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People are not only surrounded
by their environment but constantly contribute to it with every
behavior, including breathing. Everything we consume or even touch
can affect our environment. An important step of achieving a healthy
environment is to determine how to live in total surrounding conditions
with minimal or improving effects upon it.
The frontline in public health has
become a struggle to create a health-promoting environment where the
healthy choices are also the easy choices. Action to tackle smoking and
encourage physical exercise and healthy eating are priorities, but
success has been mixed. Rates of obesity are expected to rise despite
our efforts.
Obesity can increase the risk of (adult-onset) type 2 diabetes by as much as 34 fold, and diabetes is a
major risk factor for amputations, blindness, kidney failure, and heart disease. The most effective weight
loss strategies are those that include an increase in overall physical activity. In a recent type 2 diabetes
trial, weight loss and physical activity were more effective in controlling the disease than medication. In
addition, for treatment of relatively mild cases of anxiety and depression, physical activity is as effective as
the most commonly prescribed medications. How can we honestly say we encourage
people to walk, jog, or bicycle
when there is no safe or welcoming place to pursue these “life-saving” activities.
Respiratory disease, especially asthma, is
increasing yearly in the U.S. population. Bad air makes lung
diseases, especially asthma, worse. The more hours in automobiles,
driving over impervious highways that generate massive tree-removal,
clearly degrade air quality. When the Atlanta Olympic Games in 1996
brought about a reduction in auto use by 22.5%, asthma admissions to
ERs and hospitals also decreased by 41.6%. Less driving, better
public transport, well designed landscape and residential density
will improve air quality more than will additional roadways, yet we
are unable to see the big picture.
Climate change will also add to health threats, with more heat waves set
to increase early deaths among older people, as well as food-borne
diseases, such as salmonella, and a longer hay fever season. Hurricanes
and severe weather puts us all at risk. With global warming we are
threatened with even more storms developing in ever warming ocean
waters. As seen with hurricane Katrina our elderly, people in hospital
and nursing homes, children, pets and the poverty stricken are all at a
higher risk when severe weather strikes.
Another concern is the potential impact of higher temperatures and
heavier rainfall events on waterborne diseases. Heavy rainfall and
associated flooding can flush bacteria, sewage, fertilizers and other
organic wastes into waterways and aquifers. A significant number of
waterborne disease outbreaks across North America, including the E. coli
outbreak were preceded by extreme precipitation events. Higher
temperatures tend to increase bacterial levels and can encourage the
growth of toxic organisms, including those responsible for red tides
(toxic algal outbreaks).
Warmer weather may also make conditions more favorable for the
establishment and proliferation of vector-borne diseases by encouraging
the northward migration of species of mosquitoes, ticks and fleas, and
by speeding pathogen development rates. Some diseases of potential
concern include malaria, West Nile virus, Lyme disease, and Eastern and
Western Equine Encephalitis. Mosquito-borne diseases, such as West Nile
virus and malaria, may also be able to exploit an increase in breeding
grounds resulting from increased flooding.
You can see by these examples how closely our personal health is related
to the health of our environment. By understanding how intertwined
people are to the planet we can begin to focus on making our environment
safer and healthier and by doing this both our health and our planet
will improve. These examples also show us how vital it is that we all
take responsibility for our choices in life and that many of our choices
impact not only us but the environment we all live in.
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