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 Sessions Four & Five: Exposure Assessment

(Biological Markers of Exposure)

Text Readings: Aldrich & Griffith, Chapters 5, 6 & 8
Web Readings: Exposure Assessment Framework & Process

Disease Transmission & Context

Biologic Monitoring and Biomarkers

Urban Air Pollution and Health: Research

Collaboration in Air Pollution Health Impact Assessment

Topics: What are Biological Markers of Exposure / Why Use Biological Markers of Exposure in Environmental Epidemiological Investigations / Markers of Exposure Provide Information Specific to the Individual / Markers of Exposure are Able to Integrate Exposures Over Time & From Various Routes of Entry into the Body / Markers of Exposure often Allow the Quantification of Exposure / Markers of Exposure can Identify Specific Agents within a Mixture / Criteria for Selecting a Biological Marker of Exposure / Biologically Related Criteria / Laboratory Related Criteria / The "Best" Markers or ETS Exposure / Air Pollution / Ozone / Sulfur Dioxide, Particulates and Acid Aerosols / Nitrogen Oxides / Carbon Monoxide / Lead / Carcinogens / Priority Research Needs / Evaluation of Risks Associated with Hazardous Waste / Dimension of the Problem / Research Background / Relevance to Health / Rates of Occurrence of Known & Unknown Diseases / Etiology / Public Health Roles / Developing Relevant Exposure Gradients / Pertinent Studies / Water, Soil, Food Contamination / The Grey Literature / Monitoring / Research Needs

Assignment for Class Five

  1. What is meant by the concept of "biological markers of exposure?
  2. What is meant by the term "a marker of biologically effective dose"?
  3. Traditionally, how have epidemiologists characterized exposure?
  4. Identify five key properties of biological markers.
  5. Identify 10 criteria to be considered in selecting a biological marker for exposure.
  6. What is meant by the reference in the Bertolilini text to the "generally ubiquitous exposure to air pollution"?
  7. Please explain how ozone negatively effects human health and the physiological mechanism of exposure.
  8. Likewise, (based upon question 7), also explain health effects and mechanisms for exposure for the following agents: sulfates, nitrous oxides, carbon dioxide, & lead.
Assignment for Class Six
  1. Please define the term "epidemiology."
  2. Please explain how do the following areas of inquiry for epidemiology differ: Infectious Disease Epidemiology, Chronic Disease Epidemiology, Environmental Epidemiology.
  3. How do these three areas of epidemiology emphasis relate to one another? Alternately stated, what do they share in common?
  4. Please define the following terms: communicable, contagious, infection, vector, vital statistic.
  5. Please differentiate between the following research approaches to epidemiology: clinical trials, field trials, community trials, descriptive studies, analytic studies and cross-sectional studies.
  6. Among longitudinal approaches, please differentiate between the following: cohort studies (retrospective, prospective, and historical prospective), and case-control studies.

Sessions

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15