the primary objective of the United Nations Framework Convention on Climate Change (UN FCCC)?
What was the primary objective of the United Nations Framework Convention on Climate Change (UN FCCC)?
To stabilize greenhouse gas concentrations in the atmosphere at a level that would prevent dangerous anthropogenic interference with the climate system.
What key milestone marked a legally binding agreement for developed countries to cut emissions?
What key milestone marked a legally binding agreement for developed countries to cut emissions?
The Kyoto Protocol, established in 1997.
Why did the United States not ratify the Kyoto Protocol?
Why did the United States not ratify the Kyoto Protocol?
The United States rejected the treaty, citing economic concerns.
What was the main outcome of the 15th United Nations Climate Change Conference in Copenhagen in 2009?
What was the main outcome of the 15th United Nations Climate Change Conference in Copenhagen in 2009?
During which conference was it agreed to limit future global warming to below 2.0°C above preindustrial levels?
During which conference was it agreed to limit future global warming to below 2.0°C above preindustrial levels?
What health protection strategies have been suggested to cope with climate challenges such as heat waves?
What health protection strategies have been suggested to cope with climate challenges such as heat waves?
What proactive measures are being considered in response to increased migration due to climate change?
What proactive measures are being considered in response to increased migration due to climate change?
What campaign promotes protection from the sun as part of public health measures?
What campaign promotes protection from the sun as part of public health measures?
What was the purpose of the proposed Green Climate Fund?
What was the purpose of the proposed Green Climate Fund?
By what year did the Durban conference agree to prepare a new legally binding deal to replace the Kyoto Protocol?
By what year did the Durban conference agree to prepare a new legally binding deal to replace the Kyoto Protocol?
What percentage of global emissions was the extended Kyoto Protocol projected to influence due to the nonparticipation of developed countries?
What percentage of global emissions was the extended Kyoto Protocol projected to influence due to the nonparticipation of developed countries?
Which major developing countries were not subject to emissions reductions under the Kyoto Protocol?
Which major developing countries were not subject to emissions reductions under the Kyoto Protocol?
What total amount of anthropogenic CO2 emissions must be kept below to limit the rise in temperature to < 2°C by the end of the century?
What total amount of anthropogenic CO2 emissions must be kept below to limit the rise in temperature to < 2°C by the end of the century?
What are the expected temperature increases by 2100 if global emissions exceed 2900 GtCO2?
What are the expected temperature increases by 2100 if global emissions exceed 2900 GtCO2?
What phenomenon in the Arctic could cause a projected temperature increase of 11°C by 2100?
What phenomenon in the Arctic could cause a projected temperature increase of 11°C by 2100?
What development was made regarding the funding of the Green Climate Fund during the Doha conference?
What development was made regarding the funding of the Green Climate Fund during the Doha conference?
What was the outcome for most of the children and the teacher after the VTEC outbreak?
What was the outcome for most of the children and the teacher after the VTEC outbreak?
What serious condition did one child develop as a result of the VTEC infection?
What serious condition did one child develop as a result of the VTEC infection?
What was the primary control measure taken for those with confirmed VTEC cases?
What was the primary control measure taken for those with confirmed VTEC cases?
What factors increase the risk of VTEC infection mentioned in the outbreak guidance?
What factors increase the risk of VTEC infection mentioned in the outbreak guidance?
What approach is used to tackle waterborne illnesses like VTEC?
What approach is used to tackle waterborne illnesses like VTEC?
What public health advice did Rose Fitzgerald emphasize regarding summer activities?
What public health advice did Rose Fitzgerald emphasize regarding summer activities?
How is VTEC typically transmitted among individuals, particularly children?
How is VTEC typically transmitted among individuals, particularly children?
What is the HPSC’s role in outbreak communication and control?
What is the HPSC’s role in outbreak communication and control?
What is a significant environmental benefit of separating urine and faecal matter in ecological latrines?
What is a significant environmental benefit of separating urine and faecal matter in ecological latrines?
Why are composting latrines not recommended for use in emergencies?
Why are composting latrines not recommended for use in emergencies?
What is a common problem in communal latrines that affects hygiene and maintenance?
What is a common problem in communal latrines that affects hygiene and maintenance?
What are dehydration latrines quick to deploy meant for?
What are dehydration latrines quick to deploy meant for?
What is the recommended method for improving the decomposition process in a composting latrine?
What is the recommended method for improving the decomposition process in a composting latrine?
How does the 'flying toilet' issue arise in slum environments?
How does the 'flying toilet' issue arise in slum environments?
What should be included in hygiene promotion efforts according to the content?
What should be included in hygiene promotion efforts according to the content?
What occurs when excess waste or rainwater infiltrates a latrine?
