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Showing posts with label health. Show all posts
Showing posts with label health. Show all posts

Sunday, June 7, 2015

Senescence

Gingko Biloba Tree


Senescence is the process of growing old, or aging.  Senescence can refer to a process that occurs on many different levels, from cellular levels, to the whole body level, to higher organizational levels and including physical and psychological structures.

Aging occurs at different rates and different times in different life forms.  Senescence is directly or indirectly a major cause of death.  Senescence may reflect underlying biological processes, mediated by gene expression, can reflect programmed cell death and can be accelerated by environmental factors, such as exposure to radiation.

My 2014 blog article discusses senescence in  the Gingko Biloba Tree, a living fossil dating back to the Permian era (270 million years ago), which exhibits clonal reproduction.  Natural leaf senescence in the Gingko Biloba has been researched in male and female trees, with regards to impacts of reactive species and anti-oxidants on the rates of senescence.

Senescene on a cellular level, expressed as replicative senescence, reflects a cell's attainment of the Hayflick limit.  The Hayflick limit refers to a limit on the shortening of DNA telomeres,  which cap the ends of the DNA strands.  As the cell divides, it loses telomeres in the division process.  The Hayflick limit reflects the end of the telomere line, at which point the cell becomes senescent.  Senescence is accelerated by exposure to reactive oxygen species,  exposure to oncogenes, and to cell to cell fusion, a process where cells join to form what is callled a 'syncytium'.  I discuss a number of the processes that may encourage the early development of senescence in other blog articles, listed below.

Exposure to radiation generates reactive species.  This can include anything from high energy ionizing radiation which liberates electrons from atoms and molecules, to non-ionizing radiation.   Ionizing radiation may include cosmic and gamma rays and some ultraviolet wavelengths.  Geomagnetic storms may result in increased exposure to high energy particles, as would exposure to nuclear radiation.

Non-ionizing radiation includes radar microwaves and those used by cell phones, which can disturb lymphocytes  in rats. Some ultraviolet wavelengths including UVA, UVB and UVC are non-ionizing. Disturbances in the Ozone layer result in increased ultraviolet exposure, with the Antarctic having historically greater ozone depletion than the Arctic. 

 Reactive species can be produced through natural bodily process, in Oxidative Phosphorylation (OXPHOS), in the production of Adenosine Triphosphate (ATP) through mitochondrial processes.  The Metabolic Theory of ecology deals with these issues. It reflects Kleiber's Law which relates metabolism to body weight .  I discuss these issues in my blog on "The Odd Couple - The Mitochondria and the Cell Nucleus", where cellular processes are both exposed to and create oxygen radicals.  This article also discusses other sources of reactive species, including pollutants, chemicals and toxins.

Exposure to oncogenes can also lead to senescense.  Oncogenes can arise from a variety of sources, including potentially avian sources which operate within our body's innate and adaptive immune system transcription factors.

Induction of cell-cell fusion, as occurs in syncytium, can also lead to senescence.  Syncytium can form in protists such as rhizarians, in fungi, in heart muscle and skeletal muscle, and, importantly, in the placenta where they take on a meaning relating to group immunity systems, as discussed in my blog article.  The heart is a critical organ in the human body and tests such as the Cardiac MRI Adenosine Stress Test (using a gadolinium contrast agent) tests the ability of the heart to act "in sync".

 Adenosine is an important nucleoside which modulates a variety of important physiological processes, including heart activity, and as an important moderator of the sleep-wakefulness cycle. Caffeine is an antagonist of adenosine receptors in the brain.  The action of Adenosine is also impacted by theophylline (found in tea) and theobromine (found in chocolate). Adenosine is an inhibitor of the central nervous system and relaxes the heart muscle.  Adenosine also increases hair thickness.  The modulation of adenosine may be related to senescence.

Organismal senescence is a decline in the ability of the organism to respond to stress, and an increase in various symptoms characteristic of aging, including a decline in homeostasis, the ability of the body to respond to various cues.  Alzheimer's Disease is one condition which may be associated with senescence, and may relate to various environmental factors as discussed in my blog article.

Senescence can be mitigated through increased exposure to anti-oxidants, which can be obtained through certain foods (e.g. blueberries are a food high in anti-oxidants),  and internally through transcription factors such as superoxide dismutase.

Senescence may be impacted by a variety of processes germane to environmental issues relating to climate change and global warming, including natural processes and anthropogenic forcing (originating in human activity).  These processes may all impact factors germane to reactive oxygen species and anti-oxidants.









Sunday, May 31, 2015

Bacillus Anthracis Issues



The CDC is investigating an unintentional release of anthrax  from the Department of Defense (DOD) to multiple labs in multiple states.  An article from Voice of America indicates 24 labs in 11 states and 2 countries (South Korea and Australia) have received "suspect samples" of concern.

Anthrax has quite a history, both in its naturally occuring state and as a biological weapon, as documented by the Center for Disease Control (CDC).  There have been a number of anthrax "releases" over time,  Recently, in 2014 there was a release at CDC's Roybal Campus .  The year 2001 saw a wave of anthrax attacks.  A CDC review discusses the 2001 attacks in some detail as well as discussing epidemiological findings. and provides a history of anthrax., both in a naturally occurring state and as a biological weapon.

One interesting development has been the appearance of bacillus anthracis in heroin used by European drug users.  The strain involved originated in Turkey, raising a question as to how bacillus anthracis would get into the heroin supply.

The CDC provides basic information on Bacillus Anthracis.  The bacteria Bacillus Anthracis exists in a dormant, sporulated state in nature, can enter the body by a variety of routes (e.g. cutaneous or inhalation pathways), become activated, spread throughout the body, multiply and produce toxins.

These incidents all represent an interesting pattern in the release of bacillus anthracis into the biosphere, taking into consideration emerging environmental issues regarding climate change.  The question is to what extent the environment adapts or reacts to environmental challenges thrown its way.

As this CDC case investigation indicates, it is difficult to investigate individual cases of anthrax when they occur.  Human cases of anthrax are rare, despite the fact that Bacillus Anthracis can be found naturally in the soil and commonly infects domestic and wild animals throughout the world.  There may be a number of reasons for this apparent paradox, which is under investigation.

My blog article "Panspermia and Evolution" discusses Bacillus Anthracis and the distribution of life in the context of extreme environments.  These are the types of situations involving low probability, high impact events.

Bacillus Anthracis is mentioned in a few of my blog articles, "Evolution of Adaptive Immunity" and in an article on "Ebola".

