1. Principles of Environmental Medicine
- Pathways
of environmental exposure
- Dose–response
relationship
- Biomarkers
of exposure & effect
- Vulnerable
populations (pregnant, pediatric, elderly)
- Risk
assessment & environmental epidemiology
2. Environmental Exposure Assessment
- History
taking for environmental exposure
- Environmental
monitoring (air, water, soil)
- Biological
monitoring (blood, urine assays)
- Indoor
vs outdoor exposures
- Time–activity
patterns
3. Air Pollution & Respiratory Health
- Particulate
matter (PM2.5, PM10)
- Ozone,
NO₂,
SO₂,
CO
- Indoor
pollutants (smoke, mold, VOCs)
- Health
effects: asthma, COPD exacerbation, cardiovascular events
- Wildfire
smoke exposure
- Occupational
inhalation hazards
4. Water, Soil, and Food Contamination
- Drinking
water contaminants (lead, arsenic, nitrates)
- Agricultural
chemicals
- Microplastic
exposure
- Food
contamination (pesticides, aflatoxin, mercury in fish)
- Waterborne
diseases (environmental perspective)
5. Toxicology & Chemical Exposures
- Principles
of toxicokinetics & toxicodynamics
- Pesticides
(organophosphates/carbamates)
- Solvents
- Hydrocarbons
- Cyanide
- Carbon
monoxide poisoning
- Chemical
combustion products
6. Heavy Metals
- Lead
- Mercury
- Arsenic
- Cadmium
- Chromium
- Diagnosis,
chelation therapy, long-term effects
7. Occupational & Industrial Exposures
- Silica
dust → silicosis
- Asbestos
→ asbestosis,
mesothelioma
- Coal
dust → pneumoconiosis
- Organic
dusts (farmer’s lung)
- Industrial
chemicals
- Occupational
asthma
- PPE
and workplace protection standards
8. Climate-Related Illnesses
- Climate
change & health impacts
- Air
pollution interaction with climate
- Vector-borne
disease changes
- Cardiovascular
& renal impacts of extreme heat
- Population-level
vulnerability
9. Heat- and Cold-Related Injuries
Heat
- Heat
exhaustion
- Heat
stroke
- Rhabdomyolysis
related to heat injury
- Hydration
& prevention
Cold
- Hypothermia
- Frostbite
- Non-freezing
cold injuries
10. Radiation & Electromagnetic Exposure
- Ionizing
radiation (X-ray, nuclear)
- Non-ionizing
radiation (UV exposure, skin cancer risk)
- Radon
exposure
- EMF
exposure (electromagnetic fields): evidence review
- Radiation
accidents & medical management
- Electrical injury / Lighting injury
11. Noise, Vibration & Ergonomics
- Noise-induced
hearing loss
- Industrial
vibration syndrome
- Ergonomic
injuries
- Occupational
standards for safe exposure
12. Environmental Infectious Hazards
- Zoonotic
diseases (leptospirosis, hantavirus, rabies environment link)
- Waterborne
pathogens
- Vector-borne
disease ecology (dengue, malaria, chikungunya)
- Mold
exposure & respiratory illness
13. Environmental Carcinogens
- Asbestos
- Benzene
- Radon
- Aflatoxin
- UV
radiation
- PAHs
(polycyclic aromatic hydrocarbons)
- Occupational
cancer risks
14. Environmental Pediatrics
- Lead
poisoning in children
- Neurodevelopmental
effects of pollutants
- Endocrine-disrupting
chemicals (BPA, phthalates)
- Pediatric
asthma & air pollution
- Safe
home environment
15. Disaster Medicine & HazMat
- Chemical
spills
- Radiation
incidents
- Biological
threats (anthrax, plague, tularemia)
- Mass
casualty environmental disasters
- Decontamination
procedures
- Incident
command system (ICS) basics
16. Environmental Health Policy & Prevention
- WHO /
EPA standards
- Environmental
regulations
- Community
health risk communication
- Public
health surveillance
- Sustainable
environments & urban health design
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