PLANNING BIO-TERRORISM MODULE FOR PH-SEE CURRICULUM PROF. U. LAASER SECTION OF INTERNATIONAL PUBLIC HEALTH (S-IPH) Bielefeld School of Public Health University of Bielefeld TITLE OF LECTURE Lecturer & speciality area Address: email Keywords Learning Objectives Synopsis Teaching Methods Assessment Tools Recommended References BIO-TERRORISM (History, Epidemiology & Impact of Bio-terror) Dr. Ibrahim Khan, MBBS, MPH, PhD (Infectious Diseases) Ibrahim.khan@uni-bielefeld.de Definition, History, Epidemiology & Public Impact -Students will learn what does bio-terrorism mean - learn the examples of specific infectious agents -Students will learn also learn the importance and the need of understanding complex issues related to the bio-terror attacks The lecture primarily focuses on the definition, motives and basic facts related to bio-terrorism. Classical examples of specific infectious diseases will be thoroughly discussed. The importance and the need of understanding complex issues related to the bio-terror attacks by looking at previously induced deadly infections episodes on massive scale will be briefly covered. Moreover the impact of bioterror attack on large scale and its public health consequences will be explained. Discussion, Q & A Power point illustrative presentation and scientific literature review, WHO Video MCQs and participatory discussions 1. Preparedness for the deliberate use of biological agents-a rational approach to the unthinkable. WHO/CDC/CSR/EPH/May 2002. 2. Eric K. Noji, Bioterrorism: A ‘new’ global environmental health threat Global Change & Human Health, Volume 2, No. 1 (2001), 46-53. 3. Eric K. Noji. Surveillance and Epidemiology. HELP-CDC, July 2002. 4. Disaster Response and Biological/Chemical Terrorism, Information Packet Prepared by Eergency Medical Services Departement, American College of emergency physician. October 2001. 5. Ali S Khan, Stephen Morse, Scott Lillibridge. Public-health preparedness for biological terrorism in the USA. THE LANCET • Vol 356 • September 30, 2000 1179-1182. 6. Thomas V. Inglesby, Donald A. Henderson, Anthrax as a Biological Weapon 7. Medical and Public Health Management 1999 American Medical Association. All rights reserved. JAMA, May 12, 1999—Vol 281, No.18, 1735. 8. Okumura T, Suzuki K, Fukuda A, et al. The Tokyo subway sarin attack: disaster management, part 1: community emergency response. Acad Emerg Med 1998; 5: 613–17. 9. Report of a Royal Society Group. Measures for controlling the threat from biological weapons. London: The Royal Society, 2000. 10. Centers for Disease Control Prevention. Preventing emerging infectious diseases: strategies for the 21st century. Overview of the updated CDC plan. Morb Mortal Wkly Rep MMWR 1998; 47 (RR15): 1–14. 11. Meselson M, Guillemin J, Hugh-Jones M, et al. Sverdlovsk anthrax outbreak of 1979. Science 1994; 266: 1202–08. 12. Kaufmann AF, Meltzer MI, Schmid GP. The economic impact of a bioterrorist attack: are prevention and post attack intervention programs justifiable? Emerg Infect Dis 1997; 3: 83–94. 1 13. kInglesby TV, Henderson DA, Bartlett JG, et al. Anthrax as a biological weapon: medical and public health management—working group on civilian biodefense. JAMA 1999; 281: 1735–45. TITLE OF LECTURE Lecturer & speciality area Address: email Keywords Learning Objectives Synopsis Teaching Methods Assessment Tools Recommended References BIOLOGICAL AGENTS & PUBLIC HEALTH CAUSALITIES Dr. Ibrahim Khan, MBBS, MPH, PhD (Infectious Diseases) Ibrahim.khan@uni-bielefeld.de Anthrax, Smallpox, Tularaemia, VHF & Plague -students will learn five major biological agents and their respective diseases -manifestation, recognition, modes of spread -problems in diagnosis -students will learn future scenarios if any of these agents are used in biological