"Superbly written and researched." —Booklist "Builds a strong case." —Kirkus Lyme disease is spreading rapidly around the globe as ticks move into places they could not survive before. The first epidemic to emerge in the era of climate change, the disease infects half a million people in the US and Europe each year, and untold multitudes in Canada, China, Russia, and Australia. Mary Beth Pfeiffer shows how we have contributed to this growing menace, and how modern medicine has underestimated its danger. She tells the heart-rending stories of families destroyed by a single tick bite, of children disabled, and of one woman’s tragic choice after an exhaustive search for a cure. Pfeiffer also warns of the emergence of other tick-borne illnesses that make Lyme more difficult to treat and pose their own grave risks. Lyme is an impeccably researched account of an enigmatic disease, making a powerful case for action to fight ticks, heal patients, and recognize humanity’s role in a modern scourge.

First published in 1945, this book is filled with humorous and touching stories of occupational exposure incidents from the early to middle 1900s. This book is the recounting of a series of detective stories: the never-ending search for occupational diseases. The criminal line-up is a fascinating array - microbes and metals, chlorine and cults, dermatitis and dementia, silica and sensitivity, dust in the air and "dust" in the blood cell, miasmas and myths, poisons and plagues, crotchets and eccentricities. They are all here. The narrative autobiography travels the bizarre gamut of occupations and their effects on health. The incidents are carefully chosen from the rich store in the author's notebooks. A classic of industrial and occupational medicine.

Evaluates the findings of close to 600 studies aimed at determining whether the health risks associated with tobacco use are enhanced by co-exposure to numerous chemical, biological, and physical agents commonly found in the workplace. Co-exposures in the domestic and general environment, which are especially important in newly industrializing countries, are also considered in this comprehensive review. Although all forms of tobacco use are covered, particular attention is given to risks arising from exposure to mainstream and sidestream smoke from cigarettes. The book has four chapters. The first summarizes what is known about the health risks caused by tobacco use. A brief overview of the history of tobacco use is followed by a detailed explanation of the chemistry of processed tobacco and the many toxic compounds found in tobacco and in mainstream and sidestream smoke. The chapter also includes an overview of all documented acute and chronic adverse effects of tobacco, including smokeless tobacco. The second and most extensive chapter evaluates the evidence on health effects caused by interactions between tobacco smoke and asbestos, non-asbestos fibres, seven inorganic chemicals, five organic chemical agents, including ethanol, four physical agents, and seven biological agents, including two widespread infectious agents. The chapter also includes an explanation of the concept of interaction and how it can be measured, a discussion of vector effects, whereby cigarettes become contaminated with toxic chemicals in the workplace, and a review of data indicating that tobacco smoking can alter the metabolism of therapeutic drugs and other chemicals. Chapter three considers whether adverseeffects following co-exposure to tobacco smoke and other agents are separate effects or possible interactions. The report found evidence for synergism in the production of adverse effects, including cancer, between tobacco smoking and exposure to asbestos, ethanol, silica, and radiation. The report also found evidence that tobacco smoking affects the health risks of exposure in coal mining, pesticide handling, and in the rubber and petroleum industries. In addition, tobacco smoking can increase the risk of byssinosis produced by exposure to cotton dust, and nasal cancer caused by exposure to wood dusts. On the basis of this evaluation, the final chapter concludes that all possible measures should be taken to eliminate tobacco use, particularly smoking. To avoid interaction with occupational exposure and to eliminate hazards arising from exposure to environmental tobacco smoke, the report concludes that smoking in the workplace should be prohibited.

