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Environmental health

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Environmental health is the branch of public health concerned with all aspects of the natural and built environment affecting human health. To effectively control factors that may affect health, the requirements that must be met 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 .

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121-476: Environmental health was defined in a 1989 document by the World Health Organization (WHO) as: Those aspects of human health and disease that are determined by factors in the environment. It is also referred to as the theory and practice of accessing and controlling factors in the environment that can potentially affect health. A 1990 WHO document states that environmental health, as used by

242-494: A public health emergency of international concern, marking the second such declaration in the last two years due to the virus's transmission. The WHO's Constitution states that its objective "is the attainment by all people of the highest possible level of health". The WHO fulfils this objective through its functions as defined in its Constitution: As of 2012 , the WHO has defined its role in public health as follows: Since

363-400: A Barcelona study. This is consistent with research that suggests that children who are exposed to regular aircraft noise "have inadequate performance on standardised achievement tests." Exposure to persistent noise pollution can cause one to develop hearing impairments, like tinnitus or impaired speech discrimination. One of the largest factors in worsened mental health due to noise pollution

484-433: A child who plays outdoor sports will have a higher likelihood of outdoor air pollution exposure than an adult who tends to spend more time indoors, whether at work or elsewhere. Environmental health officials work to detect individuals who are at higher risks of consuming air pollution, work to decrease their exposure, and detect risk factors present in communities. However, as shown in research by Ernesto, Sánchez-Triana in

605-501: A compilation of air pollutant emission factors for a wide range of industrial sources. The United Kingdom, Australia, Canada, and many other countries have published similar compilations, as well as the European Environment Agency . An air pollutant is a material in the air that can have many effects on humans and the ecosystem. The substance can be solid particles, liquid droplets, or gases, and often takes

726-502: A convention concerning the bubonic plague was signed by sixteen of the nineteen states attending the Venice conference. While Denmark , Sweden-Norway , and the US did not sign this convention, it was unanimously agreed that the work of the prior conferences should be codified for implementation. Subsequent conferences, from 1902 until the final one in 1938, widened the diseases of concern for

847-768: A faster rate of breathing than a child engaged in sedentary activity. The daily exposure must therefore include the amount of time spent in each micro-environmental setting as well as the kind of activities performed there. The air pollutant concentration in each microactivity/microenvironmental setting is summed to indicate the exposure. For some pollutants such as black carbon , traffic related exposures may dominate total exposure despite short exposure times since high concentrations coincide with proximity to major roads or participation in (motorized) traffic. A large portion of total daily exposure occurs as short peaks of high concentrations, but it remains unclear how to define peaks and determine their frequency and health impact. In 2021,

968-657: A health environment is not maintained. Even at levels lower than those considered safe by United States regulators, exposure to three components of air pollution, fine particulate matter, nitrogen dioxide and ozone, correlates with cardiac and respiratory illness. Individual reactions to air pollutants depend on the type of pollutant a person is exposed to, the degree of exposure, and the individual's health status and genetics. The most common sources of air pollution include particulates and ozone (often from burning fossil fuels), nitrogen dioxide, and sulfur dioxide. Children aged less than five years who live in developing countries are

1089-712: A larger range of diseases, increase stress levels, and cause sleep disturbances . Noise pollution is also responsible for many reported cases of hearing loss, tinnitus , and other forms of hypersensitivity (stress/irritability) or lack thereof to sound(present or subconscious from continuous exposure). These conditions can be dangerous to children and young adults who consistently experience noise pollution, as many of these conditions can develop into long-term problems, including physical and mental health issues. Children who attend school in noisy traffic zones have shown to have 15% lower memory development compared to other students who attended schools in quiet traffic zones, according to

1210-511: A leading role in developing and suggesting new policy areas." The term environmental medicine may be seen as a medical specialty, or branch of the broader field of environmental health. Terminology is not fully established, and in many European countries they are used interchangeably. Children's environmental health is the academic discipline that studies how environmental exposures in early life—chemical, biological, nutritional, and social—influence health and development in childhood and across

1331-518: A leading role in several public health achievements, most notably the eradication of smallpox , the eradication of polio , and the development of an Ebola vaccine . Its current priorities include communicable diseases , such as HIV/AIDS , Ebola , malaria and tuberculosis ; non-communicable diseases such as heart disease and cancer ; healthy diet , nutrition, and food security ; occupational health ; and substance abuse . The agency advocates for universal health care coverage, engagement with

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1452-562: A legal definition of air pollution, 31 percent lack outdoor air quality standards, 49 percent restrict their definition to outdoor pollution only, and just 31 percent have laws for tackling pollution originating from outside their borders. National air quality laws have often been highly effective, notably the 1956 Clean Air Act in Britain and the US Clean Air Act , introduced in 1963. Some of these efforts have been successful at

1573-482: A link between air pollution levels and longevity. The WHO estimates that in 2016, ~58% of outdoor air pollution-related premature deaths were due to ischaemic heart disease and stroke. The mechanisms linking air pollution to increased cardiovascular mortality are uncertain, but probably include pulmonary and systemic inflammation. India and China have the highest death rate due to air pollution. India also has more deaths from asthma than any other nation according to

1694-415: A mixture of natural and human sources. There are also sources from processes other than combustion : Air pollutant emission factors are reported representative values that aim to link the quantity of a pollutant released into the ambient air to an activity connected with that pollutant's release. The weight of the pollutant divided by a unit weight, volume, distance, or time of the activity generating

1815-540: A resolution on disability prevention and rehabilitation , with a focus on community-driven care. 1977 and 1978: The first list of essential medicines was drawn up, and a year later the ambitious goal of " Health For All " was declared. 1986: The WHO began its global programme on HIV/AIDS . Two years later preventing discrimination against patients was attended to and in 1996 the Joint United Nations Programme on HIV/AIDS (UNAIDS)

1936-429: A resolution passed on the subject, Alger Hiss , the secretary general of the conference, recommended using a declaration to establish such an organization. Sze and other delegates lobbied and a declaration passed calling for an international conference on health. The use of the word "world", rather than "international", emphasized the truly global nature of what the organization was seeking to achieve. The constitution of

