Assessment of burden of disease induced by exposure to heavy metals through drinking water at national and subnational levels in Iran, 2019

Assessment of health risk and burden of disease associated with dietary exposure to pesticide residues through foodstuffs in Iran

The health risk and burden of disease associated with dietary exposure to pesticide residues in foodstuffs in Iran were assessed. The pesticide residue levels in foodstuffs in the country were determined through systematic review and meta-analysis. The non-carcinogenic risk, carcinogenic risk, and attributable burden of disease were estimated in terms of hazard quotient (HQ), incremental lifetime cancer risk (ILCR), and disability-adjusted life year (DALY), respectively. The meta-analysis showed that 58% of pesticide-food pairs lacked Codex maximum residue levels (MRLs), 34% had pesticide levels below these limits, and 8% exceeded them. Based on the average HQs, two foodstuffs (onion and tangerine) and two pesticides (haloxyfop-R-methyl and cyhalothrin) exhibited unacceptable non-cancer risk (>1.0). The average ILCR value of lindane was assessed to be at the unacceptable level (1.4 × 10-4). The total annual disease burden values attributable to pesticide residues in foodstuffs were assessed to be 242 for death cases, 0.29 for death rate (per 100,000 people), 13,792 for DALYs, and 16.1 for DALY rate. The three food items with the highest DALY rates from pesticide residues were cucumber (5.9), fish (3.9), and date (2.1). The health risk and disease burden of pesticide residues in foodstuffs were considered to be relatively high.

The risk assessment and burden of cancer attributable to dietary cadmium exposure in China, 2019

Dietary Cadmium (Cd) intake is essential for Cd exposure. However, the burden of cancer attributable to dietary Cd intake remains to be determined in China. To estimate the level of dietary Cd exposure, we merged the Cd concentrations in food from literature and the foods consumption from national dietary surveys. The probabilistic assessment models evaluated dietary Cd exposures across age and area groups. Incremental lifetime cancer risk (ILCR) was utilized to assess the carcinogenic risk of dietary Cd. The cancer burden attributable to dietary Cd exposure was evaluated by a two-stage model, expressed as Disability Adjusted Life Years (DALYs). The median dietary Cd exposure in Chinese residents was 0.77 μg/kg·bw. The 0-4 age group and southern areas exhibited the highest exposure of 1.59 μg/kg·bw and 1.64 μg/kg·bw. The ILCRs for the whole population, males and females were 4.99 × 10-3, 4.91 × 10-3 and 5.08 × 10-3, respectively. Grains, meats, and vegetables were identified as the primary sources of dietary Cd intake. The burden of cancer attributable to dietary Cd was 36.58 per 100,000, 6.01 per 100,000, and 4.38 per 100,000 for lung, breast and prostate cancers in China. In conclusion, dietary Cd intake contributes to a proportion of the cancer burden in China. However, excess Cd exposure in younger age groups and southern areas remains a priority for attention to reduce the cancer risk.

Assessing human toxicity and ecotoxicity impacts of agricultural pesticide use in Iran based on the USEtox model

The human health and ecotoxicity impacts of agricultural pesticide use in Iran in 2022 were estimated. The impacts of agricultural pesticide use in Iran by pesticide, crop, and province were assessed based on the USEtox model in terms of disability-adjusted life year (DALY) for human health and potentially disappeared fraction of freshwater ecosystem species (PDF) for ecotoxicity. The annual mass of agricultural pesticide use in Iran in 2022 was 17,188 tons, consisting of herbicides (46.2 %), insecticides (30.0 %), and fungicides (23.8 %). The DALYs and DALY rate (per 100,000 people) of agricultural pesticide use in Iran were determined to be 25,140 and 29.4, respectively. The ecotoxicity impact of agricultural pesticide use in Iran was calculated to be 3.35 × 10+12 PDF m3 d. Over 79 % of the human health and ecotoxicity impacts of agricultural pesticide use were attributed to six pesticides (chlorpyrifos, deltamethrin, ethion, phosalone, thiodicarb, and abamectin) and eight crops (pistachio, apple, fig, vegetables, date, orange, wheat and barley, and cotton). While the contributions of the pesticides to the human health and ecotoxicity impact were not the same, chlorpyrifos ranked highest in both human health (28.8 %) and ecotoxicity (49.9 %) impacts. The highest provincial human health and ecotoxicity impacts of agricultural pesticide use were observed in Tehran (4,201 DALYs) and Fars (3.66 ×10+11 PDF m3 d), respectively. The provincial human health and ecotoxicity impacts were mainly driven by population and cropland area, respectively. Given the considerable human health and ecotoxicity impacts, developing national and provincial action plans for more sustainable use of pesticides in Iran is strongly recommended.

