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What is the Environment
The environment refers to the surrounding conditions, including the air, water, soil, and ecosystems, that influence the health and well-being of living organisms. It encompasses both natural and built environments and plays a crucial role in human health.
Gene-Environment Interaction
The interplay between genetic makeup and environmental factors that influence an individual's health outcomes.
models of gene-environment interaction
genetic makeup increases exposure to an environmental risk factor
genetic makeup increases susceptibility to an environmental risk factor
Types of Hazards
chemical hazard
biological hazard
physical hazard
social or behavioural hazards
genetic traits
chemical hazard
chemicals in air, soil, and food
biological hazard
bacteria, viruses, parasites, allergens, animals, such as bees and poisonous snakes
physical hazard
housing, urban development, land use, transportation are environmental health hazards
natural fires, tornados, volcanic eruptions, and earthquakes are not environmental health hazards (they are natural disasters or natural hazards)
social or behavioural hazard
poor diet, smoking, drugs, drinking, poverty are not environmental health hazards (but the chemicals in tobacco smoke - are secondhand smoke
genetic traits
health risks associated with the chromosomal defect that causes Down syndrome
Core Concerns of Environmental Health
focus on chemical, biological, physical hazards
interactions with genetic traits with social/behavioural stressors
emphasis on anthropogenic hazards
much more than just pollution
as branch of public health, the field of environment health takes a population perspective
Case Study 1: London Smog, 1952
a man guides a London bus through thick fog with a flaming torch during the 1952 Great Smog
the smog was the result of coal-burning
Case Study 2: Indonesian Fires, 1997
smoke over Lake Toba, Sumatra, Indonesia, photographed by the Space Shuttle Atlantis
smoke from fires set to clear land for agriculture in Indonesia at one time in 1997 blanketed an area larger than the continental United States
fire damage classification of the 1997 - 1998 fires in East Kalimantan, Indonesia, based on ERS-SAR images
Health Effects of Outdoor Air Pollution
the effects depend on the dose or concentration
asthma
chronic bronchitis
pulmonary emphysema
Seven Common Outdoor Air Pollutants
Particulate matter
Carbon monoxide
Nitrogen oxides
Sulphur oxides
VOC (Volatile Organic Compounds)
Lead
ground level ozone
Particulate matter
Particles found in the air (dust, soot, smoke, and liquid droplets)
Vehicles, factories, construction sites, tilled fields, stone crashing, and all kinds of burning
Some formed in the air
Serious health effects
Big and small
Particulates classified by size
PM10 — respirable
PM2.5 — “fine” (mostly from combustion)
Ultrafine particulates
Carbon Monoxide
Odourless, colourless gas
Incomplete burning of carbon-containing fuels
Heaters, woodstoves, gas stoves, fireplaces, water heaters, automobile exhaust, and tobacco smoke
Bigger problem for indoor air pollution
1000 people die each year in US as result of CO poisoning (indoor air)
Sometimes confused with flu or food poisoning
Fetuses, infants, elderly and people with heart and respiratory illnesses are at high risk for adverse health effects
Health Effects of Carbon Monoxide
Interferes with the delivery of oxygen in the blood to the rest of the body
Worsen cardiovascular conditions
Fatigue
Headache
Weakness
Confusion
Disorientation, loss of coordination
Nausea, Dizziness, Death
Prevention
Never leave a car engine running in a shed or garage or in any enclosed space
Proper selection, installation, and maintenance of appliances
Correct use of appliances
Good ventilation
Use CO detectors
Nitrogen Oxides (NOx)
Formed in any type of combustion process
Involved in formation of ground-level ozone
Forms nitrate particles, and acid aerosols
Contribute in formation of acid rain
