Environmental Challanges
|
|
- Jared Parks
- 5 years ago
- Views:
Transcription
1 Environmental Challanges Bisphenol A (BPA) Mold growth/illness Lead extent/illness Ray F. Garman, MD MPH Department of Preventive Medicine and Environmental Health UK College of Public Health 1
2 BISPHENOL A In polycarbonate plastics, including some water bottles and baby bottles, & lining of some canned goods FDA:: Safe at typical exposure levels from food and drink FDA Final Report is not out yet; no comment yet about hormone effects specifically BISPHENOL A American Chemistry Council (Plastic Industry Trade Group): If FDA determines that existing margins of safety are insufficient in infant applications, we will promptly phase out use of BPA in baby b bottles and infant formula packaging 2
3 BISPHENOL A Natural Resources Defense Council: (NRDC): FDA has consistently yg ignored science and sound policy It s time for the FDA to protect infants and pregnant women. BISPHENOL A FDA: present consensus among regulatory agencies in the United States, Canada, Europe, and Japan is that current levels of exposure to BPA through food packaging do not pose an immediate risk to the general population, including infants and babies 3
4 BISPHENOL A CANADA (late October): BPA banned in baby b bottles FDA: Canadian action taken out of abundance of caution No proof of harm to babies with typical exposure to BPA BISPHENOL A In polycarbonate plastics, including some water bottles and baby bottles, & lining of some canned goods FDA:: Safe at typical exposure levels from food and drink FDA Final Report is not out yet; no comment yet about hormone effects specifically 4
5 BISPHENOL A WHAT TO TELL PATIENTS: Still a questionable exposure 5
6 ACOEM HHE with Indoor Molds Important Allergens: 5% with allergic airway symptoms lifetime May produce Mycotoxins Current scientific evidence does not support the proposition that human health has been adversely affected by inhaled mycotoxins in home, school, or office environments. 6
7 MOLD GROWTH Hydroscopic surfaces support growth, even clay brick and cement if moisture is sufficiently absorbed >3-4 Molecule depth of water required to allow droplets to run IOM Summary of Findings the Association between Health Outcomes & Exposure to Damp Indoor Environments DAMP INDOOR SPACES National Academies Press Washington, DC
8 Particle Board release of Formaldehyde is increased with increased Relative Humidity PVC backing on carpet tiles increases release of alcohols with increased Relative Humidity 8
9 Association between Health Outcomes and Damp Indoor Environments Damp Space Associations: Causal Relationship NONE Association between Health Outcomes and Damp indoor Environments Limited or Suggestive Evidence Dyspnea Asthma development Lower Respiratory Illness in otherwise healthy children 9
10 Association between Health Outcomes and Damp indoor Environments Inadequate or Insufficient of Association Airflow Obstruction in otherwise healthy persons COPD Non Occupational Inhalation Fevers Lower Respiratory illness in otherwise healthy adults Association between Health Outcomes and Damp indoor Environments: Inadequate or Insufficient Association Acute Idiopathic Pulmonary Hemorrhage in Infants Mucous Membrane Irritation Syndrome Skin, GI, Neuropsychiatric, Reproductive symptoms Fatigue Cancer Rheumatologic & other immune diseases 10
11 Association between Health Outcomes with Mold and other Agents in Damp Indoor Environments Damp Space Associations: Causal Relationship NONE 11
12 Association between Health Outcomes and Mold or other agents in Damp Environments Sufficient i Evidence of Association Nose & Throat Symptoms Wheeze Cough Asthma Sx in sensitized asthmatic persons Hypersensitivity Pneumonitis in susceptibles Association between Health Outcomes and Mold or other agents in Damp Environments Limited or Suggestive Association Lower Respiratory Illness in otherwise healthy children 12
13 Association between Health Outcomes and Mold or other agents in Damp Environments Inadequate or Insufficient Evidence -Dyspnea -Airflow obstruction in otherwise healthy persons -COPD -Non occupational inhalation fevers - Lower Respiratory Illness in otherwise Healthy adults Acute Idiopathic Pulmonary Hemorrhage in Infants Association between Biological & Chemical Exposures and Exacerbation of Asthma in Sensitive Persons From: Clearing the Air IOM
14 ASTHMA ASSOCIATION/RELATIONSHIP Biological Agents Chemical Agents Sufficient Evidence of Causal Relationship Cat Cockroach House Dust Mite ETS in preschoolers ASTHMA ASSOCIATION/RELATIONSHIP Biological Chemical Sufficient evidence of an Association Dog Rhinoviruses NOx NO2 14
15 ASSOCIATION/RELATIONSHIP ASTHMA Biological Chemical Limited Evidence of an Association Domestic Birds ETS is school age, adults Chlamydia trachoma is Mycoplasma pneumoniae RSV Formaldehyde Fragrances Biological Chemical Inadequate or Insufficient Evidence for Association Cow, horse Pesticides Rodents Plasticizers Chlamydia Trachomatis Houseplants Pollen Exposure (in indoor environment) Insects other than Cockroaches 15
16 Inadequate Evidence of Association Mucous Membrane Irritation Syndrome Skin,GI, Neuropsychiatric, Reproductive Sx Fatigue Cancer Rheumatologic & other immune diseases 16
