Embracing microbes in exposure science.

Although defined more broadly, exposure science has mainly focused on exposures to environmental chemicals and related stressors, such as airborne particulate matter. There is an opportunity for exposure science to contribute more substantially to improving public health by devoting more attention to microorganisms as key stressors and agents in exposure. The discovery that pathogenic microbes cause disease in humans precipitated a revolution in public health science and disease prevention. With a continued global urgency to address spread of pathogenic microbes, contributions of microorganisms to both infectious and noninfectious processes merit more attention from the exposure science community. Today, discoveries of the importance of the human microbiome as a determinant of health and disease are precipitating a second revolution. Emerging knowledge creates a major opportunity to expand the scope of exposure science to incorporate the human microbiome as a target and modulator of exposure. A study committee of the National Academies of Sciences, Engineering, and Medicine has defined a research strategy to address health risks that pertain to the interaction of environmental chemicals with the human microbiome. Some aspects of this strategy pose important challenges and opportunities for the exposure science community.

Zeolite: «the magic stone»; main nutritional, environmental, experimental and clinical fields of application / Zeolita: «la piedra mágica»; principales campos nutricionales, ambientales, experimentales y clínicos de la aplicación

Introduction: zeolites (clinoptilolites) are a family of alluminosilicates and cations clustered to form macro aggregates by small individual cavities. In the medical area they are involved in detoxification mechanisms capturing ions and molecules into their holes. Actually, we classify about 140 types of natural and 150 synthetic zeolites, for specific and selective use. Clinoptilolite is a natural zeolite and it is the most widespread compound in the medical market. Objective: this review analyzes the main fields of zeolite utilization. Methods: we searched Pubmed/Medline using the terms «zeolite» and «clinoptilolite». Results and discussion: in zoothechnology and veterinary medicine zeolite improves the pets' fitness, removes radioactive elements, aflatoxines and poisons. Zeolite displays also antioxidant, whitening, hemostatic and anti-diarrhoic properties, projected in human care. However very scanty clinical studies have been run up to now in immunodeficiency, oncology after chemotherapy and radiotherapy as adjuvants. Conclusions: further clinical investigations are urgently required after this review article publication which updates the state of the art (AU)

Introducción: las zeolitas (clinoptilolitas) son una familia de aluminosilicatos y cationes agrupada para formar agregados macro de pequeñas cavidades individuales. En el área médica están involucrados en los mecanismos de desintoxicación y en capturar iones y moléculas en sus agujeros. En realidad, clasificamos cerca de 140 tipos de zeolitas naturales y 150 sintéticas, para usos específicos y selectivos. La clinoptilolita es una zeolita natural y es el compuesto más extendido en el mercado médico. Objetivo: esta revisión analiza los principales campos de utilización de la zeolita. Métodos: se realizaron búsquedas en Pubmed/Medline usando los términos «zeolita» y «clinoptilolita». Resultados y discusión: en zootecnología y medicina veterinaria la zeolita mejora la condición de la mascota, elimina los elementos radiactivos, las aflatoxinas y los venenos. En el cuidado humano, la zeolita también muestra propiedades antioxidantes, de blanqueamiento, homeostáticas y antidiarreicas. Sin embargo, los estudios clínicos que se han llevado a cabo hasta ahora como adyuvante en inmunodeficiencia y tras la quimioterapia y la radioterapia en oncología son muy escasos. Conclusiones: se requieren con urgencia otras investigaciones clínicas después de esta publicación del artículo que actualicen el estado de la técnica (AU)

Common ragweed: a threat to environmental health in Europe.

