U.S. Health in International Perspective


Book Description

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.




Environmental Illness


Book Description

Environmental illness: certain health professionals and clinical ecologists claim it impacts and inhibits 15 percent of the population. Its afflicted are led to believe environmental illness (EI) originates with food, chemicals, and other stimuli in their surroundings -as advocates call for drastic measures to remedy the situation. What if relief proves elusive-and the patient is sent on a course of ongoing, costly and ineffective "treatment"? Several hundred individuals who believed they were suffering from EI have been evaluated or treated by Herman Staudenmayer since the 1970s. Staudenmayer believed the symptoms harming his patients actually had psychophysiological origins-based more in fear of a hostile world than any suspected toxins contained in the environment. Staudenmayer's years of research, clinical work-and successful care-are now summarized in Environmental Illness: Myth & Reality. Dismissing much of the information that has attempted to defend EI and its culture of victimization, Staudenmayer details the alternative diagnoses and treatments that have helped patients recognize their true conditions-and finally overcome them, often after years of prolonged suffering.




Environmental Medicine


Book Description

People are increasingly concerned about potential environmental health hazards and often ask their physicians questions such as: "Is the tap water safe to drink?" "Is it safe to live near power lines?" Unfortunately, physicians often lack the information and training related to environmental health risks needed to answer such questions. This book discusses six competency based learning objectives for all medical school students, discusses the relevance of environmental health to specific courses and clerkships, and demonstrates how to integrate environmental health into the curriculum through published case studies, some of which are included in one of the book's three appendices. Also included is a guide on where to obtain additional information for treatment, referral, and follow-up for diseases with possible environmental and/or occupational origins.




Under the Weather


Book Description

Since the dawn of medical science, people have recognized connections between a change in the weather and the appearance of epidemic disease. With today's technology, some hope that it will be possible to build models for predicting the emergence and spread of many infectious diseases based on climate and weather forecasts. However, separating the effects of climate from other effects presents a tremendous scientific challenge. Can we use climate and weather forecasts to predict infectious disease outbreaks? Can the field of public health advance from "surveillance and response" to "prediction and prevention?" And perhaps the most important question of all: Can we predict how global warming will affect the emergence and transmission of infectious disease agents around the world? Under the Weather evaluates our current understanding of the linkages among climate, ecosystems, and infectious disease; it then goes a step further and outlines the research needed to improve our understanding of these linkages. The book also examines the potential for using climate forecasts and ecological observations to help predict infectious disease outbreaks, identifies the necessary components for an epidemic early warning system, and reviews lessons learned from the use of climate forecasts in other realms of human activity.




Preventing Disease Through Healthy Environments


Book Description

"The main message emerging from this new comprehensive global assessment is that premature death and disease can be prevented through healthier environments--and to a significant degree. Analysing the latest data on the environment-disease nexus and the devastating impact of environmental hazards and risks on global health, backed up by expert opinion, this report covers more than 130 diseases and injuries. The analysis shows that 23% of global deaths (and 26% of deaths among children under five) are due to modifiable environmental factors--and therefore can be prevented. Stroke, ischaemic heart disease, diarrhoea and cancers head the list. People in low-income countries bear the greatest disease burden, with the exception of noncommunicable diseases. The report's unequivocal evidence should add impetus to coordinating global efforts to promote healthy environments--often through well-established, cost-effective interventions. This analysis will inform those who want to better understand the transformational spirit of the Sustainable Development Goals agreed by Heads of State in September 2015. The results of the analysis underscore the pressing importance of stronger intersectoral action to create healthier environments that will contribute to sustainably improving the lives of millions around the world."--Page 4 of cover.




Health and the Environment in the Southeastern United States


Book Description

The purpose of this regional workshop in the Southeast was to broaden the environmental health perspective from its typical focus on environmental toxicology to a view that included the impact of the natural, built, and social environments on human health. Early in the planning, Roundtable members realized that the process of engaging speakers and developing an agenda for the workshop would be nearly as instructive as the workshop itself. In their efforts to encourage a wide scope of participation, Roundtable members sought input from individuals from a broad range of diverse fields-urban planners, transportation engineers, landscape architects, developers, clergy, local elected officials, heads of industry, and others. This workshop summary captures the discussions that occurred during the two-day meeting. During this workshop, four main themes were explored: (1) environmental and individual health are intrinsically intertwined; (2) traditional methods of ensuring environmental health protection, such as regulations, should be balanced by more cooperative approaches to problem solving; (3) environmental health efforts should be holistic and interdisciplinary; and (4) technological advances, along with coordinated action across educational, business, social, and political spheres, offer great hope for protecting environmental health. This workshop report is an informational document that provides a summary of the regional meeting.