Im Zuge der Globalisierung, bei der Container und Menschen von einem Kontinent zum anderen transportiert werden, landen taglich Erreger oder Krankheitsubertrager in Europa an und koennen sich schnell ausbreiten. Daher ist es notwendig, das Wissen um die UEbertragungswege von Parasiten auf den Menschen stets aktuell zu halten und die Gefahren einer Einschleppung und Ausbreitung rechtzeitig einzudammen. Dieses Buch bietet eine aktuelle UEbersicht uber die wichtigsten einheimischen und tropischen Parasiten des Menschen und ihre potenziellen UEbertrager. Es wendet sich an AErzte, Pharmazeuten, Laborpersonal und Studierende der Humanmedizin und Biologie, aber auch an alle, die sich uber Vorbeuge- und Bekampfungsmassnahmen informieren wollen. Informationen zu den einzelnen Parasiten werden jeweils in 11 Abschnitten komprimiert dargestellt: 1. Namensgebung - 2. Weltweite Verbreitung und epidemiologische Daten - 3. Lebenszyklen und Aussehen - 4. Symptome der Erkrankung - 5. Diagnosemoeglichkeiten - 6. Infektionswege - 7. Vorbeugemassnahmen - 8. Inkubationszeiten - 9. Zeiten bis zur Weiterubertragung - 10. Dauer eines Befalls - 11. Therapiemassnahmen In Tabellen, zahlreichen Schemata und auf 200 farbigen Abbildungen werden die wichtigsten Aspekte eines Parasitenbefalls sowie die aktuellen Bekampfungsmassnahmen dargestellt. Fragen helfen zudem bei der UEberprufung des eigenen Wissens. Die Neuauflage wurde um weitere Erreger erganzt und durch AEnderungen bei den Therapien aktualisiert

A state-of-the-art review of methods and procedures for assessing the risks to human health posed by environmental chemicals. Addressed to regulatory authorities, risk managers and other decision-makers, the book aims to demystify the principles of risk assessment and thus encourage wider use of this powerful tool for protecting populations. Since the detection of chemical hazards may have socioeconomic and political consequences, the book gives particular attention to methods for the accurate identification of risks and determination of their severity. The book has four chapters covering each logical step in the process of risk assessment. The first, on hazard identification, explains how data on a chemical's toxicity and mode of action can be used to determine whether the chemical will cause adverse effects on health. The strengths and limitations of different types of data are discussed together with criteria commonly used to establish causality. Methods for assessing dose-response relationships are reviewed in chapter two, which explains how to characterize the relationship between the dose administered or received and the incidence of an adverse effect. Exposure assessment is covered in the next chapter, which describes methods for determining the nature and extent of contact with chemical substances and discusses the characteristics of exposure in the general environment, in the workplace, and from consumer products. The final chapter explains the procedure of risk characterization as a decision-making tool that brings together estimates of exposure levels and risks and summarizes sources of uncertainty in the scientific data. Practical options for risk management are presented asa range of regulatory, non-regulatory, economic, and technological measures.

Summary: Explains the many simple things that community health workers can do to treat malaria, prevent new cases, and thus help reduce the alarming number of deaths, particularly in young children and pregnant women. Practical in its approach, the manual concentrates on activities that are within the competence of health workers and feasible and affordable at the community level. Information ranges from a basic explanation of the disease and its transmission, to tables illustrating correct treatment schedules for different age groups. The manual, which is abundantly illustrated, can be used in training courses, as a support to the health worker's day-to-day activities, or as a tool for health education in the community. The main purpose is to communicate basic facts and messages that, if widely understood within a community, could do much to reduce the incidence and severity of malaria. Chloroquine is presented as the first-line treatment. The manual has three parts. The first explains what community health workers can do to control malaria, and lists the essential medicines and equipment needed.Part two introduces basic facts about malaria and the behaviour of mosquitos, and elaborates three main approaches to malaria prevention in communities. The third and most extensive part sets out step-by-step instructions for the recognition and treatment of malaria, giving particular attention to standard malaria treatment schedules, measures for ensuring compliance, what to do when standard treatment fails, and how to recognize, treat, and refer severe cases. The management of malaria in young children and pregnant women also receives special attention.

"Reads like a murder mystery. . . . [Desowitz] writes with uncommon lucidity and verse, leaving the reader with a vivid understanding of malaria and other tropical diseases, and the ways in which culture, climate and politics have affected their spread and containment."—New York Times

Why, Robert S. Desowitz asks, has biotechnical research on malaria produced so little when it had promised so much? An expert in tropical diseases, Desowtiz searches for answers in this provocative book.

