WITHDRAWN: Urban citizen health risk assessment for epidemic pneumonia and research on innovation on economic development

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WITHDRAWN: Effects of environmental factors on health risks by using machine learning

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WITHDRAWN: Health risk assessment on heavy metal pollutants of groundwater on human safety in rural areas

Ahead of Print article withdrawn by publisher.

WITHDRAWN: Investigation of drinking water quality and population health risk assessment in a poor rural area

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WITHDRAWN: Environmental pollution and health risk assessment of chemical laboratories in colleges and universities

Ahead of Print article withdrawn by publisher.

Heavy metals in bamboo shoots from Southeastern China and risk assessment

Bamboo shoot is an indispensable vegetable in Southeastern China, so a survey of heavy metals in bamboo shoots is a relevant topic of interest. The present study sought to analyse the content of seven heavy metals (As, Cd, Cr, Cu, Mn, Pb and Zn) in six bamboo shoot species from Southeastern China. Percentages of 3.8% (Cd) and 8.9% (Pb) of the samples exceeded the maximum limits as established by the Chinese legislation. Further health risk assessment exhibited that the Cd intake contribution of these samples could not be negligible. The hazard index (HI) at average exposure was less than one. The average HI values in moso bamboo shoot were significantly higher than those of other bamboo shoot species. Overall, the results indicated that the intake of bamboo shoots is safe for consumers in Southeastern China.

[Probabilistic Risk Assessment of Arsenic Exposure Through Drinking Water Intake in Chinese Residents]

The total arsenic concentrations of the three main drinking water types in China were determined through a systematic literature review. The distribution models of drinking water exposure parameters for different age groups were obtained using the regression method. The carcinogenic and non-carcinogenic risks of different population groups caused by arsenic exposure through different drinking water types were evaluated by a probabilistic risk assessment. The results showed that the geometric mean of total arsenic content in all the drinking water samples in China was (13.0±38.1) μg·L^-1. The highest arsenic content was found in the Inner Mongolia Autonomous Region, followed by Guangxi and Shanxi. Based on the relevant standards for drinking water quality, the probability exceeding the threshold value of groundwater and source water is 23.2% and 18.4%, respectively. According to the results of non-carcinogenic risk assessment, the probability of the residents drinking well water and surface water from the water source area exceeding the daily average exposure dose threshold was 24.0% and 19.5%, respectively. According to the carcinogenic risk assessment, the median of carcinogenic risk caused by arsenic in drinking water in China was 3.22×10^-5, which is acceptable. The population group of 18-45 years old had the highest risk, and the median LCR was 1.37×10^-5. There was still a certain probability that the LCR of drinking well water and surface water would exceed the acceptable risk level recommended by the US EPA. In conclusion, the potential health risks caused by arsenic exposure through drinking water intake exist among Chinese residents. Further control of the arsenic concentration in drinking water is required to reduce the health risk and improve the safety of drinking water. Meanwhile, it is suggested to strengthen the research on risk threshold to provide a scientific basis for the residents' health protection.

Indoor air quality and the associated health risk in primary school buildings in Central Europe - The InAirQ study

The indoor air quality (IAQ) was investigated in sixty-four primary school buildings in five Central European countries (Czech Republic, Hungary, Italy, Poland, and Slovenia). The concentration of volatile organic compounds, aldehydes, PM_2.5 mass, carbon dioxide, radon, as well as physical parameters were investigated during the heating period of 2017/2018. Significant differences were identified for the majority of the investigated IAQ parameters across the countries. The median indoor/outdoor ratios varied considerably. A comprehensive evaluation of IAQ in terms of potential health effects and comfort perception was performed. Hazard quotient values were below the threshold value of 1 with one exception. In contrast, 31% of the school buildings were characterized by hazard index values higher than 1. The maximum cumulative ratio approach highlighted that the concern for non-carcinogenic health effects was either low or the health risk was driven by more substances. The median excess lifetime cancer risk values exceeded the acceptable value of 1 × 10^-6 in the case of radon and formaldehyde. PM_2.5 mass concentration values exceeded the 24 h and annual guideline values set by the World Health Organization in 56 and 85% of the cases, respectively. About 80% of the schools could not manage to comply with the recommended concentration value for carbon dioxide (1000 ppm).

Health risk assessment of volatile organic compounds at daycare facilities

Children are particularly vulnerable to many classes of the volatile organic compounds (VOCs) detected in indoor environments. The negative health impacts associated with chronic and acute exposures of the VOCs might lead to health issues such as genetic damage, cancer, and disorder of nervous systems. In this study, 40 VOCs including aldehydes and ketones, aliphatic hydrocarbons, esters, aromatic hydrocarbons, cyclic terpenes, alcohols, and glycol ethers were identified and qualified in different locations at the University of Missouri (MU) Child Development Laboratory (CDL) in Columbia, Missouri. Our results suggested that the concentrations of the VOCs varied significantly among classrooms, hallways, and playground. The VOCs emitted from personal care and cleaning products had the highest indoor levels (2-ethylhexanol-1, 3-carene, homomenthyl salicylate with mean concentration of 5.15 µg/m³ , 1.57 µg/m³ , and 1.47 µg/m³ , respectively). A cancer risk assessment was conducted, and none of the 95th percentile dose estimates exceeded the age-specific no significant risk levels (NSRL) in all classrooms. Dimensionless toxicity index scores were calculated for all VOCs using a novel web-based framework called Toxicological Prioritization Index (ToxPi), which integrates multiple sources of toxicity data. According to the method, homomenthyl salicylate, benzothiazole, 2-ethylhexyl salicylate, hexadecane, and tridecane exhibited diverse toxicity profiles and ranked as the five most toxic indoor VOCs. The findings of this study provide critical information for policy makers and early education professionals to mitigate the potentially negative health impacts of indoor VOCs in the childcare facilities.

Source and Health Risk Assessment of Heavy Metals in Soil-Ginger System in the Jing River Basin of Shandong Province, North China

This study investigated the characteristics and sources of heavy metals in a soil-ginger system and assessed their health risks. To this end, 321 topsoil samples and eight soil samples from a soil profile, and 18 ginger samples with root-soil were collected from a ginger-planting area in the Jing River Basin. The average concentration of heavy metals in the topsoil followed the order: Cr > Zn > Pb > Ni > Cu > As > Cd > Hg. In the soil profile, at depths greater than 80 cm, the contents of Cr, Ni, and Zn tended to increase with depth, which may be related to the parent materials, whereas As and Cu contents showed little change. In contrast, Pb content decreased sharply from top to bottom, which may be attributable to external environmental and anthropogenic factors. Multivariate statistical analysis showed that Cr, Ni, Cu, Zn, and Cd contents in soil are affected by natural sources, Pb and As contents are significantly affected by human activities, and Hg content is affected by farmland irrigation. Combined results of the single pollution index (Pi), geo-accumulation index (Igeo), and potential ecological risk assessment (Ei and RI) suggest that soil in the study area is generally not polluted by heavy metals. In ginger, Zn content was the highest (2.36 mg/kg) and Hg content was the lowest (0.0015 mg/kg). Based on the bioconcentration factor, Cd and Zn have high potential for enrichment in ginger. With reference to the limit of heavy metals in tubers, Cr content in ginger exceeds the standard in the study area. Although Cr does not accumulate in ginger, Cr enrichment in soil significantly increases the risk of excessive Cr content in ginger.

Health risk assessment of occupational exposure to heavy metals in a steel casting unit of a steelmaking plant using Monte-Carlo simulation technique

The present work aimed to evaluate the health risks of occupational exposure to heavy metals in a steel casting unit of a steel plant. To determine occupational exposure to heavy metals, personal air samples were taken from the workers' breathing zones using the National Institute for Occupational Safety and Health method. Noncancer and cancer risks due to the measured metals were calculated according to the United States Environmental Protection Agency procedures. The results indicated that the noncancer risks owing to occupational exposure to lead (Pb) and manganese were higher than the recommended value in most of the workstations. The estimated cancer risk of Pb was also higher than the allowable value. Moreover, the results of sensitivity analysis indicated that the concentration, inhalation rate, and exposure duration were the most influencing variables contributing to the calculated risks. It was thus concluded that the present control measures were not adequate and further improvements were required for reducing the exposure levels.