Salt use patterns and heavy metal urinary excretion

Background

Salt usage patterns have been associated with a risk of multiple diseases; however, their relationship with heavy metal exposure has not been extensively studied.

Methods

This study analyzed survey data from 11,574 NHANES participants. Weighted linear regression models were used to examine the relationship between the type of salt used by participants, the frequency of adding salt at the table, and the frequency of adding regular or seasoned salt to cooking or food preparation, and urinary concentrations of 10 heavy metals. Multiple sensitivity analyses were also performed.

Results

The weighted regression analysis indicated that participants' salt usage patterns were associated with an increased urinary excretion of certain heavy metals. Specifically, regarding the type of salt used, compared to regular salt, the use of salt substitutes was significantly positively correlated with urinary molybdenum (Mo) levels, while not using salt or substitutes at the table was significantly positively correlated with urinary levels of both Mo and arsenic (As). In terms of the frequency of adding regular salt at the table, frequent addition compared to rarely adding salt was significantly positively correlated with urinary levels of cadmium (Cd), and antimony (Sb), while showing a significant negative correlation with urinary Mo levels. Additionally, when examining the frequency of using regular salt during cooking or food preparation, those who occasionally or very often added regular salt had significantly higher urinary levels of barium (Ba), cesium (Cs), and thallium (Tl) compared to those who never added regular salt during cooking. These associations remained stable in sensitivity analyses.

Conclusion

Our analysis revealed that participants' salt usage patterns are associated with increased excretion of certain heavy metals, suggesting possible increased exposures to these metals. While these findings are concerning, they require validation in other populations and should be confirmed through prospective studies designed based on this hypothesis.

Cadmium exposure in infants and children: toxicity, health effects, dietary risk assessment and mitigation strategies

As a non-essential metal, cadmium (Cd) poses a significant threat to food safety and public health. This risk is particularly pronounced for infants and young children due to their high food consumption relative to body weight and immature physiological systems. This review examines the health risks associated with Cd exposure, particularly during the prenatal period through adolescence. It evaluates the prevalence of Cd-rich foods in children's diets and their intake levels across various countries. The review demonstrates that Cd exposure is associated with neurodevelopmental disorders, immune dysfunction, and cardiovascular diseases. It also highlights geographic differences in exposure, with some Asian countries, such as Thailand and China, exhibiting higher overall levels of Cd intake among children compared to other regions. This review presents several recommendations to mitigate Cd intake during early childhood, including reducing the Cd content in food, inhibiting Cd absorption, and promoting its excretion from the body. To minimize the risk of dietary Cd intake in children, it is recommended that stringent regulations of Cd limits in children's food be implemented, alongside a coordinated multi-stakeholder effort. This review provides important insights into effective public health policy development, laying the foundation for achieving broader public health goals.

