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close this bookHealth and Environment in Sustainable Development - Five years after the Earth Summit (WHO, 1997, 258 pages)
View the document(introductory text...)
View the documentMessage from the Director-General
View the documentAbout this book
View the documentAbbreviations and acronyms
View the documentUnits of measurements
close this folderChapter 1: A new perspective on health
View the document(introductory text...)
View the document1.1 How are we doing?
View the document1.2. Five years since the Earth Summit
View the document1.3 Environmental threats to human health
View the document1.4 A health-and-environment cause - effect framework
View the document1.5 Relevant information for derision-making and action
View the document1.6 Finding solutions to environmental health problems
View the document1.7 Supportive environments for health
View the document1.8 Power and participation for both men and women
View the document1.9 Intersectoral actions for a healthy environment
View the document1.10 Health for All: the way ahead
close this folderChapter 2: Driving forces behind current health-and-environment trends
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View the document2.1 The driving forces concept
close this folder2.2 Population dynamics
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View the document2.2.1 Population growth and its relation to environment
View the document2.2.2 Population structure and changing health concerns
View the document2.2.3 Population movement: increasing numbers
close this folder2.3 Urbanization
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View the document2.3.1 Urban growth: scale and pace
View the document2.3.2 Growth of urban slums
close this folder2.4 Poverty and inequity
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View the document2.4.1 The poverty-environmental degradation link
View the document2.4.2 Displaced and impoverished groups
View the document2.4.3 Status of women: poverty, patriarchy and diminishing resources
close this folder2.5 Science and technology
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View the document2.5.1 Research for health and environment
View the document2.5.2 Appropriate technology
View the document2.5.3 Technology transfer, adaptation and redesign
View the document2.5.4 Information and communication technology
close this folder2.6 Consumption and production patterns
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View the document2.6.1 Changes in diet environmental implications
View the document2.6.2 Consumption of raw materials and persistent chemicals
View the document2.6.3 Burning of fossil fuels
close this folder2.7 Economic development
View the document2.7.1 Economic development as a driving force
View the document2.7.2 Economic development trends and environmental hazards
View the document2.7.3 Trade development
View the document2.7.4 Economic resources for health-and-environment protection
View the document2.8 The foundations of sustainability
close this folderChapter 3: Major human activities affecting environmental quality
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View the document3.1 How driving forces create environmental pressures
close this folder3.2 Household wastes
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View the document3.2.1 Human excrete: little or no treatment
View the document3.2.2 Solid wastes from households: levels increasing
close this folder3.3 Fresh water
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View the document3.3.1 Global freshwater resources: limited, uneven and subject to pressure
View the document3.3.2 Global freshwater use: demand inequity
View the document3.3.3 Freshwater scarcity: of growing proportions
View the document3.3.4 Freshwater pollution: a new problem every decade
View the document3.3.5 The marine environment: land-based pressures
View the document3.3.6 Hydrology and aquatic environments: integrated planning needed
close this folder3.4 Land use and agricultural development
View the document3.4.1 Competition for land
View the document3.4.2 Agricultural development and environmental changes
View the document3.4.3 Toil degradation: sources and effects
close this folder3.5 Industrialization: improved prospects and adverse consequences
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View the document3.5.1 Emissions, waste and natural resource use
View the document3.5.2 Industrial accidents and health-and-environment impacts
View the document3.5.3 Industrial activity trends
View the document3.5.4 Industry and sustainable development: evolving together
close this folder3.6 Energy
View the document3.6.1 Energy dependency
View the document3.6.2 Household use of biomass and coal: impairing indoor air quality
View the document3.6.3 Pollution from use of fossil fuels in power stations, industry and transport
View the document3.6.4 Hydropower: population dislocation and ecological change
View the document3.6.5 Nuclear energy: maintained vigilance needed
View the document3.7 Considerable threats to environmental quality and health
close this folderChapter 4: Poor environmental quality, exposures and risks
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View the document4.1 The human dimension to environmental quality
close this folder4.2 Air pollution
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View the document4.2.1 Urban ambient air quality: often poor
View the document4.2.2 Indoor air pollution: "rule of one thousand"
View the document4.2.3 Human exposures to particulate air pollution
View the document4.2.4 Health risks of air pollution
View the document4.2.5 Environmental tobacco smoke: on the increase
View the document4.2.6 Ionizing radiation: natural and human-caused exposure
View the document4.2.7 Air quality management: many factors
close this folder4.3 Household wastes
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View the document4.3.1 Health risks of inappropriate excrete disposal
View the document4.3.2 Health risks of solid waste
close this folder4.4 Water
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View the document4.4.1 Water supply access and equity
View the document4.4.2 Sustainability of water supply and sanitation services
