ENVIRONMENT

Prepared
by
Shahla Arshad
lecturer

K.M.U. Institute Of Nursing Sciences

 OBJECTIVES

 Definition of `environment‟

 Component of environment and

 Factors and its impact on community health

 ENVIRONMENT
“The surroundings or conditions in which a person, animal, or plant lives or operates.”
OR

“It is an aggregate of all the external conditions influencing

and affecting the life and development of an organism.”

HEALTH
WHO defines “Health is state of complete physical mental
social and spiritual well being and not merely absence of
disease or infirmity”
 ENVIRONMENTAL HEALTH

Environmental health addresses all the physical, chemical,

and biological factors external to a person, and all the
related factors impacting behaviors. It encompass the
assessment and control of those environmental factors that
can potentially affect health. It is targeted towards
preventing disease and creating health-supportive
environments.
 COMPONENTS OF ENVIRONMENT

PHYSICAL
Air, water, soil, housing, climate, geography, heat, light, noise,
debris, radiation, etc.

BIOLOGICAL:
Man, viruses, microbial agents, insects, rodents, animals and
plants, etc.

PSYCHOSOCIAL:
Cultural values, customs, beliefs, habits, attitudes, morals,
religion, education, lifestyles, community life, health services,
social and political organization.
 CONCEPT OF DISEASE

DISEASE:

“Disease is defined as a condition in which body health is

impaired.”

OR

“Disease result from complex interaction between man, and

agent and the environment. From ecological point of view
disease is defined as “Maladjustment of the

human organism to the environment”.

 Risk Assessment
Chain of Infection
Reservoir of pathogen ent
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Equ
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Portal of escape c ti ce
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P ro PE
Transmission nal t (P
o en
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Pe uipm
Route of entry/ Eq o ns
Ri

zati
infectious dose i
sk

m un
A

Im ce
ss

n
Susceptible host illa
es

rv e
sm

S u
en

Incubation period
t
EPIDEMIOLOGICAL TRIAD

ENVIRONMENT

AGENT HOST
 ENVIRONMENTAL IMPACT

Environment
(Physical, biological and psychosocial)

Human activities health of individual

 Why we need environmental health
 To create and maintain ecological conditions that will
promote health and prevent disease.
 One of the important public health care element is safe
drinking water and sanitation.
 More than billion of people in developing countries lacked
access to safe drinking water and adequate system for
disposing of their excreta.
 Faeces deposited near homes, contaminated drinking water,
fish from polluted rivers and agriculture produce fertilizer
with human waste are all health hazards.
 Water quantity is as important as water quality.
 Lack of water supply and sanitation risk for diarrhea, intestinal
worm infestation, schistosomiasis ,skin and eye infections .
 Achievement of health for all is concerned with healthy
environment.
 Much of the ill health in Pakistan is due to poor environmental
sanitation, that is unsafe water, polluted soil, unhygienic
disposal of human excreta and refuse, poor housing, and
rodents.
 Air pollution is also is a growing concern in many cities.
 High mortality, morbidity and poor standards of health care are
largely due to defective environmental sanitation.
 Good environmental health is vital for the prevention of
disease and promotion of health.
 The “ IPREPARE ” Model
Environmental Health Assessment
“Investigate” potential exposures
• I
Present Work
• P
• R Residence

• E Environmental Concerns

• P Past Work

• A Activities

• R Referrals & Resources

• E Educate
 Environmental
Health

Critical Detailed
Theory Health
Approach History

Living Work Atmospheric Water Food Waste Radiation

Housing
Patterns Risks Quality Quality Quality Control Risks

Evaluating
Data The Data

Action Plan
 ENVIRONMENTAL HAZARDS
 Environmental hazards may be:

 Biological

 Chemical

 Physical

 Psychological

 Sociological, Or

 Site And Location Hazards.

 BIOLOGICAL HAZARDS
“These are living organisms or their products that are harmful
to humans”
A. Water-borne diseases are diseases that are transmitted in
drinking water. Examples are:
polio virus, hepatitis A virus, Salmonella, Shigella, cholera,
amoebic dysentery and Giardia.
These disease organisms are shed into the water in feces,
and can produce illness in those who consume untreated,
contaminated water.
Our municipal water treatment facilities are usually able to
purify water by removing these agents or killing them by
disinfecting the water.
B. Food-borne diseases
“are diseases transmitted in or on food”

1. Examples of food-borne agents are the bacteria

Salmonella, , Escherichia coli, as well as other agents.

2. To protect against food-borne diseases, sanitarians from

local health departments routinely inspect food service
establishments (restaurants) and to verify that food is being
stored and handled properly.
 C. Vector-borne diseases
“are those transmitted by insects or other arthropods”
1. Examples are Malaria , Dengue , Plague , etc.

2. Improper environmental management can cause

vector-borne disease outbreaks.

 II. Chemical hazards
“result from mismanagement or misuse of chemicals resulting
in an unacceptable risk to human health”
A. Pesticides are chemicals
that have been manufactured for the purpose of reducing
populations of undesirable organisms (pests)
1. Examples of categories of pesticides are herbicides and
insecticides.
2. Most pesticides kill non-target organisms as well as the
target, or pest species.
3. The wise use of pesticides can protect human health and
agricultural crops.
4. Misuse of pesticides can result in illness and death.
5. Some of the pesticides developed earlier in the 20th
Century, such as DDT, were persistent, that is they remained in
the environment for months or years after their initial use.
 B. Environmental tobacco smoke (ETS)

“is an environmental hazard produced by millions that smoke”

1. Diseases associated with ETS include lung cancer and
perhaps heart disease.
2. ETS contains 4, 000 substances.
3. ETS classified as a Class A carcinogen.
4. Smoking has been increasingly restricted from public
buildings and from many private work sites.
 C. Led
“is a naturally occurring element that is used in the manufacturing
of many industrial and domestic products”
1-Health problems associated with the over exposure to led are
anemia, birth defects, bone damage, neurological damage,
kidney damage etc.
2. Exposure is by ingestion and inhalation.
3. Children are particularly at risk from eating peeling led
paint.
5. Occupational exposure is a major source of led intake for
adults.
2-Solutions for the prevention of led poisoning include
education, regulation, and prudent behavior.
 II. Physical hazards
“Include airborne particles, humidity, equipment design and
radiation”

A. Radon contamination
results from over exposure to radon gas.

1.Radon gas arises naturally from the earth and sometimes

occurs at dangerous levels in buildings and homes.

2.Breathing in radon gas can cause lung cancer.

3.Homes can be tested for the presence of radon gas.

 Ultraviolet radiation reaches humans as short wave length
energy that can damage cells by ionization.
1. One result of over exposure to UV radiation is skin cancer.
2. People should reduce their exposure to UV radiation.
a. Stay inside
b. Wear protective clothes or sunscreen

III.Psychological hazards
are environmental factors that produce psychological changes
expressed as stress, depression, hysteria.
IV. Sociological hazards

Are those that result from living in a society

where one experiences noise, lack of privacy
and overcrowding.
Population growth may be a sociological
hazard.
V. Site and Location Hazards
Natural disasters are geographical events of such
magnitude to communities that they produce significant
damage and injuries.

1. Examples are cyclones, earthquakes, floods, hurricane,

tornado, typhoon, and volcanic eruptions.
2. The magnitude of devastation of these events can
sometimes be great.
3. Biological, psychological and sociological hazards may
increase following a natural disaster.