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A city's public health department has a limited budget and must
choose between two initiatives:
1. Repairing a wastewater treatment plant that is leaking
untreated sewage into a recreational lake.
2. Implementing a mandatory 'No-Idle' zone and subsidized
public transit to reduce tropospheric ozone during the
summer months.
Task: Defend which initiative would provide a more immediate
and measurable improvement to community health. In your
defense, contrast the biological nature of dysentery with the
chronic respiratory impacts of ozone, and explain why the 'cause
and effect' is statistically easier to track for one over the other.
Repairing a wastewater treatment plant that is leaking untreated sewage into a recreational lake would be a more immediate and measurable improvement to community health because it is harder to enforce a “no-idle” zone then repairing a plant.
Dysentery are more likely to face immediate death compared to lung damage caused by respiratory impacts of ozone.
Wastewater is easier to explain its cause and effect because ozone diseases can be caused by multiple factors, but wastewater can be tracked through pipes leading to homes or buildings.
Why do we have to do research in order to try to figure out which pollutants are causing health effects to humans?
It difficult to establish a cause and effect between pollutants and human
health issues because humans experience exposure to a variety of
chemicals and pollutants
Sometimes we are aware of the exposure, but other times we are not
What are the 2 types of studies we conduct?
Retrospective studies
Prospective studies
Retrospective studies:
Monitor people who have been exposed to an environmental hazard such as
harmful chemicals, at some point in the past
What do the scientists specifically do during retrospective study?
Scientists identify a group of people who have been exposed to a
potentially harmful chemical and a second group of people who have not
been exposed to the chemical
Both groups are monitored for many years to see if the exposed group
experiences more health problems than the unexposed group
Asbestos Study
People exposed to asbestos were developing a number of deadly diseases including asbestosis (painful inflammation of the lungs) and several types of cancer including mesothelioma
Mesothelioma = inhaling or swallowing asbestos fibers
Untreated Sewage Study
By examining groups of people who were exposed versus not exposed to raw sewage….
➢ We learned that exposed people can be exposed to a variety of harmful chemicals and
pathogens that have led to an increased emphasis on sewage treatment throughout the
world
Dysentery
➔ An infection of the intestines that cause diarrhea, which results in dehydration and can
cause death
- Untreated sewage contains bacteria (E. coli, Salmonella), viruses (Hepatitis A), and
parasites/worms that cause gastrointestinal illnesses.
- Cholera is caused by a bacteria (Vibrio cholerae) which is a leading cause of dysentery
- Shigellosis (bacillary dysentery) is common, causing intense diarrhea, fever, and stomach pain.
Tropospheric Study
Individuals exposed to this pollutant are more likely
to experience increasing lung damage
➔ Including emphysema, bronchitis, and asthma -
compared to those not exposed to the ozone
Prospective Studies
Monitor people who might become exposed to an environmental hazard, such
as a harmful chemical, at some point in the future
What do the scientists specifically do during prospective study?
Scientist might select…
➔ A group of 1,000 participants and ask them to keep track of the food they eat,
the tobacco they use, and the alcohol they drink over a period of several
decades
As time passes, researchers can determine if the habits of the participants are
associated with any future health problems
➔ Is tricky because a participants habits (like tobacco use) can also be
associated with many other risk factors, such as socioeconomic status