Human health risks of Pb and As exposure via consumption of home garden vegetables and incidental soil and dust ingestion: a probabilistic screening tool

Soil pollution identification and human health risk assessment of soil heavy metals in an abandoned mine area in the Republic of Korea

In this study, the Geo-accumulation index (Igeo), Human Health Risk Assessment (HRA), and Ecological Risk Index (ERI) were utilized to examine the risks associated with the soils at the DaeyangYeongseong mine. Brassica juncea and Raphanus sativus were employed in the ecological toxicity test. In all soil samples, the mean Igeo value of arsenic measured 3.15, and cadmium measured 6.63, indicating a very high level of heavy metal contamination. The carcinogenic risk of cadmium and arsenic for adults was 4.30×10-3 and 1.43×10-5, respectively. For children, these values were 3.92 × 10-2 and 1.33 ×10-4, exceeding the acceptable level (1×10-6). In all soils, cadmium showed extremely high ecological risk levels, and arsenic had extremely high risk levels in 34.8% of the total area. This was also confirmed in toxicity assessments using plants. Therefore, arsenic and cadmium were found to be the main causes of soil contamination and ecological risk.

Standards for levels of lead in soil and dust around the world

Lead poisoning is a serious environmental health problem in every country in the world. Exposure to lead results in neurocognitive and behavioral changes, has adverse effects on the immune system, causes anemia, hypertension and perturbs other organ systems. The effects of lead poisoning are most critical for children because their bodies are growing and developing, and particularly because agents that reduce cognitive function and attention span as well as promote disruptive behavior will have life-long consequences. Lead exposure, especially to children, is a major health disparity issue. If the next generation starts with reduced cognitive ability, there will be significant barriers for development of skills and country-wide development. While there are many sources of exposure to lead, the commonest source is lead in soil and dust. Since lead is an element, it does not go away and past releases of lead into the environment remain as soil and dust contamination. This is an especially important route of exposure to children because children regularly play in soil and are exposed via hand-to-mouth activity. In addition to indoor sources of lead, contaminated soil is tracked on shoes or feet and blown by air currents into homes, accumulating in household dust which is a major source of exposure for both children and adults. The purpose of this review is to determine standards presumed to be health protective for lead and dust in different countries. We find that many countries have no standards for lead in soil and dust and rely on standards set by the World Health Organization or the US Environmental Protection Agency, and these standards may or may not be enforced. There is considerable variation in standards set by other countries.

Melamine in Iranian foodstuffs: A systematic review, meta-analysis, and health risk assessment of infant formula

The presence of melamine in food is one of the most significant threats to consumer health and food safety now confronting the communities. The goal of this systematic review and meta-analysis was to determine the melamine content of different food products available on the Iranian market. The pooled melamine concentration (95% confidence interval) on 484 samples of animal-based foodstuffs was as follows: 0.22 (0.08, 0.36 mg kg^-1) for milk, 0.39 (0.25, 0.53 mg kg^-1) for coffee mate, 1.45 (1.36, 1.54 mg kg^-1) for dairy cream, 0.90 (0.50, 1.29 mg kg^-1) for yoghurt, 1.25 (1.20, 1.29 mg kg^-1) for cheese, 0.81 (-0.16, 1.78 mg kg^-1) for hen eggs, 1.28 (1.25, 1.31 mg kg^-1) for poultry meat, 0.58 (0.35, 0.80 mg kg^-1) for chocolates, and 0.98 (0.18, 1.78 mg kg^-1) for infant formula. Based on the results of health risk assessment study on toddlers under 2 years old who ingested infant formula (as a melamine-sensitive group), all groups of toddlers are at an acceptable level of non-carcinogenic risk (THQ ≤ 1). Toddlers were classified according to their ILCR (carcinogenic risk) levels due to infant formula consumption as follows: under 6 months (0.0000056), 6-12 months (0.0000077), 12-18 months (0.0000102), and 18-24 months (0.0000117). The melamine carcinogenicity in infant formula for children had an ILCR value of 0.000001-0.0001 in the investigation, which was considerable risk. According to the findings, Iranian food products (notably infant formula) should be analyzed for melamine contamination on a regular basis.

