ENVR 430: Health Effects of Environmental Agents

   Fall 2009   Call Number  93275      Section  001    MWF 1:00-1:50 PM    Rm 1304 McGavran-Greenberg


Course Director:  L.M. BallDepartment of Environmental Sciences & Engineering
   

Course Description Class Schedule Lecture Materials

Prerequisites

Announcements Grading Opportunities

Instructors

Textbooks Past Tests

Course Description: This course introduces students to the general principles underlying the health effects of environmental agents. Students will gain an understanding of the mechanisms of interactions between environmental agents and living systems. This course will enable students to apply information derived from fundamental microbiology and toxicology studies to assessment of the health hazards associated with exposure to environmental agents, and to predicting the health effects of novel agents.


Prerequisites:  Biology, chemistry through organic, mathematics through calculus; biochemistry is recommended. If these prerequisites are not all met: students may remedy weak areas by independent study (suitable texts are listed below), and permission of the course coordinator is required.


Instructors: (tentative list)

Dr. L. M. Ball, 158 Rosenau, 966-7306, lmball@unc.edu
Dr Lisa Casanova, 3207 McGavran-Greenberg
Dr. O.D. "Chip" Simmons,  NCSU,  Biol. & Ag. Engineering,  Raleigh, NC., odsimmons@ncsu.edu
Dr. A. Gold, 157 Rosenau, 966-7304
Mr. J. R. Ridpath, 3204 McGavran-Greenberg
Dr. I. Rusyn, 0031 MHRC, 843-2596
Dr. D. Kim, Syngenta, Greensboro, NC
Dr. L. A. Nylander-French, 159 Rosenau, 966-3826
Dr. D. L. Costa, U.S. EPA, 541-2532
Dr. J. E. Simmons, U.S. EPA, 541-7829
Dr. J. A. Swenberg, 253 Rosenau, 966-6139


Textbooks:

The reading material for this course consists mainly of class handouts. There is no assigned textbook.
There are recommended books, which are available for purchase at the UNC Health Affairs Bookstore.
Some of these are also on reserve at the Health Sciences Library.

Two books are recommended for supplementation of classroom material. These are:

TOXICOLOGY

TIMBRELL, J. A.:  Principles of Biochemical Toxicology. Taylor and Francis, London, 2000, Third Edition, pp. 394.  ISBN 0-7484-0736-7, Softcover, $49.95.  A highly readable introductory text. Fourth Edition available 09/19/2008.
or
CASARETT AND DOULL’s Toxicology: The Basic Science of Poisons. Seventh Edition, McGraw-Hill, New York, 2008, pp. 1236. Edited by Curtis D. Klaassen. ISBN 0-07-147051-4, Hardback, $105.00.  An in-depth treatment of toxicology, suitable as a long-term reference for students who intend to specialise in this field.

MICROBIOLOGY

BURTON, G.R.W., and Engelkirk, P.G.: Microbiology for the Health Sciences.  8th Ed., Lippincott Williams & Wilkins, Baltimore, MD, 2007. ISBN 0-7817-7195-1, Softcover, $45.95.
or
ENGLEBERG, N.C., et al.: Schaechter's Mechanisms of Microbial Disease. 4th Ed., Lippincott Williams & Wilkins, Baltimore, MD, 2007. ISBN 0-7817-4342-2.

 

FOR REVIEW of basic biochemistry, chemistry, and microbiology, as required

GILBERT, H. F.: Basic Concepts in Biochemistry: A Student's Survival Guide.  2nd Ed., McGraw-Hill Inc., New York, NY, 2000. ISBN 0-07-135657-6, Softcover, $29.95.

LEMKE, T. L.: Review of Organic Functional Groups: Introduction to Medicinal Organic Chemistry. 4th Ed., Lippincott Williams & Wilkins, Philadelphia, 2003. ISBN 0-7817-4381-8, Softcover (with CD-ROM), $37.95.