17 Presence of fungus does not indicate mold damage Indicator Fungi that exceed outdoor concentration indicate Mold Colonization ASTHMA ASSOCIATION/RELATIONSHIP Other Impacts not Addressed House Dust Mites Viruses Tobacco Smoke Cockroaches Pesticides id NO2 NOx See IOM Report Clearing the Air, 2000 Indoor Allergens,
18 Indicator Fungi: ***Aspergillus fumigatus A. versicolor A penecilloides Actinomyctes Gram Negative Bacteria ***Penecillium ^Stachybotrys t chartarum ^Chartomium PLUS: Trichoderma sp. Actinomyctes Urocladum sp. Gram Neg Bacteria Some Mold Toxic Products Fusarium producing DON (deoxynivalenol); called vomitoxin OTA (ochratoxin A); leads to DNA breaks AFB1 (Aflatoxin); leads to expoxide through 450 System P450 18
19 Hypersensitivity Pneumonitis Antigens Testing (IgG Antibodies) of limited prognostic Values, rather indicators of exposure. Perhaps better test is Stachylsen (protein hemolysin) as indicator of exposure to Stachybotrys chartarum, [not the same as satratoxin H, a trichothecene] Bacteria Genera Isolates from Building Materials: Acinatobacter Bacillus Nocardia Clavibacter Streptomyces Corybacterium Thermonosporia Flavo Bacterium Mycobacteria 19
20 Remediation Tasks STOP Water Intrusion Identify Vulnerable Populations Determine Extent & Location of Fungal Contamination (i.e. water and nutrients) Identify Moisture Dynamic Control source of moisture and nutrients after initial remediation 20
21 DECONTAMINATION OF MOLD-1 (Work site example) Internal Capsule in large room; wiped with fungicide immediately Air lock at both ends, 4 chambers Haz Mat Suits DECONTAMINATION OF MOLD-2 (Work site example) Office items into Chamber #1 Move, and Fungicide items in #2 Move, and HEPA vacuum in #3 Move, rewipe in #4 Out of airlock for inspection, possibly repassage 21
22 DECONTAMINATION OF MOLD-3 (Work site example) DISCARD: Plants, Paper, insulation ceiling tiles, insulation CLEAN: Drip pans, Office Machines, Carpets, Upholstered seats 22
23 Rye Grass Staggers mold contaminated feed to herd animals ASTHMA ASSOCIATION/RELATIONSHIP Mucous Membrane Irritation Syndrome (MMI): Rhinorrhea Nasal Congestion Sore Throat (?Inflammatory Cytokine based) 23
24 Any Moldy Questions? Heavy lead is not always music Lead Poisoning Lead has no known biological function. Lead Pb ++, competes with Ca ++, Fe ++ It is cheap, useful, easy to mine, therefore Lead is ubiquitous- in air, food, water, soil, ceilings etc. There is no consensus for safe lower limit for lead
25 Number of new cases with blood lead levels > 25 g/ g/dl that occurred among 100,000 employed adults years old in Null category states did not report. Uses and Sources of Lead Paint (until 1970) Household dust (via settlement of air pollution, paint removal) Ceiling dust Occupational Solder Ceramic glazes Mines, smelters 50 25
26 More Uses and Sources of Lead TV's, Computer monitors Batteries, Bullets Sinkers Aviation X-ray shields Crystal-ware (high levels in decanters) Explosives Non-stick linings of pots (in the past) Plastic colouring (wire, blinds) Pewter 51 Home Lead Testing 26
27 Reduction of Lead hazards in the home 53 Absorption of Lead 54 27
28 Absorption of Lead Lead goes down iron or calcium absorption pathway in GIT. Children absorb lead well orally (~50%) cf adults poorly (~10%). Children also have more hand to mouth activity. Lead absorption is enhanced if diet is poor in iron or calcium. Pica is one of the worst risk factors. Lead can be inhaled. [Tetraethyl lead can be absorbed via skin]. S:\Leadgpc\BB Lead Poisoning.ppt 55 Contribution of Sources 56 28
29 Distribution of Lead 95% long bones. Binds into matrix. Released during osteolysis. 4% brain,liver, kidneys. 1% blood. Crosses placenta, foetal BBB is open 57 Release of lead during osteolysis Pregnancy increases mobilization of lead from maternal skeleton Gulson BL, Jameson CW, Mahaffey KR, Mizon KJ, Korsch MJ, Vimpani G.. J Lab Clin Med 1997a;130:51-62 Mobilization of lead from the skeleton during the post- natal period is larger than during pregnancy. Gulson BL, Mahaffey KR, Jameson CW, Mizon KJ, Korsch MJ, Cameron MA, Eisman JA. J Lab Clin Med 1998a;131:324-9 Lead is released in menopausal bone loss Lead levels have second peak in middle age- more in men than women (NHANES 3). Lead follows calcium into and out of bone
30 Lead movement In childhood, blood lead levels reflect the environmental lead level ie exogenous lead. Protection requires placing barriers between the child and the lead. In adults, lead levels reflect the release of endogenous lead from bone, as well as the intake of exogenous lead. Protection requires prevention of 59 exposure plus preservation of bone Data from the US NHANES 3 study showing the second peak of lead levels in adulthood. Higher adult male levels reflect occupation and hobby. High risk occupations would be even higher. Women get a post-menopausal peak
31 Lead and Race. Data from the UIS NHANES 3 study showing differences with race probably reflecting differences in accommodation and occupation 61 U.S. Lead Situation Lead banned from paint 's- Levels higher than Australia 3. Late 1980's Removal of lead from gasoline 's Universal questionnaire screening Universal blood testing 's Public housing program 's Private housing program 's Massive EPA environmental program 62 31