Fractionation of Potentially Toxic Elements (PTEs) in Urban Soils from Salzburg, Thessaloniki and Belgrade: An Insight into Source Identification and Human Health Risk Assessment

Concentrations of potentially toxic elements (PTEs) (Al, As, Cd, Cr, Cu, Ni, Pb, and Zn) were measured in topsoil samples collected from parks in the cities of Salzburg (Austria), Thessaloniki (Greece), and Belgrade (Serbia) in order to assess the distribution of PTEs in the urban environment, discriminate natural (lithogenic) and anthropogenic contributions, identify possible sources of pollution, and compare levels of pollution between the cities. An assessment of the health risks caused by exposure to PTEs through different pathways was also conducted. The study revealed that, with the exception of Pb in Salzburg, levels of PTEs in the soils in polluted urban parks were higher than in unpolluted ones, but still lower than those recorded in other European soils. Results of sequential analyses showed that Al, Cr, and Ni were found in residual phases, proving their predominantly lithogenic origin and their low mobility. In contrast, the influence of anthropogenic factors on Cu, Pb, and Zn was evident. Site-dependent variations showed that the highest concentrations of As, Cu, Pb, and Zn of anthropogenic origin were recorded in Salzburg, while the highest levels of Al, Cr, and Ni of lithogenic origin were recorded in Belgrade and Thessaloniki, which reflects the specificity of the geological substrates. Results obtained for the health risk assessment showed that no human health risk was found for either children or adults.

Respiratory health and silicosis in artisanal mine workers in southern Brazil

BACKGROUND

Artisanal and small-scale mining (ASM) are an important source of employment in southern Brazil. Mining workers are frequently exposed to unhealthy work conditions which increase the risk of occupational diseases. In this study, we assessed the association of sociodemographic factors and the occupational history of artisanal mining workers with the risk of adverse respiratory outcomes.

METHODS

The study was conducted with 258 artisanal mining workers in southern Brazil, who were exposed to dust (mainly crystalline silica) in their work. Information on sociodemographic variables and occupational histories was collected between 2017 and 2018. To estimate the worker's exposure to inhalable dust we use the Advanced REACH (Registration, Evaluation, and Authorization of Chemicals) Tool (ART).

RESULTS

Study participants were all men, with an average age of 40 years. Median crude dust exposure estimated by ART was 13.2 mg/m³ and median crude crystalline silica exposure was 1.6 mg/m³ . The prevalence ratio (PR) for self-reported silicosis was 3.08 (95% confidence interval, 1.39-7.17) in workers with 20 years or more of mining work. Factors associated with silicosis were age, pack-years of tobacco use, and body mass index. Smokers were over twice as likely to report respiratory symptoms.

CONCLUSIONS

Our findings indicate that a high prevalence of silicosis and other associated diseases in mining workers is associated with both unhealthy work environment conditions and the health profile of workers. This study is an important step for understanding health outcomes from work in ASM.

[Concentrations, Sources, and Health Risks of PM2.5 Carrier Metals in the Beijing Urban Area and Suburbs]

To explore the differences in pollution characteristics, sources, and health risks of PM_2.5 carrier metals in urban and suburban areas in Beijing, daily PM_2.5 samples were collected from Haidian and Daxing from June to November 2017 and the concentration of PM_2.5 and 13 constituent metals were analyzed. The sources of these 13 metal elements were analyzed by positive matrix factorization (PMF), and the health hazards of a subset of 9 metals were evaluated using health risk assessment. The results showed that the concentrations of PM_2.5 and 10 metal concentrations in the urban area including Cr, Co, Mn, and Ni were significantly different from those in suburban areas (P<0.05). The source analysis results show four key sources, although their relative contributions vary slightly between urban and rural areas. In urban areas, the main sources are motor vehicles (51.2%), coal burning (19.1%), dust (19.3%), and fuel oil (10.4%); in the suburbs, sources are motor vehicles (47.9%), coal burning (22.6%), dust (20.2%), and electroplating (9.3%). The results of the health risk assessment showed that all metal HQ values in the suburbs were less than 1, and there was no non-carcinogenic risk. Ni and Pb in urban areas, and Cd, Co, Ni, and Pb in suburban areas, do not present a cancer risk, while the R values of As (2.77×10^-5), Cd (2×10^-6), Co (1.76×10^-6), and Cr(Ⅵ) (7.88×10^-6) in urban areas and As (8.34×10^-6) and Cr(Ⅵ) (4.94×10^-6) in suburban areas present some risk of cancer.

Understanding Potential Heavy Metal Contamination, Absorption, Translocation and Accumulation in Rice and Human Health Risks

Rice is a worldwide staple food and heavy metal contamination is often reported in rice production. Heavy metal can originate from natural sources or be present through anthropogenic contamination. Therefore, this review summarizes the current status of heavy metal contamination in paddy soil and plants, highlighting the mechanism of uptake, bioaccumulation, and health risk assessment. A scoping search employing Google Scholar, Science Direct, Research Gate, Scopus, and Wiley Online was carried out to build up the review using the following keywords: heavy metals, absorption, translocation, accumulation, uptake, biotransformation, rice, and human risk with no restrictions being placed on the year of study. Cadmium (Cd), arsenic (As), and lead (Pb) have been identified as the most prevalent metals in rice cultivation. Mining and irrigation activities are primary sources, but chemical fertilizer and pesticide usage also contribute to heavy metal contamination of paddy soil worldwide. Further to their adverse effect on the paddy ecosystem by reducing the soil fertility and grain yield, heavy metal contamination represents a risk to human health. An in-depth discussion is further offered on health risk assessments by quantitative measurement to identify potential risk towards heavy metal exposure via rice consumption, which consisted of in vitro digestion models through a vital ingestion portion of rice.

High-Resolution Exposure Assessment for Volatile Organic Compounds in Two California Residences

Time spent in residences substantially contributes to human exposure to volatile organic compounds (VOCs). Such exposures have been difficult to study deeply, in part because VOC concentrations and indoor occupancy vary rapidly. Using a fast-response online mass spectrometer, we report time-resolved exposures from multi-season sampling of more than 200 VOCs in two California residences. Chemical-specific source apportionment revealed that time-averaged exposures for most VOCs were mainly attributable to continuous indoor emissions from buildings and their static contents. Also contributing to exposures were occupant-related activities, such as cooking, and outdoor-to-indoor transport. Health risk assessments are possible for a subset of observed VOCs. Acrolein, acetaldehyde, and acrylic acid concentrations were above chronic advisory health guidelines, whereas exposures for other assessable species were typically well below the guideline levels. Studied residences were built in the mid-20th century, indicating that VOC emissions even from older buildings and their contents can substantially contribute to occupant exposures.

Evaluation of Chemical Parameters of Urban Drinking Water Quality along with Health Risk Assessment: A Case Study of Ardabil Province, Iran

In recent years, in addition to water resources' quantity, their quality has also received much attention. In this study, the quality of the urban water distribution network in northwestern Iran was evaluated using the water quality index (WQI) method. Then, some important trace elements were investigated, and finally, the health risk assessment was evaluated for both carcinogenic elements (Ni, Cd, Cr, Pb, and As) and non-carcinogenic elements (Ca, Mg, Na, K, F, NO3, and Cu) using carcinogenic risk (CR) and hazard quotient (HQ), respectively. In the present study, the WQI was calculated based on both World Health Organization (WHO) and Iranian drinking water standards. Comparing the results of these standards revealed that the WQI based on the Iranian standard was slightly higher. Regarding the calculated WQI for the study region, the status of water quality for drinking consumption is in the good water quality class (25 < WQI < 50). It was observed that Cu and Cd have the highest and lowest concentrations in all sampling points, respectively. Hazard Index (HI) results showed that the non-carcinogenic substances studied had a low risk for both adults and children (<1.0). However, the CR results showed that Ni, Cd, and As were above the desired level for both children and adults. The results of this study can be applied for efficient water management and human health protection programs in the study area.

Determination of 40 Elements in Powdered Infant Formulas and Related Risk Assessment

The aim of the study was to analyze all powdered infant formulas authorized and commercialized in Italy at the time of the study to measure the concentrations of 40 elements, and to estimate the infants’ intake of some toxic heavy metals for assessing possible related health risks. For this purpose, an optimized multi-element method was used through inductively coupled plasma mass spectrometry. Be, B, Al, Zr, Nb, Sb, Te, W, V, Cr and As concentrations were <LOD in more than 30% of samples. The levels of the other elements resulted to be very variable (more than 2000 µg g⁻¹ for Ca and K or less than 1 ng g⁻¹ for others). The results were similar to those reported by other European Union (EU) studies, but different from those recovered outside the EU. These differences should be eliminated to guarantee the right to health worldwide. The concentrations of Cd, Mn, Ni, Pb, and Zn in the infant formulas studied were always below the considered limits. However, it is important to check for potentially toxic elements in infant formulas to protect the health of this sensitive population. The data found in this study could be used as benchmark data for future research.