"Like such eminent science writers as Stephen Jay Gould and Lewis Thomas, Mr. Desowitz manages to make the basic principles of his subject immediately comprehensible to the general reader. He has also succeeded in giving us a profound appreciation of the ways in which scientific and medical knowledge advances, through hypothesis, error and experiment, through serendipity, dedication, and perseverance."—Michiko Kakutani, New York Times

"Like a novelist, [Desowitz] draws the reader into the human tragedy of disease. . . . Rich in historical-medical detective stories."—Betty Ann Kevles, Los Angeles Times

"A gripping account of how a one-celled protozoan has triumphed over modern science."—Wall Street Journal

"Just as it was not necessary to be an astrophysicist to feel the grandeur and scope of Stephen Hawking's A Brief History of Time, it is not necessary to be a parasitologist or specialist in tropical medicine to relate to the drama, tragedy and even romance of Desowitz's fascinating and provocative story. . . . Interesting and important."—New England Journal of Medicine

Das Leben in der Stadt kann zu physischen und psychischen Erkrankungen fuhren. Dabei spielen Umweltfaktoren, wie z.B. Extremwetterereignisse, Luftverunreinigung, Larmbelastung oder veranderte Stadtklimatologie durch Versiegelung eine entscheidende Rolle.Ein grunes Stadtbild kann durch die Schaffung gesundheits- und bewegungsfoerdernder Strukturen die Gesundheit und das Wohlbefinden der Burger positiv beeinflussen und damit Krankheiten, die durch das Stadtleben begunstigt werden, abmildern.

Generally accepted scientific priniciples and requirements applied to neurotoxicology.

A wide-ranging account of traditional medical practices is intended to provide health administrators and practitioners with background information that may help them improve health care coverage, especially in developing countries, through a judicious blending of orthodox and unorthodox health resources.

In diesem Buch geht es um nachhaltige Organisationsentwicklung 4.0. Sie erfahren, wie Freude an der Arbeit bessere Arbeitsergebnisse schafft und Lernerfolge foerdert, wahrend AErger zum Ruckgang von Produktivitat fuhrt und krank macht. So lernen Sie, wie eine Unternehmenskultur geschaffen werden kann, die Freude und Mitarbeitermotivation steigert und Gefahrdungen reduziert, wahrend das Unternehmen Gewinne steigern kann. Analog den 26 Buchstaben des Alphabets wurden aus 16 bekannten Gesundheitspotenzialen fur Arbeitsfreude und 10 Gesundheitsgefahrdungen diejenigen identifiziert, die fur Unternehmen die wichtigsten und starksten Einflusse auf die Motivation der Mitarbeiter haben, und damit zum begrifflichen Grundgerust eines resilienten Organisationsdesign 4.0. gehoeren. Basierend auf einem Referenzdatenpool, der mehr als 20 000 Befragte aus allen Branchen umfasst, bietet dieses Fachbuch eine wertvolle Analyse und Hilfestellung fur Unternehmer, Fuhrungskrafte und Berater. Zielgruppen: Fuhrungskrafte, Personalverantwortliche, Organisationsentwickler, Unternehmer, Betriebsrate, Krankenkassen, etc. Zum Autor: Dr. Gerhard Westermayer ist Autor von mehr als 60 wissenschaftlichen Veroeffentlichungen und seit mehr als 30 Jahren erfolgreich in der Organisationsentwicklung tatig.

The lifestyles and socio-economic status that are prevalent in regions of the world with limited resources form the background for the unique features of neoplastic diseases in these areas, where the majority of the world population lives. The predominance of the world's retroviral burden of in these areas further compounds the nature and challenges of the cancer there. Much of the international cancer literature covers the nature and challenges of the disease as seen in high-income regions of the world, thereby giving a skewed view of the global cancer challenges. As the low- and middle-income regions of the world transition from communicable to non communicable disease patterns, there is a need for a corresponding paradigm shift, with increased emphasis on what the world needs to know about non communicable diseases, including cancer, where the disease is hitherto poorly documented. The main goal of the proposed book is to contribute to this outcomes.

This invaluable handbook provides a basic knowledge of muscle action and co-ordination with which students of occupational therapy can applying specific techniques to specific conditions of muscle insufficiency for the restoration of function. It is particularly designed for those who have already studied anatomy and physiology, and will be useful in conjunction with an authorized anatomy text. Students and teachers of physio-therapy will find considerable value in it. Miss McMurrich's book is the result of many years' experience in teaching anatomy to students of occupational and physical therapy. In her introductory chapter, she endeavours to clarify for beginners any difficulties in the subject matter, and to condense for the advanced reader the existing knowledge on muscle action. Her main contention is that the application of craft-work, games or exercises for the restoration of function can be varied indefinitely if the therapist's knowledge of muscle action and co-ordination is sound. She makes suggestions for certain muscles or muscle groups; and leaves to the ingenuity of the therapist, with sound knowledge of muscle action, appropriate additions. Her accounts of the signs of nerve lesions and falsification of movement will be of great us to students.