32 Health Effects of Lead Concentration related IQ/ delinquency related to total dosage in childhood 63 Symptoms from lead are rare! 64 32
33 Lead and Neurodevelopment Each 0.48 µmol/l(10µg/dl) in children. = 4 to 7 IQ points (US Acad. Pediatrics). Industry/ Australian government consensus of 3-5 IQ points. Effects on behaviour are FAR WORSE. Delinquency rates are 8 times higher in the top 30% of bone lead. Needleman Needleman, Herbert L. et al, "Bone Lead Levels and Delinquent Behavior," JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION Vol. 275, No. 5 (February 7, 1996), pgs Measurable adverse behaviour changes in 2 year olds Mendelsohn Alan L. Mendelsohn, Benard P. Dreyer, Arthur H. Fierman, Carolyn M. Rosen, Lori A. Legano, Hillary A. Kruger, Sylvia W. Lim, and Cheryl D. Courtlandt "Low-Level Level Lead Exposure and Behavior in Early Childhood Pediatrics 1998; 101: e10 65 Lead and IQ 66 33
34 Lead and the Elderly Risk of dementia increases with lead burden Risk of accidental lead ingestion 67 Unresolved Questions How much does lead contribute to cognitive decline and Alzheimer s disease? Do bone preserving therapies or calcium supplements reduce cognitive decline? Is lead a modifiable risk factor for dementia? 68 34
35 Does your child. Childhood Risk Factor Questionnaire Have a brother or sister, housemate or playmate with an elevated blood lead level? No Yes Sometimes eat non-food items such as soil or paint? Have any of the following conditions sometimes associated with lead poisoning, eg iron deficiency anaemia, behaviour problem, learning problem or developmental delay? No Yes No Yes 35
Environmental Challanges Bisphenol A (BPA) Mold ld th/ill grow ness Lead extent/illness
Environmental Challanges Bisphenol A (BPA) Mold growth/illness Lead extent/illness Ray F. Garman, a MD MPH Department of Preventive Medicine and Environmental Health UK College of Public Health BISPHENOL
More informationRay F. Garman, MD, MPH. Department of Preventive Medicine and Environmental Health UK College of Public Health
Ray F. Garman, MD, MPH Department of Preventive Medicine and Environmental Health UK College of Public Health Environmental Challanges Bisphenol A (BPA) Lead extent/illness Chinese Wallboard BANNED Persistent
More informationPotential Health Effects of Mold Exposure in Buildings
Potential Health Effects of Mold Exposure in Buildings Objective: To present information about health hazard concerns associated with mold assessment and remediation projects. 1 Emerging Science The medical
More informationFacts about Stachybotrys chartarum and Other Molds
Facts about Stachybotrys chartarum and Other Molds I heard about "toxic molds" that grow in homes and other buildings. Should I be concerned about a serious health risk to me and my family? (/mold/stachy.htm#q1)
More informationAn Overview of Asthma - Diagnosis and Treatment
An Overview of Asthma - Diagnosis and Treatment Definition of Asthma: Asthma is a common chronic disease of children and adults. Nationally, more than 1 in 14 Americans report having asthma and as many
More informationPathology of Asthma Epidemiology
Asthma A Presentation on Asthma Management and Prevention What Is Asthma? A chronic disease of the airways that may cause Wheezing Breathlessness Chest tightness Nighttime or early morning coughing Pathology
More informationMOLDS IN THE INDOOR ENVIRONMENT: Implications for Children s Health. Eugene C. Cole, DrPH Brigham Young University
MOLDS IN THE INDOOR ENVIRONMENT: Implications for Children s Health Eugene C. Cole, DrPH Brigham Young University HEALTHY INDOOR ENVIRONMENT One where adequate ventilation and comfort factors, in conjunction
More informationNational Collaborating Centre for Environmental Health
National Collaborating Centre for Environmental Health Mould and Health Effects M. Shum, C. Palaty November 5, 2009 CIPHI Saskatchewan Outline What is the NCCEH? What is mould? What are the health effects
More informationWhat is Asthma? Chronic disease of the airways that may cause Wheezing Breathlessness Chest tightness Night time or early morning coughing
Asthma What is Asthma? Chronic disease of the airways that may cause Wheezing Breathlessness Chest tightness Night time or early morning coughing Episodes are usually associated with widespread, but
More informationComments: Your Results
Pro-Lab Number: 2174-34 Date Collected: 2/12/24 Collection Location: BELL H 2 Sample Submitted: Micro 5 Volume (L): 25 Chain of Custody# 13234 Serial #: 74772 Results M5 Results M5 Spore Identification
More informationEPR 3 (2007) Measures of Assessment and Monitoring Education Control of Environmental Factors Medication
EPR 3 (2007) Component 1: Measures of Assessment and Monitoring Component 2: Education Component 3: Control of Environmental Factors Component 4: Medication KEY DIFFERENCES FROM 1997 EXPERT PANEL REPORT
More informationAvg PM10. Avg Low Temp
Geography 532 Geography of Environmental Health Dr. Paul Marr Name: Ex 16- Seasonality, Time Delay, and Disease (10 pts) Below are asthma cases per month for the years 1992-1994. The table also includes
More informationDELAWARE HEALTHY HOMES SUMMIT Children s Health & The Indoor Environment CLAYTON HALL, UNIVERSITY OF DELAWARE NEWARK, DELAWARE
