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Giubilato E, Menegozzo M, Li P, Cheng H, Marcomini A, Duan X, Critto A, Lin C. Children's health impact in a smelter site area in China: modeling approaches for the identification and ranking of the most relevant lead exposure routes. INTEGRATED ENVIRONMENTAL ASSESSMENT AND MANAGEMENT 2025; 21:442-454. [PMID: 39970377 DOI: 10.1093/inteam/vjae033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/27/2023] [Revised: 11/04/2024] [Accepted: 11/07/2024] [Indexed: 02/21/2025]
Abstract
Elevated blood lead levels (BLLs) in children still represent a major public health problem worldwide. In China, children's lead (Pb) exposure assessment constitutes a priority issue for research, also due to the scarce availability of human biomonitoring data and limited detailed exposure assessments outside urban areas. This work aims to analyze children's health impact by exploiting exposure modeling approaches to identify the most relevant Pb sources and exposure routes for 0-7-year-old children in a historical Pb-Zn smelter site in Yunnan province (southwestern China), characterized by heavy environmental pollution conditions. For this purpose, two exposure modeling tools, the Integrated Exposure Uptake Bio-Kinetic and MERLIN-Expo, were applied, using measured Pb concentrations in environmental media and food items from a local field campaign as input data. Simulated BLLs, including probabilistic estimates, were obtained and verified against real biomonitoring data from the literature. Model results for the simulated exposure scenario indicate significantly high children's BLLs (>10 µg/dl), which reflect the elevated Pb concentrations measured in environmental matrices and are mostly in agreement with previous biomonitoring data from the region. Moreover, soil and dust ingestion resulted to be the dominant exposure pathway, contributing more than 70% to the overall Pb exposure in children in all investigated scenarios. This work showed how tools for internal exposure modeling can contribute to Pb exposure assessment as complementary tools to demanding and invasive biomonitoring studies and can help identify priority exposure routes for improving risk management.
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Affiliation(s)
- Elisa Giubilato
- Department of Environmental Sciences, Informatics and Statistics, Ca' Foscari University of Venice, Venezia, Italy
| | - Manola Menegozzo
- Department of Environmental Sciences, Informatics and Statistics, Ca' Foscari University of Venice, Venezia, Italy
| | - Peizhong Li
- State Key Joint Laboratory of Environmental Simulation and Pollution Control, School of Environment, Beijing Normal University, Beijing, China
| | - Hongguang Cheng
- State Key Joint Laboratory of Environmental Simulation and Pollution Control, School of Environment, Beijing Normal University, Beijing, China
| | - Antonio Marcomini
- Department of Environmental Sciences, Informatics and Statistics, Ca' Foscari University of Venice, Venezia, Italy
| | - Xiaoli Duan
- School of Energy and Environmental Engineering, University of Science and Technology Beijing, Beijing, China
| | - Andrea Critto
- Department of Environmental Sciences, Informatics and Statistics, Ca' Foscari University of Venice, Venezia, Italy
| | - Chunye Lin
- State Key Joint Laboratory of Environmental Simulation and Pollution Control, School of Environment, Beijing Normal University, Beijing, China
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2
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Wang N, Huo Y, Gao X, Li Y, Cheng F, Zhang Z. Lead exposure exacerbates liver injury in high-fat diet-fed mice by disrupting the gut microbiota and related metabolites. Food Funct 2024; 15:3060-3075. [PMID: 38414441 DOI: 10.1039/d3fo05148j] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/29/2024]
Abstract
Lead (Pb) is a widespread toxic endocrine disruptor that could cause liver damage and gut microbiota dysbiosis. However, the causal relationship and underlying mechanisms between the gut microbiota and Pb-induced liver injury are unclear. In this study, we investigated the metabolic toxicity caused by Pb exposure in normal chow (Chow) and high-fat diet (HFD) mice and confirmed the causal relationship by fecal microbial transplantation (FMT) and antibiotic cocktail experiments. The results showed that Pb exposure exacerbated HFD-induced hepatic lipid deposition, fibrosis, and inflammation, but it had no significant effect on Chow mice. Pb increased serum lipopolysaccharide (LPS) levels and induced intestinal inflammation and barrier damage by activating TLR4/NFκB/MLCK in HFD mice. Furthermore, Pb exposure disrupted the gut microbiota, reduced short-chain fatty acid (SCFA) concentrations and the colonic SCFA receptors, G protein-coupled receptor (GPR) 41/43/109A, in HFD mice. Additionally, Pb significantly inhibited the hepatic GPR109A-mediated adenosine 5'-monophosphate-activated protein kinase (AMPK) pathway, resulting in hepatic lipid accumulation. FMT from Pb-exposed HFD mice exacerbated liver damage, disturbed lipid metabolic pathways, impaired intestinal barriers, and altered the gut microbiota and metabolites in recipient mice. However, mice exposed to HFD + Pb and HFD mice had similar levels of these biomarkers in microbiota depleted by antibiotics. In conclusion, our study provides new insights into gut microbiota dysbiosis as a potential novel mechanism for human health related to liver function impairment caused by Pb exposure.
