Water and the Public’s Health€¦ · 04/12/2019 · COLLEGE OF PUB LIC HEAL TH UNIVERSIT Y OF...
Transcript of Water and the Public’s Health€¦ · 04/12/2019 · COLLEGE OF PUB LIC HEAL TH UNIVERSIT Y OF...
Water and the Public’s Health
Donna J. Petersen, ScD, MHS, CPH
Dean, USF College of Public Health
Polk County WateReuse Annual Meeting
December 4, 2019
SCHOOL OF PHYSICAL THERAPY & REHABILITATION SCIENCES UNIVERSIT Y OF SOUTH FLORIDA
COLLEGE OF PHARMACYUNIVERSIT Y OF SOUTH FLORIDA
COLLEGE OF NURSINGUNIVERSIT Y OF SOUTH FLORIDA
COLLEGE OF PUBLIC HEALTHUNIVERSIT Y OF SOUTH FLORIDA
UNIVE RSIT Y OF SOUTH F LORIDA
MORSANI COLLEGE OF MEDICINE MORSANI
COLLEGE OF MEDICINE
SCHOOL OF PHYSICAL THERAPY & REHABILITATION SCIENCES UNIVERSIT Y OF SOUTH FLORIDA
COLLEGE OF PHARMACYUNIVERSIT Y OF SOUTH FLORIDA
COLLEGE OF NURSINGUNIVERSIT Y OF SOUTH FLORIDA
COLLEGE OF PUBLIC HEALTHUNIVERSIT Y OF SOUTH FLORIDA
UNIVE RSIT Y OF SOUTH F LORIDA
MORSANI COLLEGE OF MEDICINE MORSANI
COLLEGE OF MEDICINE
Our Practice Is Our Passion
What is “health”?
• A complete state of physical, mental and social
well-being and not merely the absence of
disease or infirmity• World Health Organization, 1947
SCHOOL OF PHYSICAL THERAPY & REHABILITATION SCIENCES UNIVERSIT Y OF SOUTH FLORIDA
COLLEGE OF PHARMACYUNIVERSIT Y OF SOUTH FLORIDA
COLLEGE OF NURSINGUNIVERSIT Y OF SOUTH FLORIDA
COLLEGE OF PUBLIC HEALTHUNIVERSIT Y OF SOUTH FLORIDA
UNIVE RSIT Y OF SOUTH F LORIDA
MORSANI COLLEGE OF MEDICINE MORSANI
COLLEGE OF MEDICINE
SCHOOL OF PHYSICAL THERAPY & REHABILITATION SCIENCES UNIVERSIT Y OF SOUTH FLORIDA
COLLEGE OF PHARMACYUNIVERSIT Y OF SOUTH FLORIDA
COLLEGE OF NURSINGUNIVERSIT Y OF SOUTH FLORIDA
COLLEGE OF PUBLIC HEALTHUNIVERSIT Y OF SOUTH FLORIDA
UNIVE RSIT Y OF SOUTH F LORIDA
MORSANI COLLEGE OF MEDICINE MORSANI
COLLEGE OF MEDICINE
Our Practice Is Our Passion
What is “public health”?
• what we do collectively as societies to create
conditions in which we can all be healthy• Institute of Medicine, 1988, The Future of Public Health
SCHOOL OF PHYSICAL THERAPY & REHABILITATION SCIENCES UNIVERSIT Y OF SOUTH FLORIDA
COLLEGE OF PHARMACYUNIVERSIT Y OF SOUTH FLORIDA
COLLEGE OF NURSINGUNIVERSIT Y OF SOUTH FLORIDA
COLLEGE OF PUBLIC HEALTHUNIVERSIT Y OF SOUTH FLORIDA
UNIVE RSIT Y OF SOUTH F LORIDA
MORSANI COLLEGE OF MEDICINE MORSANI
COLLEGE OF MEDICINE
SCHOOL OF PHYSICAL THERAPY & REHABILITATION SCIENCES UNIVERSIT Y OF SOUTH FLORIDA
COLLEGE OF PHARMACYUNIVERSIT Y OF SOUTH FLORIDA
COLLEGE OF NURSINGUNIVERSIT Y OF SOUTH FLORIDA
COLLEGE OF PUBLIC HEALTHUNIVERSIT Y OF SOUTH FLORIDA
UNIVE RSIT Y OF SOUTH F LORIDA
MORSANI COLLEGE OF MEDICINE MORSANI
COLLEGE OF MEDICINE
Our Practice Is Our Passion
Anyone here rather NOT be healthy?
