HEALTH & ENVIRONMENT

Global Systems and Human Health

Changes in the global atmosphere, including climate change and depletion of the ozone layer, have profound implications for the earth's ecosystems of which humans are a part.

Climate Change

The changes in climate around world, including temperature shifts and extreme weather, have the potential to disrupt economic, social and local environmental conditions in ways that, individually or combined, can negatively affect human health Health Canada has highlighted these risks. They include:

  • Human activity, including industrialization and deforestation, could increase air pollution, which could affect a large number of people, especially those with asthma and other chronic respiratory and cardiovascular diseases.
  • Insect-borne diseases could increase with changes in precipitation and temperature.
  • The quality and the quantity of drinking and recreational water might decrease.
  • Water sources could be threatened by drought or increased glacial runoff.
  • More intense ultraviolet rays caused by the thinning ozone layer could lead to more skin cancer, impaired vision, and other diseases.
  • Food production and safety could be compromised by pollutants and environmental changes.
The 1998 ice storm that hit northeastern North America is an example of the type of extreme weather conditions predicted to occur with climate warming.
See Adverse Health Effects Associated with 1998 Ice Storm

Depletion of the Ozone Layer

The trend towards thinning of atmospheric ozone, particularly around the North and South poles, means that increased amounts of ultraviolet radiation are reaching ground level.

Research in this field has shown a connection between decreased immune system disorders such as skin cancer and increased exposure to ultraviolet radiation.

    Depletion of stratospheric ozone is expected to lead to an increase in the amount of UVB radiation present in sunlight. In addition to its well-known ability to cause skin cancer, UVB radiation has been shown to alter the immune system. The immune system is the body's primary defence mechanism against infectious diseases and protects against the development of certain types of cancer. Any impairment of immune function may jeopardize health by increasing susceptibility to infectious diseases, increasing the severity of infections or delaying recovery from infections. In addition, impaired immune function can increase the incidence of certain cancers, particularly cancers of the skin.
    Source: Chronic Diseases in Canada, Volume 18, No.1 - 1997
    Symposium Report: Second Symposium on Ultraviolet Radiation-related Diseases - Christina J Mills, Konia Trouton and Laurie Gibbons


Agenda 21 and Health

Health was given a chapter in Agenda 21, the accord signed by participants at the United Nations Conference on Environment and Development held in June 1992 in Rio de Janeiro.

Health was considered an important link in sustainable development because . . .

    "Health and development are intimately interconnected. Both insufficient development leading to poverty and inappropriate development resulting in overconsumption, coupled with an expanding world population, can result in severe environmental health problems in both developing and developed nations. Action items under Agenda 21 must address the primary health needs of the world's population, since they are integral to the achievement of the goals of sustainable development and primary environmental care."
Linking health, environmental and socio-economic improvements requires intersectoral efforts — including education, housing, public works and community groups, businesses, schools and universities and religious, civic and cultural organizations — aimed at enabling people in their communities to ensure sustainable development. Particularly relevant is the inclusion of prevention programmes rather than relying solely on remediation and treatment.


Health Canada's Sustainable Development Strategy

Sustaining Our Health: Health Canada's Sustainable Development Strategy (SDS), issued by Health Minister Allan Rock in November 1997, focuses on promoting and supporting population health within a framework of sustainable development. The goal: to ensure continued good health for Canadians within a new economic model that sustains growth with minimal impact on the environment.


Incorporating Health into Environmental Assessments


Basic Health Indicators

The Pan American Indicators Project collects information on many different facets of health. They do not directly link health with environmental conditions but do link to socio-economic factors.Broad categories include:

  • demographic indicators (e.g. population, percentage of population with access to drinking water, to sanitation)
  • socio-economic indicators (e.g. percentage of population living in poverty, national expenditure as a percentage of gross national product)
  • health risk indicators (e.g. infant mortality, diseases of the circulatory system per 100,000)
  • indicators of resources, access and coverage (e.g. number of hospital beds/100,000, number of physician/ 100,000)

Health Risks from Environmental Factors

The World Health Organization has categorized risks to human health from environmental factors into two categories: traditional and modern.

Traditional environmental risks have a major influence on health when countries are in the early stages of development and within poorer communities of developed nations. They include:

  • unsafe food and drinking water
  • inadequate sanitation
  • infections from animals and other disease carriers
  • poor housing
Modern environmental risks to health result from higher levels of industrial production and consumption of natural resources, and include:
  • air pollution
  • chemical exposures
  • traffic accidents
Modern health risks can replace traditional ones but even this type of transition can be threatened by often unpredictable factors such as the emergence of new infectious diseases or the occurrence of old diseases in geographical areas where they have not previously appeared.
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Sustainability Issues

Health & Environment Introduction


Agenda 21 and Health

Health Canada Sustainable Strategy

Incorporating Health into Environmental Assessments

Basic Health Indicators

Health Risks from Environmental Factors


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