Bacillus Anthracis needs oxygen in order to sporulate.. This is a very interesting characteristic that may provide clues to it's activity, especially in the human body. Iron is a key element in the human body, intimately associated with a number of metabolic processes, including its role in hemoglobin and the delivery of oxygen throughout the body.

Indeed, Bacillus Anthracis uptakes iron when exposed to superoxide stress.   Bacillus anthracis experiences rapid sporulation in a high iron, glucose free environment.  Apparently, Bacillus Anthracis may operate as a signaling mechanism triggering iron accumulation when exposed to environmental stresses, impacting the iron catalyst of the  Fenton reaction.

Transferrin blocks growth of Bacillus Anthracis via iron deprivation, an effect that is differentially expressed in cutaneous anthrax vs inhalational anthrax. This difference, in the latter case, is due to phagocytosis by macrophages, a process which occurs upon inhalation, allowing the inhaled spores to germinate intracellularly, multiply and cause infection.

It is apparent that Bacillus Anthracis forms the heart of a mystery, a challenge, as we seek to better understand the manner in which it expresses, affecting a number of medical processes in the human body. At the same time, we examine other issues impacting society on a global level, issues of climate change, global warming and their interactions with the changing environment in which we live.  These issues will be discussed in further blog articles.

Center for Disease Control (CDC):
  CDC Investigating unintentional DoD shipment of anthrax
  Anthrax
  A History of Anthrax
  CDC Director Releases After-Action Report on Recent Anthrax Incident
  CDC Responds to Anthrax - 2001
  Review of Fall 2001 Anthrax Bioattacks
  Injectional Anthrax in Heroin Users - 2000 -2012
  Anthrax - Basics
  Investigation of Inhalational Anthrax Case - United States

Voice of America -"Carter Vows to Find Those Responsible for Anthrax Shipment"

American Veterinary Medical Association (AVMA) - Anthrax FAQ

marilyndunstan.blogspot.com
   Panspermia and Evolution
   Evolution of Adaptive Immunity
   Ebola

Medical Microbiology - Bacillus
Journal of Bacteriology - Cellular Iron Distribution in Bacillus Anthracis
Journal of Microbiological Methods - Rapid Sporulation of Bacillus Anthracis in a high iron-glucose free media
Journal Biological Chemistry - Human Transferrin Confers Serum Resistance Against Bacillus anthracis

IUPAC - Gold Book - Fenton Reaction

Wikipedia:
  Oxidative Stress
  Phagocytosis
  Macrophage






Sunday, April 19, 2015

Seattle-Tacoma International Airport - Medical Issues

Seattle-Tacoma International Airport, Third Runway,Sea Tac, Washington

Examination of the impact of the Seattle-Tacoma International Airport on the region poses a number of analytic challenges.  In a previous blog article, Seattle-Tacoma International Airport - Pollution, I discussed pollution issues.  Links to my other blog issues on the airport may be found listed below.

The focus of this blog article is on health related issues which may be related to airport operations, keeping in mind that there are other sources of pollution that may contribute to health conditions, and that there are factors other than environmental conditions which may contribute to health conditions.

Other sources of pollution may include vehicular traffic, such as cars, trucks, vans, buses and rail systems, as well as industry and commerce as well as other human activity such as wood burning. Many factors, in addition to pollutants, contribute to health.  Economic and sociological factors such as poverty, education and disenfranchisement all are factors which influence health.

There is considerable information available from the King County Health Department on the geographical distribution of various medical conditions.  These are listed below. Incidences of cancer, respiratory disease, cardiac and pulmonary heart conditions vary throughout the county.