2057-508: A series of conferences that took place until 1938, about 87 years. The first conference, in Paris, was almost solely concerned with cholera , which would remain the disease of major concern for the ISC for most of the 19th century. With the cause , origin, and communicability of many epidemic diseases still uncertain and a matter of scientific argument, international agreement on appropriate measures

2178-559: A significant infusion of financial and technical resources. The WHO's official mandate is to promote health and safety while helping the vulnerable worldwide. It provides technical assistance to countries, sets international health standards, collects data on global health issues, and serves as a forum for scientific or policy discussions related to health. Its official publication, the World Health Report , provides assessments of worldwide health topics. The WHO has played

2299-426: A spectrum of clinical disorders that include emphysema , bronchiectasis , and chronic bronchitis . COPD risk factors are both genetic and environmental. Elevated particle pollution contributes to the exacerbation of this disease and likely its pathogenesis. The risk of lung disease from air pollution is greatest for infants and young children, whose normal breathing is faster than that of older children and adults;

2420-518: A total of 460,000 deaths in the US were attributed to coal PM 2.5 . The largest cause of air pollution is fossil fuel combustion  – mostly the production and use of cars , electricity production, and heating. There are estimated 4.5 million annual premature deaths worldwide due to pollutants released by high-emission power stations and vehicle exhausts. Diesel exhaust (DE) is a major contributor to combustion-derived particulate matter air pollution. In several human experimental studies, using

2541-794: A well-validated exposure chamber setup, DE has been linked to acute vascular dysfunction and increased thrombus formation. A study concluded that PM 2.5 air pollution induced by the contemporary free trade and consumption by the 19 G20 nations causes two million premature deaths annually, suggesting that the average lifetime consumption of about ~28 people in these countries causes at least one premature death (average age ~67) while developing countries "cannot be expected" to implement or be able to implement countermeasures without external support or internationally coordinated efforts. The US EPA has estimated that limiting ground-level ozone concentration to 65 parts per billion (ppb), would avert 1,700 to 5,100 premature deaths nationwide in 2020 compared with

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2662-494: A year and fine particulate (PM 2.5 ) pollution around another 2.1 million. The scope of the air pollution crisis is large: In 2018, WHO estimated that "9 out of 10 people breathe air containing high levels of pollutants." Although the health consequences are extensive, the way the problem is handled is considered largely haphazard or neglected. The World Bank has estimated that welfare losses (premature deaths) and productivity losses (lost labour) caused by air pollution cost

2783-627: Is annoyance . Annoyance due to environmental factors has been found to increase stress reactions and overall feelings of stress among adults. The level of annoyance felt by an individual varies, but contributes to worsened mental health significantly. Noise exposure also contributes to sleep disturbances, which can cause daytime sleepiness and an overall lack of sleep, which contributes to worsened health. Daytime sleepiness has been linked to several reports of declining mental health and other health issues, job insecurities and further social and environmental factors declining. Access to safe drinking water

2904-521: Is a specialized agency of the United Nations responsible for global public health . It is headquartered in Geneva , Switzerland, and has six regional offices and 150 field offices worldwide. Only sovereign States can participate, and it is the largest intergovernmental health organization at the international level. The WHO's purpose is to achieve the highest possible level of health for all

3025-559: Is a correlated rise in SDWA health violations. Populations who have experienced lack of safe drinking water, like populations in Flint, Michigan , are more likely to distrust tap water in their communities. Populations to experience this are commonly low-income, communities of color. Hazardous materials management, including hazardous waste management, contaminated site remediation, the prevention of leaks from underground storage tanks and

3146-510: Is a significant risk factor for a number of pollution-related diseases , including respiratory infections , heart disease , chronic obstructive pulmonary disease (COPD), stroke , and lung cancer . Growing evidence suggests that air pollution exposure may be associated with reduced IQ scores, impaired cognition, increased risk for psychiatric disorders such as depression and detrimental perinatal health. The human health effects of poor air quality are far reaching, but principally affect

3267-686: Is accidental, and exposure can happen through: The Toxicology and Environmental Health Information Program (TEHIP) is a comprehensive toxicology and environmental health web site, that includes open access to resources produced by US government agencies and organizations, and is maintained under the umbrella of the Specialized Information Service at the United States National Library of Medicine . TEHIP includes links to technical databases, bibliographies, tutorials, and consumer-oriented resources. TEHIP

3388-581: Is also the contamination of the indoor or outdoor environment either by chemical, physical, or biological agents that alters the natural features of the atmosphere. There are many different types of air pollutants, such as gases (including ammonia , carbon monoxide , sulfur dioxide , nitrous oxides , methane and chlorofluorocarbons ), particulates (both organic and inorganic) and biological molecules . Air pollution can cause diseases, allergies, and even death to humans; it can also cause harm to other living organisms such as animals and crops, and may damage

3509-851: Is associated with nearly one in three strokes (29%) worldwide (33.7% of strokes in developing countries versus 10.2% in developed countries). In women, air pollution is not associated with hemorrhagic but with ischemic stroke. Air pollution was found to be associated with increased incidence and mortality from coronary stroke. Associations are believed to be causal and effects may be mediated by vasoconstriction, low-grade inflammation and atherosclerosis . Other mechanisms such as autonomic nervous system imbalance have also been suggested. Research has demonstrated increased risk of developing asthma and chronic obstructive pulmonary disease (COPD) from increased exposure to traffic-related air pollution. Air pollution has been associated with increased hospitalization and mortality from asthma and COPD. COPD comprises

3630-667: Is considered a "basic human need for health and well-being" by the United Nations . According to their reports, over 2 billion people worldwide live without access to safe drinking water. In 2017, almost 22 million Americans drank from water systems that were in violation of public health standards. Globally, over 2 billion people drink feces -contaminated water, which poses the greatest threat to drinking water safety. Contaminated drinking water could transmit diseases like cholera , dysentery , typhoid , diarrhea and polio . Harmful chemicals in drinking water can negatively affect health. Unsafe water management practices can increase

