PCDD/Fs in paired hair and serum of workers from a municipal solid waste incinerator plant in South China: Concentrations, correlations, and source identification

A novel approach to assess the health risk of aryl hydrocarbon receptor-bound contaminants via inhalation exposure using CYP1A1 expression as a biomarker

Polycyclic aromatic hydrocarbons (PAHs) and dioxins are potential causes of multiple diseases by activating the aryl hydrocarbon receptor (AhR) pathway. Health risk assessment of chemicals primarily relies on the relative potency factor (RPF), although its accuracy may be limited when solely using EC50 values. The induction of cytochrome P4501A1 (CYP1A1) serves as a biomarker for AhR activation and is an integrator of dioxin-like toxicity. Here, we present a method for evaluating the risks associated with AhR activation using mathematical models of dose-CYP1A1 induction. The dose-effect curves for certain PAHs and dioxins, including Ant, BghiP, 1,2,3,4,7,8-HxCDD, and others, exhibited a non-classical S-shaped form. The toxic equivalent factor (TEF) profiles revealed a broad range of toxic equivalent factor values. The TEFs for PAHs ranged from approximately 0.01 to 6, with higher values being observed when the concentration was less than 10-10 M, with the exceptions of Ace, Phe, and BghiP. Most congeners of dioxins got the lowest TEF value at around 10-10 M, ranging from 0.04 to 1.00. The binding affinity of AhR to ligands did not display a strong correlation with the EC50 of CYP1A1 expression, suggesting that the AhR-mediated effects of PAHs and dioxins are not fixed but instead fluctuate with the dose. Air samples acquired from a parking area were used to compare the proficiency of RPF and our current approach. In the current method, naphthalene and chrysene were the primary contributors of PAHs to AhR-mediated risks in parking lots air samples, respectively. However, the contributions of naphthalene and chrysene could be disregarded in the RPF approach.

Halogenated aromatic pollutants in routine animal-derived food of south China: Occurrence, sources, and dietary intake risks

Halogenated aromatic pollutants (HAPs) including polychlorinated dibenzo-p-dioxins/furans (PCDD/Fs), polychlorinated biphenyls (PCBs), polybrominated dibenzo-p-dioxins/furans (PBDD/Fs), and polybrominated diphenyl ethers (PBDEs) exhibit diverse toxicities and bio-accumulation in animals, thereby imposing risks on human via animal-derived food (ADF) consumption. Here we examined these HAPs in routine ADFs from South China and observed that PBDEs and PCBs showed statistically higher concentrations than PCDD/Fs and PBDD/Fs. PCDD/Fs and PCBs in these ADFs were mainly from the polluted feed and habitat of animals, except PCDD/Fs in egg, which additionally underwent selective biotransformation/progeny transfer after the maternal intake of PCDD/F-polluted stuff. PBDEs and PBDD/Fs were mostly derived from the extensive use of deca-BDE and their polluted environments. Significant interspecific differences were mainly observed for DL-PCBs and partly for PBDD/Fs and PBDEs, which might be caused by their distinct transferability/biodegradability in animals and the different living habit and habitat of animals. The dietary intake doses (DIDs) of these HAPs via ADF consumption were all highest for toddlers, then teenagers and adults. Milk, egg, and fish contributed most to the DIDs and risks for toddlers and teenagers, which results of several cities exceeded the recommended thresholds and illustrated noteworthy risks. Pork, fish, and egg were the top three risk contributors for adults, which carcinogenic and non-carcinogenic risks were both acceptable. Notably, PBDD/Fs showed the lowest concentrations but highest contributions to the total risks of these HAPs, thereby meriting continuous attention.