View the document4.4.3 Environmental health risks of water pollution
View the document4.4.4 Chemicals in drinking- water
View the document4.4.5 Public health risks from recreational use of water
View the document4.4.6 Water-related vector-borne diseases
close this folder4.5 Food
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View the document4.5.1 Biological hazards in food
View the document4.5.2 Chemical and radioactive hazards in food
View the document4.6 Soil
close this folder4.7 Housing
View the document4.7.1 The importance of housing for health
View the document4.7.2 Extent of the problem
View the document4.7.3 Crowding
View the document4.7.4 Accidents and injuries
View the document4.7.5 Building materials and contructionrelated problems
View the document4.7.6 Indoor air pollution
View the document4.7.7 Pests
close this folder4.8 The workplace
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View the document4.8.1 The workplace environment and economic development
View the document4.8.2 Workplace exposures
View the document4.3.3 Occupational health impacts
close this folder4.9 The global environment
View the document4.9.1 From local pressures to global impacts
View the document4.9.2 Climate change
View the document4.9.3 Stratospheric ozone depletion and its health effects
View the document4.9.4 Transboundary air pollution and movement of hazardous waste
View the document4.9.5 Dealiag with global environmental health problems
close this folder4.10 Combined exposures from a variety of sources
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View the document4.10.1 The concept of total human exposure
View the document4.10.2 The example of lead
View the document4.11 Multiple challenges for health protection
close this folderChapter 5: Health conditions in an environmental context
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View the document5.1 Estimating the burden of disease
close this folder5.2 Acute respiratory infections
View the document5.2.1 One of the greatest threats to child health
View the document5.2.2 Historical trends and risk factors
View the document5.2.3 Current control strategies
close this folder5.3 Diarrhoeal diseases
View the document5.3.1 The devastating results of poor sanitation
View the document5.3.2 The example of cholera
View the document5.3.3 Impact of interventions
close this folder5.4 Vaccine-preventable infections diseases
View the document5.4.1 When immunization helps stop environmental transmission
View the document5.4.2 Measles
View the document5.4.3 Neonatal tetanus
View the document5.4.4 Poliomyelitis
View the document5.4.5 Other vaccine-preventable diseases
close this folder5.5 Malaria, other tropical vector-borne diseases, and newly-emerging diseases
View the document5.5.1 Debilitating diseases related to climate and ecological conditions
View the document5.5.2 Malaria
View the document5.5.3 Other vector-borne diseases
View the document5.5.4 Emerging infectious diseases: surveillance needed
close this folder5.6 Injuries and poisonings
View the document5.6.1 Major causes of ill health in both children and adults
View the document5.6.2 Road-traffic accidents: a major health problem
View the document5.6.3 Occupational accidents: considerable under-reporting
View the document5.6.4 Poisonings: few reliable data
View the document5.6.5 Intentional injuries: violence
close this folder5.7 Mental health conditions
View the document5.7.1 A growing health concern
View the document5.7.2 Effects of chemical and physical factors
View the document5.7.3 Effects of psychosocial factors
close this folder5.8 Cardiovascular diseases
View the document5.8.1 The most common cause of death
View the document5.8.2 Social and lifestyle risk factors
View the document5.8.3 Physical environmental risk factors
close this folder5.9 Cancer
View the document5.9.1 Diseases of concern at all levels of development
View the document5.9.2 Occupational cancer
View the document5.9.3 Infectious agents
View the document5.9.4 Air pollution
View the document5.9.5 Water pollution and contaminated food
View the document5.9.6 Ionizing radiation
View the document5.9.7 Non-ionizing radiation
View the document5.9.8 Environmental tobacco smoke: acute and chronic effects
close this folder5.10 Chronic respiratory diseases
View the document5.10.1 The impacts of inhaling polluted air
View the document5.10.2 Occupational respiratory diseases
close this folder5.11 Other diseases
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View the document5.11.1 Allergies
View the document5.11.2 Reproductive health problems
View the document5.12 Special features of occupational diseases and injuries
View the document5.13 Environmental factors and the global burden of disease
close this folderChapter 6: Integrated policies, strategies and actions: progress since the earth summit
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close this folder6.1 The need for an integrated framework
View the document6.1.1 Changing perspectives in health
View the document6.1.2 New planning frameworks
View the document6.1.3 New health information systems
close this folder6.2 International initiatives
View the document6.2.1 Involvement of the UN system: institutional arrangements
View the document6.2.2 Selected cooperative initiatives
close this folder6.3 A stronger health focus in national planning for sustainable development
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View the document6.3.1 Regional and country initiatives
close this folder6.4 A stronger health focus in local planning for sustainable development
View the document6.4.1 Relevance at local level
View the document6.4.2 Focus on urban areas
View the document6.4.3 Focus on rural areas
View the document6.4.4 Focus on islands
View the document6.5 Integrated planning initiatives: successes and achievements
View the document6.6 Renewing "Health for All"
View the documentChapter 7: Conclusions
View the documentGlossary
View the documentReferences
View the documentAnnex A: Country groupings by development and by geographic region
View the documentAnnex B: Countries providing data for WHO/UNICEF (1996a)
View the documentEnvironmental health contact points in WHO Regional Offices and WHO Environmental Health Regional Technical Centres