Transported over long distances
Sulphur Oxides (SOx)
Burning of coal and oil, extraction of metals from ore
SO2 dissolves in water vapour to form acids
Acids react with other gases and particles and form sulphates
Transported over long distances
Respiratory illnesses, aggravates existing heart and lung diseases
VOC (Volatile Organic Compounds)
Variety of organic compounds used as solvent in industry, automobiles
Hydrocarbons (HC): methane, butane, propane
Some produce photochemical smog (will be explained later)
Lead (Pb)
Metal
Vehicles and industrial sources
Leaded gasoline
Deposit on soil and water
Children accidentally can eat soil
Particularly affects young children
Lead is neurotoxicant
Ozone (O3)
VOC + NOx + Heat + Sunlight = Ozone
Summertime pollutant, time of the day, seasonal, climate
Good in stratosphere
Bad on the ground
Transported on long distances
Lung damage (small airways)
Shortness of breath, chest tightness, coughing and nausea
Irritate and damaged eyes, nose, sinuses and throat
Problem for people who exercise outdoors during the concentration picks
smog
Smoke + fog = Smog (first used in 1905 in England)
Sulphurous smog- London type of smog or industrial smog
Photochemical smog - L.A. type of smog or brown air
Airborne Hazards
Outdoor air pollution
Indoor air pollution
Contains 2-5 times higher concentration of hazardous pollutants than outdoor air
Buildings more airtight to conserve energy, inadequate ventilation
People spend about 90% of their time indoors
Children, pregnant women, elderly, and people with chronic illnesses are more sensitive
Sources of Pollutants
Building materials and furnishing
Asbestos insulation
Wet or damp carpet
Furniture made of certain pressed wood products
Cleaning products and air fresheners
Personal care and hobbies
Pesticides
Cooking
Bathing
Heating (combustion of oil, coal, wood)
Radon
Smoking
Outdoor pollution
Unhealthy Construction Materials and Sick Buildings
“Sick building syndrome”
Nonspecific symptoms experienced by occupants of a building
“Sick building” designation
A building whose occupants experience such symptoms
Building-related illness
Specific diagnosable illnesses, linked to specific feature of building
Health Effects of Indoor Air Pollution
Hard to detect by our senses
Symptoms are similar, need years to develop
Headaches, tiredness, dizziness, nausea, itchy nose, scratchy throat
Asthma
Cancer
Six Common Indoor Air Pollutants
Asbestos
Formaldehyde
Mold and Moisture
Secondhand Smoke
Radon Gas
Air Dust
Asbestos
Group of six different fibrous minerals
Have separable, long, strong and flexible heating resistant fibers
Asbestos in the Environment
Do not evaporate into air or dissolve in water, do not break down
Fibers and particles may remain suspended in the air and carried long distances
Not able to move through soil
How might you be exposed to asbestos
In industrialized countries, nearly everyone has asbestos fibres in their lungs
some risk of cancer
People working in some industries
People living near these industries
During demolition work and remodelling
From drinking water (natural sources or asbestos containing cement pipes)
Health Effects of Asbestos
Affects the lungs and the membrane that surrounds the lungs
Asbestosis- Scar-like tissue, not in general public
difficulty breathing
often cough
heart enlargement
lead to disability and death
Plaques in the pleural membranes
Lung cancer, mesothelioma
Increase risk of getting other types of cancer (stomach, esophagus, pancreas, kidney)
Risk increases with smoking
Not related with birth defects
Low levels can be measured in urine, faces, and mucus
Formaldehyde
Volatile organic compound (VOC), naturally occurring gas, colourless, and strong smell
Becomes a gas at normal room temperature
Also released by burning wood and natural gas, by automobile and by cigarettes
Glue or adhesives in pressed wood products (particleboards, MDF, plywood)
Preservatives in some paints and cosmetics
Coatings that provide permanent press quality to fabrics and draperies