Occurrence, distribution and annual emissions of chlorinated paraffins in hazardous byproducts from municipal solid waste incineration plants in South China

Nowadays incineration technology has become the most mainstream way for the disposal of municipal wastes. Short chain chlorinated paraffins (SCCPs) and medium chain chlorinated paraffins (MCCPs) are currently classified as new persistent organic pollutants (POPs) and candidate POPs under the Stockholm Convention, respectively. However, the occurrence and contamination characteristics of these main hazardous byproducts (e.g., leachate, fly ash, and bottom ash) from municipal solid waste incineration (MSWI) plants have remained unknown. This study focused on the SCCPs and MCCPs (defined as CPs) contamination and their annual emissions from leachate, fly ash, and bottom ash among three typical MSWI plants in Shenzhen, South China. Compared to the dissolved phase of the leachate, higher concentrations of CPs were detected in the adsorbed phase. The total concentrations of CPs ranged from lower method detection limits (1 in leachate (i.e., adsorbed phase) and bottom ash, while the opposite results were found in fly ash. The dominant SCCP congener groups were C10Cl6-7 in leachate and fly ash, and C13Cl6-7 in bottom ash. The dominant MCCP congener groups were C14Cl7-8 in leachate, fly ash and bottom ash samples. Principal component analysis (PCA) revealed the dominant CPs in fly ash were obviously different from those in leachate and bottom ash. Estimated total annual emissions of CPs from the three main hazardous byproducts generated from typical MSWI plants were estimated between 66.2 and 7510 kg/y and bottom ash contributed the most to the CP emissions. Overall, this study is the first report on CP contamination in hazardous byproducts from MSWI plants, and can provide basic data support for CP contamination control.

The association between polychlorinated dibenzo-p-dioxin exposure and cancer mortality in the general population: a cohort study

Introduction

Earlier research has indicated that being exposed to polychlorinated dibenzo-p-dioxins (PCDDs) in the workplace can heighten the likelihood of cancer-related deaths. Nevertheless, there is limited information available regarding the connection between PCDD exposure and the risk of cancer mortality in the general population (i.e., individuals not exposed to these substances through their occupation).

Methods

The National Health and Nutrition Examination Survey (NHANES) detected PCDDs in the general population, and the death data were recently updated as of December 31, 2019. We conducted Cox regression analysis and controlled for covariates including age, gender, ethnicity, educational attainment, physical activity, alcohol intake, NHANES survey period, BMI category, cotinine concentration, and household earnings.

Results

After accounting for confounding factors, the findings indicated that for each incremental rise of 1 log unit in 1,2,3,4,6,7,8,9-octachlorodibenzo-p-dioxin, there was a 76% rise in the likelihood of death from any cause, with a p value of 0.003. An increase of 1 log unit in the concentration of 1,2,3,4,6,7,8-heptachlorodibenzofuran could potentially lead to a 90% higher risk of cancer mortality, as indicated by a p value of 0.034 and a 95% confidence interval of 0.05-2.43. As the concentrations of 1,2,3,4,6,7,8-heptachlorodibenzofuran increased, the dose-response curve indicated a proportional rise in the risk of cancer mortality, accompanied by a linear p value of 0.044. The sensitivity analysis demonstrated that our findings were resilient.

Discussion

In the general population, an elevated risk of cancer mortality was observed in PCDDs due to the presence of 1,2,3,4,6,7,8-heptachlorodibenzofuran. Mechanistic research is required to further confirm it.

Co-occurrence of tetrabromobisphenol a and debromination products in human hair across China: Implications for exposure sources and health effects on metabolic syndrome

The large usage of Tetrabromobisphenol A (TBBPA) in consumer products leads to ubiquitous distribution globally, however, studies on the occurrence of their debromination compounds were rather scarce. Also, though many studies illustrate the effectiveness of hair analysis to assess human exposure to organic pollutants, evidence on the associations with health implications is still fairly limited. Herein, 598 participants from across China were employed to investigate chronic, low-level exposure to TBBPA and debromination products by hair analysis. The geomean concentrations of TBBPA, 2,2',6-tribromobisphenol A (Tri-BBPA), 2,2'- and 2,6-dibromobisphenol A (Di-BBPA), and 2-monobromobisphenol A (Mo-BBPA) were 1.07, 0.145, 0.135, and 0.894 ng/g, respectively, indicating nonnegligible health risks of debromination products. Hair analyte levels correlated with population age and population density among sampling regions. Sexual- and spatial-variations were observed with higher concentrations in females and in E-waste recycling sites. Logistic regression models showed that TBBPA exposure (adjusted odds ratio (OR): 1.02, 95 % confidential interval (CI): 1.01-1.05) was positively associated with risk of metabolic syndrome by adjusting for various covariates. These findings imply usefulness of hair as an alternative biomonitoring tool to assess human exposure to TBBPA and relative health effects, which highlights public concerns on co-exposure to these chemicals.

