Radon-222 concentration in groundwater and cancer mortality in North Carolina

GROUNDWATER AND DRINKING WATER RADON CONCENTRATIONS IN THE COASTAL AND INTERIOR AREAS OF CHENNAI METRO CITY AND ITS IMPACT ON PUBLIC HEALTH

One hundred forty-eight water samples were collected from in and around Chennai and 222Rn concentrations were measured using radon emanometry method. The average 222Rn concentration was estimated to be 6.88, 2.01, 1.17, 0.19 and 0.10 Bq L-1 for borewell water, openwell water, tank water, metro water and lake water, respectively, which were within the U.S. Environmental Protection Agency's (USEPA) Standard limit of 11.1 Bq L-1 and World Health Organization (WHO) global average 10 Bq L-1. The total effective dose obtained has varied from 0 to 157.57 μSv y-1 with ±10% standard deviation. The mean values were 19.608, 8.092, 4.692, 0.761 and 0.423 μSv y-1 for closed borewell, open well water, tank water, metro water and for lake water, respectively. All these values were below the reference point 0.1 mSv y-1 (100 μSv y-1) set by WHO.

Water and Soil Pollution: Ecological Environmental Study Methodologies Useful for Public Health Projects. A Literature Review

Health risks at population level may be investigated with different types of environmental studies depending on access to data and funds. Options include ecological studies, case-control studies with individual interviews and human sample analysis, risk assessment or cohort studies. Most public health projects use data and methodologies already available due to the cost of ad-hoc data collection. The aim of the article is to perform a literature review of environmental exposure and health outcomes with main focus on methodologies for assessing an association between water and/or soil pollutants and cancer. A systematic literature search was performed in May 2019 using PubMed. Articles were assessed by four independent reviewers. Forty articles were identified and divided into four groups, according to the data and methods they used, i.e.: (1) regression models with data by geographical area; (2) regression models with data at individual level; (3) exposure intensity threshold values for evaluating health outcome trends; (4) analyses of distance between source of pollutant and health outcome clusters. The issue of exposure assessment has been investigated for over 40 years and the most important innovations regard technologies developed to measure pollutants, statistical methodologies to assess exposure, and software development. Thanks to these changes, it has been possible to develop and apply geo-coding and statistical methods to reduce the ecological bias when considering the relationship between humans, geographic areas, pollutants, and health outcomes. The results of the present review may contribute to optimize the use of public health resources.

Natural radioactivity in the groundwater of Wadi Nu'man, Mecca Province, Saudi Arabia

Twenty-nine groundwater samples, collected from Wadi Nu'man wells, were analyzed for natural radioactivity to check for compliance with the national guideline values. Gross α and gross β screening, in addition to radon ( 222Rn) measurements, were performed for all samples. Samples of gross activity levels exceeding the national guideline values set out for drinking water were subjected to further investigation for radium and uranium isotopes using liquid scintillation counting and α-spectrometry, respectively. The results showed that the anomalous source was natural uranium. The water contains high concentrations of 222Rn and considerable levels of natural uranium. The 222Rn concentration ranged from 10–100 Bq/L with an average value of about 40 Bq/L. The uranium concentration, in samples of gross activity levels exceeding the national guideline value, ranged from 9 to 55 μg/L. The levels of 226Ra and 228Ra were below the detection limit of the counting system in all samples. The variation in the 222Rn and uranium concentrations was found to be linked with the local lithology. The higher values were recorded in the wells of Nu'man complex aquifer, where the predominating mineral is foliated monzonite. Recommendations and advices for water management to reduce radiation exposure to users are presented.

Preliminary risk assessment of radon in groundwater: a case study from Eskisehir, Turkey

The aim of this study was to determine the radon concentrations in the water supplies of a residential area of central west Anatolia, Turkey. This research provides a preliminary risk assessment for inhabitants in the study area which can be applied for other regions. In 14 out of the 19 water supplies analysed, radon concentrations exceeded the maximum contaminant level (11.1 Bq l(-1)). The total annual effective doses of 10 for the wet season and 14 for the dry season out of the 19 water supplies are greater than the values recommended by EPA [Cancer Risk Coefficients for Environmental Exposure to Radionuclides, Federal Guidance Report No. 13 (US Environmental Protection Agency, Washington, DC, 1999) < http://www.epa.gov/rpdweb00/docs/federal/402-r-99-001.pdf >] (0.1 mSv a(-1)). The elevated radon concentrations in water resources are most probably linked with geological origin which contains significant amounts of radioactive minerals.

Health effects of naturally radioactive water ingestion: the need for enhanced studies

BACKGROUND

Radiological pollution is a potentially important aspect of water quality. However, relatively few studies have been conducted to document its possible health effects.

OBJECTIVE

In this commentary we discuss available epidemiological findings and related data from experimental studies concerning the health effects of naturally radioactive water ingestion.