BROOKS, G.F., Butel, J.S. and Morse, S.A.:  Jawetz, Melnick and Adelberg's Medical Microbiology. 23rd Ed., McGraw-Hill/Appleton and Lange, Stamford, CT, 2004.  ISSN 1054-2744, Softcover, $49.95.


The web site www.cellsalive.com also contains useful material.



Announcements:

Course-related links! Click here and/or here.



CLASS SCHEDULE
 

 Date   Topic  Lecturer
Wed Aug 26

Introduction to Environmental Agents

 L.M. Ball
Fri Aug 28 Life and Metabolism
Mon Aug 31 Exposure to Environmental Agents
Wed Sept 02
Environmental Pathogens:  The Diseases
Fri Sept 04
Environmental Pathogens:  Mechanisms of Disease
Mon Sep 07 Labor Day Holiday
Wed Sep 09 Defenses against Environmental Pathogens  L.M. Ball
Fri Sep 11
Wastewater and Sewage (Sources, Treatment)  O.D. Simmons
Mon Sep 14 Environmental Transmission of Pathogenic Microbes: Air, Water, Soil.  L. Casanova
Wed Sep 16
Drinking Water (Sources, Treatment) O.D. Simmons
Fri Sep 18 Environmental Transmission of Pathogenic Microbes: Sources, Vectors, Monitoring, Indicator Organisms L. Casanova
Mon Sep 21 Metabolism and Disposition of Xenobiotics
 L.M. Ball
Wed Sep 23
Fri Sep 25 In-Class Examination (covering August 26-September 18)
Mon Sep 28
Metabolism and Disposition of Xenobiotics
Wed Sep 30
Fri Oct 02
DNA Damage: Adducts, Mutations
 A. Gold
Mon Oct 05
Wed Oct 07
Fri Oct 09 DNA Repair
J. R. Ridpath
Mon Oct 12 Chemical Carcinogenesis: Initiation, Promotion, Progression   I. Rusyn
Wed Oct 14
Genotoxic and Non-genotoxic Carcinogens
Fri Oct 16 Chemical Carcinogenesis: Reactive Oxygen and Nitrogen Species
Mon Oct 19 Classical Kinetics L.M. Ball
Wed Oct 21 In-Class Examination (covering September 15-October 16)  
Fri Oct 23 Fall Break (5:00 PM Wed Oct 15 - 8:00 AM Mon Oct 20)
Mon Oct 26
Bioassays, Systemic Toxicology J.A. Swenberg
Wed Oct 28 Liver Physiology and Toxicology
 J.E. Simmons

Fri Oct 30
Mon Nov 02
Wed Nov 04

Physiologically-Based Pharmacokinetics

D. Kim
Fri Nov 06
Mon Nov 09 Dose-response  L.M. Ball
Wed Nov 11 Physiology and Toxicology of the Nervous, Renal,  Reproductive, and 
Hematopoietic Systems
J.A. Swenberg
Fri Nov 13
Mon Nov 16 Pulmonary Physiology and Toxicology D.L. Costa
Wed Nov 18
Fri Nov 20
Mon Nov 23 Food Safety O.D. Simmons
Wed Nov 25 Thanksgiving  Break ( 5 pm Nov 25 - 8 am Nov 30)
Fri Nov 27
Mon Nov 30
Dermal toxicology L.A. Nylander-French
Wed Dec2
Fri  Dec 04
Immune system responses to environmental agents L.A. Nylander-French
Mon Dec 07 Risk Assessment  L.M. Ball
Wed  Dec 09 Risk Assesment II

Fri Dec 11
Final Examination (12:00 noon), Room 1304 McGavran-Greenberg

Grading Opportunities: Grades will be based on twelve homework sets, two in-class examinations, and one final examination.

Homework Sets: The homework sets will consist of three short-answer questions and one question requiring more extensive reasoning. Sets will be handed out on Fridays and will be due the following Friday. Completed homework sets are to be placed in the box marked "ENVR 430 HOMEWORK SETS," located on the desk of Ms. Robin Whitley, in Room 148 Rosenau Hall.  Homework sets should be submitted by 5:00 PM on the day they are due.

