Environmental medicine is a

multidisciplinary Interdisciplinarity or interdisciplinary studies involves the combination of multiple academic disciplines into one activity (e.g., a research project). It draws knowledge from several other fields like sociology, anthropology, psychology, ec ...

field involving

medicine Medicine is the science and practice of caring for a patient, managing the diagnosis, prognosis, prevention, treatment, palliation of their injury or disease, and promoting their health. Medicine encompasses a variety of health care pract ...

environmental science Environmental science is an interdisciplinary academic field that integrates physics, biology, and geography (including ecology, chemistry, plant science, zoology, mineralogy, oceanography, limnology, soil science, geology and physical geograp ...

chemistry Chemistry is the science, scientific study of the properties and behavior of matter. It is a natural science that covers the Chemical element, elements that make up matter to the chemical compound, compounds made of atoms, molecules and ions ...

and others, overlapping with environmental

pathology Pathology is the study of the causes and effects of disease or injury. The word ''pathology'' also refers to the study of disease in general, incorporating a wide range of biology research fields and medical practices. However, when used in ...

. It can be viewed as the medical branch of the broader field of

environmental health Environmental health is the branch of public health concerned with all aspects of the natural and built environment affecting human health. In order to effectively control factors that may affect health, the requirements that must be met in ...

. The scope of this field involves studying the interactions between environment and human health, and the role of the environment in causing or mediating disease. This specialist field of study developed after the realisation that health is more widely and dramatically affected by environmental factors than previously recognized. Environmental factors in the causation of environmental diseases can be classified into: *Physical *Chemical *Biological *Social (including Psychological and Culture variables) *Ergonomic *Safety *Any combination of the above In the United States, the American College of Occupational and Environmental Medicine (OCOEM) oversees board certification of physicians in environmental (and

occupational Employment is a relationship between two party (law), parties Regulation, regulating the provision of paid Labour (human activity), labour services. Usually based on a employment contract, contract, one party, the employer, which might be a co ...

) medicine. This board certification isn't recognized by the

American Board of Medical Specialties Established in 1933, the American Board of Medical Specialties (ABMS) is a non-profit organization which represent 24 broad areas of specialty medicine. ABMS is the largest physician-led specialty certification organization in the United States ...

Current focuses of environmental medicine

While environmental medicine is a broad field, some of the currently prominent issues include: *The effects of

ozone Ozone (), or trioxygen, is an inorganic molecule with the chemical formula . It is a pale blue gas with a distinctively pungent smell. It is an allotrope of oxygen that is much less stable than the diatomic allotrope , breaking down in the lo ...

depletion and the resulting increase in

UV radiation Ultraviolet (UV) is a form of electromagnetic radiation with wavelength from 10 nm (with a corresponding frequency around 30 PHz) to 400 nm (750 THz), shorter than that of visible light, but longer than X-rays. UV radiation i ...

on humans with regards to

skin cancer Skin cancers are cancers that arise from the skin. They are due to the development of abnormal cells that have the ability to invade or spread to other parts of the body. There are three main types of skin cancers: basal-cell skin cancer (BCC) ...

. *The effects of nuclear accidents or the effects of a terrorist

dirty bomb A dirty bomb or radiological dispersal device is a radiological weapon that combines radioactive material with conventional explosives. The purpose of the weapon is to contaminate the area around the dispersal agent/conventional explosion with ...

attack and the resulting effects of

radioactive Radioactive decay (also known as nuclear decay, radioactivity, radioactive disintegration, or nuclear disintegration) is the process by which an unstable atomic nucleus loses energy by radiation. A material containing unstable nuclei is consid ...

material and radiation on humans. *The effects of chemicals on humans, such as

dioxin Dioxin may refer to: * 1,2-Dioxin or 1,4-Dioxin, two unsaturated heterocyclic 6-membered rings where two carbon atoms have been replaced by oxygen atoms, giving the molecular formula C4H4O2 *Dibenzo-1,4-dioxin, the parent compound also known as ...

, especially with regards to developmental effects and

cancer Cancer is a group of diseases involving abnormal cell growth with the potential to invade or spread to other parts of the body. These contrast with benign tumors, which do not spread. Possible signs and symptoms include a lump, abnormal b ...

. *

Radon Radon is a chemical element with the symbol Rn and atomic number 86. It is a radioactive, colourless, odourless, tasteless noble gas. It occurs naturally in minute quantities as an intermediate step in the normal radioactive decay chains through ...

gas exposure in individuals' homes. *Air and water pollution on the health of individuals. *

Mercury Mercury commonly refers to: * Mercury (planet), the nearest planet to the Sun * Mercury (element), a metallic chemical element with the symbol Hg * Mercury (mythology), a Roman god Mercury or The Mercury may also refer to: Companies * Merc ...

poison Poison is a chemical substance that has a detrimental effect to life. The term is used in a wide range of scientific fields and industries, where it is often specifically defined. It may also be applied colloquially or figuratively, with a broa ...

ing and exposure to humans through including fish and sea life in their

diet Diet may refer to: Food * Diet (nutrition), the sum of the food consumed by an organism or group * Dieting, the deliberate selection of food to control body weight or nutrient intake ** Diet food, foods that aid in creating a diet for weight loss ...

. *

Lead poisoning Lead poisoning, also known as plumbism and saturnism, is a type of metal poisoning caused by lead in the body. The brain is the most sensitive. Symptoms may include abdominal pain, constipation, headaches, irritability, memory problems, inferti ...

from leaded gasoline, paint, and plumbing. *

Water-borne diseases Waterborne diseases are conditions (meaning adverse effects on human health, such as death, disability, illness or disorders) caused by pathogenic micro-organisms that are transmitted in water. These diseases can be spread while bathing, washing ...