Acute Exacerbation of a Chronic Obstructive Pulmonary Disease Prediction System Using Wearable Device Data, Machine Learning, and Deep Learning: Development and Cohort Study

Background

The World Health Organization has projected that by 2030, chronic obstructive pulmonary disease (COPD) will be the third-leading cause of mortality and the seventh-leading cause of morbidity worldwide. Acute exacerbations of chronic obstructive pulmonary disease (AECOPD) are associated with an accelerated decline in lung function, diminished quality of life, and higher mortality. Accurate early detection of acute exacerbations will enable early management and reduce mortality.

Objective

The aim of this study was to develop a prediction system using lifestyle data, environmental factors, and patient symptoms for the early detection of AECOPD in the upcoming 7 days.

Methods

This prospective study was performed at National Taiwan University Hospital. Patients with COPD that did not have a pacemaker and were not pregnant were invited for enrollment. Data on lifestyle, temperature, humidity, and fine particulate matter were collected using wearable devices (Fitbit Versa), a home air quality–sensing device (EDIMAX Airbox), and a smartphone app. AECOPD episodes were evaluated via standardized questionnaires. With these input features, we evaluated the prediction performance of machine learning models, including random forest, decision trees, k-nearest neighbor, linear discriminant analysis, and adaptive boosting, and a deep neural network model.

Results

The continuous real-time monitoring of lifestyle and indoor environment factors was implemented by integrating home air quality–sensing devices, a smartphone app, and wearable devices. All data from 67 COPD patients were collected prospectively during a mean 4-month follow-up period, resulting in the detection of 25 AECOPD episodes. For 7-day AECOPD prediction, the proposed AECOPD predictive model achieved an accuracy of 92.1%, sensitivity of 94%, and specificity of 90.4%. Receiver operating characteristic curve analysis showed that the area under the curve of the model in predicting AECOPD was greater than 0.9. The most important variables in the model were daily steps walked, stairs climbed, and daily distance moved.

Conclusions

Using wearable devices, home air quality–sensing devices, a smartphone app, and supervised prediction algorithms, we achieved excellent power to predict whether a patient would experience AECOPD within the upcoming 7 days. The AECOPD prediction system provided an effective way to collect lifestyle and environmental data, and yielded reliable predictions of future AECOPD events. Compared with previous studies, we have comprehensively improved the performance of the AECOPD prediction model by adding objective lifestyle and environmental data. This model could yield more accurate prediction results for COPD patients than using only questionnaire data.

Bioavailability Evaluation of Perchlorate in Different Foods In Vivo: Comparison with In Vitro Assays and Implications for Human Health Risk Assessment

Perchlorate in various foods continuously arouses public health concern. Bioavailability is a critical parameter to better estimate perchlorate exposure from diets. In this study, perchlorate bioavailability in five foods was determined in an in vivo mouse model and compared with in vitro bioaccessibility/bioavailability. The estimated in vivo perchlorate bioavailability for different foods ranged from 18.01 ± 4.53% to 45.60 ± 7.11%, with the order lettuce > pork > rice > milk powder > soybean. Moisture, fiber, and fat in foods were identified as critical factors affecting perchlorate bioavailability (correlation r = 0.71, 0.52, and -0.67, respectively). Linear regression analysis revealed that the in vitro perchlorate bioavailability determined using the Caco-2 cell model has the potential to estimate the in vivo perchlorate bioavailability in foods (R² = 0.67, slope = 1.33, and y intercept = 4.99). These findings provide insights into the effects of the food matrices on perchlorate bioavailability and could contribute to decrease the uncertainty regarding perchlorate dietary exposure risk assessment.

An Association Rule Mining Analysis of Lifestyle Behavioral Risk Factors in Cancer Survivors with High Cardiovascular Disease Risk

We aimed to assess which lifestyle risk behaviors have the greatest influence on the risk of cardiovascular disease in cancer survivors and which of these behaviors are most prominently clustered in cancer survivors, using logistic regression and association rule mining (ARM). We analyzed a consecutive series of 897 cancer survivors from the Korean National Health and Nutritional Exam Survey (2012-2016). Cardiovascular disease risks were assessed using the atherosclerotic cardiovascular disease score (ASCVDs). We classified participants as being in a low-risk group if their calculated ASCVDs was less than 10% and as being in a high-risk group if their score was 10% or higher. We used association rule mining to analyze patterns of lifestyle risk behaviors by ASCVDs risk group, based upon public health recommendations described in the Alameda 7 health behaviors (current smoking, heavy drinking, physical inactivity, obesity, breakfast skipping, frequent snacking, and suboptimal sleep duration). Forty-two percent of cancer survivors had a high ASCVD. Current smoking (common odds ratio, 11.19; 95% confidence interval, 3.66-34.20, p < 0.001) and obesity (common odds ratio, 2.67; 95% confidence interval, 1.40-5.08, p < 0.001) were significant predictors of high ASCVD in cancer survivors within a multivariate model. In ARM analysis, current smoking and obesity were identified as important lifestyle risk behaviors in cancer survivors. In addition, various lifestyle risk behaviors co-occurred with smoking in male cancer survivors.

Content of toxic metals and As in marine and freshwater fish species available for sale in EU supermarkets and health risk associated with its consumption

BACKGROUND

The present study investigated Pb, Cd and As concentrations in canned tuna, tuna steak, rainbow trout, smoked mackerel, and Baltic and Atlantic cod, as well as Atlantic salmon. The aim was to spot check the quality of the most commonly purchased types of fish that are available for sale in most common supermarket chains throughout the Poland, as well as to determine potentially less contaminated sources of fish available for retail. A dry ashing digestion protocol followed by inductively coupled plasma mass spectrometry analysis was employed to achieve a better recover of heavy metals and As from fish muscle tissues.

RESULTS

The cumulative concentration of metals and As in fish muscle tissue decreases in order: farmed Atlantic salmon > mackerel > Baltic cod > rainbow trout > canned tuna fish > Atlantic cod > yellowfin tuna steak. It was found that canned tuna from Central and Eastern Pacific Ocean were more contaminated than tuna from East and West Indian Ocean, Baltic cod was significantly more contaminated than cod from North-East Atlantic. Smoked mackerel from North-East Pacific Ocean is three times more contaminated than mackerel from Northern North Sea. All fish, except for yellowfin tuna steak, should not be intended for retail because they exceed maximum levels for Cd and Pb.

CONCLUSION

Consuming only one serving (140 g) of Baltic cod exposes one to 51% of the daily acceptable Cd intake, while the same portion of canned tuna and smoked mackerel from the Pacific Ocean deliver 69% and 72% of this element respectively. The most cadmium is consumed with smoked mackerel from the North Sea, comprising as much as 162% of the daily acceptable dosage . © 2020 Society of Chemical Industry.

[Concentration Analysis and Health Risk Assessment of Air Pollutants in Newly Decorated Public Places in Xi'an]

In order to understand the levels of indoor air pollution and health risks in public places, our research group conducted air quality monitoring and human health risk assessments for five types of public places (offices, classrooms, laboratories, banks, and hospitals) in Xi'an City from December 2017 to July 2020. The test items included formaldehyde, benzene, toluene, xylene, n-butyl acetate, ethylbenzene, styrene, n-undecane, and total volatile organic compounds (TVOC). The results showed that formaldehyde had the highest exceedance rate (59.4%), followed by toluene, TVOC, benzene, and xylene. Among the five types of public places, hospitals had the highest rate of pollutants exceeding the standard (46.7%), and the main pollutants exceeding the standard were formaldehyde, benzene, and toluene. The results showed that the concentrations of formaldehyde and TVOC were positively correlated with temperature and humidity. The health risk assessment results showed that there were carcinogenic risks of formaldehyde and benzene in different places; people working in banks had a higher risk of formaldehyde carcinogenesis, and those working in hospitals had a higher risk of benzene carcinogenesis. This study provides a reference for the level of indoor air pollution in public places in Xi'an City, and is of great significance to the health risk research of related populations.

Is a Mask That Covers the Mouth and Nose Free from Undesirable Side Effects in Everyday Use and Free of Potential Hazards?