What occurs when excess waste or rainwater infiltrates a latrine?
What was the fluoride concentration found in Bauxite water in 1931?
What was the fluoride concentration found in Bauxite water in 1931?
What correlation did Dr. H. Trendley Dean find between fluoride concentration in water and dental fluorosis?
What correlation did Dr. H. Trendley Dean find between fluoride concentration in water and dental fluorosis?
What dental condition did Dean find less prevalent in children from areas with low fluoride exposure?
What dental condition did Dean find less prevalent in children from areas with low fluoride exposure?
In his assessment, what fluoride concentration did Dean conclude caused only mild forms of dental fluorosis?
In his assessment, what fluoride concentration did Dean conclude caused only mild forms of dental fluorosis?
What is dental fluorosis and during which period does it develop?
What is dental fluorosis and during which period does it develop?
What are the symptoms of skeletal fluorosis?
What are the symptoms of skeletal fluorosis?
What permanent changes can excessive fluoride incorporation cause in dental enamel?
What permanent changes can excessive fluoride incorporation cause in dental enamel?
What other potential adverse effects of water fluoridation are suggested, despite weak evidence?
What other potential adverse effects of water fluoridation are suggested, despite weak evidence?
What role do depleted oil and gas fields play in carbon capture?
What role do depleted oil and gas fields play in carbon capture?
How do emissions trading schemes incentivize industrial polluters?
How do emissions trading schemes incentivize industrial polluters?
What conditions are known to make certain populations vulnerable to severe E.coli infections?
What conditions are known to make certain populations vulnerable to severe E.coli infections?
What is Hemolytic Uremic Syndrome (HUS) and why is it significant?
What is Hemolytic Uremic Syndrome (HUS) and why is it significant?
In the given outbreak scenario, why was the child's mother considered part of a risk group?
In the given outbreak scenario, why was the child's mother considered part of a risk group?
What precautionary measures were taken after identifying the index case of VTEC in the creche?
What precautionary measures were taken after identifying the index case of VTEC in the creche?
What is the significance of the Mid-West HSE Area in relation to E.coli infections in Ireland?
What is the significance of the Mid-West HSE Area in relation to E.coli infections in Ireland?
How does carbon capture buy time for the development of alternative fuel sources?
How does carbon capture buy time for the development of alternative fuel sources?
Flashcards
Heat Wave Health Warning Systems
Heat Wave Health Warning Systems
A set of actions designed to warn people about potential health risks during a heat wave, often including advice on staying hydrated and seeking shade.
Vaccination Against Infectious Diseases
Vaccination Against Infectious Diseases
The process of giving people a vaccine to protect them from infectious diseases.
Sun Protection Campaigns
Sun Protection Campaigns
Actions taken to protect people from the sun's harmful UV rays, such as applying sunscreen, wearing hats, and seeking shade.
Preparing for Increased Migration
Preparing for Increased Migration
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United Nations Framework Convention on Climate Change (UN FCCC)
United Nations Framework Convention on Climate Change (UN FCCC)
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Kyoto Protocol
Kyoto Protocol
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United Nations Climate Change Conferences
United Nations Climate Change Conferences
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Global Warming Limit
Global Warming Limit
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Carbon Capture
Carbon Capture
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Depleted Oil and Gas Fields as Carbon Storage
Depleted Oil and Gas Fields as Carbon Storage
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Emissions Trading Schemes
Emissions Trading Schemes
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Shiga Toxin-Producing E.coli (STEC)
Shiga Toxin-Producing E.coli (STEC)
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Hemolytic Uremic Syndrome (HUS)
Hemolytic Uremic Syndrome (HUS)
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Vulnerable Populations to STEC
Vulnerable Populations to STEC
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Index Case
Index Case
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Precautionary Principle
Precautionary Principle
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Outbreak control team
Outbreak control team
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VTEC (Verocytotoxin-producing Escherichia coli)
VTEC (Verocytotoxin-producing Escherichia coli)
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Outbreak control measures
Outbreak control measures
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One Health approach
One Health approach
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Infection transmission
Infection transmission
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Fecal contamination
Fecal contamination
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Hand hygiene
Hand hygiene
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New climate deal (2015)
New climate deal (2015)
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Green Climate Fund
Green Climate Fund
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17th UN Climate Change Conference (Durban, 2011)
17th UN Climate Change Conference (Durban, 2011)
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18th UN Climate Change Conference (Doha, 2012)
18th UN Climate Change Conference (Doha, 2012)
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Polar Amplification
Polar Amplification
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2900 GtCO2 (Anthropogenic CO2 emissions target)
2900 GtCO2 (Anthropogenic CO2 emissions target)
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2.6 - 4.8 C rise by 2100
2.6 - 4.8 C rise by 2100
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11 C increase in part of the Arctic by 2100
11 C increase in part of the Arctic by 2100
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Dehydration Latrine
Dehydration Latrine
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Composting Latrine
Composting Latrine
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Latrine Sludging
Latrine Sludging
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Latrine Desludging with Water Pump
Latrine Desludging with Water Pump
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Latrine Hygiene and Maintenance
Latrine Hygiene and Maintenance
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Cluster Latrines
Cluster Latrines
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Latrine Slab
Latrine Slab
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Water Fluoridation
Water Fluoridation
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Dental Fluorosis
Dental Fluorosis
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Epidemiology
Epidemiology
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Fluoride Concentration
Fluoride Concentration
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Skeletal Fluorosis
Skeletal Fluorosis
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Mottled Enamel
Mottled Enamel
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Dental Caries
Dental Caries
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Fluoride's Effect on Dental Caries
Fluoride's Effect on Dental Caries
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Study Notes
Climate Change
- Causes: Increased levels of greenhouse gases, primarily carbon dioxide (CO2) and methane, trap heat reflected off Earth. Deforestation and fossil fuel combustion increase atmospheric CO2.