MEDICAL ISSUES

Known
  • A number of medical conditions may be impacted by environmental factors, including cancer, respiratory/pulmonary,sleep disorders,  blood/vascular disorders, immune system disorders, cardiac disorders and neurological/psychiatric/psychological issues that can emerge as a result of increased environmental exposure. The impact of air pollution on the generation of reactive species such as oxygen and other radicals may also adversely impact sleep states.
  • Environmental pollutants often increase generation of reactive species or oxygen radicals, increasing oxidative stress, impacting a number of medical conditions, and may create new ones.
  • Electromagnetic fields (microwaves) - Potential effects vary according to the distance from the source with general public exposure lessened.  Health effects studied include cancer, physiological and thermoregulatory responses, reproductive issues, cataracts, and impacts on calcium ion mobility.  Effects have not been sufficiently established to be able to determine regulatory standards.
  • Studies have been made by the Washington State Department of Health on glioblastoma multiforme and other conditions.
  • A February 25, 1999 report from the State Health Department and King County Health Department indicates: "While the state health department found that the occurrence of all SeaTac Concerned Citizen cancers in the area within 5 miles of the airport was less than expected in comparison to King County, the Seattle-King County health assessment found an increase in cancer deaths around SeaTac Airport."  This study examines health issues in the neighboring communities around the airport.
  • There are extensive studies from the King County Department of Public Health available regarding a variety of health and socioeconomic factors for the communities in King County. These reports indicate increased incidence of cancer and pulmonary disease, but decreased risk of heart attack, stroke and Alzheimers relative to other areas.  There is also a higher degree of cigarette smoking in the region, complicating analysis.  There is a range of socioeconomic indicators showing lower socioeconomic indicators in the region.
Past Legacy
  • One of the cardinal features of evolution is the incorporation of biologicals and minerals into a system in order to advance features that have evolutionary advantage.  This is called biomineralization.  It is not inconceivable that out of the many molecules emitted through airport operations (and other sources throughout the region), that one in the witches brew of combinations might find a home within the human body, evolving the system, or throwing a monkey wrench into it. Calcite enabled the creation of the eye in trilobytes  in the pre-Cambrian.  However a serious problem in this process is the issue of interoperability between systems in such processes.
  • To what extent does the ground on which we sit impact health?  The area holds the legacy of the ASARCO Tacoma Smelter Plume  formed in 1899, and the emissions since that period.  This legacy impacts rock, soil, water and air.  The Seattle-Tacoma International airport sits on a considerable amount of fill, which is in addition any deposition that may have fell on the underlying soil.  Other parts of the region may also have been impacted by sand, rock and gravel transported from sites more heavily impacted by the ASARCO Smelter's operations.
  • The airport sits on Fraser Glaciation,  Vashon Stade.  To what extent do the rocks around the airport and the water affect health? It is possible that the area of the airport could hold some clue to past evolution.  A sloth was discovered in a swampy area north of the airport in 1961, and a mammoth tusk was discovered in the South Lake Union area of Seattle. Both sit at the Burke Museum.  DNA analysis from an archaeological find could perhaps provide scientists with clues to help solve emerging problems germane to our evolution and our ancestors.
Emerging or Unknown
  • The emergence of new and novel health risks may occur in the witch's brew of chemical soup surrounding the airport and other areas subject to environmental risk. Illnesses that normally occur in other areas of the world may emerge in this arena, given the geological milieu in which the airport sits, the meteorological conditions, and the increased levels of pollutants, including carbon dioxide.  Carbon dioxide is a sensitive indicator of global warming and climate change and may also impact the respiratory system in a similar fashion in the immediate neighborhood of the airport.
  • Seasonal flu and emerging viruses, could recombine in the environment surrounding the airport, mixing human and bird migration patterns with environmental factors impacting local populations.  Thus viruses could serve as a vector for the incorporation of novel or emerging features resulting from the witches brew of chemicals.
  • Chemicals emitted in the witches brew of chemical emitted from airport operations could be impacted by solar radiation, a source of energy, especially during periods of geomagnetic storms.  Potentially subatomic collisions could evoke a transitional state in molecules, and be incorporated into the body.  Any impact from the creation of transitional molecules would be in addition to any direct effect from any solar storms.
  • The witches brew of chemicals emitted by air transport, given the power, acceleration, deceleration and forces put on aircraft engines, abrasion, means that more exotic chemicals may be created.  However, it is possible that similar types of reactions may also be occurring in different parts of the region, perhaps to a different extent.
Establishing Correlations between Pollutants and Medical Conditions
  • While some pollutants in particular are points of focus, the extensive lists provided make it difficult to correlate exposures to any one or any combination of health outcomes.  This is an issue of multiple correlation analysis in the face of numerous variables and outcomes, many of which may interact with each other to alter individual correlation between any two variables. 
  • Analysis of risk focuses on cancer metrics.  While the emergence of the cancer risk is important (and critical), identification of other outcomes is also important. Early indicators of future outcomes may serve as helpful markers of environmental distress before its impact becomes too severe.
  • Environmental markers might include blood coagulation measurements, markers for the impact of oxidative stress, markes for nuclear DNA and mtDNA damage, and markers for the preference of glycolysis in cells (Warburg Hypothesis), among other things.
  • Categorization of medical systems, or medical coding, puts medical conditions in "boxes" which may make analysis difficult when causes and/or outcomes cross boundaries, medical conditions are inappropriately categorized or new information informs medicine.
  • The division of conditions into physiological versus psychological causes presents such difficulties, especially when these conditions are subject to such a wide disparity of treatment throughout the existing sociological framework. The bifurcation of conditions into physiological versus behavioral outcomes tends to create categories that diminish or ignore the health and sociological impact of pollution exposure and/or cross category lines.
  • Some indices that represent psychological stress may combine various psychological indicators in a weighting formula that may impede the ability to do correlation analysis on any one factor. One is left with memories of Upton Sinclair's "The Jungle", a book about meat packing plants, wondering how the whole was constructed from the parts.   Thus, the question remains in indices and tests as to whether the manner in which the indices are constructed drive a certain result or whether indices keep pace with changes in their individual components.
  • Occupational and environmental health outcomes are not appropriately measured in a manner that can express the full continuum of types of work that exists in the sociological sphere.  This reflects the existing dysfunctional definitions of work and disability, and impacts correlation analysis between occupational and environmental health.
  • Medical fields studying intersecting fields of study, such as neurology, psychiatry and psychology can come into conflict at times, making it more difficult to study health outcomes emerging from environmental factors. 
  • Definitions based on subjective issues such as behavior and, belief systems, emerge to complicate the analysis of the impacts of environmental pollutants.
  • The drive to cut medical costs conflicts with testing the impacts of increased environmental load on the public, leaving the impacts uncertain and placing the burden on those impacted. 
  • Increased population and economic activity has impacted Western Washington so that environmental risk exists in many places throughout the region, to varying degree.
  • The medical system currently does not provide sufficient support to provide both testing and treatment of medical conditions which may arise from the increased exposure to environmental pathogens. There are barriers to entry into the medical system which impede the ability to measure outcomes and protect human test subjects in the evolutionary process.
  • Assessment of different contributors to morbidity and mortality may confound research into the underlying environmental issues.  An example of this is assessing the contribution of smoking to morbidity and mortality versus the environmental effects caused by airport operations.
  • Different statistical measures may be used by reports, confusing the reader or making it difficult to interpret data shown in different forms;  Data may be presented with an incidence rate (occurrence of a condition in a population over a period of time), a prevalence rate (percentage of a population having a condition at a specific period of time) or mortality rate (percentage of deaths in a population over a period of time).  The US Government publishes data on morbidity and mortality .
The challenge is to put together to what extent the environmental factors drive the medical and  socioeconomic factors and are in turn influenced by them, in a positive feedback loop.

Sources:
Puget Sound Clean Air Agency - Final Report - Puget Sound Air Toxics Evaluation - October 2003
Department of Ecology - Toxic Cleanup Program (ASARCO Smelter Plume)
World Health Organization - Electromagnetic Fields
Port of Seattle - Part 150 Study
Port of Seattle - Groundwater Monitoring
Port of Seattle - Stormwater Pollution Prevention Plan
Scandanavian Journal of Health - Glioblastoma Multiforme
Tacoma Smelter Plume Information - Washington Department of Ecology
King County Community Health Indicators - King County (Top 10 Leading Causes of Death)
King County Public Health -School District Health Profiles
King County Health Profile
King County Public Health - Data and Reports

Blog Articles:
Externalities and Risk - The Seattle-Tacoma International Airport
Seattle-Tacoma International Airport - Environmental Issues
Seattle-Tacoma International Airport - Pollution

Friday, April 17, 2015

Seattle-Tacoma International Airport - Pollution

Seattle-Tacoma International Airport, Third Runway,Sea Tac, Washington


Environmental impacts of the Seattle-Tacoma International Airport present a number of issues, as discussed in my previous blog articles, Externalities and Risk - The Seattle-Tacoma International Airport and The Seattle-Tacoma International Airport - Environmental Issues. Cities around the airport such as BurienSea TacTukwilaNormandy Park and Des Moines have gained economically from airport operations and have suffered costs, or externalities from airport operations.

The airport and the trade that it generates are the 800 pound gorilla in the neighborhood, are the drivers of economic change and development, and through the multiplier effect are responsible for a great deal of economic development in the region which they do not directly manage.