Elevated soil and blood lead levels with increasing residential proximity to a mine tailings facility in Soweto, South Africa

Mining has long been associated with the release of a range of toxic metals including lead, elevated levels of which have been found in land surrounding mine dumps as far afield as Spain, India, Macedonia and Nigeria. Mining has been a key pillar of economic development in South Africa for around a century and a half, and has left a legacy of major environmental contamination, with the poorest experiencing the highest burden of exposure. The current study was undertaken to ascertain the concentrations of lead in soil and in the blood of adults and children residing at increasing distances from a cluster of large tailings facilities (MTFs) in greater Johannesburg, South Africa. Through a cross-sectional survey data on household characteristics were collected through a questionnaire survey, and supplemented with samples of soil from household gardens, together with blood samples from child-adult pairs from all households included in the study. Soil lead concentrations decreased significantly (median = 35.7 mg/kg closest to the mine tailings facility (MTF) and 8.6 mg/kg at the furthest point in the study site) with increasing distance from the MTF. Blood lead levels were highest in both adults (median = 3.0 μg/dL) and children (median = 4.0 μg/dL) who lived closest (≤500 m) to the MTF, and lowest (1.4 μg/dL in adults and 2.5 μg/dL in children) in those who lived furthest away (4-5 km). The study findings point to a need for greater emphasis on the precautionary principle in environmental health and for health impact assessments to inform decisions on planning, especially with regard to the location of human settlements relative to major, polluting development initiatives.

Pollution, sources, and human health risk assessment of heavy metals in urban areas around industrialization and urbanization-Northwest China

Heavy metal pollution in urban soils and dust is mostly caused by extensive anthropogenic activity during urbanization and industrialization. In this research study, the pollution characteristics, sources, ecological and human health risks of heavy metals in urban soil, and dust have been thoroughly evaluated. The research findings demonstrate that dust has a higher level of contamination than urban soil, such as Pb, Cu, and Zn metals are more contaminated in both urban soil and dust throughout the city, and Hg and As are also found in locations with a high concentration of heavy industrial companies. This implies that traffic emissions are still a significant source of metals in urban areas, though industrial companies also contribute. The health risk assessment model used to calculate human exposure revealed that the non-carcinogenic and carcinogenic risks of selected metals in soil and dust were generally in the low range, except for the carcinogenic risk from Cr in children. Statistical analysis revealed that Cr and Ni concentrations were mainly of natural origin, Cu and Zn have been sourced from traffic, whereas Pb, Hg, and As have been sourced from industrial activities. The overall recommendation is that the road traffic environment and municipal construction facilities need to be improved to ensure the sustainable development of the city's environment, while pollution from industrial waste is strongly controlled.

Human health risks associated with consumption of fish contaminated with trace elements from intensive mining activities in a peri-urban region

Worldwide, numerous rural communities and low-income groups depend on fish harvested by subsistence fishers from local rivers and its impoundments as a source of protein. The aim of the present study was to determine the trace element bioaccumulation (As, Cd, Cr, Cu, Ni, Pb, Pt, Zn) in three edible fish species (Cyprinus carpio, Clarias gariepinus, Oreochromis mossambicus) from two impoundments in the Hex River system, South Africa, as well as the chronic health risk these trace elements pose to regular fish consumers. Trace element concentrations in the Hex River are naturally high (geogenic source), however, increased anthropogenic activities, such as intensive platinum mining activities, elevate the already high background concentrations. Concentrations of As, Cr, and Pt in C. carpio and C. gariepinus, as well as Ni and Zn in O. mossambicus were significantly higher in the impacted impoundment as compared to the reference impoundment. Concentrations of Cr and Cu were at both sampling sites the highest in O. mossambicus. From the human health risk assessment, As poses non-carcinogenic (HQ = 2-7) and carcinogenic risks (33-93 out of 10,000 people), while Cr (3-10 out of 10,000 people) and Ni (2-6 out of 10,000 people) pose only carcinogenic risks for the regular consumption of all three fish species from both impoundments, indicating a high probability of adverse human health effects. For As, Cr and Ni, also the sediment concentrations exceeded the levels of concern within the consensus based sediment quality guideline (CBSQG), while Cd, Cu, Ni and Zn exceeded the water quality guideline values. Thus, the CBSQG approach could be a promising tool for predicting human health risk associated with fish consumption. Since the present study only focused on the individual trace element risks, mixed toxicity of these trace elements and possible other pollutants within these fish species may pose an even greater risk to people who consume these fish regularly.

