Midterm preparation

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George Washington University *

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Course

6011

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Health Science

Date

Dec 6, 2023

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pdf

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6

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Outline from Week 1 to Week 5 1. Explain how energy influences human health - Energy influences human health because it is used to prepare food, warm our homes, produce our goods, power our travel and many more things 2. Define ethical considerations on what is meant by sustainable development - Sustainable development is defined as development that meets the needs of the current generation without compromising or changing the developments of the future generation. Ethical consideration to what sustainable development is can be defined as using but not using up 3. Explain how each major energy source is used and their percent contribution in the US energy mix - Fossil fuel works when chemical bonds are created during photosynthesis. It is comprised of over 80% of the world’s energy supply. - Coal is a major energy source that is broken into 25% energy consumption and 40% electricity generation worldwide. - Petroleum accounts for ⅓ of primary energy consumption and more than 90% of transportation fuel. 4. Using systems thinking to evaluate the health impacts of fossil fuel use at the local and global level 5. Explain health impacts of unconventional extraction (e.g., Tar Sands, Mountaintop Removal, Hydro Fracturing) as well as changes to infrastructure (e.g., pipelines, rail) 6. Explain how water is used in electricity production 7. Use ethics and evidence to discuss limitations and benefits of renewable energy in developed and developing nations
8. Explain global weather patterns and why most all the earth’s rainforests are at the equator. 9. Describe lung physiology and particle clearance with macrophage and the mucociliary escalator. Upper bronchial tree - lots of larger pathways to the alveoli (much tinier pathways) small sacs that have the surface area of a tennis court and where blood is able to be oxidized and carried to other areas of the body. The alveolar macrophage sits inside the alveoli and consume particles that shouldn’t be there. The mucociliary is a then layer of sticky mucus that covers the inside of the bronchial pathways with tiny cilia (hairs) that grab particulate matter and push it up outside of you body. 10. Describe each of the 6 criteria air pollutants to include how they are emitted, their human health effects and general corrective actions taken to mitigate each air pollutant. Carbon Monoxide cars dizziness, confusion, unconsciousness, and death Electric cars, walking, biking Lead industry/cars/waste High blood press, brain, kidney, and reproductive health issues removed from petroleum, removed from paint, removed from pipes in the homes Nitrogen Dioxide Industry/Cars Headache, fatigue, dizziness, lack of oxygen in the bloodstream (blue color to skin) Electric cars, Ozone Industry/Cars PM<10um Natural>Industrial PM<2.5um Industrial<Natural Sulfur Dioxide Coal Burning
11. Understand the cause, controls and health implications of a thinning Stratospheric Ozone Freon (Chlorofluorocarbons - CFCs) - when warmed by the sun the chlorine will break off and destroy the ozone layer of the stratosphere, 1987 the world band the use of CFCs and improved the “hole” in the stratosphere layer over Antarctica and Australia. While the hole existed UV-B and UV-C rays were able to get through and increase cancer rates in the country. 12. Explain the mortality impacts of global indoor and outdoor air pollution. 7 million deaths worldwide INDOOR - 3.4M deaths, 3.7M OUTDOOR (some overlapped) 13. What percentage of the global population exceeded the WHO Guideline for PM 2.5 (in 2016) - 95% 14. Identify where household air pollution is a major issue globally and its link to economic development South Asia and East asia - residential usage, lower income Cooking - burn wood, coal, and poo, Lighting - kerosene, open fires, and candles Heating - Wood, agricultural resources, poop. Coal, and kerosene Polluting fuels - africa and asia Kills 8 million people before their 60 birthday (Cardio disease) - creates a barrier for economic development - healthcare costs and lost productivity 15. Describe trends in wildfires, smoke inhalation health impacts and the air pollutant of highest concern in wildfire smoke. you can see active fires in the world growing since 1960s, larger and hotter burning fires - climate change is also adding to this asthma, COPD exacerbation, respiratory infections, mortality, birth outcomes, PM2.5? 16. Explain the greenhouse effect and the influence of short-wave and long-wave radiation Sun sends radiation through the atmosphere which allows 70-75% to come through (Short Wave radiation) The earth's troposphere sends out Thermal radiation but only 15-30% escapes as the rest are absorbed into the atmosphere. More stays in than is allowed to escape = Greenhouse effect 17. Characterize the warming influence of CO2 and methane on the planet
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18. Explain the global direct and indirect health ramifications of climate change such as poleward migration of diseases, wildfire/smoke inhalation, extreme flooding and droughts, heat related deaths, harmful algal blooms, human migration, mental health distress and human conflict. 19. Identify the current CO2 concentration and the pre-industrial CO2 concentration 20. Identify the temperature and CO2 concentration cap agreed to in the 2015 Paris Agreement and the structure of the Paris Agreement 21. Explain the difference between heat exhaustion and heat stroke and how to treat each 22. Explain the ethical considerations regarding climate change why poorer people / countries are more vulnerable than richer people / countries 23. Using the One Health framework, discuss climate policy interventions that would help with mitigation or adaptation for developed and developing countries. 24. Categorize various food substances between macronutrients and micronutrients Macronutrients consist of 4 food groups: carbohydrates, proteins, fats, and 25. Describe a healthy diet and explain hunger, malnutrition, food security 26. Explain how the food environment and disparities can influence our food choices People chose what to eat based on availability. They 27. Explain the changes in occupational energy expenditure in the US over time 28. Explain how physical activity influences chronic disease and mortality
29. Describe how income has generally influenced greenhouse gas emissions 30. Explain the LEED certification levels and various building efficiency technologies 31. Explain how life cycle assessment (LCA) infuses systems thinking into sustainable decision making 32. Match a process description to one of the five phases of the life cycle assessment framework 33. Discuss the influence of human behaviors (e.g., take-back effect) in making sustainable choices 34. Discuss how sustainable practices at the personal, household and community levels improves health 35. Explain strategies in how public health professionals can play a major role in shifting behavior to abate climate change, reduce energy consumption and live a healthier lifestyle 36. Explain the difference between an emergency and a disaster 37. Explain which stage of a natural disaster a given a situation represents and the public health needs 38. Explain the principles of defensible space in fire prone areas 39. Explain solar disinfection (SODIS) to treat drinking water 40. Explain the issues regarding the US National Flood Insurance Program
41. Know the insect vectors for Malaria, Yellow Fever, Zika, Dengue and West Nile. 42. According to the Frumkin book (from 1964 to 2013), globally, which type of natural disaster has the highest mortality rate (kills the most people per 100,000 people affected). 43. Describe ways to prepare for natural disasters at the household, local, national and global levels 44. Describe the basic needs after a natural disaster to include ethical considerations of human displacement and mental health of victims 45. Describe the top 5 causes of mortality globally in the aftermath of a disaster. 46. Explain how to prevent the spread of various types of infectious diseases after a disaster
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