- Global Warming Effects: Increased frequency of extreme weather (storms, heat waves, extreme rainfall), rising sea levels, and changing seasonal temperatures (warmer winters, hotter summers).
- Global Temperature Increase: Average global temperatures rose by 0.74°C from 1906 to 2005.
- Climate Change Effects on Health: Includes increased mortality (from extreme heat), injuries (from extreme weather), spread of infectious diseases (due to changing animal/insect migration patterns), respiratory illnesses, starvation (due to drought and food shortages), and increased risk of skin cancers.
- Responding to Climate Change: Includes mitigation (reducing CO2 emissions, using less fossil fuels, alternative energy) and adaptation (infrastructure changes, early warning systems, vaccination, and protection from the sun).
Mitigation
- Reducing CO2 emissions: Key to limiting anthropogenic climate change.
- Alternative Energy Sources: Renewable sources (wind, solar, nuclear) or energy efficiency improvements (better building insulation).
- Behaviour Change: Promoting active travel, reducing energy use
- Legislation: Instruments like the Kyoto Protocol or policies to prevent deforestation.
Adaptation
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Infrastructure Measures: Developing flood barriers, heat-resistant buildings, etc.
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Information Dissemination: Establishing early warning systems for events like heat waves.
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Public Health Measures: Vaccination against infectious diseases that spread more rapidly as a result of climate change
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Protection from the Sun: Campaigns to educate people on sun precautions (like wearing sunscreen, clothing)
Risk of Extreme Weather Events
- Increased frequency of hazardous events is likely in terms of droughts, floods, and cyclones
- This increase is more likely due to improvement in accessing more information and population growth
Global Warming Potential (GWP)
- A measure of how much a greenhouse gas warms the planet over a certain period compared to carbon dioxide (CO2).
- CO2 has a GWP of 1.
- Other gases (e.g., methane (CH4), nitrous oxide (N2O), sulfur hexafluoride (SF6)) have much higher GWPs. This reflects how strongly they absorb radiation.
Carbon Emissions 2015
- Global map illustrating CO2 emissions from fossil fuels
- Different countries contribute diverse levels of emissions to the atmosphere
Public Health Impacts of Disasters
- Exposure to disasters has different complex impact (e.g. death, injury, and widespread diseases)
- Risk of communicable diseases are higher in highly damaged urban environments
Environmental Determinants of Disease
- Human Impact on Environment: Pollution (e.g. air pollution, climate change) and other environmental factors have direct and indirect effects on human health.
- Environmental Factors: Household air pollution from solid fuels, ambient particulate matter, occupational injuries. These factors account for a significant proportion of the global disease burden (10-15%).
Principles of Sustainability
- Balancing current needs with those of future generations, involving the long-term use of resources and responsible management of pollution.
- Examples of unsustainable practices are excessive use of fossil fuels, depleted ocean fisheries, and soil erosion problems associated with agriculture.
Risk Assessment and Management
- Hazard vs. Risk: A hazard is a potential source of harm, while risk is the probability of a harmful event multiplied by its consequence. Understanding risks is important because risks can be reduced through measures to control the exposure or to manage the consequences.
- Risk Assessment Steps: Hazard identification; assessing potential health effects from that hazard in a exposed population through laboratory studies and experiments; determining relevant exposure levels in a exposed population.
- Sandman's Risk Concept: A system that incorporates the public perspective ("outrage"), alongside the "hazard" to define risk more effectively.