attack -students will learn why are these five agents of high public health concern? -students will learn disease specific causalities & public health impact This lecture predominantly focuses on five major biological agents (Anthrax, Smallpox, Tularaemia, VHF & Plague) that can be or may be used in a bio-terror attack. Based on the burden of mortality, morbidity, and disease transmission each agent and conditions/diseases induced by these agents will be thoroughly discussed. Problems in detection, screening and treating such conditions will be a major theme of the lecture. The lecture will be followed by participatory discussion (Q& A) Power point illustrative presentation followed by review of scientific literature , CDC Video Participatory discussions and MCQs 1. Preparedness for the deliberate use of biological agents-a rational approach to the unthinkable. WHO/CDC/CSR/EPH/May 2002. 2. Eric K. Noji, Bioterrorism: A ‘new’ global environmental health threat Global Change & Human Health, Volume 2, No. 1 (2001), 46-53. 3. Eric K. Noji. Surveillance and Epidemiology. HELP-CDC, July 2002. 4. Disaster Response and Biological/Chemical Terrorism, Information Packet Prepared by Eergency Medical Services Departement, American College of emergency physician. October 2001. 5. Ali S Khan, Stephen Morse, Scott Lillibridge. Public-health preparedness for biological terrorism in the USA. THE LANCET • Vol 356 • September 30, 2000 1179-1182. 6. Thomas V. Inglesby, Donald A. Henderson, Anthrax as a Biological Weapon 7. Medical and Public Health Management 1999 American Medical Association. All rights reserved. JAMA, May 12, 1999—Vol 281, No.18, 1735. 8. Okumura T, Suzuki K, Fukuda A, et al. The Tokyo subway sarin attack: disaster management, part 1: community emergency response. Acad Emerg Med 1998; 5: 613–17. 9. Report of a Royal Society Group. Measures for controlling the threat from biological weapons. London: The Royal Society, 2000. 10. Centers for Disease Control Prevention. Preventing emerging infectious diseases: strategies for the 21st century. Overview of the updated CDC plan. 2 Morb Mortal Wkly Rep MMWR 1998; 47 (RR15): 1–14. 11. Meselson M, Guillemin J, Hugh-Jones M, et al. Sverdlovsk anthrax outbreak of 1979. Science 1994; 266: 1202–08. 12. Kaufmann AF, Meltzer MI, Schmid GP. The economic impact of a bioterrorist attack: are prevention and post attack intervention programs justifiable? Emerg Infect Dis 1997; 3: 83–94. 13. kInglesby TV, Henderson DA, Bartlett JG, et al. Anthrax as a biological weapon: medical and public health management—working group on civilian biodefense. JAMA 1999; 281: 1735–45. TITLE OF LECTURE Lecturer & speciality area Address: email Keywords Learning Objectives Synopsis Teaching Methods Assessment Tools Recommended References SURVEILLANCE, PLANNING & TRIAGE IN THE TIME OF LARGE SCALE BIO-TERROR EVENT Dr. Ibrahim Khan, MBBS, MPH, PhD (Infectious Diseases) Ibrahim.khan@uni-bielefeld.de Surveillance, Planning & Triage in Bio-terror attack -Students will learn the epidemiologic approach to bio-terror attack -learn the importance and modes of surveillance -how to plan and conduct triage on a large scale -learning out break investigation, SEIRV* model and PICE# staging in case of bio-terror event With an epidemiologic approach the lecture will cover issues related to Surveillance, Planning & Triage in a large scale Bio-terror attack. Keeping resources and facilities of the health system in mind greater emphasis will be given how to establish an effective surveillance system, effectively plan and efficiently manage bio-terror disasters. Discussion (Q&A) Power point illustrative presentation followed by review of scientific literature , CDC Video Scientific research literature review & MCQs 1. Preparedness for the deliberate use of biological agents-a rational approach to the unthinkable. WHO/CDC/CSR/EPH/May 2002. 