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Health

Health

The Health sector includes groups which provide for human health through medical and social care, and maintenance and disposal of waste. Sectors include medical care, social assistance, and waste management.

CMap

Biomedical research policies, including research funding and patent laws regarding natural biochemicals, can influence the demand for biochemicals and the activities of research and development. Contact Uses, such as biological additions, physical damage, and biological harvesting, are activities in which humans create pressures through direct contact with the ecosystem. Cultural services are the nonmaterial benefits people obtain from ecosystems through spiritual enrichment, cognitive development, recreational opportunities, aesthetic experiences, sense of place, and educational and research opportunities. Discharges are the intentional or unintentional distribution of chemicals, debris, or other pollution, into the environment as a consequence of human activities. Ecosystem services are the benefits people obtain from ecosystems . The Health sector includes groups which provide for human health through medical and social care, and maintenance and disposal of waste. Health care policies are actions taken to change the provisioning, cost, or need for health care services, and may include modifications to health insurance, preventative care, and establishment or management of health care facilities. Health policies are responses that impact the functioning of health sectors, including waste management facilities, biomedical research, and development and sale of pharmaceuticals and cosmetics. Landscape Changes are alterations of the natural landscape through human activities, including coastal development, shoreline armoring, impervious surfaces, deforestation, or soil disturbance, which can alter water flow patterns and lead to pollutant runoff into coastal systems. Landuse management pertains to responses that determine the use of land for development and construction. The Medical Care subsector of the Health sector includes the manufacturing of medical equipment, the operation of medical centers, biomedical research, and the production and sale of pharmaceuticals and cosmetics. The Reef Ecosystem includes a suite of abiotic variables that form the physical and chemical environment. Pressures are human activities that create stress on the environment. Provisioning services are the products or ecosystem goods obtained from ecosystems, including seafood, genetic and biochemical resources, pharmaceuticals, ornamental resources, and water resources. The state of the Reef Ecosystem is the condition, in terms of quantity and quality, of the abiotic and biotic components including physical, chemical, and biological variables. Reef Life is the abundance, distribution, and condition of the biological components of the coral reef ecosystem. Regulating Services are benefits obtained from ecosystem processes that regulate the environment, including erosion regulation, natural hazard regulation, and climate regulation. Responses are actions taken by groups or individuals in society and government to prevent, compensate, ameliorate or adapt to changes in Ecosystem Services or their perceived value. The Social Assistance subsector of the Health sector provides social assistance directly to clients at social assistance centers. Socio-Economic Drivers include the sectors that fulfill human needs for Food & Raw Materials, Water, Shelter, Health, Culture, and Security, and the Infrastructure that supports the sectors. Supporting services are ecological processes that indirectly benefit humans by maintaining a functional ecosystem for the production of other ecosystem goods and services.

CMap Description

Growing coastal development leads to an increasing need for hospitals and other care centers which contribute to landscape changes, including impervious surfaces, which alter rates of non-point source runoff, or to the need for physical changes to the coastline, such as shoreline armoring. Methods for waste management may directly discharge waste products into the physical & chemical environment, impacting the growth and survival of reef species. Ecosystem services, such as shoreline protection, climate regulation, nutrient & contaminant processing, provisioning of seafood, and natural biochemicals, can reduce risks to human lives and improve overall health. Health sectors also benefit indirectly from other ecosystem services which improve the well-being of sectors, such as tourism & recreation, which drive coastal development. City planning and waste management policies can control development and waste production & disposal within the health sectors. Biomedical research policies can modify need and use of natural chemicals.

Citations

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Citation Year Study Location Study Type Database Topics

Management Options

Management Option Description Sources Database Topics
Corporate Response: Standardized Environmental Certifications and Labels Product labeling initiatives are based on the premise that product information represented by or contained on the label is otherwise not readily available (or apparent) and is of value in consumer purchase decisions. For example, warning labels highlight product safety and toxic exposure hazards and advise consumers on ways to minimize risks. Likewise, a number of environmental certification programs (ECPs) identify products' environmental burdens and/or set standards for products' environmental attributes. Properly designed environmental labeling efforts can change consumer and manufacturer attitudes and behaviors, thus reducing environmental burdens. The specific metrics used to measure environmental label effectiveness include: 1) consumer awareness of labels, 2) consumer acceptance of labels (credibility and understanding), 3) changes in consumer behavior, 4) changes in manufacturer behavior, and 5) improvement of end goals, such as environmental quality. Malcohn, E., Bentham Paulos, Andrew Stoeckle, Herbert Han-Pu Wang, and Julie Lynch. Determinants of Effectiveness for Environmental Certification and Labeling Programs. EPA-742-R-94-001, US EPA, Washington, DC.

