1
|
Cains MG, Desrousseaux AOS, Boxall ABA, Molander S, Molina-Navarro E, Sussams J, Critto A, Stahl RG, Rother HA. Environmental management cycles for chemicals and climate change, EMC 4 : A new conceptual framework contextualizing climate and chemical risk assessment and management. INTEGRATED ENVIRONMENTAL ASSESSMENT AND MANAGEMENT 2024; 20:433-453. [PMID: 38044542 DOI: 10.1002/ieam.4872] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/21/2023] [Revised: 10/24/2023] [Accepted: 11/06/2023] [Indexed: 12/05/2023]
Abstract
The environmental management cycles for chemicals and climate change (EMC4 ) is a suggested conceptual framework for integrating climate change aspects into chemical risk management. The interaction of climate change and chemical risk brings together complex systems that are imperfectly understood by science. Making management decisions in this context is therefore difficult and often exacerbated by a lack of data. The consequences of poor decision-making can be significant for both environmental and human health. This article reflects on the ways in which existing chemicals management systems consider climate change and proposes the EMC4 conceptual framework, which is a tool for decision-makers operating at different spatial scales. Also presented are key questions raised by the tool to help the decision-maker identify chemical risks from climate change, management options, and, importantly, the different types of actors that are instrumental in managing that risk. Case studies showing decision-making at different spatial scales are also presented highlighting the conceptual framework's applicability to multiple scales. The United Nations Environment Programme's development of an intergovernmental Science Policy Panel on Chemicals and Waste has presented an opportunity to promote and generate research highlighting the impacts of chemicals and climate change interlinkages. Integr Environ Assess Manag 2024;20:433-453. © 2023 The Authors. Integrated Environmental Assessment and Management published by Wiley Periodicals LLC on behalf of Society of Environmental Toxicology & Chemistry (SETAC).
Collapse
Affiliation(s)
- Mariana G Cains
- National Center for Atmospheric Research, Boulder, Colorado, USA
| | | | | | - Sverker Molander
- Environmental Systems Analysis, Department of Technology Management and Economics, Chalmers University of Technology, Gothenburg, Sweden
| | - Eugenio Molina-Navarro
- Department of Geology, Geography and Environment, University of Alcalá, Alcalá de Henares, Madrid, Spain
| | | | - Andrea Critto
- Department of Environmental Sciences Informatics and Statistics, University Ca' Foscari of Venice, Venice, Italy
| | | | | |
Collapse
|
2
|
Jampani M, Mateo-Sagasta J, Chandrasekar A, Fatta-Kassinos D, Graham DW, Gothwal R, Moodley A, Chadag VM, Wiberg D, Langan S. Fate and transport modelling for evaluating antibiotic resistance in aquatic environments: Current knowledge and research priorities. JOURNAL OF HAZARDOUS MATERIALS 2024; 461:132527. [PMID: 37788551 DOI: 10.1016/j.jhazmat.2023.132527] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/21/2022] [Revised: 08/03/2023] [Accepted: 09/09/2023] [Indexed: 10/05/2023]
Abstract
Antibiotics have revolutionised medicine in the last century and enabled the prevention of bacterial infections that were previously deemed untreatable. However, in parallel, bacteria have increasingly developed resistance to antibiotics through various mechanisms. When resistant bacteria find their way into terrestrial and aquatic environments, animal and human exposures increase, e.g., via polluted soil, food, and water, and health risks multiply. Understanding the fate and transport of antibiotic resistant bacteria (ARB) and the transfer mechanisms of antibiotic resistance genes (ARGs) in aquatic environments is critical for evaluating and mitigating the risks of resistant-induced infections. The conceptual understanding of sources and pathways of antibiotics, ARB, and ARGs from society to the water environments is essential for setting the scene and developing an appropriate framework for modelling. Various factors and processes associated with hydrology, ecology, and climate change can significantly affect the fate and transport of ARB and ARGs in natural environments. This article reviews current knowledge, research gaps, and priorities for developing water quality models to assess the fate and transport of ARB and ARGs. The paper also provides inputs on future research needs, especially the need for new predictive models to guide risk assessment on AR transmission and spread in aquatic environments.
Collapse
Affiliation(s)
- Mahesh Jampani
- International Water Management Institute (IWMI), Battaramulla, Colombo, Sri Lanka.
| | - Javier Mateo-Sagasta
- International Water Management Institute (IWMI), Battaramulla, Colombo, Sri Lanka
| | - Aparna Chandrasekar
- UFZ - Helmholtz Centre for Environmental Research, Department Computational Hydrosystems, Leipzig, Germany; Institute of Hydrobiology, Technische Universität Dresden, Dresden, Germany
| | - Despo Fatta-Kassinos
- Civil and Environmental Engineering Department and Nireas International Water Research Center, University of Cyprus, Nicosia, Cyprus
| | - David W Graham
- School of Engineering, Newcastle University, Newcastle Upon Tyne, United Kingdom
| | - Ritu Gothwal
- International Water Management Institute (IWMI), Battaramulla, Colombo, Sri Lanka
| | - Arshnee Moodley
- International Livestock Research Institute (ILRI), Nairobi, Kenya; Department of Veterinary and Animal Sciences, University of Copenhagen, Frederiksberg C, Denmark
| | | | - David Wiberg
- International Water Management Institute (IWMI), Battaramulla, Colombo, Sri Lanka
| | - Simon Langan
- International Water Management Institute (IWMI), Battaramulla, Colombo, Sri Lanka
| |
Collapse
|
3
|
Glassmeyer ST, Burns EE, Focazio MJ, Furlong ET, Gribble MO, Jahne MA, Keely SP, Kennicutt AR, Kolpin DW, Medlock Kakaley EK, Pfaller SL. Water, Water Everywhere, but Every Drop Unique: Challenges in the Science to Understand the Role of Contaminants of Emerging Concern in the Management of Drinking Water Supplies. GEOHEALTH 2023; 7:e2022GH000716. [PMID: 38155731 PMCID: PMC10753268 DOI: 10.1029/2022gh000716] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/08/2022] [Revised: 09/21/2023] [Accepted: 09/21/2023] [Indexed: 12/30/2023]
Abstract
The protection and management of water resources continues to be challenged by multiple and ongoing factors such as shifts in demographic, social, economic, and public health requirements. Physical limitations placed on access to potable supplies include natural and human-caused factors such as aquifer depletion, aging infrastructure, saltwater intrusion, floods, and drought. These factors, although varying in magnitude, spatial extent, and timing, can exacerbate the potential for contaminants of concern (CECs) to be present in sources of drinking water, infrastructure, premise plumbing and associated tap water. This monograph examines how current and emerging scientific efforts and technologies increase our understanding of the range of CECs and drinking water issues facing current and future populations. It is not intended to be read in one sitting, but is instead a starting point for scientists wanting to learn more about the issues surrounding CECs. This text discusses the topical evolution CECs over time (Section 1), improvements in measuring chemical and microbial CECs, through both analysis of concentration and toxicity (Section 2) and modeling CEC exposure and fate (Section 3), forms of treatment effective at removing chemical and microbial CECs (Section 4), and potential for human health impacts from exposure to CECs (Section 5). The paper concludes with how changes to water quantity, both scarcity and surpluses, could affect water quality (Section 6). Taken together, these sections document the past 25 years of CEC research and the regulatory response to these contaminants, the current work to identify and monitor CECs and mitigate exposure, and the challenges facing the future.