2. Eric K. Noji, Bioterrorism: A ‘new’ global environmental health threat Global Change & Human Health, Volume 2, No. 1 (2001), 46-53. 3. Eric K. Noji. Surveillance and Epidemiology. HELP-CDC, July 2002. 4. Disaster Response and Biological/Chemical Terrorism, Information Packet Prepared by Eergency Medical Services Departement, American College of emergency physician. October 2001. 5. Ali S Khan, Stephen Morse, Scott Lillibridge. Public-health preparedness for biological terrorism in the USA. THE LANCET • Vol 356 • September 30, 2000 1179-1182. 6. Thomas V. Inglesby, Donald A. Henderson, Anthrax as a Biological Weapon 7. Medical and Public Health Management 1999 American Medical Association. All rights reserved. JAMA, May 12, 1999—Vol 281, No.18, 1735. 8. Okumura T, Suzuki K, Fukuda A, et al. The Tokyo subway sarin attack: disaster management, part 1: community emergency response. Acad Emerg Med 1998; 5: 613–17. 9. Report of a Royal Society Group. Measures for controlling the threat from biological weapons. London: The Royal Society, 2000. 10. Centers for Disease Control Prevention. Preventing emerging infectious diseases: strategies for the 21st century. Overview of the updated CDC plan. Morb Mortal Wkly Rep MMWR 1998; 47 (RR15): 1–14. 11. Meselson M, Guillemin J, Hugh-Jones M, et al. Sverdlovsk anthrax outbreak of 1979. Science 1994; 266: 1202–08. 12. Kaufmann AF, Meltzer MI, Schmid GP. The economic impact of a bioterrorist attack: are prevention and post attack intervention programs 3 justifiable? Emerg Infect Dis 1997; 3: 83–94. 13. kInglesby TV, Henderson DA, Bartlett JG, et al. Anthrax as a biological weapon: medical and public health management—working group on civilian biodefense. JAMA 1999; 281: 1735–45. * SEIRV model, S-susceptible, E-exposed, I-infections, R-removed, V-vaccinated # PICE staging- Potential of injury/illness creating event TITLE OF LECTURE Lecturer & speciality area Address: email Keywords Learning Objectives Synopsis Teaching Methods Assessment Tools Recommended References PHYSICIAN, PUBLIC HEALTH, HOSPITAL & COMMUNITY PREPAREDNESS FOR BIOTERROR Dr. Ibrahim Khan, MBBS, MPH, PhD (Infectious Diseases) Ibrahim.khan@uni-bielefeld.de Physician, Public Health, Hospital Preparedness -Students will learn the expected roles & responsibilities of physicians, public health experts and hospitals in terms of managing the victims of biological disaster -students will learn what public needs to know in such events and personal safety issues The lecture focuses on crucial issues related to biological disasters and terror attacks. It discusses the level of physician’s knowledge about rare diseases, practices and advance techniques for detecting, treating infected patients while rescuing them. The lecture also focuses the issues of disinfections and public awareness and community dynamics and environmental issues by using media and other technologies. Discussion and Q&A Power point illustrative presentation followed by review of scientific literature , CDC Video Group presentations 1. Preparedness for the deliberate use of biological agents-a rational approach to the unthinkable. WHO/CDC/CSR/EPH/May 2002. 2. Eric K. Noji, Bioterrorism: A ‘new’ global environmental health threat Global Change & Human Health, Volume 2, No. 1 (2001), 46-53. 3. Eric K. Noji. Surveillance and Epidemiology. HELP-CDC, July 2002. 4. Disaster Response and Biological/Chemical Terrorism, Information Packet Prepared by Eergency Medical Services Departement, American College of emergency physician. October 2001. 5. Ali S Khan, Stephen Morse, Scott Lillibridge. Public-health preparedness for biological terrorism in the USA. THE LANCET • Vol 356 • September 30, 2000 1179-1182. 