Agriculture; Agriculture, Aquaculture, & Forestry Policies; Aquaculture; Banks, Credit, & Securities; Climate; CO2; Collaboration & Partnering; Commercial Fisheries; Corporate Responses; Economic Markets & Policies; Environmental Education & Outreach; Fishing Sector; Food & Energy Policies; Food, Beverage, & Tobacco Products; Forestry; Health; Manufacturing & Trade; Manufacturing & Trade Policies; Marine Birds; Medical Care; Medical Centers; Metals, Electronics, & Machinery Products; Resource Use Management; Toxics; Transportation; Utilities; Whales & Dolphins; Wholesale & Retail Trade; Wood, Plastics, & Chemical Products
Dissemination of Findings: Support Journal Publication This management option involves sponsoring the publication of journals that contain peer-reviewed scientific research. For sanctuaries this can be an excellent place to publish reports and research that used sanctuary areas or resources. NOAA Marine Sanctuary Program. 2007. Florida Keys National Marine Sanctuary revised management plan. National Ocean Service, Key West, FL.

Biotechnology Research & Development; Collaboration & Partnering; Cultural Policies; Culture; Educational & Research Opportunities; Environmental Education & Outreach; Funding & Donations; Oil & Gas Research & Exploration; Scientific Research
Economic Markets & Policy: Regulate International Trade of Reef Species Many coral reef species are harvested internationally for a variety of markets including the aquarium trade, food, curios, jewelry and pharmaceuticals. The US is the largest importer for many of these markets. The US strictly limits extraction of stony coral and many reef species in its waters; but as a major importer and consumer of coral reef species, more actions can be taken to decrease the demand on international imports. Setting and enforcing regulations on what can be imported (such as Convention on International Trade in Endangered Species CITES) is one approach that has been taken. More information is needed, leaving room to collect trade data and assess the impacts of extraction techniques to find sustainable methods. Demand for species collected this way will be increased with greater transparency to consumers, which can be accomplished through certifications for environmentally cognoscente collectors and those using alternatives like aquaculture and coral farming. Continued participation in Asia Pacific Economic Cooperation (APEC) and International Coral Reef Initiative (ICRI) is also beneficial. U.S. Coral Reef Task Force. 2000. International Trade in Coral and Coral Reef Species: The Role of the United States. Report of the Trade Subgroup of the International Working Group to the U.S. Coral Reef Task Force, Washington, D.C.

World Resource Institute International Marinelife Alliance, editor. 1997. Sullied Seas. WRI, Washington D.C.

U.S. Coral Reef Task Force. 2000. The National Action Plan to Conserve Coral Reefs. Washington, D.C.

Accidental & Illegal Harvest; Aquaculture; Aquarium & Pet Trade; Aquarium Stock; Biological Harvest; Biological Monitoring, Mapping, & Scientific Research; Collaboration & Partnering; Coral; Corporate Responses; Cultural Policies; Designate Protected Species; Economic Markets & Policies; Environmental Education & Outreach; Invertebrate Harvest; Invertebrates; Live Collection; Manufacturing & Trade; Manufacturing & Trade Policies; Marine Products; Ornamental Jewelry & Art; Pharmaceuticals & Cosmetics; Pharmaceuticals & Cosmetics Sources; Political Pressure; Souvenir & Decorative Trade; Sponges; Stony Coral; Toxics; Wholesale & Retail Trade
Economic Markets & Policy: Create Alternative Livelihoods For Fishermen Many fishermen rely on their catch as their family�s main source of income. When restrictions are placed on fishing it can be to the economic detriment of these fishermen. By creating alternative means of earning income for these fishermen, social and economic goals are accomplished while decreasing pressures on natural fish populations. These alternatives often come in the form of aquaculture, which helps to still meet the demand for fish. Another common alternative is tourism; fishermen can use their knowledge and equipment such as boats to accommodate tourism and recreational fishing. All Islands Coral Reef Committee. Local Action Strategies. United States Coral Reef Task Force Accessed 6/13/2011.

Sumaila, U.R., William W. L. Cheung and Louise The. 2007. Rebuilding Hong Kong's marine fisheries: an evaluation of management options. FCRR 2007, Vol. 15(3), Fisheries Centre, The University of British Columbia, Vancouver, BC.