Vertical Distribution Characteristics and Ecological Risk Assessment of Mercury and Arsenic in Ice, Water, and Sediment at a Cold-Arid Lake

Mercury and arsenic are two highly toxic pollutants, and many researchers have explored the effects of the two substances on the environment. However, the research content of toxic substances in frozen periods is relatively small. To explore the spatial and vertical distribution of mercury and arsenic in the ice, water, and sediments of Wuliangsuhai Lake under ice conditions, and to assess the harm degree of the two toxic substances to human beings. We collected the ice, water, and sediments of the lake in December 2020, and tested the contents of Hg and As. The single-factor pollution index method, the local cumulative index method, and the ecological risk coding method were used to assess the pollution status in these three environmental media, and the Monte Carlo simulation combined with the quantitative model recommended by USEPA was used to assess the population health risk. The results showed that (1) The average single-factor pollution values of Hg and As in water were 0.367 and 0.114, both pollutants were at clean levels during the frozen period. (2) The mean Igeo values of Hg and As were 0.657 and -0.948. The bioavailability of Hg in the sediments of Wuliangsuhai Lake during the frozen period was high, and its average value was 7.8%, which belonged to the low-risk grade. The bioavailability of As ranged from 0.2% to 3.7%, with an average value of 1.3%. (3) Monte Carlo simulation results indicate acceptable levels of health risks in both water and ice. This study preliminarily investigated the distribution characteristics of toxic substances and their potential effects on human health in lakes in cold and arid regions during the frozen period. It not only clarified the pollution characteristics of lakes in cold and arid regions during the frozen period, but also provided beneficial supplements for the ecological protection of lake basins. This study lays a foundation for further environmental science research in the region in the future.

Assessing drinking water quality based on water quality indices, human health risk, and burden of disease attributable to heavy metals in rural communities of Yazd County, Iran, 2015-2021

The water quality indices, health risk, and burden of disease attributable to heavy metals in rural communities of Yazd County, Iran during 2015-2021 were studied. The drinking water quality index (DWQI) based on 27 parameters (including heavy metals) and heavy metal pollution index (HPI) were used for assessing drinking water quality. The health risk and burden of disease from heavy metals in drinking water were estimated in terms of hazard quotient (HQ), hazard index (HI), incremental lifetime cancer risk (ILCR), and disability-adjusted life year (DALY). Based on the DWQI scores by community, the drinking water quality in rural communities of Yazd County was characterized as good for 61 %, fair for 25 %, marginal for 2 %, and poor for 12 %. The distribution of the rural communities into the HPI categories was as follows: 43 % for excellent, 36 % for good, 14 % for poor, and 7 % for unsuitable. In about 20 % of the rural communities, the average HI level of heavy metals was higher than the boundary limit of one. The highest average HQ level at the county level was related to arsenic (As) to be 0.44. In all the communities, the total ILCR values of the heavy metals were in the category of significant increased cancer risk (10-6 to 10-4). At the county level, As and cadmium (Cd) exhibited the two highest cancer risk levels to be 1.96 × 10-4 and 1.87 × 10-4 for ILCR, respectively. The DALY rate (per 100,000 people) induced by exposure to the heavy metals via drinking water was 13.9, which was considered relatively high as compared to that of other drinking water pollutants obtained in the previous studies. The drinking water quality improvement through decreasing Cd and As levels below the standard values can drastically reduce the attributable burden of disease and promote the public health in the rural communities.

Characteristics and correlation analysis of heavy metal distribution in China's freshwater aquaculture pond sediments

The concentration of heavy metals (HMs) in aquaculture pond sediments significantly affects aquatic food safety and environmental quality. The contamination characteristics, drivers and potential sources of HMs in typical bulk freshwater aquaculture pond sediments in major provinces of China were systematically investigated using a variety of methods and models. Specifically, 130 surface sediment samples were collected from the study area, and the geoaccumulation index (Igeo) and potential ecological risk index (RI) were used to jointly evaluate the characteristics of the HMs. Spearman's correlation and redundancy analysis revealed the main drivers of the HMs. Additionally, the positive matrix factorization (PMF) model and absolute principal component score-multiple linear regression (APCS-MLR) model were used to identify the sources of HMs. The results revealed that the pond sediments were safe for fish culture in most of the study areas. Aquafeed protein content is an important driver of HM concentrations in sediments. The total organic carbon (TOC) content, percentage of clay particles, and pH of the aquaculture pond sediments determined the sediment HMs enrichment abilities as 13.6 %, 52 %, and 9.8 %, respectively. Cd, a significantly enriched pollutant, posed a greater ecological risk than the other five HMs (Cr, Cu, Zn, As, and Pb). Three sources of HMs were identified, including agricultural activity (e.g., aquafeeds, pesticides, and fertilizers), industrial production, and natural sources, with contributions of 44.29 %, 36.66 %, and 19.05 %, respectively. This study provides a scientific basis for minimizing the input and accumulation of HMs in freshwater aquaculture pond sediments, and this can provide insights into the prevention and control of the ecological risks posed by HMs.