6. Thomas V. Inglesby, Donald A. Henderson, Anthrax as a Biological Weapon 7. Medical and Public Health Management 1999 American Medical Association. All rights reserved. JAMA, May 12, 1999—Vol 281, No.18, 1735. 8. Okumura T, Suzuki K, Fukuda A, et al. The Tokyo subway sarin attack: disaster management, part 1: community emergency response. Acad Emerg Med 1998; 5: 613–17. 9. Report of a Royal Society Group. Measures for controlling the threat from biological weapons. London: The Royal Society, 2000. 10. Centers for Disease Control Prevention. Preventing emerging infectious diseases: strategies for the 21st century. Overview of the updated CDC plan. Morb Mortal Wkly Rep MMWR 1998; 47 (RR15): 1–14. 11. Meselson M, Guillemin J, Hugh-Jones M, et al. Sverdlovsk anthrax outbreak of 1979. Science 1994; 266: 1202–08. 12. Kaufmann AF, Meltzer MI, Schmid GP. The economic impact of a 4 bioterrorist attack: are prevention and post attack intervention programs justifiable? Emerg Infect Dis 1997; 3: 83–94. 13. kInglesby TV, Henderson DA, Bartlett JG, et al. Anthrax as a biological weapon: medical and public health management—working group on civilian biodefense. JAMA 1999; 281: 1735–45. TITLE OF LECTURE Lecturer & speciality area Address: email Keywords Learning Objectives Synopsis Teaching Methods Assessment Tools Recommended References USEFUL INFORMATION SOURCES ON BIOTERRORISM (INTRODUCTION & PRACTICE) Dr. Ibrahim Khan, MBBS, MPH, PhD (Infectious Diseases) Ibrahim.khan@uni-bielefeld.de Books, articles and internet sources of info -students will learn how to utilize the info on the issue This session of internet projection on the screen will show the important website info from CDC, WHO, Robert Koch Institute. Text books of British Royal society on the subjects Literature on Guidelines and safety measures for public health students Instructions, mutual discussions and power point presentation Teach & Practice 1. Preparedness for the deliberate use of biological agents-a rational approach to the unthinkable. WHO/CDC/CSR/EPH/May 2002. 2. Eric K. Noji, Bioterrorism: A ‘new’ global environmental health threat Global Change & Human Health, Volume 2, No. 1 (2001), 46-53. 3. Eric K. Noji. Surveillance and Epidemiology. HELP-CDC, July 2002. 4. Disaster Response and Biological/Chemical Terrorism, Information Packet Prepared by Eergency Medical Services Departement, American College of emergency physician. October 2001. 5. Ali S Khan, Stephen Morse, Scott Lillibridge. Public-health preparedness for biological terrorism in the USA. THE LANCET • Vol 356 • September 30, 2000 1179-1182. 6. Thomas V. Inglesby, Donald A. Henderson, Anthrax as a Biological Weapon 7. Medical and Public Health Management 1999 American Medical Association. All rights reserved. JAMA, May 12, 1999—Vol 281, No.18, 1735. 8. Okumura T, Suzuki K, Fukuda A, et al. The Tokyo subway sarin attack: disaster management, part 1: community emergency response. Acad Emerg Med 1998; 5: 613–17. 9. Report of a Royal Society Group. Measures for controlling the threat from biological weapons. London: The Royal Society, 2000. 10. Centers for Disease Control Prevention. Preventing emerging infectious diseases: strategies for the 21st century. Overview of the updated CDC plan. Morb Mortal Wkly Rep MMWR 1998; 47 (RR15): 1–14. 11. Meselson M, Guillemin J, Hugh-Jones M, et al. Sverdlovsk anthrax outbreak of 1979. Science 1994; 266: 1202–08. 12. kInglesby TV, Henderson DA, Bartlett JG, et al. Anthrax as a biological weapon: medical and public health management—working group on civilian biodefense. JAMA 1999; 281: 1735–45. 