3751-459: Is introduced with the use of air fresheners , incense , and other scented items. Controlled wood fires in cook stoves and fireplaces can add significant amounts of harmful smoke particulates into the air, inside and out. Indoor pollution fatalities may be caused by using pesticides and other chemical sprays indoors without proper ventilation. Also the kitchen in a modern produce harmful particles and gases, with equipment like toasters being one of

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3872-673: Is nitrogen dioxide and other nitrogen oxides (NOx) emitted by road vehicles. Across the European Union , air pollution is estimated to reduce life expectancy by almost nine months. In a 2015 consultation document the UK government disclosed that nitrogen dioxide is responsible for 23,500 premature UK deaths per annum. There is a positive correlation between pneumonia -related deaths and air pollution from motor vehicle emissions in England. Eliminating energy-related fossil fuel emissions in

3993-557: Is now on the verge of extinction, thanks to a Global Vaccination Drive. The World Health Organization (WHO) stated the eradication programme has saved millions from deadly disease. Between 1990 and 2010, WHO's help has contributed to a 40% decline in the number of deaths from tuberculosis, and since 2005, over 46 million people have been treated and an estimated 7 million lives saved through practices advocated by WHO. These include engaging national governments and their financing, early diagnosis, standardising treatment, monitoring of

4114-718: Is practiced in the field. In many European countries, physicians and veterinarians are involved in environmental health. In the United Kingdom , practitioners must have a graduate degree in environmental health and be certified and registered with the Chartered Institute of Environmental Health or the Royal Environmental Health Institute of Scotland. In Canada, practitioners in environmental health are required to obtain an approved bachelor's degree in environmental health along with

4235-636: Is responsible for the Toxicology Data Network (TOXNET), an integrated system of toxicology and environmental health databases including the Hazardous Substances Data Bank , that are open access, i.e. available free of charge. TOXNET was retired in 2019. There are many environmental health mapping tools. TOXMAP is a geographic information system (GIS) from the Division of Specialized Information Services of

4356-657: Is some overlap among them. Information from epidemiology, toxicology, and exposure science can be combined to conduct a risk assessment for specific chemicals, mixtures of chemicals or other risk factors to determine whether an exposure poses significant risk to human health (exposure would likely result in the development of pollution-related diseases ). This can in turn be used to develop and implement environmental health policy that, for example, regulates chemical emissions, or imposes standards for proper sanitation . Actions of engineering and law can be combined to provide risk management to minimize, monitor, and otherwise manage

4477-408: Is strong evidence linking both short- and long-term exposure to air pollution with cardiovascular disease mortality and morbidity, stroke, blood pressure, and ischemic heart diseases (IHD). Air pollution is a leading risk factor for stroke, particularly in developing countries where pollutant levels are highest. A systematic analysis of 17 different risk factors in 188 countries found air pollution

4598-724: Is the contamination of an atmosphere due to the presence of substances that are harmful to the health of living organisms, the environment or climate. These substances concern environmental health officials since air pollution is often a risk-factor for diseases that are related to pollution, like lung cancer , respiratory infections, asthma , heart disease , and other forms of respiratory-related illnesses. Reducing air pollution, and thus developing air quality, has been found to decrease adult mortality. Common products responsible for emissions include road traffic , energy production, household combustion, aviation and motor vehicles , and other forms of pollutants. These pollutants are responsible for

4719-628: Is usually environmental, machine-created sound that can disrupt activities or communication between humans and other forms of life. Exposure to persistent noise pollution can cause numerous ailments like hearing impairment , sleep disturbances, cardiovascular problems, annoyance , problems with communication and other diseases. For American minorities that live in neighborhoods of low socioeconomic status , they often experience higher levels of noise pollution compared to their higher socioeconomic counterparts. Noise pollution can cause or exacerbate cardiovascular diseases, which can further attribute to

4840-887: Is well-documented, the hidden threat posed by nanoplastics—tiny particles less than 1 μm in diameter—remains under-explored. These particles originate from the degradation of larger plastics and are now found in various environmental matrices, including water, soil, and air. Given their minute size, nanoplastics can penetrate biological barriers and accumulate in human tissues, potentially leading to adverse health effects. Plastics continue to accumulate in landfills and oceans, leading to pollution that negatively impacts both human and animal health. Notably, microplastics and nanoplastics are now ubiquitous, infiltrating our food chain and water supplies. Studies indicate that humans ingest significant amounts of microplastics daily through food, especially seafood and inhalation, with estimates ranging from 39,000 to 52,000 particles per person annually Additionally,

4961-585: The US Centers for Disease Control and Prevention (CDC), the United Nations Children's Fund (UNICEF), and smaller organizations. As of 2011 , it has been working to immunize young children and prevent the re-emergence of cases in countries declared "polio-free". In 2017, a study was conducted as to why Polio Vaccines may not be enough to eradicate the Virus & conduct new technology. Polio

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5082-857: The USSR , called on the World Health Assembly to undertake a global initiative to eradicate smallpox, resulting in Resolution WHA11.54. 1965: The first report on diabetes mellitus and the creation of the International Agency for Research on Cancer . 1966: The WHO moved its headquarters from the Ariana wing at the Palace of Nations to a newly constructed headquarters elsewhere in Geneva. 1967: The WHO intensified

5203-1043: The United Nations Development Programme (UNDP), and the World Bank . 1975: The WHO launched the Special Programme for Research and Training in Tropical diseases (the TDR). Co-sponsored by UNICEF , UNDP, and the World Bank, it was established in response to a 1974 request from the WHA for an intensive effort to develop improved control of tropical diseases. The TDR's goals are, firstly, to support and coordinate international research into diagnosis, treatment and control of tropical diseases; and, secondly, to strengthen research capabilities within endemic countries. 1976: The WHA enacted

5324-572: The World Health Assembly finished on 24 July 1948, having secured a budget of US$ 5 million (then £1,250,000 ) for the 1949 year. G. Brock Chisholm was appointed director-general of the WHO, having served as executive secretary and a founding member during the planning stages, while Andrija Štampar was the assembly's first president. Its first priorities were to control the spread of malaria , tuberculosis and sexually transmitted infections , and to improve maternal and child health , nutrition and environmental hygiene. Its first legislative act