Glossary

This glossary has been produced to be of help to readers of this particular text. It has been compiled with the aid of a number of glossaries and dictionaries, and as such should not be considered to be an approved glossary of WHO.

algal bloom: abnormally increased biomass of algae in a lake, river or ocean.

aliphatic hydrocarbons: chemical compounds including carbon and hydrogen with a straight structure.

aromatic hydrocarbons: chemical compounds including carbon and hydrogen with a structure including at least one benzene ring.

ascariasis: disease caused by infection with Ascaris or related ascarid nematodes.

ascites: accumulation of serous fluid in the abdominal cavity.

atherosclerosis: a disease in which fat compounds build up on the inside of arteries, potentially blocking blood flow.

atmosphere: gaseous envelope that surrounds Earth and which is subdivided into the troposphere, stratosphere and mesosphere.

attenuated vaccine: vaccine based on live infectious material that has been treated in such a way that it creates an antibody response but does not cause the disease.

attributable risk: the proportion of a disease or other outcome in exposed individuals that can be attributed to the exposure of interest.

biofuel: renewable hydrocarbon fuel, usually alcohol, e.g. methanol, ethanol, derived from corn (maize) and other grains.

"blackfoot disease": disease reported in China of the peripheral blood vessels which is caused by arsenic exposure. The disease constricts the arteries, the blood flow is diminished and the feet look black.

chlorofluorocarbons (CFCs): halocarbons that are major greenhouse gases. CFCs are of human origin and have long atmospheric lifetimes (more than 100 years). They are destroyed only by photolytic destruction in the stratosphere where they cause ozone depletion.

coliform: general, ill-defined term used to denote gram-negative, fermentative rods that inhabit the intestinal tract of man and other animals.

copepod: any member of the subclass Copepoda. (Copepoda are abundant, freeliving, freshwater and marine crustaceans of fundamental importance to the aquatic food-chain in both marine and freshwater environments.)

cor pulmonale: in chronic cases characterized by hypertrophy of the right ventricle, resulting from disease of the lungs; in acute cases, characterized by dilation and failure of the right side of the heart due to pulmonary embolism.