5 INTERNATIONAL ENVIRONMENT HEALTH PROF. U. LAASER SECTION OF INTERNATIONAL PUBLIC HEALTH (S-IPH) Bielefeld School of Public Health University of Bielefeld TITLE OF LECTURE Lecturer & speciality area Address: email Keywords Learning Objectives Synopsis Teaching Methods Assessment Tools Recommended References RADIATION ACCIDENTS, EMERGENCIES & PREPAREDNESS Dr. Ibrahim Khan, MBBS, MPH, PhD (Infectious Diseases) Ibrahim.khan@uni-bielefeld.de Radiation Accidents, Emergencies, REMPAN -students will learn global environmental issues that cause massive causalities e.g., in case of radiation disaster -students will learn the role of environmental sciences in prevention and limiting diseases and disabilities -WHO Strategies that deal with global environmental issues The lecture provide vital facts and insights into the issues environmental disasters, depleted uranium, sources, exposure and health impacts. Taking the example of Chernobyl disaster the lecture provides a brief overview of WHO strategies and preventive efforts by discussing the mission of REMPANRadiation Emergency Preparedness & Assistance Network. The lecture covers also the modalities for protecting future human environment. Power point presentation, discussions and Q&A Literature review and MCQs test 1. 2. 3. 4. 5. Protection of the humn environment. Health consequences of the Chernobyle accidents. Results of the IPHECA pilot projects & related national programes. WHO summary report, 1995. (www.who.int/peh/Radiation/Chernobyl.htm) International –Program on chemical safety, Global assessment of the state of the science of endocrine disrupters.WHO/PCS/EDC/02.2. Water & sanitation.(www.who.int/water-sanitation-health) Health Waste management. WHO/News/sitemap/HTPBCThome/BTS/QSD/DIL/DCT Chemical incidents & Emergencies. Role & responses of WHO & IPCS. (www.who.int/pcs/chem-incid-site/chem-incid- emerg.html) 6. www.intox.org 7. www.opcw.org 8. www.inchem.org 6 TITLE OF LECTURE Lecturer & speciality area Address: email Keywords Learning Objectives Synopsis Teaching Methods Assessment Tools Recommended References HEALTH WASTE MANAGEMENT Dr. Ibrahim Khan, MBBS, MPH, PhD (Infectious Diseases) Ibrahim.khan@uni-bielefeld.de Waste, management,biological, chemical & nuclear -students will learn what is health waste management, global facts and figures -students will learn the difficulties of disposal and implication of biological, chemical and nuclear waste material on human health -students will learn WHO Policy and strategies The lecture focuses on the problem of health waste management of biological, chemical & nuclear nature, its global impact public health and threats for future generations. Discussing countries case studies, the lecture emphasises on focusing on local solutions for global problem and provide a brief account of the initiative of Devices & Clinical Technology (DCT). Power point presentations, group discussion, Q&A Group Presentation on selected problems 1. 2. 3. 4. International –Program on chemical safety, Global assessment of the state of the science of endocrine disrupters.WHO/PCS/EDC/02.2. Water & sanitation.(www.who.int/water-sanitation-health) Health Waste management. WHO/News/sitemap/HTPBCThome/BTS/QSD/DIL/DCT Chemical incidents & Emergencies. Role & responses of WHO & IPCS. (www.who.int/pcs/chem-incid-site/chem-incid- emerg.html) 5. Protection of the humn environment. Health consequences of the Chernobyle accidents. Results of the IPHECA pilot projects & related national programes. WHO summary report, 1995. (www.who.int/peh/Radiation/Chernobyl.htm) www.intox.org www.opcw.org 8. www.inchem.org 6. 7. 