Many countries introduced the requirement to wear masks in public spaces for containing SARS-CoV-2 making it commonplace in 2020. Up until now, there has been no comprehensive investigation as to the adverse health effects masks can cause. The aim was to find, test, evaluate and compile scientifically proven related side effects of wearing masks. For a quantitative evaluation, 44 mostly experimental studies were referenced, and for a substantive evaluation, 65 publications were found. The literature revealed relevant adverse effects of masks in numerous disciplines. In this paper, we refer to the psychological and physical deterioration as well as multiple symptoms described because of their consistent, recurrent and uniform presentation from different disciplines as a Mask-Induced Exhaustion Syndrome (MIES). We objectified evaluation evidenced changes in respiratory physiology of mask wearers with significant correlation of O2 drop and fatigue (p < 0.05), a clustered co-occurrence of respiratory impairment and O2 drop (67%), N95 mask and CO2 rise (82%), N95 mask and O2 drop (72%), N95 mask and headache (60%), respiratory impairment and temperature rise (88%), but also temperature rise and moisture (100%) under the masks. Extended mask-wearing by the general population could lead to relevant effects and consequences in many medical fields.

[Pollution Characteristics and Health Risk Assessment of Heavy Metals in the Water of Lijiang River Basin]

In order to clarify the pollution levels of heavy metals in the drinking water sources of the Lijiang River Basin, surface water samples were collected from 62 sites throughout the Lijiang River during May 2019. Heavy metals, including As, Cd, Cr, Mn, Cu, Zn, Hg, Co, and Sb, in the water samples were analysed. Health risk assessments associated with these nine heavy metals were conducted using the health risk assessment model from the US EPA. The results indicated that the order of the average concentrations of heavy metals in the water samples were Mn > Zn > As > Cr > Cu > Sb > Co > Cd > Hg. No heavy metals exceeded the limit values of the drinking water health standards in China (GB 5749-2006), and the concentrations were lower than the limitations of Grade Ⅰ level in the environmental quality standards for surface water (GB 3838-2002). According to the spatial distribution, the high contents areas of As, Cr, Zn, and Sb were predominantly distributed downstream of the Lijiang River, while the high contents areas of Cd, Cu, Hg, Co, and Mn were mostly distributed in the upper reaches. Multivariate analysis indicated that Cd, Mn, Cu, and Co were primarily from agricultural production; Cr, Zn, and Sb were mainly from tourism transportation; As was predominantly from the weathering of rock parent material and soil erosion; Hg was mainly from the improper disposal of domestic garbage and atmospheric deposition. The results of the health risk assessment indicated that children were more susceptible to the threat of heavy metal pollution than adults, and the average annual risk of carcinogenic heavy metals to human health through drinking water ingestion were higher than those of non-carcinogenic metals. The maximum personal average annual health risk of Cr was higher than the maximum allowance levels recommended by the International Commission on Radiological Protection (5×10^-5 a^-1). The average annual risk of non-carcinogenic heavy metals (10^-14-10^-9 a^-1) decreased in the order of Co > Cu > Hg > Zn > Sb > Mn, which were far below the maximum allowance levels recommended by the ICRP.

Determination of Bisphenol Analogues in Infant Formula Products from India and Evaluating the Health Risk in Infants Asssociated with Their Exposure

Bisphenol A (BPA) is a well-recognized endocrine disruptor, and considering its adverse effects its use in infant bottles has been banned in many countries. Growing concern on the use of BPA has led to its replacement with its analogues in numerous applications. Present is the first report determining the occurrence of seven bisphenols (BPs: BPA, BPAF, BPC, BPE, BPFL, BPS, and BPZ) in Indian infant formula. A reliable and efficient UPLC-MS/MS method for their simultaneous determination was developed and validated in powdered infant formula (n = 68). The limit of quantification of the method was 0.19 ng/g for BPA, BPAF, BPE, BPS and BPZ and 0.78 ng/g for BPC and BPFL. The highest concentration was detected for BPA (mean = 5.46 ng/g) followed by BPZ and BPS. BPAF, BPFL, BPC and BPE were detected in none of the samples. The estimated daily intake (EDI) of total BPs in infants (0-12 months old infants) was determined to be 54.33-213.36 ng/kg b.w./day. BPA mainly contributed to the total intake (EDI = 92.76 ng/kg b.w./day). The dietary exposure to total BPs evaluated in the present study was approximately 1 order of magnitude lower than the reference value of BPA set by EFSA (4 μg/kg b.w./day) and, thus, may not pose considerable risks to infants.

Exposure and Public Health Effects of Polycyclic Aromatic Hydrocarbon Compounds in Sub-Saharan Africa: A Systematic Review

BACKGROUND AND AIM

In order to achieve improved global health, environmental health risks that could affect this goal have to be reduced as much as possible. This review thus aimed at determining the exposure levels, health risk assessments, and public health effects of polycyclic aromatic hydrocarbons (PAHs) in sub-Saharan Africa (SSA). This review was developed using guidelines provided for Preferred Reporting Items for Systematic Review and Meta-Analysis. Search was done on Google Scholar, Scopus, and PubMed databases. A study was included if it was carried out in SSA from 2000 to 2020 and written in English language. Fifty-two studies were finally retained and used for the review. Extracted data included the concentrations of 8 selected priority PAHs (including the PAHs prioritized for their carcinogenic potentials), their sources and reported outcomes. In SSA, PAHs exposure has been linked to the use of unprocessed biomass fuels for cooking, release of poorly treated petrochemical effluents into water bodies, and so on. Related public health effects included the occurrence of respiratory, cardiovascular abnormalities, and so on. Others included destruction of natural biodiversity in soil, water, and atmospheric environmental media. Health risk assessments also buttressed the occurrence of these public health effects of PAHs. In SSA, the region is exposed to a substantial amount of PAHs pollution which is associated with deleterious environmental and epidemiological effects. The adoption of healthier forms of energy, a change of attitude to one that favors environmental sustainability, and proper enforcement of environmental regulations are, however, necessary for attaining environmental sanity in SSA.

The Health Risks of Airborne Polycyclic Aromatic Hydrocarbons (PAHs): Upper North Thailand

Every year, Northern Thailand faces haze pollution during the haze episode. The particulate matter (PM), including fine fraction (PM2.5), a coarse fraction (PM2.5-10), and 16 polycyclic aromatic hydrocarbons (PAHs), was measured in six provinces in upper north Thailand during the haze and non-haze episodes in 2018. Eighty-three percent of the PM2.5 measurements (21.8-194.0 µg/m3) during the haze episode exceeded the national ambient air quality standard in Thailand. All 16 PAHs were detected in the study area in both periods. The average concentration of total PAHs (particle-bound and gas-phase) during the haze episode was 134.7 ± 80.4 ng/m3, which was about 26 times higher than those in the non-haze (5.1 ± 9.7 µg/m3). Naphthalene and acenaphthene were the dominant PAHs in the gas phase; whereas, indeno[123-cd] pyrene, benzo[a]pyrene, and Benzo[ghi]Perylene were dominant in the particle-bound phase. The estimated inhalation excess cancer risk from PAHs exposure was 9.3 × 10-4 and 2.5 × 10-5 in the haze episode and non-haze, respectively. Diagnostic ratios and principal component analysis revealed that PAHs were derived from mixed sources of vehicle emission and solid combustion in the haze episode and vehicle emission in the non-haze period. High pollution levels of PM and large cancer risk attributable to the exposure of PAHs in the haze episode suggest urgent countermeasures to reduce the source emission, especially from the solid combustion in the area.

Monitoring of polycyclic aromatic hydrocarbons and probabilistic health risk assessment in yogurt and butter in Iran

This study was conducted to determine the polycyclic aromatic hydrocarbons (PAHs) levels and health risk of yogurt and butter samples collected from Tehran using MSPE/GC-MS (magnetic solid-phase extraction/gas chromatography-mass spectrometry). The results revealed that the limit of detection (LOD) and limit of quantification (LOQ) were ranged from 0.040 to 0.060 and 0.121 to 0.181 μg/kg, respectively; with recoveries ranged from 86.1% to 100.3%. The highest mean of total PAHs was higher in butter (6.87 ± 1.21 μg/kg) than in yogurt (3.82 ± 0.54 μg/kg). The level of benzo (a)pyrene in all samples was lower than of standard levels of the European Union (EU). The highest value of all PAHs in samples was recorded in the winter season and also in the expiration date. The percentile 95% of the total hazard quotient (THQ) due to the consumption of yogurt and butter recorded 1.33E-02 and 3.69E-04 in adults and 6.12E-02 and 1.75E-03 in children, respectively. The percentile of 95% incremental lifetime of cancer risk (ILCR) due to the ingestion of yogurt and butter recorded 1.17E-06 and 2.02E-08 for adults and 5.51E-06 and 9.46E-08 for children, respectively. The rank order of 7 PAHs in adult and children based on P95% Hazard Quotient (HQ) in all samples was benzo(a)anthracene (BaA) > pyrene (P) > fluorene (F) > fluoranthene (Fl) > acenaphthylene (Ace) > anthracene (A) > naphthalene (NA). According to the Monte Carlo Simulation (MCS) method, health-risk assessment showed that children and adults are not at significant health risk.