Finish used to coat paper products
Certain insulation materials
Health Effects of Formaldehyde
Allergic reactions
Watery eyes, burning sensation in the eyes, nose and throat
Skin rashes
Nausea
Coughing
Chest tightness
Asthmatic reactions
Cancer
Some people very sensitive
Mold and Moisture
Need moisture, does not need standing water, just requires high relative air humidity
Bathrooms and kitchens
Gym areas
Locker rooms
Leaky roof areas
Damp basements
On or within wood, paper, carpet and foods
Mold Health Effects
Major source of indoor allergens
Trigger asthma
Produce Toxins
Produce Irritants
Mold and Moisture
The way to control indoor mold growth is to control moisture (maintaining the relative humidity between 30-60%)
Often undiscovered
Produce tiny spores
Discoloration and odour problems
Second-Hand Smoke
Contain 4000 compounds (CO and Formaldehyde), 40 are carcinogens
A non-smoker exposed to secondhand smoke has a 25% increased chance of developing lung cancer
EPA estimates that each year 3 000 lung cancer deaths among nonsmoking adults in US
Health Canada estimates that more than 300 non-smokers die from lung cancer each year because of such exposure
Environmental tobacco smoke (secondhand smoke):
Adults: heart disease, heart attack, lung cancer, hearing loss, eyes, nose and throat irritation
Children: SIDS, asthma, pneumonia, bronchitis, ear infection and hearing loss
Smoking is on the rise in less developed countries
More than 8 million people projected to die from smoking-related causes by 2030
Radon Gas
Colourless, odourless, tasteless
Naturally occurring
Radioactive decay of uranium
From soil and rock into basements and lower floors indoor air
Dissolved in groundwater, pumped into wells and then into homes
In construction building blocks
Radon Gas in Buildings
Natural hazards in some regions
Begins a series of rapid breakdowns
Radon and some progeny are alpha emitters; lung cancer risk
Often simple to detect and remediate
Air Dust
Heating and cooling -forced air system
Dust particles
Pollen or other debris
Duct Cleaning Service Providers
Liquid Natural Capital
the earth is a water planet
water covers 71% of the Earth’s surface
mostly salty water
no species can live without water
Sculpting the earth's surface
Moderating climate
Removing and diluting wastes and pollutants
World Problems
quantity of water
quality of water
Some areas have lots of water but the largest rivers are far from agricultural and population centers
Lots of precipitation arrives during a short period but cannot be collected and stored
Use about 54 % of the world's reliable runoff of surface water and could be using 70-90% by 2030
Withdrawal- total amount of water removed from a river, lake or aquifer for any purpose
Some may be returned to the source for reuse but not all
Some lakes and rivers shrink
Hydrological Poverty
One out of six people do not have regular access to clean water
Diarrheal deaths kill over 2 million children annually
Water and Your Health
Drinking water
Annual reports on local drinking water quality
Naturally pure water & distilled water
Natural content of minerals in water
Surface water - In urban areas
rivers
lakes
Groundwater- In rural areas
wells
springs
Swimming water
Quality Water
Water pH
Hardness
Colour
Turbidity
Taste
Odor
Microbes and chemicals
Contaminants in Drinking Water
Microbes (1)
Radionuclides (2)
Inorganic Contaminants (3)
Arsenic
Fluoride
Lead
Nitrates (fertilizers - nonpoint sources)
Industrial Organic Contaminants (4)
pesticides and herbicides (nonpoint sources)
volatile organic compounds (VOC)
Disinfection by-products (5)
Microbes (1)
Fecal Coliform and E. coli bacteria – contamination with human and animal wastes, diarrhea, cramps, nausea, headaches, renal failure, coagulation disorders
Salmonella typhi – typhoid fever (high fever, abdominal pain, constipation)
Shigella sp.- more severe abdominal cramping with blood and mucus in the stool
Vibrio cholerae – life-threatening, rice-water stools