Serum PCDD/F levels in metropolitan populations living near a municipal solid waste incinerator in Eastern China

Ambient exposure to polychlorinated dibenzo-p-dioxins/furans (PCDD/Fs) is suspected to cause adverse human health outcomes. Herein, serum samples from 40 residents in the neighborhood of a municipal solid waste incinerator (MSWI) in the metropolitan area were measured for PCDD/Fs. The mean toxic equivalent (TEQ) concentration of total PCDD/Fs in human serum samples was 16.8 pg TEQ/g lipid. Serum PCDD/F levels were significantly higher in residents adjacent to the MSWI than in those from areas far from the emission source (p < 0.01). In addition, there were no significant associations between serum PCDD/Fs levels and factors, such as gender, age, and BMI in donors. For non-occupationally exposed populations, OCDD and 1,2,3,7,8-PeCDD in serum are available as indicators of total PCDD/Fs and total TEQ, respectively. The atmospheric PCDD/Fs levels were within a relatively low range in areas upwind and downwind of the MSWI. The results of the principal component analysis showed a distinct difference in PCDD/F congener patterns between air and serum samples, suggesting inhalation exposure could have a limited influence on the human body burden. Our findings will deepen the current knowledge of endogenous PCDD/F exposure in urban populations, and also facilitate public health protection strategies near MSWIs.

Characterization of organic contaminants in hair for biomonitoring purposes

Biological monitoring is one way to assess human exposure to contaminants. Blood and urine are often used as biological matrices, but hair is an innovative and effective tool for quantifying more biomarkers over a wider exposure window. In order to improve the use of hair in exposure assessment, this article identifies relevant compounds in the literature to investigate hair contamination. Statistical analysis was performed to correlate the physical-chemical properties of the relevant compounds and their concentration levels in hair. Phthalates, pyrethroids and organophosphate flame retardants were chosen for further study of the interpretation of hair measurements for exposure assessment. No significant correlation was found between the average concentration levels in the literature and the physical-chemical properties of the selected compounds. This work also explores the properties of hair and the analytical process that may impact the quantification of organic contaminants in hair. The sample preparation method (sampling, storage, washing) were also studied and adaptations were suggested to improve the existing methods.

Occurrence and Formation Mechanism of PCDD/Fs and SCCPs in Chlorinated Paraffin Products

Polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/Fs) and short-chain chlorinated paraffins (SCCPs) can be formed during the production of chlorinated paraffins (CPs). Detection and accurate quantification of PCDD/Fs in CPs are challenging because of their matrix complexity. Therefore, the occurrence and formation mechanisms of PCDD/Fs from CPs have not been studied extensively in the past. In this study, 15 commercial samples including solid and liquid CPs were collected in 2022 from China. The average ΣSCCP concentrations detected in the solid and liquid CPs were 158 and 137 mg/g, respectively. The average International Toxic Equivalent (I-TEQ) values of 2,3,7,8-PCDD/F in solid and liquid CPs were 15.8 pg I-TEQ/g and 15.0 pg I-TEQ/g, respectively. The solid and liquid CPs had different predominant congener groups for SCCPs and PCDD/Fs. Possible formation routes for the generation of PCDD/Fs were analyzed by screening precursors in paraffin and laboratory-scale thermochemical experiments of CPs. The transformation between 2,3,7,8-PCDD/Fs and non-2,3,7,8-PCDD/Fs was recognized by calculating the successive chlorination preference. The first reported occurrence of PCDD/Fs in CP commercial products indicated that exposure to CPs and downstream products might be an assignable source of PCDD/F emission, which is of great significance to further explore the control factors of PCDD/Fs in the whole life cycle of CPs.

