"Town clenched in suffocating grip of asbestos"USA Today, article on
Libby,Montana, February, 2000"Researchers find volcanoes are bad for
your health… long after they finish erupting"University of
WarwickPress Release, 1999"Toxic soils plague city - arsenic, lead in 5
neighborhoods could imperil 17,000 residents"Denver Post, 2002"Ill winds
- dust storms ferry toxic agents between countries and even
continents"Science News, 2002A quick scan of newspapers, television,
science magazines, or the internet on any given day has a fairly high
likelihood of encountering a story (usually accompanied by a creative
headline such as those above) regarding human health concerns linked to
dusts, soils, or other earth materials. Many such concerns have been
recognized and studied for decades, but new concerns arise
regularly.Earth scientists have played significant roles in helping the
medical community understand some important links between earth
materials and human health, such as the role of asbestos mineralogy in
disease (Skinner et al., 1988; Ross, 1999; Holland and Smith, 2001), and
the role of dusts generated by the 1994 Northridge, California,
earthquake in an outbreak of Valley Fever ( Jibson et al., 1998;
Schneider et al., 1997).Earth science activities tied to health issues
are growing (Skinner and Berger, 2003), and are commonly classified
under the emerging discipline of medical geology (Finkelman et al.,
2001; Selinus and Frank, 2000; Selinus, in press).Medical geochemistry
(also referred to as environmental geochemistry and health: Smith and
Huyck (1999), Appleton et al. (1996)) can be considered as a diverse
subdiscipline of medical geology that deals with human and animal health
in the context of the Earth's geochemical cycle ( Figure 1). Many
medical geochemistry studies have focused on how chemical elements in
rocks, soils, and sediments are transmitted via water or vegetation into
the food chain, and how regional geochemical variations can result in
disease clusters either through dietary deficiency of essential elements
or dietary excess of toxic elements. (28K)Figure 1. Potential human
exposure routes within the earth's geochemical cycle can come from a
wide variety of both natural and anthropogenic sources. This chapter
focuses on a somewhat narrower area of medical geochemistry: the study
of mechanisms of uptake of earth materials by humans and animals and
their reactions to these materials. In order for earth materials to
affect health, they must first interact with the body across key
interfaces such as the respiratory tract, gastrointestinal tract, skin,
and eyes. In some way, all of these interfaces require the earth
materials to interact chemically with water-based body fluids such as
lung fluids, gastrointestinal fluids, saliva, or blood plasma.The
primary goal of this chapter, co-authored by a geochemist and a
toxicologist, is to provide both geochemists and scientists from health
disciplines with an overview of the potential geochemical mechanisms by
which earth materials can influence human health. It is clear that
significant opportunities for advancement in this arena will require
continued and increased research collaborations between geochemists and
their counterparts in the health disciplines.