Environmental Health and Risk Factors
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Questions and Answers

The Environmental Protection Agency (EPA) was established with the goal of identifying environmental hazards and creating safety standards.

True (A)

What are the six basic tests necessary for understanding a chemical's toxicity?

  • Chronic toxicity (correct)
  • Environmental fate (correct)
  • Acute toxicity (correct)
  • Mutagenicity (correct)
  • Developmental and reproductive toxicity (correct)
  • Ecotoxicity (correct)

Exposure to air pollutants has consistently shown to decrease life expectancy in areas with high levels of pollution.

True (A)

What does the acronym 'CAFO' stand for in relation to farm environments?

<p>Concentrated Animal Feeding Operations</p> Signup and view all the answers

Environmental justice focuses on the fair treatment and involvement of all people regardless of their race, color, nationality, or income in environmental matters.

<p>True (A)</p> Signup and view all the answers

The Clean Air Act was established with the goal of setting limits on six specific pollutants, determined by their impact on human health.

<p>True (A)</p> Signup and view all the answers

The Clean Air Act's regulations have successfully avoided any instances of poor air quality throughout the United States due to combined effects from various sources.

<p>False (B)</p> Signup and view all the answers

The Environmental Protection Agency (EPA) argues that the current standardized measures for pollutants like air pollution are sufficient, and no additional reforms are needed.

<p>False (B)</p> Signup and view all the answers

The Biden Administration is promoting the development of ‘cumulative pollution impact assessments’ to better address the impacts of air pollution.

<p>True (A)</p> Signup and view all the answers

The Affordable Care Act (ACA), also known as 'Obamacare,' was met with widespread support and approval from both Republicans and Democrats.

<p>False (B)</p> Signup and view all the answers

The ACA aimed to address the issue of high insurance rates, the unavailability of insurance due to pre-existing conditions, and the exclusion of individuals from coverage due to their age or employment status.

<p>True (A)</p> Signup and view all the answers

The ACA's provisions for Medicaid expansion were immediately implemented nationwide.

<p>False (B)</p> Signup and view all the answers

The ACA's individual mandate, which required most individuals to have health insurance, was quickly and easily implemented nationwide.

<p>False (B)</p> Signup and view all the answers

The ACA significantly increased insurance coverage for younger adults by allowing them to stay on their parents’ health insurance plans until the age of 26.

<p>True (A)</p> Signup and view all the answers

The US healthcare system is characterized as a single-payer system, where the government is the sole financier of healthcare services.

<p>False (B)</p> Signup and view all the answers

The main government programs that target specific populations in the US healthcare system are designed to address the needs of low-income individuals.

<p>True (A)</p> Signup and view all the answers

The US healthcare system is widely praised for its high-quality outcomes and comparatively low costs.

<p>False (B)</p> Signup and view all the answers

The ACA's Medicaid expansion and subsidized marketplace plans have significantly contributed to the reduction in the number of uninsured Americans.

<p>True (A)</p> Signup and view all the answers

The Affordable Care Act has been met with universal and unwavering support from all Americans.

<p>False (B)</p> Signup and view all the answers

The US healthcare system is a perfect example of a successfully functioning market-based system, where individuals have complete freedom to choose their healthcare providers and plans.

<p>False (B)</p> Signup and view all the answers

The 'Healthy Michigan Plan' was implemented as a state-specific initiative, distinct from the broader provisions of the Affordable Care Act.

<p>False (B)</p> Signup and view all the answers

The AMA has consistently supported government involvement in healthcare, especially in areas like regulating insurance and controlling medical practices.

<p>False (B)</p> Signup and view all the answers

The Affordable Care Act has been universally successful in achieving its primary goals, leading to a significant decrease in the number of uninsured Americans and a substantial improvement in the overall health of the nation.

<p>False (B)</p> Signup and view all the answers

The Affordable Care Act's implementation has been a seamless process, with no major controversies or challenges encountered along the way.

<p>False (B)</p> Signup and view all the answers

The primary goal of the Affordable Care Act was to provide a single-payer healthcare system, where the government would assume complete responsibility for financing and managing all aspects of healthcare.

<p>False (B)</p> Signup and view all the answers

The ACA's provisions regarding employer mandates have been widely praised as a successful strategy for expanding health insurance coverage.