Cryptosporidium: genus of coccidian sporozoans that are important pathogens of calves and other domestic animals, and common opportunistic parasites of humans that flourish under conditions of compromised immune function.

cutaneous melanoma: type of skin cancer. A melanoma is a malignant neoplasm, derived from cells that are capable of forming melanin.

cyanobacterial poisoning: reaction to the toxins produced by cyanobacteria.

dengue fever: disease of tropical and sub-tropical regions, caused by mosquitotransmitted dengue viruses.

dracunculiasis: also called guinea-worm disease, caused by a parasite whose larvae can grow under the skin, reaching up to one metre in length.

El Niño: name originally given by local inhabitants to a weak warm ocean current flowing along the coast of Ecuador and Peru. El Niño occurs irregularly, but approximately every four years on average.

endemic disease: the constant presence of a disease or infectious agent within a given geographic area or population group; may also refer to the usual prevalence of a given disease within such area or group.

epidemic: the occurrence in a community or region of cases of an illness, specific health-related behaviour or other health-related events clearly in excess of normal expectancy.

erethism: an abnormal state of excitement, irritation or sensitivity to stimulation, either general or local.

eutrophication: the occurrence of high nutrient levels in freshwater and marine ecosystems, usually resulting in excessive plant growth and the death of animal and some plant life due to oxygen deprivation

filariasis: presence of filariae in the body, occurring in tropical and subtropical regions.

fluorosis: condition caused by an excessive intake of fluorides, characterized mainly by mottling, staining, or hypoplasia of the enamel of the teeth.

food security: a situation in which all households have both physical and economic access to adequate food for all members and where households are not at risk of losing such access.

free radical: highly reactive chemical molecule that has at least one unpaired electron.

greenhouse gas: gas that absorbs radiation emitted by Earth's surface and clouds. The effect is a local trapping of part of the absorbed energy and a tendency to warm Earth's surface. Water vapour, carbon dioxide, nitrous oxide, methane, and ozone are the primary greenhouse gases in Earth's atmosphere.

half-life: period during which the radioactivity of a radioactive substance decreases to half of its original value; similarly applied to the decrease in activity of any unstable active substance with time.

halocarbons: generic term to describe a group of human-made chemicals that contains carbon and members of the halogen family. Halocarbons include chlorofluorocarbons and haloes, substances that deplete stratospheric ozone.

haloes: various gaseous compounds of carbon, bromine and other halogens, usually bromoflouromethanes, used to extinguish fires, that contribute to destruction of stratospheric ozone.

helminth: intestinal vermiform parasite; primarily nematodes, cestodes, trematodes, and acanthocephalans.

hepatomegaly: enlargement of the liver.

incidence: the number of cases of illness commencing, or of persons falling ill, during a given time period within a specified population.

Internet: global computer network providing access to and dissemination of a vast amount of information.

ionizing radiation: electromagnetic or particle radiation of a sufficient energy to cause ionization in biological cells.

isotope: one of two or more nuclides that are chemically identical yet differ in mass number.

Japanese encephalitis: encephalitis (inflammation of the brain) caused by a mosquito-transmitted Flavivirus, affecting large populations in ricegrowing, suburban, and rural regions of South-East Asia.

keratosis: any lesion on the epidermis marked by the presence of circumscribed overgrowths of the horny layer.

leishmaniasis: infection with a species of Leishmania; transmission is by various sandfly species of the genus Phlebotomus or Lutzomyia.

leptospirosis: illnesses caused by infection with Leptospira; transmission is associated with contact with infected animals or water contaminated with rat urine.

