1/98
Looks like no tags are added yet.
Name | Mastery | Learn | Test | Matching | Spaced | Call with Kai |
|---|
No analytics yet
Send a link to your students to track their progress
what is the environment?
Environment is everything that affects a living organism
Effects of environment on human health is so great
Air
Water
Soil
Biota
Manmade environment
(Created by society
your environment is your health but….
its not the only factor influencing your health
gene-environment interaction
Genetic makeup and environmental factor are
independent risk factors
• 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 behavioral hazards
genetic traits
core concerns of environmental health
Focus on chemical, biological, physical hazards
Interactions with genetic traits and with
social/behavioral stressors
Emphasis on anthropogenic hazards
Much more than just pollution
As branch of public health, the field of
environmental health takes a population
perspective
atmosphere
CO2 increased 30% since the beginning of the
Industrial revolution
hydrosphere
polluted lake
geosphere
1/3 to ½ of the land surface has been transformed by human action
environmental health
Environmental factors are responsible for 25 % of all
preventable diseases
In developing countries diarrhea and respiratory infections
are heading the list
Protecting the environment has been a mainstream of
public health practices since 1878
Rich & Poor
African Americans & Hispanic & Whites
Developed & developing countries
airborne hazards
outdoor air pollution and indoor air pollution
health effects of outdoor air pollution
The effects depend on the dose or concentration
Asthma
• Particulates and/or SO2 can irritate bronchial passages leading to severe
difficulties in breathing
• Prevalence in the US increased 34%
• The incidence among a children in Australia was one in five, a doubling of
the rate in less than 20 years
• Indoor air pollution is also significant cause
Chronic bronchitis
• Occurs when an excessive amount of mucus is produced in bronchi which
results in a lasting cough
• SO2 and smoking is related to Chronic bronchitis
some health effects of outdoor air pollution
Pulmonary emphysema
• Weakening of the wall of alveoli, they become enlarged and
loss their resilience
• Shortness of breath is the primary symptom
• NO2 is related to emphysema
–Lung Cancer
–Heart disease
–Toxic poisoning
–Eye irritation
–Birth defects
seven common outdoor air pollutants
Primary air pollutants
– Particulate matter
– Carbon monoxide
– Nitrogen oxides
– Sulphur oxides
– VOC (Volatile Organic
Compounds)
– Lead
• Secondary air pollutant
– 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
1 000 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, Deat
prevention meaning
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 to formation of acid rain
• Transported over long distances
Sulphur Oxides (SOx)
Burning of coal and oil, extraction of metals from ore
• SO2 dissolve 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
– Effects on
• IQ, cognitive & neurological performance more
broadly
• Cardiovascular mortality, increased lung cancer
risk, kidney toxicity, high blood pressure,
reproductive effects, and oral health impacts
– Heavier burden of exposure on poor,
nonwhite populations
Ozone (O3)
• Summertime pollutant, time of the day, seasonal, climate
• Good in stratosphere
• Bad on a 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
• Summertime pollutant, time of the day, seasonal, climate
• Good in stratosphere
• Bad on a 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
airborne hazards
outdoor air pollution
indoor 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 illness, 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
asbestos used in
Building materials (roofing
shingles, ceilings and floor tiles,
paper products, and asbestos
cement products)
– Friction products (automobile
brakes and transmission parts)
– Heat resistant fabrics,
packaging and coatings
how could people be exposed to asbestos?
In industrialized countries, nearly everyone has
asbestos fibers in their lungs
– Some risk of cancer
• People working in some industries
• People living near these industries
• During demolition work and remodeling
• From drinking water
(natural sources or asbestos
containing cement pipes)
health effects of asbestos
Affect 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
health effects of asbestos
Plaques in the pleural membranes
● Thickened areas of tissue on the lung lining
● 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 is?
Volatile organic compound (VOC), naturally occurring gas, colourless, and strong
smell
• Becomes a gas at normalnroom temperature
• Also released by burning wood and natural gas, by automobile and by cigarettes
Glue or adhesives in pressedwood 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
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 4 000 compounds (CO and
Formaldehyde), 40 are carcinogens
● A non-smoker exposed to secondhand smoke
has a 25% increased chance of developing lung
cancer compared with not exposed non-smoker
● 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
Adults: heart disease, heart attack, lung cancer, hearing loss, eyes,
nose and throat irritation
– Children: SIDS, asthma, pneumonia, bronchitis, ear infection and
hearing loss
• Prevalence is generally falling in most countries worldwide,
including many low- and middle-income countries (where
80% of the world's smokers live)
• Rates are stable or decreasing, while the absolute number of
smokers is not declining, and some countries still report rising
numbers.