7 TITLE OF LECTURE Lecturer & speciality area Address: email Keywords Learning Objectives Synopsis Teaching Methods Assessment Tools Recommended References EXPOSURE TO ENDOCRINE DISRUPTERS (EDCs) Dr. Ibrahim Khan, MBBS, MPH, PhD (Infectious Diseases) Ibrahim.khan@uni-bielefeld.de exposure, endocrine disrupters (EDCs) -students will learn what are endocrine disrupters - learn facts and figure and public health impact - learn WHO & strategies and case reports The lecture provides insights into the long globally neglected problem i.e., endocrine disrupters (EDCs) which is related to naturally occurring and synthetic substances, plastic materials, pesticides, monomers, breakdown products and persistent environmental pollutants to which millions of people and specially children are exposed to. The lecture illustrates various international policies and actions taken against the hazardous substances for instance, substance control Act-1976 and international program on chemical safety (IPCS). Power point presentation, Group discussions, Q&A Scientific literature review & group presentation 1. 2. 3. 4. International –Program on chemical safety, Global assessment of the state of the science of endocrine disrupters.WHO/PCS/EDC/02.2. Water & sanitation.(www.who.int/water-sanitation-health) Health Waste management. WHO/News/sitemap/HTPBCThome/BTS/QSD/DIL/DCT Chemical incidents & Emergencies. Role & responses of WHO & IPCS. (www.who.int/pcs/chem-incid-site/chem-incid- emerg.html) 5. Protection of the humn environment. Health consequences of the Chernobyle accidents. Results of the IPHECA pilot projects & related national programes. WHO summary report, 1995. (www.who.int/peh/Radiation/Chernobyl.htm) www.intox.org www.opcw.org 8. www.inchem.org 6. 7. 8 TITLE OF LECTURE Lecturer & speciality area Address: email Keywords Learning Objectives Synopsis Teaching Methods Assessment Tools Recommended References BIOLOGICAL EVOLUTION AND PUBLIC HEALTH CHALLENGES (VIDEO) Dr. Ibrahim Khan, MBBS, MPH, PhD (Infectious Diseases) Ibrahim.khan@uni-bielefeld.de Microbes, evolution, resistance, infections -students will learn what does evolution mean and -what are biological and ecological diversities ? -students will learn how it takes place and its public health consequences and challenges in infection control The lecture provides a comprehensive review of the concept of biological evolution and the reasons that provide a greater impetus to the process of biological evolution. Briefly reviewing those biological agents which cause lethal and serious infections among human population. Taking the case of multiple drug resistance (MDR), considering the highest mortality and morbidity figures, the lecture provides insights into to the crucial issue of rapidly emerging resistant tuberculosis on global level and its impact of health system. In order to deal with this threatening issue the lecture categorically addresses all vital aspects and discusses the matter of competent management and prevention with public health perspective. Power point presentation, group discussion, video demonstration Review of Scientific research literature, Q&A and MCQs test 1. 2. 3. 4. 5. 6. 7. 8. Dye C, Williams BG, Espinal MA, Raviglione MC. Erasing the world's slow stain: strategies to beat multidrug-resistant tuberculosis. Science 2002;295:2042-6. Khan IM, Laaser U.Resistance and refugees in Pakistan: challenges ahead in tuberculosis control. Lancet Infect Dis. 2002 May;2(5):270-2. Khan IM, Yassin KM, Hurrelmann K, Laaser U.Urging health system research: identifying gaps and fortifying tuberculosis control in Pakistan. Croat Med J. 2002 Aug;43(4):480-4. Khan, I.M., U. Laaser. Burden of Tuberculosis in Afghanistan: Update on a War-stricken Country. Croatian Medical Journal 43/2 (2002), 245247. Pablos-Mendez A, Gowda DK, Frieden TR.Controlling multidrugresistant tuberculosis and access to expensive drugs: a rational framework. Bull World Health Organ. 