Norwalk viruses, enteroviruses, adenoviruses - diarrheal illness
Hepatitis A- liver inflammation
Cryptosporidium – parasite that enters lakes and rivers through sewage and animal wastes
Giardia lamblia - enters lakes and rivers through sewage and animal wastes, diarrhea, vomiting, cramps
Radionuclides (2)
Alpha emitters
Beta/photon emitters
Combined Radium 226/228
Radon gas
Radium
Damage to DNA, Increased risk of getting cancer
Radon
a colourless and odorless gas
Produced by the radioactive decay of uranium, in particular Uranium-238 with a half-life of 4.5 billion years, and other radioactive minerals
Radon decays radioactive isotopes Polonium-218 and Polonium-214 which also produces alpha particles that if breathed or swallowed can cause several types of cancer
Uranium is found in several types of minerals associated with granites, metamorphic gneiss, and sedimentary rock derived from weathering and erosion of granite
Radon can build up in the basement of a home constructed on soils with high radon levels or if the basement walls are built of granite
Radium
Radium Hot Springs, located within the boundaries of Kootenay National Park, BC as it appeared shortly after opening (early 1900s)
Inorganic Contaminants (3). —— Arsenic
High concentrations of arsenic are poisonous and lower concentrations can cause skin cancer and melanosis (dark pigmentation of the skin)
After many years of drinking lower levels, the possibility of skin damage, problems with the circulatory system
Arsenic occurs in more than 200 different minerals that are relatively rare and usually in low concentrations
Arsenic dissolves very readily in groundwater and can move long distances from its source
When many sources combine, arsenic can concentrate in toxic level in the groundwater
Inorganic Contaminants (3). —— Fluoride
Fluoride concentration greater than 1.5 milligrams per liter can become potentially harmful
Small amounts added to drinking water to promote dental health
Exposure to high concentrations of fluoride can cause dental fluorosis and skeletal fluorosis (bone disease)
Fluoride is found in the common mineral fluorite and in certain types of micas and clay minerals
The highest concentrations of fluoride are found in regions of volcanic activity
Unlike arsenic ions, the highly reactive fluoride ions in the groundwater tend to form chemical compounds within short distances of its source, therefore, high levels of fluoride are typically found close to its source material
Inorganic Contaminants (3). —— Lead
Lead pipes are banned
Anemia
Brain, kidneys and nervous system damage
Appetite loss
Abdominal pain
Constipation
Fatigue
Sleeplessness
Irritability
Headache
Miscarriages and stillbirths
Most serious for young children (intellectual development, behavior, size and hearing of infants)
Inorganic Contaminants (3). —— Nitrates
Inhibits the red blood cell’s ability to transfer oxygen
Methemoglobinemia – oxygen starvation, cyanosis (bluish discoloration of the skin and lips)
Spontaneous abortion and neural tube defects
Industrial Contaminants (4) —— Pesticides and Herbicides
Chlorinated Hydrocarbons
DDT, Chlordane, Lindane
Persistent, bioaccumulating, biomagnifying
Not mammal-toxic
Very negative ecological effects
Organophosphates and Carbamates
Round-up (glyphosate) (grasses)
Metolachlor, Alachlor (weeds)
Triazines 2,4-D; 2,4,5-T (many plants)
Rapid decay, not persistent
Not bioaccumulating and not biomagnifying
Industrial Contaminants (4) —— MTBE (Methil - Tert - Butyl Ether)
Fuel additive, replace the use of lead as octane enhancer
Used to reduce carbon monoxide and ozone levels caused by auto emission
Leaking of underground tanks, to some extent from air deposition
Disinfection Byproducts (5)
Formed when disinfectants react with naturally occurring organic and inorganic matter in water
Trihalomethanes – excess over many years cause liver, kidney, or central nervous system problems, increased risk of getting cancer
Haloacetic Acid – increased risk of getting cancer
Bromate – increased risk of getting cancer