5445-454: The world economy $ 5 trillion per year. The costs of air pollution are generally an externality to the contemporary economic system and most human activity, although they are sometimes recovered through monitoring, legislation, and regulation . Many different technologies and strategies are available for reducing air pollution. Although a majority of countries have air pollution laws , according to UNEP , 43 percent of countries lack

5566-544: The 75 ppb standard. The agency projected the more protective standard would also prevent an additional 26,000 cases of aggravated asthma, and more than a million cases of missed work or school. Following this assessment, the EPA acted to protect public health by lowering the National Ambient Air Quality Standards (NAAQS) for ground-level ozone to 70 ppb. A 2008 economic study of

5687-989: The American Lung Association; the US Consumer Product Safety Commission (CPSC) 2012; and the US Environmental Protection Agency 2012a. Indoor contaminants that can cause pollution include asbestos, biologic agents, building materials, radon, tobacco smoke, and wood stoves, gas ranges, or other heating systems. Radon (Rn) gas, a carcinogen , is exuded from the Earth in certain locations and trapped inside houses. Building materials including carpeting and plywood emit formaldehyde (H-CHO) gas. Paint and solvents give off volatile organic compounds (VOCs) as they dry. Lead paint can degenerate into dust and be inhaled. Intentional air pollution

5808-557: The Health Organization of the League of Nations. After World War II , the United Nations absorbed all the other health organizations, to form the WHO. During the 1945 United Nations Conference on International Organization, Szeming Sze , a delegate from China, conferred with Norwegian and Brazilian delegates on creating an international health organization under the auspices of the new United Nations. After failing to get

5929-686: The ISC, and included discussions of responses to yellow fever , brucellosis , leprosy , tuberculosis , and typhoid . In part as a result of the successes of the Conferences, the Pan-American Sanitary Bureau (1902), and the Office International d'Hygiène Publique or " International office of Public Hygiene " in english(1907) were soon founded. When the League of Nations was formed in 1920, it established

6050-631: The USA under the Clean Air Act and in Europe under numerous directives (including the Air "Framework" Directive, 96/62/EC, on ambient air quality assessment and management, Directive 98/24/EC, on risks related to chemical agents at work, and Directive 2004/107/EC covering heavy metals and polycyclic aromatic hydrocarbons in ambient air). The risk of air pollution is determined by the pollutant's hazard and

6171-667: The United Nations together with the exchange of letters related thereto, and taking into account the respective co-ordinating responsibilities of both organizations, it is recognized by the World Health Organization that the International Atomic Energy Agency has the primary responsibility for encouraging, assisting and co-ordinating research and development and practical application of atomic energy for peaceful uses throughout

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6292-1047: The United States National Library of Medicine (NLM) that uses maps of the United States to help users visually explore data from the United States Environmental Protection Agency's (EPA) Toxics Release Inventory and Superfund Basic Research Programs . TOXMAP is a resource funded by the US federal government. TOXMAP's chemical and environmental health information is taken from the NLM's Toxicology Data Network (TOXNET) and PubMed , and from other authoritative sources. Environmental health professionals may be known as environmental health officers , public health inspectors, environmental health specialists or environmental health practitioners. Researchers and policy-makers also play important roles in how environmental health

6413-498: The United States continue to exacerbate racial minority exposure to air pollution at a disproportionate rate, even as overall pollution levels have declined. Likewise, in a 2022 study, it was shown that implementing policy changes that favor wealth redistribution could double as climate change mitigation measures. For populations who are not subject to wealth redistribution measures, this means more money will flow into their communities while climate effects are mitigated. Noise pollution

6534-504: The United States would prevent 46,900–59,400 premature deaths each year and provide $ 537–$ 678 billion in benefits from avoided PM 2.5 -related illness and death. A study published in 2023 in Science focused on sulfur dioxide emissions by coal power plants (coal PM 2.5 ) and concluded that "exposure to coal PM 2.5 was associated with 2.1 times greater mortality risk than exposure to PM 2.5 from all sources." From 1999 to 2020,

6655-504: The WHO Regional Office for Europe, "includes both the direct pathological effects of chemicals, radiation and some biological agents, and the effects (often indirect) on health and well being of the broad physical, psychological, social and cultural environment, which includes housing, urban development, land use and transport." As of 2016, the WHO website on environmental health states that "Environmental health addresses all

6776-414: The WHO halved its recommended guideline limit for tiny particles from burning fossil fuels. The new limit for nitrogen dioxide (NO 2 ) is 75% lower. Growing evidence that air pollution—even when experienced at very low levels—hurts human health, led the WHO to revise its guideline (from 10 μg/m to 5 μg/m ) for what it considers a safe level of exposure of particulate pollution, bringing most of

6897-483: The WHO over the organization's unwillingness to share the penicillin recipe. They would not return until 1956. 1950: A mass tuberculosis inoculation drive using the BCG vaccine gets under way. 1955: The malaria eradication programme was launched, although objectives were later modified. (In most areas, the programme goals became control instead of eradication.) 1958: Viktor Zhdanov , Deputy Minister of Health for

7018-402: The WHO reported that outdoor air pollution was estimated to cause 4.2 million premature deaths worldwide in 2019. The global mean loss of life expectancy (LLE; similar to YPLL ) from air pollution in 2015 was 2.9 years, substantially more than, for example, 0.3 years from all forms of direct violence. Communities with persons that live beyond 85 years have low ambient air pollution, suggesting

7139-604: The WHO was to report as to whether RTS,S /AS01, were a viable malaria vaccine . For the time being, insecticide -treated mosquito nets and insecticide sprays are used to prevent the spread of malaria, as are antimalarial drugs – particularly to vulnerable people such as pregnant women and young children. In 1988, WHO launched the Global Polio Eradication Initiative to eradicate polio . It has also been successful in helping to reduce cases by 99% since WHO partnered with Rotary International ,

