Radon 222 in drinking water resources of Iran: A systematic review, meta-analysis and probabilistic risk assessment (Monte Carlo simulation)

Comprehensive risk assessment of lead concentrations in chicken, quail, and duck egg albumen and yolk using Monte Carlo simulations

This study conducted a comparative analysis of the concentration of the lead (Pb) in the albumen and yolk of eggs from domesticated chicken, quail, and duck, with a concurrent assessment of the potential carcinogenic and non-carcinogenic risks associated with the consumption of eggs sourced from Türkiye. A total of 78 poultry egg samples were gathered from breeding farms and farmers' markets situated in Şanlıurfa province. Lead concentrations were assessed through inductively coupled plasma optical emission spectrometry (ICP-OES). Human health risk assessment adheres to the guidelines set forth by the United States Environmental Protection Agency (US EPA), which primarily emphasizes estimated daily intake (EDI), international lifetime cancer risk (ILCR), target hazard quotient (THQ), and Monte Carlo simulation (MCS) as a probabilistic approach. One-way analysis of variance (ANOVA) was employed to compare Pb concentrations within egg yolks and albumens, as well as among various types of eggs. The levels of Pb found in the albumen of chicken, quail, and duck eggs were measured to be 0.31 ± 0.11, 0.43 ± 0.11, and 0.47 ± 0.16 μg kg-1, respectively. The concentrations of Pb in the yolks of chicken, quail, and duck eggs were found to be 0.54 ± 0.19, 0.28 ± 0.11, and 0.69 ± 0.21 μg kg-1, respectively. These concentrations were below the maximum permitted levels set by the FAO/WHO. The results indicated that Pb content in all tested eggs was safe for consumption, with exposure levels significantly below Joint FAO/WHO Expert Committee on Food Additives (JECFA) risk thresholds. The THQ values were less than one, indicating no non-carcinogenic risk. In addition, this study provides accurate and reliable data for policy makers to improve food safety measures and reduce potential public health risks.

Geant4 Monte Carlo simulation of human exposure to indoor 222Rn from building materials

The present study aimed to develop a Monte Carlo model to estimate the annual effective dose due to radon exposure sourced by radon gas in the walls and floor of a standard model room. With the purpose of developing a tool for radon level assessment in dwellings and workplaces, Geant4 toolkit was used to simulate the energy deposited by gamma rays emitted by radioactive radon progeny in a water phantom positioned at three different locations within the model room. The energy deposition was then used to estimate the annual effective dose through a deterministic approach. The simulation outcomes showed good agreement with experimental data, with the ratio between the simulated and the experimental data displaying the overestimation by a factor of approximately 1.09. Both simulation and experimental data fell within the same range, with a relative deviation of 7.7%. Additionally, the influence of various parameters, such as receptor position in the room, wall, and floor thicknesses, wall cover, and building material bulk density, on the annual effective dose due to radon inhalation in the room was evaluated. Geant4 Monte Carlo toolkit proved to be a reliable tool for radon modeling in real exposure situations.

Repeated radon exposure induced ATM kinase-mediated DNA damage response and protective autophagy in mice and human bronchial epithelial cells

OBJECTIVE

Radon ( 222 Rn) is a naturally occurring radioactive gas that has been closely linked with the development of lung cancer. In this study, we investigated the radon-induced DNA strand breaks, a critical event in lung carcinogenesis, and the corresponding DNA damage response (DDR) in mice and human bronchial epithelial (BEAS-2B) cells.

METHODS

Biomarkers of DNA double-strand breaks (DSBs), DNA repair response to DSBs, ataxia-telangiectasia mutated (ATM) kinase, autophagy, and a cell apoptosis signaling pathway as well as cell-cycle arrest and the rate of apoptosis were determined in mouse lung and BEAS-2B cells after radon exposure.

RESULTS

Repeated radon exposure induced DSBs indicated by the increasing expressions of γ-Histone 2AX (H2AX) protein and H2AX gene in a time and dose-dependent manner. Additionally, a panel of ATM-dependent repair cascades [i.e. non-homologous DNA end joining (NHEJ), cell-cycle arrest and the p38 mitogen activated protein kinase (p38MAPK)/Bax apoptosis signaling pathway] as well as the autophagy process were activated. Inhibition of autophagy by 3-methyladenine pre-treatment partially reversed the expression of NHEJ-related genes induced by radon exposure in BEAS-2B cells.

CONCLUSIONS

The findings demonstrated that long-term exposure to radon gas induced DNA lesions in the form of DSBs and a series of ATM-dependent DDR pathways. Activation of the ATM-mediated autophagy may provide a protective and pro-survival effect on radon-induced DSBs.

Characteristics and radiological hazard assessment of 210Po in tilapia (Oreochromis niloticus) in Vietnam

210Po is one of the most toxic natural radionuclides. This isotope's characteristics and radiological hazard assessment have been concerned in different objects. In this study, the 210Po activities were determined in different tilapia organs/parts of 20 sample groups by alpha spectrometry. The 210Po activities in muscle, bone, intestine organs, and stomach contents unevenly distributed with a wide range from 0.5 ± 0.2 to 2.8 ± 0.4 and 1.4 ± 0.2 Bq·kg-1 wet.wt on average, from 0.6 ± 0.3 to 6.3 ± 0.7 and 3.5 ± 0.4 Bq·kg-1 wet.wt on average, from 46.3 ± 2.9 to 263 ± 9.7 and 115 ± 6 Bq·kg-1 wet.wt on average, and 20.9 ± 1.2 to 800 ± 29 and 197 ± 9 Bq·kg-1 wet.wt on average, respectively. The average 210Po activities in different parts of tilapia trend in order of CMuscle < CBone < CIntestine < CStomach contents. Insignificant correlations were observed between 210Po activities in tilapia organs with their total fish mass. The result could depend on feeding types, diet, different nutrient levels, metabolism, and excretion of 210Po in different ages. The concentration ratios (CRs) of tilapia muscle and bone organs were recorded with low values, while it was far greater than the CRs for the intestine organ. Annual committed effective doses contributing from 210Po concentration due to tilapia fish consumption were within the allowable limits for muscle and bone organs, while those values for intestine organs were far higher than the allowable limit value (assuming similar amount consumption of 30 kg·year-1 for each organ). The Erica tool was used to estimate the dose and risk to tilapia from 210Po exposure. Based on the calculated results, it can be seen that there was insignificant concern for tilapia due to ionizing radiation in the study area.

Radon and lung cancer: Current status and future prospects

Beyond tobacco smoking, radon takes its place as the second most significant contributor to lung cancer, excluding hereditary and other biologically related factors. Radon and its byproducts play a pivotal role in exposing humans to elevated levels of natural radiation. Approximately 10-20 % of lung cancer cases worldwide can be attributed to radon exposure, leading to between 3 % and 20 % of all lung cancer-related deaths. Nevertheless, a knowledge gap persists regarding the association between radon and lung cancer, impeding radon risk reduction initiatives globally. This review presents a comprehensive overview of the current state of research in epidemiology, cell biology, dosimetry, and risk modeling concerning radon exposure and its relevance to lung cancer. It also delves into methods for measuring radon concentrations, monitoring radon risk zones, and identifying priorities for future research.