Chlorite – children could experience nervous system effects, some people may experience anemia
Household-level Water Supply or Treatment
Devices for home water treatment
Point-of-use systems installed at tap (e.g., carbon filter at kitchen sink)
Bottled Water
Expensive; often groundwater source; not likely to be fluoridated
Regulated not as drinking water, but as packaged food
Often disinfected using ozone or UV light (no residual effect needed)
Endocrine Disrupters
Toxicology data mostly from animal studies, not much from human exposure
Direct effects
Bind to hormone receptors
Alter the appearance of some genes
Changes in the level of produced proteins
Indirect effects
Altering hormone production
Altering hormone transport
Altering hormone metabolism
DES (diethylstilbesteol)
Synthetic estrogen used by physicians to prevent spontaneous abortion (1948-1971)
Administered for early pregnancy until 35 weeks
> 1 million women took it between 1960-1970
Daughters whose mothers took DES have increased incidents of :
Reproductive organ dysfunction
Abnormal pregnancies
Reduction in fertility
Immune system disorders
Carcinoma
Endocrine Disrupters - Health Implications
Feminization of males
Change in sexual behaviour
Birth defects
Altered time to puberty
Cancer of mammary glands or testes
Thyroid dysfunction (example)
Endocrine Disrupters - Neurobehavioural Implications
Prenatal and early postnatal exposures
PCBs (Polychlorinated biphenyls):
Impaired learning in nonhuman primates
Delayed psychomotor development
Distractibility
Poor IQ tests
Organophosphates
Brain development
Case Study: Pesticides and Children
Research supports the hypothesis that exposure to pesticides may affect the development of intelligence and motor skills of young children
This study compared two groups of rural Yaqui Indian preschoolers in Mexico (1998), one frequently exposed to pesticides, the other rarely exposed to pesticides.
Chemical Body Burdens
Quantity of chemicals accumulated in the body
Biomonitoring – “normal level”
Blood and fat analysis
Not stable over time
Not distributed homogeneously in a body
Not possible to detect if present in very low concentrations
Organochlorine Substances
Dioxins
DDT
Phthalate and Bisphenol A
Dioxins
Dioxins have no commercial usefulness by themselves • Formed during
Formed during
combustion processes such as waste incineration, forest fires and backyard trash burning
manufacturing processes such as herbicide manufacture and paper manufacture
Group of chemical compounds with similar chemical structure
One of the most toxic and most studied is 2,3,7,8- tetrachlorodibenzo-p-dioxin (TCDD)
Accumulate in fatty tissue
Bioaccumulation/Biomagnification
Very slowly removed from the body (POP-persistent organic pollutants)
In food
At low levels- Effects of constant exposure to low levels is not known
Focal point for ongoing research (the molecular and cellular mechanisms)
At high levels very toxic
cause cancer in laboratory animals and humans, mechanism is not known
alter reproductive and developmental functions
increased risk for heart disease and diabetes
causes immunosuppression
study in mice showed ability to cause birth defects
DDT (C14H9Cl5) —- (dichloro-diphenyl-trichloro-ethane)
Agricultural pesticide
Typhus- lice control
Malaria - widely used for mosquito control for 20 years before persistence appreciated
Travels long distances
Found in every corner of the globe
Global distillation, “Grasshopper effect”
Very persistent (POP) • Bioaccumulation/Biomagnification
Accumulates in fatty tissues of people and animals
DDT in breast milk
Human Health Effects
Carcinogen – linked to breast cancer
Damage to reproductive system
Reduced reproductive success
Damage to the liver
Endocrine disruptor – mimicking estrogenic compounds in the body
Chronic long-term exposures affect nervous system
DDT Restrictions
Banned in the US in 1972 except for public health emergencies. Small amounts were used until 1980. In 1991, the US exported 92 tons of DDT.