[Phthalate analysis in foods for young children using LC-MS method]

Phthalates are esters of phthalic acid, which are persistent organic pollutants of the environment. Phthalates are widely used as plasticizing additives in the production of polymer products for industrial, domestic, food and medical purposes. The ubiquitous presence of phthalates is confirmed by the results of studies of environmental objects, drinking water, and foodstuffs. In connection with the adverse effects of phthalates on health, it is important to control their content in foodstuffs, including baby food, as one of the main sources of phthalates. The aim of the research was to determine the phthalate content in baby food products (from 0 to 3 years) and to assess it from the hygienic point of view. Material and methods. The results of the analysis of phthalates (C1-C8) in the dehydrated baby food products (milk porridge, dairy-free porridge, adapted milk formula, milk drink) by high-performance liquid chromatography/mass spectrometry (LC/MS-MS) are presented. Results. The presence of 7 phthalates out of 9 analyzed in the concentration range from 0.003 to 0.199 mg/kg was established. The priority contaminants were diethyl phthalate, determined a t concentrations ranging from 0.046 to 0.199 mg/kg in 100% of samples, and bis(2-ethylhexyl)phthalate, present in 75% of samples in concentrations ranging from 0.011 to 0.115 mg/kg. Dipropyl phthalate (0.004-0.055 mg/kg) and dihexyl phthalate (0.006-0.062 mg/kg) were found in low concentrations in all samples. Dibutyl phthalate was found at the lower limit of determination - 0.005-0.007 mg/kg. The maximum phthalate content was established in milk and dairy-free porridges. Health risk assessment formed by phthalate intake from milk and dairy-free porridges, adapted milk formula and milk drink, when comparing the daily intake of individual phthalates with recommended reference doses for chronic per os intake, showed that no exceeding of permissible risk levels was found. Conclusion. The maximum phthalate contamination is set for milk porridge and dairyfree porridge. The priority pollutants in the studied samples are diethyl phthalate and bis(2-ethylhexyl)phthalate. The danger coefficient calculated for each baby food product, as well as hazard indices for the consumption of all products together, do not exceed the permissible values, which indicates an acceptable risk to public health.

[Characterization and Health Risks of PCDD/Fs, PCBs, and PCNs in the Soil Around a Typical Secondary Copper Smelter]

The concentrations of PCDD/Fs, PCBs, and PCNs in the soil samples around a typical secondary copper smelter were determined simultaneously, and then the impact of the smelter on the surrounding environment and the health risks of workers in the study area were analyzed and evaluated. PCDD/F, PCB, and PCN concentrations were in the range of 17.2-370, 1.20-14.2, and 70.9-950 pg·g^-1 in the soil around the smelter, respectively. High concentrations of PCDD/Fs and PCNs were observed at the sample sites close to the secondary copper smelter (<300 m), and their concentrations exponentially decreased with an increase in distance from the smelter. The results of the source analysis showed that the secondary copper smelter had a significant impact on the PCDD/Fs and PCNs content and congener profiles of the soil within 300 m of its surroundings. In addition, the PCDD/Fs pollution in the surrounding soil may also have been affected by the historical use of pentachlorophenol or sodium pentachlorophenol in addition to the secondary copper smelter. The health risk assessment results showed that the non-carcinogenic and carcinogenic risks of workers exposed to PCDD/Fs, PCBs, and PCNs in the surrounding soil were within acceptable levels, and that oral ingestion was the main exposure route. Although the health risk assessment only considered the exposure of workers to these pollutants in an outdoor environment during working hours, the carcinogenic risk values of the two soil samples had reached 0.47×10^-6 and 0.15×10^-6 (threshold value 10^-6), so they should attract our attention. PCDD/Fs had the highest contribution rate (96%) to the total carcinogenic risk (PCDD/Fs+PCBs+PCNs), and they were the dioxins that need to be the primary concern and control in the study area.

Assessment of Pollution and Health Risks of Heavy Metals in Particulate Matter and Road Dust Along the Road Network of Dhanbad, India

BACKGROUND

The rise in particulate matter (PM) concentrations is a serious problem for the environment. Heavy metals associated with PM₁₀, PM_2.5, and road dust adversely affect human health. Different methods have been used to assess heavy metal contamination in PM₁₀, PM_2.5, and road dust and source apportionment of these heavy metals. These assessment tools utilize pollution indices and health risk assessment models.

OBJECTIVES

The present study evaluates the total mass and average concentrations of heavy metals in PM₁₀, PM_2.5, and road dust along selected road networks in Dhanbad, India, analyzes the source apportionment of heavy metals, and assesses associated human health risks.

METHODS

A total of 112 PM samples and 21 road dust samples were collected from six stations and one background site in Dhanbad, India from December 2015 to February 2016, and were analyzed for heavy metals (iron (Fe), lead (Pb), cadmium (Cd), nickel (Ni), copper (Cu), chromium (Cr), and zinc (Zn)) using atomic absorption spectrophotometry. Source apportionment was determined using principal component analysis. A health risk assessment of heavy metal concentrations in PM₁₀, PM_2.5, and road dust was also performed.

RESULTS

The average mass concentration was found to be 229.54±118.40 μg m^-3 for PM₁₀ and 129.73 ±61.74 μg m^-3 for PM_2.5. The average concentration of heavy metals was found to be higher in PM_2.5 than PM₁₀. The pollution load index value of PM₁₀ and PM_2.5 road dust was found to be in the deteriorating category. Vehicles were the major source of pollution. The non-carcinogenic effects on children and adults were found to be within acceptable limits. The heavy metals present in PM and road dust posed a health risk in the order of road dust> PM₁₀> and PM_2.5. Particulate matter posed higher health risks than road dust due to particle size.

CONCLUSIONS

The mass concentration analysis indicates serious PM₁₀ and PM_2.5 contamination in the study area. Vehicle traffic was the major source of heavy metals in PM₁₀, PM_2.5, and road dust. In terms of non-carcinogenic risks posed by heavy metals in the present study, children were more affected than adults. The carcinogenic risk posed by the heavy metals was negligible.

COMPETING INTERESTS

The authors declare no competing financial interests.

Health Risk Assessment for Exposure to Nitrate in Drinking Water in Central Java, Indonesia

Since 2005, over 30 epidemiological studies have evaluated the association between nitrate in drinking water and adverse health outcomes. Conditions that lead to nitrate pollution in water, such as open defecation, the proximity of septic tanks to water sources, and the use of inorganic fertilizer, are rampant in Indonesia, which has experienced little research evaluating nitrate in drinking water. We conducted a health risk assessment for exposure to nitrate in drinking water and evaluated the nitrate concentration in key water sources in two villages of rural Central Java, Indonesia. The nitrate concentrations in the drinking water ranged from 3.55 mg/L to 26.75 mg/L as NO₃⁻. Daily nitrate intake estimates, calculated at 50% and 95% exposure to the maximum nitrate concentration of the drinking water in both villages, were above the levels associated with birth defects, colorectal cancer, and thyroid conditions observed in other studies. There was a large variation in nitrate concentrations between and within the villages at different water sources. Further research into whether these health outcomes exist in rural Central Java, Indonesia will be required to better understand this risk.

International Total Worker Health: Applicability to Agribusiness in Latin America

Total Worker Health^® (TWH) is a framework for integrating worker and workplace safety, health, and well-being, which has achieved success in European and US settings. However, the framework has not been implemented in Latin America or in agricultural sectors, leaving large and vulnerable populations underrepresented in the implementation and evaluation of these strategies to improve safety and promote health and well-being. This study presents a case study of how a TWH approach can be applied to a multinational Latin American agribusiness. We describe the process and adaptation strategy for conducting a TWH assessment at multiple organizational levels and in multiple countries. We follow this with a description of a TWH leadership training that was conducted based on the results of the assessment. Finally, we describe our methods to make corporate recommendations for TWH policies and programs that were informed by the TWH assessment and leadership trainings. With this case study we aim to demonstrate the importance and feasibility of conducting TWH in Latin America.

