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At least 37 records · Page 2Linked to original sources
PubMed2000

Environmental health in environmental protection.

The health of the population and the environment are inextricably linked. To improve both, a holistic approach is required for environmental protection procedures. The primary approach for improvement is integration; more specifically an increase in communication between official departments and agencies, and mechanisms for stakeholder involvement from the inception of projects. There is also a need to combine HIAs and EIAs, and to apply them to wider issues, such as planning, policy or legislative changes, as well as traditional industrial development projects. It needs to be more widely appreciated that the economy and public health are ultimately substantially determined by the condition of the environment.

Australia↗
PubMed1987

Healthful school living: environmental health in the school.

The author defines environmental health as it relates to schools, and identifies site, chemical, biological, and physical environmental health hazards. Recommendations and precautions to help achieve optimal health, safety, and comfort are presented. Resources from which personnel can get assistance to help improve the environmental health of their schools are noted.

Child↗
PubMed1994

The role of the community health nurse in environmental health.

Chemical contamination in the environment is affecting public health in increasing numbers of communities across the country. Although historically and theoretically well within the realm of nursing, methods for assessing and diagnosing threats to community environmental health are not being included in community health nurses' training. A community's environmental health is assessed by retrieving information from federal, state, and local sources. Developing the diagnosis involves four steps: identifying a community aggregate at highest risk of exposure, determining the potential or actual health response, citing related host and environmental factors, and correlating any existing epidemiologic data that may substantiate the nursing diagnosis. To illustrate these concepts, a systematic environmental health assessment was conducted for Douglas, Arizona. The results indicated elevated lead levels in residential soils and led to the community diagnosis, potential for injury: children in Douglas are at risk of developing adverse neurobehavioral health effects, and pregnant women in Douglas are at risk of developing adverse reproductive health effects related to several environmental and host factors, as evidenced by average blood lead level, in children exceeding the Centers for Disease Control recommended level of 10 micrograms/dl.

Arizona↗
PubMedDate not supplied

Children's environmental health: one year in a pediatric environmental health specialty unit.

BACKGROUND/OBJECTIVE: As a result of an increasing desire among physicians and parents for clinical centers that can evaluate children with known or suspected exposures to environmental toxicants, a network of federally funded "pediatric environmental health specialty units" has recently been created. This descriptive study profiles the children seen in one unit of this program. SETTING: A New England, university-affiliated Pediatric Environmental Health Center (PEHC). METHODS: Review and analysis of all children seen in the PEHC in calendar year 1999. RESULTS: Over the course of the year, 281 children made 863 visits to the PEHC. Presenting complaints fell into 4 major categories: new visit for management of lead intoxication (n = 248), return visit for management of lead intoxication (n = 569), new visit for evaluation of exposure to an environmental toxicant other than lead (n = 33), and return visit for the management of exposure to a non-lead toxicant (n = 13). Among those children with new visits for a non-lead toxicant, the most common chief complaints were exposure to solvent-contaminated water (n = 7), pesticide exposure (n = 6), illness associated with proximity to a hazardous waste site (n = 6), autism from suspected mercury intoxication (n = 4), and evaluation of school-induced, building-related illness ("sick school syndrome")(n = 4). Eleven children had autism or pervasive developmental delay. Families traveled distances as great as 450 kilometers for evaluation by a pediatric environmental health clinical specialist. Every child was evaluated by a pediatrician with subspecialty training in medical toxicology. Environmental investigation of air, water, paint, dust, or land was conducted for all except 4 children (all foreign-born adoptees). Therapeutic interventions included chelation therapy, relocation to a safe environment, removal from school, and termination of chelation therapy that had been initiated by another practitioner. Third-party payors provided full reimbursement for all visits. CONCLUSIONS: The chief complaints of the children brought to pediatric environmental health specialty units are diverse, involving exposures to a wide range of toxicants from all environmental media (air, water, soil, and food). Parents desiring such an evaluation must often travel extensive distances, suggesting the need for a broader network of such centers. Third-party payors and health maintenance organizations are willing to provide full reimbursement for these services.

Age Factors↗
PubMed1995

Framework for the development of environmental health indicators.

