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The Future of Environmental Health: A CDC Perspective

The Future of Environmental Health: A CDC Perspective. Michael A. McGeehin, Ph.D., M.S.P.H. Director, Environmental Hazards and Health Effects, National Center for Environmental Health, CDC.

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The Future of Environmental Health: A CDC Perspective

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  1. The Future of Environmental Health: A CDC Perspective Michael A. McGeehin, Ph.D., M.S.P.H. Director, Environmental Hazards and Health Effects, National Center for Environmental Health, CDC

  2. “We recommend that in laying out new towns and villages, and in extending those already laid out, ample provision be made for a supply, in purity and abundance, of light, air, and water; for drainage and sewerage, for paving and for cleanliness.” Report of the Sanitary Commission of Massachusetts, 1850

  3. Urbanicity Children’s Health Global Climate Change Environmental Precursors to Pandemic Infectious Disease Safe Water Supply EH Concerns

  4. “Multiple Barriers” Approach to Drinking Water Safety • Prevent source contamination • Control discharge of underground contaminants • Treat water to meet standards • Assure water system operators are qualified • Ensure quality distribution systems • Inform public about quality of drinking water EPA 1999

  5. Global Climate Change Patz, Jonathan A. (2002) Proc. Natl. Acad. Sci. USA 99, 12506-12508

  6. Health Effects of Global Climate Change • Water-borne disease • Vector-borne disease • Heat-related morbidity and mortality • Respiratory effects of air pollution • Injury or illness from extreme weather events

  7. Atlanta’s Heat Island:May 11, 1997 Source: NASA Marshall Space Flight Center

  8. Environmental Precursors to Pandemic Infectious Disease Drinking well Sewage canal

  9. Urbanicity

  10. Ubanicity Health Concerns • Sprawl • Infrastructure • Water/sanitation • Pollution

  11. Children’s Health

  12. No Data <10% 10%-14% 15-19% 20% Obesity Trends* Among U.S. AdultsBRFSS, 1990 (*BMI 30, or ~ 30 lbs overweight for 5’4” woman) Source: Mokdad AH.

  13. No Data <10% 10%-14% 15-19% 20% Obesity Trends* Among U.S. AdultsBRFSS, 1995 (*BMI 30, or ~ 30 lbs overweight for 5’4” woman) Source: Mokdad AH.

  14. No Data <10% 10%-14% 15-19% 20% Obesity Trends* Among U.S. AdultsBRFSS, 1997 (*BMI 30, or ~ 30 lbs overweight for 5’4” woman) Source: Mokdad AH.

  15. No Data <10% 10%-14% 15-19% 20% Obesity Trends* Among U.S. AdultsBRFSS, 2000 (*BMI 30, or ~ 30 lbs overweight for 5’4” woman) Source: Mokdad A H, et al. J Am Med Assoc 2001;286:10

  16. Childhood Obesity • 2.5-fold risk of overall mortality* • 4-fold risk of cardiovascular mortality* • 5-fold risk of diabetes • Risk of hypertension, gall bladder disease, and some cancers (*30-44 age group, less at older ages) Source: Willet et al., New Eng J Med, 1999

  17. Kids and the Environment: Areas for International Collaboration • Improve science/risk assessments • Reduce BLLs to <10 g/dL • Improve access to safe drinking water • Reduce air pollution • Reduce ETS exposure • Research endocrine disrupting chemicals • Confront global warming 1997 Declaration of the Environment Leaders of the Eight on Children's Environmental Health

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