[Health Impact Attributable to the Control of PM2.5 Pollution in China During 2013-2017]

To evaluate the health benefits brought about by air environmental treatment and determine the main drivers of health risk, we calculated the health and economic benefits attributed to PM_2.5 control in Eastern and Central China from 2013 to 2017 by combining PM_2.5 concentrations with a human activity enhanced exposure-response model. The relative contributions of changes in four factors related to the PM_2.5 health burden were also quantified, namely total population, population aging, baseline mortality rates, and ambient exposure. The results show that the population weighted PM_2.5 concentration decreased by 28.73% and the proportion of the population exposed to annual PM_2.5 concentrations lower than or equal to 35 μg·m^-3 increased from 11.23% to 27.91% across the study area during this period. Avoided deaths were decreased to 14.43%, which equates to avoided economic losses of approximately 559 billion RMB. If PM_2.5 concentration meets the Chinese Ambient Air Quality Standard Grade Ⅱ (35 μg·m^-3) or Grade Ⅰ (15 μg·m^-3), or the World Health Organization Air Quality Guidelines (AQG) standards (10 μg·m^-3), a 8.22%, 55.05%, and 79.36% reduction in the total deaths could be achieved in the base year (2017) with equivalent total economic benefits of approximately 319, 2137, and 3081 billion RMB, respectively. Total population, population aging, baseline mortality rates, and PM_2.5 concentrations contributed -2.69%, -12.38%, 1.66%, and 14.57% to PM_2.5-related deaths. Overall, during the study period, the reduction in PM_2.5 concentrations has been the main factor contributing to the reduction in the public health burden. China has implemented significant air pollution control measures; however, the health burden associated with high PM_2.5 concentrations in densely populated areas is still extremely high, requiring an aggressive air pollution control strategy.

Health Risk Assessment of PM2.5 and PM2.5-Bound Trace Elements in Thohoyandou, South Africa

We assessed the health risks of fine particulate matter (PM_2.5) ambient air pollution and its trace elemental components in a rural South African community. Air pollution is the largest environmental cause of disease and disproportionately affects low- and middle-income countries. PM_2.5 samples were previously collected, April 2017 to April 2018, and PM_2.5 mass determined. The filters were analyzed for chemical composition. The United States Environmental Protection Agency’s (US EPA) health risk assessment method was applied. Reference doses were calculated from the World Health Organization (WHO) guidelines, South African National Ambient Air Quality Standards (NAAQS), and US EPA reference concentrations. Despite relatively moderate levels of PM_2.5 the health risks were substantial, especially for infants and children. The average annual PM_2.5 concentration was 11 µg/m³, which is above WHO guidelines, but below South African NAAQS. Adults were exposed to health risks from PM_2.5 during May to October, whereas infants and children were exposed to risk throughout the year. Particle-bound nickel posed both non-cancer and cancer risks. We conclude that PM_2.5 poses health risks in Thohoyandou, despite levels being compliant with yearly South African NAAQS. The results indicate that air quality standards need to be tightened and PM_2.5 levels lowered in South Africa.

Occurrence of antibiotics in rural drinking water and related human health risk assessment

Antibiotic residues in drinking water can have a negative impact on both human and environmental health. However, drinking water purification processes employed in rural areas are often less complicated than those used in urban areas. The occurrence of antibiotic residues in rural drinking water and their potential effects on residents' health remains to be established. In this study, we measured antibiotic levels in rural drinking water using high-performance liquid chromatography-tandem mass spectrometry (HPLC-MS/MS), and evaluated the associated health risks based on Chinese population exposure parameters. Twenty-three antibiotics were detected in drinking water samples, of which fluoroquinolones and macrolides were the most common. The type and concentration of antibiotics in drinking water were affected both by the quality of the water source and by the water purification process used. The health risks associated with antibiotics in drinking water were within acceptable levels and likely to have little impact on human health. Of the antibiotics detected, salinomycin presented the greatest risk to human health. These findings can help to play a role in devising strategies to ensure drinking water safety.

[Seasonal Distribution Characteristics and Health Risk Assessment of Heavy Metals in Surface Water of Qingjiang River]

In order to assess the health risks of heavy metals in surface water of Qingjiang River, surface water samples were taken at designed cross-sections of the river and analyzed for Cr, Cu, Zn, Pb, Cd, As, and Mn. Health risks from these heavy metals for adults and children in wet and dry seasons were compared by water environmental health risk assessment model of the USEPA. It found that the main excessive element is Mn, concentrating in the Danshui, Yantouxi, and Pingluoxi, the slightly excessive element is As, the concentration of Mn was above national standard, and it mainly distributed in Danshui, Yantouxi, and Pingluoxi, As was slightiy over the standard, and it concentrated in Wujiahe, The content of heavy metals during wet season were all higher than those during dry season. Cr, Cu, Zn, and Cd are mainly originated from the nature, Pb and As are separately mainly originated from traffic and agriculture, Mn originated from mining mainly in the downstream, while it has natural source from upper to middle. The health risks of heavy metals in surface water to adults and children in wet season are higher than those in dry season. The main health risk area was the midstream. As was the highest health risk element and children were the most preventive group. Specially, people in towns who drink the water from midstream should pay more attention.

[Transfer Factor and Health Risk Assessment of Heavy Metals in a Soil-Crop System in a High Incidence Area of Nasopharyngeal Carcinoma, Guangdong]

In order to reveal the transfer factor and perform health risk assessments of heavy metals in soil-crop systems in the high incidence area of nasopharyngeal carcinoma (NPC) in Guangdong province of China, the farmland system of Sihui City in the high incidence area of NPC was selected as the research object, and rice, lettuce, and corresponding soil samples were collected. As, Cu, Hg, Mn, Ni, Pb, and Cd in the soil and crop samples were analyzed. Based on the contents and chemical forms of seven heavy metals, the environmental pollution, bioavailability, and transfer factors of heavy metals in the soil-crop system were assessed using statistical analyses, pollution index evaluations, and transfer factor methods, and the health risks of adults and children in the study area were assessed using the health risk assessment model recommended by the U.S. Environmental Protection Agency. The results showed that the farmland soil in the study area was basically clean (P=0.43); Cd and Mn mainly existed in a bioavailable state, Hg mainly existed in a potentially available state, and As Cu, Ni, and Pb mainly existed in a residual state. The lettuce was safe (P=0.48), while the pollution index of rice (P=7.66) was higher than that of lettuce, and the main polluting element was Pb (PI=10.25). The results of soil pollution assessments are not completely consistent with those of crop pollution assessments, so they should be combined with the bioavailability of heavy metals and crop effects for correlation analyses. Cd and Cu are more easily absorbed by lettuce, while Cd, Cu, and As are more easily enriched by rice. Special attention should be paid to Cd and Cu pollution in farmland soils, and As pollution should be of focus in paddy fields. In the study area, the non-carcinogenic risk index (HI) value of edible lettuce for adults and children was less than 1 and the average value of the total carcinogenic risk index (Risk) of edible lettuce was less than 1×10^-4. Therefore, the health risk of edible local lettuce was within the acceptable range. The average HI index of rice for adults and children was more than 1 and the main non-carcinogenic factor was Pb; the risk index of rice was more than 1×10^-4, and the main carcinogenic factor was As. Rice consumption in the study area will cause certain health risks, and the threat to adults is greater than that to children. Therefore, As in rice may be related to the high incidence of NPC in Sihui City. It is suggested that the remediation of heavy metals in farmland soils be strengthened or that residents be forbidden to plant or eat local rice and other crops with greater health risks.