Health risk assessment of heavy metal pollutants in Iranian hen eggs: a systematic review and meta-analysis

Eggs are a high-quality, nutrient-dense source of protein that is available at a relatively low price and the contamination of eggs by heavy metals is an important issue in public health. This review aimed to assess the risk of heavy metal pollutants in Iranian hen eggs. Original full-text available studies in Iran, detecting levels of Pb, Cd, As, and Hg in whole or part of the egg, and published between January 2000 and March 2023 were selected based on the inclusion criteria. The random-effect model was used to estimate the pooled concentrations of Pb, Cd, As, and Hg in Iranian eggs in meta-analysis. The incremental lifetime cancer risk (ILCR) and the target hazard quotient (THQ) were estimated by both calculation and Monte Carlo simulations to determine the carcinogenic and non-carcinogenic risk of egg consumption, respectively. The pooled concentrations of heavy metals in Iranian hen eggs from nine articles (11 datasets: 10 studies on Pb, 7 on Cd, and 5 on As and Hg concentrations) were Pb 0.29 (95% CI 0.20-0.39) mg kg-1, Cd 0.04 (95% CI 0.03-0.06) mg kg-1, As 0.05 (95% CI 0.03-0.07) mg kg-1, and Hg 0.03 (95% CI 0.02-0.04) mg kg-1. THQ did not show the non-carcinogenic risk; however, the ILCR for Pb concentration showed the threshold carcinogenic risk (mean ILCR = 8.94e - 4 and 9.0E - 4 by calculation and Monte Carlo simulations, respectively), with the greater risk for Cd (mean ILCR = 2.02e - 2). The carcinogenic risk of Pb and Cd concentration in Iranian hen eggs shows the urgent need for programs and policies to lower the risk for consumers by providing healthier feeding.

Radiological hazard assessment of 210Po in freshwater mussels (Sinanodonta jourdyi) and golden apple snail (Pomacea canaliculata) in Vietnam

210Po is a significant source of ionizing radiation that people are exposed to through food globally. This paper presents the wide range of accumulation level of 210Po in the organs of two species of shellfish including freshwater mussel (Sinanodonta jourdyi) and golden apple snail (Pomacea canaliculata), common freshwater species in Vietnam. There was a significant correlation between 210Po activity in muscle to their mass and size of freshwater mussels. In contrast, there was no relation between other organs of both species with their mass and size. The annual effective dose due to consumption of freshwater mussels ranged from 68.7 to 291 μSv year-1 with a mean value of 138 μSv year-1 for muscle and from 321 to 4560 μSv year-1 with a mean value of 1422 μSv year-1 for the hepatopancreas. Meanwhile, the AED for golden apple snail was recorded to be higher with values ranging from 105 to 2189 μSv year-1 with mean value of 673 μSv year-1 for muscle and from 468 to 4155 μSv year-1 with a mean value of 2332 μSv year-1 for hepatopancreas. Thus, the consumption of these two types of shellfish is considered relatively safe, but the hepatopancreas gland must be removed before processing.

Analysis of radon concentrations in drinking water in coastal regions of Karnataka, South India

The measurements of radon activity in water samples from several parts of Karnataka were studied. Drinking water quality is a routine tool in health and environmental research. Radon exposure puts the entire public at risk for radiological damage through inhalation and ingestion. Radon concentrations were measured using the emanometry technique. Estimated 222Rn activity concentration in water has been found to vary from 2.05 to 28.02 Bq l-1 with an average value of 7.38 Bq l-1. For all samples under study, the total average annual effective doses are much less than the safe limit of 100 μSv y-1.

A systematic review and meta-analysis of radon risk exposure from drinking water resources in Nigeria

Elevated radon concentrations in drinking water pose an increased risk of cancer among nonsmokers. A Monte-Carlo Simulation was employed to assess the effective dose and cancer risk associated with radon exposure in humans, utilizing a systematic review and meta-analysis of related studies. These studies were sourced from databases including PubMed, Web of Science, Scopus, Science Direct, and Google Scholar, focusing on drinking water from Nigeria's six geopolitical zones. The random effects models revealed a 222Rn concentration in drinking water of Nigeria at 25.01, with 95% confidence intervals (CI) of 7.62 and 82.09, indicating significant heterogeneity of (I2 = 100%; p < 0.001). The probabilistic risk of effective dose revealed a best-scenario (P 5%) at Kundiga and Magiro that exceeded the World Health Organization's (WHO) recommended effective dose limit of 200 µSv/y. Conversely, the worst-case scenario (P 95%) indicated concentrations surpassing the recommended limit at Kundiga, Edbe, Magiro, Ekiti, and Abeokuta. Excess Life Cancer Risk for infants, children, and adults attributed to the ingestion and inhalation of radon from various drinking water sources exceeded the recommended values of 0.2 x 10-3 established by the International Commission on Radiological Protection (ICRP) and the United Nations Scientific Committee on the Effect of Atomic Radiation (UNSCEAR). It underscores the necessity for treating radon-polluted water, employing methos such as aeration and granular activated carbon (GAC) processes.

A systematic review and meta-analysis of pollutants in environmental media

Environmental pollutants are ubiquitous in our environmental media, resulting in detrimental impacts on both humans and the environment. An evidence-based review, particularly a systematic review and meta-analysis, performs a crucial function in assessing the pollution status of pollutants in environmental media at national and global scales. We selected and thoroughly investigated 76 papers focusing on systematic reviews and meta-analyses of contaminants in environmental media. The need to broaden the scope of studies was observed with an increase in the total number of publications, and there were greater focuses on food safety, water pollution, biological pollution, and environmental risks. Furthermore, this review outlined the fundamental procedures involved in a systematic review and meta-analysis, including literature searching, screening of articles, study quality analysis, data extraction and synthesis, and meta-analysis. A meta-analysis typically comprises fixed- and/or random-effects meta-analysis, identifying and measuring heterogeneity, sensitivity analysis, publication bias, subgroup analysis, and meta-regression. We specifically explored the application of meta-analysis to assess the presence of contaminants in environmental media based on two different pollutant categories, namely, non-biological and biological pollutants. The mean value is commonly utilized to assess the pooled concentration of non-biological pollutants, while the prevalence serves as the effect size of biological pollutants. Additionally, we summarized the innovative applications, frequent misuses, and problems encountered in systematic reviews and meta-analyses. Finally, we proposed several suggestions for future research endeavors.

Radon measurement and age-independent effective dose attributed to ingestion of bottled water in Iran: sensitivity analysis

A comprehensive study was made to measure the radon concentration in bottled water available in Iran market. The 222Rn concentration in 70 bottled water samples were measured by the sniffing mode technique and RTM 1688-2 (SARAD, Germany) in immediate sampling time and 3 months later for determination of radon decay. The measured radon concentration ranged from 0.003 to 0.618 Bq L-1 in bottled water samples, which were much lower than the recommended value for radon in drinking water by WHO (100 Bq L-1) and United states environmental protection agency (USEPA) (11.1 Bq L-1). The annual effective dose of 222Rn due to ingestion bottled water was also evaluated in this research. The mean annual effective dose due to ingestion of radon in bottled water for adults, children, and infants were estimated to vary from 5.30 × 10-4 mSv-1, 4.90 × 10-4 mSv-1, and 2.15 × 10-4 mSv-1, respectively. Overall, this study indicated that the Iranian people receive no significant radiological risk due to exposure to radon concentration in bottled water brands common consumed in Iranian market.

Consumer health risk assessment of Arsenic and Mercury in hen eggs through Monte Carlo simulations

BACKGROUND

This study was conducted to assess the concentration of heavy metals (arsenic and mercury) and estimate the probability that consumption of hen egg products collected in Iran has carcinogenic or non-carcinogenic consequences.

METHODS

A total of eighty-four hen eggs from 21 major brands were randomly selected from among thirty local supermarkets in two seasons (winter (January) and summer (August) 2022). Arsenic (As) and Mercury (Hg) was determined by using ICP-MS. The human health risk assessment refers to the formulation of the USEPA standard focused on Estimated Daily Intake (EDI), International Lifetime Cancer Risk (ILCR), Target Hazard Quotient (THQ), and Monte Carlo simulation (MCS) as a probabilistic method. Data analysis was carried out using the statistical software SPSS. Differences in mean concentrations of As and Hg in two seasons were tested by paired t-test.

RESULTS

Over two seasons, the average As and Hg concentrations in hen eggs were 0.79 and 0.18 µg.kg^-1, respectively. Seasonal difference in As concentration (p = 0.451) was not significant, whereas that of Hg concentration (p < 0.001) was significant. The calculated value of EDI was 0.29 µg As/day and 0.06 µg Hg/day. The EWI in the maximum scenario of as level in hen eggs was estimated to be 8.71 µg As and 1.89 µg Hg/month for Iranian adults. THQ's mean for As and Hg in adults was determined to be 0.00385 and 0.00066, respectively. In addition, ILCRs by MCS for As were 4.35E-4.