It is clear to those living in the neighborhood of the airport that there are considerable externalities involved with regards to airport operations. Citizens note the impact of air and noise pollution.  It is also true that the airport has a significant impact on the larger region.  Increased airport operations may necessitate it compressing activities within its existing space, enlarging its footprint by buying properties, or having some operations move to other airports. Airports in the region include Renton Municipal Airport, King County Airport/Boeing Field and Paine Field in Everett.  Moses Lake in Eastern Washington, which has a large runway, could even be considered a possibility to relieve additional load.

A recent Sea Tac City Council meeting (April 16, 2015) addressed a number of these issues, looking towards long term growth in airport utilization (2.9% average per year over a twenty year period with greater increase in the near term), and the potential of a Federal Aviation Agency building to the South of the Airport. There is already a Federal Detention Center to the south of the airport.  Some airport usages, such as food services, could potentially move outside the perimeter of the airport.

It is difficult to extract the specific environmental impact of the airport on the region from other sources of pollution, to attribute differences in health and socioeconomic metrics to specific environmental factors when air, noise and electromagnetic waves show no boundaries, and where there are many other sources of pollution including cars, trucks and other industries or point sources. There are feedback mechanism which work between all the relevant variables which complicate analysis.

There are a variety of studies available from governmental sources regarding emissions, sociological parameters and assessing the risk from the pollutants that the public is exposed to. These studies present analytic challenges due to the extensive number of variables involved, the manner in which the variables are measured (or not measured), their subjectivity and issues of comparability over time.

The environment around the airport serves as a metaphor for the environmental challenges that confront us, an example that is repeated in other environments.  Thus any studies done in the microclimate or vicinity of the airport could be used as examples for other areas facing similar issues. The situation around the airport must be examined in the context of the growth and economic development issues that we face, so that we can develop policy which will help us face the increasing social and economic challenges that face us.

A Washington Department of Health and King County Department of Public Health study in 1999 provides an example of a report that is focused on the area around the airport, looking at one, three and five mile bands around the airport.  Perhaps this report could be expanded to include the examination of additional variables of concern.  This report looked at the condition of glioblastoma, a neurological cancer disorder and other conditions. King County Department of Health has an extensive variety of reports available on health and sociological issues.

Future studies must include all communities impacted in the area around the airport, including those indicated in the first paragraph.  The larger question is how the externalities of airport operation may be addressed and compensated for, and the needs of the immediate and larger communities met.  It is apparent that there is a problem, that it does impact health and well being, including both psychological well being and physiological well being.  While another study would be valuable, and should be done, as the study is undertaken, steps should be taken to remedy the immediate situation in the face of increased economic development.  Perhaps permanent residential properties in the close vicinity of the airport can be purchased and used for their operations which can be moved outside the fence.

However difficult it is to bring all the variable together in a rigid analytic framework, analysis of the situation becomes apparent when you take a step back and look at the big picture.  The airport has a profound effect that does not appear to be captured fully by the measurements that are provided to us. Human beings are being experimented on, and the environment around the airport is transforming people, perhaps in a way that they do not wish to be transformed.  This issue has profound psychological, medical, economic and sociological implications.

Examination of the situation presents a number of analytic problems, many of which involve measurements and their interpretation. I discuss these issues in this and future blog articles.

The Pollutants

  • The wide range of pollutants discussed form a witch's brew of chemicals, including diesel particulate matter, cadmium, arsenic, polycyclic aromatichydrocarbons (PAHs), lead, and many others.
  • Air quality and water quality standards do not exist for many of the pollutants mentioned, presenting a problem in taking regulatory action.
  • Pollutants may interact in unexpected ways.  With so many pollutants, and so many combinations, it may be difficult to ascertain the impact of all the interactions and the direct contribution of the airport to those interaction.  
  • While it may be difficult to attribute the direct contribution of the airport to pollutant levels, the airport's impact through the multiplier effect gives greater credibility to the airport's contribution to overall pollutant levels.  At that point it becomes an issue of assigning the costs of those externalities to those benefiting from the airport's presence through the multiplier effect. An example of this would be shuttle pick up services and cabs.
  • Pollutants may combine with meteorological or solar conditions in unexpected ways, perhaps generating new, transitory, and unanticipated chemical reactions
  • The movement of pollutant monitors over time makes it difficult to perform long term studies analyzing the impact of pollution on public health.  Opportunity to measure long term trends and make comparisons between stations is decreased when stations are moved elsewhere.
  • The methods of measuring pollutants and standards for assessing health risks have changed over the years, especially as new equipment has been developed. Questions arise as to what extent new measurement methods correlate with old methods, what information is gained or lost by using these new methods, and how the continuity of data has been impacted.
  • There are locations which have not been monitored, at the western edge of the airport, which may represent a microclimate more susceptible to the pooling of polluted air, especially during inversions when the air is stagnant, considering the barrier formed by the third runway's berm.
  • It is not clear to what extent the aquifer is impacted by pollutants affecting water quality, and to what extent any water pollution is due to airport operations or property.  This is an issue reflecting the Tacoma Smelter Plume and any fill underlaying the airport and its impact on the environment and other issues.
  • It is difficult to ascertain the contributions of the individual sources to the pollutant load in the area, although to a certain extent usage of fuels of various types may serve as a proxy.
  • While there is some information on noise levels, the metrics do not do a sufficient job of measuring the risk and the impacts. Noise decibel level frequency distributions would be helpful, especially in capturing the impact of engine backblast. It is clear that the full time population lives too close to the airport for the noise levels experienced.  Increased insulation helps, but to have full impact, requires windows to be closed.  The experience of the Federal Detention Center in Sea Tac might be helpful in analyzing this issue.
  • The focus on carbon dioxide has been on its contribution as a greenhouse gas to global warming.  While this is important on a global scale, the impacts of carbon dioxide in smaller areas, microclimates may be important to analyze in so far as they may impact the emergence of health conditions.
  • Air traffic control and weather radars may contribute to a variety of health conditions through the generation of electromagnetic fields ranging from 300 MHz to 15 GHz which fit within the microwave energy spectrum.  Microwaves are electromagnetic waves with frequencies between 300 MHz and 300 GHz.  It would be helpful to have more monitoring information regarding electromagnetic fields and their attenuation over distance resulting from airport operations, including radar and radio signals.
  • Study results discussing pollutant results with other parameters are sometimes expressed as not exceeding a certain standard level.   It would be helpful to present the actual data values themselves, so that the public can ascertain how close the levels are to exceeding standards, and what their trends are. 
I will discuss health and other issues in the next blog article.