Collapse
Affiliation(s)
- Susan T. Glassmeyer
- U.S. Environmental Protection AgencyOffice of Research and DevelopmentCincinnatiOHUSA
| | | | - Michael J. Focazio
- Retired, Environmental Health ProgramEcosystems Mission AreaU.S. Geological SurveyRestonVAUSA
| | - Edward T. Furlong
- Emeritus, Strategic Laboratory Sciences BranchLaboratory & Analytical Services DivisionU.S. Geological SurveyDenverCOUSA
| | - Matthew O. Gribble
- Gangarosa Department of Environmental HealthRollins School of Public HealthEmory UniversityAtlantaGAUSA
| | - Michael A. Jahne
- U.S. Environmental Protection AgencyOffice of Research and DevelopmentCincinnatiOHUSA
| | - Scott P. Keely
- U.S. Environmental Protection AgencyOffice of Research and DevelopmentCincinnatiOHUSA
| | - Alison R. Kennicutt
- Department of Civil and Mechanical EngineeringYork College of PennsylvaniaYorkPAUSA
| | - Dana W. Kolpin
- U.S. Geological SurveyCentral Midwest Water Science CenterIowa CityIAUSA
| | | | - Stacy L. Pfaller
- U.S. Environmental Protection AgencyOffice of Research and DevelopmentCincinnatiOHUSA
| |
Collapse
|
4
|
Hu K, He Q. Rural-Urban Disparities in Multimorbidity Associated With Climate Change and Air Pollution: A Longitudinal Analysis Among Chinese Adults Aged 45. Innov Aging 2023; 7:igad060. [PMID: 37663149 PMCID: PMC10473454 DOI: 10.1093/geroni/igad060] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2023] [Indexed: 09/05/2023] Open
Abstract
Background and Objectives Chronic conditions and multimorbidity are increasing worldwide. Yet, understanding the relationship between climate change, air pollution, and longitudinal changes in multimorbidity is limited. Here, we examined the effects of sociodemographic and environmental risk factors in multimorbidity among adults aged 45+ and compared the rural-urban disparities in multimorbidity. Research Design and Methods Data on the number of chronic conditions (up to 14), sociodemographic, and environmental factors were collected in 4 waves of the China Health and Retirement Longitudinal Study (2011-2018), linked with the full-coverage particulate matter 2.5 (PM2.5) concentration data set (2000-2018) and temperature records (2000-2018). Air pollution was assessed by the moving average of PM2.5 concentrations in 1, 2, 3, 4, and 5 years; temperature was measured by 1-, 2-, 3-, 4-, and 5-year moving average and their corresponding coefficients of variation. We used the growth curve modeling approach to examine the relationship between climate change, air pollution, and multimorbidity, and conducted a set of stratified analyses to study the rural-urban disparities in multimorbidity related to temperature and PM2.5 exposure. Results We found the higher PM2.5 concentrations and rising temperature were associated with higher multimorbidity, especially in the longer period. Stratified analyses further show the rural-urban disparity in multimorbidity: Rural respondents have a higher prevalence of multimorbidity related to rising temperature, whereas PM2.5-related multimorbidity is more severe among urban ones. We also found temperature is more harmful to multimorbidity than PM2.5 exposure, but PM2.5 exposure or temperature is not associated with the rate of multimorbidity increase with age. Discussion and Implications Our findings indicate that there is a significant relationship between climate change, air pollution, and multimorbidity, but this relationship is not equally distributed in the rural-urban settings in China. The findings highlight the importance of planning interventions and policies to deal with rising temperature and air pollution, especially for rural individuals.
Collapse
Affiliation(s)
- Kai Hu
- Department of Sociology, School of Social and Public Administration, East China University of Science and Technology, Shanghai, China
| | - Qingqing He
- School of Resource and Environmental Engineering, Wuhan University of Technology, Wuhan, China
| |
Collapse
|
5
|
Wasan JPM, Wasan KM. Effects of climate change on soil health resulting in an increased global spread of neglected tropical diseases. PLoS Negl Trop Dis 2023; 17:e0011378. [PMID: 37319129 DOI: 10.1371/journal.pntd.0011378] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/17/2023] Open
Abstract
Although it is commonly accepted that climate change will increase the range and abundance of neglected tropical diseases (NTDs) through increased rainfall and temperature, the role of soil and influence of soil health on this effect is not well understood. We propose that understanding the influence of climate change on the physical, chemical, and biological characteristics of soils can explain how favourable environmental conditions for NTDs and vectors of NTDs to reproduce form. This, in turn, can assist local public health experts in predicting and managing the spread of NTDs. We also suggest that unlike unpredictable climatic factors, soil health can be directly managed through appropriate land use practices. This viewpoint seeks to start a discussion between soil scientists and healthcare professionals on how to achieve common goals and strategies required to manage the spread of NTDs.