CONCLUSION

In total, the result indicates that there was not a significant risk of developing cancer; the calculation of THQ was still below the accepted level of 1, indicating that there was no risk while, according to most regulatory programs (ILCR > 10^- 4) shows a threshold carcinogenic risk of arsenic through consuming in hen eggs. Therefore, policymakers need to be aware that it is prohibited to establish chicken farms in heavily polluted urban areas. It is essential to regularly conduct examinations to measure the presence of heavy metals in both ground waters used for agriculture and the feed provided to chickens. Additionally, it is advisable to focus on raising public awareness about the importance of maintaining a healthy diet.

Appraisal of surface-groundwater anthropogenic indicators and associated human health risk in El Sharqia Governorate, Egypt

The aim of this study was to integrate hydrogeochemistry with a multivariate statistical approach to understand the various processes that control the evolution/contamination of water resources in El Sharqia Governorate, Egypt with a particular emphasis on direct/indirect risks to human health. To achieve this, a representative collection of 21 groundwater and 35 drainage samples was taken and examined for physical, chemical, and trace element measurements. Results indicated that in shallow groundwater and drainage water samples, the relative abundance of major cations is Na⁺ > Mg²⁺ > Ca²⁺ > K⁺, and for anions it is HCO₃^- > Cl^- > SO₄^2- (on a molar basis). Natural processes involving the dissolution/precipitation of some minerals and other processes including leaching of solid waste, overuse of agricultural fertilizers application, and high loads of discharged sewage water are responsible for the evolution of water resources in El Sharqia Governorate. Ammonia, nitrate, biological oxygen demand (BOD), phosphate, turbidity, iron, manganese, lead, and aluminum concentrations were found to be higher than the limits set by internatio2nal drinking water regulations. The health risk index (HRI) values for children were found to be higher than those for adults when the water resources are used for drinking purposes, which poses a risk to human health.

Application of Monte Carlo simulation for carcinogenic and non-carcinogenic risks assessment through multi-exposure pathways of heavy metals of river water and sediment, India

Heavy metal contamination has severe detrimental impacts on the entire river ecosystem's quality and causes potential risks to human health. An integrated approach comprising deterministic and probabilistic (Monte Carlo simulation) models with sensitivity analysis was adopted to determine heavy metals' chronic daily intake (CDI) and their associated health risks from the riverine ecosystem. Both carcinogenic and non-carcinogenic risks of water and sediment were estimated through multi-exposure pathways. The analytical results indicated that the concentration patterns of heavy metals in sediment (Fe > Mn > Sr > Zn > Cr > Cu > Cd) were slightly different and higher than in water (Fe > Zn > Cr > Sr > Mn > Cu > Cd). The potential carcinogenic risks of Cr and Cd in sediment (5.06E-02, 5.98E-04) were significantly (p < 0.05) higher than in water (9.08E-04, 8.97E-05). Moreover, 95th percentile values of total cancer risk (TCR) for sediment (1.80E-02, 3.37E-02) were about 22 and 143 times higher than those of water (8.10E-04, 2.36E-04) for adults and children, respectively. The analysis of non-carcinogenic risk revealed a significantly higher overall hazard index (OHI) for both sediment (adults: 1.26E+02, children: 1.11E+03) and water (adults: 3.26E+00, children: 9.85E+00) than the USEPA guidelines (OHI ≤ 1). The sensitivity analysis identified that the concentration of heavy metals was the most influencing input factor in health risk assessment. Based on the reasonable maximum exposure estimate (RME), the study will be advantageous for researchers, scientists, policymakers, and regulatory authorities to predict and manage human health risks.

Risk assessment of lead and cadmium concentrations in hen's eggs using Monte Carlo simulations

The hen egg is one of the main sources of cheap, great quality, and nutritious food. This study aimed at determining the level of lead (Pb) and cadmium (Cd) in hen eggs and at assessing the carcinogenic and non-carcinogenic risks caused by the consumption of hen eggs collected in Iran. A total of 42 hen eggs from 17 major brands were randomly sampled from supermarkets. Lead and cadmium concentrations were determined by using inductively coupled plasma mass spectrometry (ICP-MS). Additionally, using the Monte Carlo simulation (MCS) method to calculate dietary exposure, target hazard quotient (THQ), and incremental lifetime cancer risk (ILCR), the related human health risk associated with ingesting these hazardous metals for adults was evaluated. The average Pb and Cd concentrations in whole eggs were 7.16 ± 0.248, and 2.83 ± 0.151 μg kg-1, respectively, which were less than the maximum permitted levels, established by FAO/WHO and the Institute of Standards and Industrial Research of Iran (ISIRI). Pb and Cd concentrations were significantly correlated at the 0.05 level (r = 0.350). Regarding the levels of Pb and Cd in eggs, overall, the estimated weekly intake (EWI) of these metals for adults by egg consumption was determined 0.014 and 0.007 mg/week, respectively, which were lower than the risk values suggested. The carcinogenic and non-carcinogenic indexes of Cd and Pb indicated that the adult population in Iran was safe (THQ Pb and Cd <1, ILCR <10-6 Pb). It should be emphasized that this research primarily focuses on egg consumption, which may account for a relatively small portion of Iranian consumers' overall exposure to Pb and Cd. Therefore, a comprehensive study on the risk assessment of these metals through whole-diet foods is recommended. The findings showed that lead and cadmium levels in all evaluated eggs were suitable for human consumption. Adults' Pb and Cd exposure from eating eggs was significantly lower than the risk levels established by Joint FAO/WHO Expert Committee on Food Additives (JECFA), per the exposure assessment. According to the THQ values of these dangerous metals, which were below one value, egg eating by Iranian consumers does not present a non-carcinogenic risk. In addition, this finding provides accurate and reliable information for policymakers to improve food safety status to reduce public health hazards.

Health risk assessment of metal(loid)s for land application of domestic sewage sludge in city of Bursa, Türkiye

This study aims to determine the potential health risks (Carcinogenic and non-carcinogenic) of metal(loid)s in sewage sludge samples for agricultural purposes. For this purpose, sewage sludge was collected annually from a domestic wastewater treatment plant, and metal(loid)s were determined by ICP-MS. Metal(loid)s concentration in sludge samples was within the legal standards. No statically significant seasonal variation of metal(loid)s were observed. The total cancer risk and the hazard index (HI) of metal(loid)s through ingestion, dermal, and inhalation exposure from sewage sludge samples were estimated. The main risk contributor to metal(loid)s were Pb, Zn, and Ni. The average HI values were 0.75 (child) and 0.09 (adult). The total carcinogenic risk (TCR) for child and adult was found to be 3.43 × 10^-5 and 2.31 × 10^-5, respectively. EPA risk assessment model and Monte Carlo Simulation were used to estimate probability and sensitivity distributions for carcinogenic and non-carcinogenic risks. Sensitivity analysis showed that metal(loid)s concentration, exposure duration, exposure frequency, and body weight significantly affect total health risk. The sewage sludge can be applied safely in agriculture due to no important carcinogenic and non-carcinogenic risk for child and adult.

