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The environmental two-step.

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1996. The environmental two-step.. https://doi.org/10.1289/ehp.104-1469339

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[Preventive health services in the county of Buskerud--environmental health services].

Local environmental health services are essential for meeting many national health objectives. In order to assess the quality of the local environmental health services and the effects of national funding of local projects (The Master Plan), a questionnaire was distributed to the 21 local medical officers in the county of Buskerud in March 1995. 15 out of 20 responders stated that the local environmental health services do not meet legal standards. Local authorities seem to be unable or unwilling to commit sufficient personnel and money to environmental health services. This study indicates that national funds have helped to improve the services, especially in areas given national priority.

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As technology and industrialization have altered our environment, we have become increasingly aware that man made environmental change may lead to disease. Obvious examples are the widespread use of asbestos during this century, the epidemic of cigarette-caused disease, and the prevalent air and water pollution. Such examples have lead to more general concerns about the environment, particularly about its global change, and the need for ongoing evaluation of suspect risk factors. Hereby, medicine concerned with these risk factors, environmental medicine and hygiene, involves prevention, diagnosis, therapy, and study of disease and injury due to external influences; its core disciplines are toxicology, epidemiology, and occupational medicine. Yet more important, the environmental medicine is not understood as a new specialty but as a transdisciplinary task of all doctors and those who are concerned with human health problems.

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