PCDD/Fs in indoor environments of residential communities around a municipal solid waste incineration plant in East China: Occurrence, sources, and cancer risks

Prolonged exposure to polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/Fs) can pose several adverse outcomes on human health. However, there is limited information on public health associated with indoor PCDD/F exposure in residential environments. Here, we examined PCDD/F concentrations in indoor air and indoor dust samples obtained from households near a municipal solid waste incineration (MSWI) plant. Our measurements revealed that the toxic equivalent (TEQ) concentrations of PCDD/Fs in indoor air ranged from 0.01 to 0.05 pg TEQ/m³, which were below intervention thresholds (0.6 pg TEQ/m³). Additionally, the TEQ concentrations of PCDD/Fs in indoor dust ranged from 0.30 to 11.56 ng TEQ/kg. Higher PCDD/F levels were found in household dust in the town of Taopu compared to those in the town of Changzheng. Principal component analysis (PCA) of PCDD/Fs suggested that waste incineration was the primary source of PCDD/Fs in indoor air, whereas PCDD/Fs in indoor dust came from multiple sources. The results of the health risk assessment showed the carcinogenic risk due to indoor PCDD/F exposure was higher for adults than for nursery children and primary school children. The carcinogenic risks of PCDD/Fs for age groups residing near the MSWI plant were all less than the risk threshold (10^-5). Our findings will help to better understand the levels of PCDD/F exposure among urban populations living in residential communities around the MSWI plant and to formulate corresponding control measures to reduce probabilistic risk implications.

Footprints in compositions, PCDD/Fs and heavy metals in medical waste fly ash: Large-scale evidence from 17 medical waste thermochemical disposal facilities across China

Chemical compositions, polychlorinated dibenzo-p-dioxins and furans (PCDD/Fs) profiles and heavy metals (HMs) leachability of medical waste fly ash (MWFA) from 17 thermochemical treatment facilities in eight Chinese provinces were first investigated. Large-scale and extended monitoring revealed high chloride and Zn contents and similar PCDD/Fs congener profiles in MWFA. Particularly, the PCDD/Fs and HMs concentrations implied greater toxicity than that observed for municipal solid waste incinerator fly ash (MSWIFA). The maximum international toxic equivalent value of PCDD/Fs in MWFA was 40 times that of MSWIFA, and the leaching concentrations of Zn and Hg were 15 and 4 times those of MSWIFA, respectively. Notably, MWFA characteristics suggest the possibility of recycling and sustainable disposal solutions owing to the high Cl and Zn content with good recovery instead of landfill disposal. Similarities in chemical composition, PCDD/Fs homolog distribution, and water-solubility of chloride salts allows co-processing of MWFA and MSWIFA via water-washing detoxification and thermal treatment, such as that used in cement kilns. This study supplements existing literature on the characteristics and risk management of MWFA.

National and provincial dioxin emissions from municipal solid waste incineration in China

China presently lacks an up-to-date regional inventory of dioxin emissions from municipal solid waste incineration (MSWI), although MSWI has grown rapidly in recent decades. Based on dioxin concentrations from the official website for governments and enterprises, we created an inventory of dioxin emissions from 29 areas in mainland China. MSWI released a total of 22.56 g I-TEQ of dioxins in 2020. According to Monte Carlo simulation, the dioxin emissions with 95 %, 75 %, and 50 % certainty are 17.03-31.62, 19.24-27.71, and 20.43-25.96 g I-TEQ, respectively. Notably, Guangdong, Zhejiang, and Jiangsu provinces accounted for 38.8 %. The primary regions with considerable dioxin emission per capita and density are Zhejiang and Shanghai. Furthermore, Jilin and Heilongjiang provinces are the top two regions in terms of dioxin emissions per unit of billion gross domestic product. These indicators were affected significantly by the quantity of MSW generated and incinerated (MSWGI), capacity and operating years of incinerators, and degrees of air pollution control devices (APCDs). Dioxin emission factors (EFs) were about 100 times lower in 2020 than in 2004. Note, however, that there is a gap in dioxin EFs between China and European nations. We have proposed that MSW source classification, stable operation conditions of incinerators and APCDs, categories of incinerators selection, and technological upgrading should be China's major measures to curb dioxin emissions. Moreover, with the future increment in the quantity of MSWGI, it is essential to completely reinvent the dioxin monitoring program.