DISCUSSION

Despite modest epidemiological evidence of uranium nephrotoxicity and radium effects on bone, available data are not sufficient to quantify the health effects of naturally occurring radionuclides in water. Methodological limitations (exposure measurement methods, control for confounding, sample size) affect most studies. Power calculations should be conducted before launching new epidemiological studies focusing on late pathological outcomes. Studies based on biomarkers of exposure and adverse effects may be helpful but should involve more specific molecules than biomarkers used in previous studies. Experimental data on ingestion of drinking water are limited to uranium studies, and there is some disagreement between these studies about the nephrotoxicity threshold.

CONCLUSION

Further experimental and enhanced epidemiological studies should help to reduce uncertainties resulting from dose estimation to dose-response characterization.

Health effects of radon: a review of the literature

PURPOSE

Radon is natural radioactive noble gas that can be found in soil, water, outdoor and indoor air. Exposure to radon accounts for more that 50% of the annual effective dose of natural radioactivity. The purpose of the current review is to summarize recent literature and evaluate the weight of evidence on the adverse health effects of radon.

CONCLUSIONS

Radon is an established human lung carcinogen based on human epidemiological data supported by experimental evidence of mutagenesis studies in cell culture and laboratory animals. Extrapolation from cohort studies on miners suggested that radon is the second leading cause of lung cancer death after tobacco smoke. The majority of studies on the relationship between radon and other types of cancers showed weak or no association. Low levels of radon can be found in drinking water; however, radon released during water usage adds small quantities to indoor radon concentration. Studies showed that the risk of stomach cancer and other gastrointestinal malignancies from radon in drinking water is small. Studies of the genetic and cytogenetic effects of indoor radon yielded equivocal results; while radon exposure in miners induces gene mutations and chromosomal aberrations. Numerous in vitro cytogenetic studies demonstrated that radon induces different types of genetic and cytogenetic damage that is likely to play a role in radon lung carcinogenesis.

Iowa radon leukaemia study: a hierarchical population risk model for spatially correlated exposure measured with error

This paper presents a Bayesian model that allows for the joint prediction of county-average radon levels and estimation of the associated leukaemia risk. The methods are motivated by radon data from an epidemiologic study of residential radon in Iowa that include 2726 outdoor and indoor measurements. Prediction of county-average radon is based on a geostatistical model for the radon data which assumes an underlying continuous spatial process. In the radon model, we account for uncertainties due to incomplete spatial coverage, spatial variability, characteristic differences between homes, and detector measurement error. The predicted radon averages are, in turn, included as a covariate in Poisson models for incident cases of acute lymphocytic (ALL), acute myelogenous (AML), chronic lymphocytic (CLL), and chronic myelogenous (CML) leukaemias reported to the Iowa cancer registry from 1973 to 2002. Since radon and leukaemia risk are modelled simultaneously in our approach, the resulting risk estimates accurately reflect uncertainties in the predicted radon exposure covariate. Posterior mean (95 per cent Bayesian credible interval) estimates of the relative risk associated with a 1 pCi/L increase in radon for ALL, AML, CLL, and CML are 0.91 (0.78-1.03), 1.01 (0.92-1.12), 1.06 (0.96-1.16), and 1.12 (0.98-1.27), respectively.

Radon exposure and the risk of leukemia: a review of epidemiological studies

Since the 1990's, several authors estimated that radon inhalation may deliver a small amount of irradiation to the red bone marrow, and consequently may increase the risk of leukemia in humans. The objective of this review is to conduct a critical analysis of epidemiologic results currently available concerning the relationship between radon exposure and the risk of leukemia. Nineteen ecological studies, six miner cohort studies, and eight case-control studies published between 1987 and 2000 are included in this review. The limitations associated with each of these studies are discussed. The results of the ecological studies are relatively concordant and suggest an association between radon concentrations and the risk of leukemia at a geographic level. But these ecological studies present important limitations, and some are only crude analyses. Moreover, the results of the cohort and case-control studies, based on individual data, do not show any significant association between radon exposure and leukemia risk. Our conclusion is that the overall epidemiologic results currently available do not provide evidence for an association between radon exposure and leukemia.

Childhood cancer mortality and radon concentration in drinking water in North Carolina

We explored the association between groundwater radon levels and childhood cancer mortality in North Carolina. Using data from two state-wide surveys of public drinking water supplies, counties were ranked according to average groundwater radon concentration. Age and sex-adjusted 1950-79 cancer death rates among children under age 15 were calculated for counties with high, medium, and low radon levels. Overall cancer mortality was increased in counties with medium and high radon levels. The strongest association was for the leukaemias, but risks were also suggested for other sites. These associations could be due to confounding or other biases, but the findings are consistent with other recent reports.