Friedrich Frischknecht gibt einen interessanten Einblick in die Lebensweisen von Parasiten. Vom kleinen Erreger der Malaria zum Bandwurm, vom Durchfall zur Verhaltensanderung des Wirts stellt er die faszinierende Welt der Parasiten vor. Dabei verdeutlicht er, warum Parasitismus eine so erfolgreiche Lebensweise darstellt und wie wir es trotzdem schaffen koennten, die schlimmsten Parasiten auszurotten. Der Autor: Prof. Dr. Friedrich Frischknecht hat nach dem Studium der Biochemie an der Freien Universitat Berlin am Europaischen Molekularbiologischen Laboratorium (EMBL) in Heidelberg uber Pockenviren promoviert. Nach einem Forschungsaufenthalt am Institut Pasteur in Paris leitet er seit 2005 eine Forschungsgruppe am Universitatsklinikum in Heidelberg und beschaftigt sich mit den molekularen Grundlagen der Bewegung von Malariaparasiten.

Chikungunya (CHIKV) is a viral infection spread by mosquitoes that can cause symptoms such as fever, joint pain, muscle pain, headache, fatigue, and rash, which can become severe. While symptoms generally subside within a week or two, the disease nonetheless imposes a burden on societies around the world and carries a death risk of 1 in 1,000 infections. Chapter One details the history and evolution of the virus, including its epidemiology and extensive spread, and discusses disease prevention and vector control measures. Chapter Two describes the geographical distribution, transmission, and alternative hosts of Chikungunya. Chapter Three provides an insight into the different immunotherapy and immunoprophylaxis strategies that have demonstrated promising results so far for the treatment of this disease. Lastly, Chapter Four provides an overview of the potential therapeutics that have been proposed and developed for CHIKV.

Dieses essential bietet einen Einblick in die gesundheitliche Situation - physisch wie psychisch - am Arbeitsplatz, deren Betrachtung inzwischen nach dem Arbeitsschutzgesetz auch fur die kleinen Betriebe zur Verpflichtung geworden ist. Die Autoren zeigen die neue Sichtweise auf die Gesundheit, aus der sich gerade fur kleine und mittelstandische Unternehmen viele Moeglichkeiten ergeben, gesundheitsfoerdernde Rahmenbedingungen in ihrem Betrieb zu schaffen. Der Zugang zu dieser betrieblichen Gesundheitsarbeit fuhrt kunftig uber das Wissen daruber, welchen Einfluss der Lebens- und Arbeitsstil auf den physischen und psychischen Zustand haben koennen. Die Unterstutzung durch die Sozialversicherungen ist ebenfalls an die Beachtung dieser Leitprinzipien gekoppelt.

Dieses Kompendium dient als praxisgerechte Orientierungshilfe fur die Verantwortlichen in Unternehmen, die sich mit den Auswirkungen des demografischen Wandels beschaftigen. Das Kompendium gibt einerseits einen UEberblick uber die Auswirkungen des demografischen Wandels auf Unternehmen und bietet andererseits praktikable Methoden und Massnahmen zur Erhaltung der psychischen und physischen Leistungsfahigkeit. Die Autoren beschreiben wie Unternehmen sich auf die Entwicklung vorbereiten koennen; sie stellen Instrumente und Methoden vor, die Unternehmen in die Lage versetzen, ihren betriebsindividuellen Handlungsbedarf zu ermitteln. Handlungsfelder einer leistungsfoerderlichen, demografie-festen Personalarbeit in den Themenbereichen Arbeitsgestaltung, Arbeitszeitgestaltung, Personal, Unternehmenskultur und Fuhrung, Gesundheits- und Arbeitsschutz, Wissenssicherung werden beschrieben. Praxisbespiele und Loesungen aus Unternehmen verdeutlichen in anschaulicher Form die Wirksamkeit von Vorgehensweisen und Methoden.