Infant Exposure to PCBs and PBDEs Revealed by Hair and Human Milk Analysis: Evaluation of Hair as an Alternative Biomatrix

Human hair, as an emerging biological monitoring matrix, has begun to be used in various human exposure studies, but little research has been done on persistent organic pollutants (POPs), especially for the body burden of POPs in infants. In this study, 36 breast-fed infants in Shanghai were recruited for a study to determine their exposure to POPs, including 12 dioxin-like polychlorinated biphenyls (dl-PCBs), 6 indicator PCBs, and 8 polybrominated diphenyl ethers (PBDEs) in the inner layer (internal) and outer layer (external) of infant hair and human milk. The similarity or difference of the POP distribution pattern or concentration among these matrices was investigated, and only weak correlations (r < 0.4) were observed between the POP concentration in human milk and infant hair (internal or external). POPs in human milk have a different profile than those in infant hair, while they have stable concentration ratios (0.58-2.72), similar distribution patterns, fine Spearman's rank correlations, and tangled principal component analysis (PCA) plots in each POP family between external and internal hair samples. The result suggested that POPs in internal hair can be easily affected by those in external hair, but POPs in human milk seem to have little contribution to the POP profile in internal hair. Although infant hair cannot reflect the POPs from diet or from body burden, it can be an ideal biomatrix that estimates infant exposure to POPs from exogenous sources like house dust when considering the similar pattern of POPs and their proper accumulation period in hair.

Characteristics and health impacts of PM2.5-bound PCDD/Fs in three Asian countries

Polychlorinated dibenzo-p-dioxins/dibenzofurans (PCDD/Fs) were ubiquitous, persistent chemical compounds attached to particulate matter in the atmosphere. We aimed to study the characteristics of these pollutants in atmospheric PM_2.5 of three Asian countries, including Taiwan (Taipei), Thailand (Chiang Mai), and Vietnam (Hanoi). We carried out a source apportionment analysis to determine significant PCDD/F contributors in these areas. Multiple media model was conducted to access the health impact assessment. The PM_2.5 concentration in Taipei (n = 7), Chiang Mai (n = 20), and Hanoi (n = 10) were 18.4 ± 6.21 μg/m³, 133 ± 49.5 μg/m³, and 88.1 ± 12.6 µg/m³, respectively. The PCDD/Fs level in Hanoi was 92.4 ± 67.3 fg I-TEQ/m^3, and in Taipei and Chiang Mai was 5.01 ± 2.39 fg I-TEQ/m³ and 14.4 ± 13.1 fg I-TEQ/m³, respectively, which showed that the higher PM_2.5 concentration was not necessary to follow with higher PCDD/Fs level. In all three cities, the effect of traffic on ambient PCDD/F level was significant (23-25 %). However, we also observed the specific sources of PCDD/Fs in each city during the sampling periods, namely long-range transport (Taipei, 55 %), Biomass/open burning (Chiang Mai, 77 %), and industrial activities (Hanoi, 34 %). In the carcinogenic risk estimation, the highest median total carcinogenic risk was in Hanoi (5.87 × 10^-6), followed by Chiang Mai (1.06x10^-6), and Taipei (2.95 × 10^-7). Although diet was the major absorption pathway, the food contributor of exposure differed among the three areas due to the difference in food consumption composition.

