1.Environment at risk creates vulnerability in health.Kumar Deepak(Environmentalist)

2. Environment & Man Mutual interactions between Man & Habitat Ecosystem Impact of Physical Environment over Human Impact of Biological Environment over Human Impact of Chemical Environment over Human 3. Natural Resources & Its Uses Overuse Non-uniform Inequitable Non-sustainable Optimum profit maximization Imbalanced distribution of profit 4. Development & Environment Rapid Industrialization through resource abuse Demographic Transition Socio-economic disparity Rapid Infrastructural Growth Corporate Ecological Imperialism Disputed varying degree of Corporate EcologicalEnvironmental Responsibility Extreme exploitation of Renewable Resources Anthropogenic Ecosystem deterioration Deficit plan structure to mitigate against increasingvulnerability. 5. Ecosystem Deterioration&Climate Change Global warming & its consequences Biodiversity Depletion Deforestation Genetic Resource Depletion Global warming Genetically Engineered seeds based agriculture & its lethalimpact Soil, Water, Air, Sound & Radioactive Pollution Food-chain imbalance Bio magnifications 6. Public Health & EnvironmentHaving in close proximity to the physical, chemical &biological components of ecosystem at risk, we are eitheraffected by the change in our behavior to mutually interactor our response to such key factorsA sustainable Environmental Management is the key tomitigate majority of such vulnerability of health at riskPreventing Environmental Risk can save about 4 Million livesa year predominantly in developing world among childrenaged less than 15 years 7. Global Health Observatory Report 24% of the Global Disease burden is attributable to theEnvironment. 23% of the Global disease is attributable to Environment. House Hold Air Pollution Burden causes 2 Million Deathsevery year. Water, Sanitation & Hygiene burden cause 88% diarrhealdeaths. 8. Environment & Health Consideration Firstly the Physical, Chemical & Biological Factors externalto a person & all the integral behaviorsThere is anexclusion of behaviors not related to environment as wellas behaviors related to social & cultural environment &genetics Secondly we stress on excluding those natural environmentwhich cant be reasonably modifiableso we consider onlythose impacts of environment over health which can bemodified by environmental Management 9. Included Environment Factors Ecological Factors those included to have an impactover public health are listed as follows- Pollution of soil, air & water caused by Chemical &Biological Contaminants. UV & Electromagnetic Radiations Noise & Electromagnetic fields Industrial & Infrastructural Development worksAgricultural Methods & Irrigation Anthropogenic Climate Change Insecure & unsafe Water, Sanitation & Hygiene 10. Excluded Environment factors Excluded Environment Factors those have not beenconsidered as an Impact over the public health as its notbeen reasonably modifiable.. Drug Abuse Diet Vectors in their natural habitat Impregnated bed nets Unemployment(provided that its not due to ecologicaldegradation, occupational disease) Natural Biological Agents Person-to-person transmission (pandemic communicability) 11. Attributable FractionsIt is the Environmental risk which can be eliminated byeither adopting a sense of ecological intelligence orimplicating strict legislative actionsWhen we reducethe risk causing health vulnerability, we ultimately attaina better preventive measures to have a significantreduction in our health related hazardsSo the drasticproportionate reduction in the number of healthincidences or causalities of death as a consequence ofreducing the risk is known as Attributable Fractions. 12. Reasonably ModifiableReasonably modifiable approach of EnvironmentalManagement would better consider as a preventivemechanism to develop immunity against the man-madeecological risk Its not viable to ban the use of fuel basedvehicles from our settlement completely but what we do toimpose strict Environmental measures to regulate the level ofpollutants under the ambient air quality measuresWe adoptgreen technologies having low carbon emission standards 13. Water, Sanitation & Hygiene Its the core area of Environmental public healthstudiesParticularly WHO,UNICEF & State Public Health &Engineering Department look into the various aspects ofadvancing & restructuring the water, sanitation & hygieneunder the WASH Programme Drinking Water Quality Management Proper Water Supply & Sanitation Monitoring Water & Sanitation in different settings Cholera surveillance & prevention Water Resource Management Economic Aspects,MDGs & Climate