In at least 26 countries, DDT is completely banned, and in 12 others it is severely restricted. In these latter cases, it is permitted for use by government agencies for special programs, usually involving vector control programs
Total bans
Canada 1985
Chile 1985
Cuba 1970
Liechtenstein 1986
Korea 1986
Poland 1976
Singapore 1984
Switzerland 1986
DDT
Levels in humans dropped in the past thirty years
Low levels of exposure still occurs (seafood, crops grown in contaminated soil, imported food)
Targeted use for mosquito control in some less developed countries with high malaria rates is approved by WHO
Some countries which permit the import of DDT
Bhutan
Guinea
Malaysia
Nepal
Sudan
Venezuela
Bolivia
Mauritius
Philippines
India
Tanzania
Vietnam
Ethiopia
Kenya
Mexico
Sri Lanka
Thailand
Phthalate and Bisphenol A
Phthalate—chemicals used to make plastics plastic
Bisphenol A (BPA) also used in production of plastics
May move slowly into air or into contents of container
Health effects of phthalates and bisphenol-A:
Endocrine disruptors
Developmental effects in male lab animals and male infants (reduced anogenital distance)
Emerging evidence of link to obesity in lab animals and people
Heavy Metals
Metallic chemical element that has specific gravity usually more than 5g/mL
Toxic in even low concentrations
Naturally occurring, extracted from the earth, in ore
Wide environmental dispersion
Tendency to accumulate in select tissues
Classification of Metals
Class A:
K, Na, Mg, Ca
Macronutrients (essential for biological processes)
Low toxicity
Class B:
Hg, Pb, Ti
Nonessential elements
Very toxic (form soluble organometallics)
Borderline:
Cr, Cu, As, Co, Ni, Zn, Mn, Fe
Almost all micronutrients
Mechanisms of Toxicity
Blocking essential functional groups in proteins or enzymes; proteins can not carry anything
Displace other metals (class B, borderline)
Modifying the active conformation of biomolecules (class B)
Coping Mechanisms
Resistance – species develop mechanisms not to uptake metal (example Pb)
Tolerance – the capacity of a species to withstand high levels of metals
Internal detoxifying mechanisms
Binding to non sensitive compound structures
Metabolic transformations to less toxic forms (methylation of As in marine biota)
Can develop multiple tolerance - Cu, Pb, Zn, Cd
Bioavailability of Metals
Species of the metal-free ions (charged ions Zn+2 are more bioavailable than Zno )
Neutral species may be bioavailable, important in complexes
pH of water/soil
Redox potential of solution
Routes of Exposure
Inhalation (dust or PM, fume, gas)
Ingestion (soil, food, plants accumulate metals in roots)
Through the skin
Mostly accumulate in the liver, bones, and kidneys
Damage the brain, kidney, and some carcinogens
Hard to diagnose (symptoms are weakness, headaches, and hypertension)
Mercury (HG)
Metallic form - in batteries, dental amalgams, and thermometers
In industries, in different forms
Liquid in pure form - not significant hazard
When volatilize very toxic
Organic and Inorganic forms, both toxic
Bioaccumulation (tuna fish)
“MAD HAT-MAKERS SYNDROME”
Tremor of the hands, excitability, memory loss, insomnia, and sometimes delirium
Sensitivity of fetal and infant nervous system to low levels of Hg (mental retardation, language, memory and neural problems if mother is exposed during the pregnancy)
What are the Wood Preservatives
Chemicals that protect wood from rotting due to insects and microbial agents and on that way prolong age in service of wood products
CCA-C (chromated-copper-arsenate)
Content
47.5 % CrO3
18.5% CuO
34% As2O5
Waterborne preservative
Vacuum-Pressure Impregnation Treatment of Wood
Retort
Fixation process -chemical reaction of Cr, Cu and As salts with wood components
Production of CCA-Treated Wood
100% of residential lumber is treated with CCA before it is phased out
70% of all wood products is treated with CCA before it is phased out
It was important industry in North America before it is phased out in 2003 (annual gross sales in USA of around $3.91x10^9 )
Positive Side of CCA Wood Preservation
Long efficacy: 50 years and more in ground contact;
Excellent results in marine use;
No odor to wood;
No problems with corrosion;
UV resistant;
Simple quality control;
Reasonable price;
Reduce needs for cutting forests
Environmental Concerns
Leaching
Soil
ingestion,
inhalation,
plants,
