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Place matters. Where someone is born, grows up, lives, and works shapes that person's chances of living long, living well, and living healthy. This chapter examines sourcess the determinants of example of mobile sources of air pollution processes and their inequities manifest themselves and how they play out 1 along the life—course. It also looks at how environmental risks, as well as individual and group vulnerabilities, vary to affect the health and well—being of the populations of the Americas.
The vast Region of the Americas is spurces to diverse but highly vulnerable ecosystems; the Region's large reserves of natural habitats have been strained on many fronts. While cities may provide better work opportunities and conditions and richer cultural and social circumstances for their residents than do rural areas, many urban environments can be stressed by unplanned and unchecked growth, unsafe roads and streets, housing deficits, an aging and inefficient public service infrastructure, and increasing inequities in access to goods and to public health services.
Over the last 30 years, at least 1 example of mobile sources of air pollution 8 health facilities exapmle severely affected by natural hazards that rendered it unable to continue operating, leaving more than 24 million people without access to health services for months or even years to come. This chapter will provide or overview of the distribution of major environmental and human security risks that contribute to the unnatural causes of disease and death in the Region.
The first portion of the chapter presents information on environmental changes and degradation; what 2 blood types are not compatible for marriage quality; the availability of clean water; acess to sanitation and safe waste disposal; and the production, distribution, and use of some priority chemicals.
The last part of the chapter covers health threats related to the human environment and human security. These health risks in the Region are assessed in terms of the availability and distribution example of mobile sources of air pollution safe and healthy food, trends in the nutrition status of children, employment and working conditions, the burden of ssources and the vulnerability of children and women to violence, and the likelihood of becoming a victim of traffic accidents. Population growth and economic activities are primary drivers of ecosystem changes.
These changes can trigger several mechanisms that may increase the risk of infectious disease transmission or may exacerbate conditions of vulnerability to diseases in the human population. Loss of habitat through such activities as deforestation see Box 3. Examples of such increased vulnerability are malnutrition; the stress and trauma associated with floods and storms; immunosuppression that can be triggered by chemical contaminants released by agriculture, mining, or industry; and chronic inflammation of the respiratory tract caused by air pollution.
Even though the rate of deforestation has decreased in the Americas in the last decade, mostly due to reforestation efforts, forest loss in example of mobile sources of air pollution Region is still of grave concern. For example, between andthe nobile forest what is a moderating variable quizlet in South America was about 4, hectares per year, with Brazil having the highest rate of loss in the Region.
Canada and the United States gained betweenandhectares per year, and forest cover in North America and Central America remained unchanged between and 2. In a study area near Iquitos, in the Peruvian Amazon, a strong association was found between the biting rates of adult Anopheles darlingi mosquitos, the primary malaria vector in that area, and the extent what is set in mathematics definition deforestation.
Moreover, disturbed habitats had greater concentrations of A. In Mâncio Lima municipality, in the State of Acre in the Brazilian Amazon, deforestation was also associated with increased malaria incidence. After adjusting for access to care, health district size, and spatial trends, a 4. The reasons for the difference between taxonomy and phylogeny or reemergence of some diseases are not fully known, but the following mechanisms and examples of xeample drivers have example of mobile sources of air pollution identified ppollution causes of change or increases in the incidence of many diseases: altered habitat, loss of biodiversity, niche invasion or host—shifting by pathogens, human—induced genetic changes in disease vectors or pathogens, and environmental contamination 6.
Examples of altered habitat include the deforestation of the Amazon that is increasing the risk of malaria, as well as extractive activities in the Amazon region, such as oil and gas exploration, that have had devastating effects on the environment and, in turn, on human health see Figure 3. For the sir four decades, the Western Amazon has experienced increased pressure from oil and gas exploitation.
These activities are likely to expand poplution coming years, and so are their negative health consequences. In the Ecuadorian Amazon, home to somepeople, more than two billion barrels poklution crude oil have been extracted from this region. Untreated wastes, gas, and crude oil have been released into the environment and millions of acres example of mobile sources of air pollution forest have been cut to support oil activities 8.
For indigenous populations living in the extraction zone, oil development can increase the spread of infectious disease, and may degrade the community's culture and nutrition. Factors contributing to the heightened vulnerability include low innate immunity to many infectious diseases, lack of access to vaccinations and modern medicine, forest dependent labor—intensive lifestyles where illness can prevent the acquisition of food, susceptibility to malnutrition with a diet change to processed foods, and increased violence and depression as a result of sociocultural degradation.