Assessment of Bioaccessibility and Health Risks of Toxic Metals in Roadside Dust of Dhaka City, Bangladesh

Spatial variations in the bioaccessibility and health risks induced by chromium (Cr), manganese (Mn), cobalt (Co), nickel (Ni), copper (Cu), zinc (Zn), arsenic (As) and lead (Pb) in roadside dust from different land-use areas, i.e., commercial areas (CA), planned residential areas (PRA), spontaneous residential areas (SRA) and urban green areas (UGA) in Dhaka city, Bangladesh, were investigated. An in vitro simple bioaccessibility extraction test (SBET) method, which allows the simulation of the gastric (GP) and intestinal phases (IP) of human digestion, was applied to evaluate bioaccessibility and human health risk, assessed using United States Environmental Protection Agency (U.S. EPA) modelling. The average bioaccessible concentration of Zn was the highest in both the gastric (74.4–244.5 µg/g) and intestinal phases (74.4–244.5 µg/g) in all the land-use areas except UGA. The bioaccessibility percentages of Co and Cu in the IP phase and As in the GP phase were >40% for all the land-use categories. Carcinogenic (Cr, Ni, As and Pb) and non-carcinogenic human health risks were evaluated for the ingestion pathway, in both children and adults. The results suggest that there were no non-carcinogenic risks for adults and children exposed to roadside dust toxic metals, but the risk levels of roadside dust toxic metals in some sampling areas were high. The carcinogenic risks of Cr in SRA (for children) and Ni in CA (for both adults and children), PRA (for children) and UGA (for children) were found to be within a tolerable range of 10−6 to 10−4.

Contamination, sources and health risk of heavy metals in soil and dust from different functional areas in an industrial city of Panzhihua City, Southwest China

The contamination of heavy metals in urban soil and dust is closely related to anthropogenic emissions, while to what extent the metal contamination varies among different functional areas in industrial cities remains unclear. In this study, the contamination and health risk of seven heavy metals in the soil and dust were assessed at different functional areas of Panzhihua City, Southwest China, and their sources were identified by the spatial divisions and Pb isotopes. The results showed that the contamination of V and Cr in the vanadium/steel plant (VsA) and the contamination of Cd, Pb and Zn in the iron-ore smelting (IsA) were significantly higher relative to other functional areas. The sources of the contaminated heavy metals in the soil and dust were mainly from smelting and manufacturing vanadium/steel products, coal combustion and traffic. Vanadium and Cr were the major metals primarily contributing to the noncarcinogenic and carcinogenic risks, despite the low contamination level of Cr. The results indicate that the VsA is the priority control area in the Panzhihua City, and besides V, more attention should be paid in the future to monitor Cr risk in the soil and dust because of its high contribution to the health risk.

Arsenic: Various species with different effects on cytochrome P450 regulation in humans

Arsenic is well-recognized as one of the most hazardous elements which is characterized by its omnipresence throughout the environment in various chemical forms. From the simple inorganic arsenite (iAsIII) and arsenate (iAsV) molecules, a multitude of more complex organic species are biologically produced through a process of metabolic transformation with biomethylation being the core of this process. Because of their differential toxicity, speciation of arsenic-based compounds is necessary for assessing health risks posed by exposure to individual species or co-exposure to several species. In this regard, exposure assessment is another pivotal factor that includes identification of the potential sources as well as routes of exposure. Identification of arsenic impact on different physiological organ systems, through understanding its behavior in the human body that leads to homeostatic derangements, is the key for developing strategies to mitigate its toxicity. Metabolic machinery is one of the sophisticated body systems targeted by arsenic. The prominent role of cytochrome P450 enzymes (CYPs) in the metabolism of both endobiotics and xenobiotics necessitates paying a great deal of attention to the possible effects of arsenic compounds on this superfamily of enzymes. Here we highlight the toxicologically relevant arsenic species with a detailed description of the different environmental sources as well as the possible routes of human exposure to these species. We also summarize the reported findings of experimental investigations evaluating the influence of various arsenicals on different members of CYP superfamily using human-based models.

