Healthy People 2020 ✔✔goal is to promote health through a healthy environment; considers outdoor air quality, surface/ground water quality, toxic substances and hazardous wastes, homes and communities, infrastructure and surveillance, and global health environment Outdoor Air Quality ✔✔part of HP2020 goals that has improved since '90s in US; main pollutants = 1. Fine particles produced by burning fossil fuels (ex: coal and petroleum) 2. Noxious gases (ex: sulfur dioxide, nitrogen oxides, CO, chemical vapors) 3. Groundlevel ozone 4. Tobacco smoke Ozone ✔✔reactive form of oxygen and primary component of urban smog Poor Outdoor Air Quality ✔✔associated with increased risk of asthma, COPD, recurrent lung infections, lung cancer, CV disease, and pre-term birth Decrease Outdoor Air Quality Risk ✔✔1. Check air quality index for local area (good = 0-50, very unhealthy = 201-300) 2. Avoid being outside in high-traffic areas and high air quality index 3. Limit second-hand smoke exposure Surface/Ground Water Quality ✔✔part of HP2020 goals that protects water sources and limits contamination Drinking Water ✔✔most homes get ___ from water public treatment facility monitored by EPA or private wells that are NOT routinely monitored by any agency (should have checked before moving in) Drinking Water Contaminants ✔✔include 1. Chemicals and minerals, such as copper, arsenic, nitrates 2. Viruses, bacteria, parasites 3. Local land use practices like pesticides 4. Industry 5. Sewer overflow/failing septic systems 6. Pharmaceuticals from flushed meds Nitrates ✔✔drinking water contaminant that results from fertilizers/human or animal waste with highest risk seen in midwest; biggest threat to INFANTS, especially infants drinking formula since it gets mixed with water; in intestines, ___ are converted to nitrites, which prevent blood from transporting oxygen, but an enzyme is present in the system of older children that restores ability to carry oxygen Drinking Water Common Pathogens ✔✔include Giardia (MOST COMMON), Legionella, Norovirus, Shigella, Campylobacter, Salmonella, Hepatitis A, Cryptosporidium, E. coli
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