Common or short ragweed (Ambrosia artemisiifolia L.) is an annual herb belonging to the Asteraceae family that was described by Carl Linnaeus in the 18th century. It is a noxious invasive species that is an important weed in agriculture and a source of highly allergenic pollen. The importance placed on A. artemisiifolia is reflected by the number of international projects that have now been launched by the European Commission and the increasing number of publications being produced on this topic. This review paper examines existing knowledge about ragweed ecology, distribution and flowering phenology and the environmental health risk that this noxious plant poses in Europe. The paper also examines control measures used in the fight against it and state of the art methods for modelling atmospheric concentrations of this important aeroallergen. Common ragweed is an environmental health threat, not only in its native North America but also in many parts of the world where it has been introduced. In Europe, where the plant has now become naturalised and frequently forms part of the flora, the threat posed by ragweed has been identified and steps are being taken to reduce further geographical expansion and limit increases in population densities of the plant in order to protect the allergic population. This is particularly important when one considers possible range shifts, changes in flowering phenology and increases in the amount of pollen and allergenic potency that could be brought about by changes in climate.

Pediatria ambiental: um tema emergente / Environmental pediatrics: an emerging issue

OBJETIVO: Revisar os artigos mais relevantes sobre a pediatria ambiental, seus efeitos potenciais para a saúde e, especialmente, seus avanços na prevenção. FONTES DOS DADOS: Foi realizada uma pesquisa utilizando as bases de dados MEDLINE/PubMed e SciELO. Foram revisados artigos de 1990 a 2010, além de capítulos de livros relacionados à pediatria ambiental. SÍNTESE DOS DADOS: Há uma variedade significativa de fatores que tornam as crianças altamente vulneráveis à exposição a riscos ambientais, associados principalmente ao consumo comparativamente maior de água, comida e ar por parte da criança, em relação ao seu peso corporal. De acordo com a Organização Mundial de Saúde, mais de 3 milhões de crianças menores de 5 anos morrem devido a doenças relacionadas ao meio ambiente. Aproximadamente 30-40 por cento das doenças pediátricas estão relacionadas a fatores ambientais. As crianças estão constantemente expostas a vários riscos ambientais para a saúde, dentre os quais se destacam: água contaminada, falta de condições adequadas de saneamento, poluição do ar, vetores de doenças, perigos químicos, injúrias e acidentes. CONCLUSÕES: Atualmente, os pediatras são desafiados a tratar das necessidades de saúde ligadas à pediatria ambiental. A história pediátrica deve ser mais abrangente, acrescentando-se questões pontuais que ajudem a identificar potenciais riscos ambientais. A conscientização e o entendimento sobre os efeitos nocivos das várias condições ambientais e o conhecimento sobre as medidas de prevenção relacionadas resultarão em intervenções oportunas e adequadas que melhorarão a saúde e o desenvolvimento das nossas crianças.

OBJECTIVE: To review the most relevant articles regarding environmental pediatrics, its potential effects on health, and especially its advances in prevention. SOURCES: A literature search was conducted using MEDLINE/PubMed and SciELO databases. Articles from 1990 to 2010 were reviewed, in addition to book chapters related to environmental pediatrics. SUMMARY OF THE FINDINGS: There is a significant variety of factors that make children highly vulnerable to environmental hazard exposure, which are mainly associated with children’s comparatively greater consumption of water, food, and air in relation to body weight. According to the World Health Organization, every year more than 3 million children under the age of 5 die because of environment-related conditions. Approximately 30 to 40 percent of pediatric diseases are related to environmental factors. Children are constantly exposed to various environmental health hazards, among which the following stand out: contaminated water, lack of adequate sanitation facilities, air pollution, disease vectors, chemical hazards, injuries, and accidents. CONCLUSIONS: Nowadays, pediatricians are challenged to address environmental pediatrics health care needs. The pediatric health history needs to be more comprehensive by adding pointed questions to help identify potential environmental risks. Awareness and understanding of the noxious effects of various environmental conditions and knowledge of the related prevention measures will result in timely and adequate interventions that will improve our children’s health and development.

[Comparative analysis of ecologic safety in major oil processing enterprise, using criteria of public health risks].

Comparative analysis covered ecologic safety of production branches in major oil processing enterprise. According to health risk criteria, maximal jeopardy levels appear to be connected with respiratory diseases caused by fuel components, deep oil refining complex and biologic treatment facilities.