Effect of different industrial activities on soil heavy metal pollution, ecological risk, and health risk

Soil heavy metal (Cr, Cu, Zn, Pb, Cd, V, As) concentrations in different areas were analyzed to investigate the effects of different industrial activities on heavy metal pollution status, potential ecological risk, and human health risk in Panzhihua. Our results showed that Cu and V enrichment in soil was due to ore smelting. Soil Cr accumulation was related to coal ore mining. Soil Cd, Zn, As, and Pb enrichment was attributed to high-temperature coal combustion. Under the effect of industrial activities, soils were moderately contaminated with Cd, uncontaminated to moderately contaminated with As and Zn, and uncontaminated with Cr, Cu, V, and Pb. Soil heavy metal potential ecological risk was considerable, and non-carcinogenic risks and carcinogenic risks of soil heavy metals were acceptable for adults but unacceptable for children. Thermal power generation was the dominated industrial activity that influence the soil heavy metal concentrations and environmental risks in Panzhihua, which posed considerable potential ecological risks and unacceptable heavy metal non-carcinogenic risks and As carcinogenic risk to both adults and children. This study indicates that industrial activities have great effects on heavy metal pollution, ecological risks, and health risk, and more attention should be paid to the ecological risk and health risks brought by thermal power generation.

Urban kitchen gardens: Effect of the soil contamination and parameters on the trace element accumulation in vegetables - A review

Trace element contaminants in kitchen garden soils can contribute to human exposure through the consumption of homegrown vegetables. In urban areas, these soils can be contaminated to various degrees by trace element (TE). They are characterized by a great variability in their physicochemical parameters due to the high anthropization level, the wide variety and combination of disturbance sources, as well as the diversity of cultivation practices and the large range of contamination levels. Pollutants can be taken up by vegetables cultivated in these soils and be concentrated in their edible parts. In this review, the behavior of vegetables cultivated in contaminated kitchen gardens is assessed through six examples of the most widely cultivated vegetables (lettuce, tomato, bean, carrot, radish, potato). The role of soil parameters that could influence the uptake of As, Cd, Cr, Ni, Pb, and Zn by these vegetables is also discussed.

Health risk assessment of heavy metals in street dust around a zinc smelting plant in China based on bioavailability and bioaccessibility

In order to investigate pollution level, chemical speciation and health risk of exposure to heavy metals in street dust from smelting district, we carried the following studies: (a). the differences in the morphology of street dust in smelting and non-smelting districts using a scanning electron microscope; (b). the chemical speciation and bioavailability of heavy metals in <100 μm and <63 μm particles near a smelting district using a modified three-stage BCR sequential extraction procedure and in vitro digestion test, respectively; (c). the evaluation of the non-carcinogenic risk of children and adults exposure to dust based on bioaccessibility. The results showed that most of the dust particles near Huludao Zinc Plant (HZP) were relatively solid with less porosity, which might originate from incompletely burned mineral particles from the smelting process. The concentrations of Pb, Cd and Cu were much higher than the background levels: 1560, 178.5 and 917.9 mg kg^-1 in <100 μm dust samples, and 2099, 198.4, 1038 mg kg^-1 in <63 μm dust samples, respectively. Pb was mostly present in the reducible fraction and the acid exchangeable fraction, while Cd and Cu were the most common heavy metals in the acid exchangeable fraction and oxidizable fraction, respectively. The rank order of bioaccessibility for the gastric and intestinal phase was Cd (58.13%) > Pb (50.00%) > Cu (19.19%) and Cd (20.36%) > Cu (15.67%) > Pb (5.08%), respectively. Hand-to-mouth ingestion poses the greatest non-carcinogenic exposure risk compared with other exposure pathways. When bioavailability is taken into account, children experienced higher non-carcinogenic and carcinogenic risks of dust exposure compared with adults, and the <63 μm particles posed greater risks than <100 μm particles.