DELAWARE HEALTHY HOMES SUMMIT Children s Health & The Indoor Environment CLAYTON HALL, UNIVERSITY OF DELAWARE NEWARK, DELAWARE JUNE 5, 2012 Healthy Homes, Healthy Children, Healthy Future Presentation
More informationDoes rhinitis. lead to asthma? Does sneezing lead to wheezing? What allergic patients should know about the link between allergic rhinitis and asthma
Does rhinitis lead to asthma? Does sneezing lead to wheezing? What allergic patients should know about the link between allergic rhinitis and asthma For a better management of allergies in Europe Allergy
More information$9.99 A B r i e f B i t o f I n f o r m a t i o n o n P a r t i c u l a t e s i n Y o u r H o m e This guide provides information and guidance for homeowners on a few indoor particulates to be aware of,
More informationMount Sinai Pediatric Environmental Health Specialty Unit WTC Lead Fact Sheet
This fact sheet answers frequently asked health questions (FAQs) about lead. It is part of a series of fact sheets describing potential health risks to children from exposures related to the World Trade
More informationLEARNING MODULE #17: ENVIRONMENTAL HEALTH: ISSUES AND IMPACT
LEARNING MODULE #17: ENVIRONMENTAL HEALTH: ISSUES AND IMPACT Environmental Health: Issues and Impact Carol Ann Gross-Davis, PhD, MS Adjunct Assistant Professor Drexel University, School of Public Health
More informationExercise and Air Pollution
Exercise and Air Pollution Two Major Groups of Air Pollutants Primary From a single source of pollution CO, sulfur oxides, nitrogen oxides, hydrocarbons, particulants Secondary Result from an interaction
More information1. Instructions: Please answer the questions as they relate to the person being evaluated. Bring this form with you to your first appointment.
Patient s Name Date of Appointment Date of Birth Referring Physician 1. Instructions: Please answer the questions as they relate to the person being evaluated. Bring this form with you to your first appointment.
More informationASTHMA AND CHILDCARE PART 1. Presented by: Robin Costley, CRT, AE-C Marion County Public Health Department Manager, Asthma Alliance of Indianapolis
ASTHMA AND CHILDCARE PART 1 Presented by: Robin Costley, CRT, AE-C Marion County Public Health Department Manager, Asthma Alliance of Indianapolis OBJECTIVES By the end of training, participants will:
More informationAsthma and IAQ. Lani Wheeler, MD, Medical Officer Sarah Merkle, MPH, Program Analyst
Asthma and IAQ Lani Wheeler, MD, Medical Officer Sarah Merkle, MPH, Program Analyst Division of Adolescent and School Health Centers for Disease Control and Prevention Asthma is a Major Public Health Problem
More informationAir pollution and health
Air pollution and health Dr. Amir Elahi Johri, MBBS, MPH, ACIEH, FRSPH Consultant Air Pollution It is the introduction of chemicals, particulate matter or biological materials that cause harm or discomfort
More informationChildhood Lead Exposures. Tribal Lands & Environmental Forum August 17, 2017
Childhood Lead Exposures Tribal Lands & Environmental Forum August 17, 2017 Overview Vision and Goals To build a collaborative approach to address childhood lead exposures in Indian country Reasons for
More informationAsthma and air pollution: health effects and prevention
Asthma and air pollution: health effects and prevention FuyuenYip PhD, MPH Air Pollution and Respiratory Health Branch Division of Environmental Hazards and Health Effects National Center for Environmental
More informationEmil J. Bardana, Jr., M.D. Oregon Health Sciences University
INDOOR ALLERGENS AND IRRITANTS: WITH EMPHASIS ON MOLDS IN THE ASSESSMENT OF INDOOR QUALITY COMPLAINTS Emil J. Bardana, Jr., M.D. Oregon Health Sciences University INTRODUCTION (1) Homes protect inhabitants
More informationOutdoor Air Quality: What Child Care Providers Should Know
Outdoor Air Quality: What Child Care Providers Should Know Name: First and Last Position: Child Care Name and Location: STARS Number: (required for STARS credit) Email: print clearly Phone number: Pause
More informationHow to Incorporate Environmental Health into Your Primary Care Practice
How to Incorporate Environmental Health into Your Primary Care Practice SUSAN BUCHANAN, MD, MPH UNIVERSITY OF ILLINOIS AT CHICAGO SCHOOL OF PUBLIC HEALTH MARCH 2017 Disclosures I have no relevant financial
More informationB.R.E.A.T.H.E. Bringing Reduction and Education of Asthma Triggers to the Home Environment
B.R.E.A.T.H.E. Bringing Reduction and Education of Asthma Triggers to the Home Environment A collaborative project of HDHHS and the EPA Bureau of Community and Children s Environmental Health Acknowledgements
More informationUnderstanding the Built Environment: Towards Healthier Homes and Healthier Kids
of West Michigan, 2015 - All rights reserved. 1 Understanding the Built Environment: Towards Healthier Homes and Healthier Kids Paul Haan Healthy Homes Coalition of West Michigan 1545 Buchanan Ave SW Suite
More informationAdverse Health Effects Associated with the Indoor Air Quality of Flood-Damaged Structures
Proactive By Design. Our Company Commitment Adverse Health Effects Associated with the Indoor Air Quality of Flood-Damaged Structures June 23, 2016 Kimberly A. Hoppe Parr, PhD. GZA GeoEnvironmental, Inc.