Collapse
Affiliation(s)
- John Paul M Wasan
- Department of Plant Sciences, College of Agriculture and Bioresources, University of Saskatchewan, Saskatoon, Saskatchewan, Canada
| | - Kishor M Wasan
- Department of Urologic Sciences, Faculty of Medicine & The Neglected Global Diseases Initiative, University of British Columbia, Vancouver, British Columbia, Canada
| |
Collapse
|
6
|
Mitchell J, Cooke P, Ahorlu C, Arjyal A, Baral S, Carter L, Dasgupta R, Fieroze F, Fonseca-Braga M, Huque R, Lewycka S, Kalpana P, Saxena D, Tomley F, Tsekleves E, Vu Thi Quynh G, King R. Community engagement: The key to tackling Antimicrobial Resistance (AMR) across a One Health context? Glob Public Health 2022; 17:2647-2664. [PMID: 34882505 DOI: 10.1080/17441692.2021.2003839] [Citation(s) in RCA: 18] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2021] [Accepted: 10/27/2021] [Indexed: 12/15/2022]
Abstract
Antimicrobial resistance (AMR) is a One Health problem underpinned by complex drivers and behaviours. This is particularly so in low - and middle-income countries (LMICs), where social and systemic factors fuel (mis)use and drive AMR. Behavioural change around antimicrobial use could safeguard both existing and future treatments. However, changing behaviour necessitates engaging with people to understand their experiences. This publication describes a knowledge-exchange cluster of six LMIC-based projects who co-designed and answered a series of research questions around the usage of Community Engagement (CE) within AMR. Findings suggest that CE can facilitate AMR behaviour change, specifically in LMICs, because it is a contextualised approach which supports communities to develop locally meaningful solutions. However, current CE interventions focus on human aspects, and demand-side drivers, of AMR. Our cluster suggests that broader attention should be paid to AMR as a One Health issue. The popularity of mixed methods approaches within existing CE for AMR interventions suggests there is interdisciplinary interest in the uptake of CE. Unfortunately, the specificity and context-dependency of CE can make it difficult to evaluate and scale. Nevertheless, we suggest that in synthesising learnings from CE, we can develop a collective understanding of its scope to tackle AMR across contexts. .
Collapse
Affiliation(s)
- Jessica Mitchell
- Nuffield Centre for International Health and Development, University of Leeds, Woodhouse, UK
| | - Paul Cooke
- Centre for World Cinema and Digital Cultures, University of Leeds, Woodhouse, UK
| | - Collins Ahorlu
- Noguchi Memorial Institute for Medical Research, University of Ghana, Accra, Ghana
| | | | | | - Laura Carter
- School of Geography, University of Leeds, Woodhouse, UK
| | - Rajib Dasgupta
- One Health Poultry Hub, UK
- Centre of Social Medicine & Community Health, Jawaharlal Nehru University, New Delhi, India
| | | | | | | | - Sonia Lewycka
- Nuffield Department of Medicine, University of Oxford, Oxford, UK
- Oxford University Clinical Research Unit, National Hospital for Tropical Diseases, Ha Noi, Vietnam
| | - Pachillu Kalpana
- Indian Institute of Public Health Gandhinagar, Gandhinagar, India
| | - Deepak Saxena
- Indian Institute of Public Health Gandhinagar, Gandhinagar, India
| | - Fiona Tomley
- One Health Poultry Hub, UK
- Royal Veterinary College, Hatfield, UK
| | | | - Gioa Vu Thi Quynh
- Oxford University Clinical Research Unit, National Hospital for Tropical Diseases, Ha Noi, Vietnam
| | - Rebecca King
- Nuffield Centre for International Health and Development, University of Leeds, Woodhouse, UK
| |
Collapse
|
7
|
Whelan MJ, Linstead C, Worrall F, Ormerod SJ, Durance I, Johnson AC, Johnson D, Owen M, Wiik E, Howden NJK, Burt TP, Boxall A, Brown CD, Oliver DM, Tickner D. Is water quality in British rivers "better than at any time since the end of the Industrial Revolution"? THE SCIENCE OF THE TOTAL ENVIRONMENT 2022; 843:157014. [PMID: 35772542 DOI: 10.1016/j.scitotenv.2022.157014] [Citation(s) in RCA: 17] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/20/2022] [Revised: 06/15/2022] [Accepted: 06/23/2022] [Indexed: 06/15/2023]
Abstract
We explore the oft-repeated claim that river water quality in Great Britain is "better now than at any time since the Industrial Revolution". We review available data and ancillary evidence for seven different categories of water pollutants: (i) biochemical oxygen demand (BOD) and ammonia; (ii) heavy metals; (iii) sewage-associated organic pollutants (including hormone-like substances, personal care product and pharmaceutical compounds); (iv) macronutrients (nitrogen and phosphorus); (v) pesticides; (vi) acid deposition and (vii) other variables, including natural organic matter and pathogenic micro-organisms. With a few exceptions, observed data are scarce before 1970. However, we can speculate about some of the major water quality pressures which have existed before that. Point-source pollutants are likely to have increased with population growth, increased connection rates to sewerage and industrialisation, although the increased provision of wastewater treatment during the 20th century will have mitigated this to some extent. From 1940 to the 1990s, pressures from nutrients and pesticides associated with agricultural intensification have increased in many areas. In parallel, there was an increase in synthetic organic compounds with a "down-the-drain" disposal pathway. The 1990s saw general reductions in mean concentrations of metals, BOD and ammonia (driven by the EU Urban Waste Water Treatment Directive), a levelling out of nitrate concentrations (driven by the EU Nitrate Directive), a decrease in phosphate loads from both point-and diffuse-sources and some recovery from catchment acidification. The current picture is mixed: water quality in many rivers downstream of urban centres has improved in sanitary terms but not with respect to emerging contaminants, while river quality in catchments with intensive agriculture is likely to remain worse now than before the 1960s. Water quality is still unacceptably poor in some water bodies. This is often a consequence of multiple stressors which need to be better-identified and prioritised to enable continued recovery.