7260-425: The WHO's role and priorities in public health, ranging from narrowing its mandate to strengthening its independence and authority. During the 1970s, WHO had dropped its commitment to a global malaria eradication campaign as too ambitious, it retained a strong commitment to malaria control. WHO's Global Malaria Programme works to keep track of malaria cases, and future problems in malaria control schemes. As of 2012,

7381-675: The World Health Organization estimated that every year air pollution causes the premature death of 7 million people worldwide, 1 in 8 deaths worldwide. A study published in 2019 indicated that in 2015 the number may be closer to 8.8 million, with 5.5 million of these premature deaths due to air pollution from anthropogenic sources. A 2022 review concluded that in 2019 air pollution was responsible for approximately 9 million premature deaths. It concluded that since 2015 little real progress against pollution has been made. Causes of deaths include strokes, heart disease, COPD , lung cancer, and lung infections. Children are particularly at risk. In 2021,

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7502-503: The World Health Organization was signed by all 51 countries of the United Nations, and by 10 other countries, on 22 July 1946. It thus became the first specialized agency of the United Nations to which every member subscribed. Its constitution formally came into force on the first World Health Day on 7 April 1948, when it was ratified by the 26th member state. The WHO formally began its work in September 1, 1948. The first meeting of

7623-778: The World Health Organization, these may be defined as asbestosis, lung cancer, and peritoneal mesothelioma (generally a very rare form of cancer, when more widespread it is almost always associated with prolonged exposure to asbestos). Biological sources of air pollution are also found indoors, as gases and airborne particulates. Pets produce dander, people produce dust from minute skin flakes and decomposed hair, dust mites in bedding, carpeting and furniture produce enzymes and micrometre-sized fecal droppings, inhabitants emit methane, mold forms on walls and generates mycotoxins and spores, air conditioning systems can incubate Legionnaires' disease and mold, and houseplants, soil and surrounding gardens can produce pollen , dust, and mold. Indoors,

7744-571: The World Health Organization. In 2019, 1.6 million deaths in India were caused by air pollution. In 2013, air pollution was estimated to kill 500,000 people in China each year. In 2012, 2.48% of China's total air pollution emissions were caused by exports due to US demand, causing an additional 27,963 deaths across 30 provinces. Annual premature European deaths caused by air pollution are estimated at 430,000 to 800,000. An important cause of these deaths

7865-445: The air when primary pollutants react or interact. Ground level ozone is a prominent example of a secondary pollutant. Some pollutants may be both primary and secondary: they are both emitted directly and formed from other primary pollutants. Pollutants emitted into the atmosphere by human activity include: Secondary pollutants include: There are many other chemicals classed as hazardous air pollutants. Some of these are regulated in

7986-445: The air. Dampness and mold in houses can cause diseases, but few studies have been performed on mold in schools and workplaces. Environmental tobacco smoke is considered to be a leading contributor to indoor air pollution since exposure to second and third-hand smoke is a common risk factor. Tobacco smoke contains over 60 carcinogens , where 18% are known human carcinogens. Exposure to these chemicals can lead to exacerbation of asthma,

8107-704: The amount of exposure to that pollutant. Air pollution exposure can be measured for a person, a group, such as a neighborhood or a country's children, or an entire population. For example, one would want to determine a geographic area's exposure to a dangerous air pollution, taking into account the various microenvironments and age groups. This can be calculated as an inhalation exposure. This would account for daily exposure in various settings, e.g. different indoor micro-environments and outdoor locations. The exposure needs to include different ages and other demographic groups, especially infants, children, pregnant women, and other sensitive subpopulations. For each specific time that

8228-577: The basis for global prevention, treatment, and support the plan to fight the AIDS pandemic . 2006: The WHO launches the Global action plan for influenza vaccines 2016: The Global action plan for influenza vaccines ends with a report which concludes that while substantial progress has been made over the 10 years of the Plan, the world is still not ready to respond to an influenza pandemic. 2016: Following

8349-411: The body's respiratory system and the cardiovascular system . Individual reactions to air pollutants depend on the type of pollutant a person is exposed to, the degree of exposure, and the individual's health status and genetics . Air pollution is the largest environmental risk factor for disease and premature death and the fourth largest risk factor overall for human health. Air pollution causes

8470-424: The budget and activities. The WHO is funded primarily by contributions from member states (both assessed and voluntary), followed by private donors. Its total approved budget for 2020–2021 is over $ 7.2 billion, while the approved budget for 2022–2023 is over $ 6.2 billion. The budget is $ 6.83 billion for 2024–2025. The International Sanitary Conferences (ISC), the first of which was held on 23 June 1851, were

8591-410: The burning of fuel, which can release harmful particles into the air that humans and other living organisms can inhale or ingest. Air pollution is associated with adverse health effects like respiratory and cardiovascular diseases, cancer , related illnesses, and even death. The risk of air pollution is determined by the pollutant's hazard and the amount of exposure that affects a person. For example,

8712-1033: The case of Pakistan . After identifying the main sources of air pollution, such as mobile sources, such as heavy-duty vehicles and motorized 2–3 wheelers; stationary sources, such as power plants and burning of waste; and natural dust. The country implemented a clean air policy to reduce the road transport sector, which is responsible for 85% of particulate matter of less than 2.5 microns (PM2.5) total emissions and 72% of particulate matter of less than 10 microns (PM10) Most successful policies were: Household air pollution contributes to diseases that kill almost 4.3 million people every year. Indoor air pollution contributes to risk factors for diseases like heart disease, pulmonary disease , stroke , pneumonia , and other associated illnesses. For vulnerable populations, such as children and elderly populations, who spend large amounts of their time indoors or indoor air quality can be dangerous. Burning fuels like coal or kerosene inside homes can cause dangerous chemicals to be released into

8833-414: The common goal of ensuring the safe handling of hazardous materials and waste. These positions include but are not limited to Environmental Health and Safety Specialists, Waste collectors , Medical Professionals, and Emergency Responders. Handling waste, especially hazardous materials is considered one of the most dangerous occupations in the world. Often, these workers may not have all of information about