A comprehensive systematic review and health risk assessment of potentially toxic element intakes via fish consumption in Iran

Risk assessment of heavy metals is critical in controlling and preventing risks of foodborne diseases. Fish can be used as bioindicators for exposure to potential toxic elements (PTEs), which can represent potential risks for humans. The long Iranian coastline and three major fishery regions in the country, including the northern (Caspian Sea) and southern (Persian Gulf and Gulf of Oman) seas as well as inland waters and aquacultures (rivers, dams, wetlands and fish farms) have made Iran a large producer of fish. In the first step of the present study, data collection and report of PTEs in fish from the three fishery regions (2010-2022) were carried out. In the second step, health risks were assessed using Monte Carlo simulation in child and adult consumers. The average concentrations of Cd, Hg and Pb for the northern sea, southern sea, and inland waters and aquacultures were 0.273, 0.249, 1.077; 0.430, 0.423, 1.182; and 1.387, 0.232, 1.703 μg/g per dry weight, respectively. Based on the target hazard quotient results, Hg intake of Iranian children from all the three fishery regions was more than 1, which was alarming. In the adult age group, southern sea fish consumers were at risk of Hg adverse health effects. Moreover, Cd included the highest carcinogenic risk of toxic elements in fish from the three fishery regions of Iran. Estimation of THQ, HI, ILCR and EDI revealed that consumption of fish might induce health complexities for the consumers in Iran. Moreover, Iranians from northern and southern regions of the country consumed further seafood due to the availability of high seafood sources in these regions. Hence, various indices must be used for the risk assessment of general human health. Due to the high risks of carcinogenicity/non-carcinogenicity estimated in the risk assessment, consumption of fish by infants and pregnant women must critically be assessed.

Thyroid Carcinoma: A Review for 25 Years of Environmental Risk Factors Studies

Environmental factors are established contributors to thyroid carcinomas. Due to their known ability to cause cancer, exposure to several organic and inorganic chemical toxicants and radiation from nuclear weapons, fallout, or medical radiation poses a threat to global public health. Halogenated substances like organochlorines and pesticides can interfere with thyroid function. Like phthalates and bisphenolates, polychlorinated biphenyls and their metabolites, along with polybrominated diethyl ethers, impact thyroid hormones biosynthesis, transport, binding to target organs, and impair thyroid function. A deeper understanding of environmental exposure is crucial for managing and preventing thyroid cancer. This review aims to investigate the relationship between environmental factors and the development of thyroid cancer.

Presence of toxic metals in rice with human health hazards in Tangail district of Bangladesh

Rice is the staple food of Bangladeshi people and is consumed at least twice a day. Thus, the presence of toxic metals in rice grains has become a major public health concern in Bangladesh. The present research was conducted to investigate the concentrations of toxic metals in rice grains and their possible human health risks in the Tangail district of Bangladesh. Toxic metals were measured by using an inductively coupled plasma mass spectrometer (ICP-MS), and the mean concentrations of toxic metals in rice samples were found in order of Cr > Pb > Ni > As > Cu > Cd. The concentrations of Cr, Pb, As, and Cd in the studied rice grain samples exceeded the FAO/WHO standard values for food samples by 100%, whereas the Ni concentrations by 10%. The principal component analysis (PCA) revealed significant anthropogenic contributions of Cr, Ni, As, and Pb concentrations in rice grains. The metal concentrations in rice grain samples showed strong significant correlations by forming primary clusters with each other. The estimated daily intake (EDI) values of Cr, Ni, As, Cd, and Pb from all samples were higher than the maximum tolerable daily intake (MTDI) allowed. The total targeted hazard quotient (TTHQ) values of Cu, Ni, As, Cd, and Pb also exceeded the threshold value of 1.00, indicating a potential non-carcinogenic risk. The estimated target carcinogenic risk of As was higher than the USEPA threshold level 10^-4 (0.0001) indicating increased risk of cancer for adults and children in the study area.

The concentration of potentially hazardous elements (PHEs) in drinking water and non-carcinogenic risk assessment: A case study in Bandar Abbas, Iran

In this study, concentration of potentially hazardous elements (PHEs) including slice (Si), strontium (Sr), aluminum (Al), Fluoride (F), Iron (Fe), Zinc (Zn), Barium (Ba), Lead (Pb), Lithium (Li), Vanadium (V), selenium (Se), Chrome (Cr), Arsenic (As) and Uranium (U) in tap drinking water (n = 40) and filtration plant (n = 22) in Bandar Abbas city between March to July 2020 were analyzed. Analysis of PHEs ions was conducted by inductively coupled plasma mass spectrometry (ICP-MS). Also, concentration of F was measured by SPADNS Method. The non-carcinogenic risk in the exposed population (adult and children) were estimated. Concentration of PHEs between tap drinking water and filtration plant was compared using T statistical test. In addition, association among PHEs in tap drinking water and water filtration plant using Pearson correlation coefficient. The rank order of PHEs in tap drinking water was Si (6356.25 μg/l) > Sr (3980 μg/l) > Al (115.42 μg/l) > Fe (30.00 μg/l) > Zn (14.59 μg/l) > Ba (13.91 μg/l) > Pb (13.01 μg/l) > Li (11.60 μg/l) > V (4.43 μg/l) > Se (4.17 μg/l) > Cr (2.51 μg/l) > As (2.00 μg/l) > U (0.65 μg/l) > F (0.31 μg/l) and also in filtration plant was Si (1825.00 μg/l) > Sr (539.00 μg/l) > Fe (45.00 μg/l) > Al (26.00 μg/l) > Zn (8.08 μg/l) > Ba (2.24 μg/l) > Se (1.36 μg/l)> Pb(1.28 μg/l) > Li (1.26 μg/l) > Cr (1.17 μg/l) > F (0.66 μg/l) > V (0.61 μg/l) > As (LOD < ) ~ U (LOD <). The most of PHEs in tap drinking water was considerable different with filtration plant (p value < 0.05) therefore the chemical quality of tap drinking water should be more attention. The results of non-carcinogenic risk assessment revealed that TTHQ in the adults and children due to drinking tap water content of PHEs was 2.59E-3 and 6.05E-3 and filtration plant was 8.88E-04 and 2.07E-03, respectively. Therefore, TTHQ in adults and children was lower than 1; therefore, consumers are in the safe range due to drinking tap water and water filtration plant content of PHEs.

Evaluation of Health Risk after Nitrate Exposure in Drinking Water in the Al Duliel Area, Jordan

&lt;b&gt;Background and Objective:&lt;/b&gt; Jordan's drinking water scarcity is desperately needed and it plays a critical role in improving safe drinking water quality, which is critical for nutritious and clean drinking water quality, which is a vital component of good public health. Recognize the potential risk of repeated exposure to high nitrate concentrations in drinking water in the A Duliel area and measure the impact on local communities' human health. &lt;b&gt;Materials and Methods:&lt;/b&gt; In 2016, samples of groundwater were taken. With a mean value of 44.4 mg L&lt;sup&gt;1&lt;/sup&gt;, nitrate concentrations ranged from 10-81.0 mg L&lt;sup&gt;1&lt;/sup&gt;. &lt;b&gt;Results:&lt;/b&gt; The findings showed that human activities, especially the extensive use of chemical fertilizers in agriculture, could be attributed to high NO&lt;sub&gt;3&lt;/sub&gt; concentrations. To assess the possible risk to human health, Chronic Daily Intake (CDI) and Hazard Quotient (HQ) has been assessed. In the classes considered, infants tended to be at a greater risk than children and adults. Furthermore, the findings showed that in most of the groundwater considered, the health of people from nitrate contamination was not adequate and was also at risk from known concentrations of nitrate. &lt;b&gt;Conclusion:&lt;/b&gt; Appropriate steps to improve groundwater protection and to better track and control stable sources of nitrate emissions are also important.

