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From chemical contamination of objects of environment



Compilers:

Doctor of medicine, professor Kenesaryiev U.I.

Candidate of medicine, associate professor Amrin М.К.,

Candidate of medicine, associate professor Dosmukhametov А.Т.,

Almaty, 2015

Ratified on meeting of department

Pr. № _____ from __________2015

Head of department,

doctor of medicine, Professor U.I. Kenesaryiev

1. Theme: Bases of methodology Risk Assessment are in the system of the socially-hygienical monitoring.

2. Aim: Forming of idea about methodology of Risk Assessment, basic concepts.

Tasks of educating.

- forming of knowledge about methodology of Risk Assessment;

- forming of knowledge about basic terms and determinations;

- forming of knowledge about the stages of Risk Assessment.

4. Basic questions of theme:

- concept about the socially-hygienical monitoring;

- concept about methodology of Risk Assessment;

- basic determinations and terms;

- the stages of Risk Assessment and short characterization.

5. Methods of educating and teaching: Brainstorm, presentation, work in small groups, discussion, decision of test tasks.

6. Literature:

1. Kenesaryiev U.I., Balmakhaeva R.M., Bekmagambetova Zh.D., Zhakashov N.Zh., Toguzbayeva K.K.. Hygiene: Textbook for institutions of higher learning / Under printing U.I. Kenesaryiev. – Almaty: «Самара-Принт», 2009. - 688 p.

2. Тulebayev R.К., Slazhneva Т.I., Kenesaryiev U.I., Belonog А.А., Korchevskii А.А. An estimation of hygienical risks is in the industrial regions Republic of Kazakhstan. – Almaty: Искандер, 2004. – 374 p.

3. Kenesaryiev U.I., Zhakashov N.Zh. Ecology and human health: Textbook for medical Institutions of higher learning and colleges. Almaty. 2002.- 260 p.

4. Guidance for Human Health Risk Assessment at influence of chemicals contaminating an environment (Р 2.1.10.1920-04), it is ratified by the Main state health-officer RF 05.03.2004 (Guidelines for Human Health Risk Assessment from Environmental Chemicals).

5. Onishenko G.G., Novikov S.М., Rachmanin Y.А., Avaliani S.L., Bushtueva K.А. Bases of risk estimation for the health of population at influence of chemicals contaminating an environment / Under printing Rachmanin Y.А., Onishenko G.G. М.: SRI EH and GE, 2002. - 408 p.

6. Avaliani S.L., Revich B.А., Balter B.М., Gildenskiold S.R., Mishina А.L., Kliushina E.G. Estimation of risk of contamination of environment for the health of population as an instrument of municipal ecological politics is in the Moscow area. Podolsk, 2010. - 309 p.

7. Hygiene /Under printing acad. of RАМS G.I. Rumyancev. - М.: ГЭОТАР МЕДИЦИНА, 2000.-608p.

8. Law of Republic of Kazakhstan: " About a health of people of Republic of Kazakhstan" care, " About sanitary-epidemiology prosperity population of Republic of Kazakhstan". 2007.

Control

1. Initial level of knowledge in the verbal questioning on questions (a competence is knowledge, communicative skills):

- a concept of environment;

- basic objects of environment;

- factors of environment;

- basic indexes of human health;

- concept about the socially-hygienical monitoring;

- concept about methodology of Risk Assessment;

- basic determinations and terms;

- advantages of methodology of Risk Assessment;

- stages of Risk Assessment and short characterization.

 

2. Final level of knowledge on results implementation of test tasks:

Task: Answer to the test questions (a competence is knowledge)