8954-627: The continuing effects of nuclear disasters in Chernobyl and Fukushima . They believe WHO must regain what they see as independence. Independent WHO held a weekly vigil from 2007 to 2017 in front of WHO headquarters. However, as pointed out by Foreman in clause 2 it states: In particular, and in accordance with the Constitution of the World Health Organization and the Statute of the International Atomic Energy Agency and its agreement with

9075-541: The development of cardiovascular diseases and cardiopulmonary diseases, and an increase in the likelihood of cancer development. Climate change makes extreme weather events more likely, including ozone smog events, dust storms, and elevated aerosol levels, all due to extreme heat, drought , winds, and rainfall. These extreme weather events can increase the likelihood of undernutrition , mortality, food insecurity , and climate-sensitive infectious diseases in vulnerable populations. The effects of climate change are felt by

9196-480: The entire human life span. Other terms referring to or concerning environmental health include environmental public health and health protection. Five basic disciplines generally contribute to the field of environmental health: environmental epidemiology, toxicology, exposure science, environmental engineering, and environmental law. Each of these five disciplines contributes different information to describe problems and solutions in environmental health. However, there

9317-614: The establishment of international standards for biological products. The WHO was established on April 7, 1948, and formally began its work on September 1, 1948. It incorporated the assets, personnel, and duties of the League of Nations ' Health Organization and the Paris-based Office International d'Hygiène Publique , including the International Classification of Diseases (ICD). The agency's work began in earnest in 1951 after

9438-663: The extensive use of asbestos in industrial and domestic environments in the past has left a potentially very dangerous material in many localities. Asbestosis is a chronic inflammatory medical condition affecting the tissue of the lungs. It occurs after long-term, heavy exposure to asbestos from asbestos-containing materials in structures. Those with asbestosis have severe dyspnea (shortness of breath) and are at an increased risk regarding several different types of lung cancer . As clear explanations are not always stressed in non-technical literature, care should be taken to distinguish between several forms of relevant diseases. According to

9559-601: The fiftieth anniversary of WHO's founding. He, did, however, accept that more had to be done to assist maternal health and that progress in this area had been slow. 2000: The Stop TB Partnership was created along with the UN's formulation of the Millennium Development Goals . 2001: The measles initiative was formed, and credited with reducing global deaths from the disease by 68% by 2007. 2002: The Global Fund to Fight AIDS, Tuberculosis and Malaria

9680-470: The form of an aerosol (solid particles or liquid droplets dispersed and carried by a gas). A pollutant can be of natural origin or man-made. Pollutants are classified as primary or secondary. Primary pollutants are usually produced by processes such as ash from a volcanic eruption. Other examples include carbon monoxide gas from motor vehicle exhausts or sulfur dioxide released from factories. Secondary pollutants are not emitted directly. Rather, they form in

9801-449: The global smallpox eradication campaign by contributing $ 2.4 million annually to the effort and adopted a new disease surveillance method, at a time when 2 million people were dying from smallpox per year. The initial problem the WHO team faced was inadequate reporting of smallpox cases. WHO established a network of consultants who assisted countries in setting up surveillance and containment activities. The WHO also helped contain

9922-520: The health impacts and associated costs of air pollution in the Los Angeles Basin and San Joaquin Valley of Southern California shows that more than 3,800 people die prematurely (approximately 14 years earlier than normal) each year because air pollution levels violate federal standards. The number of annual premature deaths is considerably higher than the fatalities related to auto collisions in

10043-410: The impact of exposure to protect human health to achieve the objectives of environmental health policy. Environmental health addresses all human-health-related aspects of the natural environment and the built environment. Environmental health concerns include: According to recent estimates, about 5 to 10% of disability-adjusted life years (DALYs) lost are due to environmental causes in Europe. By far

10164-420: The infiltration of soil contamination into groundwater aquifers used for human consumption, sometimes in areas apparently far removed from any apparent source of above-ground contamination. Toxic metals can also make their way up the food chain through plants that reside in soils containing high concentrations of heavy metals. This tends to result in the development of pollution-related diseases . Most exposure

10285-544: The interest of environmental health in mind, the Resource Conservation and Recovery Act was passed in the United States in 1976 that covered how to properly manage hazardous waste. There are a variety of occupations that work with hazardous materials and help manage them so that everything is disposed of correctly. These professionals work in various sectors, including government agencies, private industry, consulting firms, and non-profit organizations, all with

10406-638: The international level, such as the Montreal Protocol , which reduced the release of harmful ozone depleting chemicals, and the 1985 Helsinki Protocol , which reduced sulfur emissions , while others, such as international action on climate change , have been less successful. There are many different sources of air pollution. Some air pollutants (such as nitrogen oxides) originate mainly from human activities, while some (notably radon gas) come mostly from natural sources. However, many air pollutants (including dust and sulfur dioxide) come from

10527-1014: The lack of air circulation allows these airborne pollutants to accumulate more than they would otherwise occur in nature. Air pollution has both acute and chronic effects on human health, affecting a number of different systems and organs but principally affect the body's respiratory system and the cardiovascular system. Afflictions include minor to chronic upper respiratory irritation such as difficulty in breathing, wheezing, coughing, asthma and heart disease , lung cancer , stroke , acute respiratory infections in children and chronic bronchitis in adults, aggravating pre-existing heart and lung disease, or asthmatic attacks. Short and long term exposures have been linked with premature mortality and reduced life expectancy and can result in increased medication use, increased doctor or emergency department visits, more hospital admissions and premature death. Diseases that develop from persistent exposure to air pollution are environmental health diseases, which develop when

10648-536: The last European outbreak in Yugoslavia in 1972 . After over two decades of fighting smallpox, a Global Commission declared in 1979 that the disease had been eradicated – the first disease in history to be eliminated by human effort. 1974: The Expanded Programme on Immunization and the control programme of onchocerciasis was started, an important partnership between the Food and Agriculture Organization (FAO),

10769-453: The late 20th century, the rise of new actors engaged in global health—such as the World Bank , the Bill & Melinda Gates Foundation, the U.S. President's Emergency Plan for AIDS Relief ( PEPFAR ) and dozens of public-private partnerships for global health—have weakened the WHO's role as a coordinator and policy leader in the field; subsequently, there are various proposals to reform or reorient

