Skip to main content
Canadian Journal of Public Health = Revue Canadienne de Santé Publique logoLink to Canadian Journal of Public Health = Revue Canadienne de Santé Publique
. 2002 Sep 1;93(Suppl 1):S39–S44. doi: 10.1007/BF03405117

Environmental Health Surveillance: Indicators for Freshwater Ecosystems

Robert D Morris 17,, Donald Cole 27
PMCID: PMC6980092  PMID: 12425174

Abstract

The relationship between the health of human populations and the state of the ecosystems in which they live is profoundly complex. As most environmental indicators relevant to human health depend on evidence of a direct cause and effect relationship, there are few indicators of the less direct consequences of environmental degradation on human health. Indicators of the direct consequence of contaminants in freshwater ecosystems on human health are highlighted in this paper and candidate indicators for environmental health are provided. Many of the indicators included here are from the State Of the Lakes Ecosystem Conference (SOLEC) program. SOLEC conferences in the past (1994 and 1996) examined the state of various components of the ecosystem through the use of ad hoc indicators, and provided subjective assessments of certain environmental conditions. At SOLEC 98, a comprehensive suite of 80 Great Lakes ecosystem health indicators was presented for review, refinement and acceptance. Candidate indicators for freshwater systems and environmental health presented here are organized following the “Pressure-State-Response” framework and cover the areas of drinking water, recreational water, freshwater food sources, and the availability of freshwater for economic activities.

References

  • 1.Chen CJ, Kuo TL, Wu MM. Arsenic and cancers (letter) Lancet. 1988;i:414–15. doi: 10.1016/S0140-6736(88)91207-X. [DOI] [PubMed] [Google Scholar]
  • 2.Wu MM, Kuo TL, Hwang YH, Chen CJ. Dose-response relation between arsenic well water and mortality from cancer. Am J Epidemiol. 1989;130:1123–32. doi: 10.1093/oxfordjournals.aje.a115439. [DOI] [PubMed] [Google Scholar]
  • 3.Smith AH, Hopenhayn-Rich C, Bates MN, Goeden HM, Hertz-Picciotto I, Duggan HM, et al. Cancer risks from arsenic in drinking water. Environ Health Perspect. 1992;97:259–67. doi: 10.1289/ehp.9297259. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 4.Neuberger JS. Residential radon exposure and lung cancer: An overview of published studies. Cancer Detection and Prevention. 1991;15:435–43. [PubMed] [Google Scholar]
  • 5.Brown DJ, Cothern CR. A Bayesian analysis of scientific judgment of uncertainties in estimating risk due to 222 Rn in US public drinking water supplies. Health Physics. 1987;53:11–21. doi: 10.1097/00004032-198707000-00001. [DOI] [PubMed] [Google Scholar]
  • 6.Tao XG, Zhu HG, Yu SZ, Zhao QY, Wang JR, Wu GD, et al. Effects of drinking water from the lower reaches of the Huangpu River on the risk of male stomach and liver cancer death. Public Health Reviews. 1991;19:229–36. [PubMed] [Google Scholar]
  • 7.Xu G, Song P, Reed PI. The relationship between gastric mucosal changes and nitrate intake via drinking water in a high-risk population for gastric cancer in Moping county, China. Eur J Cancer Prev. 1992;1(6):437–43. doi: 10.1097/00008469-199210000-00007. [DOI] [PubMed] [Google Scholar]
  • 8.Tao XG, Zhu HG, Yu SZ, Zhao QY, Wang JR, Wu GD, et al. Pilot study on the relationship between male stomach and liver cancer death and the mutagenicity of drinking water in the Huangpu River area. Public Health Reviews. 1992;19:219–27. [PubMed] [Google Scholar]
  • 9.Leclerc H, Vincent P, Vandevenne P. Nitrates de l’eau de boisson et cancer. Annales de gastro-entérologie et d’hépatologie. 1991;27:326–32. [PubMed] [Google Scholar]
  • 10.National Research Council. Environmental Epidemiology: Volume 1: Public Health and Hazardous Wastes. Washington, DC: National Academy Press; 1991. [PubMed] [Google Scholar]
  • 11.Fagliano JM, Berry M, Bove F, Burke T. Drinking water contamination and the incidence of leukemia: An ecologic study. Am J Public Health. 1990;80:1209–12. doi: 10.2105/AJPH.80.10.1209. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 12.Griffith J, Duncan RC, Riggan WB. Pellom AC. Cancer mortality in US counties with hazardous waste sites and ground water pollution. Arch Environ Health. 1989;44:69–74. doi: 10.1080/00039896.1989.9934378. [DOI] [PubMed] [Google Scholar]
  • 13.Lagakos SW, Wessen BJ, Zelen M. An analysis of contaminated well water and health effects in Woburn, Massachusetts. JASA. 1986;81:583–96. doi: 10.1080/01621459.1986.10478307. [DOI] [Google Scholar]
  • 14.Rook JJ. Formation of haloforms during chlorination of natural waters. J Soc Water Treatment and Examination. 1974;23:234–43. [Google Scholar]
  • 15.Symons JM. J Amer Water Assoc. 1975. National Organics Reconnaissance Survey for Halogenated Organics. [Google Scholar]
  • 16.Morris RD, Audet AM, Angelillo IF, Chalmers TC, Mosteller F. Chlorination, chlorination byproducts, and cancer: A meta-analysis. Am J Public Health. 1992;82:955–63. doi: 10.2105/AJPH.82.7.955. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 17.McGeehin MA, Reif JS, Becher JC, Mangione EJ. Case-control study of bladder cancer and water disinfection methods in Colorado. Am J Epidemiol. 1993;138:492–501. doi: 10.1093/oxfordjournals.aje.a116883. [DOI] [PubMed] [Google Scholar]
  • 18.Koivusalo M, Jaakkola JJ, Varitiainen T, Jakulinen T, Karjalainen S, Pukkala E, Tuomisto J. Drinking water mutagenicity and gastrointestinal and urinary tract cancers: An ecological study in Finland. Am J Public Health. 1994;84:1223–28. doi: 10.2105/AJPH.84.8.1223. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 19.Dawson J, Eyles J, Keating L, Khan H, Kraft D, Murkin E, et al. Final Report of the Great Lakes Fish Eaters Project: Dietary Survey & Assessment of Potential Risks and Benefits. Volumes 1 & 2. Sheeshka J, Cole D (Eds.). Submitted to Health Canada.
  • 20.Tsukatani T. The Aral Sea and socio-economic development. In: Kobori I, Glantz MH, editors. Central Eurasian Water Crisis: Caspian, Aral and Dead Seas. Tokyo: United Nations University Press; 1998. pp. 53–74. [Google Scholar]
  • 21.Upshur REG . Report of environmental health consultation regarding the health impacts of the Aral Sea disaster. Hamilton, ON: Environmental Health Program, McMaster University; 1998. [Google Scholar]
  • 22.International Joint Commission. Protection of the Water of the Great Lakes. Interim report to the governments of Canada and the United States. Washington & Ottawa: IJC; 1999. [Google Scholar]

Articles from Canadian Journal of Public Health = Revue Canadienne de Santé Publique are provided here courtesy of Springer

RESOURCES