Collapse
Affiliation(s)
- M J Whelan
- University of Leicester, United Kingdom of Great Britain and Northern Ireland.
| | - C Linstead
- WWF-UK, United Kingdom of Great Britain and Northern Ireland
| | - F Worrall
- University of Durham, United Kingdom of Great Britain and Northern Ireland
| | - S J Ormerod
- Cardiff University, Water Research Institute, United Kingdom of Great Britain and Northern Ireland
| | - I Durance
- Cardiff University, Water Research Institute, United Kingdom of Great Britain and Northern Ireland
| | - A C Johnson
- UKCEH, Wallingford, United Kingdom of Great Britain and Northern Ireland
| | - D Johnson
- The Rivers Trust, United Kingdom of Great Britain and Northern Ireland
| | - M Owen
- Angling Trust, United Kingdom of Great Britain and Northern Ireland
| | - E Wiik
- Ronin Institute, United States of America
| | - N J K Howden
- University of Bristol, United Kingdom of Great Britain and Northern Ireland
| | - T P Burt
- University of Durham, United Kingdom of Great Britain and Northern Ireland
| | - A Boxall
- University of York, United Kingdom of Great Britain and Northern Ireland
| | - C D Brown
- University of York, United Kingdom of Great Britain and Northern Ireland
| | - D M Oliver
- University of Stirling, United Kingdom of Great Britain and Northern Ireland
| | - D Tickner
- WWF-UK, United Kingdom of Great Britain and Northern Ireland
| |
Collapse
|
8
|
Deweerdt T. Why Is the Australian Health Sector So Far behind in Practising Climate-Related Disclosures? INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:12822. [PMID: 36232121 PMCID: PMC9564636 DOI: 10.3390/ijerph191912822] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/01/2022] [Revised: 10/04/2022] [Accepted: 10/05/2022] [Indexed: 06/16/2023]
Abstract
The health sector in Australia and the ASX100 is lagging far behind in the implementation of carbon management and climate risk analysis. This case study highlights the low quantity and quality of the sector compared to its market weight. The analysis of CDP disclosures for Australian healthcare companies shows this delay and a general lack of interest in the Task Force on Climate-Related Financial Disclosures' (TCFD) recommendations. Yet, the physical and transitory risks for these companies do exist. The reasons for this inaction represent a knowledge gap in the literature, but several hypotheses are formulated, such as the lack of pressure from public authorities. At the level of the ten largest healthcare companies in the world, this failure to act is not systemic, so the scope of analysis must be broadened to see a pattern emerging.
Collapse
Affiliation(s)
- Tom Deweerdt
- School of Earth and Environmental Sciences, University of Queensland, Brisbane 4067, Australia
| |
Collapse
|
9
|
Use of a high-volume prescription database to explore health inequalities in England: assessing impacts of social deprivation and temperature on the prescription volume of medicines. J Public Health (Oxf) 2022. [DOI: 10.1007/s10389-021-01691-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
|
10
|
Adla K, Dejan K, Neira D, Dragana Š. Degradation of ecosystems and loss of ecosystem services. One Health 2022. [DOI: 10.1016/b978-0-12-822794-7.00008-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
|
11
|
Futures-oriented drugs policy research: Events, trends, and speculating on what might become. THE INTERNATIONAL JOURNAL OF DRUG POLICY 2021; 94:103332. [PMID: 34148724 DOI: 10.1016/j.drugpo.2021.103332] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2021] [Revised: 05/27/2021] [Accepted: 05/28/2021] [Indexed: 12/12/2022]
Abstract
One concern in the field of drugs policy is how to make research more futures-oriented. Tracing trends and events with the potential to alter drug futures are seen as ways of becoming more prepared. This challenge is made complex in fast evolving drug markets which entangle with shifting social and material relations at global scale. In this analysis, we argue that drugs policy research orientates to detection and discovery based on the recent past. This narrows future-oriented analyses to the predictable and probable, imagined as extensions of the immediate and local present. We call for a more speculative approach; one which extends beyond the proximal, and one which orientates to possibilities rather than probabilities. Drawing on ideas on speculation from science and technology and futures studies, we argue that speculative research holds potential for more radical alterations in drugs policy. We encourage research approaches which not only valorise knowing in relation to what might happen but which conduct experiments on what could be. Accordingly, we trace how speculative research makes a difference by altering the present through making deliberative interventions on alternative policy options, including policy scenarios which make a radical break with the present. We look specifically at the 'Big Event' and 'Mega Trend' as devices of speculative intervention in futures-oriented drugs policy research. We illustrate how the device of Mega Trend helps to trace as well as to speculate on some of the entangling elements affecting drug futures, including in relation to climate, environment, development, population, drug production, digitalisation, biotechnology, policy and discourse.
Collapse
|
12
|
Abstract
The marked progress and increase in the number of medications available for the treatment of conditions and diseases left a footprint on the surrounding environment. The consumption of medications for human and veterinarian use impact the terrestrial and marine environment and affects the ecosystem. The increase in environmental awareness regarding pharmaceutical related activities led to the development of principles and measures to mitigate a negative environmental impact. Various measures were introduced to promote green manufacturing and practices which led to the development of alternative techniques and processes, which are of benefit to both the environment and the industry. Distributors and pharmacists can contribute through the efficient management of everyday operations which include better stock taking and rotation, grouping deliveries and reducing unused medications. The incorporation of green practices in the pharmacy curriculum empowers future pharmacists with skills and competences required at the place of work to decrease the impact of processes and medicines on the environment. The presence of a pharmacist workforce which is more conscientious about the environment leads to the needed ripple effect to embrace and implement green principles in different pharmacy related settings. Patients should also be educated to avoid hoarding of medications and dispose of medication in a safe and appropriate manner. The implementation of green practices results in a decrease in the use of chemicals and production of waste which in turn leads to a decrease in pollutants which have an impact on climate change.