10890-598: The loss of homes, loved ones, and previous ways of life, are often what people face after a climate disaster occurs. These events can lead to vulnerability in the form of housing affordability stress, lower household income, lack of community attachment, grief, and anxiety around another disaster occurring. Certain groups of people can be put at a higher risk for environmental hazards like air, soil and water pollution. This often happens due to marginalization, economic and political processes, and racism. Environmental racism uniquely affects different groups globally, however generally

11011-477: The monitoring of public health risks, coordinating responses to health emergencies, and promoting health and well-being generally. The WHO is governed by the World Health Assembly (WHA), which is composed of its 194 member states. The WHA elects and advises an executive board made up of 34 health specialists; selects the WHO's chief administrator, the director-general (currently Tedros Adhanom Ghebreyesus of Ethiopia ); sets goals and priorities; and approves

11132-415: The most important factor is fine particulate matter pollution in urban air. Similarly, environmental exposures have been estimated to contribute to 4.9 million (8.7%) deaths and 86 million (5.7%) DALYs globally. In the United States, Superfund sites created by various companies have been found to be hazardous to human and environmental health in nearby communities. It was this perceived threat, raising

11253-405: The most marginalized groups of any region are affected. These marginalized groups are frequently put next to pollution sources like major roadways, toxic waste sites, landfills, and chemical plants. In a 2021 study, it was found that racial and ethnic minority groups in the United States are exposed to disproportionately high levels of particulate air pollution. Racial housing policies that exist in

11374-422: The most vulnerable population to death attributable to indoor and outdoor air pollution. Under the Clean Air Act , U.S. EPA sets limits on certain air pollutants, including setting limits on how much can be in the air anywhere in the United States. Mixed exposure to both carbon black and ozone could result in significantly greater health affects. Estimates of deaths toll due to air pollution vary. In 2014

11495-611: The national professional certificate, the Certificate in Public Health Inspection (Canada), CPHI(C) . Many states in the United States also require that individuals have a bachelor's degree and professional licenses to practice environmental health. California state law defines the scope of practice of environmental health as follows: The environmental health profession had its modern-day roots in

11616-498: The natural environment (for example, climate change , ozone depletion or habitat degradation ) or built environment (for example, acid rain ). Air pollution can be caused by both human activities and natural phenomena. Air quality is closely related to the Earth's climate and ecosystems globally. Many of the contributors of air pollution are also sources of greenhouse emission i.e., burning of fossil fuel . Air pollution

11737-421: The other organization has or may have a substantial interest, the first party shall consult the other with a view to adjusting the matter by mutual agreement. The nature of this statement has led some groups and activists including Women in Europe for a Common Future to claim that the WHO is restricted in its ability to investigate the effects on human health of radiation caused by the use of nuclear power and

11858-564: The perceived failure of the response to the West Africa Ebola outbreak , the World Health Emergencies programme was formed, changing the WHO from just being a "normative" agency to one that responds operationally to health emergencies. 2020: the World Health Organization announced that it had classified the novel coronavirus outbreak as a public health emergency of international concern. The novel coronavirus

11979-409: The physical, chemical, and biological factors external to a person, and all the related factors impacting behaviours. It encompasses the assessment and control of those environmental factors that can potentially affect health. It is targeted towards preventing disease and creating health-supportive environments. This definition excludes behaviour not related to environment, as well as behaviour related to

12100-742: The pollutant is how these factors are commonly stated (e.g., kilograms of particulate emitted per tonne of coal burned). These criteria make estimating emissions from diverse sources of pollution easier. Most of the time, these components are just averages of all available data of acceptable quality, and they are thought to be typical of long-term averages. The Stockholm Convention on Persistent Organic Pollutants identified pesticides and other persistent organic pollutants of concern. These include dioxins and furans which are unintentionally created by combustion of organics, like open burning of plastics, and are endocrine disruptors and mutagens . The United States Environmental Protection Agency has published

12221-468: The premature deaths of around 7 million people worldwide each year, or a global mean loss of life expectancy (LLE) of 2.9 years, and there has been no significant change in the number of deaths caused by all forms of pollution since at least 2015. Outdoor air pollution attributable to fossil fuel use alone causes ~3.61 million deaths annually, making it one of the top contributors to human death . Anthropogenic ozone causes around 470,000 premature deaths

12342-430: The presence of microplastics in human feces suggests widespread exposure and absorption. In scientific literature, combined microplastics and nanoplastics are referred to as MNPs or NMPs, or NMPPs for nano-and microplastic particles. Contaminated or polluted soil directly affects human health through direct contact with soil or via inhalation of soil contaminants that have vaporized; potentially greater threats are posed by

12463-620: The prevalence of water-borne diseases and sanitation-related illnesses. Inadequate disinfecting of wastewater in industrial and agricultural centers can also infect hundreds of millions of people with contaminated water. Chemicals like fluoride and arsenic can benefit humans when the levels of these chemicals are controlled;but other, more dangerous chemicals like lead and metals can be harmful to humans. In America, communities of color can be subject to poor-quality water. In communities in America with large Hispanic and black populations, there

12584-486: The prevention of hazardous materials releases to the environment and responses to emergency situations resulting from such releases. When hazardous materials are not managed properly, waste can pollute nearby water sources and reduce air quality. According to a study done in Austria , people who live near industrial sites are "more often unemployed, have lower educations levels, and are twice as likely to be immigrants. With

12705-511: The same area, which average fewer than 2,000 per year. A 2021 study found that outdoor air pollution is associated with substantially increased mortality "even at low pollution levels below the current European and North American standards and WHO guideline values" shortly before the WHO adjusted its guidelines. According to the Global Burden of Disease Study , air pollution is responsible for 19% of all cardiovascular deaths. There

12826-658: The sanitary and public health movement of the United Kingdom. This was epitomized by Sir Edwin Chadwick , who was instrumental in the repeal of the poor laws , and in 1884 was the founding president of the Association of Public Sanitary Inspectors, now called the Chartered Institute of Environmental Health . Journals: World Health Organization The World Health Organization ( WHO )