Newly organized and featuring new editors and hundreds of new images, Peters' Atlas of Tropical Medicine and Parasitology, Seventh Edition, brings you up to date with today's greatest challenges in tropical medicine. Increased global travel, climate change, human conflict, short-term/large-scale human assemblies, potent therapeutic agents, drug resistance, and vaccine misinformation have contributed to a greatly changed landscape in this complex field. This practical, highly visual guide provides more than 1,300 stunning illustrations, making it an authoritative parasitology resource for accurate diagnosis of complex diseases. Contains hundreds of new images, including more than 50 completely revised life cycles and epidemiological maps. Provides current information on Zika virus, chikungunya virus, Ebola virus, SARS and MERS-CoV caused by enzootic corona virus, tuberculosis, ceftriaxone-resistant gonorrhea, malaria, and much more. Features a completely updated and significantly streamlined text, now organized not only by primary mode of disease transmission, but extended to define disease more strictly according to the route of acquisition - a logical change that reflects the principles applied to control measures for most infections. Presents the knowledge and expertise of new editors Drs. Laura Nabarro, Stephen Morris-Jones, and David A. J. Moore. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

Over the past four decades, the prevalence of autism, asthma, ADHD, obesity, diabetes, and birth defects has increased substantially among children throughout the world. Not coincidentally, more than 80,000 new chemicals have been developed and released into the global environment during this same period. Today the World Health Organization attributes more than one third of all childhood deaths to environmental causes. Children's environmental health is a new and growing discipline that responds to the expanding threat of chemical and environmental hazards to child health. Amid mounting evidence that children are especially sensitive to their environment-and that exposure during their developmental "windows of susceptibility" can trigger cellular changes that lead to lifelong disease and disability-there is a compelling need for continued scientific study of the relationship between children's health and their environment. Children and Environmental Toxins: What Everyone Needs to Know (R) offers an authoritative yet accessible question-and-answer guide to the "silent spring" of threats in our collective backyard. As the burdens of environmental toxins and chronic disease continue to defy borders, this book will be an invaluable addition to the conspicuously sparse literature in this area.

Mosquitos: Species, Distribution and Disease opens with a discussion on the potential use of plant-derived saponins as a natural larvicide to help prevent and control disease outbreaks in mosquito-infested areas. The general background of saponins, examples of saponin-containing plants and the uses of crude saponins are furthermore discussed. The authors develop practical perspectives on controlling tropical disease vectors in an eco-friendly manner. The authors also provide updated lists of the mosquito species present in the eastern states of the Arabian Peninsula, with information on their collection sites and distribution. New records of some adults are published for the first time from Qatar. An investigation of the morbidity of epidemic vector-borne diseases is also considered. Intracellular population dynamics of viruses under a set of biologically sound parameter values are studied, and statistical tools are used to quantify the estimability of model parameters under distinct scenarios. The resulting mathematical model can also be applied in clinical settings where there is a growing body of work on the within-host dissemination of flaviviruses.

Das Buch gibt Laborleitern, ihren Mitarbeitern in Industrie, Handel und Forschung, aber auch Fachkraften fur Arbeitssicherheit, Sicherheitsbeauftragten und Aufsichtsbeamten, sowie Gutachtern und Sachverstandigen einen Leitfaden nach dem neuesten Stand des Wissens an die Hand. Der erfahrene Autor - selbst Chemiker und Technischer Aufsichtsbeamter in der Berufsgenossenschaft der Chemischen Industrie - zeigt Losungen auf, beantwortet die haufigsten Fragen und bietet Hilfe bei der Umsetzung der nicht immer leicht verstandlichen Vorschriften an. Das Buch geht daher uber den Inhalt der gesetzlichen Vorschriften und Richtlinien weit hinaus."