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Affiliation(s)
- Nana Wang
- Department of Occupational and Environmental Health, School of Public Health, Soochow University, 199 Renai Road, Suzhou, Jiangsu 215123, China.
| | - Yuan Huo
- Department of Occupational and Environmental Health, School of Public Health, Soochow University, 199 Renai Road, Suzhou, Jiangsu 215123, China.
| | - Xue Gao
- Department of Occupational and Environmental Health, School of Public Health, Soochow University, 199 Renai Road, Suzhou, Jiangsu 215123, China.
| | - Yuting Li
- Department of Occupational and Environmental Health, School of Public Health, Soochow University, 199 Renai Road, Suzhou, Jiangsu 215123, China.
| | - Fangru Cheng
- Department of Occupational and Environmental Health, School of Public Health, Soochow University, 199 Renai Road, Suzhou, Jiangsu 215123, China.
| | - Zengli Zhang
- Department of Occupational and Environmental Health, School of Public Health, Soochow University, 199 Renai Road, Suzhou, Jiangsu 215123, China.
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3
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Du Y, Ai S, He J, Gu H, Wang X, Li Z, Dang Y. Health risk assessment of lead via the ingestion pathway for preschool children in a typical heavy metal polluted area. ENVIRONMENTAL GEOCHEMISTRY AND HEALTH 2023; 45:6163-6176. [PMID: 37266753 DOI: 10.1007/s10653-023-01619-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/06/2023] [Accepted: 05/11/2023] [Indexed: 06/03/2023]
Abstract
The problems of environmental lead (Pb) pollution caused by mining activities have attracted global attention. Preschool children are vulnerable to exposure to Pb from the environment. To investigate the health risk of multiple exposures to Pb via oral ingestion (soil, water, rice, wheat, and vegetables) for preschool children in typical polluted areas, in this study, preschool children in Baiyin city were selected as the potential receptors, Pb concentrations in 28 soil samples and 33 vegetable samples were collected and measured. In addition, the Pb concentrations in local water, rice, and wheat were obtained by searching the literature. The Monte Carlo simulation was used in the uncertainty and sensitivity analysis of the parameters. Results showed that Pb concentrations in spinach, tomato, cushaw, lettuce, broad bean, pea, eggplant, and radish exceeded the standards (GB 2762-2017), and 42.86% of soil samples exceeded screening values (GB 15618-2018). The non-carcinogenic risk was as high as 3.58. Vegetables and wheat were the major contributors in the oral ingestion pathway. Furthermore, the carcinogenic risk of preschool children was 6.02E-06, which was acceptable. Monte Carlo simulations showed that health risk assessment results were most likely to be influenced by Pb concentrations in the media. In conclusion, the food safety of vegetables in soil-polluted areas deserves more attention, and certain measures should be taken to reduce the health risks to preschool children.