12947-420: The social and cultural environment, as well as genetics." The WHO has also defined environmental health services as "those services which implement environmental health policies through monitoring and control activities. They also carry out that role by promoting the improvement of environmental parameters and by encouraging the use of environmentally friendly and healthy technologies and behaviors. They also have

13068-996: The specific hazardous materials they encounter, making their jobs even more dangerous. The sudden exposure to materials they are not properly prepared to handle can lead to severe consequences. This emphasizes the importance of training, safety protocols, and the use of personal protective equipment for those working with hazardous waste. Microplastics effects on human health are of growing concern and an area of research. The tiny particles known as microplastics (MPs), have been found in various environmental and biological matrices, including air, water, food, and human tissues. Microplastics, defined as plastic fragments smaller than 5 mm, and even smaller particles such as nanoplastics (NP), particles smaller than 1000 nm in diameter (0.001 mm or 1 μm), have raised concerns impacting human health. The pervasive presence of plastics in our environment has raised concerns about their long-term impacts on human health. While visible pollution caused by larger plastic items

13189-416: The specter of miscarriages, mutations, birth defects, and cancers that most frightened the public. Air quality includes ambient outdoor air quality and indoor air quality . Large concerns about air quality include environmental tobacco smoke , air pollution by forms of chemical waste , and other concerns. Air pollution is globally responsible for over 6.5 million deaths each year. Air pollution

13310-413: The spread and effect of tuberculosis, and stabilising the drug supply. It has also recognized the vulnerability of victims of HIV/AIDS to tuberculosis. Air pollution Air pollution is the contamination of air due to the presence of substances called pollutants in the atmosphere that are harmful to the health of humans and other living beings, or cause damage to the climate or to materials. It

13431-462: The subgroup is in the setting and engaged in particular activities, the exposure to an air pollutant must integrate the concentrations of the air pollutant with regard to the time spent in each setting and the respective inhalation rates for each subgroup, playing, cooking, reading, working, spending time in traffic, etc. A little child's inhaling rate, for example, will be lower than that of an adult. A young person engaging in strenuous exercise will have

13552-701: The whole world, but disproportionately affect disadvantaged populations who are subject to climate change vulnerability . Climate impacts can affect exposure to water-borne pathogens through increased rates of runoff, frequent heavy rains, and the effects of severe storms. Extreme weather events and storm surges can also exceed the capacity of water infrastructure , which can increase the likelihood that populations will be exposed to these contaminants. Exposure to these contaminants are more likely in low-income communities, where they have inadequate infrastructure to respond to climate disasters and are less likely to recover from infrastructure damage as quickly. Problems like

13673-488: The world without prejudice to the right of the World Health Organization to concern itself with promoting, developing, assisting and co-ordinating international health work, including research, in all its aspects. The key text is highlighted in bold, the agreement in clause 2 states that the WHO is free to perform any health-related work. 1947: The WHO established an epidemiological information service via telex . 1949: The Soviet Union and its constituent republics quit

13794-407: The world's people, defining health as "a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity." The main functions of the World Health Organization include: to promote the control of epidemic and endemic diseases; to provide and improve the teaching and training in public health, the medical treatment of disease and related matters; and to promote

13915-525: The world—97.3 percent of the global population—into the unsafe zone. A lack of ventilation indoors concentrates air pollution where people often spend the majority of their time. Indoor air pollution can pose a significant health risk. According to EPA reports, the concentrations of many air pollutants can be two to five times higher in indoor air than in outdoor air. Indoor air pollutants can be up to 100 times higher in some cases than they are inside. People can spend up to 90% of their time indoors, according to

14036-535: The worst sources. Carbon monoxide poisoning and fatalities are often caused by faulty vents and chimneys, or by the burning of charcoal indoors or in a confined space, such as a tent. Chronic carbon monoxide poisoning can result even from poorly-adjusted pilot lights . Traps are built into all domestic plumbing to keep sewer gas and hydrogen sulfide , out of interiors. Clothing emits tetrachloroethylene , or other dry cleaning fluids, for days after dry cleaning. Though its use has now been banned in many countries,

14157-513: Was a new strain of coronavirus that had never been detected in humans before. The WHO named this new coronavirus " COVID-19 " or "2019-nCov". 2022: The WHO suggests formation of a Global Health Emergency Council, with a new global health emergency workforce, and recommends revision of the International Health Regulations. 2024: WHO has declared the spread of mpox (formerly monkeypox) in several African countries

14278-543: Was concerning the compilation of accurate statistics on the spread and morbidity of disease. The logo of the World Health Organization features the Rod of Asclepius as a symbol for healing. In 1959, the WHO signed Agreement WHA 12–40 with the International Atomic Energy Agency (IAEA), which says: whenever either organization proposes to initiate a programme or activity on a subject in which

14399-475: Was difficult to reach. Seven of these international conferences, spanning 41 years, were convened before any resulted in a multi-state international agreement. The seventh conference, in Venice in 1892, finally resulted in a convention. It was concerned only with the sanitary control of shipping traversing the Suez Canal , and was an effort to guard against importation of cholera. Five years later, in 1897,

14520-416: Was drawn up to improve the resources available. 2005: The WHO revises International Health Regulations (IHR) in light of emerging health threats and the experience of the 2002/3 SARS epidemic , authorizing WHO, among other things, to declare a health threat a Public Health Emergency of International Concern . 2006: The WHO endorsed the world's first official HIV/AIDS Toolkit for Zimbabwe, which formed

14641-705: Was formed. 1988: The Global Polio Eradication Initiative was established. 1995: The WHO established an independent International Commission for the Certification of Dracunculiasis Eradication (Guinea worm disease eradication; ICCDE). The ICCDE recommends to the WHO which countries fulfil requirements for certification. It also has role in advising on progress made towards elimination of transmission and processes for verification. 1998: The WHO's director-general highlighted gains in child survival, reduced infant mortality , increased life expectancy and reduced rates of "scourges" such as smallpox and polio on

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