Sources of Information
Puget Sound Clean Air Agency - Final Report - Puget Sound Air Toxics Evaluation - October 2003
Department of Ecology - Toxic Cleanup Program (ASARCO Smelter Plume)
World Health Organization - Electromagnetic Fields
Port of Seattle - Part 150 Study
Port of Seattle - Groundwater Monitoring
Port of Seattle - Stormwater Pollution Prevention Plan
Scandanavian Journal of Health - Glioblastoma Multiforme
Tacoma Smelter Plume Information - Washington Department of Ecology
King County Community Health Indicators - King County (Top 10 Leading Causes of Death)
King County Public Health -School District Health Profiles
King County Health Profile
King County Public Health - Data and Reports

Wednesday, March 25, 2015

Externalities and Risk - The Seattle-Tacoma International Airport


Birds, Third Runway, Seattle-Tacoma International Airport

The City of SeaTac held a meeting on March 24, 2015 that included discussons on the Seattle-Tacoma International Airport Sustainable Master Plan by Port of Seattle representatives.   A news report of the meeting can be found on the SeaTac blog.

My comments at the meeting addressed the issue of externalities associated with airport operations and their impact on the surrounding community, especially in the area of health.  Externalties are an important topic in social and economic policy.  An externality is the consequence of an economic activity affecting a party that did not choose to participate in that activity.

There are a myriad of issues surrounding development in the area of the Seattle-Tacoma International Airport.  The airport is an engine of growth and development which brings business into the region, and as a hub, enables the flow of commerce to other areas of the country and the world.  The airport provides economic benefit through the multiplier effect.  The multiplier effect is an economic term to express the economic effect that the introduction of an engine of growth has on the community.

The airport provides jobs to support direct and ancillary airport operations.  As business cluster around the airport (e.g. Car Parks, shuttles), these activities provide an engine for the economy's growth.

However economic activities have costs, as well.  In addition to direct costs to service airport operations, costs may include building more roads to service traffic that serves the airport and other municipal items.

There are a number of externalities arising out of airport operations.  These issues involve air, water and noise pollution, impacts on the respiratory and other health systems, and even sense of smell.   There are psychological impacts, as well, including psychological impacts that express themselves over a wider social framework.

Airport externality issues are felt on a local basis, by those living at the edges of the airport, nearby, those under flight paths and on a city level as cities adapt to the challenges presented by the airport's growth. While these externalities are felt most acutely locally, they are also expressed over a wider distance throughout the region as the area struggles to deal with challenges presented by increased commercial and passenger activity.

I list blog articles regarding  externalities in a variety of areas (below) to establish a context within which the impact of the airport can be viewed as an individual example of an externality.


"Externalties"
 "World Air Pollution Organization Report on Air Pollution and Health"
 "Climate Change and Global Health"
 "Avian Flu"
"Mt Rainier Balance of Risks"
 "Nuclear Balance of Risks"
"President Ronald Reagan and Alzheimer's Disease"

Saturday, February 21, 2015

Climate Change and Carbon



Global Warming and Climate change are important topics.  Recent talks at the United Nations have highlighted the concern about these planetary issues that go beyond borders and seek to unite people in discovering means to solve the emerging problems.

The United Nations climate change site indicates that 2014 is on track to being among the hottest on record.  Christiana Figueres, Executive Secretary of the UN Framework Convention on Climate Change states "Fortunately our political climate is changing too with evidence that governments, supported by investors, business and cities are moving towards a meaningful, universal climate agreement in Paris 2015 - an agreement that keeps a global temperature rise below 2 degrees C by putting in place the pathways to a deep de-carbonisation of the world's economy and climate neutrality or 'net zero' in the second half of the century."

A recent article in Scientific American discusses United Nations climate talks in Paris last December. As the article indicates "(The planet's surface has warmed about 0.85 degrees C (1.5 degrees F) since 1880, worsening floods, storms and deadly heat waves.) The 2 degrees C target has since become a keystone goal of the negotiations."

NASA's, Global Climate Change: Vital Signs of the Planet displays information about climate change. including graphs and latest measurements.  This information shows steadily increasing recorded carbon dioxide levels in recent history, with inputed history obtained from ice cores indicating significant variation from historical levels over three glaciation periods. Ice cores have been drawn from the Arctic, Antarctic and mountain glaciers.  The measured value as of January 2015 showed 399.73 parts per million (ppm), just under 400 ppm. At current rates it should exceed 400 ppm in February 2015.




 NASA's Climate Change site provides information on Global Temperature.  Five year averages in global temperature are measured relative to a 1951-1980 average temperature baseline, indicating a dip in global temperature around 1910 and a steady rise since then.

Global Warming concerns have fostered considerable research  on climate change issues, seeking ways to mitigate the impacts of climate change, providing potential solutions.  Climate change and environmental issues have been addressed at local, state, federal and international levels.   The CIA World Factbook provides a list of Current Environmental issues and international agreements which countries listed are a "party to" and/or "signed, but not ratified".

I discuss some of the issues relating to climate change, including global health in other blog articles relating to Climate Change and Global Health  and Avian Flu.

Carbon, and especially carbon dioxide are sequestered in a number of areas on the planet, including in the rocks and in the oceans.  Other greenhouse gases, such as methane, are sequestered in areas such as Arctic Tundra, and in the oceans.  The questions remain as to how much capacity does our planet have to sequester carbon, without over stressing the resource with storage demands and whether there is a risk that carbon which has been already sequestered might be released back into the environment.

An outgassing of carbon dioxide at Lake Nyos (1986), in Africa, illustrates the problem which can occur with a body of water that is saturated with carbon dioxide.  Lake Nyos lies above a pocket of magma and is one of only three lakes saturated with carbon dioxide.  Lake Nyos is not the size of the ocean, however.

It is clear that carbon, and carbon dioxide are keystone issues in addressing global warming and climate change.  Global warming is especially sensitive to changes in carbon dioxide, as increases in carbon dioxide can also lead to increases in water vapor in the atmosphere, as indicated by a NASA report. Water vapor is the most abundant greenhouse gas.  Thus, increases in carbon dioxide in the atmosphere can act in a positive feedback manner to increase the greenhouse effect.

Just as carbon dioxide is a sensitive indicator in the atmosphere, and may represent a bifurcation between different climatological paradigms, one pursues, seeks and finds answers as to the equivalent impact that changing carbon dioxide atmospheric concentrations have on the human body, which is also a sensitive indicator of climate change. These findings have implications for Global Health, as well the psychosocial milieu in which mankind experiences climate change.