Theoretical study of the adsorption capacity of potentially toxic Cd2+, Pb2+, and Hg2+ ions in hemicellulose matrices

Hemicellulose is widely available in nature, is a sustainable resource and has a wide range of applications. Among them, adsorption stands out for the removal of potentially toxic ions. Thus, in the study, the adsorption of Cd2+, Pb2+ and Hg2+ ions in two hemicellulose matrices were elucidated through computational simulations using density functional theory. Molecular electrostatic potential and frontier molecular orbitals demonstrated whether the interactions could happen. Four interaction complexes were highlighted due to the interaction energy criteria, ΔEBind, ΔH and ΔG < 0.00 kcal mol-1, that is: Hm1… Pb (1); Hm2… Pb (3); Hm2…Cd (4) and Hm2…Hg (4) and the results show that they occur through physisorption. In structural parameter studies, interaction distances smaller than 3000 Å were identified, which ranged from 2.253 Å to 2.972 Å. From the analysis of the topological parameters of QTAIM, it was possible to characterize the intensities of the interactions, as well as their nature, which were partially covalent or electrostatic in nature. Finally, based on the theoretical results, it can be affirmed that the hemicellulose can interact with Cd2+, Pb2+ and Hg2+ ions, evidencing that this study can support further experimental essays to remove contaminants from effluents.

Identification of potential food sources affecting blood lead levels and their health hazards (CVD, respiratory diseases, cancer)

Environmental lead exposure is a well-known and significant public health concern. In areas with low lead exposure, comprehensive and detailed research and validation are needed to eliminate the adverse effects of environmental lead exposure. This study aims to understand the possible food pathways of environmental lead exposure by exploring the contribution of food to blood lead and the mediating effect of blood lead in the occurrence of diseases. Similarly, as lead is a heavy metal pollutant with good research foundation, fine analysis of lead in this period can also be a reference for other unknown pollutants. In this cross-sectional study of 1162 peoples, the data are taken from National Health and Nutrition Examination Survey (NANHES) 2015-2016, we grouped the population according to the median blood lead level (0.038 μmol/L) to screen the variables adjusted by the model. we grouped foods by code and used a generalized additive mixed model (GAMM) to study their relationship with blood lead levels, a correlation has been found between egg mixtures (p = 0.007) and legumes (p = 0.041) consumption and blood lead levels. We analyzed how metabolic status, exercise, and macronutrient intake modulate the impact of certain foods on blood lead levels to infer its possible process. To verify whether adverse effects are caused by lead, we explored the mediating effect of blood lead on the relationship between food intake and disease [cardiovascular diseases (CVD), respiratory diseases, cancer], however, no statistically significant mediating effect was found. Overall, environmental lead exposure through food still affects blood lead levels, but it has not led to adverse outcomes in blood, respiratory system, or cancers Under conditions where lead exposure levels were equivalent to those in the study (blood lead levels， mean = 0.052 μmol/L, standard deviation = 0.048 μmol/L, median = 0.038 μmol/L, min = 0.002 μmol/L, max = 0.904 μmol/L, skewness = 6.543, kurtosis = 89.391).