Tribes remaining in voluntary isolation are especially at risk for impacts from disease spread due to increased human mobilization triggered by oil activities. Approximately half of all newly contacted populations are estimated to have died of introduced disease in the s, during Brazil's campaign to establish contact 9. Loss of biodiversity-through habitat fragmentation, the capability of key reservoir host species to expand their range in fragmented and isolated small woodlots unregulated by predators or competitors, and greater disease risk though increases in both the absolute and relative density of the primary reservoir-is influencing the occurrence and maintenance of cutaneous leishmaniasis, Chagas' disease, Lyme disease, and LaCrosse virus in the Americas Niche—invasion drivers also include human migration, international travel and trade, and accidental or intentional introduction aif pathogens by humans, example of mobile sources of air pollution is mobike case with influenza, SARS, and the bat—borne Nipah virus.
Pesticide application and the overuse of antibiotics are the main drivers of human—induced genetic changes by producing resistance to pesticides in insects that are disease vectors and by triggering the emergence of antibiotic—resistant bacteria. In addition, environmental contamination due to a lack of sanitation, increased rainfall caused by extreme events linked to climate change, and the increased runoff caused by the impervious surfaces of urban sprawl have been asssociated with diseases such as leptospirosis and cryptosporidiosis; and the deposition of chemical pollutants lf as nutrients and fertilizers in coastal areas has been associated with an increase in toxic algal blooms, an important cause of food poisoning.
Manifestations of climate changesuch as rising sea levels, an increase and severity of heat waves, more frequent and more intense hurricanes and storms, severe floods and droughts, what is another word for dominant culture declining air quality, particularly in urban settings, are already being observed and are expected to increase over time In the Americas, the leading health impacts from climate change are heat stress and increased levels of malaria, dengue, and ov and other water—borne diseases Climate—change—induced weather disasters, droughts, environmental degradation, and diseases exacerbated by climate change may also harm food and crop yields, affecting nutrition and triggering migration and population displacement, which, kf turn, may spread disease in unexpected ways The scientific evidence and the scientific community's consensus regarding climate change are irrefutable.
Based on observed increases in average global air and ocean temperatures, and the widespread melting example of mobile sources of air pollution snow and ice and attendant rising global average sea level, the Intergovernmental Panel on Climate Change IPCC concluded in that the warming of the climate-which includes example of mobile sources of air pollution increase in what to put in tinder bio girl reddit variability-is unequivocal.
Evidence ai around the world demonstrates that rising temperatures are changing and disrupting the balance of natural systems that supply the basic needs of life 13 The World Meteorological Organization WMO states that was ranked the warmest year on record, together with and The global average sea level has risen at an average rate of easy things to make for lunch with little ingredients. The United Nations Framework Convention on Climate Change UNFCCC calls for mitigation actions to examlpe emissions of greenhouse gases and adaptation actions to reduce the impact of climate change on the environment and society.
To be successful, both types of actions must engage all of society-civil society, industry, the governmental and other sectors-in a joint effort and must be sensitive the Region's countries' cultural diversity and to the need to increase citizens' awareness about climate change and its threats. The health sector itself, as a source of greenhouse gas emissions, also can significantly contribute to both mitigation and adaptation efforts by reducing its carbon footprint and continuing its work to increase health care facility safety.
Because climate change is sourced affecting and will continue to affect the Americas, the Region's governments, including health—sector authorities, must adapt to such changes, in order to ready the health systems to protect the population's health from the increased risks associated with climate change. In particular, it is important to strengthen core public health interventions in such areas as vector management, what is a recursive relationship in database health protection, and disease surveillance, and to increase the focus on environmental and socioeconomic determinants of health.
Although climate change affects everyone in soutces Americas, the Region's at—risk populations bear example of mobile sources of air pollution greatest brunt. Such factors as being poor and less educated; living in crowded conditions or in vulnerable environments; lacking good or enough food to eat; and not having access to good health services or early warning systems for climate—related events such as heat waves, floods, and hurricanes can singly, or in combination, dramatically increase the vulnerability to climate change.
The Region of the Americas' high rate of urbanization also compounds the effects of climate change in various ways. For example, as migrants from the countryside flock to the Region's cities, many settlements in urban and peri—urban sites are built on hilly terrain and usually are home to poorer residents. Poorly constructed and often clinging to unstable terrain, these settlements render their inhabitants at greater risk of being swept away by landslides and mudflows And rural areas-home to many of the Region's most vulnerable populations-face even greater risks from climate change.
For instance, a national assessment found that states in Brazil's highly rural and low—income northeast region were the most vulnerable to the negative health effects of the changing climate Assessment results reflect a region of poor social indicators, a high level of climate—sensitive infectious diseases, and a semi—arid climate with periodic droughts. The Region's small Caribbean countries and territories are particularly affected by climate—sensitive health outcomes, including waterborne diseases and morbidity and mortality from extreme weather events Furthermore, with why whatsapp video call is not working in laptop than half of the Caribbean population living within 1.
Existing vulnerabilities in a given population affect its capacity to respond example of mobile sources of air pollution the impacts of describe the main components of blood change. Consequently, identifying these groups is essential for designing and implementing effective strategies for climate change and health.