Exposure levels of PCDD/Fs and PCBs in human blood and the transplacental transfer characteristics in cord blood of newborns near the industrialized area

Mono-to octa-chlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/Fs) and polychlorinated biphenyls (PCBs) in pooled blood from the general population living near a typical industrialized area were investigated. Less chlorinated PCDD/Fs (mean: 2602 pg L^-1) were 7.5 times those of highly chlorinated ones (mean: 349 pg L^-1). The average ΣPCBs and Σdl-PCBs concentrations in human (cord) blood were 2741 (117) and 18 (0.31) ng L^-1, respectively. Higher concentrations of highly chlorinated PCDD/Fs were found in females than in males across different ages. The mean concentrations (and toxic equivalents (TEQs)) of PCDD/Fs were 282 (27) pg L^-1 in males and 312 (32) pg L^-1 in females. The concentrations of the PCDD/Fs and PCBs increased with age for both males and females, which might be caused by the long half-lives of these compounds and decreases in metabolic rates with age as the metabolic of nutrients, food, and also PCDD/Fs and PCBs would trend to slow. The TEQ of total PCDD/Fs and PCBs was higher in blood from orthopedics patients (107 pg L^-1) than other patients. This result may be associated with the bone density and pollutant bioaccumulation. In addition, total concentration of PCDD/Fs and PCBs in blood of women at reproductive age were 6.6 and 37 times the cord blood of newborns, respectively. Positive correlation of PCDD/Fs and PCBs especially for the higher chlorinated compounds between female and cord blood were discovered, which might be caused by the transplacental transfer characteristics and blood barrier for macromolecules and reduce the chemical exposure risks for newborns.

Curbing dioxin emissions from municipal solid waste incineration: China's action and global share

China generates the world's second-largest amount of municipal solid waste (MSW) and incinerates the largest quantity of MSW. However, data on the latest dioxin emissions from MSW incineration (MSWI) and the related global share were lacking. In the context of MSW classification, distinguishing the long-term MSW generation and incineration quantity, and dioxin emissions was necessary for macro-control and policy-making by the Chinese Government. By considering population size and GDP per capita, China's MSW generation toward 2050 was projected based on Monte Carlo simulation. Moreover, dioxin emission factors were also assumed based on the diffusion rate of four grades of air pollution control devices (APCDs). Finally, we show that the quantity of China's MSW generation in 2050 will be 363.50 million tonnes (Mt) with 341.06-382.45 Mt of 75% certainty. China's dioxin emissions from MSWI were approximately 15.46 g I-TEQ in 2019, which accounted for 26.1% of total emissions from global MSWI. We discuss dioxin emission reduction scenarios depending on MSW diversion and APCD upgrades. China's dioxin emissions will be 70.38 g I-TEQ for the business-as-usual scenario, and the dioxin emissions will be 9.29 g I-TEQ (within the range of 8.88-9.64 g I-TEQ) for the optimal scenario in 2050. Moreover, in 2050, the APCD diffusion rate will account for 98.8% of the sensitivity of dioxin emissions from China's MSWI. According to the assumed scenarios, there is a dioxin emission reduction potential of 18.6% and 86.8% in 2050 by MSW diversion alone and maximum APCD upgrades combined with food waste diversion, respectively.

Body burden and influencing factors of polychlorinated dibenzodioxins and dibenzofurans (PCDD/Fs) in male workers from a municipal waste incineration plant in China