Change 14. Water, Sanitation & Hygiene (Diarrhoea only) 15. Water, Sanitation & Hygiene (Diarrhoea only) DALYS 16. Indoor Air Pollution Indoor Air Pollutants contains varying contaminantsthose having diverse hazardous lethal impacts overhuman beings Particulate matters Carbon Mono-Oxide(CO) Nitrous Oxide(NO2) Sulphur Di-Oxide(SO2) Formaldehyde(HCHO) Carcinogens like Benzopyrene & Benzene 17. Global Estimates of Burden Caused by Indoor Pollution 18. Global Estimates of Burden Caused by Indoor Pollution(DALYS) 19. Outdoor Air Pollution Heavy Industrial & Automobile Pollution degrading the physical. Chemical & biological nature of air in our Troposphere causing serious acute & fatal health hazards of respiratory nature 20. Annual mean of fine particulate matters based on P10 & P2.5 21. Environmental Health Management WHO Reports Preventing Disease Through HealthyEnvironments: Towards an Estimate of the Global Burdenof Disease describes the approach of EnvironmentalHealth Management policy to reduce the EnvironmentalHealth Risk through creating an healthier environment. Continuous preventive measures are being adopted tocounter the 26 Environmental health risks listed under2002,WHO report in 14 regions of the world by gender &aged groups. 22. Environmental Risk Factors (Deaths) 23. Disability-Adjusted Life Years 24. Occupational Risk Factors (Deaths) 25. Disability-Adjusted Life Years 26. Urban Out Door Pollution(Deaths) 27. Urban Out Door Pollution(DALYS) 28. Burden of Diseases Deaths due toClimate Change 29. Burden of Diseases due to Climate Change(DALYS) 30. Environmental Health Impact of Lead & deaths by cardiovascular diseases 31. Environmental Health Impact of Lead & DALYS by cardiovascular diseases 32. Second Hand smoke & its health impact 33. Methods for QuantifyingEnvironmental Health Impacts Exposure Based Method- Calculating the environmentalburden of diseases is based on an Exposure dynamics,assisted under an epidemiological study having acomprehensive analysis of the evidence of the persistinghealth risk Expert Opinion Method- published WHO ReportPreventing Disease Through Healthy Environments:Towards an Estimate of the Global Burden of Diseasebased on over 100 expert reports of the set 26 Risk Factorslisted in WHO Health Report 2002.Out of 102 diseases &injuries, 85 diseases can be attributed to the environment &that could be prevented. 34. Indias State of Environment India is one of the Nation, since the international alignment in 1972,thefirst ever global gathering in Stockholm India has comprehensivelybeen playing a constructive role towards attaining a health ecosystem.The Constitution of India assigned space to the protection &conservation of Ecosystem & its biodiversity, managing the naturalresources Article 48A envisages about protection & improvement of environment& to safeguard the forest & wildlife of the country Article 51 A(g) envisages to protect & improve the natural environment& to have compassion for living creatures Indian Parliament legislated some important Environmental laws tosafeguard the Ecosystem & public health 35. Wildlife Protection Act 1972 Water (Prevention & Control of pollution) Act 1974 Air (Prevention & Control of pollution) Act 1987 Ecosystem (Protection) Act 1986 Indian Forest Act 1932 Coastal Regulation Zone (Notifications)Rules 1991 Noise Regulation Rules 2000 National Environment Appellate Authority Act 1997 National Green Tribunal Act 2010National Green Tribunal Act empowers to set up the National GreenTribunal that looks in to the corporates cases of violation ofenvironmental laws affecting the public healthAffected shallmove to the Green Court for the compensation on the ground ofPolluters pay 36. Ambient Air Quality (National)Ambient Air Quality Standard (ug/m3)CategorySPM SO2 Nox CO2Industrial500 120 120 5000& MixedResidenti 200 80802000al & RuralSensitive 100 30301000 37. Ambient Noise LevelAmbient Noise Level (In dB)Area DayNightIndustrial 75 70Commercial 65 55Residential55 45Sensitive50 45 38. Indian Standard Specifications forDrinking Water (IS:10500)S. No. ParametersRequiredRemarks Desirable Limit1 Color 5May be expected up to 50 if toxic substances are suspected.2 Turbidity 10 May be relaxed up to 25 in the absence of alternate.3PH 6.2-8.5May be relaxed up to 9.2 in the absence.4 Total Hardness 300 May be extended up to 600 39. 6Magnesium as 30May be extendedMg++up to 100.7Copper as Cu++0.05 May be relaxedup to 1.5.8 Iron 0.3May be extendedup to 1.9 Manganese 0.1 May be extendedup to 0.510 Chlorides 250May be extendedup to 100011 Sulphates 150May be extendedup to 40012Nitrates45No relaxation13 Fluorides0.6-1.2 If waterlevel