The concentration of potentially hazardous elements (PHEs) in the muscle of blue crabs (Callinectes sapidus) and associated health risk

In this study, the concentration of potentially hazardous elements (PHEs) in the muscle of Blue crabs (Callinectes sapidus) from the Strait of Hormuz was analyzed and following the health risk in the consumers by uncertainty and sensitivity analysis in the Monte Carlo simulation (MCS) technique was estimated. Fifty-eight blue card samples (male blue crabs = 33 samples; female blue crabs = 25 samples) were collected in the Strait of Hormuz from May to September 2020 for analysis of Nickel (Ni), Lead (Pb), Cadmium (Cd), and Iron (Fe) using Flame Absorption Spectrometer (FAAS). The order of PHEs in the in muscle male blue crabs was Fe (414.37 ± 288.07 μg/kg.ww) > Pb (238.78 ± 87.83 μg/kg.ww) > Ni (92.57 ± 39.72 μg/kg.ww) > Cd (52.73 ± 18.39 μg/kg.ww) and in female blue crabs Fe (461.16 ± 320.56 μg/kg.ww) > Pb (230.79 ± 125.59 μg/kg.ww) > Ni (84.13 ± 46.07 μg/kg.ww) > Cd (67.412 ± 43.93 μg/kg.ww). The concentration of PHEs muscle of male blue crabs and female blue crabs was not significantly different (P-value > 0.05). Uncertainty of non-carcinogenic risk revealed that P95% of total target hazard quotient (TTHQ) in the adult and children consumers due to ingestion male blue crabs was 5.30E-3 and 1.08E-3, respectively, and P95% of TTHQ in the adult and children due to ingestion female blue crabs was 7.05E-3 and 1.20E-3, respectively. P95% of TTHQ in both adult and children consumers was lower than one value. Therefore, consumers are at the acceptable range of the non-carcinogenic risk due to ingestion muscle of male and female blue crabs in Bandar Abbas. Although the non-carcinogenic risk of blue crab was in the safe range, due to the increase in its consumption and the increase of pollution sources in the Persian Gulf, it is recommended to monitor PHEs in Blue's muscle crabs.

Investigation of Radon Sources, Health Hazard and Risks assessment for children using analytical and geospatial techniques in District Bannu (Pakistan)

PURPOSE

Radon (Rn) is a radioactive, odorless, and colorless gas which has a half-life of 3.83 days. One of the main sources of Rn which is directly consumed by the population is Groundwater (Tube well, Bore well, Hand pump). Rn gas is found naturally in rock, soil and water and can be considered as main health risk factor in terms of lung cancer, stomach diseases, leukemia and childhood cancer. The objective of this study was to determine the concentration of Rn in the drinking water sources, appraisal of health risk for children in District Bannu, Pakistan.

MATERIAL AND METHOD

Total of 98 drinking water samples were analyzed by using RAD-7 detector. The experimental data was statistically analyzed by using Pearson's test. The experimental and epidemiological data of the study area are shown on map using ArcGIS version 10.5.

RESULTS

The analytical results show that Rn in drinking water was found varying from 10.1 Bq/l to 53.1 Bq/l with the average highest and lowest depth of 60 ft to 550 ft respectively. Pearson's test was used to show the concentration of Rn verses the depth of the water sources so +1 positive linear correlation was observed among the depth of water sources and the concentration of Rn. Out of 98 drinking water samples 40 sample were above the maximum contaminant level of 11.1 Bq/l (MCL) set by WHO, 2002. The effective doses (AED and DE_ing) for children ranges from 0.00001 to 3.792 mSv/y which exceeds the Permissible Exposure Limit (PEL) of Rn (0.1mSv/y) in 30 drinking water samples . On the basis of analytical results Rn high concentration areas are shown on the map using IDW model of interpolation and health risks were shown in areas where Rn content was above the maximum contaminant level. High correlations of diseases related to Rn were observed amongst the residence of the study area. Gastrointestinal diseases, brain tumor, lung cancer and kidney diseases were observed among the children of the study area.

CONCLUSION

From the overall analysis it was observed that high Rn concentration in drinking water may cause substantial health damage in children after long term exposure.

Impact of the environment on the health: From theory to practice

The Erice 56 Charter titled "Impact of the environment on the health: from theory to practice" was unanimously approved at the end of the 56th course of the "International School of Epidemiology and Preventive Medicine G. D'Alessandro" held from 3rd to November 7, 2019 in Erice - Sicily (Italy) and promoted by the Study Group of "Environment and Health" of the Italian Society of Hygiene, Preventive Medicine and Public Health. The course, that included lectures, open discussions and guided working groups, was aimed to provide a general training on epidemiological and toxicological aspects of the environmental health impact, to be used by public health professionals for risk assessment, without forgetting the risk communications. At the end of the course 12 key points were agreed among teachers and students: they underlined the need of specific training and research, in the perspective of "One Health" and "Global Health", also facing emerging scientific and methodological issues and focusing on communication towards stakeholders. This Discussion highlight the need to improve knowledge of Health and Environment topic in all sectors of health and environmental prevention and management.

The concentration and probabilistic risk assessment of potentially toxic elements in fillets of silver pomfret (Pampus argenteus): A global systematic review and meta-analysis

The contamination of fish type products such as silver pomfret fish fillets by potentially toxic elements (PTEs) has raised global health concerns. Related studies regarding the concentration of PTEs in fillets of silver pomfret fish were retrieved among some international databases such as Scopus, PubMed and Embase between 1 January 1983 and 10 March 2020. The pooled (mean) concentration of PTEs in fillets of silver pomfret fish was meta-analyzed with the aid of a random-effect model (REM). Also, the non-carcinogenic risk was estimated via calculating the 95th percentile of the total target hazard quotient (TTHQ). The meta-analysis of 21 articles (containing 25 studies or data reports) indicated that the ranking of PTEs in fillets of silver pomfret fish was Fe (11,414.81 µg/kg wet weight, ww) > Zn (6055.72 µg/kg ww) > Cr (1825.79 µg/kg ww) > Pb (1486.44 µg/kg ww) > Se (1053.47 µg/kg ww) > Cd (992.50 µg/kg ww) > Ni (745.23 µg/kg ww) > Cu (669.71 µg/kg ww) > total As (408.24 µg/kg ww) > Co (87.03 µg/kg ww) > methyl Hg (46.58 µg/kg ww). The rank order of health risk assessment by country based on the TTHQ for adult consumers was Malaysia (2.500) > Bangladesh (0.886) > Iran (0.144) > China (0.045) > Pakistan (0.020) > India (0.015), while the corresponding values for child consumers was Malaysia (11.790) > Bangladesh (4.146) > Iran (0.675) > China (0.206) > Pakistan (0.096) > India (0.077). The adult consumers in Malaysia and children in Malaysia and Bangladesh were at considerable non-carcinogenic risk. Therefore, following the recommended control plans in order to reduce the health risk associated with the ingestion of PTEs via consumption of silver pomfret fish fillets is crucial.

Acrylamide content of collected food products from Tehran's market: a risk assessment study

Acrylamide concentration in food products collected from the Tehran market was investigated by the aid of a dispersive liquid-liquid microextraction (DLLME) system coupled with gas chromatography-mass spectrometry (GC-MS). Also, the dietary exposure distribution and related potential risk for acrylamide ingestion were estimated by the Monte Carlo simulation (MCS). The highest and lowest mean concentration of acrylamide was detected in coffee and roasted nuts samples as 549 and 133 μg/kg, respectively. The mean acrylamide dietary exposure values for children (3-10 years), adolescents (11-17 years), adults (18-60 years), and seniors (61-96 years) were estimated to be 1.81, 1.02, 0.61, and 0.53 μg/kg body weight (BW)/day, respectively. In all age groups, except children, the estimated exposure in men and boys was higher than that in women and girls. Bread, despite containing low acrylamide content groups (157 μg/kg while compared with other, except roasted nuts), showed with the highest contribution rate in all age groups due to its high consumption rate. The estimated incremental lifetime cancer risk (ILCR) for all age groups was noted as greater than 10^-4 indicating serious risk to the population. Moreover, the margin of exposure (MOE) values based on carcinogenicity showed health concern to all age groups (< 10,000). Regarding the non-carcinogenic risk, the target hazard quotient (THQ) was lower than 1, and MOE based on neurotoxicity was higher than 125 (safety thresholds), which represented negligible and ignorable risk in all age groups except in a small group of children and adolescents. Graphical abstract.