1. Criteria, characterizing the health state:

А) presence or absence of chronic diseases

В) presence or absence of infectious diseases

С) presence or absence of disability

D) level of physical development

Е) educational loading

a)А, В

b)С, D

c)В, С

d)D, Е

e)А, D

2. What is the human environment?:

А) habitat of man during all his life, including during labor and rest

В) bowels of the earth

С) depths of oceans and seas

Д) space

Е) society with his productive forces and productive relations

a)А, Е

b)С, D

c)Е, В

d)В, С

e)D, Е

3. Chemical factors of contamination atmospheric air are:

А) humidity of air

В) temperature

С) bacteria and viruses

Д) heavy metals

Е) gas extrass

a)А, В

b)В, С

c)С, D

d)В, D

e)D, Е

4. The anthropogenic physical factors of environment contamination are:

А) solar radiation

В) natural radiation background of earth

С) atmospheric pressure

Д) transport noise

Е) nuclear bombs

a)А, В

b)С, D

c)А, Е

d)В, С

e)D, Е

5. Biological factors of environment contaminations are:

А) pathogenic microflora

В) foods of microbiological synthesis

С) fats

Д) carbohydrates

Е) squirrel, synthesized from oil products

a)А, В

b)С, D

c)D, Е

d)В, С

e)D, Е

6. The indexes characterizing a health are:

a) demographic

b) morbidity

c) providing of medical services

d) terms of population life

e) harmful factors environment

a)А, В

b)В, С

c)С, D

d)А, С

e)В, D

7. The human health estimated by:

А) the state of environment

В) the physical development

С) the providing population of medical services

Д) the social welfare

Е) the disability

a)А, C

b)С, D

c)А, D

d)В, Е

e)С, Е

8. What indexes characterize the health of population:

А) demographical

В) ecological

С) clinical

Д) morbidity

Е) adaptation

a) АВ

b) АD

c) ВС

d) СЕ

e) ВЕ

9. Basic indexes of human health are:

А) physical development

В) clinical

С) adaptation

Д) disability

Е) ecological

a) АВ

b) ВD

c) ВС

d) АD

e) ВЕ

10. Demographical indexes of population are:

А) death rate

В) physical development

С) natural increase

Д) morbidity

Е) disability

a) АВ

b) АС

c) ВС

d) СЕ

e) ВЕ

11. The sharp operating of chemical pollutants to the health of population shows up as:

А) at the sharp increase of ordinary pollutants concentration

В) at the gradual increase of ordinary pollutants concentration

С) at temporal appearance of ordinary pollutants

Д) at permanent contamination the low levels of substances

Е) at temporal appearance of unusual pollutants

a) АВ

b) АС

c) АЕ

d) СЕ

e) ВЕ

12. Find accordance of health indexes:

1 – death rate

2 – natural increase of population

А) demographical

В) social

С) disability

Д) migration

Е) biological

a) 1 – А 2 – А

b) 1 – В 2 – В

c) 1 – С 2 – D

d) 1 – А 2 – Е

e) 1 – Е 2 – Е

13. What basic forms of epidemiology research of the human health exist:

А) sanitary-statistical study of the state of population health

В) deep physical examinations of population

С) retrospective researches

Д) prospective researches

Е) transversal cut

a)А, В, С

b)С, В

c)Е, А, В

d)В, D

e)С, D, Е

14. Chemical factors of environment are:

А) air humidity

В) temperature

С) bacteria

Д) heavy metals

Е) oil products in water

a)А, В

b)В, С

c)С, D

d)В, D

e)D, Е

15. The anthropogenic physical factors are:

А) solar radiation

В) natural radiation background of earth

С) atmospheric pressure

Д) transport noise

Е) vibration during work with a mechanical pick

a)А, В

b)С, D

c)А, Е

d)В, С

e)D, Е

16. Biological factors of environment are:

А) microorganisms

В) products of microbiological synthesis

С) fats

Д) carbohydrates

Е) squirrel, synthesized from oil products

a)А, В

b)С, D

c)D, Е

d)В, С

e)D, Е

17. A concept of anthropogenic factors is:

a) factors related to economic activity of man to biosphere

b) factors related to influence of man to natural environment

c) factors related to influence of living organisms to man

d) influence of lifeless factors of nature to man

e) terms totality of inorganic nature, having influence to man

a)А, В

b)В, С

c)С, D

d)А, С

e)В, D

18. What indexes characterized the health state of population:

a) demographical

b) morbidity

c) providing of medical services

d) social terms

e) presence of sources harmful factors

a)А, В

b)В, С

c)С, D

d)А, С

e)В, D

19. What methods are exist in studying of influence environment contamination to the population health:

a) comparison of morbidity and death rate of population in the clean and dirty zones of city

b) registration of morbidity

c) registration of death rate of population

d) registration of disability

e) registration of infantile morbidity

20. What indexes uses in characteristic population health:

А) demographic

В) ecological

С) social

Д) morbidity

Е) adaptation

a) АВ

b) АD

c) ВС

d) СЕ

e) ВЕ

21. Demographical indexes of estimation population health:

А) death rate

В) physical development

С) natural increase

Д) morbidity

Е) disability

a) АВ

b) АС

c) ВС

d) СЕ

e) ВЕ

22. Concept of environment monitoring:

a) system of supervisions, estimation and prognosis of the environment state

b) monitoring system by quality of environment

c) anthropogenic system and base-line monitoring quality of surrounding environment

