Risk, Toxicology, & Human Health Chapter 19 Winter Break Homework Assignment Due 2.25.13 1. Define risk, risk assessment, and risk management. What is the different between probability and possibility? Give an example that shows the difference between the two. Risk is the possibility being harmed by a hazard. R. assessment is the process of estimating how much harm a hazard can cause to health. R. management is a process of determining how (or whether) to reduce a risk to a lover level. Possibility means something can happen, while probability estimates HOW likely is to happen. 2. List four general types of hazards and give two examples of each. Cultural hazards (work zones, smoking, bad habits, POVERTY) Physical hazards (environmental conditions that affect all: UV rad., volcanoes Chemical hazards (air, water, food pollutants) Biological hazards (pathogens, allergens) 3. Define toxicity and describe what factors affect toxicity. Toxicity measures how harmful a substance is in causing harm to a l.t. It’s affected by dose size, frequency of exposure, who’s dosed, detox systems in body, solubility of toxin, too. 4. Define and explain the differences between bioaccumulation and biomagnification. Bioaccumulation is absorption and storage of molecules at concentrations higher than normal levels. Biomagnification means some toxins are magnified in concentration as they travel from low trophic levels to higher trophic levels. 5. What five major factors can affect the harm caused by a substance? Explain each. 1. Solubility: water or oil/fat-: water soluble travel through ecosystems, fat soluble toxins tend to pass through cell membranes (phospholipid bilayer) 2. Persistance: tendency not to degrade over time (DDT 3. Bioaccumulation: 4. Biomagnification: 5. Chemicals react with each other!!! Antagonistic reactions decrease harmful effects but Synergistic reactions multiply/amplify harm (acute vs. chronic) 6. Explain how synergism and antagonism are different. 7. Explain the relationship between dose and response. Distinguish between acute and chronic exposures and acute and chronic effects. Dose is the quantity of a toxin to which one is exposed. The dose makes the poison, but differently for different individuals. Response is the type and extent of damage that results from the dosage. Acute exposure is a quantity over a single period of ingestion, chronic exposure is longer term. Acute effect is rapid harm soon following exposure (e.g., dizziness after a few drinks of alcohol), chronic effect is long term, permanent or long-lasting consequesnce (sirrhosis of liver after a life of drinking heavily) Revised 2/16/2016 Page 1 of 4 8. 9. Describe a dose-response curve. Evaluate the usefulness and limits of the following in determining toxicity of substances: a) case studies b) laboratory experiments c) epidemiology studies A dose-response curve relates the dosage of a chemical to the percentage of a population that is killed (affected however) by the chemical. Case studies are useful because they give great details concerning individual cases, but specific doses are often not well documented (not controlled esperiments) Laboratory experiments are very useful because the conditions of assessment are very controlled and huge amounts of data can be collcted. Also, the data are compared to control groups. However, often those data are collected using non-human test subjects and the effects of doses on non-humans may not correlate directly with human responses Epidemiological Studies compare the health of people who have been exposed (in situ) to chemical with the health of a control group who they know have not been exposed. Used to determine (statistically) if exposure casues the problem. Limitations include: small sample sizes; linking effect to exposure is DIFFICULt when exposure to other chemiclas isn’t known Explain the differences between a linear dose-response model and a threshold dose-response model. Draw a picture of each and describe the difficulty in deciding which model applies best when low doses are involved. The difference between linear dose-response and threshold dose-response models is that a threshold dose requires a minimum dose beyond which response will be measurable. Non threshold doses mean that any dose will cause a response 10. Define epidemiology and explain its strengths and weaknesses in predicting the toxicity of various chemicals, bacteria, and viruses. Study of the patterns, causes and effects on health and disease in a given population. (see #8) 11. Explain the differences between the following: mutagens, carcinogens, teratogens. Three major classes of toxic agents: 1. Mutagens: substances or radiation cause or increase frequency of mutations in DNA/RNA sequences 2. Teratogens: substances or radiation that cause harm or birth defects to fetus, embryo or gametes 3. Carcinogens: substances or radiation that cause or promote cancer-the uncontrolled growth of cells 12. Explain how chemical harm each of the following systems and list examples of each type of chemical: a) Immune system: toxins can weaken immunity leaving body vulnerable to attacks by virus, bacteria, allergens, etc. b) Nervous system neurotoxins affect nervous system; many interfere with neurotransmitters between synapses of neurons: cause behavioral changes, paralysis death. c) Endocrine system: many synthetic chemiclas mimic and disrupt effects of hormones. Some act as hormone disrupters 13. Explain how each of the following chemicals works: a) hormone disrupter: prevent hormones from acting on cells appropriately: they deactivate receptor sites and prevent-among other things-natural feedback mechanisms. b) hormone mimic similar to disruptors. Leave it that c) hormone blocker prevent natural hormones from attaching to receptors 14. Distinguish between transmissible and non-transmissible diseases. List the six deadliest Revised 2/16/2016 Page 2 of 4 infectious diseases. Summarize the state of the battle against bacterial infections. Describe how transmission of viral diseases can result in pandemics. N-T non-living vectors, not spread/contagious to others. Often have multiple causes. Eg., cardiovascular diseases, diabetes, emphysema, etc. Transmissible: caused by living organisms (virus (sic), bact., other infectious agents (pathogens) spread by air water food body fluids. Some have insect vectors, too. Battle against bacterial infections is tough: bacteria reproduce so rapidly, they evolve resistance to antibiotic drugs rapidly. Overuse of pesticides and antibiotics in agriculture contributes to this. MOST DEADLY Diseases: 1. Pneumonia/Flu 2. HIV/AIDS 3. Diarrheal diseases 4. TB 5. Malaria 6. HEP B Viral disease transmission: can become pandemic because many people exposed to viruses either show no symptoms, or the diseases caused have long incubation periods 15. Compare and contrast an epidemiologic transition to a demographic transition. Summarize how developing countries and developed countries can best improve their health. Epidemiological transition: as industrialization progresses, deaths from infectious diseases decreases and deaths from chronic diseases of adulthood increase (cv diseases, stroke, cancers, respiratory, etc.) 16. What are the six possible common agents that might be used as biological weapons? How would we prepare our population to protect ourselves from each? 17. Define risk analysis. Compare technology reliability to human reliability. Risk analysis: identifying hazards and evaluating associated risks 18. List seven questions risk managers ask. List seven cases in which the public generally perceives that a technology or product has a greater risk than the risk estimated by experts. 19. Make a list of the risks you take on a daily basis (you should have about 20-30). Classify them into the following categories: chosen risks; risks over which you have no control. 20. In the news (NYT: “Mice fall short as test subjects…”) this week, there is an article that suggests that the standard animals that are used in Dose Response-type assays occasionally produce results that aren’t as useful as has long been believed. Please provide a brief summary of this article. Revised 2/16/2016 Page 3 of 4 Revised 2/16/2016 Page 4 of 4