Agriculture, Aquaculture, & Forestry Policies; Apex Fish Predators; Aquaculture; Artisanal Fishing; Biological Harvest; Collaboration & Partnering; Commercial Fisheries; Cultural Policies; Culture; Fish; Fisheries & Hunting Policies; Fishing & Harvesting Management; Fishing Sector; Food & Raw Materials; Health; Invertebrates; Large Herbivorous Fish; Social Assistance; Tourism & Recreation
Restoration: Environmental Remediation Environmental Remediation is a type of restoration that's focus ranges from Brownfields to Oil Spills to Hazardous Waste Sites. These restoration activities aim to restore the site to a previous condition, or to a condition that is not a threat to human health or other forms of life. Several standards can be used to determine when remediation is necessary and to what extent the environment should be restores. Biocriteria can be used to determine the degree of degradation to biological components of the site. Often it is the presence of a particular pollutant in the soil, water or air, which is above acceptable limits and will not degrade fast enough over a short period of time and therefore must be removed. Physical and chemical water quality criteria can be used to set maximum acceptable limits of water quality parameters. Air quality criteria can be used to set acceptable maximum and minimum air standards for remediation. Office of Solid Waste and Emergency Response. 2005. Contaminated Sediment Remediation Guidance for Hazardous Waste Sites. EPA-540-R-05-012, US Environmental Protection Agency.

Environment Protection Authority. EPA Guidelines for Environmental management of on-site remediation. Environment Protection Authority, Adelaide, Australia.

Applied Chemicals; Biocriteria; City Planning; Decision Support; Discharge Limitations; Discharges; Ecosystem Monitoring & Restoration; Environmental Monitoring & Restoration; Environmental Monitoring, Mapping, & Scientific Research; Food, Beverage, & Tobacco Products; Health; Health Policies; Landuse Management; Littering; Manufacturing & Trade; Metals, Electronics, & Machinery Products; Military; Mining; Mining Policies; Mitigation; Monetary Valuation; Nutrient & Contaminant Processing; Oil & Gas Industry; Oil & Gas Rigs; Oil & Gas Tankers; Petroleum Spills; Physical & Chemical Water Quality Criteria; Pipelines; Point Source Discharges; Public Administration; Remediation; Security; Solid Waste Disposal; Supporting Services; Toxics; Valuation; Waste Management; Waste Management Policies; Wastewater Discharge; Waterborne Discharges; Wood, Plastics, & Chemical Products
Water Quality Management: Reduce Pollution & Discharges from Marinas & Live-Aboards This management option strives to reduce and eliminate the discharge of wastewater and pollution within zones near corals. In many instances, "no-discharge" zones already exist and are simply poorly enforced. In other instances the discharge limits are not stringent enough. Successful regulation requires marinas to be equipped with the proper infrastructure to support transfer of wastewater from vessels to shore-side for treatment. This infrastructure includes: pump-out facilities and mobile pump-out services. NOAA Marine Sanctuary Program. 2007. Florida Keys National Marine Sanctuary revised management plan. National Ocean Service, Key West, FL.

Biological Addition; Boating Activities; Boating Regulations; Coastal Engineering; Cyanobacteria; Discharge Limitations; Discharges; Docks & Marinas; Health; Health Policies; Marine Debris; Microorganisms; Nutrient & Contaminant Processing; Nutrients; Pathogens; Physical Damage; Point & Mobile Source Controls; Point Source Discharges; Ports & Harbors; Resource Use Management; Sewage Treatment; Solid Waste Disposal; Waste Management; Waste Management Policies; Wastewater Discharge; Waterborne Discharges
Water Quality Management: Pet Waste Cleanup Ordinance & Education In residential areas, pet waste can contributes to the large amount of nutrients and pathogens that enter the water through stormwater runoff. This is especially useful in regions such as Gu�nica, Puerto Rico where there are a lot of stray dogs. Education for pet-owners and possible ordinance would help decrease harmful pathogens reaching corals through stormwater runoff and reduce eutrophication. Center for Watershed Protection. 2008. Guanica Bay watershed management plan.

Natural Resources Conservation Service. Animal Waste Collection. Urban BMP's - Water Runoff Management Accessed 3/18/2011.

Clary, J., Leisenring, M., and Jeray, J. 2010. International Stormwater Best Management Practices (BMP) Database. Pollutant Category Summary: Fecal Indicator Bacteria. Wright Water Engineers.

Aquarium & Pet Trade; Biological Addition; Chemical Variables; Cultural Policies; Cultural Services; Culture; Cyanobacteria; Discharge Limitations; Discharges; Domestic Animal Waste; Environmental Education & Outreach; Health; Health Policies; Invasive Species; Landscaping & Household Services; Microorganisms; Nutrients; Pathogens; Shelter; Solid Waste Disposal; Stormwater Management; Waste Management; Waste Management Policies; Water; Water Resources; Water Utilities Policies; Waterborne Discharges
Water Quality Management: Landfill & Solid Waste Disposal Site Assessment Strategy This option seeks to reduce/eliminate pollution from leaching at landfill sites. High risk, old landfill sites that may have hazardous waste must be identified. Once identified, monitoring at these landfills should be intensified to insure leaching does not occur into marine systems. NOAA Marine Sanctuary Program. 2007. Florida Keys National Marine Sanctuary revised management plan. National Ocean Service, Key West, FL.