Prediction of human health risk and disability-adjusted life years induced by heavy metals exposure through drinking water in Fars Province, Iran

Exposure to heavy metals in contaminated drinking water is strongly correlated with various cancers, highlighting the burden of disease. This study aimed to assess the non-carcinogenic and carcinogenic risks associated with exposure to heavy metals (As, Pb, Cd, and Cr) in drinking water of Fars province and evaluate the attributed burden of disease. Non-carcinogenic risk assessment was performed using the hazard quotient (HQ) method, while the carcinogenic risk assessment utilized the excess lifetime cancer risk approach. The burden of disease was evaluated in terms of years of life lost, years lived with disability, and disability-adjusted life years (DALY) for three specific cancers: skin, lung, and kidney cancer. The average drinking water concentrations of arsenic (As), cadmium (Cd), chromium (Cr) and lead (Pb) were determined to be 0.72, 0.4, 1.10 and 0.72 μg/L, respectively. The total average HQ of heavy metals in drinking water in the study area were 0.127, 0.0047, 0.0009 and 0.0069, respectively. The average ILCRs of heavy metal in the entire country were in the following order: 1.15 × 10-5 for As, 2.22 × 10-7 for Cd and 3.41 × 10-7 for Cr. The results also indicated that among the various counties analyzed, Fasa experiences the greatest burden of disease in terms of DALYs, with a value of 87.56, specifically attributed to cancers caused by exposure to arsenic. Generally, it can be said that the burden of disease is a critical aspect of public health that requires comprehensive understanding and effective intervention.

Burden of injury due to occupational accidents and its spatiotemporal trend at the national and subnational levels in Iran, 2011-2018

PURPOSE

The spatiotemporal trend of the burden of injury due to occupational accidents in Iran, 2011-2018 were assessed at the national and subnational levels.

METHODS

The burden of occupational injury was estimated using three datasets of occupational injury data, the employed population, and duration and disability weight of injuries.

RESULTS

The disability-adjusted life years (DALYs), deaths, DALY rate, and death rate (per 100,000 workers) of occupational injury in Iran drastically decreased from 169,523, 2,280, 827, and 11 in 2011 to 86,235, 1,151, 362, and 5 in 2018, respectively. The DALY rates of occupational injury were significantly different by gender and age in a manner that the DALY rate of men was much higher than that of women and the DALY rates by age group in 2018 ranged from 98 for 50 y and over to 901 for 15-19 y. The shares of injury outcomes in the total DALYs in 2018 were as follows: 63.6% for fatal injuries, 17.4% for fracture, 7.9% for open wound, 7.3% for amputation, and 3.8% for other injuries. Over 83% of the DALYs was observed in three economic activity groups of construction, manufacturing, and community, social, and personal service activities. The three provinces with the highest DALY rates in 2018 were Markazi, West Azarbaijan, and East Azarbaijan, respectively.

CONCLUSION

Despite the decreasing temporal trend, the burden of occupational injury in Iran in 2018 was high. The high-risk groups and hot spot provinces should be taken into more consideration for further reduction of the injury burden.

Health risk assessment of heavy metals and disinfection by-products in drinking water in megacities in China: A study based on age groups and Monte Carlo simulations

Heavy metal(loid)s (HMs) and disinfection by-products (DBPs) in drinking water pose risks to human health and jeopardize drinking water. Water-related behaviors vary significantly among different age groups and regions. In this study, the carcinogenic and non-carcinogenic risks of HMs (As, Cd, Cr6+, Cu, Pb, and Zn) and DBPs (bromodichloromethane (BDCM), bromoform, chloroform, dibromochloromethane (DBCM), dichloroacetic acid (DCAA), and trichloroacetic acid (TCAA)) in drinking water in two Chinese megacities (Beijing in North China and Guangzhou in South China) via multiple exposure pathways were assessed. The results showed that children aged 9 months to 2 years had a total carcinogenic risk (TCR) and hazard index (HI) above acceptable levels, indicating that despite the drinking water quality in the selected megacities meeting the current Chinese national standards (GB 5749-2022), the health risks of exposure to HMs and DBPs in drinking water for local young children should not be neglected. Specifically, the carcinogenic risk (CR) of exposure to As in drinking water for children < 18-years-old, who were divided into different age groups, was 1.5-2.0- and 4.5-5.9-times higher than the TCR of exposure to DBPs in Beijing and Guangzhou, respectively. Regarding children aged 9 months to 2 years, the exposure to TCAA accounted for the largest proportion (35.6 %) of the TCR of exposure to DBPs in Beijing drinking water, 5.4-times higher than that in Guangzhou; whereas, the TCR of exposure to DBPs in Guangzhou drinking water was predominantly caused by exposure to chloroform, accounting for 40.6 % of the TCR and 1.5-times higher than that in Beijing. In addition, the CR of exposure to DCAA in drinking water in both megacities accounted for a large proportion of the TCR for children aged 9 months to 2 years. Monte Carlo simulations showed that 62.2 % and 42.6 % of the TCR of simultaneous exposure to As and DBPs in drinking water exceeded the acceptable level for sensitive populations, that is, children aged 1-2 years in Beijing (95th percentile = 4.2 × 10-4) and children aged 9-12 months in Guangzhou (95th percentile = 5.2 × 10-4), respectively. This elaborate health risk assessment sheds light on improving the water quality indices to guarantee drinking water safety in China.