Emissions of polychlorinated dibenzo-p-dioxins and polychlorinated dibenzofurans (PCDD/Fs) from municipal solid waste incinerators (MSWIs) have aroused public concern around the world. However, biomonitoring evidence regarding the influence of MSWIs on the human body burden of PCDD/Fs is scarce. The aim of this study is to investigate the human body burden levels of PCDD/Fs in MSWI workers and to further explore the potential influencing factors, including duration of occupation and dietary habits, on the PCDD/F levels. A total of 98 paired serum samples from MSWI workers and non-MSWI workers were collected. Seventeen 2,3,7,8-chlorine substituted PCDD/Fs in the serums were analyzed using an isotope dilution high-resolution gas chromatograph/high-resolution mass spectrometer (HRGC/HRMS). The results showed that the mean levels of toxic equivalent (TEQ)-PCDD/Fs for the MSWI workers and the control group were 18.28 pg TEQ g^-1 lipid and 5.81 pg TEQ g^-1 lipid, respectively. Significantly higher concentrations of PCDD/Fs existed in the incinerator workers compared with the control subjects after adjustment of the confounding factors. OCDD was the most abundant congener in both the MSWI workers and the control subjects, accounting for 82.2% and 89.4% of the ∑₁₇PCDD/Fs, respectively. The serum levels of PCDFs in the MSWI workers increased with the duration of occupation (β = 0.498, P = 0.031), and a higher total concentration of PCDD/Fs were present in senior workers classified as production supervisors than routine operation staff (β = 8.809, P = 0.008). No significant relationship was found between the PCDD/F concentrations and dietary habits. This study was the first to explore the associations between the body burden of PCDD/Fs and occupational exposure as well as dietary intake of MSWI workers in China. The findings provide scientific information for health risk assessments of human exposure to PCDD/Fs.

High mortality and high PCDD/Fs exposure among residents downwind of municipal solid waste incinerators: A case study in China

Studies on the human body burden of dibenzo-p-dioxins and dibenzofurans (PCDD/Fs) in populations around municipal solid waste incinerators (MSWIs) in China are limited. The objective of this study was to assess the potential adverse health effects of an 8-year MSWI on the surrounding population and identify possible exposure pathways. We hypothesized that the MSWI would result in different environmental impacts and population health outcomes between upwind and downwind of its 3 km vicinity. We conducted a 10-year retrospective mortality survey on the population surrounding the MSWI. Then, we selected 50 residents aged 50 years or older on each of the upwind and downwind sides of MSWI to test serum PCDD/Fs. Meanwhile, environmental and food exposures to PCDD/Fs were tested for selected residents. The age-adjusted mortality rates were significantly higher for residents downwind than upwind, but no significant difference was found in the standardized mortality ratio before and after the MSWI operation. The toxic equivalents (TEQ) and major congeners of PCDD/Fs were significantly higher in the sera of the downwind residents than in the upwind. The PCDD/Fs in air, soil, dust, and vegetables on the downwind side were not significantly different from those on the upwind side, but the mean concentrations of PCDD/Fs in downwind hen eggs was significantly higher than those from upwind. In conclusion, downwind residents living within 3 km of the MSWI had higher age-adjusted mortality and serum level of PCDD/Fs than upwind residents. This higher mortality rate among downwind residents was not associated with MSWI. However, the higher levels of PCDD/Fs in downwind hen eggs suggest that the downwind population dioxin exposure was related to their location.

Polybrominated dibenzo-p-dioxins/furans (PBDD/Fs) in soil around municipal solid waste incinerator: A comparison with polychlorinated dibenzo-p-dioxins/furans (PCDD/Fs)