objects

d) estimation system of prognosis

e) estimation system of air quality

23. How many classes of danger are all chemicals divided by?

a) 3

b) 4

c) 5

d) 6

e) 7

24. Chemical factors of environment are:

a) solar radiation

b) sulphuretted hydrogen

c) mechanical vibrations

d) temperature

e) humidity

25. Chemical factors of environment are:

a) solar radiation

b) oxides of nitrogen

c) carbon dioxide

d) temperature

e) humidity

26. Chemical factors of environment are:

a) solar radiation

b) ionizing radiation

c) mechanical vibrations

d) sulphureous gas

e) ozone

27. Chemical factors of environment are:

a) solar radiation

b) ionizing radiation

c) mechanical vibrations

d) temperature

e) humidity

28. Demographical indexes are:

а) morbidity

b) birth-rate

с) natural increase

d) disability

е) physical development

29. Demographical indexes are:

а) migration

b) reasons of disability

с) reasons of death rate

d) structure of disability

е) physical development

30. Demographical indexes are:

а) structure of death rate

b) birth-rate

с) natural increase

d) disability

е) physical development

31. Demographical indexes are:

а) infantile death rate

b) reasons of death rate

с) structure of disability

d) reasons of disability

е) infectious morbidity

32. Demographical indexes are:

а) natural motion of population

b) mechanical motion of population

с) biological motion of population

d) tendencies of change of morbidity

е) height of number of invalids

33. Demographical indexes are:

а) quantity of child's population

b) quantity of patients

с) quantity of infectious patients

d) quantity of children with normal physical development

е) number of invalids from little up

34. Demographical indexes are:

а) height of infectious morbidity

b) decline of morbidity

с) height of birth-rate

d) decline of natural increase

е) height of disability

35. Determination of health by WHO:

а) State of complete spiritual and social prosperity

b) Absence of illnesses and physical defects

с) the Optimal equilibrium with an environment

d) Absence of disability

е) Level of development of medicine

36. The concept of health includes:

а) State of complete spiritual and social prosperity

b) Absence of illnesses and physical defects

с) the Optimal equilibrium with an environment

d) Absence of disability

е) Level of development of medicine

37. Health is:

а) State of complete spiritual and social prosperity

b) Level of development of medicine

с) the Optimal equilibrium with an environment

d) Absence of disability

е) Absence of illnesses and physical defects

38. According to determination of WHO in the concept of health included:

а) State of complete spiritual and social prosperity

b) Absence of disability

с) the Optimal equilibrium with an environment

d) Absence of illnesses and physical defects

е) Level of development of medicine

39. Basic indexes of population health are:

а) morbidity

b) demographic indicators

с) indexes of labor activity of population

d) physical development

е) disability

40. Basic indexes of population health are:

а) morbidity

b) demographic indicators

с) indexes of labor activity of population

d) physical development

е) disability

41. Information source by demographic indexes:

а) Department of statistic

b) establishments of Record of Acts of the Civil state

с) regional hospital

d) municipal hospital

е) policlinic

42. Information source by demographic indexes:

а) Management of statistics

b) data by censuses of population

с) regional hospital

d) municipal hospital

е) policlinic

43. Totality of properties of man habitat factor, qualificatory their ability to cause unfavorable for a health effects at the certain terms of influence:

а) risk

b) danger

с) display

d) vagueness

е) cumulation

44. Process of probability establishment of development and degree expressed by unfavorable consequences for the human health of the future generations conditioned by influence of habitat factors:

а) risk

b) danger

с) display

d) vagueness

е) cumulation

45. Connection between a dose and degree of expressed effect in the exhibited population:

а) risk

b) Dependence a “dose-response”

с) exposure

d) hazard

е) cumulation

46. Origin of new formations at influence of environment factors:

а) non-carcinogenic risk

b) risk of origin pneumocardial pathology

с) the Carcinogenic effect

d) exposure

е) cumulation

 

47. Governmental system of monitoring the state of population health and habitat, analysis, estimation and prognosis, and also determination of reason-consequence connections between the state of population health and influence of habitat factors:

а) ecological monitoring

b) monitoring of consequences

с) Social-hygienic monitoring

d) sanitary-hygienic monitoring

е) exposure and risks monitoring

48. High probability of absence harmful effect at the certain mode and terms of influence analyzed chemical substance:

а) norm

b) exposure

с) Safety

d) cumulation

е) health

49. The end stage of risk assessment:

а) Risk characterization

b) Estimation of exposure

с) Hazard identification

d) Assessment dependence of " dose - response"

е) Risk management

50. Contact of organism (receptor) with a chemical, physical or biological agent.

а) cumulation

b) exposure

с) hazard identification

d) dependence " dose - response"

е) dependence " concentration-response"

51. Exposure of all potentially dangerous factors, selection of priority factors for subsequent researches:

а) Risk characterization

b) Assessment of exposure

с) Hazard identification

d) Estimation of dependence " dose - response"

е) Risk management

52. Connection between a dose and degree expressed of effect in the exhibited population:

а) Risk characterization

b) Assessment of exposure

с) Hazard identification

d) Estimation of dependence " dose - response"

е) Risk management

53. Characterization of levels, duration, frequency and ways of influence of the investigated factors on the estimated groups of population:

а) Risk characterization

b) Assessment of exposure

с) Hazard identification

d) Estimation of dependence " dose - response"

е) Risk management

 

54. Establishment of origin sources and degree of expressed risks at concrete scenarios and routes of studied influence factors:

а) Risk characterization

b) Assessment of exposure

с) Hazard identification

d) Estimation of dependence " dose - response"

е) Risk management

 

1. Theme: Hazard identification. Exposure of hazard chemicals on toxicological properties. Methodology of exposure priority substances.

2. Aim: Forming of knowledge, practical and legal skills on hazard identification.

Educational tasks.

- forming of knowledge about identification of hazard

- forming of knowledge by screening estimation;

- forming of skills on an exposure is potential dangerous factors;

- forming of skills as evaluated by ability of factors to cause harmful effects to a man;

- forming of skills on the selection of priority factors for subsequent researches.

4. Basic questions of theme:

- determination of danger;

- the stage of hazard identification;

- screening estimation;

- necessary information for realization of hazard identification;

- uncertainties.


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