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ecological determinants of health
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necessary to sustain all life forms on earth, the environment does not affect all humans and other life equally
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Examples ecological determinants of health
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atmosphere, oceans, terrestrial surfaces, oxygen, clean water, soil, natural resources
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Environmental health inequities vulnerable groups
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children, older adults, Indigenous populations
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causes of environmental health inequities
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geographic, geo-political location, and social location along axis of gender, race, ethnicity, socioeconomic status, occupation, developmental stage
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Environmental Injustice
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inequitable exposure of poor, minority, and disenfranchised populations to toxic chemicals contaminated air and water, unsafe workplaces and other forms of pollution and the disproportionate burden among these population of pollution-related diseases, often violation of their human rights
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Climate change
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effects on physical environment is impacting Indigenous cultures, identities, food security, and health on a global scale
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air pollution
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increase CO2, causing respiratory and cardiovascular disease
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ecotoxicity
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refers to the potential for a substance to cause stresses on the ecosystem by its level of toxicity on aquatic or terrestrial organisms
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sociopolitical trends that drive climate change globally
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increasing urbanization and displacement, food and house insecurity
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Three environmental frameworks
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Indigenous perspectives, intersectional ecological-feminist approach, planetary health
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Indigenous perspectives on health and the environment
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Indigenous relationship to land is built with deep respect, humility, and responsibility; two-eyed seeing is holistic concept; opens possibilities for relationship with environment
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intersectional ecological feminist approaches
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refraining from two approaches 1) value dualism and 2) value-hierarchical thinking
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dualism
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developing opposition and exclusiveness
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Hierarchial Thinking
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exploitation of resources and oppression of populations rendered more vulnerable by those with more economic and political power
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planetary health
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concerned with the unprecedented impact of human activity on Earth's ecological systems and its consequences for human health
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Primordial prevention
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international, national, provincial, and municipal policies that aim at protecting the environment are the focus
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Primary prevention
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includes measures such as immunization, counselling about reducing exposures, and supporting policies
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Secondary prevention
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involves promoting early detection or screening of environmentally related disease and limiting disability
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Tertiary prevention
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involves recovery or rehabilitation of an environmentally related disease or condition after disease has developed
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Quaternary prevention
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over-medicalization of humans can lead to pharmaceutical compounds in fresh water and salt water marine specie; at this level prudent medication selecting counselling is imperative