soil organisms,
groundwater
Aquatic systems
Rub off on hands (ingestion)
Toxicity of CCA Components
Form (speciation) of elements
Soil and water characteristics
Characteristics of organisms
Form (speciation) of Elements
Cr (VI) exists as anions, more mobile and toxic than Cr (III) which exists as the cation;
As (III) more mobile and toxic than As (V) both are anions; organic form is less toxic than inorganic form;
Cu exists as cation;
Toxicity of CCA Components
Soil characteristics
pH
Organic matter
Texture (clay, silt, sand)
Fe, Mn, Al oxides
Soil as barrier against toxicity
Plants
Negative
Combined Cr, Cu, and As (7000ppm) completely inhibited the growth of beans, carrots and tomatoes (Grant and Dobbs, 1977)
Carrots grown in soil with 1000ppm of Cr, Cu, and As (200ppm As), contained twice the recommended limit for As in food (Grant and Dobbs, 1977)
Positive
No influence of treated wood on growth and content of Cr, Cu and As in tomatoes (Jin and Preston, 1993), and grapes (Levi et. al, 1974)
Toxicity of As, Cu and Cr to Human (in general not just from CCA)
As –accumulate in nails, hair and skin, most dangerous, carcinogen, linked to skin, bladder, lung, liver and kidney cancer as well as immunosuppression, cardiovascular disease and diabetes, at very low level can change hormone function;
Cr – carcinogenic, linked to lung cancer, asthma, and ulcers;
Cu -vomiting, diarrhea, stomach cramps, and nausea (drinking water), liver damage (very young children under high dose), not known to cause cancer or birth defects, and very toxic for aquatic environment.
Present Situation
Wood scientists vs. environmental scientists
CCA is phased out for residential use in Canada in Dec. 2003
New wood preservatives are Cu-based
We can not escape radiation
Background radiation —- natural radioactivity in the Earth and by cosmic rays from outer space
Can not be controlled
Manmade radiation —- electronic products
X-ray machines
X-ray diagnostic
Television sets
Microwave ovens
Radar devices
Lasers
Can be controlled
Ionized Radiation
How does ionized radiation cayse health effects?
Radioactive material that decay spontaneously produce ionizing radiation
Strip away electrons from atoms (create charged ions)
Breaks some chemical bonds
Alpha, beta, gamma particles, and x-rays (differ in the amount of energy they have)
Health Effects from Exposure to Radionuclides
Stochastic health effects - Chronic
Long term, low level of exposure
Increase levels of exposure make these effects more likely to occur but do not influence the type or severity of the effect
Non-stochastic health effects - Acute
Short term, high level of exposure
Increase levels of exposure make these effects more severe
Stochastic Health Effects
Changes in DNA —- mutations
Teratogenic (fetus most sensitive in 8-15 week of pregnancy, smaller head or brain size, poorly formed eyes, and mental retardation)
Genetic (passed from parent to child)
Cancer- uncontrolled growth of cells - Damage at the cellular or molecular level
Non-Stochastic Health Effects
Radiation sickness
Nausea, weakness, hair loss, skin burn or diminishing organ function, premature aging, and death
Cancer —- uncotrolled growth of cells
Damage at the cellular or molecular level
Carcinogenesis
Cancer: a disease in which cells multiply without restraint
Tumor invades tissue of origin
Metastasis into other tissues
Cancer results from an accumulation of mutations
Mutation: change to the DNA of a cell
Key mutations in carcinogenesis
Increase the activity of genes that instruct the cell to divide (oncogenes); or
Decrease the activity of genes that instruct the cell to stop dividing (tumor suppressor genes)
Carcinogen: any agent that increases cancer risk at any stage in process
Simple view of stages in carcinogenesis
Initiation — initial mutation in a cell
Promotion — initiated cell is stimulated to divide, becoming a benign tumor
Progression — mutations → cell division → malignant tumor
Chemical Properties of Radionuclides
Organs can not distinguish between radioactive and nonradioactive forms of element
Radioactive iodine in the thyroid
Calcium, strontium -90 and radium -226 accumulate in bones
Nuclear Power Plant Accidents
Three Mile Island, Pennsylvania, 1979
Chernobyl, former Soviet Union, 1986
Chernobyl accident had 10-20 times higher dose of exposure than Three Mile Island’s accident