manufacturing value added: the difference between the value of goods and the cost of materials or supplies that are used in producing them. Value added is derived by subtracting the cost of raw materials, parts, supplies, fuel, goods purchased for resale, electric energy, and contract work from the value of shipments. It is the best money gauge of the relative economic importance of a manufacturing industry because it measures that industry's contribution to the economy rather than its gross sales.

mesothelioma: a cancer in the mesothelial tissues, usually in the lining of the lung.

nuclide: particular (atomic) nuclear species with defined atomic mass and number.

oblast: Russian word for "region".

odds ratio: epidemiological term used to express the relative risk of disease when comparing groups. It is the ratio of the odds of exposure among the cases of disease to the odds of exposure in the controls.

oedema: swelling caused by the accumulation of fluid in body tissues.

onchocerciasis: tropical disease caused by a filarial parasite transmitted by blackflies.

ozone: form of the element oxygen with three atoms instead of the two that characterize normal oxygen molecules. Ozone (O3) is an important greenhouse gas. The stratosphere contains 90% of all the O3 present in the atmosphere that absorbs harmful ultraviolet radiation.

pH: measure of the acidity or alkalinity of a solution, ranging from 0 (acidic) to 7 (neutral) to 14 (alkaline).

parenchymal lung disease: disease of lung due to its disfunction.

peripheral neuropathy: disease involving the peripheral nerves.

peripheral vascular disease: disease of the peripheral blood vessels

pertussis: commonly called whooping cough, caused by Bordetella pertussis.

photovoltaic: term applied to devices that creates electricity when exposed to light.

"polluter pays" principle: a system of charges on the person or company that cause pollution.

primary health care: essential health care made accessible at a cost the country and community can afford, with methods that are practical, scientifically sound and socially acceptable.

prevalence: proportion of persons within a given population who are currently affected by a particular disease or risk factor.

radiative forcing: a simple measure of the importance of a potential climate change mechanism. The amount of perturbation of the energy balance of the Earth-atmosphere system following, for example, a change in carbon dioxide concentrations or a change in the output of the sun.

radionuclide: a nuclide of artificial or natural origin that exhibits radioactivity.

radon: radioactive element, resulting from the breakdown of radium.

relative risk: ratio of risk of occurrence of a disease in one group as compared to the risk of occurrence in another group.

residual house-spraying: spraying of the internal walls of houses with an insecticide in formulation and dose that ensures prolonged (i.e. residual) action.

rotavirus: wheel-shaped virus that causes infantile acute gastroenteritis and diarrhoea.

schistosomiasis: infection with species of Schistosoma. Manifestations of this disease vary with the infecting species.

secondary (photochemical) pollutants: air pollutants created by chemical reactions in the atmosphere from other pollutants that have been emitted from motor vehicles or industry.

serotype: group or category of bacteria or other microorganisms that have a certain set of antigens in common or against which common antibodies are produced; the combination of antigens by which such a group is categorized.

stomatitis: inflammation of the mucous membrane of the mouth.

stratosphere: highly stratified and stable region of the atmosphere above the troposphere extending from about 10 km to 50 km.

subclinical: without clinical manifestations; generally the early stage of an infection or other disease before symptoms and signs become clinically apparent.

trachoma: infectious inflammation of the eye, often associated with lack of water for personal hygiene.

teratogenesis: a process that damages the growth of the fetus in utero.

trematode: flat worm of the class Trematoda, including the parasitic worms called "flukes". Trematodes that cause disease in humans have intermediate stages in snails.

troposphere: lowest part of the atmosphere in which clouds and weather phenomena occur. The troposphere is defined as the region in which temperatures generally decrease with height.

trypanosomiasis: infection with protozoa, Trypanosoma including American trypanosomiasis (Chagas disease) or African trypanosomiasis.

vibrio: type of actively mobile bacteria. The species include the cholera vibrios, highly pathogenic for humans.

zoonosis: infectious disease of vertebrate animals, such as rabies, that can be transmitted to humans.