Assessment of human health risks and pollution index for heavy metals in farmlands irrigated by effluents of stabilization ponds

Areas contaminated with heavy metals can pose major risks to human health and ecological environments. The aims of this study are to assess human health risk and pollution index for heavy metals in agricultural soils irrigated by effluents of stabilization ponds in Birjand, Iran. The results revealed that the levels of Cr, Mn, Zn, Fe, Cu, Cd, and Pb were in range of 70.3-149.65, 355-570, 31.15-98.45, 23,925-29,140, 22.75-25.95, 0.17-6.51, and 8.5-23.5 mg/kg in topsoils, respectively. Total hazard index values from heavy metals through three exposure routes for adults and children were 9.13E-01 and 1.10, respectively, indicating that there was non-carcinogenic risk for children. The total risk of carcinogenic metals (Cr, Cd, and Pb) through the three exposure routes for adults and children was 1.06E-04 and 9.76E-04, respectively, which indicates that the metals in the soil will not induce carcinogenic risks to these age groups. Pollution levels of heavy metals in soil samples including enrichment factor (EF), contamination factor (CF), pollution load index (PLI), and geo-accumulation index (I_geo) showed heavy metal contamination of agricultural soils. The results of the present study provide basic information about heavy metal contamination control and human health risk assessment management in the study area.

Health Risks in Different Age Group of Nitrate in Spring Water Used for Drinking in Harnai, Balochistan, Pakistan

This study aims to determine the nitrate exposure and their health assessment in spring water used for drinking in Harnai. Total 24 water samples were collected from four springs used for drinking. Three samples from starting point and three from the end point of each spring were collected. DR/890 multi-parameter portable calorimeter was used for the measurement of nitrate. The concentration of nitrate was ranged from 0.1 to 1.1 mg/l with an average of 0.389 mg/l. The results show that the concentration of nitrate in spring water is 93%, and 99% less than permissible limits recommended by Pakistan Standards & Quality Control Authority (PSQCA) and World Health Organization (WHO), respectively. The values of physiochemical parameters like potential of Hydrogen (pH), Electrical Conductivity (EC) and Total Dissolved Solid (TDS) were ranged from 7.8 to 8.3, 564 to 749 µS/cm, and 36 to 479 mg/l with average values 8.025, 630.5 µS/cm, and 403.5 mg/l, respectively. The calculated mean chronic daily intake (CDI) in three age groups was found 0.01, 0.02, and 0.03 in adults, children, and infants, respectively. Hence, it is concluded that spring water used for drinking in Harnai was considered safe and do not pose any health hazards associated with nitrate.

Radiological health risk assessment of drinking water and soil dust from Gauteng and North West Provinces, in South Africa

Long-lived natural radionuclides such as (²³⁸U) uranium-238, (²³²Th) thorium-232, (²²⁶Ra) radium-226 and (⁴⁰K) potassium-40 and heavy metals are normally exposed to the surface during mining activities. They enter the human body when inhaled (as dust) or ingested (by drinking contaminated water). An intake of large concentrations of these radionuclides and heavy metals can lead to health effects such as development of cancers. The aim of this work was to assess the radiological health risk due to intake of radionuclides in dust and drinking water from the West Rand gold mining area and Modiri Molema Municipality (MMM) water treatment plant. The dust samples were analyzed for radionuclides of interest using the well-type high purity Germanium detector. Water samples were collected before and after purification from the Modiri Molema Municipality water treatment plant and analyzed using the ultra-low level Liquid Scintillation Counter (LSC), to evaluate the gross alpha and beta radioactivity dose levels of the radionuclides in water. An Inductively Coupled Plasma Mass Spectrometry (ICP-MS) was used to evaluate the heavy metal concentrations in the drinking water after purification at the treatment plant. The total inhalation effective dose obtained in this study was (2.71 × 10⁻¹ and 1.31 × 10⁻¹) μSv.y⁻¹ for adults and infants respectively, which is below the prescribed dose range of 5–10 μSv.y⁻¹. The mean activity concentrations of the radionuclides in air dust were found to be; ²²⁶Ra, (2.14 ± 0.82) × 10⁻⁶ (Bq.m⁻³), ²³⁸U (6.08 ± 2.17) × 10⁻⁷ (Bq.m⁻³) and ²³²Th (2.65 ± 1.1) × 10⁻⁷ (Bq.m⁻³). The activity concentration of ²²⁶Ra obtained exceeded the world average by 2 times. The Ra_eq, the external hazard (H_ex) and internal hazard (H_in) indices were calculated and the values obtained from soil were lower than the world average. However, the absorbed dose rate in air was higher than the world averages of 60 nGyh^-1. The minimum and maximum gross alpha activity obtained was 0.0041 (Bq.L⁻¹) and 0.0053 (Bq.L⁻¹) respectively, while the minimum and maximum gross beta activity obtained for water samples was 0.0083 (Bq.L⁻¹) and 0.0105 (Bq.L⁻¹) respectively. More heavy metals were detected in the first two stages of the water treatment than on the last two stages, nevertheless, their concentrations did not exceed recommended limits. The results for soil dust indicates that the windward areas might pose health risks for human population staying in the area and the activity concentration for drinking water indicate that the specific activity in the water supply after purification is below the WHO guideline limit of 0.5 (Bq.L⁻¹) for gross alpha and 1 (Bq.L⁻¹) for gross beta. The results obtained were also within the range of the South Africa Department of Water Affairs and Forestry target water quality limit of (0–1.38) (Bq.L⁻¹) for gross beta activity. Heavy metals concentrations in drinking water did not exceed the stipulated limits by USEPA and DWAF. Therefore, this water after treatment is radiologically and toxicologically safe for the members of the public.

Reply for comment on "Exposure to microplastics (<10 μm) associated to plastic bottles mineral water consumption: The first quantitative study by Zuccarello et al. [Water Research 157 (2019) 365-371]"

Microplastics (MPs) are a threat to both the environment and human health. In the absence of an official method that would allow the analysis of all MPs with diameters less than 10 μm, it was not possible to estimate the exact exposure to these contaminants, yet. In the last years, few studies are available in literature with the first data concerning the concentrations of MPs on bottle mineral waters. Zuccarello et al. (2019) carried out an exposure assessment study where a high value of EDI (Estimated Daily Intake) has been reported. This rebuttal letter aims to reply to the comments of Oßmann et al. (2018) on the article of Zuccarello et al. (2019) about the new analytical method and both the use and the interpretation of Principal Component Analysis.

Ecological and health risk assessment of exposure to atmospheric heavy metals

In the present study, we assessed the concentration of airborne HMs (Zn, Cu, Pb, and Cd) and their probable sources using the bark of Pinus eldarica as a bio-indicator. Hence, 47 tree bark samples were harvested according to the land uses and biomonitoring techniques in the city of Yazd, Iran. The potential health risks in 13 age groups, ecological risk, as well as the possible relationship between HM concentrations and traffic indicators, were evaluated. The order of average HM concentrations in the P. eldarica bark samples was as Zn > Pb > Cu > Cd. The mean values of non-carcinogenic risks of all HMs in entire age groups were within secure range (HQ < 1); however, the carcinogenic risk of Cd was higher than the allowed level (TCR > 1 × 10^-6). About Pb, it was in the safe level. The main element causing potential ecological risks was Cd, indicating moderate to very high ecological risk in most of the study areas. There was an inverse significant association between distance from major roads and Pb concentration (β = -0.011 95% confidence interval (CI): 0.022, -0.0001). All HMs in bark samples render the negative Moran's index, representing a random spatial distribution pattern. Besides, according to principal component analysis (PCA), the first component accounted for 36.55% of the total variance, dominated by Cd, Pb, Cu, and Zn, respectively, and characterized by vehicle and industrial emissions. Our results infer that industrial activities and traffic are the main sources of HMs pollution in urban environments that should be considered by decision-makers.