Environmental health indicators provide information about scientifically-based linkages between environment and health. This information can be used for environmental health management and decision-making. Environmental health indicators are rendered more complex than either environmental indicators or health indicators because they must take account of factors such as the variability in susceptibility in individuals and variability in co-exposures. Such variability implies that any links that are defined may not apply to all individuals or groups at all times. Individual-level epidemiological studies can contribute to establishing environmental health relationships for particular places and time periods. However, cost-efficiency demands that aggregated data and known environment and health relationships be used to derive these indicators. Environmental health indicators can therefore be constructed by linking aggregated data, or by identifying environmental indicators with a health linkage, or health indicators with an environmental linkage. The framework for environmental health indicators proposed here is an adaptation of the Pressure-State-Response framework. Its first level consists of driving forces, which create pressures on the environment. These in turn alter the state of the environment by increasing existing exposures or introducing new ones, which produces a measurable health effect. In order to rectify the problem, actions (i.e., environmental health management) must be undertaken at each level. Thus the framework becomes the Driving-force--Pressure--State--Effects--Action (DPSEA).

Causality↗
PubMed1999

Environmental health officers' understanding about an aboriginal environmental health worker program in the Northern Territory.

OBJECTIVE: To explore environmental health officers' (EHOs) perception that a program to train Aboriginal people as environmental health workers in 10 remote Northern Territory communities was not operating well. METHOD: Phenomenography, an approach within the qualitative domain, was used to explore 15 EHOs' understanding about the program during 1996-97. Respondents came from four of the Territory's five operational districts. RESULTS: Respondents were unclear about worker roles and responsibilities within the program. Perceptions about their own skills as trainers in a cross-cultural context inhibited their abilities to support the program effectively. CONCLUSIONS: Addressing the support, orientation and professional development needs of EHOs will enhance program effectiveness. IMPLICATIONS: Support staff should be adequately prepared and trained before a new program is commenced.

Allied Health Personnel↗
PubMed1990

[The importance of diesel engine exhaust in public health environmental protection/ecological health protection].

Ecological health protection considers itself to be mainly devoted to the principle of prevention, contrary to the still predominant principle of defence against an existing threat. The importance of diesel engine exhaust gases is discussed against this background and in view of the increasing relevance of emissions by traffic vehicles in respect of environmental hygiene, especially in highly congested areas, The relevant exhaust gas components are demonstrated and the present-day legal framework is critically appraised.

Air Pollution↗
PubMed2002

Billings' methamphetamine epidemic. Nursing leaders frame a public health and environmental health problem.

Methamphetamine use in rural communities is at epidemic levels and constitutes a public health crisis in many parts our nation. This synthetically-derived drug is commonly manufactured in illicit laboratories in homes and has harmful consequences for both people and the environment. Three RWJ nurse Fellows collaborated on community health efforts to heighten Montana citizens' awareness of the methamphetamine problem and to leverage additional resources for the fight against drugs. The Fellows efforts, combined with the ongoing efforts of other Montana politicians and leaders, have recently led to a significant infusion of federal drug enforcement and treatment funds into the state.

Amphetamine-Related Disorders↗
PubMedDate not supplied

The National Institute of Environmental Health Sciences' research program on children's environmental health.

This article highlights the wide array of research programs supported by the National Institute of Environmental Health Sciences (NIEHS) that address issues related to children's environmental health. Special attention is given to the interagency, collaborative Centers for Children's Environmental Health and Disease Prevention Research program. A brief description of each of the eight centers highlights scientific foci and research efforts to date. In addition to discussing NIEHS-supported research programs, the article emphasizes the NIEHS' commitment to the promotion of translating basic research findings into public health knowledge so that culturally sensitive and applicable interventions may be developed.

Child↗
PubMed1998

Community environmental health concerns and the nursing process. Four environmental health nursing care plans.

1. Many clients have concerns about environmental exposures. 2. Nursing care plans can be adapted to guide practice related to environmental health issues including physiologic, behavioral, emotional concerns, and educational needs. 3. Experience and education in counseling, along with sensitivity to client needs and beliefs, make nurses particularly valuable members of the environmental health team.

Community Health Nursing↗