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Affiliation(s)
- Yue Du
- Institute of Maternal, Child and Adolescent Health, School of Public Health, Lanzhou University, Lanzhou, 730000, China
| | - Shiwei Ai
- Institute of Maternal, Child and Adolescent Health, School of Public Health, Lanzhou University, Lanzhou, 730000, China
| | - Jie He
- Institute of Maternal, Child and Adolescent Health, School of Public Health, Lanzhou University, Lanzhou, 730000, China
| | - Huilin Gu
- Institute of Maternal, Child and Adolescent Health, School of Public Health, Lanzhou University, Lanzhou, 730000, China
| | - Xiaoxue Wang
- Institute of Maternal, Child and Adolescent Health, School of Public Health, Lanzhou University, Lanzhou, 730000, China
| | - Zhilan Li
- Institute of Maternal, Child and Adolescent Health, School of Public Health, Lanzhou University, Lanzhou, 730000, China
| | - Yuhui Dang
- Institute of Maternal, Child and Adolescent Health, School of Public Health, Lanzhou University, Lanzhou, 730000, China.
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Palawat K, Root RA, Cortez LI, Foley T, Carella V, Beck C, Ramírez-Andreotta MD. Patterns of contamination and burden of lead and arsenic in rooftop harvested rainwater collected in Arizona environmental justice communities. JOURNAL OF ENVIRONMENTAL MANAGEMENT 2023; 337:117747. [PMID: 37019054 DOI: 10.1016/j.jenvman.2023.117747] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/28/2022] [Revised: 12/02/2022] [Accepted: 03/13/2023] [Indexed: 06/19/2023]
Abstract
As climate change exacerbates water scarcity, rainwater harvesting for household irrigation and gardening becomes an increasingly common practice. However, the use and quality of harvested rainwater are not well studied, and the potential pollutant exposures associated with its use are generally unknown. There are currently no federal standards in the United States to assess metal(loid)s in harvested rainwater. Project Harvest, a community science research project, was created to address this knowledge gap and study the quality of harvested rainwater, primarily used for irrigation, in four environmental justice communities in Arizona, USA. Community scientists collected 577 unique rooftop harvested rainwater samples from 2017 to 2020, which were analyzed for metal(loid)s, where arsenic (As) concentrations ranged from 0.108 to 120 μg L-1 and lead (Pb) concentrations ranged from 0.013 to 350 μg L-1 and compared to relevant federal/state standards/recommendations. Community As and Pb concentrations decreased as: Hayden/Winkelman > Tucson > Globe/Miami > Dewey-Humboldt. Linear mixed models were used to analyze rooftop harvested rainwater data and results indicated that concentrations of As and Pb in the summer monsoon were significantly greater than winter; and contamination was significantly greater closer to extractive industrial sites in three of the four study communities (ASARCO Hayden Plant Superfund Alternative site in Hayden/Winkelman, Davis-Monthan United States Air Force Base in Tucson - Pb only, and Freeport McMoRan Copper and Gold Mine in Globe/Miami). Based on models, infrastructure such as proximity to roadway, roof material, presence of a cistern screen, and first-flush systems were not significant with respect to As and Pb when controlling for relevant spatiotemporal variables; whereas, cistern age was associated with Pb concentrations. These results however, indicate that concentrations vary seasonally and by proximity to industrial activity, not by decisions made regarding collection system infrastructures at the individual home level. This study shows that generally, individuals are not responsible for environmental contamination of rooftop harvested rainwater, rather activities and decisions of government and corporate industries control contaminant release.
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Affiliation(s)
- Kunal Palawat
- Department of Environmental Science, College of Agriculture and Life Sciences, University of Arizona, Tucson, AZ, USA
| | - Robert A Root
- Department of Environmental Science, College of Agriculture and Life Sciences, University of Arizona, Tucson, AZ, USA
| | | | - Theresa Foley
- Sonora Environmental Research Institute, Inc., Tucson, AZ, USA
| | - Victoria Carella
- Resident of Globe, AZ, USA; Mother Eagle Shamanic Center, Globe, AZ, USA
| | - Charles Beck
- Resident of Globe, AZ, USA; Space Mission Earth, Globe, AZ, USA
| | - Mónica D Ramírez-Andreotta
- Department of Environmental Science, College of Agriculture and Life Sciences, University of Arizona, Tucson, AZ, USA; Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ, USA.
