Manila Bulletin

Your habitat, your health

The impact of environmen­tal medicine

- DR. KAYCEE REYES

Look around you. You may be living in a bustling metropolis, with skyscraper­s emerging from nowhere, countless honking cars in the morning, and people always in a hurry; or you may be residing in the mellow side of the country, where there are quieter streets, fewer people, and where time seems to run slower. Wherever you are, there have been countless studies and proof that the environmen­t that you live in influences your health too, and this is what environmen­tal medicine is all about.

Environmen­tal medicine is a branch of environmen­tal health that tackles how the environmen­t affects human health including its risks, causes, evaluation, treatment, and prevention of diseases where there has a likely, probable, or establishe­d environmen­tal cause. More accurately, it was defined by the 1988 Institute of Medicine (IOM) report Role of the Primary Care Physician in Occupation­al and Environmen­tal Medicine, environmen­tal medicine is “diagnosing and caring for people exposed to chemical and physical hazards in their homes, communitie­s, and workplaces through such media as contaminat­ed soil, water, and air,” this does not include diseases associated with smoking or alcohol, or those caused by violence, genetic factors, and diet. Environmen­tal medicine should not be mistaken with environmen­tal health, which on the other hand is a broader field under public health that deals with proving the links between the deteriorat­ion of the environmen­t and how it affects human health. The study of environmen­tal medicine dates back to more than 50 years ago, in 1962, by American physician, allergist, and researcher Theron G.

Randolph who studied multiple chemical sensitivit­y (MCS) that studies how some individual­s are more sensitive to chemicals than others. Since then, environmen­tal medicine has become more establishe­d, practiced more earnestly in the ‘80s and ‘90s, with France and Germany leading the way. Studies on the environmen­tal links to cancer, the ozone layer’s effects on human health, global warming, air and water pollution, and food poisoning, are some of the issues covered by environmen­tal medicine. Since this practice still needs continuous research and stronger guidelines, sometimes it is mistaken as alternativ­e medicine, which is not the case. It sets itself apart from alternativ­e medicine, however, as it still follows the methods of standard medicine rather than purely basing it on non-scientific applicatio­ns.

The practice of environmen­tal medicine aims to detect biological signs of disease even before its onset, and to provide individual­s with preventive care. If symptoms have started to appear, environmen­tal medicine also aims to provide immediate treatment based on their study of the disease. Because a lot of diseases are environmen­tally-related and avoidable, without environmen­tal medicine, current treatments and ways of prevention may not have been possible. As much as there is a growing need for more physicians focusing on environmen­tal medicine, it is still not as popular nor is it being offered in medical schools as substantia­lly as other fields of medicine. As the environmen­t changes, our health may be at risk as well and to adapt to these changes properly, more physicians should be trained on this field now than ever before.

Wherever you are, there have been countless studies and proof that the environmen­t that you live in influences your health too, and this is what environmen­tal medicine is all about.

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