Assessment of health risk and burden of disease induced by exposure to benzene, toluene, ethylbenzene, and xylene in the outdoor air in Tehran, Iran

The health risk and burden of disease induced by exposure to benzene, toluene, ethylbenzene, and xylene (BTEX) in the outdoor air in Tehran, 2019 were assessed based on the data of five fixed stations with weekly BTEX measurements. The non-carcinogenic risk, carcinogenic risk, and disease burden from exposure to BTEX compounds were determined by hazard index (HI), incremental lifetime cancer risk (ILCR), and disability-adjusted life year (DALY), respectively. The average annual concentrations of benzene, toluene, ethylbenzene, and xylene in the outdoor air in Tehran were 6.59, 21.62, 4.68, and 20.88 μg/m³, respectively. The lowest seasonal BTEX concentrations were observed in spring and the highest ones occurred in summer. The HI values of BTEX in the outdoor air in Tehran by district ranged from 0.34 to 0.58 (less than one). The average ILCR values of benzene and ethylbenzene were 5.37 × 10^-5 and 1.23 × 10^-5, respectively (in the range of probable increased cancer risk). The DALYs, death, DALY rate (per 100,000 people) and death rate (per 100,000 people) induced by BTEX exposure in the outdoor air in Tehran were determined to be 180.21, 3.51, 2.07, and 0.04, respectively. The five highest attributable DALY rates in Tehran by district were observed in the districts 10 (2.60), 11 (2.43), 17 (2.41), 20 (2.32), and 9 (2.32), respectively. The corrective measures such as controlling road traffic and improving the quality of vehicles and gasoline in Tehran could reduce the burden of disease from BTEX along with the health effects of other outdoor air pollutants.

Heavy metals in influent and effluent from 146 drinking water treatment plants across China: Occurrence, explanatory factors, probabilistic health risk, and removal efficiency

Heavy metals (HMs) in drinking water have drawn worldwide attention due to their risks to public health; however, a systematic assessment of the occurrence of HMs in drinking water treatment plants (DWTPs) at a large geographical scale across China and the removal efficiency, human health risks, and the correlation with environmental factors have yet to be established. Therefore, this study characterised the occurrence patterns of nine conventional dissolved HMs in the influent and effluent water samples from 146 typical DWTPs in seven major river basins across China (which consist of the Yangtze River, the Yellow River, the Songhua River, the Pearl River, the Huaihe River, the Liaohe River and the Haihe River) for the first time and removal efficiency, probabilistic health risks, and the correlation with water quality. According to the findings, a total of eight HMs (beryllium (Be), antimony (Sb), barium (Ba), molybdenum (Mo), nickel (Ni), vanadium (V), cobalt (Co) and titanium (Ti)) were detected, with detection frequencies in influent and effluent water ranging from 2.90 (Mo) to 99.30% (Ba) and 1.40 (Ti) to 97.90% (Ba), respectively. The average concentration range was 0.41 (Be)- 77.36 (Sb) μg/L. Among them, Sb (exceeding standard rate 8%), Ba (2.89%), Ni (21.43%), and V (1.33%) were exceeded the national standard (GB5749-2022). By combining Spearman's results and redundancy analysis, our results revealed a close correlation among pH, turbidity (TURB), potassium permanganate index (COD_Mn), and total nitrogen (TN) along with the concentration and composition of HMs. In addition, the concentration of HMs in finished water was strongly affected by the concentration of HMs in raw water, as evidenced by the fact that HMs in surface water poses a risk to the quality of finished water. Metal concentration was the primary factor in assessing the health risk of a single metal, and the carcinogenic risk of Ba, Mo, Ni, and Sb should be paid attention to. In DWTPs, the removal efficiencies of various HMs also vary greatly, with an average removal rate ranging from 16.30% to 95.64%. In summary, our findings provide insights into the water quality and health risks caused by HMs in drinking water.