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Shakya A, Dodson M, Artiola JF, Ramirez-Andreotta M, Root RA, Ding X, Chorover J, Maier RM. Arsenic in Drinking Water and Diabetes. WATER 2023; 15:1751. [PMID: 37886432 PMCID: PMC10601382 DOI: 10.3390/w15091751] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 10/28/2023]
Abstract
Arsenic is ubiquitous in soil and water environments and is consistently at the top of the Agency for Toxic Substances Disease Registry (ATSDR) substance priority list. It has been shown to induce toxicity even at low levels of exposure. One of the major routes of exposure to arsenic is through drinking water. This review presents current information related to the distribution of arsenic in the environment, the resultant impacts on human health, especially related to diabetes, which is one of the most prevalent chronic diseases, regulation of arsenic in drinking water, and approaches for treatment of arsenic in drinking water for both public utilities and private wells. Taken together, this information points out the existing challenges to understanding both the complex health impacts of arsenic and to implementing the treatment strategies needed to effectively reduce arsenic exposure at different scales.
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Affiliation(s)
- Aryatara Shakya
- Department Pharmacology & Toxicology, University of Arizona, Tucson, AZ 85721, USA
| | - Matthew Dodson
- Department Pharmacology & Toxicology, University of Arizona, Tucson, AZ 85721, USA
| | - Janick F. Artiola
- Department Environmental Science, University of Arizona, Tucson, AZ 85721, USA
| | | | - Robert A. Root
- Department Environmental Science, University of Arizona, Tucson, AZ 85721, USA
| | - Xinxin Ding
- Department Pharmacology & Toxicology, University of Arizona, Tucson, AZ 85721, USA
| | - Jon Chorover
- Department Environmental Science, University of Arizona, Tucson, AZ 85721, USA
| | - Raina M. Maier
- Department Environmental Science, University of Arizona, Tucson, AZ 85721, USA
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Javorac D, Baralić K, Marić Đ, Mandić-Rajčević S, Đukić-Ćosić D, Bulat Z, Djordjevic AB. Exploring the endocrine disrupting potential of lead through benchmark modelling - Study in humans. ENVIRONMENTAL POLLUTION (BARKING, ESSEX : 1987) 2023; 316:120428. [PMID: 36244500 DOI: 10.1016/j.envpol.2022.120428] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/09/2022] [Revised: 10/01/2022] [Accepted: 10/10/2022] [Indexed: 06/16/2023]
Abstract
Exposure to low levels of a toxic metal lead (Pb) affects human health, and its effect as an endocrine disruptor has been reported. However, the precise role of Pb in endocrine health is still unclear because no dose-response relationship has been established for such an effect. The present study aimed to examine blood Pb levels (BLLs) in relation to serum levels of free triiodothyronine (fT3), free thyroxine (fT4), thyroid stimulating hormone (TSH), and insulin in 435 nonoccupationally exposed Serbian subjects (218 women, 217 men, 18-94 years of age, mean age 48). In addition, benchmark dose (BMD) values were calculated for these endocrine endpoints using the PROAST 70.1 software. An explicit dose-response dependency between BLL and TSH, fT3, fT4, testosterone, and insulin serum levels was evident from BMD modelling. The results support the positive association between BLLs and serum insulin levels, with observed dose-response and calculated BMD values of 1.49 and 0.74 μg Pb/dL in males and females, respectively. Collectively, our findings reported potential endocrine-disrupting effects of Pb at the environmental exposure levels experienced by current Serbian population. They also strengthen the notion that the blood Pb threshold level for an endocrine effect is low.
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Affiliation(s)
- Dragana Javorac
- Department of Toxicology "Akademik Danilo Soldatović", University of Belgrade - Faculty of Pharmacy, 11221, Belgrade, Serbia
| | - Katarina Baralić
- Department of Toxicology "Akademik Danilo Soldatović", University of Belgrade - Faculty of Pharmacy, 11221, Belgrade, Serbia
| | - Đurđica Marić
- Department of Toxicology "Akademik Danilo Soldatović", University of Belgrade - Faculty of Pharmacy, 11221, Belgrade, Serbia
| | - Stefan Mandić-Rajčević
- Institute of Social Medicine and School of Public Health and Health Management, Faculty of Medicine, University of Belgrade, Dr Subotića 15, Belgrade, Serbia
| | - Danijela Đukić-Ćosić
- Department of Toxicology "Akademik Danilo Soldatović", University of Belgrade - Faculty of Pharmacy, 11221, Belgrade, Serbia
| | - Zorica Bulat
- Department of Toxicology "Akademik Danilo Soldatović", University of Belgrade - Faculty of Pharmacy, 11221, Belgrade, Serbia
| | - Aleksandra Buha Djordjevic
- Department of Toxicology "Akademik Danilo Soldatović", University of Belgrade - Faculty of Pharmacy, 11221, Belgrade, Serbia.
