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Dr/ Eman Mortada
Associate professor
In public health and preventive medicine
Environmental Changes and
Challenges for Health
Climate change
Global warming
Ozone depletion
Fresh water supplies
Desertification and deforstation
Loss of biodiversity
CONTENTS
Definition of Environmental Change
• Environmental change is defined as a change or
disturbance of the environment caused by human
influences or natural ecological processes.
FACTS WE Must KNOW
 Global temperature has increased 0.5-1.0°F since the
late 19th century.
 The snow cover in the Northern Hemisphere and floating ice
in the Arctic Ocean have decreased.
5 main global environmental changes
The five main global environmental changes which are currently
on the agenda:
• Climate change
• Ozone depletion
• Loss of biodiversity
• Fresh water supplies
• Persistent organic pollutants
Climate change
1- Climate change
• What is climate change?
• What are the environmental consequences?
• What does it mean for human health?
Definition of climate change:
 Refers to a long-term change
(usually an increase) in global
temperatures
 The greatest challenge facing the world at the beginning of
the last century.” the average global temperature has risen by
0.75 degrees
 “the most important long-term issue which we face as a
global community”.
Why???????
Global warming
• It refers to an average increase in the earth temperature
The Earth With No Atmosphere
(infrared)
Earth With An Atmosphere That
Includes Greenhouse Gases
Partly
Greenhouse Gases Make the Earth Warmer by Slowing the Loss of Infrared Radiation
(infrared)
Principal Atmospheric Gases
Nitrogen (N2)
Oxygen (O2)
Non-Greenhouse
Gases
99%
Carbon Dioxide (CO2)
Greenhouse
Gases
1%
Methane (CH4)
Water vapor
The real greenhouse
Greenhouses work by
trapping heat from the sun
Glass let in light short
waves
But
Keep in heat ( infrared
long)waves from escaping
What is the Greenhouse effect?
• The greenhouse effect is the rise in the Earth average
temperature because certain gases in the atmosphere trap
heat from the Sun’s rays.
Importance of greenhouse effect
1- Existence of life: heating effect of greenhouse gases makes
existence of life is possible in earth.
2- Maintains ecosystem:
Protects the plants and gives them new lives and along with
maintaining earth’s average temperature it also protects the
existing bio-diversity.
3- Melting of ice and snow
4- Evaporation of water
The problem
Rapidly rising greenhouse gases
Causes of global warming
Manmade causes
1- Air pollution due to
a. burning fossil fuel
b. industrialization
c. coal mining
2- Deforestation
Natural causes
1- volcanic eruption
2- release of methane gas
from arctic tundra and
wetland
Global warming is caused by a build-up of greenhouses gases,
which leads to an increase in the Earth’s temperature.
Enhanced greenhouse effect may lead to significant climate change.
Greenhouse gases and effect
Key greenhouses gases include:
 carbon dioxide (CO2)
 methane (CH4)
 water vapour (H2O)
 nitrous oxide (N2O)
Carbon dioxide is one of the most important
greenhouse gases because atmospheric
concentrations have risen dramatically over
the past century.
GLOBAL WARMING vs THE
GREENHOUSE EFFECT
Consequenses for the environment
and
human health
Some expected impacts will be
beneficial
- but most will be adverse
Source: <http://www.emeraldinsight.com/content_images/fig/0830210606005.png>
Consequences
Direct effects on human health
Extreme weather conditions:
• Temperature-related effects heat stress.
• Storms accidents and loss of housing.
• Droughts limited access to water and food
• Floods accidents and loss of housing.
Heat wave
Temperature
Heat-wave related mortality and morbidity
• Heat waves can cause death directly
through causing illnesses.
• Aggravation of pre-existing heat-sensitive
medical conditions.
• Stress from extreme heat can cause
myocardial infarction, sudden cardiac
death
Storms
Drought
Floods in Egypt 2006
Floods in Italy 2008
Floods in Saudi Arabia 2013
Floods in Denmark 2010
Flood-related diseases
• Floods disrupt basic sanitation systems
diarrheal disease outbreaks via fecal-oral route.