Food poisoning Foodborne illness (also foodborne disease and food poisoning) is any illness resulting from the spoilage of contaminated food by pathogenic bacteria, viruses, or parasites that contaminate food, as well as prions (the agents of mad cow disease) ...

Indoor air quality Indoor air quality (IAQ) is the air quality within and around buildings and structures. IAQ is known to affect the health, comfort, and well-being of building occupants. Poor indoor air quality has been linked to sick building syndrome, reduced ...

According to recent estimates, about 5 to 10% of disability-adjusted life years (

DALY Daly or DALY may refer to: Places Australia * County of Daly, a cadastral division in South Australia * Daly River, Northern Territory, a locality * Electoral division of Daly, an electorate in the Northern Territory * Daly, Northern Territory, ...

) lost are due to environmental causes. By far, the most important factor is fine particulate matter pollution in urban air.EEA. National and regional story (Netherlands) - Environmental burden of disease in Europe: the EBoDE project.

Scope of environmental medicine

Environmental medicine is concerned primarily with prevention. Food-borne infections or infections that are water-borne (e.g.

cholera Cholera is an infection of the small intestine by some strains of the bacterium ''Vibrio cholerae''. Symptoms may range from none, to mild, to severe. The classic symptom is large amounts of watery diarrhea that lasts a few days. Vomiting and ...

and

gastroenteritis Gastroenteritis, also known as infectious diarrhea and gastro, is an inflammation of the gastrointestinal tract including the stomach and intestine. Symptoms may include diarrhea, vomiting, and abdominal pain. Fever, lack of energy, and dehydra ...

caused by

norovirus Norovirus, sometimes referred to as the winter vomiting disease, is the most common cause of gastroenteritis. Infection is characterized by non-bloody diarrhea, vomiting, and stomach pain. Fever or headaches may also occur. Symptoms usually deve ...

or campylobacteria) are typical concerns of environmental medicine, but some opinions in the fields of

microbiology Microbiology () is the scientific study of microorganisms, those being unicellular (single cell), multicellular (cell colony), or acellular (lacking cells). Microbiology encompasses numerous sub-disciplines including virology, bacteriology, prot ...

hold that the

virus A virus is a submicroscopic infectious agent that replicates only inside the living cells of an organism. Viruses infect all life forms, from animals and plants to microorganisms, including bacteria and archaea. Since Dmitri Ivanovsky's 1 ...

es,

bacteria Bacteria (; singular: bacterium) are ubiquitous, mostly free-living organisms often consisting of one biological cell. They constitute a large domain of prokaryotic microorganisms. Typically a few micrometres in length, bacteria were among ...

and

fungi A fungus ( : fungi or funguses) is any member of the group of eukaryotic organisms that includes microorganisms such as yeasts and molds, as well as the more familiar mushrooms. These organisms are classified as a kingdom, separately from ...

that they study are not within the scope of environmental medicine if the spread of infection is directly from human to human. Much of

epidemiology Epidemiology is the study and analysis of the distribution (who, when, and where), patterns and determinants of health and disease conditions in a defined population. It is a cornerstone of public health, and shapes policy decisions and evidenc ...

, which studies patterns of disease and injury, is not within the scope of environmental medicine, but e.g. air pollution epidemiology is a highly active branch of environmental health and environmental medicine. Any disease with a large genetic component usually falls outside the scope of environmental medicine, but in diseases like asthma or allergies both environmental and genetic approaches are needed.

Military "environmental medicine"

The

U.S. Army The United States Army (USA) is the land service branch of the United States Armed Forces. It is one of the eight U.S. uniformed services, and is designated as the Army of the United States in the U.S. Constitution.Article II, section 2, cl ...

has, since at least 1961, used the term "environmental medicine" in a sense different from the above. Its

U.S. Army Research Institute of Environmental Medicine The U.S. Army Research Institute of Environmental Medicine (USARIEM) is the U.S Army’s main institution and facility for military environmental medicine and exercise physiology research. It is located at Natick, Massachusetts, within the U ...

, at

Natick, Massachusetts Natick ( ) is a town in Middlesex County, Massachusetts, United States. It is near the center of the MetroWest region of Massachusetts, with a population of 37,006 at the 2020 census. west of Boston, Natick is part of the Greater Boston area. ...

, conducts basic and applied research to determine how exposure to extreme heat, severe cold, high terrestrial altitude, military occupational tasks, physical training, deployment operations, and nutritional factors affect the health and performance of military personnel. Research on the effect of environmental pollutants on military personnel is not part of USARIEM's mission, but is within the purview of the

U.S. Army Center for Environmental Health Research The United States of America (U.S.A. or USA), commonly known as the United States (U.S. or US) or America, is a country primarily located in North America. It consists of 50 states, a federal district, five major unincorporated territori ...

Fort Detrick Fort Detrick () is a United States Army Futures Command installation located in Frederick, Maryland. Historically, Fort Detrick was the center of the U.S. biological weapons program from 1943 to 1969. Since the discontinuation of that program, i ...

, Maryland.

References

* *Tuomisto, Jouko (2010). ''Arsenic to zoonoses. One hundred questions about the environment and health.'' http://en.opasnet.org/w/Arsenic_to_zoonoses

External links

ATSDR Case Studies in Environmental Medicine
U.S.

Department of Health and Human Services The United States Department of Health and Human Services (HHS) is a cabinet-level executive branch department of the U.S. federal government created to protect the health of all Americans and providing essential human services. Its motto is " ...

American Academy of Environmental MedicineBritish Society for Ecological MedicineEuropean Academy for Clinical Environmental Medicine
{{Authority control Medical specialties Environmental health

Current focuses of environmental medicine

Scope of environmental medicine

Military "environmental medicine"

See also

References

External links