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Li Q, Xiang P, Zhang T, Wu Q, Bao Z, Tu W, Li L, Zhao C. The effect of phosphate mining activities on rhizosphere bacterial communities of surrounding vegetables and crops. THE SCIENCE OF THE TOTAL ENVIRONMENT 2022; 821:153479. [PMID: 35092784 DOI: 10.1016/j.scitotenv.2022.153479] [Citation(s) in RCA: 28] [Impact Index Per Article: 9.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/27/2021] [Revised: 01/24/2022] [Accepted: 01/24/2022] [Indexed: 06/14/2023]
Abstract
The effects of phosphate mining on rhizosphere bacteria in surrounding vegetables and crops, including Lactuca sativa, Glycine max, and Triticum aestivum, are assessed in this study. As results, phosphate mining significantly increased the contents of some large elements, trace elements, and heavy metals in the surrounding agricultural soil, including phosphorus, magnesium, boron, cadmium, lead, arsenic, zinc, and chromium (P < 0.05). The community richness and diversity of bacteria in rhizosphere of the three crops were significantly reduced by phosphate mining (P < 0.05). Abundances of Sphingomonas and RB41 in the rhizosphere soil of phosphate mining area improved compared with the baseline in the non-phosphate mining area. Beta diversity analysis indicated that phosphate mining led to the differentiation of bacterial community structure in plant rhizospheres. Bacterial metabolic analysis indicated that different plant rhizosphere microbial flora developed various metabolic strategies in response to phosphate mining stress, including enriching unsaturated fatty acids, antibiological transport systems, cold shock proteins, etc. This study reveals the interaction between crops, rhizosphere bacteria, and soil pollutants. Select differentiated microbial strains suitable for specific plant rhizosphere environments are necessary for agricultural soil remediation. Additionally, the problem of destruction of agricultural soil and microecology caused by phosphate mining must be solved.
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Affiliation(s)
- Qiang Li
- Key Laboratory of Coarse Cereal Processing, Ministry of Agriculture and Rural Affairs, Sichuan Engineering & Technology Research Center of Coarse Cereal Industrialization, School of Food and Biological Engineering, Chengdu University, Chengdu, Sichuan, China
| | - Peng Xiang
- Key Laboratory of Coarse Cereal Processing, Ministry of Agriculture and Rural Affairs, Sichuan Engineering & Technology Research Center of Coarse Cereal Industrialization, School of Food and Biological Engineering, Chengdu University, Chengdu, Sichuan, China
| | - Ting Zhang
- Key Laboratory of Coarse Cereal Processing, Ministry of Agriculture and Rural Affairs, Sichuan Engineering & Technology Research Center of Coarse Cereal Industrialization, School of Food and Biological Engineering, Chengdu University, Chengdu, Sichuan, China
| | - Qian Wu
- Key Laboratory of Coarse Cereal Processing, Ministry of Agriculture and Rural Affairs, Sichuan Engineering & Technology Research Center of Coarse Cereal Industrialization, School of Food and Biological Engineering, Chengdu University, Chengdu, Sichuan, China
| | - Zhijie Bao
- Key Laboratory of Coarse Cereal Processing, Ministry of Agriculture and Rural Affairs, Sichuan Engineering & Technology Research Center of Coarse Cereal Industrialization, School of Food and Biological Engineering, Chengdu University, Chengdu, Sichuan, China
| | - Wenying Tu
- Key Laboratory of Coarse Cereal Processing, Ministry of Agriculture and Rural Affairs, Sichuan Engineering & Technology Research Center of Coarse Cereal Industrialization, School of Food and Biological Engineering, Chengdu University, Chengdu, Sichuan, China
| | - Lijiao Li
- Key Laboratory of Coarse Cereal Processing, Ministry of Agriculture and Rural Affairs, Sichuan Engineering & Technology Research Center of Coarse Cereal Industrialization, School of Food and Biological Engineering, Chengdu University, Chengdu, Sichuan, China
| | - Changsong Zhao
- School of Public Health, Chengdu Medical College, Chengdu, Sichuan, China.
