Environmental Factors Affecting Human Health

The United States is among the wealthiest nations in the world, but it is far from the healthiest. Although life expectancy and survival rates in the United States have improved dramatically over the past century, Americans live shorter lives and experience more injuries and illnesses than people in other high-income countries. The U.S. health disadvantage cannot be attributed solely to the adverse health status of racial or ethnic minorities or poor people: even highly advantaged Americans are in worse health than their counterparts in other, "peer" countries. In light of the new and growing evidence about the U.S. health disadvantage, the National Institutes of Health asked the National Research Council (NRC) and the Institute of Medicine (IOM) to convene a panel of experts to study the issue. The Panel on Understanding Cross-National Health Differences Among High-Income Countries examined whether the U.S. health disadvantage exists across the life span, considered potential explanations, and assessed the larger implications of the findings. U.S. Health in International Perspective presents detailed evidence on the issue, explores the possible explanations for the shorter and less healthy lives of Americans than those of people in comparable countries, and recommends actions by both government and nongovernment agencies and organizations to address the U.S. health disadvantage.

Raising the average human lifespan by a decade or more will change our world. The future is not about whether this will happen; it is about what we should do when it happens. Even the most pessimistic assertions about the future of our environment are underestimating the extent of the problem. There is simply no model in which more years of life does not equate to more people and in which that does not lead to more crowding, environmental degradation, more consumption, and more waste. Hence, as we prolong life, these environmental crises will be further exacerbated. With current diets and production practices, feeding 7,6 billion people is degrading terrestrial and aquatic ecosystems, depleting water resources, and driving climate changes. The challenges of today are not just population, and it’s not just consumption, it is waste also. Thanks to things such as cars, planes, big homes, deforestation and so forth, the annual carbon dioxide emissions of an average are three times as high as it should be. It is likely that this signals that the current level of dividends is unsustainable, hence, we use and return little of value to our natural world. In our book, we address the questions related to environmental health challenges that include contamination of air, water, and soil, and car transportation. In order to better understand natural, industrial, and social-environmental hazards, we have to think of them in a broader context (i.e., physical, chemical, biological, and cultural). We hope that the presented publication gives the reader a broader perspective on the issues related to environmental health challenges in contemporary society in the coming years.

From the oceans to continental heartlands, human activities have altered the physical characteristics of Earth's surface. With Earth's population projected to peak at 8 to 12 billion people by 2050 and the additional stress of climate change, it is more important than ever to understand how and where these changes are happening. Innovation in the geographical sciences has the potential to advance knowledge of place-based environmental change, sustainability, and the impacts of a rapidly changing economy and society. Understanding the Changing Planet outlines eleven strategic directions to focus research and leverage new technologies to harness the potential that the geographical sciences offer.

The rapid growth of home health care has raised many unsolved issues and will have consequences that are far too broad for any one group to analyze in their entirety. Yet a major influence on the safety, quality, and effectiveness of home health care will be the set of issues encompassed by the field of human factors research-the discipline of applying what is known about human capabilities and limitations to the design of products, processes, systems, and work environments. To address these challenges, the National Research Council began a multidisciplinary study to examine a diverse range of behavioral and human factors issues resulting from the increasing migration of medical devices, technologies, and care practices into the home. Its goal is to lay the groundwork for a thorough integration of human factors research with the design and implementation of home health care devices, technologies, and practices. On October 1 and 2, 2009, a group of human factors and other experts met to consider a diverse range of behavioral and human factors issues associated with the increasing migration of medical devices, technologies, and care practices into the home. This book is a summary of that workshop, representing the culmination of the first phase of the study.

The purpose of this regional workshop in the Southeast was to broaden the environmental health perspective from its typical focus on environmental toxicology to a view that included the impact of the natural, built, and social environments on human health. Early in the planning, Roundtable members realized that the process of engaging speakers and developing an agenda for the workshop would be nearly as instructive as the workshop itself. In their efforts to encourage a wide scope of participation, Roundtable members sought input from individuals from a broad range of diverse fields-urban planners, transportation engineers, landscape architects, developers, clergy, local elected officials, heads of industry, and others. This workshop summary captures the discussions that occurred during the two-day meeting. During this workshop, four main themes were explored: (1) environmental and individual health are intrinsically intertwined; (2) traditional methods of ensuring environmental health protection, such as regulations, should be balanced by more cooperative approaches to problem solving; (3) environmental health efforts should be holistic and interdisciplinary; and (4) technological advances, along with coordinated action across educational, business, social, and political spheres, offer great hope for protecting environmental health. This workshop report is an informational document that provides a summary of the regional meeting.

This book contains a selection of papers presented at the Advanced Research Workshop on ‘The Socio-economic causes and consequences of desertification in Central Asia’ held in Bishkek, Kyrgyzstan, in June 2006. The meeting provided a forum for twenty-six scientists from Central Asia and NATO countries to discuss the human dimensions of the desertifi- tion process. Papers presented to the meeting examined recent scientific evidence on the impact of desertification on livestock production, public health, and biodiversity, and contributed to the formulation of coh- ent national and regional policies for the management of watersheds, rangelands, and irrigated agriculture. The meeting was co-directed by Roy Behnke of the Macaulay Institute, UK, and by Lapas Alibekov of the Samarkand State University, Uzbekistan. Both the workshop and this subsequent publication have been financed by the NATO Scientific Affairs Division and we gratefully acknowledge this support. The Bishkek meeting was ably hosted by the Kyrgyz Sheep Breeders Association under the dir- tion of Akylbek Rakaev who contributed substantially to the successful running of the workshop. Deliberations at the workshop emphasized that policy failures at national level had promoted desertification within the region.

Polluted air and contaminated food and water are major causes of human health deterioration, but public health policy has long struggled to effectively address these concerns. This timely book--written for a wide audience of policy makers, researchers, and general readers--synthesizes what we already know about environmental hazards, identifies the gaps in our knowledge, and provides a roadmap for reducing human exposure to environmental pollution. With contributions from leading experts, Environmental Determinants of Human Health examines numerous pollutants, both inorganic and organic, in the context of their human health impacts. Individual chapters explore exposure pathways, macroeconomic impacts of human health deterioration, technological and non-technological methods for reducing exposures, monetary and non-monetary benefits from exposure reduction, and risk communication and awareness, including citizen participation approaches. This volume is a crucial text for policy makers requiring scientific justification for the development of new environmental regulations, scientists researching public health and environmental contamination, and members of the public interested in human health issues.