Health risks to metals in multimedia via ingestion pathway for children in a typical urban area of China

With the rapid development of the industrialization and urbanization, the urban environment was heavily contaminated by metals. Therefore, studies on health risk assessment of exposure to metals for urban population is necessary and urgent, especially for children, who are more susceptible to environmental pollution due to their undeveloped immune system. Moreover, ingestion has been proved to be the most important pathway of human metals exposure. Therefore, typical metals, including Lead(Pb), Cadmium(Cd), Arsenic(As), Chromium(Cr), and Manganese(Mn), were analyzed in duplicated diet, drinking water, and soil in this study. The integrated risks of oral exposure to these metals for the local children were then evaluated on a field sampling and measured child-specific exposure factors basis. Results showed that the studied urban environments were polluted by metals to a certain degree. Food ingestion was the largest, which accounted for 66.7%-98.4%. Furthermore, soil ingestion was also a non-negligible exposure route, which accounted for 29.7% for Pb. The combined oral non-carcinogenic and carcinogenic risks all exceeding the corresponding maximum acceptable levels. The non-carcinogenic risk was mainly attributed to the food ingestion of As and Cr, and the soil ingestion of As, while, the carcinogenic risk was mainly attributed to the food ingestion of As and Cr, and the soil ingestion of Cr. This study emphasizes attentions should be paid to children in urban areas due to the potential adverse health risk associated with metals via oral exposure pathway.

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).

Concentrations of arsenic and lead in residential garden soil from four Johannesburg neighborhoods

The 2017 Lancet Commission on Pollution and Health identified soil as an important, daily route of public exposure to a variety of pollutants. Lead and arsenic are two potential soil contaminants associated with serious health effects including reductions in intelligence, behavioral effects and aggressive or violent behavior (lead), as well as skin changes, cancer of the skin, bladder, liver and lungs and developmental delays (arsenic). In this study soil samples were collected, using US EPA methods, from gardens in four Johannesburg neighborhoods, and analyzed for lead and arsenic content using a portable X-ray fluorescence spectrometer. The results showed widely varied concentrations of arsenic and lead in soil collected across the four neighborhoods. Concentrations of lead (range: 0.1-2141.0 mg/kg; mean: 241.7 mg/kg (SD 282.8); median 158.1 mg/kg) exceeding local and international reference levels were found in an inner city suburb, while raised arsenic concentrations (range: 0.1-65.3 mg/kg; mean: 18.3 mg/kg (SD 11.7); median: 19.1) were found in the gardens of a suburb located very close to a mine tailings facility. This study confirms the potential for high levels of exposure to toxic metals in residential gardens in an urban African setting. There is a pressing need for scaled up attention to the public health implications of exposure to soil pollution in developing countries.

A soil ingestion pilot study for teenage children in China

Soil ingestion by people is an important route of exposure to environmental contaminants. Studies on soil ingestion using tracer mass-balance method are mainly for young children and adults, scarcely for teenagers. In such case, the soil ingestion rate for teenagers recommended by regulators is generally identical to that of adults based on one activity pattern modeling study. However, teenagers are expected to have different soil ingestion exposure via ingestion pathway due to different activity patterns and exposure scenarios. We conducted a pilot study on soil ingestion in 30 teenage children aged 12.0-16.5 years from Hubei Province of China, using the best tracer method, with the results compared with previous soil ingestion studies. The estimated mean and median soil ingestion rates for teenagers in this study based on the best five tracers (Al, Ce, Sc, V, and Y) were 45.2 mg d^-1 and 44.8 mg d^-1 respectively, with the 95% confidence interval of the mean value ranging from 28.0 mg d^-1 to 50.9 mg d^-1. These soil ingestion rate estimates were slightly higher than the recommended values for adults by U.S. EPA, but lower than those for Chinese younger children observed in the other similar study. The result in this study is important to access the health risk resulting from exposure to toxic substances in soil via direct soil ingestion pathway by teenagers in China as well as other countries.

Estimation of the daily soil/dust (SD) ingestion rate of children from Gansu Province, China via hand-to-mouth contact using tracer elements

A total of 60 children (31 males and 29 females) between the ages of 3 and 12 years were randomly selected from Lanzhou City in Gansu Province, northwest China. Hand (soil/dust) SD samples from these children were collected using hand wipes. We determined the approximate amounts of hand SD and the concentrations of three tracer soil elements (Ce, Y, and V) in these samples. The approximate amounts of hand SD ranged from 42.28 to 173.76 mg, with a median value of 85.42 mg. In addition, the mean amounts of hand SD estimated using the concentrations of Ce, Y, and V in the samples were 4.63, 3.43, and 3.42 mg, respectively. The amount of hand SD varied greatly among the age groups: primary school children had more hand SD than kindergarten children, males had more hand SD than females, and children from rural areas had more hand SD than those from urban areas. The rates of daily ingestion of hand SD for kindergarten and primary school children were estimated to be 7.73 and 6.61 mg/day, respectively.