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Li Y, Fang Y, Liu Z, Zhang Y, Liu K, Jiang L, Yang B, Yang Y, Song Y, Liu C. Trace Metal Lead Exposure in Typical Lip Cosmetics From Electronic Commercial Platform: Investigation, Health Risk Assessment and Blood Lead Level Analysis. Front Public Health 2021; 9:766984. [PMID: 34869181 PMCID: PMC8637816 DOI: 10.3389/fpubh.2021.766984] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2021] [Accepted: 10/21/2021] [Indexed: 11/13/2022] Open
Abstract
Lead (Pb) in lipstick products has become an increasing concern, which can cause safety problems to human body directly with diet. To investigate the Pb exposure and potential health risk level of typical popular lip cosmetics in Chinese e-commerce market, Python crawler was introduced to identify and select 34 typical popular lip cosmetics, including 12 lipsticks, 13 lip glosses, and 9 lip balms. And then this study used ICP-MS to determine the content of Pb. Furthermore, the ingestion health risk assessment method issued by United States Environmental Protection Agency (USEPA) and Monte Carlo simulation algorithm were applied to assess the probabilistic health risks of adults exposure. Finally, taking the possible exposure of children contacting with lip products, the health risk assessment of children blood Pb was carried out. The results showed that the concentration of Pb in lip products ranged from 0 to 0.5237 mg/kg, which was far lower than the limit set by various countries. The probabilistic non-carcinogenic risks and carcinogenic risks were 4.93 ×10-7~2.82 ×10-3 and 1.68 ×10-12~9.59 ×10-9, respectively, which were in an acceptable level. The results of blood Pb assessment suggested that the Pb content of lip cosmetics had no obvious influence on blood Pb concentration of children, and background Pb exposure is the main factor affecting children's blood Pb level (BLL). Overall, the samples of lip products are selected by Python crawler in this study, which are more objective and representative. This study focuses on deeper study of Pb, especially for the health risk assessment of blood Pb in children exposed to lip products. These results perhaps could provide useful information for the safety cosmetics usage for people in China and even the global world.
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Affiliation(s)
- Yanan Li
- Research Center for Environment and Health, Zhongnan University of Economics and Law, Wuhan, China.,School of Business Administration, Zhongnan University of Economics and Law, Wuhan, China
| | - Yanyan Fang
- Research Center for Environment and Health, Zhongnan University of Economics and Law, Wuhan, China.,Department of Environmental Science and Engineering, Zhongnan University of Economics and Law, Wuhan, China
| | - Zehua Liu
- Research Center for Environment and Health, Zhongnan University of Economics and Law, Wuhan, China.,Department of Environmental Science and Engineering, Zhongnan University of Economics and Law, Wuhan, China
| | - Yahan Zhang
- Research Center for Environment and Health, Zhongnan University of Economics and Law, Wuhan, China.,Department of Environmental Science and Engineering, Zhongnan University of Economics and Law, Wuhan, China
| | - Kangli Liu
- Research Center for Environment and Health, Zhongnan University of Economics and Law, Wuhan, China
| | - Luping Jiang
- Research Center for Environment and Health, Zhongnan University of Economics and Law, Wuhan, China.,School of Business Administration, Zhongnan University of Economics and Law, Wuhan, China
| | - Boyuan Yang
- Research Center for Environment and Health, Zhongnan University of Economics and Law, Wuhan, China.,Department of Environmental Science and Engineering, Zhongnan University of Economics and Law, Wuhan, China
| | - Yongdie Yang
- Department of Environmental Science and Engineering, Zhongnan University of Economics and Law, Wuhan, China
| | - Yongwei Song
- Department of Environmental Science and Engineering, Zhongnan University of Economics and Law, Wuhan, China
| | - Chaoyang Liu
- Research Center for Environment and Health, Zhongnan University of Economics and Law, Wuhan, China.,Department of Environmental Science and Engineering, Zhongnan University of Economics and Law, Wuhan, China.,Renmin Hospital of Wuhan University, Wuhan, China
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