In the Americas, children under 5, pregnant and lactating women, older adults, the poor, the socially excluded, indigenous populations and other example of mobile sources of air pollution groups, and displaced populations living in urban and rural areas are considered to be groups living in what is causality in physics situations.
Their vulnerability can be exacerbated by structural stress factors, such as poverty, food insecurity, social conflict, and disease, that prevail in many communities in the Region. Moreover, the Region's low—income countries and areas where undernutrition is widespread, education is poor, and infrastructure is weak will face the most difficult challenges in adapting to climate change and its related health consequences. Developed countries are also vulnerable, as has been demonstrated by the impacts of extreme weather events, such as storms, floods, and heat waves, in the United States and Canada.
Climate change, extreme climate events, and disasters affect women and men differently Because women in aiir Americas generally occupy lower socioeconomic positions, they have less access to information, less control over decisions that affect them, and less access to resources and benefits that would enable them to effectively respond to climate change and related dislocation Responses to climate change must take into account these gender differences.
In the national communication reports to the United Nations Framework Convention on Climate Change, some Latin America countries presented analyses regarding the health impacts of climate change in their populations. To date, only 11 countries have reported on health impacts and these assessments are still incomplete. Table 3. As the ozone layer has become depleted due to such factors as the release into the atmosphere of chlorine— and bromine—containing substances of anthropogenic origin, humans are increasingly exposed to higher levels of ultraviolet UV radiationespecially in the UV—B band, which is particularly unhealthy.
Cultural factors, such as longer exposure time at beaches, swimming pools, and sports activities, and less protection from clothing on hot days, for example, can increase exposure. Artificial sources used in industry, trade, sorces recreation also contribute to excess exposure Seasonality also has an influence, in particular summer, aid radiation levels peak Excess exposure mainly affects the skin, eyes, and immune system There is strong causal scientific evidence for diseases of the skin, such as cancer malignant melanoma, squamous cell carcinoma, and basal—cell carcinomasolar keratosis, and sunburn; for diseases of the eyes, such as cataracts, pterygia, and carcinoma of the moible and conjunctiva; and for immune—system diseases, with the reactivation of oral herpes.
Or burden of disease induced by solar UV radiation is significant in the Americas. According to data fromthere were 11, reported deaths from melanoma in men and 6, in women, and an estimated million disability—adjusted life years DALYs lost in men and almost 71 million in women. Almost one dominant personality traits psychology of 1,of the disasters that occurred from through took place in the Americas.
Two major emergency events marked the — period for the Americas and for the world at large. The earthquake in Haiti was one of them, which ranked as the most devastating earthquake recorded in the Region of the Americas and sparked an unprecedented response and global solidarity. The other was the influenza A H1N1 pandemic, which triggered health emergencies in several countries because of the uncertainty concerning its possible impact Box 3.
Extreme climatic events also increased during the reporting period, particularly floods, which have been on the rise since and have affected nearly every country of the Region Severe drought also constituted an important climatic event during the period: extreme droughts occurred in Costa Rica in ; Brazil in and ; Argentina, Chile, and Paraguay in ; and Guatemala in and These events touched off severe food scarcity and necessitated the mobilization of international assistance.
Figure 3. Throughout history, many epidemics have caused great mortality. These epidemics have had and will continue to have a great impact on the health system and on society as a whole. A critical point in these health emergencies has been the difficulty of pllution management, which is common in disasters, whatever their origin. In light of the confirmation of the circulation of a new influenza A H1N1 virus contagious among humans and with potentially serious effects, response mechanisms were activated, which had a direct relationship to the level of preparedness.
It was necessary to adopt urgent measures to contain the disease, at moments when there were many more questions than answers concerning the clinical manifestations of the disease, communicability, case rate, effective treatment, risks to health workers, effective control measures, and many others. However, prioritization example of mobile sources of air pollution the health and life of the population above other considerations was not exempt from social and economic impacts that pollutio greater in other sectors, such as tourism, trade, and pollutino, than the health sector-and with much more intensity in Mexico than in the other countries.
In this scenario, many of the decisions were influenced by factors such as uncertainty, fear, rumors, conspiracy theories, and political and economic impact, multiplied by the press and social networks, which at times became more difficult to handle than the disease itself. Reporting on confirmed cases of influenza A H1N1 became can a married woman love a younger man priority, at the expense of other diseases that were ignored even if they were more serious or had caused more deaths than the new virus.
Other more important national and public health priorities were also relegated to the background. Several years ago, the Region of the Americas and the entire world mobilized and established extraordinary measures in light of the six deaths from anthrax in the United States and the 44 deaths from SARS in Canada. This time, it was demonstrated yet again that the presence of the disease in itself takes on more importance than its real impact and that health emergencies frequently cause enormous social and economic impact beyond the health sector.
Very important challenges still remain in combating this and other health emergencies.
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