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The United States is among the wealthiest nations in the world, but it is far from the healthiest. Although life expectancy and survival rates in the United States have improved dramatically over the past century, Americans live shorter lives and experience more injuries and illnesses than people in other high-income countries. The U.S. health disadvantage cannot be attributed solely to the adverse health status of racial or ethnic minorities or poor people: even highly advantaged Americans are in worse health than their counterparts in other, "peer" countries. In light of the new and growing evidence about the U.S. health disadvantage, the National Institutes of Health asked the National Research Council (NRC) and the Institute of Medicine (IOM) to convene a panel of experts to study the issue. The Panel on Understanding Cross-National Health Differences Among High-Income Countries examined whether the U.S. health disadvantage exists across the life span, considered potential explanations, and assessed the larger implications of the findings. U.S. Health in International Perspective presents detailed evidence on the issue, explores the possible explanations for the shorter and less healthy lives of Americans than those of people in comparable countries, and recommends actions by both government and nongovernment agencies and organizations to address the U.S. health disadvantage.
Incineration has been used widely for waste disposal, including household, hazardous, and medical wasteâ€"but there is increasing public concern over the benefits of combusting the waste versus the health risk from pollutants emitted during combustion. Waste Incineration and Public Health informs the emerging debate with the most up-to-date information available on incineration, pollution, and human healthâ€"along with expert conclusions and recommendations for further research and improvement of such areas as risk communication. The committee provides details on: Processes involved in incineration and how contaminants are released. Environmental dynamics of contaminants and routes of human exposure. Tools and approaches for assessing possible human health effects. Scientific concerns pertinent to future regulatory actions. The book also examines some of the social, psychological, and economic factors that affect the communities where incineration takes place and addresses the problem of uncertainty and variation in predicting the health effects of incineration processes.
Exposure to ambient air pollutants, both indoors and outdoors has been associated with the exacerbation and also in the etiology of diverse human diseases. This book offers an overview of our current understanding of air pollution health risks and how this knowledge is being used in the regulatory, therapeutic intervention measures to protect the public health and reduce the disease burden caused by acute and long-term exposure to air pollutants. Air Pollution and Health Effects provides readers with a comprehensive understanding of air pollution health risks, morbidity and the global disease burden, whilst also delivering critical review on state of the art research so as to gain a fundamental understanding of the biological mechanisms involved in the etiology of air pollution-induced diseases. Chapters range from pregnancy outcomes and pre-term birth, carcinogens in the ambient aerosol and the health consequences of indoor biomass burning. Special emphasis is placed on regional and local air pollution and its impact on global health along with suitable preventive and interventional measures. With contributions from international experts in the field this volume is a valuable guide for researchers and clinicians in toxicology, medicine and public health as well as industry and government regulatory scientists involved in health protection.
"This publication represents the views and expert opinions of an IARC Working Group on the Evaluation of Carcinogenic Risk to Humans, which met in Lyon, 8-15 October 2013."
This technical resource document describes several methods for preparing a site-specific risk assessment for a source (i.e., a single emission point within one facility), a group of sources (i.e., multiple emission points within one facility), or a group of similar facilities (e.g., within the same source category) that emit(s) toxic air pollutants. Air toxics may be emitted from power plants, factories, cars and trucks, and common household products. Sources that stay in one place are referred to as stationary sources. Vehicles and other moving sources of air pollutants are called mobile sources. This technical resource document is intended for assessing risks associated with stationary sources of air toxics. While its primary focus is on Hazardous Air Pollutants (HAPs), this resource document can be applied to all air pollutants (with the exception of criteria air pollutants, which are assessed using different tools and methods). This technical resource document is the second of a three-volume set. Volume 1: Technical Resource Manual discusses the overall air toxics risk assessment process and the basic technical tools needed to perform these analyses. The manual addresses both human health and ecological analyses. It also provides a basic overview of the process of managing and communicating risk assessment results. Other evaluations (such as the public health assessment process) are described to give assessors, risk managers, and other stakeholders a more holistic understanding of the many issues that may come into play when evaluating the potential impact of air toxics on human health and the environment. Readers with a limited understanding of risk assessment are encouraged to consult Volume 1. Volume 2: Facility-Specific Assessment (this volume) builds on the technical tools described in Volume 1 by providing an example set of tools and procedures that can be used for source-specific or facility-specific risk assessments. Information is also provided on tiered approaches to source- or facility-specific risk analysis. Volume 3: Community-Level Assessment builds on the information presented in Volume 1 to describe to communities how they can evaluate and reduce air toxics risks at the local level. The volume will include information on screening level and more detailed analytical approaches, how to balance the need for assessment versus the need for action, and how to identify and prioritize risk reduction options and measure success. Since community concerns and issues are often not related solely to air toxics, the document will also present readily available information on additional multimedia risk factors that may affect communities and strategies to reduce those risks. The document will provide additional, focused information on stakeholder involvement, communicating information in a community-based setting, and resources and methodologies that may play a role in the overall process. Note that EPA's Office of Pollution Prevention and Toxics has also developed a Community Air Screening How To Manual that will be available in 2004 and will be discussed in Volume 3.