These are all very serious issues worthy of further research, consideration and action. The key question is the manner in which homeostasis is achieved, given the climate change issues.










Friday, January 23, 2015

Avian Flu - H5N1/H5N2/H5N8 - Pacific Northwest

Emergence of Highly Pathenogenic Flu in the Pacific Northwest (H5N1, H5N2 and H5N8)




A Highly Pathenogenic Strain of Avian Flu (WHO), H5N1, has appeared in Whatcom County, Washington, in the Pacific Northwest, according to a report filed by Dr John Clifford, United States Department of Agriculture with the World Organisation for Animal Health (OIE). The report was filed 1/20/2015 for an event starting on 12/29/2014.  The incident involved a Green-winged Teal:Anatidae (Anas carolinensis).

The H5N1 strain's Eurasian lineage genes ( (PB2, H5, NP, MP) are over 99% identical to a gyrfalcon H5N8 strain found in Whatcom County.  It's North American lineage gene PB1 is 98% identical to a Northern Pintail H5N2 strain also found in Whatcom County, while other North American lineage genes (PA, N1, NS) are of low pathenogenicity (LPA I), according to the report filed with the OIE. This strain is a novel strain, and is different than strains appearing in Asia.

Discussion by Recombinomics  raises "the possibility of multiple constellations with the H5N2 sero-type"

The Pacific Northwest has experienced H5N2 and H5N8 strains during this fall and winter season in bird populations, as indicated by the US Department of Agriculture.



Birds affected by avian flu this fall/winter 2014/5 season have included:

H5N1:  Green-winged Teal, Whatcom County, Washington.

H5N2:  Northern Pintail (Whatcom County, Washington), Broiler, Table Egg Layer, Turkey, chickens (Southern British Columbia), ducks and geese (Clallam County, Washington), mallard (Fern Ridge, Oregon), falcons (Canyon County, Idaho), turkeys, chicken, guinea fowl, water fowl (Benton County, Washington) .

H5N8: guinea fowl, chickens, ducks, geese (Winston, Douglas County, Oregon) , Wild Ducks (Idaho), grylfalcons, American Wigeon. guinea fowl, chickens, ducks and geese (Whatcom County, Washington)

The distribution of H5N2 and H5N8 in the Pacific Northwest shows an interesting pattern. Whatcom County, adjacent to the border between Washington State and British Columbia (Sumas-Lynden border crossing) offers an opportunity for mixing of the various avian flu types, given migratory paths and poultry stocks in the area. Other areas of concentration include Benton County, Washington, near Hanford, Washington as well as areas in Oregon and Idaho.

Avian Flu has a considerable impact on bird populations.  There have been limited cases of H5N1 in the human population, although one did occur in 2014 resulting from a flight from Beijing to Vancouver Canada and on to Edmonton.

Avian influenza is a disease naturally occurring in wild aquatic birds which can infect domestic poultry and other bird and animal species.  It is very difficult for humans to become infected by avian influenza, although there have been some limited human cases.  H5N1 is sustained in the avian (bird) population but not is not currently sustained in the human population.

There has been one human death from H5N1 in North America.  On December 27, 2013, a woman travelling from Beijing, China, to Vancouver, B.C. and then onto Edmonton, Alberta, Canada, became ill on the Beijing to Vancouver leg of the flight. She was admitted on January 1, 2014 to an Edmonton hospital and died two days later.

The Centers for Disease Control and Prevention (CDC) is the lead U.S. Agency for the management of health issues and has information on Avian Flu.

Recombinations and reassortments of influenza viruses provide potential opportunity for the development of new strains or of human to human transmission.  The occurrence of  H5N1, H5N2 and H5N8 in the Pacific Northwest in the fall-winter 2014-5 season raise interesting questions as to the development of the one H5N1 case identified this season and as to whether there is any relationship with the H5N1 death which occurred in the prior (2013-2014) fall-winter season.

It is interesting to consider various factors which may account for the development of highly pathenogenic avian influenza in the Pacific Northwest.  These considerations may involve the locations in which the birds were found, migratory patterns, climate change, environmental factors, and the availability of reservoirs and vectors in which the virus can mix, spread and potentially become sustained in various host or intermediate host various populations.

Marilyn Dunstan Photography
Mallard Duck Flying
Ducks

Centers for Disease Control & Prevention:
CDC
CDC-Avian Flu
Human Infection with Avian Influenza A (H5N1) Virus


World Health Organization:
WHO
WHO-Avian Flu

World Organisation for Animal Health (OIE)
Gyrfalcon H5N8
Northern Pintail H5N2







Sunday, November 30, 2014

Climate Change and Global Health


Storm Surge Flooding, Westport, Washington, November 2009

Climate Change and Global Health

Climate change poses a number of risks to global health.  These risks draw our attention to the fact that health issues operate on a scale that transcends our own individual concerns, extending well beyond local communities, state and national boundaries.  

I attended a lecture in February, 2011, by Dr Howard Frumkin, Dean of the University of Washington School of Public Health on the health risks of climate change.  It was an interesting talk, covering many areas where climate change impacts global health. These impacts may be associated with the increased frequency of extreme weather events. 

Extreme weather events discussed included increased heat, cold, melting, freezing, flooding and droughts.  Increased atmospheric instability may give rise to more frequent hurricanes and tornadoes. Extreme weather events can be viewed on various time scales, from 50 to 100 year storms, to events on a more geological time scale.

Heat stress is of particular concern to the elderly, the young and the immune-compromised. Extreme heat, especially in non or inadequately air-conditioned spaces may result in premature mortality during heat waves, in the vulnerable, especially in the city where paved areas draw heat.  Dr Frumkin was concerned about the "harvesting" effect of heat waves on elderly, urban, populations.

Cold, snow, ice and freezing also may become survivability issues, involving issues of heating and interruption of water and electrical service.  Storms may impact travel and thus food supply, transportation of vital supplies to population centers and medical facilities.  

Public health challenges may emerge with air or water quality issues, impacting respiratory, cardiovascular, and other associated systems.  Infectious diseases may spread via the air or water through vectors  such as tic or mosquitoes, or via zoonotic means through human to animal or animal to human spread).  Allergies may develop in response to climate changes, and new pathogens may emerge or spread to different areas.