Collapse
Affiliation(s)
| | - Lilian M Azzopardi
- Department of Pharmacy, Faculty of Medicine and Surgery, University of Malta, Msida, Malta.
| | | |
Collapse
|
13
|
O'Flynn D, Lawler J, Yusuf A, Parle-McDermott A, Harold D, Mc Cloughlin T, Holland L, Regan F, White B. A review of pharmaceutical occurrence and pathways in the aquatic environment in the context of a changing climate and the COVID-19 pandemic. ANALYTICAL METHODS : ADVANCING METHODS AND APPLICATIONS 2021; 13:575-594. [PMID: 33507166 DOI: 10.1039/d0ay02098b] [Citation(s) in RCA: 46] [Impact Index Per Article: 15.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
Active pharmaceutical ingredients (APIs) are increasingly being identified as contaminants of emerging concern (CECs). They have potentially detrimental ecological and human health impacts but most are not currently subject to environmental regulation. Addressing the life cycle of these pharmaceuticals plays a significant role in identifying the potential sources and understanding the environmental impact that pharmaceuticals may have in surface waters. The stability and biological activity of these "micro-pollutants" can lead to a pseudo persistence, with ensuing unknown chronic behavioural and health-related effects. Research that investigates pharmaceuticals predominantly focuses on their occurrence and effect within surface water environments. However, this review will help to collate this information with factors that affect their environmental concentration. This review focuses on six pharmaceuticals (clarithromycin, ciprofloxacin, sulfamethoxazole, venlafaxine, gemfibrozil and diclofenac), chosen because they are heavily consumed globally, have poor removal rates in conventional activated sludge wastewater treatment plants (CAS WWTPs), and are persistent in the aquatic environment. Furthermore, these pharmaceuticals are included in numerous published prioritisation studies and/or are on the Water Framework Directive (WFD) "Watch List" or are candidates for the updated Watch List (WL). This review investigates the concentrations seen in European Union (EU) surface waters and examines factors that influence final concentrations prior to release, thus giving a holistic overview on the source of pharmaceutical surface water pollution. A period of 10 years is covered by this review, which includes research from 2009-2020 examining over 100 published studies, and highlighting that pharmaceuticals can pose a severe risk to surface water environments, with each stage of the lifecycle of the pharmaceutical determining its concentration. This review additionally highlights the necessity to improve education surrounding appropriate use, disposal and waste management of pharmaceuticals, while implementing a source directed and end of pipe approach to reduce pharmaceutical occurrence in surface waters.
Collapse
Affiliation(s)
- Dylan O'Flynn
- DCU Water Institute, School of Chemical Sciences, Dublin City University, Glasnevin, Dublin 9, Ireland.
| | | | | | | | | | | | | | | | | |
Collapse
|
14
|
El-Sayed A, Kamel M. Climatic changes and their role in emergence and re-emergence of diseases. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2020; 27:22336-22352. [PMID: 32347486 PMCID: PMC7187803 DOI: 10.1007/s11356-020-08896-w] [Citation(s) in RCA: 118] [Impact Index Per Article: 29.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/26/2020] [Accepted: 04/14/2020] [Indexed: 05/11/2023]
Abstract
Global warming and the associated climate changes are predictable. They are enhanced by burning of fossil fuels and the emission of huge amounts of CO2 gas which resulted in greenhouse effect. It is expected that the average global temperature will increase with 2-5 °C in the next decades. As a result, the earth will exhibit marked climatic changes characterized by extremer weather events in the coming decades, such as the increase in temperature, rainfall, summertime, droughts, more frequent and stronger tornadoes and hurricanes. Epidemiological disease cycle includes host, pathogen and in certain cases intermediate host/vector. A complex mixture of various environmental conditions (e.g. temperature and humidity) determines the suitable habitat/ecological niche for every vector host. The availability of suitable vectors is a precondition for the emergence of vector-borne pathogens. Climate changes and global warming will have catastrophic effects on human, animal and environmental ecosystems. Pathogens, especially neglected tropical disease agents, are expected to emerge and re-emerge in several countries including Europe and North America. The lives of millions of people especially in developing countries will be at risk in direct and indirect ways. In the present review, the role of climate changes in the spread of infectious agents and their vectors is discussed. Examples of the major emerging viral, bacterial and parasitic diseases are also summarized.
Collapse
Affiliation(s)
- Amr El-Sayed
- Department of Medicine and Infectious Diseases, Faculty of Veterinary Medicine, Cairo University, Giza, Egypt
| | - Mohamed Kamel
- Department of Medicine and Infectious Diseases, Faculty of Veterinary Medicine, Cairo University, Giza, Egypt.
| |
Collapse
|
15
|
Aquaculture at the crossroads of global warming and antimicrobial resistance. Nat Commun 2020; 11:1870. [PMID: 32312964 PMCID: PMC7170852 DOI: 10.1038/s41467-020-15735-6] [Citation(s) in RCA: 140] [Impact Index Per Article: 35.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2019] [Accepted: 03/19/2020] [Indexed: 01/26/2023] Open
Abstract
In many developing countries, aquaculture is key to ensuring food security for millions of people. It is thus important to measure the full implications of environmental changes on the sustainability of aquaculture. We conduct a double meta-analysis (460 articles) to explore how global warming and antimicrobial resistance (AMR) impact aquaculture. We calculate a Multi-Antibiotic Resistance index (MAR) of aquaculture-related bacteria (11,274 isolates) for 40 countries, of which mostly low- and middle-income countries present high AMR levels. Here we show that aquaculture MAR indices correlate with MAR indices from human clinical bacteria, temperature and countries’ climate vulnerability. We also find that infected aquatic animals present higher mortalities at warmer temperatures. Countries most vulnerable to climate change will probably face the highest AMR risks, impacting human health beyond the aquaculture sector, highlighting the need for urgent action. Sustainable solutions to minimise antibiotic use and increase system resilience are therefore needed. Global environmental changes threaten many food-producing sectors, including aquaculture. Here the authors show that countries most vulnerable to climate change will probably face the highest antimicrobial resistance in aquaculture-related bacteria, and that infected aquatic animals have higher mortality at warmer temperatures.