More informationCOPD, Pneumonia & Influenza, Accidents, Diabetes. Chapter 7
COPD, Pneumonia & Influenza, Accidents, Diabetes Chapter 7 Chronic Obstructive Pulmonary Disease COPD 4 th leading cause of death in the U.S. Chronic Obstructive Pulmonary Disease Any chronic conditions
More informationAsthma and Air Pollution
Asthma and Air Pollution Health Effects Workshop Nov. 6, 2008 Joann Held with thanks to: Dave Brown Asthma and Airways Asthma Physiology A chronic disease that affects airways. The inside walls of airways
More informationThe Primary Prevention of Asthma
The Primary Prevention of Asthma Risk Factors Associated with Asthma Onset Ted Schettler Science and Environmental Health Network Collaborative on Health and Environment June, 2013 Asthma: a complex disease(s)
More information7. EFFECTS OF LEAD EXPOSURE
7. EFFECTS OF LEAD EXPOSURE Definitions Lead is a soft, dense, ductile blue-gray metal. 239 Due to its properties, its use has been common for centuries and greatly increased with the Industrial Revolution.
More informationSlide 1. Slide 2. Slide 3. School Floor Coverings and Indoor Air Quality. Professor Alan Hedge, Cornell University, 10/2001. U.S.
Slide 1 School Floor Coverings and Indoor Air Quality Professor Alan Hedge Dept. Design & Environmental Analysis Cornell University, Ithaca, NY 14853. Slide 2 U.S. Schools 2001 >45 million students attend
More informationyour triggers? Information about a simple lab test that lets you Know Your IgE.
What your are CAT DANDER DUST MITE triggers? Knowing if you have allergic triggers can help you manage your symptoms. Know yours and take control. OAK Information about a simple lab test that lets you
More informationSample School Walkthrough Report
Background Asthma is a chronic disease of the airways that causes recurrent and distressing episodes of wheezing, breathlessness, chest tightness, and nighttime or early morning coughing. Exacerbations
More informationAsthma Triggers. It is very important for you to find out what your child s asthma triggers are and learn ways to avoid them.
Asthma s It is very important for you to find out what your child s asthma triggers are and learn ways to avoid them. With asthma, your child s airways are very sensitive. Things, called triggers, may
More informationThe problem with lead paint
1 The problem with lead paint Outline Background The use of lead in paint Exposure and health impacts Summary 2 Background Lead paints contain lead compounds that are added to give certain properties Wide
More informationEnvironmental Justice and Healthy Indoor Environment Milagros de Hoz, Environmental Health Manager
Environmental Justice and Healthy Indoor Environment Milagros de Hoz, Environmental Health Manager Public Health Lecture Series, Office of School Health June 22, 2018 Agenda 1.Introduction to WE ACT 2.Creating
More informationBreathe Easy. Living with Asthma
Breathe Easy Living with Asthma Got Asthma? You re Not Alone! More than 300 million people around the world have asthma. But having asthma doesn t have to limit what you can do. With education and treatment,
More informationAsthma and COPD Awareness
Asthma and COPD Awareness breathe with ease sm and Chronic Obstructive Pulmonary Disease Texas Newsletter Spring 2011 Asthma Warning Signs In This Issue Asthma Warning Signs pg 1 Working with the Provider
More informationALLERGY CLINIC-PATIENT QUESTIONNAIRE NAME: DOB: TODAY S DATE:
ALLERGY CLINIC-PATIENT QUESTIONNAIRE NAME: DOB: TODAY S DATE: A. Please check any of the following problems which you have had, and record when they started: Problem/Date of Onset sniffles nasal congestion
More informationWelcome. We can control some of the things that cause problems in our homes.