Air pollution is a problem which affects more than just urban areas.  With experience working in the regulatory air quality sector, I realize the widespread impacts that pollutants such as ozone and other pollutants have.  Photochemical reactions involving products of combustion (e.g. auto exhaust) take place in the atmosphere resulting in ozone levels downwind of major urban areas. As the reactions involve sunlight and heat, the levels on sunny and hot days increase in the summer. In the fall and spring periods of extended air stagnation resulting from stalled high pressure weather systems may increase the respiratory and cardiovascular burden on the vulnerable patient group. Air pollution does not know boundaries, thus residential and industrial pollution from other countries may impact us, as ours impacts theirs.  Forest fires add to the impact.  Extreme weather may impact all these issues.

The impact of climate change, extreme weather events and public health challenges may impact food production, may result in civil conflict, dislocation of impacted people and may increase the expression of mental health issues .

The discussion of climate science drives the discussion on public health impacts as projections are made regarding the manner in which changes will take place in Earth's climate systems.  Modeling climate systems drives downstream weather and public health challenges. These challenges are studied in a variety of settings, including federal government institutions such as NOAA, NASA and the CDC, and at a variety of state and local governmental and, at private institutions.  The Intergovernmental Panel of Climate Change and the National Climate Assessment have comprehensive plans reflecting policy in this area.

Extreme weather events can result in significant mortality and morbidity, as well as impacts to property.  Tornadoes and Hurricanes and wind storms may result in death and injuries from flying objects, falling trees and power lines as well as medical emergencies secondary to the event.  Fires may result from damaged gas lines. 

Increased flooding and storm surge may result in drownings and damage to property. Flooding may increased the spread of infectious diseases, problems with sewage systems and interruptions in drinking supplies

Drought may bring about reductions in food supply.  This is a serious issue as crops may be challenged to grow in areas where they were previously able to.  Vegetation, vectors and pathogens may spread into other areas as a result of warming.  This impacts the latitude at which such impacts occur as well as the altitude above sea level, moving to cooler latitudes and elevations.

More weeds may develop in urban areas in response to climate change and global warming as vegetation adjusts to the changing environment.

Extreme weather events thus may have public health impacts relating to many systems, resulting in dislocation of people and mental health issues as citizens adjust to the events.

The challenge is how to address climate change issues in the context of these public health issues.


Thursday, November 20, 2014

Ebola


Raudfjorden Beach, Svalbard, Norway

The Ebola outbreak has proven to a challenge for worldwide heatlh leaders.  The CDC has information about Ebola on its website, as does the World Health Organization (WHO).  The CDC information is delineated into a number of topical areas of interest to subject audiences.  I'm interested in the etiology of Ebola, its transmission, and issues surrounding its current outbreak.

My interest in Ebola began during my actuarial career, reading the "Hot Zone" , a 1994 non-fiction book about incidents involving viral hemorrhagic fevers, including ebolaviruses and marbug viruses. The memory of the book stayed with me since I was reading it while sailing down the west coast of Vancouver Island in 15 foot swells in a sailing vessel.  I can recall eating copious amounts of ginger cookies to ward off seasickness as I read of hemorrhagic fevers killing off people very quickly, in a very bloody and gory fashion, as all the while I was lurching back and forth in the sea and swell on the Pacific Ocean.  The ginger cookies did their job and the memory is etched in my experience, gone but not forgotten, as Ebola emerges again, this time, expressed  in the news of an outbreak.

These hemorrhagic diseases killed off people before they had a chance to spread extensively, and, were confined to certain areas in Africa and mostly away from major population centers.

According to the CDC, the virus can be spread through direct contact with blood and body fluids of a person infected with Ebola, with objects such as syringes infected with Ebola and infected fruit bats or primates.  The question remains as to factors impacting the geographical distribution of Ebola, how it independently arises, factors of etiology and its potential spread elsewhere.

The recent upswing in the Ebola virus prompted me to question its etiology, transmission and other issues.  For example, because of the increase in number of cases, I wondered if the virus had recombined with another virus to increase its transmission and decrease its mortality, or if there were other factors.   In this blog article I consider a number of issues, and raise some questions relating to the virus.


Etiology
  • Does Ebola predate the AIDs/SIV/HIV viruses and does it provide some idea of the origin of these viruses? The CDC expresses that it does not know the origin of the original host of the Ebola Virus;  It is interesting to study the context of the Ebola virus regarding its emergence out of the Kinshasha Highway  across the Congo into Uganda as discussed in "The Hot Zone".  Did the virus have origins in bat habitats such as caves, rock, lava tubes, environments exposed to varying bacteria and archaea?
  • The Ebola virus is a negative sense RNA virus. The production of proteins from a negative sense RNA virus require first the production of Messenger RNA (mRNA) and then proteins from mRNA. Ebola does not have reverse transcriptase, which would ordinarily be needed to enable insertion of its genetic contents into the DNA.   Is its 'purpose' then to directly produce mRNA (messenger RNA), and why? Research has shown that the filoviruses behind Ebola are very old and that there is direct insertion of genetic content with indications of evolutionary divergence a long time ago.  - The Lin Edwards article, "Ebola and Marburg viruses may be much older than thought" discusses this subject.
  • Does the Ebola virus relate to issues concerning New World Monkeys and Old World Monkeys and the divergence of the two species?  If so, would this tend to indicate the same type of environmental conditions that may have existed at the time of that divergence?
  • What is the distribution of the virus?  Does the virus act with regards to specific populations, affecting certain populations in a negative or positive way, and leaving others untouched.  What factors in these populations would account for the outbreak?  Are other populations at risk?

Transmission
  • Did the Ebola virus recombine with another virus (for example the Corona Mers Virus  , Seasonal Flu Virus or enteroviruses) to allow it to decrease its mortality rate and increase its transmission?  Is it continuing to do so and would further recombination with the current seasonal flu change it further along these lines? 
  • A subject of interest to is transmission of Ebola from the natural host to a target population.  Is Ebola being expressed, sustained within the target population or being sequestered?  Does this imply sequestration in a host for transmission or expression later under circumstances that may enable it to be used as a regulatory operator or a mediator of group identity or expression of  immunity systems?  Is it developing a symbiotic relationship with the host or another virus in a toxin/anti-toxin sort of manner (discussed by my blog article on Dr Luis Villarreal and his work on group identity systems)? How does this concept explain the existence of this virus in a reservoir species?
  • What is the risk for the spread of Ebola?  To what extent is the risk environmental and to what extent can it be transmitted from person to person? 
  • Is Ebola being transmitted in a less than lethal form under our eyes without our knowledge?
  • Can Ebola be spread by more species of animals than listed under the CDC website?  
  • How might Ebola change to become more transmissible to a greater variety of populations impacted by different environmental factors?  How would this risk change if the Ebola virus were to combine with the seasonal flu in a variety of different ways?