The ecobiopolitics of space biomedicine.

Using data from an ethnographic study of American astronautics, I argue that, in an inversion of the usual clinical model, astronaut medical subjecthood is fundamentally environmental rather than biological. In extreme environments like outer space, the concept of environment cannot be bracketed out from life processes; as a result, investments of power and knowledge shift from life itself to the sites of interface among living things, technologies, and environments. To illustrate what this means on the ground, I describe space biomedicine as a form of environmental medicine that seeks to optimize and manage technically enabled human ecologies where life and environment are dually problematized. I provide two examples of what I term its ecobiopolitical strategies: creating a new "space normal" physiological category and situating humans as at-risk elements within integrated biological/technological/environmental systems.

A niche for infectious disease in environmental health: rethinking the toxicological paradigm.

OBJECTIVE: In this review we highlight the need to expand the scope of environmental health research, which now focuses largely on the study of toxicants, to incorporate infectious agents. We provide evidence that environmental health research would be strengthened through finding common ground with the tools and approaches of infectious disease research. DATA SOURCES AND EXTRACTION: We conducted a literature review for examples of interactions between toxic agents and infectious diseases, as well as the role of these interactions as risk factors in classic "environmental" diseases. We investigated existing funding sources and research mandates in the United States from the National Science Foundation and the National Institutes of Health, particularly the National Institute of Environmental Health Sciences. DATA SYNTHESIS: We adapted the toxicological paradigm to guide reintegration of infectious disease into environmental health research and to identify common ground between these two fields as well as opportunities for improving public health through interdisciplinary research. CONCLUSIONS: Environmental health encompasses complex disease processes, many of which involve interactions among multiple risk factors, including toxicant exposures, pathogens, and susceptibility. Funding and program mandates for environmental health studies should be expanded to include pathogens in order to capture the true scope of these overlapping risks, thus creating more effective research investments with greater relevance to the complexity of real-world exposures and multifactorial health outcomes. We propose a new model that integrates the toxicology and infectious disease paradigms to facilitate improved collaboration and communication by providing a framework for interdisciplinary research. Pathogens should be part of environmental health research planning and funding allocation, as well as applications such as surveillance and policy development.

Predicting future human and environmental health challenges: the Health and Environmental Sciences Institute's scientific mapping exercise.

To predict important strategic issues in product safety during the next 10 years, the Health and Environmental Sciences Institute (HESI) of the International Life Sciences Institute initiated a mapping exercise to evaluate which issues are likely to be of societal, scientific, and regulatory importance to regulatory authorities, the HESI membership, and the scientific community at large. Scientists representing government, academia, and industry participated in the exercise. Societal issues identified include sensitive populations, alternative therapies, public education on the precautionary principle, obesity, and aging world populations. Scientific issues identified include cancer testing, children's health, mixtures and co-exposures, sensitive populations, idiosyncratic reactions, "omics" or bioinformatics, and environmental toxicology. Regulatory issues identified include national and regional legislation on chemical safety, exposure inputs, new technologies, transitioning new science into regulations and guidelines, conservative default factors, data quality, and sensitive populations. Because some issues were identified as important in all three areas (e.g. sensitive populations), a comprehensive approach to assessment and management is needed to ensure consideration of societal, scientific, and regulatory implications. The resulting HESI Combined Challenges Map is not intended to offer a universal description of challenges in safety assessment, nor is it intended to address, advocate, or manage the prioritized issues. Rather, the map focuses on and predicts issues likely to be central to the strategic agendas of individual companies and regulatory authorities in the developed world. Many of these issues will become increasingly important in the future in rapidly developing economies, such as India and China. The scientific mapping exercise has particular value to the toxicology community because it represents the contributions of key scientists from around the world from government, academia, and industry.

Children's environment in Central Europe: threats and chances.