Evaluating Public and Regulatory Acceptance for Urban Soil Management Approaches

Regulators ( = 14) and the public ( = 30) were surveyed to compare how they perceived contaminated soil management strategies, including bioavailability assessments, using a mental models approach. Both groups proposed similar soil contamination definitions and agreed laboratory tests were needed to identify contaminants. When responding to open-ended questions about management options, regulators emphasized the risk assessment process, whereas the public noted specific treatment options. The majority of the public (68%) and regulators (86%) were concerned about particular contaminants. The public emphasized general contaminant categories, such as petroleum products and chemicals. Regulators listed specific compounds, including arsenic and dioxin. Both groups mentioned lead. Public and regulators had similar levels of agreement for soil removal ( = 0.96) and allowing soils with low bioavailability to remain in place ( = 0.66). The public were most opposed (43% disagree or strongly disagree) to using soil capping. Both groups were willing to consider using bioavailability assessments for contaminated soils. All regulators had heard of bioavailability, whereas 21 of the 24 (88%) public had not heard of this concept. Across all soil management options, the public tended to have higher rates of strongly disagree/disagree and neutral responses compared with regulators ( = 0.01). The neutral responses may indicate public ambivalence or insufficient information to respond about treatment options. Communication and public education efforts should emphasize the analytical process used to justify site-specific treatments. Additional surveys should evaluate public and regulator definitions of successful soil management and contaminant remediation in specific situations (i.e., case studies with specific contaminants and receptors of interest).

Estimated lead (Pb) exposures for a population of urban community gardeners

Urban community gardens provide affordable, locally grown, healthy foods and many other benefits. However, urban garden soils can contain lead (Pb) that may pose risks to human health. To help evaluate these risks, we measured Pb concentrations in soil, vegetables, and chicken eggs from New York City community gardens, and we asked gardeners about vegetable consumption and time spent in the garden. We then estimated Pb intakes deterministically and probabilistically for adult gardeners, children who spend time in the garden, and adult (non-gardener) household members. Most central tendency Pb intakes were below provisional total tolerable intake (PTTI) levels. High contact intakes generally exceeded PTTIs. Probabilistic estimates showed approximately 40 % of children and 10 % of gardeners exceeding PTTIs. Children's exposure came primarily from dust ingestion and exposure to higher Pb soil between beds. Gardeners' Pb intakes were comparable to children's (in µg/day) but were dominated by vegetable consumption. Adult household members ate less garden-grown produce than gardeners and had the lowest Pb intakes. Our results suggest that healthy gardening practices to reduce Pb exposure in urban community gardens should focus on encouraging cultivation of lower Pb vegetables (i.e., fruits) for adult gardeners and on covering higher Pb non-bed soils accessible to young children. However, the common practice of replacement of root-zone bed soil with clean soil (e.g., in raised beds) has many benefits and should also continue to be encouraged.

Food, health, and complexity: towards a conceptual understanding to guide collaborative public health action

BACKGROUND

What we eat simultaneously impacts our exposure to pathogens, allergens, and contaminants, our nutritional status and body composition, our risks for and the progression of chronic diseases, and other outcomes. Furthermore, what we eat is influenced by a complex web of drivers, including culture, politics, economics, and our built and natural environments. To date, public health initiatives aimed at improving food-related population health outcomes have primarily been developed within 'practice silos', and the potential for complex interactions among such initiatives is not well understood. Therefore, our objective was to develop a conceptual model depicting how infectious foodborne illness, food insecurity, dietary contaminants, obesity, and food allergy can be linked via shared drivers, to illustrate potential complex interactions and support future collaboration across public health practice silos.

METHODS

We developed the conceptual model by first conducting a systematic literature search to identify review articles containing schematics that depicted relationships between drivers and the issues of interest. Next, we synthesized drivers into a common model using a modified thematic synthesis approach that combined an inductive thematic analysis and mapping to synthesize findings.