• Contamination of drinking water and facilities with
pathogens from human or animal sewage
water-borne diseases such as
 dysentery,
 hepatitis A,
 cholera,
 typhoid fever.
Indirect effects on human health
 Vector-borne diseases (change in vector distribution).
 Water-borne diseases (quantity, quality).
 Food-related diseases (availability, quality).
 Health effects related to changes in air quality.
(e.g pollen allergies).
 Melting of ice-sheets in the Arctic.
Vector-borne diseases
Malaria
 Transmitted by mosquitoes
 Occurs in 97 counties
 207 million people infected
in 2012 (90% in sub-saharan
Africa)
 627 000 deaths (482 000
among children under five)
Vector-borne diseases
Lymphatic filariasis
(elephantiasis)
 Transmitted by mosquitoes
 Mosquito breed in ponds
 120 million people infected
in 2012
 40 million people disfigured
and incapacitated
Elephantiasis
Unilateral elephantiasis Severe case of elephantiasis
Vector-borne diseases
Schistosomiasis
 Transmitted by snails
 Snails breed in fresh water
 Occurs in 78 counties
 249 million people required
treatment in 2012 (90 % in sub-Saharan Africa)
http://news.ku.dk
Rising Sea Levels
1880
2013
Melting ice and rising sea level
 Global warming causes the polar
ice sheets melt. It increases the
sea-level. It will possibly rise 18 cm
by 2030 and 58 cm by 2090.
 Flooding will probably occur in
lowlands.
 Many cities along the coast may be
under sea water.
The loss of polar ice will have a
profound effect on animal habitats.
Food supply
Rising temperatures
Decrease the production of staple foods in
many of the poorest regions
Increasing risks of malnutrition
Population displacement
Rising sea levels
Increase the risk of coastal flooding
Necessitate population displacement
• More than half of the world's population now lives within
60km of the sea.
Destruction of island communities
Relocations of populations
Ozone depletion
2- Ozone depletion
 Stratospheric ozone layer is protective
absorbs UV radiation and thus prevents it from
reaching the surface of the earth where it would
damage the DNA of plants and animals (acts as
a protective radiation shield).
What damages the ozone layer?
CFCs are used in:
 fridges and freezers,
 air conditioners,
 aerosol spray cans,
 and packaging materials such
as polystyrene.
Chlorofluorocarbons (CFCs), which contain the elements
carbon, hydrogen, chlorine and fluorine.
Ozone Depletion process
 (CFCs), enter the upper atmosphere and break down
ozone molecules.
 When ozone breaks down, the ozone layer thins,
Depletion of ozone layer leads to increase in harmful UV
rays reach Earth.
Ozone Hole
These images of the ozone hole
were taken by NASA between
September 1981 and September
1999.
First identified in 1985 over
Antarctica
Areas of major ozone thinning,
called ozone holes, appear
regularly over Antarctica
Ozone Depletion Effects On:
ANIMALS
(Marine Life)
HUMAN
PLANTS
Effects of Ozone Depletion
• Higher levels of UV-radiation
hitting the earth
– Skin cancer
– Eye cataracts
– Weakened immunity
• May disrupt ecosystems
• May damage crops and forests
Recovery of Ozone Layer
• The Vienna Convention for the protection of the Ozone layer 1985
• Montreal Protocol (1987)
– Reduction of CFCs
– Phase out of all ozone destroying chemicals is underway
globally
• The production and use of CFCs is now banned in many countries
and could be worldwide in a few years.
• spray cans no longer contain CFC propellants.
• Satellite pictures in 2000 indicated that ozone layer was recovering
• Full recovery will not occur until 2050
3- Loss of biodiversity
What does biodiversity mean?
Biodiversity refers to the variability of species . Necessary for
healthy ecosystem functioning
Loss of biodiversity
As a result of human activities, especially the destruction of
tropical rain forests and other habitats.