[Residual Characteristics and Health Assessment Analysis of OCPs and PCBs in Karst Groundwater]

Residual levels of organochlorine pesticides (OCPs) and polychlorinated biphenyls (PCBs) in karst groundwater in Nanshan Laolongdong were measured using a gas chromatograph equipped with a micro-⁶³Ni electron capture detector to determine the residual characteristics including concentration, distribution, and source of OCPs and PCBs. Results revealed that the total concentration range of OCPs was 34.8-623.2 ng·L^-1, and the mean value was 215.6 ng·L^-1, among which the total concentration ranges of HCHs, DDTs, and other OCPs were 8.2-23.6, 4.5-363.7, and 22.2-235.9 ng·L^-1, respectively, and the mean values were 15.9, 104.5, and 95.3 ng·L^-1; the total concentration range of PCBs was 6.0-40.7 ng·L^-1, and the mean value was 16.8 ng·L^-1. Overall, the pollution of OCPs and PCBs was above average; the results of multiple comparisons revealed that statistically significant differences occurred in the concentration of some OCPs and PCBs. The pollution levels in the water of each sampling point in the study area were quite different; however, the seasonal distribution of OCPs and PCBs was relatively uniform. Source analyses revealed that HCHs' source was the input of lindane in the surrounding environment, DDTs recently originated from illegal use of industrial DDT, other OCPs originated from atmospheric deposition and agricultural input, and PCBs' sources included both historical remains and enterprise production processes. The results of Pearson correlation analyses revealed that some organo-halogen pollutants were homologous or had similar sources and decomposition mechanisms. According to health risk assessment model, drinking water in the study area would not cause obvious harm to human health, but children were more sensitive to pollutants than adults.

Content of Toxic Elements in 12 Groups of Rice Products Available on Polish Market: Human Health Risk Assessment

Background: Rice is one of the most commonly consumed grains. It could be a good source of nutrients in a diet, but its consumption could also contribute to exposure to toxic elements. All rice products available on the Polish market are imported, which may pose a particular concern as to the safety of their consumption. The aim of our study was to estimate the content of As, Cd, Pb, and Hg in rice products and to assess the health risk indicators related to exposure to toxic elements consumed with rice products among the adult population in Poland. Methods: A total of 99 samples from 12 groups of rice products (basmati, black, brown, parboiled, red, wild, white rice and expanded rice, rice flakes, flour, pasta, and waffles) available in the Polish market were obtained. The content of Hg was determined using the atomic absorption spectrometry method (AAS). To measure As, Cd, and Pb, inductively coupled plasma-mass spectrometry (ICP-MS) was used. The health risk was assessed by calculating several indicators. Results: The average As, Cd, Pb, and Hg contents in all studied products were 123.5 ± 77.1 μg/kg, 25.7 ± 26.5 μg/kg, 37.5 ± 29.3 μg/kg, and 2.8 ± 2.6 μg/kg, respectively. Exceedance of the limit established by the Polish National Food Safety Standard was observed in one sample as regards the As content and exceedance of the European Commission standard in two samples for Hg. The samples of foods imported from European markets (n = 27) had statistically higher As content (p < 0.05) than those imported from Asian countries (n = 53). The values of health risk indicators did not show an increased risk for the Polish adult population. However, the daily intake of 55 g of rice corresponds to the benchmark dose lower confidence limit (BMDL) for Pb. Conclusion: The studied rice products could be regarded as safe for consumption by the Polish population as far as the content of As, Cd, Pb, and Hg is concerned.

Analysis of Organochlorine Pesticide Residues in Various Vegetable Oils Collected in Chinese Markets

Organochlorine pesticides (OCPs), chemicals frequently used in agriculture, are a group of highly toxic and persistent organic pollutants. This study assesses the distribution and congener profiles of residual OCPs in 11 types of vegetable oils collected from Chinese markets. All samples were extracted using the modified QuEChERS method prior to analysis by gas chromatography-triple quadrupole mass spectrometry. The sesame oil samples had the highest concentration of OCPs, within the range of 15.30-59.38 ng/g, whereas the peanut oil samples had the lowest OCP concentrations, within the range of 10.83-35.65 ng/g. The possible effect of the processing technology on the pesticide residues in these vegetable oils was also evaluated. It was found that the pressing method leaves more OCPs in vegetable oils than the aqueous extraction and cold-pressing, but the result for leaching was not obvious. In light of the obtained results, it was estimated that the average daily intake of different pesticides is between 0.01 and 2.20 ng/kg bw/day for urban and rural households. Hence, it can be affirmed that, given the amount of the concentration of OCPs detected in the vegetable oils collected from Chinese markets, there are no obvious health risks for urban and rural households by intake.

An overview on radiometric assessment and excess lifetime cancer risk of soil in Pakistan by using High Purity Germanium (HPGe) detector

OBJECTIVES

The aim of this study is to compare the natural radioactivity and excess life time cancer risk (ELCR) factor of soil in different regions of Pakistan during last decade. Soil contains various elements and compounds including naturally occurring radioactive elements (²³⁸U, ²³²Th, ⁴⁰K and ¹³⁷Cs). Human being, animals and plants are in health risk by contaminations of natural radioactivity in soil and environmental radiometric pollution. Transferring of large amount of the natural radioactive elements in human body by nutrients may cause carcinogenic effects in human body. Pakistani soil has six types as Indus Basin Soil, Bongar Soil, Khaddar Soil, Indus delta soil, Mountainous soil and Sandy Desert Soil. In some northern region of Pakistan, naturally occurring radioactive rocks like uranuium-238 and iridium concentrations present in Gharwandi, Aram, Kingri S, Vitakri Fort Munro, Dera Bugti, Kohlu and Sibbi districts.

METHODS

In this reviewed data, gamma rays spectroscopy used to determine the concentrations of ²³⁸U, ²³²Th and ⁴⁰K with the help of High Purity Germanium (HPGe) detectors. Only the data of HPGe detector collected because of comparisons of different regions of Pakistan.

RESULTS AND CONCLUSIONS

Mostly, different gamma rays energy peaks of relevant daughter radionuclides of radioactive element were used such as the energy peak lines of daughter radionuclides ²¹⁴Pb (295.21 and 352 KeV) and ²¹⁴Bi (609 and 1,120 KeV) used for calculating the ²²⁶Ra concentration in soil. In the recent study, it is concluded that average values of concentrations of natural radioactivity in soil in central and north regions of Pakistan are higher than permissible limit but found permissible range in south region of Pakistan. Mean values of ELCR factor were found higher, equal and lower in central, north and south regions than permissible limit, respectively. Generally, no serious health hazard due to natural radioactivity in soil were found.

[Characteristics, Sources, and Health Risks of Elements in PM2.5 in Shanxi University Town]

In order to investigate the pollution characteristics and sources of elements in PM_2.5 in the Shanxi University Town in 2017, an energy dispersive X-ray fluorescence spectrometer (ED-XRF) was used to analyze 21 kinds of elements in PM_2.5 samples. A health risk assessment was conducted for Mn, Zn, Cu, Sb, Pb, Cr, Co, and Ni. The main sources of elements were identified by the principal component analysis (PCA) and positive matrix factorization (PMF). The results found that, among the 21 kinds of elements in PM_2.5 in Shanxi University Town, the mass concentration of Ca was the highest, followed by Si, Fe, Al, S, K, and Cl. These seven elements accounted for 95.71% of the total element concentrations. The concentration of Cr exceeded the annual average concentration limit of ambient air quality standards in China by 104 times. The concentration of Ca in PM_2.5 was the highest in spring, summer, and winter, while in autumn the concentration of S was the highest. Mn was the element that had non-carcinogenic risks to the three population types, and the level of risks were in the order of children > adult men > adult women. Cr and Co had tolerable carcinogenic risks, and the risk levels were in the order of adult men > adult women > children. The main sources of elements in PM_2.5 in Shanxi University Town in 2017 were natural mineral dust, urban dust, coal combustion, and traffic.

[Quantitative Evaluation of Human Health Risk of Heavy Metals in Soils Based on Positive Matrix Factorization Model and Geo-statistics]

The aim of this study was to quantitatively assess the human health risks derived from different exposure paths of heavy metals in the soil. Zhangqiu county was selected as the study area, and 425 soil samples were collected to measure the As, Cd, Cr, Cu, Hg, Ni, Pb, and Zn contents. A descriptive statistical method was used to assess the heavy metal pollution status of the soils, and the quantitative sources for human health were then determined based on positive matrix factorization (PMF) and geo-statistical techniques. The results show that the contents of As, Cd, Cr, Cu, Hg, Ni, Pb, and Zn in the soils exceed background values, but do not exceed the risk screening values, indicating that there is slight heavy metals pollution in the soil. The sources of heavy metals in the soil can be divided into three categories. The spatial distribution of Cr and Ni is approximately the same, is similar to the spatial distribution trend of parent materials, and belongs to natural sources. Cd, Cu, and Zn are controlled by transportation. The spatial distribution is significantly affected by the location of road lines. The hot spot areas of Hg, Pb, and As correspond to the locations of the industrial park and the urban area. Industrial emissions and coal combustion increase the accumulation of Hg in the soil, and As, Pb, and Hg are classified as industrial sources. The contribution rate of industrial source is 41.85%, with transportation sources and natural sources being 33.79% and 24.36%, respectively. The non-carcinogenic and carcinogenic risks under the exposure paths of hand, breathing, and skin are within the acceptable level. For children, the sources of heavy metals with the largest carcinogenic (36.53%) and non-carcinogenic (36.01%) risks are industrial sources. However, transportation is the largest source of carcinogenic (34.98%) and non-carcinogenic (37.06%) risk for adults. Differential avoidance of heavy metal sources and exposure pathways is vital to reducing human health risks.