2002;80(6):489-95; discussion 495500. World Health Organisation. Anti-tuberculosis drug resistance in the world: the WHO/IUATLD global project on anti-tuberculosis drug resistance surveillance 1994-7. Geneva; WHO 1997. WHO Report 2002.Global Tuberculosis Control: Surveillance, Planning, Financing WHO/CDS/TB/2002.295. WHO Global DOTS expansion plan, program in the TB control in high burden countries, WHO/CDS/2001 9 TITLE OF LECTURE Lecturer & speciality area Address: email Keywords Learning Objectives Synopsis Teaching Methods Assessment Tools Recommended References FOOD & WATER BORN INFECTIONS & INTOXICATIONS Dr. Ibrahim Khan, MBBS, MPH, PhD (Infectious Diseases) Ibrahim.khan@uni-bielefeld.de Food borne infections, environment, prevention -students will learn important food & water born diseases and intoxication states -preventive measures and food security issues This lecture focuses on food related outbreaks in which environment have a key role. Discussing the examples of salmonella and Giardia etc. the content, facts and medical evidences provide a comprehensive overview of transmission nodes that can play a pivotal role in improving as well as securing community health. Surveillance and management aspects in outbreak situation are thoroughly discussed. Power point presentation, group discussion Literature review, Q&A and MCQs 1. Water & sanitation.(www.who.int/water-sanitation-health) 2. 3. 4. 5. 6. 7. Törörk TJ, Tauxe RV, Wise RP, et al. A large community outbreak of Salmonellosis caused by intentional contamination of restaurant salad bars. JAMA 1997; 278: 389–95. Stephenson J. New approaches for detecting and curtailing foodborne microbial infections. JAMA 1997; 277: 1337, 1339–40. Protection of the humn environment. Health consequences of the Chernobyle accidents. Results of the IPHECA pilot projects & related national programes. WHO summary report, 1995. (www.who.int/peh/Radiation/Chernobyl.htm) International –Program on chemical safety, Global assessment of the state of the science of endocrine disrupters.WHO/PCS/EDC/02.2. Health Waste management. WHO/News/sitemap/HTPBCThome/BTS/QSD/DIL/DCT Chemical incidents & Emergencies. Role & responses of WHO & IPCS. (www.who.int/pcs/chem-incid-site/chem-incid- emerg.html) 10 TITLE OF LECTURE Lecturer & speciality area Address: email Keywords Learning Objectives Synopsis Teaching Methods Assessment Tools Recommended References ENVIRONMENTAL HAZARDS & RESPIRATORY INFECTIONS Dr. Ibrahim Khan, MBBS, MPH, PhD (Infectious Diseases) Ibrahim.khan@uni-bielefeld.de Environment, hazards, respiratory infections -students will learn the role of environment in diseases induction and progression in human pollution -students will learn particularly on respiratory infections and allergies and coping strategies as environmental and public health experts The lecture focuses on the epidemiology, burden of outdoor and indoor pollution and environment induced diseases and disorders. It discusses briefly the impact on susceptible communities in developing countries by taking the example of chronic obstructive pulmonary diseases (COPD) & reviews the applicability and adoptability of Global Initiative for chronic Obstructive Lung Diseases (GOLD) Strategy. Power Point Presentation, Group discussion, scientific literature review Case studies and Q&A and MCQs 1. 2. 3. 4. Protection of the humn environment. Health consequences of the Chernobyle accidents. Results of the IPHECA pilot projects & related national programes. WHO summary report, 1995. (www.who.int/peh/Radiation/Chernobyl.htm) International –Program on chemical safety, Global assessment of the state of the science of endocrine disrupters.WHO/PCS/EDC/02.2. Health Waste management. WHO/News/sitemap/HTPBCThome/BTS/QSD/DIL/DCT Chemical incidents & Emergencies. Role & responses of WHO & IPCS. (www.who.int/pcs/chem-incid-site/chem-incid- emerg.html) 5. www.intox.org 6. www.opcw.org 7. www.inchem.org 11