Die umfassendste Information uber Public Health Die Master of Public Health-Ausbildung international und im deutschsprachigen Raum Die aktuelle Ausbildungssituation in Osterreich Was ist Public Health? Welches sind die Aufgaben? Was ist das Berufsbild des Master of Public Health? Welche Berufskarrieren gibt es fur MPH-Absolventen? Welche Qualifikationen werden von Public-Health-Experten gefordert? Welche Bedeutung hat Public Health in den verschiedenen nationalen Gesundheitssystemen der Welt? Welche Rolle spielt der Arzt in der Zukunft im offentlichen und nicht-offentlichen Gesundheitsdienst? Gibt es Public Health in Osterreich? Die Gesundheitssysteme und die Systeme der sozialen Sicherung befinden sich weltweit in einer Phase der Veranderung. In den hochtechnisierten Industriegesellschaften uberaltert die Bevolkerungsmehrheit, wodurch sich das Krankheitsspektrum in den Bereich chronischer degenerativer Erkrankungen verschiebt. Im medizinischen Versorgungsbereich steigen die Kosten ungebremst, der Trend zur Spezialisierung von Leistungen halt an, dabei besteht weiterhin ein eklatantes Ungleichgewicht zwischen kurativer Versorgung und Krankheitspravention und Gesundheitsforderung. Das Handbuch gibt Auskunft uber die Entwicklung von Public Health in den letzten Jahrzehnten. Die Public-Health-Programme der grossen UN-Organisationen, globale Ziele und Investitionen der Welt-Gesundheitsorganisation (WHO) und der Weltbank in das Gesundheitswesen des 21. Jahrhunderts werden von Spezialisten dargelegt. Ausgewahlte internationale Experten, Forscher, Lehrer und Politiker schreiben uber die Aufgaben, Forschung, Analyse, Intervention und Organisation von Public Health. Das Buch wendet sich an Berufsgruppen im Gesundheitsbereich, die mehr uber die postgraduale Master of Public-Health-Ausbildung wissen wollen. Die weltweit angesehensten Schools of Public Health werden in einem Universitatskatalog vorgestellt. Public-Health-Interessenten konnen sich ihr personliches Curriculum an einer der 95 Ausbildungsstatten zum Master of Public Health zusammenstellen Im Anhang des Buches befinden sich ein ausfuhrliches Glossar, Begriffserklarungen, weiterfuhrende Literatur, die interessantesten Journals, die aktuellsten E-Mail-Adressen der Universitaten, Organisationen und Verlage sowie andere nutzliche Adressen. Mit Beitragen von Franz Allerberger, Peter Baume, Egmont Baumgartner, Elmar Bechter, Denis Broun, Jean-Pierre Deschamps, Hans-Jochen Diesfeld, Wolfgang J. Dur, Armin H. Fidler, Walter Geppert, Siegfried Geyer, Ralph Grossmann, Felix Gutzwiller, Katharina Heimerl, Rolf Heusser, Gottfried Otto Hirnschall, Wolfgang Hladik, Klaus Hurrelmann, Ilona Senta Kickbusch, Jean Paul Klein, Christian M. Kock, Walter W. Kofler, Andrea Kubec, Felix Albert Kuchler, Kurt Martin Leodolter, Gudjon Magnusson, Michaela Moritz, Michael G. Neumann, R. Horst Noack, Gerd Oberfeld, Harald P. Payer, Jurgen M. Pelikan, Pierre Perrin, Franz Piribauer, Bernard Pissarro, Gerhard Polak, Ulf Postuvanschitz, Otto Rafetseder, Eva Rasky, Oliver Razum, Milton I. Roemer, Norbert Schmacke, Maria Schmidt, Paul Schnabel, Peter Schulte, Elisabeth Seidl, Jurgen Freiherr von Troschke, Renato Veras, Kurt L. Weithaler, Walther Helmut Wernsdorfer, Beate Wimmer-Puchinger"

Das Buch bietet AErzten und Juristen vielseitige Hilfen zur Erstellung von Gutachten auf allen Fachgebieten der Medizin, die als Fundament fur eine Rechtsprechung geeignet sind. Die diagnostische Radiologie hat heute eine grosse Sicherheit und Reproduzierbarkeit der Ergebnisse erreicht. Diese Informationen helfen, die Einschatzung von Folgezustanden nach Unfallen und Krankheiten objektivieren zu koennen. Mit diesem Band erhalten Gutachter aller Fachgebiete der Medizin, Juristen im Sozial- und Arbeitsrecht ferner Berufsgenossenschaften, Versicherungen, Rententrager und Politiker wertvolle Orientierungs- und Entscheidungshilfen.