Plants and animals are becoming extinct at a faster rate than
the planet has ever previously experienced.
Causes of Loss of biodiversity
Pollution
(e.g.
Eradication
or
malformatio
n)
Habitat loss
(e.g. Snail
vector of
schistosomias
is)
Biotic change
(e.g. Change
in life
cycles/transmi
ssion cycles)
4- Fresh water supplies
4- Fresh water supplies
 Scarce and unclean water supplies are critical public health
problems in much of the world.
Worldwide water scarcity
of the world’s population
40 %
 Reduced availability of drinking water.
 Reduced possibilities of washing, hygiene
and sanitation.
 Impact on intestinal infectious diseases
(e.g., Cholera).
 Scarcity in food supplies.
 Tensions and armed conflicts in the
struggle for water supplies (e.g. Ethiopia
and Sudan due to the need of irrigation).
Consequences
Water-borne diseases
Water-borne diseases
Diarrhea
Typhoid
Hepatitis
Dysentery
Giardiasis
Cholera
Caused by fecal contamination of drinking water
”Water-borne diseases are likely to emerge in areas experiencing
warmer weather and water scarcity such as tropical zones
and the Arabian Peninsula”.
Report N° 64635 – MNA. October 2011. World Bank –Sustainable Development Department- Middle East
and North Africal Region: Adaptation to a Changing Climate in the Arab Countries, MNA Flagship Report, Chapter
7
Food-related diseases
A- Malnutrition & Famine
• Climate change affects the agricultural sector and food
production
• Less water available for irrigation will reduce crop yields.
Currently, 800 million people suffer from malnutrituion
globally
• 32 million in 16 of the 22 Arab counties (eg. Sudan, Yemen).
B- Illnesses from food
• Sea food???????
• Sea food
contaminated with
metals.
• Crops ???????
• Crops contaminate
with pesticides or
microbes.
• Drought can encourage prolifration of crop pests
and the spread of mold.
• Change in ocean parameters can lead to algal blooms
producing toxins, which may be ingested through
shellfish by humans.
Persistent organic
pollutants (POP’s)
5- Persistent organic pollutants (POP’s)
• Lead and other heavy metals have become widely
distributed in the world environment.
• The worst pollutants are synthetic chemicals,
particularly the persistant organic (POP’s) including
polychlorinated biphenyls (PCB’s).
• Highly toxic in the environment, do not break
down, and accumulate in the food chain.
Persistence
 Toxins can either degrade quickly or remain unaltered and
persist for decades
 Rates of degradation depends on temperature, moisture,
and sun exposure
 Breakdown products = toxicants degrade into simpler
products. May be more or less harmful than the original
substance
 DDT degrades into DDE, which is also highly persistent
Bioaccumulation
It is the Process leading to higher
concentrations in organisms than the
surrounding environment
• Fat-soluble ones lipophilic substances
are stored.
• DDT is persistent and fat soluble,
so builds up in tissues: bioaccumulation.
• Poisons move up the food chain
• The increased concentration of toxic
chemicals in the tissues of organisms
that are at higher levels in food webs
• Diagram is example of
biomagnification of DDT
• toxicants concentrate in top predators
• At each trophic level, chemical concentration
increases.
• DDT concentrations increase from plankton to fish
to fish-eating birds.
Biomagnifications
 POP’s affect the human immune system.
 Increases susceptibilty to respiratory infetions.
 Exposure to low concentrations from the environment can
pose chronic health risks (e.g. cancer).
Consequences
Desertification
6- Desertification
 Overgrazing and developing of
grasslands that border deserts transform
the grasslands into deserts.
 As a result:
 agricultural output decreases,
 habitats available to native species are
lost.
Deforestation
7- Deforestation
 Clear-cutting of forests causes erosion,
flooding, and changes in weather patterns.