Non-Carcinogenic Health Risk Assessment due to Fluoride Exposure from Tea Consumption in Iran Using Monte Carlo Simulation

Excessive intake of fluoride can cause adverse health effects. Consumption of tea as a popular drink could be a potential source of fluoride exposure to humans. This research aimed to evaluate the fluoride concentration in tea among the Iranian people using the available data in the literature and to assess the health risk related to the consumption of tea in men, women, and children. The health risk assessment was conducted using the chronic daily intake and hazard quotient according to the approach suggested by the Environmental Protection Agency. The fluoride content in published studies varied noticeably, ranging from 0.13 to 3.27 mg/L. The results revealed that the hazard quotient (HQ) in age groups of women (21-72 years) and children (0-11 years) was within the safe zone (HQ < 1) which showed that there was no potential of non-carcinogenic risk associated with drinking tea in these groups. However, in one case of the men (21-72 years), the HQ > 1 which shows a probable risk of fluorosis. The order of non-carcinogenic health risks in the studied groups was in the order of men > women > children. The results of this can be useful for organizations with the responsibility of human health promotion.

Efficacy of different citrus essential oils to inhibit the growth and B1 aflatoxin biosynthesis of Aspergillus flavus

Food contamination by aflatoxin B1 (AFB1), produced by mycotoxigenic strains of Aspergillus spp., causes severe medical and economic implications. Essential oils (EOs) are mixtures of eco-friendly natural volatile substances. Their ability to inhibit fungal growth has been investigated, while no data are available about their efficacy in inhibition of AFB1 biosynthesis. This study investigates the efficacy of five different citrus EOs to inhibit the growth and AFB1 synthesis of A. flavus through in vitro tests for a future application in food matrices. AFB1 detection was carried out by LC-ESI-TQD analytical approach. Lemon (Citrus limon (L.) Burm. f.), bergamot (Citrus bergamia Risso), and bitter orange (Citrus aurantium L.) EOs were the most effective causing a 97.88%, 97.04%, and 96.43% reduction in mycelial growth, respectively. Sweet orange and mandarin EOs showed the lowest percentage of mycelial growth reduction. Citrus EOs showed different capacity of AFB1 inhibition (lemon > bitter orange > bergamot > sweet orange > mandarin). Our results showed a dose-dependent antifungal activity of lemon, bitter orange, and bergamot EOs which at 2% (v/v) inhibited both mycelium growth and AFB1 genesis of A. flavus. Our results show that EOs' use can be a pivotal key to recovery and reuse of citrus fruit wastes and to be used as eco-friendly fungicides for improvement of food safety. The use of EOs obtained at low cost from the residues of citric industry presents an interesting option for improving the profitability of the agriculture.

Polycyclic aromatic hydrocarbons in infant formulae, follow-on formulae, and baby foods in Iran: An assessment of risk

Twenty-seven samples of infant formulae and follow-on formulae and fifteen samples of baby food from Iranian markets were analyzed for concentrations of four polycyclic aromatic hydrocarbons (PAH4) determined by use of gas chromatography coupled to mass spectrophotometry. An assessment of risks posed to infants and toddlers was conducted by calculating the margin of exposure and incremental lifetime cancer risk (ILCR) by use of the Monte Carlo Simulation Method. Benzo (a) anthracene, was not detected in any of the samples, while approximately 64.3% samples contained detectable amounts of benzo (a) pyrene, while chrysene was observed in three samples and benzo (b) fluoranthene was detected in one sample. One of the samples contained 1.43 μg PAH4/kg, which was greater than the maximum tolerable limit (MTL; 1 μg/kg) stated in Commission Regulation (EU) 2015/1125. Accordingly, the 95% ILCRs in the infants/toddlers due to ingestion of milk powder and baby foods were determined to be 1.3 × 10^-6 and 7.3 × 10^-7, respectively. Also, the 95th centiles of the MOEs, due to ingesting milk powder or baby foods by infants/toddlers were estimated to be 3.6 × 10⁴ and 7.2 × 10⁴, respectively. In Iran, infants and toddlers are not at serious health risk (MOE ≥ 1 × 10⁴ and ILCR < 1 × 10^-4).

Changes in masked forms of deoxynivalenol and their co-occurrence with culmorin in cereal-based products: A systematic review and meta-analysis

This study was aimed to evaluate the fate of D3G, 3-ADON, and 15-ADON during various processing steps (milling, fermentation, baking and cooking with water) of different cereal-based products, as well as the co-occurrence of culmorin (CUL) and its derivatives (15-Hydroxy-CUL and 5-Hydroxy-CUL. Some databases such as Science Direct, PubMed, Scopus, and Embase were screened to collect the relevant published papers between January 1983 to October 2018, and 23 articles with 319 data were included. The baking resulted in reductions in the concentration of all types of investigated masked mycotoxins, i.e., 15-ADON (-25%) > 3-ADON (-15%) > D3G (-6%). Also, rank order of CUL and its derivatives based on occurrence was CUL (70%) > 15-Hydroxy-CUL (47%) > 5-Hydroxy-CUL (15%) and their rank based on their concentration was 5-Hydroxy-CUL (99.21 µg/kg) > CUL (48.84 µg/kg) > 15-Hydroxy-CUL (9.39 µg/kg) > Hydroxy -CUL (0.06 µg/kg) > 12-Hydroxy-CUL (0.05 µg/kg) > 14-Hydroxy-CUL (0.01 µg/kg).

Role of Emerging Environmental Risk Factors in Thyroid Cancer: A Brief Review

Environmental factors are recognized as risk factors of thyroid cancer in humans. Exposure to radiation, both from nuclear weapon or fallout or medical radiation, and to some organic and inorganic chemical toxicants represent a worldwide public health issue for their proven carcinogenicity. Halogenated compounds, such as organochlorines and pesticides, are able to disrupt thyroid function. Polychlorinated biphenyls and their metabolites and polybrominated diethyl ethers bind to thyroid, transport proteins, replace thyroxin, and disrupt thyroid function as phthalates and bisphenolates do, highly mimicking thyroid hormones. A better knowledge of environmental risks represents a very important tool for cancer prevention through true risks prevention and management. This approach is very important because of the epigenetic origin’s theory of cancer. Therefore, the aim of this review was study the association between environmental agents and thyroid cancer promotion.

Fluoride in Iranian Drinking Water Resources: a Systematic Review, Meta-analysis and Non-carcinogenic Risk Assessment

A systematic review, meta-analysis, and non-carcinogenic risk considering fluoride content of drinking water resources of 31 provinces of Iran among some international databases such as Science Direct, Scopus, PubMed, and national databases including SID and Irandoc (2011 to July 2017) were conducted. In this context, 10 articles (40 studies) with 1706 samples were included in meta-analyses and risk assessment studies. The pooled concentration of fluoride in the cold, mild, and warm weather provinces were calculated as 0.39 mg/L (95% CI 0.32-0.48 mg/L), 0.52 (95% CI 0.43-0.61 mg/L), and 0.75 (95% CI 0.56-0.94 mg/L), respectively. The pooled concentration of fluoride in Iranian drinking water resources was 0.51 (95% CI 0.45-0.57 mg/L). The minimum and maximum concentrations of fluoride content were related to Kermanshah (0.19 mg/L) and Kerman (1.13 mg/L) provinces, respectively. The HQ of fluoride in the children and adults were 0.462 and 0.077, respectively as children are more vulnerable than adults. The HQ for children and adults was lower than 1 value. Therefore, there is no considerable non-carcinogenic risk for consumers due to drinking water in Iran. Although the non-carcinogenic of fluoride in drinking water was not significant, fluoride entry from other sources, such as food or inhalation, could endanger the health of the residents of Kerman and Bushehr provinces.