Health Effects of Ambient Air Pollution provides the reader with an overview of the health effects of air pollution in human subjects. The majority of the book is devoted to the discussion of the health effects of common widespread air pollutants regulated by the U.S. Environmental Protection Agency through national ambient air quality standards. The book reviews the sources and fate of common air pollutants in ambient air and researches the adverse effects of these outdoor and indoor air pollutants in `in vivo' cell systems, animals, and humans. Research for the book was conducted in controlled laboratory studies and epidemiologic studies. Special emphasis throughout Health Effects of Ambient Air Pollution is placed on the effects of air pollution in subjects with asthma.
From the Preface: This special issue of The Annals addresses environmental health, an area that has become a very significant part of popular concern, government attention, and scientific research. What exactly do we mean by "environmental health"? The broadest definition would include the totality of unhealthy living and working conditions: bacteria and viruses in human waste; animal vectors for infectious diseases; surface water and groundwater pollution; air pollution from fires, vehicle exhaust, and incineration; chemical and petroleum product spills and explosions; and disasters, such as floods, hurricanes, and fires (which may be either natural, human caused, or human exacerbated). But that definition is broad enough to encompass virtually all disease-causing factors. I believe we are better off focusing on the health effects caused by toxic substances in people's immediate or proximate surroundings (soil, air, water, food, and household goods), a definition that mirrors most research and policy on environmental health. These are chemical-related, air-pollution-related, and radiation-related symptoms and diseases that affect groups of people in workplaces and communities. Focusing on toxic substances makes sense for several reasons. Toxic exposure has engendered much conflict, policy making, legislation, public awareness, media attention, and social movement activity. It leads to disputes between lay people and professionals, between citizens and governments, and among professionals. And toxic exposure demonstrates interesting and ongoing examples of social problems construction and political contestation concerning environmentally induced diseases.
The practice of performing and managing regulatory air toxic risk assessments requires an exceptionally broadbase of understanding. The information and hands-on skills needed to evaluate the effects of air toxic emissions on human health derive from a broad range of disciplines: engineering, the physical and biological sciences, probability, statistics, and medicine. Dr. Lawrence Gratt's Air Toxic Risk Assessment and Management provides a comprehensive study of the subject of risk assessment, showing how the various disciplines are integrated to carry out this complex process. No other resource combines the basic science underlying risk assessment with the techniques needed to perform the analyses.
The main objective of these updated global guidelines is to offer health-based air quality guideline levels, expressed as long-term or short-term concentrations for six key air pollutants: PM2.5, PM10, ozone, nitrogen dioxide, sulfur dioxide and carbon monoxide. In addition, the guidelines provide interim targets to guide reduction efforts of these pollutants, as well as good practice statements for the management of certain types of PM (i.e., black carbon/elemental carbon, ultrafine particles, particles originating from sand and duststorms). These guidelines are not legally binding standards; however, they provide WHO Member States with an evidence-informed tool, which they can use to inform legislation and policy. Ultimately, the goal of these guidelines is to help reduce levels of air pollutants in order to decrease the enormous health burden resulting from the exposure to air pollution worldwide.