Each homework set counts for 5% of the total course grade; collectively, these sets count for 60% of the entire course grade. Each homework set is weighted equally.  The following grading scheme is used:
 

%
  Descriptor  Assigned Grade  Undergraduate Grade
90 - 100 
 Clearly excellent.     H     A
85 - 89.9
 Very good.      P (P+)*     B+
80 - 84.9
 Satisfactory.     P     B
75 - 79.9
 Mostly satisfactory.     P (P-)*     B-
70 - 74.9
 Adequate.     P (P-)*     C
60 - 69.9
 Marginally adequate.     L     D
50 - 59.9
 Insufficient.     F     F


In-class Examinations: The in-class examinations count for 5% each (and collectively for 10%) of the overall course grade. The first in-class exam, held on September 19, will include the material covered August 20-September 12. The second in-class exam, held on October 20, will include the material covered September 15-October 13.

Final Examination: The final examination will be held on Friday, December 11, 12 noon.  It will count for 30% of the overall course grade, and will include the material covered in the entire course.

PAST TESTS:

Previous years' problem sets, midterm examinations, and final examinations are available electronically as .pdf files by clicking here.


ASPH Competencies Addressed by this Course:

I.  Discipline-specific Competencies:  Environmental Health Sciences

Describe the direct and indirect human, ecological and safety effects of major environmental and occupational agents.


Describe genetic, physiologic and psychosocial factors that affect susceptibility to adverse health outcomes following exposure to environmental hazards.


Describe federal and state regulatory programs, guidelines and authorities that control environmental health issues.


Specify current environmental risk assessment methods.


Specify approaches for assessing, preventing and controlling environmental hazards that pose risks to human health and safety.


Explain the general mechanisms of toxicity in eliciting a toxic response to various environmental exposures.


Discuss various risk management and risk communication approaches in relation to issues of environmental justice and equity.


Develop a testable model of environmental insult.


II. Cross-cutting Competencies (Association of Schools of Public Health):

 
Communication and Informatics


Demonstrate effective written and oral health communication skills appropriately adapted to professional and lay audiences with varying knowledge and skills in interpreting health information.


Use information technology tools effectively in core public health functions such as retrieval of institutional and online public health data and dissemination of public health information.


Engage in collective information sharing, discussion and problem solving.

Diversity and Cultural Competency


Demonstrate awareness of and sensitivity to the varied perspectives, norms and values of others based on individual and ethnic/cultural differences (e.g., age, disability, gender, race, religion, sexual orientation, region and social class).


Show effective and productive skills in working with diverse individuals including co-workers, partners, stakeholders, and/or clients.


Develop, implement, and/or contribute to effective public health programming and conduct research that integrates: (1) knowledge levels of health access among individuals and within communities, and (2) culturally-appropriate methods for conducting practice or research.

Leadership


Demonstrate basic team building, negotiation, and conflict management skills.


Create a climate of trust, transparency, mutual cooperation, continuous learning, and openness for suggestion and input with co-workers, partners, other stakeholders, and/or clients.


Exercise productive organizational, time-management and administrative skills.


Develop knowledge of one’s individual strengths and challenges, as well as mechanisms for continued personal and professional development.

Professionalism and Ethics


Review, integrate, and apply ethical and/or legal principles in both personal and professional interactions, as well as public health practice and/or research.


Apply evidence-based concepts in public health decision-making.


Appreciate the need for lifelong learning in the field of public health.


Consider the effect of public health decisions on social justice and equity.

Program Planning


Discuss social, behavioral, environmental, and biological factors that contribute to specific individual and community health outcomes.


Identify needed resources for public health programs or research.

Systems Thinking


Identify characteristics of a system.


Respond to identified public health needs within their appropriate contextual setting.