RESULTS

The literature search yielded 83 relevant references containing 101 schematics. The conceptual model contained 49 shared drivers and 227 interconnections. Each of the five issues was connected to all others. Obesity and food insecurity shared the most drivers (n = 28). Obesity shared several drivers with food allergy (n = 11), infectious foodborne illness (n = 7), and dietary contamination (n = 6). Food insecurity shared several drivers with infectious foodborne illness (n = 9) and dietary contamination (n = 9). Infectious foodborne illness shared drivers with dietary contamination (n = 8). Fewer drivers were shared between food allergy and: food insecurity (n = 4); infectious foodborne illness (n = 2); and dietary contamination (n = 1).

CONCLUSIONS

Our model explicates potential interrelationships between five population health issues for which public health interventions have historically been siloed, suggesting that interventions targeted towards these issues have the potential to interact and produce unexpected consequences. Public health practitioners working in infectious foodborne illness, food insecurity, dietary contaminants, obesity, and food allergy should actively consider how their seemingly targeted public health actions may produce unintended positive or negative population health impacts.

Bisphenol A exposure pathways in early childhood: Reviewing the need for improved risk assessment models

Bisphenol A (BPA) is a plasticiser found in a number of household plastics, electronics, and food-packaging materials. Over the past 5 years, several human epidemiological studies have reported a positive association between BPA exposure and adverse health outcomes in children, including obesity, asthma, preterm birth, and neuro-behavioural disturbances. These findings are in conflict with international environmental risk assessment models, which predict daily exposure levels to BPA should not pose a risk to child health. The aim of this review is to provide an overview of the evidence for different exposure sources and potential exposure pathways of BPA in early childhood. By collating the findings from experimental models and exposure associations observed in human bio-monitoring studies, we affirm the potential for non-dietary sources to make a substantial contribution to total daily exposure in young children. Infants and toddlers have distinctive exposure sources, physiology, and metabolism of endocrine-disrupting chemicals. We recommend risk-assessment models implement new frameworks, which specifically address exposure and hazard in early childhood. This is particularly important for BPA, which is present in numerous products in the home and day-care environments, and for which animal studies report contradictory findings on its safety at environmentally relevant levels of exposure.

Assessment on the occupational exposure of urban public bus drivers to bioaccessible trace metals through resuspended fraction of settled bus dust

Limited information is available on the bioaccessible fraction of trace metals in the resuspended fraction of settled bus dust in order to estimate bus drivers' occupational exposure. In this study, 45 resuspended fraction of settled dust samples were collected from gasoline and compressed natural gas (CNG) powered buses and analyzed for trace metals and their fraction concentrations using a three-step sequential extraction procedure. Experimental results showed that zinc (Zn) had the greatest bioaccessible fraction, recorded as an average of 608.53 mg/kg, followed in order of decreasing concentration by 129.80 mg/kg lead (Pb), 56.77 mg/kg copper (Cu), 34.03 mg/kg chromium (Cr), 22.05 mg/kg nickel (Ni), 13.17 mg/kg arsenic (As) and 2.77 mg/kg cadmium (Cd). Among the three settled bus dust exposure pathways, ingestion was the main route. Total exposure hazard index (HIt) for non-carcinogenic effect trace metals was lower than the safety level of 1. The incremental lifetime cancer risk (ILCR) for drivers was estimated for trace metal exposure. Pb and Ni presented relatively high potential risks in the non-carcinogenic and potentially carcinogenic health assessment for all drivers. ILCR was in the range of 1.84E-05 to 7.37E-05 and 1.74E-05 to 6.95E-05 for gasoline and CNG buses, respectively.

Correlation of in vivo relative bioavailability to in vitro bioaccessibility for arsenic in household dust from China and its implication for human exposure assessment