Polybrominated dibenzo-p-dioxins/furans (PBDD/Fs) and polychlorinated dibenzo-p-dioxins/furans (PCDD/Fs) share similar toxicities and thermal origins, e.g., municipal solid waste incinerator (MSWI). Recently, PBDD/Fs from MSWI attracted rising concern because their important precursors, i.e., brominated flame retardants (BFRs), were frequently found in various wastes for landfill or MSWI feedstock. So far, however, little is known about PBDD/Fs and their associated risks in the vicinal environments of MSWI. Here we analyzed PBDD/Fs and PCDD/Fs in 29 soil samples collected around a multiyear large-scale MSWI, and compared their spatial distributions, sources and risks. PBDD/Fs demonstrated comparable concentrations and toxic equivalent quantities (TEQs) to PCDD/Fs in these samples. Spatially, both the concentrations of PBDD/Fs and PCDD/Fs decreased outwards from the MSWI, and exhibited significant linear correlations with the distances from the MSWI in the southeast downwind soil, suggesting the influence of the MSWI on its vicinal soil environment. However, the existence of other dioxin sources concealed its influence beyond 6 km. PBDD/Fs in the soils were characterized by highly-brominated PBDFs, especially Octa-BDF, and their sources were diagnosed as the MSWI and diesel exhaust; PCDD/Fs, however, were dominated by highly-chlorinated PCDDs, particularly Octa-CDD, and were contributed individually or jointly by the MSWI, automobile exhaust and pentachlorophenol (PCP)/Na-PCP. The non-carcinogenic risks of dioxins in all the soil samples were acceptable, but their carcinogenic risks in 17% of the samples were unacceptable. These samples were all located close to the MSWI and highways, therefore, the land use of these two high-risk zones should be cautiously planed.

Estimation of lactating mothers' daily intakes of bisphenol A using breast milk

Breast milk is a unique biological sample that reflects the exposure levels of both lactating mothers and infants. The exposure levels of BPA due to breast milk consumption for infants can be estimated easily, but the method to estimate the total daily intake (TDI) of lactating mothers from breast milk has not yet been established. In this study, BPA concentrations were detected in breast milk samples from 149 lactating mothers from Hunan, China. The median concentration of BPA in breast milk was 0.053 μg/L with a range of 0.001-2.535 μg/L, and a temporal decline trend was found for BPA concentrations in breast milk (p < 0.05). The median intake of BPA via breast milk was 26.8 ng/kg bw/day for 0-3-month-old infants and 7.0 ng/kg bw/day for 4-12-month-old infants. Based on the predicted concentrations of BPA in urine and blood via the conversion coefficients from breast milk, the TDIs of lactating mothers were estimated. The TDIs estimated from the simulated urine concentration were 84.0 ± 175.2 ng/kg bw/day for 0-3-month-old infants' mothers and 36.9 ± 80.8 ng/kg bw/day for 4-12-month-old infants' mothers. The dietary daily intakes estimated from the simulated blood concentration were 579.6 ± 370.8 ng/kg bw/day for 0-3-month-old infants' mothers and 280.1 ± 195.2 ng/kg bw/day for 4-12-month-old infants' mothers. When assuming the dietary daily intakes in Hunan of the fifth total diet study (TDS) as the "true" total dietary intake of our population, the contribution of diet was estimated to be 63.7%, which suggested that non-dietary BPA exposure may be underestimated.

Extreme Exposure Levels of PCDD/Fs Inhaled from Biomass Burning Activity for Cooking in Typical Rural Households

Polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/Fs), emitted during biomass combustion, are carcinogenic chemicals. The association between indoor biomass burning and PCDD/Fs inhalation exposure levels is still poorly understood. This study first reports direct measurement of personal exposure to PCDD/Fs in real-world households with wood combustion. In homes where biomass burning is used for cooking, toxic equivalent quantity (TEQ) PCDD/Fs concentrations were found to be 545 ± 251 fg I-TEQ/m³ in kitchens, with levels of 4.5-, 6.9-, and 13.3-fold higher than those in living rooms (122 ± 92 fg I-TEQ/m³), bedrooms (79 ± 27 fg I-TEQ/m³), and ambient air (41 ± 15 fg I-TEQ/m³), respectively. PCDD/Fs exposure levels in populations using biomass fuels for cooking (353 ± 110 fg I-TEQ/m³) were 4.3-fold higher than those in the control groups (82 ± 32 fg I-TEQ/m³). Additionally, the average cancer risks for biomass cooking person were approximately 3.1-fold higher than those in factory workers. Overall, residents of household that use biomass fuels for cooking have the highest known risk of PCDD/Fs exposure. These results highlight that aiming to mitigate the PCDD/Fs exposure risk in the general population, the focus of dioxin emission source control measures should shift from industrial sectors to residential biomass combustion.