Welcome Lots of our children have asthma lots of us do, too. Luckily, we ve learned a great deal about how to avoid the things that trigger asthma attacks. We can control some of the things that cause
More informationBreathe Easy ACTIVITIES. A Family Guide to Living with Asthma F O R T H E K ! I D S
Breathe Easy A Family Guide to Living with Asthma ACTIVITIES FUN & EDUCATIONAL F O R T H E K! I D S What Is Asthma? Asthma is a disease of the lungs. It s a chronic (long-term) condition that affects the
More informationClimate Change and our Children s Health
Climate Change and our Children s Health Robert J. Laumbach M.D., M.P.H., C.I.H. Department of Environmental and Occupational Medicine Rutgers Robert Wood Johnson Medical School March 1, 2014 Not just
More informationMount Sinai Pediatric Environmental Health Specialty Unit WTC Polychlorinated Biphenyls Fact Sheet
This fact sheet answers frequently asked health questions (FAQs) about polychlorinated biphenyls (PCBs). It is part of a series of fact sheets describing potential health risks to children from exposures
More informationWhat You Need to Know about Black Mold Exposure
What You Need to Know about Black Mold Exposure Have you ever noticed dark patches on various spots in your home? Be careful, because those spots may be black mold. This mold is often hard to distinguish
More informationJeffrey M. Davidson, M.D. Certified by the Board of Allergy and Immunology Clinical Professor, University of California San Francisco
180 Montgomery Street, Suite 2370 San Francisco, CA 94104 Tel: (415) 433-6673 Fax: (415) 433.6063 www.mydrd.com Jeffrey M. Davidson, M.D. Certified by the Board of Allergy and Immunology Clinical Professor,
More informationAsthma. The prevalence of asthma has been increasing worldwide, but why this is happening is not known.
Asthma What is asthma? Asthma is a chronic disorder of the airways of the lungs. The airways are reactive and may be inflamed even when symptoms are not present. The extent and severity of airway irritation
More informationThe Health Effects of Air Pollution. Haim Bibi Carmel Medical Center
The Health Effects of Air Pollution on Children Haim Bibi Carmel Medical Center Haifa Why are children at special risk? Physically, children are more vulnerable to air pollution than adults. Their respiratory
More informationIntroduction To Indoor Air Quality Clear Relationship Between Indoor Air Pollution And Health
Introduction To Indoor Air Quality Clear Relationship Between Indoor Air Pollution And Health MOONRIVERCHATTEL https://moonriverchattel.com Contents Introduction To Indoor Air Quality Clear Relationship
More informationQuestion 1: What is your diagnosis?
Case study title: Target group: Linked to modules: Outdoor air pollution (Clinical case) Paediatricians, General practitioners, Public health professionals Indoor air pollution, Outdoor air pollution,
More informationModule Bi. Health Hazards of Lead
Module Bi Health Hazards of Lead 1 Outline Sources and routes of exposure Health effects Who is at risk? Societal impact of lead Economic and health impacts of control measures Summary References Point
More informationEar, Nose & Throat (ENT) - Head & Neck Surgery. Allergic Rhinitis (Sinus)
Ear, Nose & Throat (ENT) - Head & Neck Surgery Allergic Rhinitis (Sinus) The Department of Ear, Nose & Throat (ENT) - Head & Neck Surgery provides a wide range of surgical services for adult patients with
More informationNIOSH FIELD STUDIES ON DAMPNESS AND MOLD AND RELATED HEALTH EFFECTS
NIOSH FIELD STUDIES ON DAMPNESS AND MOLD AND RELATED HEALTH EFFECTS Jean Cox-Ganser, Ph.D. Division of Respiratory Disease Studies The findings and conclusions in this presentation are those of the author
More informationFAQs on bisphenol A in consumer products
FAQs on bisphenol A in consumer products Updated BfR FAQ, 19 February 2015 The substance bisphenol A is contained in polycarbonate products such as food and drink containers and bottles. Bisphenol A is
More informationEnvironmental exposures in asthma: opportunities for prevention. Tim K. Takaro, MD, MPH. Faculty of Health Sciences Simon Fraser University
Environmental exposures in asthma: opportunities for prevention Tim K. Takaro, MD, MPH. Faculty of Health Sciences Simon Fraser University Conflict of Interest Nothing to declare Thank you funders! Private
More informationSmell / Taste/ Color. Select the Source. Drinking water. Bathing. Outdoor water use. Have you digested, inhaled or touched the object/material?
Decision Tree for Exposure Exposed Not Exposed No Action required Noise / High Speck Smell / Taste Visual High CATTfish Nuisance Reading Health & Wellness EHP lending library Page 2 Page 3 Page 4 Page
More informationAnalysis Report prepared for Quest Air
contact@hayesmicrobial.com http://hayesmicrobial.com/ Analysis Report prepared for 103 Carnegie Center Suite 300 Princeton, NJ. 08540 Job Name: 76 Federal City Road Date Sampled: 05-30-2017 Date Analyzed:
More informationGuidelines for Addressing Allergies and Sensitivities in the Workplace Next review: April 2019 I. PURPOSE II. INTRODUCTION III.