Collapse
|
16
|
Butler CD. Climate Change, Health and Existential Risks to Civilization: A Comprehensive Review (1989⁻2013). INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 15:E2266. [PMID: 30332777 PMCID: PMC6210172 DOI: 10.3390/ijerph15102266] [Citation(s) in RCA: 34] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/02/2018] [Revised: 10/06/2018] [Accepted: 10/14/2018] [Indexed: 12/28/2022]
Abstract
Background: Anthropogenic global warming, interacting with social and other environmental determinants, constitutes a profound health risk. This paper reports a comprehensive literature review for 1989⁻2013 (inclusive), the first 25 years in which this topic appeared in scientific journals. It explores the extent to which articles have identified potentially catastrophic, civilization-endangering health risks associated with climate change. Methods: PubMed and Google Scholar were primarily used to identify articles which were then ranked on a three-point scale. Each score reflected the extent to which papers discussed global systemic risk. Citations were also analyzed. Results: Of 2143 analyzed papers 1546 (72%) were scored as one. Their citations (165,133) were 82% of the total. The proportion of annual papers scored as three was initially high, as were their citations but declined to almost zero by 1996, before rising slightly from 2006. Conclusions: The enormous expansion of the literature appropriately reflects increased understanding of the importance of climate change to global health. However, recognition of the most severe, existential, health risks from climate change was generally low. Most papers instead focused on infectious diseases, direct heat effects and other disciplinary-bounded phenomena and consequences, even though scientific advances have long called for more inter-disciplinary collaboration.
Collapse
Affiliation(s)
- Colin D Butler
- National Centre for Epidemiology and Population Health, Australian National University, Canberra 0200, Australia.
| |
Collapse
|
17
|
Cook JL, Graves L, Kirkham C. Listeriosis in Pregnancy: Practitioners' Food Safety Counselling Practices to Pregnant Women. JOURNAL OF OBSTETRICS AND GYNAECOLOGY CANADA 2018; 40:1139-1147. [PMID: 30030057 DOI: 10.1016/j.jogc.2018.01.021] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2017] [Accepted: 01/13/2018] [Indexed: 11/27/2022]
Abstract
OBJECTIVE The relative risk of invasive listeriosis in pregnant women is approximately 20 times greater than the general population, and listeriosis during pregnancy can have negative consequences for pregnant women, their fetuses, and their newborns. Health care providers are valuable sources of information, but published data suggest that most providers are unaware of the risk factors for listeriosis or its propensity for pregnant women, and they do not counsel their pregnant patients about risks. The objective of this study was to determine knowledge and practices of Canadian perinatal care providers on food safety counselling to pregnant women. METHODS An anonymous bilingual online questionnaire that sought information about awareness, knowledge of risk factors, practices for counselling pregnant women, and practitioners' learning needs with regard to listeriosis was sent to 3199 nurses, midwives, family physicians, and obstetrician/gynaecologists in Canada, with a response rate of 24.4%. RESULTS Most respondents had heard of listeriosis, provided prenatal care, and attended deliveries. Rates of awareness of listeriosis were the same among professions and were independent of years in practice, whether practice was urban or rural, and province. One third of the respondents (35.7%) were aware that listeriosis was more common in pregnant women; a minority (18.7%) correctly identified the incubation period for listeriosis and the stage in pregnancy in which women are at highest risk (30.4%). Those respondents who did not counsel women about the risks of listeriosis during pregnancy reported a lack of information or knowledge as the main reason. CONCLUSION Advising pregnant women about behaviours and lifestyle habits to prevent infectious diseases remains important, and information about preventive practices needs to be complete and adequate. The health care providers who participated in this study did express a clear need for information related to food safety during pregnancy and listeriosis, as supported by their lack of knowledge in some areas. If that lack is remedied, the knowledge gained could improve counselling practices.
Collapse
Affiliation(s)
- Jocelynn L Cook
- Society of Obstetricians and Gynaecologists of Canada, Ottawa, ON; Department of Obstetrics and Gynaecology, University of Ottawa, Ottawa, ON.
| | - Lisa Graves
- Department of Family and Community Medicine, Western Michigan University Homer Stryker MD School of Medicine, Kalamazoo, MI
| | - Colleen Kirkham
- Department of Family Practice, University of British Columbia, Vancouver, BC
| |
Collapse
|
18
|
Burns EE, Carter LJ, Snape J, Thomas-Oates J, Boxall ABA. Application of prioritization approaches to optimize environmental monitoring and testing of pharmaceuticals. JOURNAL OF TOXICOLOGY AND ENVIRONMENTAL HEALTH. PART B, CRITICAL REVIEWS 2018; 21:115-141. [PMID: 29714645 DOI: 10.1080/10937404.2018.1465873] [Citation(s) in RCA: 43] [Impact Index Per Article: 7.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/20/2023]
Abstract
Pharmaceuticals are ubiquitous in the natural environment with concentrations expected to rise as human population increases. Environmental risk assessments are available for a small portion of pharmaceuticals in use, raising concerns over the potential risks posed by other drugs that have little or no data. With >1900 active pharmaceutical ingredients in use, it would be a major task to test all of the compounds with little or no data. Desk-based prioritization studies provide a potential solution by identifying those substances that are likely to pose the greatest risk to the environment and which, therefore, need to be considered a priority for further study. The aim of this review was to (1) provide an overview of different prioritization exercises performed for pharmaceuticals in the environment and the results obtained; and (2) propose a new holistic risk-based prioritization framework for drugs in the environment. The suggested models to underpin this framework are discussed in terms of validity and applicability. The availability of data required to run the models was assessed and data gaps identified. The implementation of this framework may harmonize pharmaceutical prioritization efforts and ensure that, in the future, experimental resources are focused on molecules, endpoints, and environmental compartments that are biologically relevant.