Spatial Distribution Variation and Probabilistic Risk Assessment of Exposure to Fluoride in Ground Water Supplies: A Case Study in an Endemic Fluorosis Region of Northwest Iran

Prevalence of fluorosis is a worldwide public health issue, especially in the West Azerbaijan province of Iran. The aim of this study was to investigate fluoride concentration in drinking water resources within Maku city, in both the warm and cold seasons, to perform a health risk assessment. Fluoride were measured using UV-visible spectrophotometry. The spatial distribution was calculated by the software ArcGIS and Hazard Quotients (HQs) were calculated according to the US EPA method. The fluoride concentrations ranged between 0.29 to 6.68 and 0.1 to 11.4 mg/L in the cold and warm seasons, respectively. Based on this report, 30.64 and 48.15% of the samples revealed a fluoride level higher than the permissible level in the cold and warm seasons, respectively. Moreover, results showed that the HQ value in the warm season for different age groups was higher than the HQ value in the cold season. In both seasons, the non-carcinogenic risks of fluoride for the four exposed populations varied according to the order: children > teenagers > adults > infants. The HQ values for three age groups (children, teenager and adults) for both seasons were higher than 1 with a high risk of fluorosis. The results of this study, support the requests that government authorities better manage water supplies to improve health quality.

Prevalence and probabilistic health risk assessment of aflatoxins B1, B2, G1, and G2 in Iranian edible oils

The prevalence of aflatoxins (AFs) B₁, B₂, G₁, and G₂ in Iranian edible oils were assessed by immunoaffinity column cleanup and HPLC equipped with a fluorescence detector (HPLC-FLD). Ninety-seven samples including sunflower, canola, refined olive, unrefined olive, frying, and blend oils were collected from eight provinces (n = 15 samples of refined olive oil, n = 15 samples of unrefined olive oil, n = 15 samples of sunflower oil, n = 15 samples of canola oil, n = 17 samples of frying oil, and n = 20 samples of blend oil). Also, cancer risk of aflatoxins in the adults and children due to ingestion of edible oils was estimated via margin of exposure (MOE) estimation in the Monte Carlo simulation (MCS) model. Considering the limit of detection (LOD) of the current study, two unrefined olive oil samples from Zanjan Province were contaminated with AFB₂ in the concentrations of 0.2 and 0.4 ng/g while other samples were free from AFB₁, AFB₂, AFG₁, and AFG₂. This study revealed that about 98% of the collected samples were free from AFs and the concentrations of AFs in the polluted samples were within the standard range suggested by European Commission regulation (20 μg/kg). However, health risk assessment indicated that both adult and children in the Zanjan Province are at considerable liver cancer risk (percentile 95% of MOE < 10,000 value). Therefore, national plan to address this issue and strict inspection of edible oil products by the regulatory bodies are suggested.

The concentration of heavy metals in noodle samples from Iran's market: probabilistic health risk assessment

In the current study, the concentration of heavy metals including lead (Pb), chromium (Cr), cadmium (Cd), and aluminum (Al) in commonly instant noodles consumed in Iran (either imported from other countries or produced in Iran) was investigated by acid digestion method followed by an inductively coupled plasma optical emission spectrometry system (ICP-OES). Also, the associated non-carcinogenic risk due to ingestion of heavy metals for adults and children was estimated by calculating percentile 95% target hazard quotient (THQ) in the Monte Carlo simulation (MCS) method. The average concentrations of Pb, Cr, Cd, and Al in Iranian instant noodle samples were measured as 1.21 ± 0.81, 0.08 ± 0.10, 0.03 ± 0.06, and 9.15 ± 4.82 (mg/kg) and in imported instant noodle samples were 1.00 ± 0.61, 0.07 ± 0.07, 0.04 ± 0.03, and 15.90 ± 0.93 (mg/kg), respectively. A significant difference (p value < 0.05) in the mean concentration of Pb, Cr, Cd, and Al of Iranian instant noodle and imported instant noodle samples was observed. Also, the concentration of Pb, Cr, Cd, and Al in all brands of instant noodle (0.025 mg/kg, 0.050 mg/kg, 0.003 mg/kg, and 0.237 mg/kg, respectively) surpassed the WHO-permitted limits for Pb, Cr, Cd, and Al. Percentile 95% of THQ of Pb, Cr, Cd, and Al for the adult consumers was calculated as 0.012, 0.000007, 0.010, and 1.789; while in the case of children, percentile 95% of THQ of Pb, Cr, Cd, and Al was defined as 0.044, 0.00023, 0.035, and 6.167, respectively. Health risk assessment indicated that both adults and children are at considerable non-carcinogenic health risk for Al (THQ > 1). Therefore, approaching the required strategies in order to reduce the concentration of heavy metals particularly Al in the instant noodle is recommended.

Probabilistic risk assessment (Monte Carlo simulation method) of Pb and Cd in the onion bulb (Allium cepa) and soil of Iran

Recently, the exposure to heavy metals through the consumption of vegetables has become a global concern. In this regard, the current study was aimed to measure the concentrations of lead (Pb) and cadmium (Cd) in the collected onion bulb samples as well as the surrounded soil using a flame atomic absorption spectrometer (FAAS). Additionally, the target hazard quotient (THQ) for males and females in all age groups of consumers were estimated by using Monte Carlo Simulation (MCS) method. Furthermore, the soil threshold values (STVs) were evaluated to investigate the heavy metal contents in the soil based on the established standard limits. In this context, 45 onion bulbs (HashtBandi region, 25 and Ravang region, 20) and 41 soil (HashtBandi region, 21 and Ravang region, 20) samples were collected (March-May of 2016). The average concentrations of Pb in the onions from HashtBandi and Ravang regions were determined as 0.0052 ± 0.0011 and 0.0061 ± 0.0022 mg/kg, and for Cd were 0.0095 ± 0.0024 and 0.0011 ± 0.0035 mg/kg, respectively. The average concentration of Pb in the soil from HashtBandi and Ravang regions were measured as 3.99 ± 3.77 and 2.03 ± 0.69 mg/kg, and for Cd, the corresponding values were determined as 2.21 ± 3.17 and 2.22 ± 0.92 mg/kg, respectively. The average concentration of Pb and Cd in both investigated onion bulb and soil were lower than Iranian national (onion bulb: Pb = 0.1 mg/kg, Cd = 0.05 mg/kg) and FAO/WHO (onion bulb: Pb = 0.3 mg/kg, Cd = 0.1 mg/kg; soil: Pb = 50 mg/kg, Cd = 0.3 mg/kg) standard limits. Moreover, the THQ and total target hazard quotient (TTHQ) for males and females in all age groups were less than 1 value. Therefore, no risk of the exposure to Pb and Cd as result of onion bulb consumption was reported. STVs for Pb and Cd in the HashtBandi region were calculated as 3.99 and 2.21 mg/kg, and Ravang as 2.03 and 2.22 mg/kg, respectively. Due to the higher calculated STVs for Cd while compared with the established standard limit for the soil, the further revisions regarding the heavy metal standard limits in the soil were recommended.

Dataset on non-carcinogenic risk via nitrate and nitrite in the groundwater of Divandarreh County, Kurdistan province, Iran: A potential concern for drinking

The presence of elevated nitrate (NO_3-) and nitrite (NO_2-) concentration in drinking water higher than the standard limits could endanger the health of consumers. For this data article, concentration of NO_3- and NO_2- was measured in 118 samples collected from 59 active rural wells in Divandarreh County and the non-carcinogenic risk in the adults and children was estimated by Monte Carlo simulation (MCS). The obtained data showed that the average concentration of NO_3- and NO_2- was ranges from 31.37 ± 18.87 mg/L and 1.45 ± 0.90 mg/L respectively. Based on acquired data, NO_3- concentrations were 37 times higher than NO_2- with significant p value of < 0.05. The average concentration of NO_3- and NO_2- was lower than the national standard with p value < 0.05. However, the concentration of NO_3- and NO_2- in 23.7% and 13.5% of wells was higher than the national standard of Iran. Total target hazard quotient (TTHQ) in the adults and children was 1.78 and 1.54, respectively. Although, the average concentration of NO_3- and NO_2- in drinking water was lower than the national standard limits, but the non-carcinogenic risk assessment showed that the children and adults are at a significant risk via nitrate and nitrite in the rural Divandarreh County (TTHQ > 1).