Chemical Variables; Discharge Limitations; Discharges; Ecosystem Monitoring & Restoration; Environmental Monitoring & Restoration; Environmental Monitoring, Mapping, & Scientific Research; Health; Health Policies; Littering; Nutrient & Contaminant Processing; Nutrients; Point & Mobile Source Controls; Public Administration; Remediation; Security; Security & Public Administration Policies; Solid Waste Disposal; Toxics; Utilities; Waste Management; Waste Management Policies
Water Quality Plans: Resource Monitoring of Surface Discharges This strategy will identify the impacts of point-source discharges by requiring all National Pollutant Discharge Elimination System dischargers to develop monitoring programs. NOAA Marine Sanctuary Program. 2007. Florida Keys National Marine Sanctuary revised management plan. National Ocean Service, Key West, FL.

Decision Support; Discharge Limitations; Discharges; Ecosystem Monitoring & Restoration; Environmental Monitoring & Restoration; Environmental Monitoring, Mapping, & Scientific Research; Health; Health Policies; Infrastructure; Physical & Chemical Environment; Point & Mobile Source Controls; Point Source Discharges; Pressures; Public Administration; Responses; Sectors Filling Human Needs; Security; Security & Public Administration Policies; Socio-Economic Drivers; Utilities; Waste Management; Waste Management Policies; Waterborne Discharges
Water Quality Plans: Reducing Pollution Discharges from Marinas and Live-Aboards This plan strives to reduced pollution discharges through more strictly enforcing already-existing regulations for discharging. This includes enforcing regulations that restrict boaters from releasing sewage into state waters and requiring connecting toilets to shore-side plumbing. Also, this entails enforcing "no-discharge" zones where live-aboard vessels congregate or where there is history of violation issues with sewage release. The third component to this plan would be to develop and education plan to educate boaters on how/why to reduce pollution from their vessels. NOAA Marine Sanctuary Program. 2007. Florida Keys National Marine Sanctuary revised management plan. National Ocean Service, Key West, FL.

US EPA. 2011. Vessel General Permit Fact Sheet.

2005. Brightwork: Best Management Practices Manual for Maine's Boatyards and Marinas.

Biological Addition; Contact Uses; Cultural Policies; Culture; Discharge Limitations; Discharges; Entertainment & Accommodation Services; Environmental Education & Outreach; Fishing Sector; Food & Raw Materials; Health; Health Policies; Infrastructure; Point & Mobile Source Controls; Point Source Discharges; Pressures; Recreational Fishing; Resource Use Management; Responses; Sectors Filling Human Needs; Sewage Treatment; Socio-Economic Drivers; Tourism & Recreation; Utilities; Waste Management; Waste Management Policies; Wastewater Discharge; Waterborne Discharges

Laws

Legal Citation Purpose of Law Management Organization Database Topics
Surface waters of the State, Florida Administrative Code Annotated §§ Chapter 62-301 (1996). It is the intent of this Chapter to define the landward externt of surface waters of the state. Te findings, declarations, and intentfor this Chapter are the same as those for Chapter 62-302 F. A. C.

Application to Coral Reefs:By defining the landward extent of surface waters of the State using dominant plant species, the guidance in the Chapter will include wetlands and transitional zones on many occasions. Through the protection of these areas, filtration of sediment and nutrients will be maintained and two of the harmful parameters for coral reefs will be reduced.

Legislative Actions:The Chapter is a guidance document and does not contain penalties. The Chapter provides a list of plant species for use with the guidance as well as the methods of calculating the areas of state waters.

Comments: 		Florida Department of Environmental Protection

Jurisdiction:
State Coastal Waters; US State Waters; Designated Marine Areas 		Arthropods; Ballast Discharge; Beaches & Nature Parks; Biotechnology Research & Development; Building & Home Construction; Coastal Development; Docks & Marinas; Dredging Regulations; Dredging, Draining, & Filling; Finfish & Shellfish Stock; Fish; Fishing & Harvesting Management; Forestry; Invertebrates; Landscape Conservation & Restoration; Landuse Management; Mangroves; Marine Birds; Marine Vertebrates; Molluscs; Non-point Source Runoff; Nutrient & Contaminant Processing; Petroleum Spills; Pipelines; Ports & Harbors; Recreational Fishing; Resource Use Management; Sea Turtles; Seagrasses; Sediment; Shoreline Armoring; Small Boats; Surface & Groundwater Flow; Utility Line Construction & Maintenance; Wastewater Discharge; Wetlands; Whales & Dolphins

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