Collapse
Affiliation(s)
- Emily E Burns
- a Chemistry Department , University of York , Heslington , UK
| | - Laura J Carter
- b Environment Department , University of York , Heslington , UK
| | - Jason Snape
- c AstraZeneca AstraZeneca UK, Global Environment , Cheshire , UK
| | | | | |
Collapse
|
19
|
Morris GP, Reis S, Beck SA, Fleming LE, Adger WN, Benton TG, Depledge MH. Scoping the proximal and distal dimensions of climate change on health and wellbeing. Environ Health 2017; 16:116. [PMID: 29219099 PMCID: PMC5773875 DOI: 10.1186/s12940-017-0329-y] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
The impacts of climate on health and wellbeing occur in time and space and through a range of indirect, complicated mechanisms. This diversity of pathways has major implications for national public health planning and influence on interventions that might help to mitigate and adapt to rapidly changing environmental conditions, nationally and internationally. This paper draws upon evidence from public health and adverse impact studies across climate science, hydrology, agriculture, public health, and the social sciences. It presents a conceptual model to support decision-making by recognizing both the proximal and distal pathways from climate-induced environmental change to national health and wellbeing. The proximal and distal pathways associated with food security, migration and mobility illustrate the diverse climate change influences in different geographic locations over different timescales. We argue that greater realization and articulation of proximal and distal pathways should radically alter how climate change is addressed as a national and international public health challenge.
Collapse
Affiliation(s)
- George Paterson Morris
- European Centre for Environment and Human Health, University of Exeter Medical School C/o Knowledge Spa RCHT, Truro, Cornwall, TR1 3HD, UK.
| | - Stefan Reis
- European Centre for Environment and Human Health, University of Exeter Medical School C/o Knowledge Spa RCHT, Truro, Cornwall, TR1 3HD, UK
- NERC Centre for Ecology & Hydrology, Bush Estate, Midlothian, Penicuik, UK
| | - Sheila Anne Beck
- NHS Health Scotland, Meridian Court, Cadogan Street, Glasgow, UK
| | - Lora Elderkin Fleming
- European Centre for Environment and Human Health, University of Exeter Medical School C/o Knowledge Spa RCHT, Truro, Cornwall, TR1 3HD, UK
| | - William Neil Adger
- Geography, College of Life and Environmental Sciences, University of Exeter, Rennes Drive, Exeter, EX4 4RJ, UK
| | - Timothy Guy Benton
- UK's Global Food Security Programme and School of Biology, University of Leeds, Leeds, UK
| | - Michael Harold Depledge
- European Centre for Environment and Human Health, University of Exeter Medical School C/o Knowledge Spa RCHT, Truro, Cornwall, TR1 3HD, UK
| |
Collapse
|
20
|
Kaushik G, Xia Y, Pfau JC, Thomas MA. Dysregulation of autism-associated synaptic proteins by psychoactive pharmaceuticals at environmental concentrations. Neurosci Lett 2017; 661:143-148. [PMID: 28965935 DOI: 10.1016/j.neulet.2017.09.058] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2017] [Revised: 09/26/2017] [Accepted: 09/27/2017] [Indexed: 12/12/2022]
Abstract
Autism Spectrum Disorders (ASD) are complex neurological disorders for which the prevalence in the U.S. is currently estimated to be 1 in 50 children. A majority of cases of idiopathic autism in children likely result from unknown environmental triggers in genetically susceptible individuals. These triggers may include maternal exposure of a developing embryo to environmentally relevant minute concentrations of psychoactive pharmaceuticals through ineffectively purified drinking water. Previous studies in our lab examined the extent to which gene sets associated with neuronal development were up- and down-regulated (enriched) in the brains of fathead minnows treated with psychoactive pharmaceuticals at environmental concentrations. The aim of this study was to determine whether similar treatments would alter in vitro expression of ASD-associated synaptic proteins on differentiated human neuronal cells. Human SK-N-SH neuroblastoma cells were differentiated for two weeks with 10μM retinoic acid (RA) and treated with environmentally relevant concentrations of fluoxetine, carbamazepine or venlafaxine, and flow cytometry technique was used to analyze expression of ASD-associated synaptic proteins. Data showed that carbamazepine individually, venlafaxine individually and mixture treatment at environmental concentrations significantly altered the expression of key synaptic proteins (NMDAR1, PSD95, SV2A, HTR1B, HTR2C and OXTR). Data indicated that psychoactive pharmaceuticals at extremely low concentrations altered the in vitro expression of key synaptic proteins that may potentially contribute to neurological disorders like ASD by disrupting neuronal development.
Collapse
Affiliation(s)
- Gaurav Kaushik
- Department of Biological Sciences, Idaho State University, Stop 8007, 921 S 8th Ave., Pocatello, ID 83209-8007, USA; Department of Orthopedics and Rehabilitation, University of Wisconsin-Madison, Madison, WI 53705 USA.
| | - Yu Xia
- Division of Biological Sciences, University of Montana, 32 Campus Dr. HS 104, Missoula, MT 59812, USA.
| | - Jean C Pfau
- Department of Biological Sciences, Idaho State University, Stop 8007, 921 S 8th Ave., Pocatello, ID 83209-8007, USA; Department of Microbiology and Immunology, Montana State University, Bozeman, MT 59717, USA.
| | - Michael A Thomas
- Department of Biological Sciences, Idaho State University, Stop 8007, 921 S 8th Ave., Pocatello, ID 83209-8007, USA.