Incidental ingestion of household dust is an important arsenic (As) exposure pathway for children. However, compared to soils, assessment of As relative bioavailability (RBA) in household dust is limited. In this study, As-RBA in 12 household dust samples (7–38 mg kg(–1)) was measured using an in vivo mouse model and compared to As bioaccessibility determined using 4 assays [Solubility Bioaccessibility Research Consortium method (SBRC), in vitro gastrointestinal method (IVG), Deutsches Institut für Normunge.V. method (DIN), and physiologically based extraction test (PBET)]. Arsenic RBA ranged from 21.8 ± 1.6 to 85.6 ± 7.2% with samples containing low Fe and high total organic carbon content having higher As-RBA. Strong in vivo–in vitro correlations (IVIVC) were found between As-RBA and As bioaccessibility for SBRC and DIN (r2 = 0.63–0.85), but weaker ones were obtained for IVG and PBET (r2 = 0.29–0.55). The developed IVIVC for SBRC and DIN were used to calculate As-RBA based on As bioaccessibility for an additional 12 household dust samples. Although As bioaccessibility differed significantly (up to 7.7-fold) based on in vitro methods, predicted As-RBA was less variable (up to 3.0-fold) when calculated using As bioaccessibility data and the corresponding IVIVC. Our data suggested that both SBRC and DIN had potential to assess As bioavailability in household dust samples; however, additional research is needed.

Green manure plants for remediation of soils polluted by metals and metalloids: ecotoxicity and human bioavailability assessment

Borage, white mustard and phacelia, green manure plants currently used in agriculture to improve soil properties were cultivated for 10 wk on various polluted soils with metal(loid) concentrations representative of urban brownfields or polluted kitchen gardens. Metal(loid) bioavailability and ecotoxicity were measured in relation to soil characteristics before and after treatment. All the plants efficiently grow on the various polluted soils. But borage and mustard only are able to modify the soil characteristics and metal(loid) impact: soil respiration increased while ecotoxicity, bioaccessible lead and total metal(loid) quantities in soils can be decreased respectively by phytostabilization and phytoextraction mechanisms. These two plants could therefore be used for urban polluted soil refunctionalization. However, plant efficiency to improve soil quality strongly depends on soil characteristics.

Children's exposure to mercury-contaminated soils: exposure assessment and risk characterization

Exposure to mercury (Hg)-contaminated soils may pose a health risk to children by way of oral, dermal, and inhalatory pathways. However, risk characterization studies, including contaminant bioaccessibility with child-specific exposure parameters and scenarios, are lacking. The objectives of this study were (1) to assess children's Hg exposure using characterization and oral bioaccessibility data from Hg-contaminated soils characterized in previous studies (n = 8); and (2) to characterize probabilistic risk in terms of hazard index (HI) considering ingestion, dermal, and inhalation pathways. Total Hg concentrations in soils ranged from 2.61 to 1.15 × 10(4) mg kg(-1). For moderately contaminated soils (S1-S5: Hg ≤ 12.15 mg kg(-1)), low oral bioaccessibility values (1.5-7.5 %) lead to HI < 1 in all scenarios. However, exposure to highly contaminated soils (S6-S8) may pose serious risks to children under normal exposure (HI 0.89-66.5) and soil-pica behaviour scenarios (HI up to 131). All three pathways significantly contributed to the risk. Using total Hg concentrations in calculations (assuming 100 % bioavailability) instead of considering Hg bioavailability leads to risk overestimation. Further research on oral, inhalatory, and dermal bioavailability of Hg, as well as child play behaviour, is recommended to obtain more accurate risk estimates.

Anthropogenic and geogenic impacts on arsenic bioaccessibility in UK topsoils

Predictive linear regression (LR) modelling between bioaccessible arsenic (B-As) and a range of total elemental compositions and soil properties was executed in order to assess the potential for developing a national B-As dataset for the UK. LR indicates that total arsenic (As) is the only highly significant independent variable for estimating B-As in urban areas where it explains 75-92% of the variance. The broad compatibility of the London, Glasgow and Swansea regression models suggests that application of these models to estimate bioaccessible As in UK soils impacted by diffuse anthropogenic urban contamination and non-ferrous metal processing should be relatively accurate. In areas dominated by Jurassic ironstones and associated clays and limestones, total As, P and pH are significant, accounting for 53, 14 and 5%, respectively, of the B-As variance. Models based on total As as the sole predictor in the combined Jurassic and Cretaceous sedimentary ironstones datasets explain about 40% of the B-As variance. The median As bioaccessible fraction (%As-BAF) is 19 to 28% in the anthropogenic contamination impacted urban domains, but much lower (5-9%) in geogenic terrains dominated by ironstones. Results of this study can be used as part of a lines of evidence approach to localised risk assessment but should not be used to replace bioaccessibility testing at individual sites where local conditions may vary considerably from the broad overview presented in this study.