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Animals as Sentinels of Environmental Health Hazards -- Copyright -- Preface -- Contents -- Executive Summary -- INTRODUCTION -- Purpose of the Study -- Current Use of Animal Sentinels in Risk Assessment -- CONCEPTS AND DEFINITIONS -- Characteristics of Animal Sentinel Systems -- Species -- Exposure Sources -- Duration of Exposure -- Measures of Effect -- Reference Populations -- Objectives of Monitoring Animals Sentinels -- Advantages and Limitations of Animal Sentinel Systems -- Multifactorial Causality -- Measurement of Exposure and Extrapolation to Humans -- FOOD ANIMALS AS SENTINELS -- COMPANION ANIMALS AS SENTINELS -- FISH AND OTHER WILDLIFE AS SENTINELS -- ANIMAL SENTINELS IN RISK ASSESSMENT -- SELECTION AND APPLICATION OF ANIMAL SENTINEL SYSTEMS IN RISK ASSESSMENT -- CONCLUSIONS AND RECOMMENDATIONS -- STRUCTURE OF THE REPORT -- 1 Introduction -- OVERVIEW -- PURPOSE OF THE STUDY -- HISTORICAL USE OF ANIMAL SENTINELS -- CURRENT USE OF ANIMAL SENTINELS IN RISK ASSESSMENT -- STRUCTURE OF THE REPORT -- 2 Concepts and Definitions -- CHARACTERISTICS OF ANIMAL SENTINEL SYSTEMS -- Species -- A sentinel should have a measurable response (including accumulation of tissue residues) to the agent or class of agents... -- A sentinel should have a territory or home range that overlaps the area to be monitored -- A sentinel species should be easily enumerated and captured -- A sentinel species must have sufficient population size and density to permit enumeration -- Exposure Sources -- Duration of Exposure -- Measures of Effect -- Reference Populations -- OBJECTIVES OF MONITORING ANIMAL SENTINELS -- Human Health Effects -- Contamination of the Food Chain -- Environmental Contamination -- Adverse Effects on Animals -- ANIMAL SENTINEL SYSTEMS IN OBSERVATIONAL EPIDEMIOLOGIC STUDIES -- Descriptive Epidemiology -- Analytic Epidemiologic.

Background: Military personnel are frequently exposed to environmental pollutants that can cause a variety of diseases. Methods: This review analyzed publications regarding epidemiological and biomonitoring studies on occupationally-exposed military personnel. Results: The exposures include sulfur mustard, organ chlorines, combustion products, fuel vapors, and ionizing and exciting radiations. Important factors to be considered are the lengths and intensities of exposures, its proximity to the sources of environmental pollutants, as well as confounding factors (cigarette smoke, diet, photo-type, healthy warrior effect, etc.). Assessment of environmental and individual exposures to pollutants is crucial, although often omitted, because soldiers have often been evaluated based on reported health problems rather than on excessive exposure to pollutants. Biomarkers of exposures and effects are tools to explore relationships between exposures and diseases in military personnel. Another observation from this review is a major problem from the lack of suitable control groups. Conclusions: This review indicates that only studies which analyzed epidemiological and molecular biomarkers in both exposed and control groups would provide evidence-based conclusions on exposure and disease risk in military personnel.

BACKGROUND: There is increasing appreciation of the proportion of the health burden that is attributed to modifiable population exposure to environmental health hazards. To manage this avoidable burden in the United Kingdom (UK), government policies and interventions are implemented. In practice, this procedure is interdisciplinary in action and multi-dimensional in context. Here, we demonstrate how Multi Criteria Decision Analysis (MCDA) can be used as a decision support tool to facilitate priority setting for environmental public health interventions within local authorities. We combine modelling and expert elicitation to gather evidence on the impacts and ranking of interventions. METHODS: To present the methodology, we consider a hypothetical scenario in a UK city. We use MCDA to evaluate and compare the impact of interventions to reduce the health burden associated with four environmental health hazards and rank them in terms of their overall performance across several criteria. For illustrative purposes, we focus on heavy goods vehicle controls to reduce outdoor air pollution, remediation to control levels of indoor radon, carbon monoxide and fitting alarms, and encouraging cycling to target the obesogenic environment. Regional data was included as model evidence to construct a ratings matrix for the city. RESULTS: When MCDA is performed with uniform weights, the intervention of heavy goods vehicle controls to reduce outdoor air pollution is ranked the highest. Cycling and the obesogenic environment is ranked second. CONCLUSIONS: We argue that a MCDA based approach provides a framework to guide environmental public health decision makers. This is demonstrated through an online interactive MCDA tool. We conclude that MCDA is a transparent tool that can be used to compare the impact of alternative interventions on a set of pre-defined criteria. In our illustrative example, we ranked the best intervention across the equally weighted selected criteria out of the four alternatives. Further work is needed to test the tool with decision makers and stakeholders.

This book provides geographic perspectives and approaches for use in assessing the distribution of environmental health hazards and disease outcomes among disadvantaged population groups. Estimates suggest that about 40 per cent of the global burden of disease is attributable to exposures to biological and chemical pathogens in the physical environment. And with today's rapid rate of globalization, and these hazardous health effects are likely to increase, with low income and underrepresented communities facing even greater risks. In many places around the world, marginalized communities unwil

Exposure to lead has long been a community health concern in St. Louis, Missouri. The objective of this study was to examine public response to reports of elevated lead levels in school drinking water in St. Louis, Missouri via Twitter, a microblogging platform with over 320 million active users. We used a mixed-methods design to examine Twitter user status updates, known as "tweets," from 18 August to 31 December 2016. The number of tweets each day was recorded, and Twitter users were classified into five user types (General Public, Journalist/News, Health Professional/Academic, Politician/Government Official, and Non-Governmental Organization). A total of 492 tweets were identified during the study period. The majority of discourse on Twitter occurred during the two-week period after initial media reports and was driven by members of the General Public. Thematic analysis of tweets revealed four themes: Information Sharing, Health Concerns, Sociodemographic Disparities, and Outrage. Twitter users characterized lead in school drinking water as an issue of environmental inequity. The findings of this study provide evidence that social media platforms can be utilized as valuable tools for public health researchers and practitioners to gauge public sentiment about environmental health issues, identify emerging community concerns, and inform future communication and research strategies regarding environmental health hazards.

This book explains how the U.S. federal system manages environmental health issues, with a unique focus on risk management and human health outcomes. Building on a generic approach for understanding human health risk, this book shows how federalism has evolved in response to environmental health problems, political and ideological variations in Washington D.C, as well as in-state and local governments. It examines laws, rules and regulations, showing how they stretch or fail to adapt to environmental health challenges. Emphasis is placed on human health and safety risk and how decisions have been influenced by environmental health information. The authors review different forms of federalism, and analyse how it has had to adapt to ever evolving environmental health hazards, such as global climate change, nanomaterials, nuclear waste, fresh air and water, as well as examining the impact of robotics and artificial intelligence on worker environmental health. They demonstrate the process for assessing hazard information and the process for federalism risk management, and subsequently arguing that human health and safety should receive greater attention. This book will be essential reading for students and scholars working on environmental health and environmental policy, particularly from a public health, and risk management viewpoint, in addition to practitioners and policymakers involved in environmental management and public policy.