Education in environmental health of health care professionals: What needs to be done?

BackgroundHealth professionals are key actors in environmental health. Taking on this role requires a certain degree of competence. That is the reason why education in environmental health of health care professionals became a major concern at international level, notably at WHO level. However, in the European Union only the individual Member States are responsible for organizing education and no official body seems to have started outlining recommendations on how to set up this kind of training.ObjectivesWe set out to draw up some propositions for training in environmental health on the basis of the practice of educational institutions involved in training health care professionals.MethodsA survey was conducted in 934 educational institutions involved in training health care professionals in 11 European countries and in Canada.ResultsOur data reveal that, whereas there are many establishments — nearly half of those that replied — engaged in educating health care professionals in environmental health, they do so in a great variety of ways, whether in terms of objectives, content, the number of teaching hours, or their target groups. Moreover, there is only limited evaluation of this training, which makes the question of recognition a very difficult one.ConclusionsNumerous difficulties have been raised in relation to education in environmental health, both by trainers and trainees. Some solutions to these difficulties are suggested but the need of official guidelines keeps going.     

Integrating Top-Down with Bottom-Up Conservation Policy in Africa

Abstract:  Developed nations intervened in conservation policy across Africa during the 20th century to address needs to protect species and biodiversity that were based on their own perceptions and priorities. In the 21st century, conservationists in Africa have revised these perceptions and begun the process of identifying conservation priorities from an African perspective and in consideration of Africans' priorities. Although foreign conservation interveners struggled to identify mechanisms to which local people would respond, African conservationists are now demonstrating how to integrate the continent's unique socioeconomic circumstances into efforts to protect biodiversity. In Africa effective conservation policy must include the generation of wealth, reduction of disease and hunger, and support of traditional land-use practices.     

Green renewal: incorporating environmental factors in equipment replacement decisions under technological change

Equipment replacement is a fact of life in every industrial setting, and this paper seeks to answer the question: How can firms and policy makers effectively balance environmental and economic concerns with respect to replacement decisions? A replacement model which includes both economic and environmental factors is presented. One must decide whether to keep the existing technology, upgrade to a newer technology which produces a smaller environmental burden, or wait for an even newer, cleaner technology which may be introduced soon. More than 25 000 test problems are solved, examining different objectives and covering a wide range of applications. Including environmental costs does not lead to a consistent increase in the adoption of cleaner technologies; however, including incentives to adopt newer technologies does. When one accounts for the environmental impact of producing new equipment and disposing of old equipment, earlier adoption of new technologies actually increases the total environmental burden in some cases.     

Immobilized Fe (III)-doped titanium dioxide for photodegradation of dissolved organic compounds in water

Photocatalytic degradation of dissolved organic carbon (DOC) by utilizing Fe(III)-doped TiO₂ at the visible radiation range is hereby reported. The photocatalyst was immobilized on sintered glass frits with the coating done by wet method, calcinated at 500 °C and then applied in a photodegradation reactor. The addition of a transition metal dopant, Fe(III), initiated the red shift which was confirmed by UV–Vis spectroscopy, and the photocatalyst was activated by visible radiation. X-ray diffraction patterns showed that Fe(III) doping had an effect on the crystallinity of the photocatalysts. Mixtures of DOC and associated coloured solutions were degraded in first-order kinetics, showing that the degradation process was not dependent on intermediates or other species in solution. A reactor with a catalyst coating area of 12.57 cm² was able to degrade 0.623 mg of the dissolved material per minute. Exposure of the reactor to hostile acidic conditions and repeated use did not compromise its efficiency. It was observed that the reactor regenerates itself in the presence of visible light, and therefore, it can be re-used for more than 100 runs before the performance dropped to <95 %. The results obtained indicate that the photocatalyst reactor has a great potential of application for use in tandem with biosorbent cartridges to complement water purification methods for domestic consumption.     

A Field Intercomparison and Fundamental Characterization of Various Dust Samplers with a Reference Sampler

The European Economic Community Council Directive 80/779/EEC¹ describes air quality limit values and guide values for sulfur dioxide and suspended particulates. However, article 10, paragraph 1 does not define well enough the reference method required, amongst others, for the gravimetric measurement of suspended particulates. It is explicity stated in article 10, paragraph 5 of the directive, that “the commission shall, in selected locations in the member states and in cooperation with the latter, carry out studies on the sampling…of suspended particulates. These studies shall be designed in particular to promote the harmonization of methods of sampling and analysis of these pollutants.” Therefore, in a joint research program the Umweltbundesamt (grant #104 02263), the commission of European Communities (grant #84-B-6642-11-017-11-N) and the U.S. EPA (grant #2-43211-3580) funded the development of a reference dust sampler by the Fraunhofer-lnstitute of Toxicology and Aerosol Research (FhITA, in Hannover, Federal Republic of Germany) in order: ? to study the particle size distribution of ambient air aerosol at a number of selected sites;

? to compare the results obtained with the reference dust sampler with those of particle samplers operated in Europe and the United States;

? to verify the applicability of wind tunnel results to sampling behaviour in the free atmosphere.

     

Solid‐phase extraction and GC analyses of select agricultural pesticides and metabolites in stream water

Abstract

The occurrence of agricultural pesticides in surface waters around the USA has created a concern over the status of safe drinking water. Solid‐phase extraction (SPE) or liquid‐liquid extraction (LLE) is usually employed to concentrate trace levels of pesticides in water samples to concentrations that are measurable with advanced chromatographic instruments. We describe here a SPE and capillary gas chromatographic (GC) procedure to extract and concentrate trace levels of select agricultural pesticides and metabolites from stream water. Our SPE and GC method provides high sensitivity, with recoveries between 85% to 95%, and high reproducibility for 9 of the pesticides studied. The described method provided marginal recoveries of 19 and 60% for the atrazine metabolites.     

Removal of Volatile Aliphatic Hydrocarbons in a Soil Bioreactor

Soil removal of propane, isobutane and n-butane from a waste air stream was evaluated in the laboratory and in a prototype soil bioreactor. Laboratory investigations indicated first-order kinetics and the potential to degrade light aliphatic hydrocarbons and trichlorethylene, a compound ordinarily resistant to aerobic biological treatment. The predicted behavior of the bioreactor, based on laboratory studies, agreed closely with the actual behavior of the Reid system. The prototype bioreactor reduced the hydrocarbon concentrations in the air by at least 90percent with a residence time of 15 minutes and a pressure drop of 85 cm of water. The bioreactor functioned well through a range of temperatures, 12°C to 24°C.     

The need for a systems theory approach to road safety

In other hazardous complex socio-technical systems in society, e.g. nuclear power and aviation, systems-theoretical assumptions are considered a promising way to better understand and manage safety. In this paper, two fundamental approaches to road safety were assessed in the light of a systems theory approach. One approach, is based on a premise where individual road-users are solely responsible when crashes occur. In that case countermeasures are aimed at altering the behavior of the road-user in order to adapt him/her to the road transport system. The other approach, the so-called zero-tolerance position, or Vision Zero approach, to road safety is built around two axioms; the system must be adapted to the psychological and physical conditions and limitations of the human being and the responsibility for road safety must be shared between the road-users and the designers and professional operators of the system. It was found that the most important determinants of systems theory are basically not present in the road-user approach. However, even if the Vision Zero approach clearly takes step towards systems theory, it does leave room for articulating even more features of systems theory.