 The burn method of clearing tropical rain
forests for agriculture increases atmospheric
CO2, which contributes to the greenhouse
effect.
 Because most of the nutrients in a tropical
rain forest are stored in the vegetation,
burning the forest destroys the nutrients.
Global environmental changes
Global environmental changes

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Global environmental changes

  • 1. Dr/ Eman Mortada Associate professor In public health and preventive medicine Environmental Changes and Challenges for Health
  • 2. Climate change Global warming Ozone depletion Fresh water supplies Desertification and deforstation Loss of biodiversity CONTENTS
  • 3. Definition of Environmental Change • Environmental change is defined as a change or disturbance of the environment caused by human influences or natural ecological processes.
  • 5.  Global temperature has increased 0.5-1.0°F since the late 19th century.  The snow cover in the Northern Hemisphere and floating ice in the Arctic Ocean have decreased.
  • 6. 5 main global environmental changes The five main global environmental changes which are currently on the agenda: • Climate change • Ozone depletion • Loss of biodiversity • Fresh water supplies • Persistent organic pollutants
  • 8. 1- Climate change • What is climate change? • What are the environmental consequences? • What does it mean for human health?
  • 9. Definition of climate change:  Refers to a long-term change (usually an increase) in global temperatures  The greatest challenge facing the world at the beginning of the last century.” the average global temperature has risen by 0.75 degrees  “the most important long-term issue which we face as a global community”.
  • 11. Global warming • It refers to an average increase in the earth temperature
  • 12. The Earth With No Atmosphere (infrared)
  • 13. Earth With An Atmosphere That Includes Greenhouse Gases Partly Greenhouse Gases Make the Earth Warmer by Slowing the Loss of Infrared Radiation (infrared)
  • 14. Principal Atmospheric Gases Nitrogen (N2) Oxygen (O2) Non-Greenhouse Gases 99% Carbon Dioxide (CO2) Greenhouse Gases 1% Methane (CH4) Water vapor
  • 15.
  • 16. The real greenhouse Greenhouses work by trapping heat from the sun Glass let in light short waves But Keep in heat ( infrared long)waves from escaping
  • 17. What is the Greenhouse effect? • The greenhouse effect is the rise in the Earth average temperature because certain gases in the atmosphere trap heat from the Sun’s rays.
  • 18. Importance of greenhouse effect 1- Existence of life: heating effect of greenhouse gases makes existence of life is possible in earth. 2- Maintains ecosystem: Protects the plants and gives them new lives and along with maintaining earth’s average temperature it also protects the existing bio-diversity. 3- Melting of ice and snow 4- Evaporation of water
  • 19. The problem Rapidly rising greenhouse gases
  • 20. Causes of global warming Manmade causes 1- Air pollution due to a. burning fossil fuel b. industrialization c. coal mining 2- Deforestation Natural causes 1- volcanic eruption 2- release of methane gas from arctic tundra and wetland Global warming is caused by a build-up of greenhouses gases, which leads to an increase in the Earth’s temperature. Enhanced greenhouse effect may lead to significant climate change.
  • 21. Greenhouse gases and effect Key greenhouses gases include:  carbon dioxide (CO2)  methane (CH4)  water vapour (H2O)  nitrous oxide (N2O) Carbon dioxide is one of the most important greenhouse gases because atmospheric concentrations have risen dramatically over the past century.
  • 22. GLOBAL WARMING vs THE GREENHOUSE EFFECT
  • 23. Consequenses for the environment and human health Some expected impacts will be beneficial - but most will be adverse
  • 25. Direct effects on human health Extreme weather conditions: • Temperature-related effects heat stress. • Storms accidents and loss of housing. • Droughts limited access to water and food • Floods accidents and loss of housing. Heat wave
  • 26. Temperature Heat-wave related mortality and morbidity • Heat waves can cause death directly through causing illnesses. • Aggravation of pre-existing heat-sensitive medical conditions. • Stress from extreme heat can cause myocardial infarction, sudden cardiac death
  • 29. Floods in Egypt 2006 Floods in Italy 2008 Floods in Saudi Arabia 2013 Floods in Denmark 2010
  • 30. Flood-related diseases • Floods disrupt basic sanitation systems diarrheal disease outbreaks via fecal-oral route. • Contamination of drinking water and facilities with pathogens from human or animal sewage water-borne diseases such as  dysentery,  hepatitis A,  cholera,  typhoid fever.