Social Determinants of Health
Relative Contributions to “health”
Canadian Institute of Advanced Research (2012) quoted in Op. Cit. 1
Estimate somewhat ironic . . .
Water and human health
SCHOOL OF PHYSICAL THERAPY & REHABILITATION SCIENCES UNIVERSIT Y OF SOUTH FLORIDA
COLLEGE OF PHARMACYUNIVERSIT Y OF SOUTH FLORIDA
COLLEGE OF NURSINGUNIVERSIT Y OF SOUTH FLORIDA
COLLEGE OF PUBLIC HEALTHUNIVERSIT Y OF SOUTH FLORIDA
UNIVE RSIT Y OF SOUTH F LORIDA
MORSANI COLLEGE OF MEDICINE MORSANI
COLLEGE OF MEDICINE
SCHOOL OF PHYSICAL THERAPY & REHABILITATION SCIENCES UNIVERSIT Y OF SOUTH FLORIDA
COLLEGE OF PHARMACYUNIVERSIT Y OF SOUTH FLORIDA
COLLEGE OF NURSINGUNIVERSIT Y OF SOUTH FLORIDA
COLLEGE OF PUBLIC HEALTHUNIVERSIT Y OF SOUTH FLORIDA
UNIVE RSIT Y OF SOUTH F LORIDA
MORSANI COLLEGE OF MEDICINE MORSANI
COLLEGE OF MEDICINE
Our Practice Is Our Passion
Something we should have learned in grade school:
There is no new water on the planet
SCHOOL OF PHYSICAL THERAPY & REHABILITATION SCIENCES UNIVERSIT Y OF SOUTH FLORIDA
COLLEGE OF PHARMACYUNIVERSIT Y OF SOUTH FLORIDA
COLLEGE OF NURSINGUNIVERSIT Y OF SOUTH FLORIDA
COLLEGE OF PUBLIC HEALTHUNIVERSIT Y OF SOUTH FLORIDA
UNIVE RSIT Y OF SOUTH F LORIDA
MORSANI COLLEGE OF MEDICINE MORSANI
COLLEGE OF MEDICINE
SCHOOL OF PHYSICAL THERAPY & REHABILITATION SCIENCES UNIVERSIT Y OF SOUTH FLORIDA
COLLEGE OF PHARMACYUNIVERSIT Y OF SOUTH FLORIDA
COLLEGE OF NURSINGUNIVERSIT Y OF SOUTH FLORIDA
COLLEGE OF PUBLIC HEALTHUNIVERSIT Y OF SOUTH FLORIDA
UNIVE RSIT Y OF SOUTH F LORIDA
MORSANI COLLEGE OF MEDICINE MORSANI
COLLEGE OF MEDICINE
Our Practice Is Our Passion
Millennium Development GoalsUnited Nations/WHO 1999→2015
MDG Goal 7C was declared “met”
Yet, Clean Water remains a global goalUnited Nations/WHO 2015→2030
SDG Goal 6• Half the world’s population experiences
water scarcity at least one month per year
• 3 in 10 people lack access to safely managed drinking water systems
• Water and sanitation remain major contributors to child mortality
• 800 children die every day from diarrhoeal diseases linked to poor hygiene
CDC Traveler’s Advice
Meanwhile, back in the United States…
Environmental contributions to health: water
Multiple efforts to protect water
Waterborne diseasesCDC estimates 4-32 million cases of acute gastrointestinal illness per year
• Cholera• Giardiasis• Cryptosporidiosis• Cyclosporiasis• Schistosomiasis• Guinea worm• Campylobacteriosis• Dysentery• Naegleriasis• Typhoid fever
Climate change impacts on water borne illnessesNational Institute of Environmental Health Science, NIH
• Droughts can cause increased concentrations of effluent pathogens, overwhelming water treatment plants and contaminating surface water
• Changes in ocean and coastal ecosystems, including changes in pH, nutrient and contaminant runoff, salinity, and water security, can degrade fresh water
• Increased frequency of intense extreme weather events can cause flooding of water and sewage treatment facilities
• Indirectly, the lack of water can cause crop failure, malnutrition, starvation, population displacement, and resource conflict
• Changes in the distribution and concentrations of chemical contaminants in coastal and ocean waters through release of contaminants previously locked in polar ice sheets, or in runoff from coastal and watershed development
• Among several suggestions for global mitigation is
Water reuse and recycling!!!
Florida Potable Reuse Commission
2020 Florida Legislative Session
Regulatory Framework for Potable Reuse
Regulation necessary but not sufficient . . .
Drinking Water Week May 3-9, 2020
Public Health = Water