I. PURPOSE The Government of Saskatchewan is committed to ensuring workplace health, safety and wellness. Allergens and sensitivities present a health concern for some individuals in the workplace and
More informationEczema: also called atopic dermatitis; a chronic, itchy, scaly rash not due to a particular substance exposure
Allergy is a condition in which the immune system causes sneezing, itching, rashes, and wheezing, or sometimes even life-threatening allergic reactions. The more you know about allergies, the better prepared
More informationChildcare Providers Training: LEAD POISONING PREVENTION
Childcare Providers Training: LEAD POISONING PREVENTION Participants Inputs What s on your mind? What do you want to bring back to your work when you leave here today? What else?????? Objectives Explain
More informationToolkit for Establishing Laws to Control the Use of Lead in Paint Module Bi
Toolkit for Establishing Laws to Control the Use of Lead in Paint Module Bi Health Hazards of Lead 1 Outline Sources and routes of exposure Health effects Who is at risk? Societal impact of lead Economic
More informationChecklist. If your answer is yes to any of the above, home health and safety hazards may exist.
f you do home repairs, this brochure is for you. Contractors, landlords, supers, homeowners, do-it-yourselfers, and tenants can do a lot to keep homes healthy and safe for children. By working safely and
More informationOur Climate Our Health
Our Climate Our Health JUST THE FACTS CONGRESSIONAL FORUM ARLINGTON VIRGINIA CAMPUS, GEORGE MASON UNIVERSITY MONA SARFATY, MD MPH FAAFP DIRECTOR, PROGRAM ON CLIMATE AND HEALTH NOVEMBER 2015 The Health
More informationImproving Indoor Air Quality in the Home
Improving Indoor Air Quality in the Home Overview Indoor Air Quality (IAQ) is important IAQ and Health Types of indoor air pollu>on + Things you can do IAQ is Important People spend up to 90% of their
More informationIAQ Mold Concerns. CAPT Don Hagen, USN, MS, CIH Navy Marine Corp Public Health Center
IAQ Mold Concerns CAPT Don Hagen, USN, MS, CIH Navy Marine Corp Public Health Center 0 Disclaimer The views expressed in this presentation are those of the author and do not necessarily reflect the official
More informationRespiratory System. Respiratory System Overview. Component 3/Unit 11. Health IT Workforce Curriculum Version 2.0/Spring 2011
Component 3-Terminology in Healthcare and Public Health Settings Unit 11-Respiratory System This material was developed by The University of Alabama at Birmingham, funded by the Department of Health and
More informationPediatric Allergy Allergy Related Testing
Pediatric Allergy Allergy Related Testing 1 Allergies are reactions that are usually caused by an overactive immune system. These reactions can occur in a variety of organs in the body, resulting in conditions
More informationClear and Easy #12. Skypark Publishing. Molina Healthcare 24 Hour Nurse Advice Line
Clear and Easy #12 Molina Healthcare 24 Hour Nurse Advice Line 1-888-275-8750 TTY: 1-866-735-2929 Molina Healthcare Línea de TeleSalud Disponible las 24 Horas 1-866-648-3537 TTY: 1-866-833-4703 Skypark
More informationCMS Asthma Education Program
CMS Asthma Education Program ASTHMA IS Common Chronic Treatable Distressing Misunderstood Potentially Dangerous CMS Prevalence Number one chronic disease Leading cause of Absences 6481 CMS students (2003-04)
More informationIndoor Air Quality. Child Health and the Environment in Aboriginal Communities. Safe Environments Programme HECS Alberta Region
Indoor Air Quality Child Health and the Environment in Aboriginal Communities Safe Environments Programme HECS Alberta Region by: Opel Vuzi, BSc. CPHI(C) Overview What is indoor air quality? Why is indoor
More informationAirborne Mould Sampling Moncton High School 207 Church Street Moncton, NB E1C 5A3. November 25, 2013
Project # 18578 Airborne Mould Sampling Moncton High School 207 Church Street Moncton, NB E1C 5A3 November 25, 2013 Attention: Serge Melanson Transportation and Infrastructure Facilities Management Moncton
More informationbaby power PROTECT LITTLE LUNGS What makes baby lungs so incredible, and how can we help keep the air safe for our children?
baby power PROTECT LITTLE LUNGS What makes baby lungs so incredible, and how can we help keep the air safe for our children? BABY S FIRST BREATH Consider a baby s lungs: They are miracles of biological
More informationYour home and your lungs
Your home and your lungs About indoor air pollution Most of us know that when we re outside, it can be harmful to breathe in polluted air. But air quality is important indoors as well. This is even more
More informationMSES consultants, inc.