Improving Health Risk Assessment as a Basis for Public Health Decisions in the 21st Century

One-fifth of the way through the 21st century, a commonality of factors with those of the last 50 years may offer the opportunity to address unfinished business and current challenges. The recommendations include: (1) Resisting the tendency to oversimplify scientific assessments by reliance on single disciplines in lieu of clear weight-of-evidence expressions, and on single quantitative point estimates of health protective values for policy decisions; (2) Improving the separation of science and judgment in risk assessment through the use of clear expressions of the range of judgments that bracket protective quantitative levels for public health protection; (3) Use of comparative risk to achieve the greatest gains in health and the environment; and (4) Where applicable, reversal of the risk assessment and risk management steps to facilitate timely and substantive improvements in public health and the environment. Lessons learned and improvements in the risk assessment process are applied to the unprecedented challenges of the 21st century such as, pandemics and climate change. The beneficial application of the risk assessment and risk management paradigm to ensure timely research with consistency and transparency of assessments is presented. Institutions with mandated stability and leadership roles at the national and international levels are essential to ensure timely interdisciplinary scientific assessment at the interface with public policy as a basis for organized policy decisions, to meet time sensitive goals, and to inform the public.

Health Outcomes from Home Hospitalization: Multisource Predictive Modeling

BACKGROUND

Home hospitalization is widely accepted as a cost-effective alternative to conventional hospitalization for selected patients. A recent analysis of the home hospitalization and early discharge (HH/ED) program at Hospital Clínic de Barcelona over a 10-year period demonstrated high levels of acceptance by patients and professionals, as well as health value-based generation at the provider and health-system levels. However, health risk assessment was identified as an unmet need with the potential to enhance clinical decision making.

OBJECTIVE

The objective of this study is to generate and assess predictive models of mortality and in-hospital admission at entry and at HH/ED discharge.

METHODS

Predictive modeling of mortality and in-hospital admission was done in 2 different scenarios: at entry into the HH/ED program and at discharge, from January 2009 to December 2015. Multisource predictive variables, including standard clinical data, patients' functional features, and population health risk assessment, were considered.

RESULTS

We studied 1925 HH/ED patients by applying a random forest classifier, as it showed the best performance. Average results of the area under the receiver operating characteristic curve (AUROC; sensitivity/specificity) for the prediction of mortality were 0.88 (0.81/0.76) and 0.89 (0.81/0.81) at entry and at home hospitalization discharge, respectively; the AUROC (sensitivity/specificity) values for in-hospital admission were 0.71 (0.67/0.64) and 0.70 (0.71/0.61) at entry and at home hospitalization discharge, respectively.

CONCLUSIONS

The results showed potential for feeding clinical decision support systems aimed at supporting health professionals for inclusion of candidates into the HH/ED program, and have the capacity to guide transitions toward community-based care at HH discharge.

Soil from an Abandoned Manganese Mining Area (Hunan, China): Significance of Health Risk from Potentially Toxic Element Pollution and Its Spatial Context

This study assessed the significance and potential impact of potentially toxic element (PTE) (i.e., Mn, Pb, Cu, Zn, Cr, Cd, and Ni) pollution in the surface soil from an abandoned manganese mining area in Xiangtan City, Hunan Province, China, on the health of residents. The risks were sequentially evaluated using a series of protocols including: the geo-accumulation index (I_geo), pollution load index (PLI), potential ecological risk index (RI), and implications for human health from external exposures using the hazard quotient (HQ), hazard index (HI) and carcinogenic risk (CR). The results revealed that Mn and Cd were the major pollutants in the soil samples. The ecological risk assessment identified moderate risks, which were mainly derived from Cd (82.91%). The results of the health risk assessment revealed that generally across the area, the non-carcinogenic risk was insignificant, and the carcinogenic risk was at an acceptable level. However, due to local spatial fluctuation, some of the sites presented a non-carcinogenic risk to children. The soil ingestion pathway is the main route of exposure through both non-carcinogenic and carcinogenic risks, with Mn being the major contributor to non-carcinogenic risk, with Cr and Cd the major contributors to carcinogenic risk. In addition, three pollution sources were identified through the Pearson correlation coefficient and principal component analysis (PCA), which included: a. mining activities and emissions from related transportation; b. natural background; c. agricultural management practices and municipal sewage discharge. The study provides information on the effects of spatial variation for the development of the abandoned mining areas and a useful approach to the prioritization of locations for the development and utilization of soil in these areas in China.

Quantificational exposure, sources, and health risks posed by heavy metals in indoor and outdoor household dust in a typical smelting area in China

Contamination of metals in household dust remains a concern for human health. However, few studies to date have been conducted on the contribution of both indoor and outdoor environments to the health risks posed by metals. This study was carried out to assess the potential health risks from both indoor and outdoor household dust and the respective contribution to the health risks for children. The results showed that household dusts were heavily polluted by metal(loid)s, which were up to 30 times higher than the relative background level, and were attributed to smelting activity. However, there are other pollution sources in indoor environments, since the I/O ratio values of Pb, Cd, and As were significantly higher than 1. HI values of Pb and As exceeded the threshold of (1) and accounted for approximately 60% and 24% to the HIt, respectively. The HIts of Zn, Cr, Mn, Hg, and Cu were mainly attributable to indoor dust exposure, particularly for Hg (73.44%), indicating non-carcinogenic health risks could be attributed more to the indoor dust exposure. This study highlights the potential risks of metal contamination in household environment, particularly indoor environment, on the health of children who live in the vicinity of smelting activity.

Content of Selected Macro- and Microelements in the Liver of Free-Living Wild Boars (Sus Scrofa L.) from Agricultural Areas and Health Risks Associated with Consumption of Liver

Simple Summary

Liver is a traditional dish and a basic ingredient of traditional dishes consumed in many countries worldwide. The analysis of trace elements and macro- and microelements in the liver of wild boars is important due to the insufficient amount of available scientific information in this field. The material comprised liver samples taken from 70 wild boars (Sus scrofa L.). The animals represented the following ranges of age: Up to one year (group I), from one to three years (group II), and over three to five years (group III). It was shown that the wild boar liver is a rich source of mineral compounds. The age was found to exert an effect on the concentration of most minerals. The sex significantly determined the content of iron, calcium, and cadmium. The results obtained in our study indicate that children should avoid a frequent intake of wild boar liver. In turn, this type of liver can be a valuable source of such elements as Fe, Zn, and Cu for adults. The permissible concentration of Cd in the liver was exceeded in five samples. We suggest that regular control of the content of trace elements in wild boar liver is extremely important and advisable for assessment of the level of consumer exposure. The toxic metal content can be determined to assess the degree of environmental pollution and for biomonitoring of contamination. The information included in this article may be useful for environment protection agencies and policy makers that design strategies for environmental protection and human health and safety regulations.

Abstract

The aim of the study was to determine the levels of selected toxic and non-toxic elements in the liver of free-living wild boars from agricultural areas and to assess health risks associated with liver consumption. Samples were collected from 70 wild boars. The animals were divided into three age groups (group I up to one year, group II from one to three years, group III over three to five years). It was shown that wild boar liver is a rich source of mineral compounds (K, Fe, Mg, Ca, Zn, and Cu). The age was found to exert an effect on the concentration of most minerals. The sex significantly determined the content of Fe, Ca, and Cd. The maximum allowable level of Cd in the liver was exceeded in two and three samples from groups I and III, respectively. Therefore, regular monitoring of the content of this element in tissues of game animals is extremely important and advisable to assess the consumer exposure to this metal. From the point of view of human health, the estimation of the non-carcinogenic risk indicated that the intake of individual trace elements through the consumption of the liver was safe, whereas consumption of combined trace elements (only in the case of the consumption of the wild boar liver twice a week) suggested a potential health risk to children.