<p>False (B)</p> Signup and view all the answers

The ACA's individual mandate has been universally accepted as a necessary and effective policy for expanding health insurance coverage.

<p>False (B)</p> Signup and view all the answers

Which of the following is NOT a primary goal of the US healthcare system?

<p>Maximizing profits for healthcare providers (B)</p> Signup and view all the answers

What are the six key elements of quality healthcare, as defined by the US healthcare system?

<p>Safe, effective, patient-centered, timely, efficient, equitable</p> Signup and view all the answers

The US healthcare system has been consistently successful in addressing the challenges of high costs, poor outcomes, and growing healthcare needs.

<p>False (B)</p> Signup and view all the answers

The US population's aging demographic is characterized by which of the following?

<p>Increase in chronic diseases (A)</p> Signup and view all the answers

The concept of 'compression of mortality' refers to the increasing concentration of deaths within a shorter age range, closer to the biological limit of lifespan.

<p>True (A)</p> Signup and view all the answers

The US healthcare system is currently adequately equipped to handle the growing needs of an aging population, with no concerns about financial burdens or resource constraints.

<p>False (B)</p> Signup and view all the answers

The 'compression of morbidity' concept suggests that chronic diseases are becoming less prevalent and disabling, leading to a decrease in the number of people experiencing chronic health conditions.

<p>False (B)</p> Signup and view all the answers

The future of public health will likely focus on addressing the growing burden of infectious diseases, as these pose the most significant threat to global health and wellbeing.

<p>False (B)</p> Signup and view all the answers

Public health interventions should primarily focus on addressing individual behaviors and promoting healthy lifestyles, while neglecting the broader social and environmental factors that influence health.

<p>False (B)</p> Signup and view all the answers

The concept of 'compression of morbidity' is a significant public health goal, aiming to maximize the number of years people live in good health and minimize the number of years spent living with chronic illness and disability

<p>True (A)</p> Signup and view all the answers

Flashcards

Environmental Health

The study of how the natural and built environment affects human health.

Environmental Protection Agency (EPA)

A US federal agency responsible for protecting human health and the environment. It sets and enforces standards for clean air, water, and waste disposal.

Greenhouse Gases

Gases in the atmosphere (e.g., carbon dioxide, methane) that trap heat, causing global warming.

Toxicity Testing

The process of determining the harmful effects of chemicals on living organisms.

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Risk-Benefit Analysis

A process of weighing the potential benefits of an action against its potential risks.

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Environmental Justice

The fair treatment and meaningful involvement of all people regardless of race, color, national origin, or income with respect to the development, implementation, and enforcement of environmental laws, regulations, and policies.

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Exposure (Disease Model)

The contact between a person and a hazard over time and space.

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Dose

The amount of a hazardous agent that enters the body and is available to cause harm.

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Adverse Health Effect

Any change in body function or structure that is harmful to a person's health.

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Hierarchy of Controls

A system of eliminating or minimizing hazards by prioritizing actions from the most effective to the least effective.

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Precautionary Principle

The principle that states that when there is uncertainty about the potential adverse effects of a substance or activity, it is prudent to take measures to prevent harm.

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Pollutants

Substances that contaminate the environment and can cause harm to human health.

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Stockholm Convention on Persistent Organic Pollutants

An international treaty that aims to eliminate or restrict the production and use of persistent organic pollutants (POPs).

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CAFOs (Concentrated Animal Feeding Operations)

Large-scale industrial farms that house and raise a large number of animals in confined spaces.

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Public Health (PH)

The science and art of preventing disease, prolonging life, and promoting health through organized efforts of society.

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Medical Care System

The organized system of healthcare providers, facilities, and insurance that delivers medical services.

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Health Insurance

A type of insurance that helps cover the costs of medical care.

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Medicare

A federal health insurance program for people 65 and older, certain younger people with disabilities, and people with end-stage renal disease.

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Medicaid

A federal and state health insurance program for low-income Americans.

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Affordable Care Act (ACA)

A US healthcare reform law passed in 2010, aiming to expand health insurance coverage and make it more affordable.

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Individual Mandate

A requirement in the ACA that most Americans have health insurance or pay a tax penalty.

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Health Insurance Marketplaces

Online marketplaces established by the ACA where individuals and small businesses can shop for health insurance plans.

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Medicaid Expansion

A provision of the ACA that allowed states to expand Medicaid eligibility to cover more low-income individuals.

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Compression of Morbidity

A public health goal to reduce the period in life where people experience chronic illness and disability.

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Social Security

A federal program that provides retirement, disability, and survivor benefits to eligible Americans.

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Health Disparities

Differences in health outcomes between different groups of people, often related to socioeconomic factors.

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Pandemic

An outbreak of a disease that spreads across a large region or the entire world.

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Social Determinants of Health

The conditions in which people are born, grow, live, work, and age that influence their health.

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Health Equity

The attainment of the highest level of health for all people.

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Study Notes

Environmental Risk Factors and the Medical Care System

  • People are adapted to Earth's environment.
  • Environmental Health examines how the natural and built environments affect human health.
  • Clean water supplies, safe waste disposal, and clean air are essential.
  • Governmental roles include setting standards for water, sewage, air, and waste.
  • The Environmental Protection Agency (EPA) was created for a healthier environment.
  • Environmental factors like radiation, radon, mercury, lead, and pesticides pose health risks.
  • Occupational exposures to harmful chemicals are a concern.
  • Factory farms (CAFOs) generate pollution with significant economic and political power.
  • Risk-benefit analysis involves balancing potential risks against other societal needs and regulations.

Environmental Health Sciences

  • 85,000 chemicals in US commerce; 93% lack basic toxicity testing.
  • Six basic tests are crucial for understanding chemical toxicity (acute toxicity, chronic toxicity, developmental/reproductive toxicity, mutagenicity, ecotoxicity, environmental fate).
  • Environmental factors, including pollution, can reduce quality of life and affect human health.
  • One-third of illnesses are due to modifiable environmental factors.
  • Environmentally related issues disproportionately affect low and middle-income countries.
  • Hazards include physical, biological, and chemical factors.

Environmental Justice

  • Environmental Justice recognizes the intersection of environmental pollution, systemic racism, and community activism.
  • Communities of color face disproportionate exposure to environmental hazards.
  • Systemic inequality often leads to unfair treatment, such as unequal access to resources and pollution control.
  • Grassroots activism, political and legislative efforts, and comprehensive reform are necessary for fair treatment.
  • The fair treatment and meaningful involvement of all people, regardless of race, color, nationality, or income, with respect to environmental laws and policies is a key concept.

US Medical Care System

  • The US medical system strives for preventative care and saves lives.
  • Challenges include resource limitations, political will, and emerging health threats.
  • Medical care is a public health responsibility due to controlling infectious diseases, providing emergency services, and addressing health inequalities.
  • US healthcare relies on competing values in society.
  • The USA has a mix of public and private medical care programs.
  • Traditional health insurance often involves premiums, deductibles, and copayments; some are fee-for-service.
  • Healthcare is not a universal right in the US, with significant disparities in access to care based on socioeconomic status.

The Affordable Care Act (ACA)

  • ACA addressed high uninsurance rates, unaffordability, and preexisting conditions.
  • ACA expanded coverage; reduced uninsured rates; and created marketplaces with subsidies.
  • ACA banned exclusions for preexisting conditions, annual/lifetime limits.
  • ACA expanded eligibility for dependent coverage up to age 26.
  • Costs were adjusted to allow for reduced premiums (premium tax credits) and cost-sharing reductions for lower incomes.
  • Funding is ongoing and has seen controversy, but also achieved positive outcomes.

Aging

  • Increased proportion of elderly in the US.
  • Elderly experience higher medical costs, and chronic diseases.
  • Health disparities persist for older populations.
  • Social Security and Medicare face challenges due to a growing elderly population.
  • Compression of mortality (deaths concentrated in a short age span) is a goal.
  • Compression of morbidity (reducing disability and illness) is also an important goal.
  • Healthcare costs for the elderly are rising unsustainably.

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Description

This quiz explores the relationship between environmental factors and human health. It covers topics such as environmental health sciences, government regulations, and the impact of pollutants. Test your knowledge on the critical elements that contribute to a healthier environment and the challenges faced.

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