- Risk vs. Hazard: Risk is the combination of hazard and outrage (public perception related to the hazard). Risk management needs to consider this public perception to minimize conflict or disagreement from the community.
Environmental Surveillance Data
- Various types of data are used to track pollutants and their effects, including measurements of toxic substances in biological samples, surveillance data on infectious diseases and cancer registry data.
- Examples of contaminants, for instance, biological contaminant (e.g. salmonella), chemical contaminants (e.g. mercury in shellfish), and radioactive contamination (e.g. from Chernobyl accident)
Food Contaminants
- Examples, including biological contamination (foodborne illnesses), chemical contaminants (excessive amounts of metal like mercury), and radioactive contamination (after disasters like Chernobyl).
Food quality improvements
- Reducing pesticide use.
- Minimising risk of biological contamination through irradiation, canning, or freezing
- Controlling cooking methods and temperature
Water Supply
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Water Sources: Saltwater, freshwater (surface water, groundwater), glaciers.
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Water Use Factors: Distance from source, availability, transport/storage conditions, and water quality (e.g., microbiological contamination, mineral content).
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Protection: Water treatment is crucial to prevent spread of water-borne diseases and use of appropriate technologies for filtration and disinfection, sanitation, and hygiene maintenance.
Water Treatment
- Mass Water Treatment: Methods like Jar test (coagulation/flocculation), assisted sedimentation, rapid sand filtration, and chlorination methods.
- Household Water Treatment: Basic methods like boiling, UV disinfection, or chemical disinfection.
Transport Policies
- Increased Transport & Accessibility: Benefits include employment and economic development.
- Active Transport: Walking and cycling have health advantages (physical activity, reduced pollution) outweighing the risks (air pollution, accidents).
- Sustainable Transportation: Policies promote emissions reductions, car-sharing, public transport, and reducing car usage.
Air Pollution
- Sources: Primarily from the increased number of motor vehicles, industrial activities, emission from burning fuels.
- Smog: London-type smog (coal burning), Los Angeles-type smog (vehicle emissions).
- Health Effects: Respiratory problems. Cardiovascular effects (primarily for those with pre-existing conditions), asthma and COPD symptoms, reduced lung function, and increased deaths.
Climate Change and Health
- Global health impacts due to climate change, including morbidity and mortality, and associated with disasters like floods, and droughts, are greater than thought. This emphasizes public health implications as an important issue.
Water, Sanitation, and Hygiene (WASH)
- Importance: Access to safe water and sanitation is crucial for health.
- Public Health: Prevents diseases like diarrhoea, protects for women and girls, and prevents malnutrition
- WASH in settings: Refugee camps, slums, and rural and other humanitarian settings
- Improving Hygiene: Crucial to decreasing infection transmission
- Addressing Waterborne Diseases: Crucial for mitigating waterborne illnesses like cholera, shigellosis, and typhoid.
Medical Waste Management
- General Principles: Emphasize on-site waste management to reduce risks of contaminated waste being spread into environment.
- Waste Segregation: Essential for effective treatment and safe disposal. Categorize wastes according to type (sharps, soft tissues/biological wastes, organic wastes, hazardous wastes).
- Waste Treatment: Incineration, burial, and other methods based on the type and specifics of waste.
- Disposal: Designated areas, with appropriate method, and safety standards, or proper return to originating sources
Radon
- Cause: Naturally occurring radioactive gas (from uranium in rocks/soil) that can leach into buildings.
- Health Risks: Significant contributor to lung cancer.
- Assessment & Mitigation: Measures to test homes for radon, and measures to mitigate radon levels (e.g., improved ventilation).
Environmental Exposure to Carcinogens & Toxins
- Types of Chemicals: Inorganic chemicals (e.g., halogens, metals) and organic chemicals (e.g., hydrocarbons, alcohols).
- Toxicity Characteristics: Depends on dose, duration, and frequency of exposure as well as how body absorbs, distributes and metabolises the chemicals.
- Exposure Routes: Inhalation, ingestion, skin absorption.
- Adverse Health Effects: Vary in severity from minor to life-threatening (e.g. cancers, organ damage).
Water Quality
- Physical Characteristics: Taste, color, smell, and turbidity. Chemical contaminants like fluoride are important to monitor.
- Chemical Composition: Heavy metals (lead), dissolved minerals. Other contaminants may include nitrates, or pesticides from farming or industrial activities.
- Bacteriological Issues: E. coli or cryptosporidium are used as indicators of potential microbial contamination
Soil Contamination
- Sources: Introduction of contaminants to the land as a result of previous uses, or from natural constituents
- Pathway of Exposure: Ingesting contaminated food, inhaling gases from soil, or contact with contaminated soil/water
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