  • 31. Indirect effects on human health  Vector-borne diseases (change in vector distribution).  Water-borne diseases (quantity, quality).  Food-related diseases (availability, quality).  Health effects related to changes in air quality. (e.g pollen allergies).  Melting of ice-sheets in the Arctic.
  • 32. Vector-borne diseases Malaria  Transmitted by mosquitoes  Occurs in 97 counties  207 million people infected in 2012 (90% in sub-saharan Africa)  627 000 deaths (482 000 among children under five)
  • 33. Vector-borne diseases Lymphatic filariasis (elephantiasis)  Transmitted by mosquitoes  Mosquito breed in ponds  120 million people infected in 2012  40 million people disfigured and incapacitated
  • 35. Vector-borne diseases Schistosomiasis  Transmitted by snails  Snails breed in fresh water  Occurs in 78 counties  249 million people required treatment in 2012 (90 % in sub-Saharan Africa) http://news.ku.dk
  • 37. Melting ice and rising sea level  Global warming causes the polar ice sheets melt. It increases the sea-level. It will possibly rise 18 cm by 2030 and 58 cm by 2090.  Flooding will probably occur in lowlands.  Many cities along the coast may be under sea water. The loss of polar ice will have a profound effect on animal habitats.
  • 38. Food supply Rising temperatures Decrease the production of staple foods in many of the poorest regions Increasing risks of malnutrition
  • 39. Population displacement Rising sea levels Increase the risk of coastal flooding Necessitate population displacement • More than half of the world's population now lives within 60km of the sea. Destruction of island communities Relocations of populations
  • 41.
  • 42. 2- Ozone depletion  Stratospheric ozone layer is protective absorbs UV radiation and thus prevents it from reaching the surface of the earth where it would damage the DNA of plants and animals (acts as a protective radiation shield).
  • 43. What damages the ozone layer? CFCs are used in:  fridges and freezers,  air conditioners,  aerosol spray cans,  and packaging materials such as polystyrene. Chlorofluorocarbons (CFCs), which contain the elements carbon, hydrogen, chlorine and fluorine.
  • 44. Ozone Depletion process  (CFCs), enter the upper atmosphere and break down ozone molecules.  When ozone breaks down, the ozone layer thins, Depletion of ozone layer leads to increase in harmful UV rays reach Earth.
  • 45. Ozone Hole These images of the ozone hole were taken by NASA between September 1981 and September 1999. First identified in 1985 over Antarctica Areas of major ozone thinning, called ozone holes, appear regularly over Antarctica
  • 46. Ozone Depletion Effects On: ANIMALS (Marine Life) HUMAN PLANTS
  • 47. Effects of Ozone Depletion • Higher levels of UV-radiation hitting the earth – Skin cancer – Eye cataracts – Weakened immunity • May disrupt ecosystems • May damage crops and forests
  • 48. Recovery of Ozone Layer • The Vienna Convention for the protection of the Ozone layer 1985 • Montreal Protocol (1987) – Reduction of CFCs – Phase out of all ozone destroying chemicals is underway globally • The production and use of CFCs is now banned in many countries and could be worldwide in a few years. • spray cans no longer contain CFC propellants. • Satellite pictures in 2000 indicated that ozone layer was recovering • Full recovery will not occur until 2050
  • 49.
  • 50. 3- Loss of biodiversity
  • 51. What does biodiversity mean? Biodiversity refers to the variability of species . Necessary for healthy ecosystem functioning
  • 52. Loss of biodiversity As a result of human activities, especially the destruction of tropical rain forests and other habitats. Plants and animals are becoming extinct at a faster rate than the planet has ever previously experienced.