| |
Collapse
|
21
|
Sullivan KE, Bassiri H, Bousfiha AA, Costa-Carvalho BT, Freeman AF, Hagin D, Lau YL, Lionakis MS, Moreira I, Pinto JA, de Moraes-Pinto MI, Rawat A, Reda SM, Reyes SOL, Seppänen M, Tang MLK. Emerging Infections and Pertinent Infections Related to Travel for Patients with Primary Immunodeficiencies. J Clin Immunol 2017; 37:650-692. [PMID: 28786026 PMCID: PMC5693703 DOI: 10.1007/s10875-017-0426-2] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2017] [Accepted: 07/21/2017] [Indexed: 12/18/2022]
Abstract
In today's global economy and affordable vacation travel, it is increasingly important that visitors to another country and their physician be familiar with emerging infections, infections unique to a specific geographic region, and risks related to the process of travel. This is never more important than for patients with primary immunodeficiency disorders (PIDD). A recent review addressing common causes of fever in travelers provides important information for the general population Thwaites and Day (N Engl J Med 376:548-560, 2017). This review covers critical infectious and management concerns specifically related to travel for patients with PIDD. This review will discuss the context of the changing landscape of infections, highlight specific infections of concern, and profile distinct infection phenotypes in patients who are immune compromised. The organization of this review will address the environment driving emerging infections and several concerns unique to patients with PIDD. The first section addresses general considerations, the second section profiles specific infections organized according to mechanism of transmission, and the third section focuses on unique phenotypes and unique susceptibilities in patients with PIDDs. This review does not address most parasitic diseases. Reference tables provide easily accessible information on a broader range of infections than is described in the text.
Collapse
Affiliation(s)
- Kathleen E Sullivan
- Division of Allergy and Immunology, The Children's Hospital of Philadelphia, 3615 Civic Center Blvd., Philadelphia, PA, 19104, USA.
| | - Hamid Bassiri
- Division of Infectious Diseases and Center for Childhood Cancer Research, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, 3501 Civic Center Boulevard, Philadelphia, PA, 19104, USA
| | - Ahmed A Bousfiha
- Clinical Immunology Unit, Infectious Department, Hopital d'Enfant Abderrahim Harouchi, CHU Ibn Rochd, Laboratoire d'Immunologie Clinique, d'Inflammation et d'Allergie LICIA, Faculté de Médecine et de Pharmacie, Université Hassan II, Casablanca, Morocco
| | - Beatriz T Costa-Carvalho
- Department of Pediatrics, Federal University of São Paulo, Rua dos Otonis, 725, São Paulo, SP, 04025-002, Brazil
| | - Alexandra F Freeman
- NIAID, NIH, Building 10 Room 12C103, 9000 Rockville, Pike, Bethesda, MD, 20892, USA
| | - David Hagin
- Division of Allergy and Immunology, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, University of Tel Aviv, 6 Weizmann St, 64239, Tel Aviv, Israel
| | - Yu L Lau
- Department of Paediatrics & Adolescent Medicine, The University of Hong Kong, Rm 106, 1/F New Clinical Building, Pok Fu Lam, Hong Kong.,Queen Mary Hospital, 102 Pokfulam Road, Pok Fu Lam, Hong Kong
| | - Michail S Lionakis
- Fungal Pathogenesis Unit, Laboratory of Clinical Infectious Diseases, National Institute of Allergy & Infectious Diseases (NIAID), National Institutes of Health (NIH), 9000 Rockville Pike, Building 10, Room 11C102, Bethesda, MD, 20892, USA
| | - Ileana Moreira
- Immunology Unit, Hospital de Niños Ricardo Gutiérrez, Gallo 1330, 1425, Buenos Aires, Argentina
| | - Jorge A Pinto
- Division of Immunology, Department of Pediatrics, Federal University of Minas Gerais, Av. Alfredo Balena 190, room # 161, Belo Horizonte, MG, 30130-100, Brazil
| | - M Isabel de Moraes-Pinto
- Division of Pediatric Infectious Diseases, Department of Pediatrics, Federal University of São Paulo, Rua Pedro de Toledo, 781/9°andar, São Paulo, SP, 04039-032, Brazil
| | - Amit Rawat
- Pediatric Allergy and Immunology, Department of Pediatrics, Advanced Pediatrics Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - Shereen M Reda
- Pediatric Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt
| | - Saul Oswaldo Lugo Reyes
- Immunodeficiencies Research Unit, National Institute of Pediatrics, Av Iman 1, Torre de Investigacion, Piso 9, Coyoacan, 04530, Mexico City, Mexico
| | - Mikko Seppänen
- Harvinaissairauksien yksikkö (HAKE), Rare Disease Center, Helsinki University Hospital (HUH), Helsinki, Finland
| | - Mimi L K Tang
- Murdoch Children's Research Institute, The Royal Children's Hospital, University of Melbourne, Melbourne, Australia
| |
Collapse
|
22
|
Shah K, Hassan E, Ahmed F, Anis I, Rabnawaz M, Shah MR. Novel fluorene-based supramolecular sensor for selective detection of amoxicillin in water and blood. ECOTOXICOLOGY AND ENVIRONMENTAL SAFETY 2017; 141:25-29. [PMID: 28288309 DOI: 10.1016/j.ecoenv.2017.03.003] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/11/2016] [Revised: 02/28/2017] [Accepted: 03/06/2017] [Indexed: 06/06/2023]
Abstract
Synthesis, characterization and molecular recognition properties of fluorene based supramolecular cleft 1 is reported. The cleft molecule 1 was prepared in a single-step with good yield (85% yield), by linking Fluorene with 1-ethyl piperazine. The cleft molecule 1 was carefully characterized using various spectroscopic techniques such as NMR and mass spectrometry. The supramolecular interaction of cleft 1 with amoxicillin, 6APA, aspirin, captopril, cefotaxime, ceftriaxone, cefuroxime, diclofenac, penicillin, and cephradine was evaluated by fluorescent spectroscopy. The molecular recognition studies showed that amoxicillin selectively binds with cleft 1 in the presence of other drugs. The analytical method developed for the supramolecular interaction of molecular cleft 1 and amoxicillin was validated at varying pH, concentration and temperature during recognition process. Job's plots indicated that the stochiometry of the interactions between the cleft 1 and the amoxicillin was 1:1.
Collapse
Affiliation(s)
- Kiramat Shah
- International Center for Chemical and Biological Sciences, H.E.J. Research Institute of Chemistry, University of Karachi, Karachi 75270, Pakistan.
| | - Erum Hassan
- Department of Chemistry, University of Karachi, