Environmental medicine

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Environmental medicine is a multidisciplinary field involving medicine, environmental science, chemistry and others, overlapping with environmental pathology. It can be viewed as the medical branch of the broader field of environmental health. The scope of this field involves studying the interactions between environment and human health, and the role of the environment in causing or mediating disease. This specialist field of study developed after the realisation that health is more widely and dramatically affected by environmental factors than previously recognized.

Contents

Environmental factors in the causation of environmental diseases can be classified into:

In the United States, the American College of Preventive Medicine oversees board certification of physicians in Occupational and Environmental Medicine.

Current focuses of environmental medicine

While environmental medicine is a broad field, some of the currently prominent issues include:

According to recent estimates, about 5 to 10% of disability-adjusted life years (DALY) lost are due to environmental causes. By far, the most important factor is fine particulate matter pollution in urban air. [1]

Scope of environmental medicine

Environmental medicine is concerned primarily with prevention. Food-borne infections or infections that are water-borne (e.g. cholera and gastroenteritis caused by norovirus or campylobacteria) are typical concerns of environmental medicine, but some opinions in the fields of microbiology hold that the viruses, bacteria and fungi that they study are not within the scope of environmental medicine if the spread of infection is directly from human to human. Much of epidemiology, which studies patterns of disease and injury, is not within the scope of environmental medicine, but e.g. air pollution epidemiology is a highly active branch of environmental health and environmental medicine. Any disease with a large genetic component usually falls outside the scope of environmental medicine, but in diseases like asthma or allergies both environmental and genetic approaches are needed.

Military "environmental medicine"

The U.S. Army has, since at least 1961, used the term "environmental medicine" in a sense different from the above. Its U.S. Army Research Institute of Environmental Medicine, at Natick, Massachusetts, conducts basic and applied research to determine how exposure to extreme heat, severe cold, high terrestrial altitude, military occupational tasks, physical training, deployment operations, and nutritional factors affect the health and performance of military personnel. Research on the effect of environmental pollutants on military personnel is not part of USARIEM's mission, but is within the purview of the U.S. Army Center for Environmental Health Research at Fort Detrick, Maryland.

See also

Related Research Articles

<span class="mw-page-title-main">Toxicology</span> Study of substances harmful to living organisms

Toxicology is a scientific discipline, overlapping with biology, chemistry, pharmacology, and medicine, that involves the study of the adverse effects of chemical substances on living organisms and the practice of diagnosing and treating exposures to toxins and toxicants. The relationship between dose and its effects on the exposed organism is of high significance in toxicology. Factors that influence chemical toxicity include the dosage, duration of exposure, route of exposure, species, age, sex, and environment. Toxicologists are experts on poisons and poisoning. There is a movement for evidence-based toxicology as part of the larger movement towards evidence-based practices. Toxicology is currently contributing to the field of cancer research, since some toxins can be used as drugs for killing tumor cells. One prime example of this is ribosome-inactivating proteins, tested in the treatment of leukemia.

<span class="mw-page-title-main">Poison</span> Substance that causes death, injury or harm to organs

A poison is any chemical substance that is harmful or lethal to living organisms. The term is used in a wide range of scientific fields and industries, where it is often specifically defined. It may also be applied colloquially or figuratively, with a broad sense.

Multiple chemical sensitivity (MCS), also known as idiopathic environmental intolerances (IEI), is an unrecognized and controversial diagnosis characterized by chronic symptoms attributed to exposure to low levels of commonly used chemicals. Symptoms are typically vague and non-specific. They may include fatigue, headaches, nausea, and dizziness.

<span class="mw-page-title-main">Arsenic poisoning</span> Illness from ingesting arsenic

Arsenic poisoning is a medical condition that occurs due to elevated levels of arsenic in the body. If arsenic poisoning occurs over a brief period of time, symptoms may include vomiting, abdominal pain, encephalopathy, and watery diarrhea that contains blood. Long-term exposure can result in thickening of the skin, darker skin, abdominal pain, diarrhea, heart disease, numbness, and cancer.