– More than 8 million people projected to die from smoking-
related causes by 2030
radon gas
Colorless, odorless, 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 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 with water
quanity of water, and quality of water
world probelms
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 34-54 % 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 shrin
hydrological proverty
One out of four people do not have regular access to clean
water
• Around 444,000 children under five died from diarrheal
diseases in 2021, a major reduction from previous years
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
• Ground water- In rural areas
– wells
– springs
quality of water
Water pH
• Hardness
• Colour
• Turbidity
• Taste
• Odor
• Microbes and Chemicals
contaminants in drinking water
. Microbes
2. Radionuclides
3. Inorganic Contaminants
– Arsenic
– Fluoride
– Lead
– Nitrates (fertilizers –nonpoint sources)
4. Industrial Organic Contaminants
– Pesticides and Herbicides (nonpoint sources)
– Volatile Organic Compounds (VOC)
5. Disinfection byproducts
microbes
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
radionuclides
Alpha emitters
• Beta/photon emitters
• Combined Radium 226/228
• Radon gas
• Radium
• Damage to DNA, Increase risk of getting cancer
radon
a colorless 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 1900’s
inorganic contaminants: arsenic
High concentration 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, possibility of skin damage,
problems with circulatory system
• Arsenic occurs in more than 200
different minerals that 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’: flouride
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
• 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 contaminats : 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: 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: 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
but
-Very mammal-toxic
industrial contaminants: MTBE (methil0tert-butly 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
drinking water from household wells
Vulnerable to contamination by
upgradient land uses (e.g., agriculture,
septic systems)
• Make sure that well is built properly
• Check the water regularly
• Naturally occurring contaminants,
depending on geology (radionuclides,
nitrate and nitrite, heavy metals,
fluoride) Man-made contaminants
– Improper use of fertilizers,
pesticides, animal manure
– Poorly located septic system
– Leaking underground tanks
– Improper disposal of wastes
– Chemical spills at local industrial
sites
drinking water from household wells: noticeable problems
Visible
– Scum from calcium salts
– Turbid water from dirt, clay or rust
– Green stains on sink caused by high acidity
• Tastes
– Salty taste from high sodium content
– Soapy taste from alkaline minerals
– Metallic taste from acidity or high iron content
– Chemical taste from industrial chemicals
Smell
– A rotten eggs odour from hydrogen sulphide gas
or bacteria
– Detergent odour
– Gasoline smell
– Methane gas smell from organic matter in water
– Chlorine smell from excessive chlorination
how is drinking water treated?
Groundwater
– Naturally filtered
– Less organic matter
– Often does not need any treatment
• Water from rivers, lakes and reservoirs
– Basic treatment steps for drinking water
• Initial settling (creates sludge)
• Coagulation and flocculation of tiny suspended particles
• Sedimentation (more sludge)
• Filtering; often sand filter
• Disinfection
disinfection of drinking water
Treatment specifically to kill pathogens
• Chlorination most common
– Effective against bacteria; less so against protozoa
(Giardia, Cryptosporidium) and viruses
– Residual disinfection in distribution system
• Alternatives: granulated activated charcoal, ion
exchange resins, reverse osmosis
• In developing world: boiling water and solar energy
disinfection byproducts
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 suppy or treatment
Devices for home water treatment
– Point-of-use systems installed at tap (e.g., carbon
filter at kitchen sink)
bottled water
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)
• Tap water & bottled water
endocrine disrupters
. Direct effects:
Bind to hormone receptors
Alter the appearance of some genes
Changes in the level of produced proteins
2. 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
• > 1million women took it between 1960-1970
Endocrine Disrupters and its health implication/ neurobehavioural implications
Feminization of males
• Change in sexual behavior
• Birth defects
• Altered time to puberty
• Cancer of mammary glands or testicles
• Thyroid dysfunction (example)
• Prenatal and early postnatal exposures
• PCBs (Polychlorinated biphenyls):
– Impaired learning in nonhuman primates
– Delayed psychomotor development
– Distractibility
– Poor IQ tests
• Organophosphates
– Brain development
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
what can you do to reduce your body burdens?
organochrloine substances: dioxins, DDT, phthalate and Bisphenol A
Dioxins are?
Dioxins have no commercial
usefulness by themselves
• Formed during
– combustion process 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)
DDT (dichloro diphenly 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
ddt in humans dropped when and how low are the levels, what occurs?
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
Phthalate and disphenol 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 containe
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 are?
Metallic chemical element that has specifc gravity ususally more than 5g/mL
toxic in even low concetrations
Naturally occuring, extracted from the earth
wide environmental dispersion
tendency to accumulate in selected tissues
classifiation of metals
Class A: K, Na, Mg, Ca
• Macronutrients (essential for biological processes)
• Low toxicity
Class B: • Hg, Pb, Cd, Ti
• Nonessential elements
• Very toxic (form soluble organometallics)
Borderline: Cr, Cu, As, Co, Ni, Zn, Mn, Fe
• Almost all micronutrients
Toxicity:
Class B > Borderline > Class A
what are mechanism of toxcity?
Blocking essential functional groups in
proteins or enzymes; proteins can not carry
anything
2. Displace other metals (class B, borderline)
3. Modifying the active conformation of
biomolecules (class B)
what are some coping mechanisms?
Resistance – species develop mechanisms not to uptake
metal (example Pb)
• Tolerance – the capacity of a species to withstand high
level 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
bioavailabiltiy 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
what are some 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)
what is mercury?
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 preseervatives?
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-arsenat
Water borne preservative
what are the toxicity of CCA Components?
Form (speciation) of elements
• Soil and water characteristics
• Characteristics of organisms
Form (speciation) of Elements are?
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
what are characterisitics of soil and water?
pH
– Organic matter
– Texture (clay, silt, sand)
– Fe, Mn, Al oxides
Soil as barrier against toxicity
negative and postives of plants are?
N: 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)
P:
• 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
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.