Assessment of cause-specific mortality and disability-adjusted life years (DALYs) induced by exposure to inorganic arsenic through drinking water and foodstuffs in Iran

The health risk and burden of disease induced by exposure to inorganic arsenic (iAs) through drinking water and foodstuffs in Iran were assessed. The iAs levels in drinking water and foodstuffs (15 food groups) in the country were determined through systematic review of three international databases (PubMed, Scopus, and Web of Science) and meta-analysis. Based on the results of the systematic review and meta-analysis, the average iAs levels in drinking water and all the food groups at the national level were lower than the maximum permissible levels. The total average non-carcinogenic risk of dietary exposure to iAs in terms of hazard index (HI) was 3.4. The average incremental lifetime cancer risk (ILCR) values of dietary exposure to iAs were determined to be 1.5 × 10^-3 for skin cancer, 1.0 × 10^-3 for lung cancer, and 4.0 × 10^-4 for bladder cancer. Over two-thirds of the non-carcinogenic and carcinogenic risk of dietary exposure to iAs was attributed to bread and cereals, drinking water, and rice. The total annual cancer incidence, deaths, disability-adjusted life years (DALYs), death rate, and DALY rate (per 100,000 people) were assessed to be 3347 (95 % uncertainty interval: 1791 to 5999), 1302 (697 to 2336), 72,606 (38,833 to 130,228), 1.6 (0.87 to 2.9), and 91 (49 to 160). The contribution of mortality in the attributable burden of disease was 95.1 %. The contributions of the causes in the attributable burden of disease were 72 % for lung cancer, 16 % for bladder cancer, and 12 % for skin cancer. Due to the significant attributable burden of disease, national and subnational action plans consisting of multi-disciplinary approaches for risk management of dietary exposure to iAs, especially for the higher arsenic-affected areas and high-risk population groups in the country are recommended.

Heavy metals in Chinese freshwater fish: Levels, regional distribution, sources and health risk assessment

China is a major producer and consumer of freshwater fish, which can provide nutrients to the human body but is also of great concern because of the bioaccumulation and amplification of heavy metals that are directly related to human health. In this paper, we reviewed the accumulation and distribution patterns of lead (Pb), arsenic (As), mercury (Hg), cadmium (Cd), and chromium (Cr) in freshwater fish from 2010 to 2020 in nine basins of China (Yangtze River, Pearl River, Yellow River, Haihe River, Huaihe River, Songhua and Liaohe River, Continental, Southeast, and Southwest basins), assessed the health risks, and compared them with those in Chinese marine fish, international freshwater fish, Chinese wild freshwater fish, and artificially cultured freshwater fish. The results showed that 1) the pollution status of the five heavy metals in freshwater fish from nine basins in China is at an intermediate level internationally; 2) the magnitude of heavy metal concentration in four types of artificially farmed freshwater fish and wild freshwater fish is ranked as follows: rice-farmed fish < cage-farmed fish < pond-farmed fish < lake-farmed fish < wild fish; 3) the noncarcinogenic risk factors for heavy metals in freshwater fish in the nine major basins in China were <1 for adults, but the noncarcinogenic risk factors for heavy metals in freshwater fish in the Yellow River, Yangtze River, Pearl River, Songhua and Liaohe River, and Huaihe River basins were all >1 for children.