  • 53. Causes of Loss of biodiversity Pollution (e.g. Eradication or malformatio n) Habitat loss (e.g. Snail vector of schistosomias is) Biotic change (e.g. Change in life cycles/transmi ssion cycles)
  • 54. 4- Fresh water supplies
  • 55. 4- Fresh water supplies  Scarce and unclean water supplies are critical public health problems in much of the world. Worldwide water scarcity
  • 56. of the world’s population 40 %
  • 57.  Reduced availability of drinking water.  Reduced possibilities of washing, hygiene and sanitation.  Impact on intestinal infectious diseases (e.g., Cholera).  Scarcity in food supplies.  Tensions and armed conflicts in the struggle for water supplies (e.g. Ethiopia and Sudan due to the need of irrigation). Consequences
  • 59. Water-borne diseases Diarrhea Typhoid Hepatitis Dysentery Giardiasis Cholera Caused by fecal contamination of drinking water ”Water-borne diseases are likely to emerge in areas experiencing warmer weather and water scarcity such as tropical zones and the Arabian Peninsula”. Report N° 64635 – MNA. October 2011. World Bank –Sustainable Development Department- Middle East and North Africal Region: Adaptation to a Changing Climate in the Arab Countries, MNA Flagship Report, Chapter 7
  • 61. A- Malnutrition & Famine • Climate change affects the agricultural sector and food production • Less water available for irrigation will reduce crop yields.
  • 62. Currently, 800 million people suffer from malnutrituion globally
  • 63. • 32 million in 16 of the 22 Arab counties (eg. Sudan, Yemen).
  • 65. • Sea food??????? • Sea food contaminated with metals.
  • 66. • Crops ??????? • Crops contaminate with pesticides or microbes.
  • 67. • Drought can encourage prolifration of crop pests and the spread of mold.
  • 68. • Change in ocean parameters can lead to algal blooms producing toxins, which may be ingested through shellfish by humans.
  • 70. 5- Persistent organic pollutants (POP’s) • Lead and other heavy metals have become widely distributed in the world environment. • The worst pollutants are synthetic chemicals, particularly the persistant organic (POP’s) including polychlorinated biphenyls (PCB’s). • Highly toxic in the environment, do not break down, and accumulate in the food chain.
  • 71. Persistence  Toxins can either degrade quickly or remain unaltered and persist for decades  Rates of degradation depends on temperature, moisture, and sun exposure  Breakdown products = toxicants degrade into simpler products. May be more or less harmful than the original substance  DDT degrades into DDE, which is also highly persistent
  • 72. Bioaccumulation It is the Process leading to higher concentrations in organisms than the surrounding environment • Fat-soluble ones lipophilic substances are stored. • DDT is persistent and fat soluble, so builds up in tissues: bioaccumulation.
  • 73. • Poisons move up the food chain • The increased concentration of toxic chemicals in the tissues of organisms that are at higher levels in food webs • Diagram is example of biomagnification of DDT • toxicants concentrate in top predators • At each trophic level, chemical concentration increases. • DDT concentrations increase from plankton to fish to fish-eating birds. Biomagnifications
  • 74.  POP’s affect the human immune system.  Increases susceptibilty to respiratory infetions.  Exposure to low concentrations from the environment can pose chronic health risks (e.g. cancer). Consequences
  • 76. 6- Desertification  Overgrazing and developing of grasslands that border deserts transform the grasslands into deserts.  As a result:  agricultural output decreases,  habitats available to native species are lost.
  • 78. 7- Deforestation  Clear-cutting of forests causes erosion, flooding, and changes in weather patterns.  The burn method of clearing tropical rain forests for agriculture increases atmospheric CO2, which contributes to the greenhouse effect.  Because most of the nutrients in a tropical rain forest are stored in the vegetation, burning the forest destroys the nutrients.