Many of the "classical" environmental hazards and risks (such as anthropogenic chemical and physical factors, e.g., asbestos, dioxin, electromagnetic fields and "pesticides") are in our countries not major determinants of children's health and well being; however, there may exist unseen or unrecognized causal contexts. Some hazards, such as UV light, noise, fine particles, tobacco smoke, legal and illegal drugs, and radon, are considered important by experts, but are still largely ignored by the public. In our society, despite of, or maybe because of the multitude of information and disinformation, adequate risk perception continues to be a problem. Furthermore, ever-new environmental toxicants will come to the surface and occupy medial interest, and thus, continuing attention is warranted. Of our children's environment, yet other facets are of prime importance: nutrition, housing and traffic and public media. Most important, however, is the fact that society (governments, administration, industry and consumers) are disregarding the long-term sustainability of their actions and behaviour, thus endangering the future of our children and grandchildren. This is in contrast with the existing declarations and official action plans. In future, ranking of priorities for research and actions will be necessary, taking into account costs and effectiveness since resources to be invested into these issues certainly will remain limited.

Paediatric environmental health in Hungary.

A review is given on the state of activities regarding environmental health in Hungary, with special respect to present and future health of children.

Estrategia para desarrollar capacidades en evaluación y manejo de riesgos de salud ambienta / Strategy for development of environmental health risk assessment and management capabilities

Se presentan los resultados de la aplicación de una estrategia para perfeccionar la capacitación en evaluación y manejo de riesgos de salud ambiental en Cuba, con un enfoque holístico, transdisciplinario, enfocado a problemas, basado en la comunidad y con métodos interactivos. Se perfeccionó el programa docente de salud ambiental del Instituto Nacional de Higiene, Epidemiología y Microbiología y se descentralizó esta experiencia a los Institutos Superiores de Ciencias Médicas de Santiago de Cuba y de Villa Clara. Las principales actividades fueron: perfeccionamiento y descentralización de los programas de la Maestría y del Diplomado en Salud Ambiental, desarrollo de cursos y talleres para profesores, elaboración de materiales docentes, diseño de programas docentes para la Licenciatura en Tecnología de la Salud y creación de la Red Nacional de Capacitación en Salud Ambiental. Fueron capacitados 456 profesionales y técnicos cubanos y 73 de países de América Latina(AU)

Said another way: stroke, evolution, and the rainforests: an ancient approach to modern health care.

TOPIC: The relatively new discipline of evolutionary medicine. PURPOSE: To raise awareness among healthcare professionals that our modern view of illness and health care might be flawed. SOURCES OF INFORMATION: Published literature in CINAHL, MEDLINE, Cochrane databases, and EMBASE. CONCLUSIONS: Our modern lifestyles and healthcare paradigms (using stroke as example), may be at odds with our palaeolithic genome. The dietary regimes of remaining hunter-gatherer communities merit attention and study in this regard. Time is running out as the rainforests dwindle and hunter-gatherer communities are acculturated. The selective forces that resulted in the evolution of the human species were mainly environmental. Our metabolism, physiology, and genome, therefore, are geared towards survival under certain environmental parameters. With the advent of agriculture, almost 11,000 years ago, those parameters changed. Our ancestors' lifestyles transformed from wandering hunter-gatherers to sedentary consumers of more than they needed to survive. Many studies link today's prevalence of metabolic syndrome (diabetes, obesity, and cardio- and cerebrovascular diseases) in developed countries with this historic change in human behavior. If this is a valid correlation to make, then the few remaining hunter-gatherer communities in today's rainforests must surely hold the key to human health. Certainly, physiological parameters in these people are impressive, but trends are worrying. There is clear derangement of these parameters when exposed to any degree of acculturated lifestyle. In addition, the natural homelands of these communities, the rainforests, are dwindling at an alarming rate in order to maintain our acculturated norms. The race is on, therefore, to learn what we can about diet, exercise, and natural medicine from the last few humans who live lifestyles that might be closest to our natural state.