Estimating the burden of diseases attributable to lead exposure in the North Africa and Middle East region, 1990-2019: a systematic analysis for the Global Burden of Disease study 2019

BACKGROUND

Lead exposure (LE) and its attributable deaths and disability-adjusted life years (DALYs) have declined in the recent decade; however, it remains one of the leading public health concerns, particularly in regions with low socio-demographic index (SDI) such as the North Africa and Middle East (NAME) region. Hence, we aimed to describe the attributable burden of the LE in this region.

METHODS

Data on deaths, DALYs, years of life lost (YLLs), and years lived with disability (YLDs) attributable to LE in the NAME region and its 21 countries from 1990 to 2019 were extracted from the Global Burden of Disease (GBD) 2019 study.

RESULTS

In 2019, the age-standardized death and DALY rates attributable to LE were 23.4 (95% uncertainty interval: 15.1 to 33.3) and 489.3 (320.5 to 669.6) per 100,000 in the region, respectively, both of which were higher among men than women. The overall age-standardized death and DALY rates showed 27.7% and 36.8% decreases, respectively, between 1990 and 2019. In this period, Bahrain, the United Arab Emirates, and Turkey had the highest decreases in the age-standardized death and DALY rates, while Afghanistan, Egypt, and Yemen had the lowest ones. Countries within high SDI quintile had lower attributable burden to LE compared with the low SDI quintile. Cardiovascular diseases and chronic kidney diseases accounted for the 414.2 (258.6 to 580.6) and 28.7 (17.7 to 41.7) LE attributable DALYs per 100,000 in 2019, respectively. The attributable YLDs was 46.4 (20.7 to 82.1) per 100,000 in 2019, which shows a 25.7% reduction (-30.8 to -22.5%) over 1990-2019.

CONCLUSIONS

The overall LE and its attributed burden by cause have decreased in the region from 1990-2019. Nevertheless, the application of cost-effective and long-term programs for decreasing LE and its consequences in NAME is needed.

Improvement of Ecological Risk Considering Heavy Metal in Soil and Groundwater Surrounding Electroplating Factories

Heavy metals in groundwater and soil are toxic to humans. An accurate risk assessment of heavy metal contamination can aid in environmental security decision making. In this study, the improved ecological risk index (RI) is used to comprehensively investigate the influence of heavy metals in soil and groundwater within electroplating factories and their surrounding regions. In the non-overlapping area, the RI of soil and groundwater is computed individually, and in the overlapping area, the greater RI of soil and groundwater is employed. Two typical electroplating factories are used to examine the heavy metal distribution pattern. The heavy metal concentrations are compared between Factory A, which is in operation, and Factory B, which is no longer in operation, in order to analyze the heavy metal concentrations and associated ecological risks. Heavy metals continue to spread horizontally and vertically after Factory B was closed. Heavy metal concentrations in groundwater surrounding Factory B are substantially greater, and the maximum concentration exists deeper than in Factory A. Because Cr, Cu, and Hg in soil contribute significantly to the RI, the primary high RI region is observed at Factory A and the region to the southwest. The RI of Factory B demonstrates a broad, moderate risk zone in the west and southwest.

A review on magnetic sensors for monitoring of hazardous pollutants in water resources

Water resources have long been of interest to humans and have become a serious issue in all aspects of human life. The disposal of hazardous pollutants in water resources is one of the biggest global concerns and poses many risks to human health and aquatic life. Therefore, the control of hazardous pollutants in water resources plays an important role, when it comes to evaluating water quality. Due to low toxicity, good electrical conductivity, facile functionalization, and easy preparation, magnetic materials have become a good alternative in recent years to control hazardous pollutants in water resources. In the present study, the idea of using magnetic sensors in controlling and monitoring of pharmaceuticals, pesticides, heavy metals, and organic pollutants have been reviewed. The water pollutants in drinking water, groundwater, surface water, and seawater have been discussed. The toxicology of water hazardous pollutants has also been reviewed. Then, the magnetic materials were discussed as sensors for controlling and monitoring pollutants. Finally, future remarks and perspectives on magnetic nanosensors for controlling hazardous pollutants in water resources and environmental applications were explained.