Climate Change, Public Health, and the Law


Book Description

Presents comprehensively the currently un-mapped constellation of issues related to climate change, public health, and the law.




Chemical Sensitivity


Book Description

Chemical sensitivity (or "multiple chemical sensitivity") describes people with numerous troubling symptoms attributed to environmental factors, from simple housepaint to complex building structures and materials in offices and schools. Many such people are seeking special accommodations, applying for disability benefits, and filing lawsuits claiming that exposure to common foods and chemicals has made them ill. Their efforts are supported by some physicians who refer themselves as clinical ecologists. They use questionable diagnoses and treatment methods, while critics charge that these approaches are bogus and that "chemical sensitivity" is not a valid diagnosis. The complaints associated with chemical sensitivity include depression, irritability, poor memory, fatigue, drowsiness, constipation, sneezing, wheezing, skin rashes, headache, chest pain, pounding heart, swelling, upset stomach, paralysis, AIDS-like illnesses, psychotic experiences, and just about every other symptom noted in medical textbooks. One prominent clinical ecologist even claimed that chemical sensitivity patients may well be human "canaries" on an increasingly poisoned planet, and others have actually labeled chemical sensitivity as a disease. While some people are adversely affected by exposure to some chemicals, there is an overwhelming increase in false claims and reports from misled obsessive patients and opportunistic doctors. Chemical Sensitivity examines this phenomenon in depth and the scientific, legal, ethical, and political issues that surround it. The authors explore the speculations about environmental exposure in the light of scientific knowledge of human physiology, allergy and immunology, pathology, toxicology, and clinical medicine. They evaluate cases of chemical sensitivity relative to controlled tests, and reveal that symptoms were brought on by psychological factors rather than physical ones. Chemical Sensitivity also critically assesses claims related to "sick building syndrome," "mercury-amalgam toxicity," "yeast allergy," and Gulf War syndrome.




Bodies in Protest


Book Description

Gulf War Syndrome: Is It a Real Disease? asks a recent headline in the New York Times. This question—are certain diseases real?—lies at the heart of a simmering controversy in the United States, a debate that has raged, in different contexts, for centuries. In the early nineteenth century, the air of European cities, polluted by open sewers and industrial waste, was generally thought to be the source of infection and disease. Thus the term miasma—literally deathlike air—came into popular use, only to be later dismissed as medically unsound by Louis Pasteur. While controversy has long swirled in the United States around such illnesses as chronic fatigue syndrome and Epstein-Barr virus, no disorder has been more aggressively contested than environmental illness, a disease whose symptoms are distinguished by an extreme, debilitating reaction to a seemingly ordinary environment. The environmentally ill range from those who have adverse reactions to strong perfumes or colognes to others who are so sensitive to chemicals of any kind that they must retreat entirely from the modern world. Bodies in Protest does not seek to answer the question of whether or not chemical sensitivity is physiological or psychological, rather, it reveals how ordinary people borrow the expert language of medicine to construct lay accounts of their misery. The environmentally ill are not only explaining their bodies to themselves, however, they are also influencing public policies and laws to accommodate the existence of these mysterious illnesses. They have created literally a new body that professional medicine refuses to acknowledge and one that is becoming a popular model for rethinking conventional boundaries between the safe and the dangerous. Having interviewed dozens of the environmentally ill, the authors here recount how these people come to acknowledge and define their disease, and themselves, in a suddenly unlivable world that often stigmatizes them as psychologically unstable. Bodies in Protest is the dramatic story of human bodies that no longer behave in a manner modern medicine can predict and control.




Genes, Behavior, and the Social Environment


Book Description

Over the past century, we have made great strides in reducing rates of disease and enhancing people's general health. Public health measures such as sanitation, improved hygiene, and vaccines; reduced hazards in the workplace; new drugs and clinical procedures; and, more recently, a growing understanding of the human genome have each played a role in extending the duration and raising the quality of human life. But research conducted over the past few decades shows us that this progress, much of which was based on investigating one causative factor at a time—often, through a single discipline or by a narrow range of practitioners—can only go so far. Genes, Behavior, and the Social Environment examines a number of well-described gene-environment interactions, reviews the state of the science in researching such interactions, and recommends priorities not only for research itself but also for its workforce, resource, and infrastructural needs.




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