MSES consultants, inc. 609 West Main Street P.O. Drawer 190 Clarksburg, WV 26302-0190 304.624.9700 304.622.0981 304.842.3325 http://www.msesinc.com Office December 30, 2013 Project Number: 13-441 Mr. Joe
More informationEnergy Mismatch: Hormones, Enzymes, Viruses, Heavy Metals, Vaccinations, Drugs, Allergens, Flower Remedies, Homeopathics & More. Jane Thurnell-Read
Energy Mismatch: Hormones, Enzymes, Viruses, Heavy Metals, Vaccinations, Drugs, Allergens, Flower Remedies, Homeopathics & More by Jane Thurnell-Read (Excerpts Only) Contents How to use this book What
More informationGlossary of Asthma Terms
HealthyKidsExpress@bjc.org Asthma Words to Know Developed in partnership with Health Literacy Missouri Airways (Bronchi, Bronchial Tubes): The tubes in the lungs that let air in and out of the body. Airway
More informationYour home and your lungs
About indoor air pollution Most of us know that when we re outside, it can be harmful to breathe in polluted air. But air quality is important indoors as well. This is even more relevant if you re living
More informationHealthy Environment. Everything about mold
Healthy Environment Everything about mold Mold, undesirable and hard to control What is mold? Mold is formed by microscopic creatures belonging to the Fungi Kingdom. When tiny airborne spores of mold burst,
More informationMedical History Form
Dr. Vivek U. Rao, M.D. 500 Adams Ave., Suite 300 Odessa, TX 79761 Phone: 432.333.3300 Fax: 432.339.3300 Medical History Form Patient Name: DOB: A. CHIEF COMPLAINT: Briefly describe your (or your child
More informationDealing With Dampness in Buildings
Dealing With Dampness in Buildings Excessive Moisture and its Affect on the Home Environment 1of 68 How Long Has Mold Been a Problem? Leviticus 14:45 A house desecrated by mildew, mold, or fungus would
More informationAssessing Allergic Sensitivities and Allergen Exposures
Assessing Allergic Sensitivities and Allergen Exposures James A. MacLean, M.D. Partners Asthma Center North Shore Asthma and Allergy Affiliates Massachusetts General Hospital Harvard Medical School Objectives
More informationMicrobiomes of the Built Environment: Homes
Microbiomes of the Built Environment: Homes Tiina Reponen, PhD, Professor Center for Health Related Exposure Assessment Department of Environmental Health University of Cincinnati Microbiomes of the Built
More informationASTHMA PROTOCOL CELLO
ASTHMA PROTOCOL CELLO Leiden May 2011 1 Introduction This protocol includes an explanation of the clinical picture, diagnosis, objectives, non medical and medical therapy and a scheme for inhaler dosage.
More informationPRO-TEC MOLD REPORT. Mold Evaluation
PRO-TEC MOLD REPORT CLIENT & SITE INFORMATION: DATE OF INSPECTION: 09/17/20. CLIENT NAME:. NUMBER & STREET: CITY/STATE/ZIP: Reston VA 20191. INSPECTED BY: Rob Hopkin. CLIMATIC CONDITIONS: WEATHER: Clear.
More informationAirborne Mould Sampling Moncton High School 207 Church Street Moncton, NB E1C 5A3. November 01, 2013
Project # 18578 Airborne Mould Sampling Moncton High School 207 Church Street Moncton, NB E1C 5A3 November 01, 2013 Attention: Serge Melanson Transportation and Infrastructure Facilities Management Moncton
More informationPatient (Parent) Questionnaire Patient s Name: DOB: Date: Referred By: Primary Care Physician:
Dr. Bina Joseph Patient (Parent) Questionnaire Patient s Name: DOB: Date: Referred By: Primary Care Physician: Describe each problem that has led you to seek this allergy evaluation: 1. 2. 3. 4. Drug Allergies:
More informationan inflammation of the bronchial tubes
BRONCHITIS DEFINITION Bronchitis is an inflammation of the bronchial tubes (or bronchi), which are the air passages that extend from the trachea into the small airways and alveoli. Triggers may be infectious
More informationPresenter. Mona Sarfaty, MD, MPH, FAAFP Director, Program on Climate and Health Center for Climate Change Communication George Mason University
Presenter Mona Sarfaty, MD, MPH, FAAFP Director, Program on Climate and Health Center for Climate Change Communication George Mason University Making the Connection: Climate Changes Allergies and Asthma
More informationAsthma. Guide to Good Health. Healthy Living Guide
Asthma Guide to Good Health Healthy Living Guide Asthma Chronic Fatigue Syndrome (CFS) Chronic Obstructive Pulmonary Disease (COPD) Coronary Artery Disease (CAD) Depression Hyperlipidemia Hypertension
More informationLegally Defensible Strategies for Mold Investigations
Legally Defensible Strategies for Mold Investigations Metro New York AIHA Bull Moose Meeting September 10, 2014 Jack Springston, CIH, CSP TRC Environmental, Inc. www.trcsolutions.com Disclaimer The contents
More informationKeys to Breathing Easy
Keys to Breathing Easy Ways to Manage Your Asthma EHAP Environmental Health Action Project SUPPORTED IN PART BY: Project H17 MC 00170 from Healthy Tomorrows Partnership for Childrens Program, Maternal
More informationAIR PURIFICATION AND AROMATHERAPY SYSTEM
AIR PURIFICATION AND AROMATHERAPY SYSTEM Dusty Air! It is widely acknowledged that the air in today s homes is filled with dust, pollen, mold and thousands of other pollutants. Regardless of their state
More informationMycotech Biological, Inc.
AIHA EMPAT NO: 03006 00 Main Street Any City, TX Andersen Malt /2/04 /0/04 Sample No: (0) A- Sample No: (02) A-2 Sample No: (03) A-3 (Living Area) Sample No: (04) A-4 (Bedroom) //04 //04 //04 //04 Date
More informationAsthma and COPD Awareness
Asthma and COPD Awareness breathe with ease sm and Chronic Obstructive Pulmonary Disease Washington Newsletter Spring 2011 Asthma Warning Signs In This Issue Asthma Warning Signs pg 1 Working with the
More informationAtopy pyramid. Dr Tan Keng Leong
Allergy in Respiratory Airway Disease and Beyond Unit No. 5 Dr Tan Keng Leong ABSTRACT Allergy is a significant triggering factor in asthma and allergic rhinitis. Inhaled allergens and IgE-mediated allergic
More information