Geological Factors
  • What factors in Africa are most significant in the etiology of Ebola?  Heat, humidity, coeexistence with and diversity of animal species, alkaline environments, carbon dioxide sequestration and outgassing (e.g. Lake Nyos), the Archaean basement substrate of the West African bedrock, granite, uranium, endospores such as bacillus anthracis, and  natural nuclear fission reactors from underground uranium (Gabon)? 
  • What is the impact of the African mining fields?  Iron, gold, lead, silver, arsenic, mercury , uranium and nickel are among products of mining.  Nickel has a positive feedback impact on inflammatory markers. 
  • How do endospores such as bacillus anthracis  fit into the story of Ebola, set in the mining context of West Africa, with its iron, gold, silver, arsenic, uranium, nickel and mercury, and the expression of inflammatory markers and feedback indicators?
  • Are these various environmental issues constrained to Africa or are they present in other environments, and where do other similar environmental conditions exist?  Do these conditions have to exist in the same place or can an individual experience them by exposure to a variety of locations? For example, Archaean basement layers of rock exist in the Arctic, in Svalbard, which I visited in 2005. How would exposure to Archaea and other factors present in West Africa differ from the situation in Svalbard where it is much colder! Where else can we find archaea and chiral substances?
  • How do increases in solar radiation  and changes in the Earth's magnetic field impact the expression of Ebola in Africa? To what extent would these factors affect the expression of Ebola in other areas of the planet?

Environment and Physiology
  •  Does the emergence of a disease that promotes bleeding have significance as it relates to climate change or other planetary or environmental factors?    Is some environmental change occurring that would result in blood clotting more easily, something that would need to be countered by less viscous blood and changes in the coagulation cascade?
  • How might the environmental factors in Africa affect blood coagulation?  Through mitochondrial regulation as it is impacted by environment, haplogroups and uncoupling in oxidative phosphorylation?  Through the impacts of oxygen reactive species?  Through solar radiation, geomagnetic storms and cycles?  Through the Warburg effect  (which replaces aerobic respiration with glycolysis)? Through arsenic mining?  Through positive feedback mechanisms involving hypoxemia  and inflammatory responses?  
  • Is it possible that the Archaean basement layer of rock in West Africa impacts the blood coagulation cascade  and the blood vasculature through chirality?  Would concepts of fractal dimension  and tortuosity explain concepts of blood coagulation and vascular inflammation and other disorders, including stroke and cancers, including those of the blood and lymphatic systems?  
  • What impact does the water people drink (and breathe through water vapor) impact people, including the impact on group identity systems and physiological parameters?
  • Does the outgassing  of carbon dioxide  as a result of global warming, the release of iron from iron sequestered in the rock, and the release of endospores from sequestration, explain any of the natural events happening today, as regards vascular and coagulation issues?
  • Is it possible that Ebola, as a disorder that promotes bleeding, developed as a feedback mechanism to counter the impact of increased blood coagulation due to the environmental impacts raised above? 
  •  Bleeding may increase as blood coagulation factors are used up; does Ebola act to promote such bleeding to counter increases in clotting factors secondary to these environmental issues?  Is it possible that Ebola thus impacts the regulatory mechanisms of the coagulation cascade?

Detection
  • Could an easy detection test be done for Ebola using, for example, saliva? This might prove less expensive and easier to measure for initial testing prior to full blood workups if it was sufficiently sensitive and specific.
  • Could the d-dimer test and PPT tests be used as early indicators of Ebola.
  • Can a series of early indicators, including markers of respiratory and coagulation system function and exposure to certain environmental factors, be developed to ascertain risk patterns for specific populations?  
  • Where might the solution to Ebola be found?  Only time will tell.  Are lamprey VLR's a potential solution for isolating, detecting, and finding a cure for Ebola, considering their ability to detect bacillus anthracis and their affinity for carbohydrate glycoproteins?  Considering the age of the filoviruses and the characteristics of Ebola itself, is this a potential area to investigate?

Summary

Does the emergence of Ebola reflect the re-emergence of ancient historical patterns?  Have these patterns been carried by reservoir species from the depths of time to the particular victims of Ebola? Will Ebola adapt and spread elsewhere or re-emerge in other parts of the planet, independently?

Are the issues happening in West Africa an early indicator ('Canary in a Coal Mine')  of planetary changes?  These changes include changes in Earth's magnetic field, climate change, global warming and solar radiation, and downstream effects including release of sequestered minerals and gases such as carbon dioxide and methane from rock and oceans.  These are all areas of concern.  Historical examples of changes in Earth's magnetic field are shown over longer periods of time and more recent geologic time periods in this Wikipedia article on the Earth's Magnetic Field.

Finally, I am reminded of the childhood game, "Animal, vegetable or mineral" and associations with the "Tree of Life" (and probably, by extension, "The Tree of Good and Evil").  Ebola is a disease with a past, reflecting deep phylogeny and the rivers of time as embedded in the history of our rocks.

Sources:

marilyndunstan.blogspot.com
Evolution of Adaptive Immunity

Wikipedia:
Ebola virus disease
"The Hot Zone"
Kinshasha Highway
Archaea
Sense (molecular biology)
Messenger RNA
Reverse Transcriptase
Filoviridae
New World Monkey
Lake Nyos
Endospore
Bacillus Anthracis
Natural nuclear fission reactor
Nickel
Chirality
Sunlight
Earth's Magnetic Field
Oxidative Phosphorylation
Reactive Oxygen Species
Geomagnetic Storm
Warburg Effect
Glycolysis
Coagulation Cascade
Fractal Dimension
Tortuosity
Outgassing
Carbon Sequestion
Animal Sentinel
Earth's Magnetic Field-Geomagnetic Polarity
Earth's Magnetic Field-Brunhes Geomagnetism
Earth's Magnetic Field

World Health Organization:
Ebola Virus Disease

CDC:
CDC
Ebola (Ebola Virus Disease
2014 Ebola Outbreak in West Africa (Outbreak Distribution Map)

Phys Org: 
Ebola and Marburg Viruses May be Much Older Than Thought

JoVE Visualize: Anthrax lethal toxin inhibits translation of hypoxia inducible factor 1? and causes decreased tolerance to hypoxic stress

Geology and Mineral Resources of West Africa - The Archaean Basement

National Academy of Sciences: High-affinity lamprey VLRA and VLRB monoclonal antibodies

Berkeley Lab: Structure of the Ebola Virus Glycoprotein Bound to an Antibody from a Human Survivor

NASA Science News - Earth's Inconsistent Magnetic Field