<span class="mw-page-title-main">Toxicity</span> Degree of harmfulness of substances

Toxicity is the degree to which a chemical substance or a particular mixture of substances can damage an organism. Toxicity can refer to the effect on a whole organism, such as an animal, bacterium, or plant, as well as the effect on a substructure of the organism, such as a cell (cytotoxicity) or an organ such as the liver (hepatotoxicity). Sometimes the word is more or less synonymous with poisoning in everyday usage.

<span class="mw-page-title-main">Environmental health</span> Public health branch focused on environmental impacts on human health

Environmental health is the branch of public health concerned with all aspects of the natural and built environment affecting human health. In order to effectively control factors that may affect health, the requirements that must be met in order to create a healthy environment must be determined. The major sub-disciplines of environmental health are environmental science, toxicology, environmental epidemiology, and environmental and occupational medicine.

<span class="mw-page-title-main">Pesticide poisoning</span> Poisoning of humans from pesticide exposure

A pesticide poisoning occurs when pesticides, chemicals intended to control a pest, affect non-target organisms such as humans, wildlife, plants, or bees. There are three types of pesticide poisoning. The first of the three is a single and short-term very high level of exposure which can be experienced by individuals who commit suicide, as well as pesticide formulators. The second type of poisoning is long-term high-level exposure, which can occur in pesticide formulators and manufacturers. The third type of poisoning is a long-term low-level exposure, which individuals are exposed to from sources such as pesticide residues in food as well as contact with pesticide residues in the air, water, soil, sediment, food materials, plants and animals.

<span class="mw-page-title-main">Occupational hygiene</span> Management of workplace health hazards

Occupational hygiene is the anticipation, recognition, evaluation, control, and confirmation (ARECC) of protection from risks associated with exposures to hazards in, or arising from, the workplace that may result in injury, illness, impairment, or affect the well-being of workers and members of the community. These hazards or stressors are typically divided into the categories biological, chemical, physical, ergonomic and psychosocial. The risk of a health effect from a given stressor is a function of the hazard multiplied by the exposure to the individual or group. For chemicals, the hazard can be understood by the dose response profile most often based on toxicological studies or models. Occupational hygienists work closely with toxicologists for understanding chemical hazards, physicists for physical hazards, and physicians and microbiologists for biological hazards. Environmental and occupational hygienists are considered experts in exposure science and exposure risk management. Depending on an individual's type of job, a hygienist will apply their exposure science expertise for the protection of workers, consumers and/or communities.

An environmental factor, ecological factor or eco factor is any factor, abiotic or biotic, that influences living organisms. Abiotic factors include ambient temperature, amount of sunlight, air, soil, water and pH of the water soil in which an organism lives. Biotic factors would include the availability of food organisms and the presence of biological specificity, competitors, predators, and parasites.

<span class="mw-page-title-main">Environmental hazard</span> Harmful substance, a condition or an event

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<span class="mw-page-title-main">Disease burden</span> Impact of diseases

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<span class="mw-page-title-main">Environmental toxicology</span>

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Panos G. Georgopoulos is a Greek scientist working in the field of Environmental Health and specializing in Mathematical Modeling of Environmental and Biological Systems. He is the architect or the MOdeling ENvironment for Total Risk studies (MENTOR) the DOse Response Information and Analysis system (DORIAN), and Prioritization/Ranking of Toxic Exposures with GIS Extension (PRoTEGE), all under continuing development at the Computational Chemodynamics Laboratory of the Environmental and Occupational Health Sciences Institute (EOHSI).

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<span class="mw-page-title-main">Exposome</span>

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References

  1. EEA. National and regional story (Netherlands) - Environmental burden of disease in Europe: the EBoDE project. "National and regional story (Netherlands) - Environmental burden of disease in Europe: The EBoDE project - Netherlands — EEA". Archived from the original on 2011-07-20. Retrieved 2010-12-31.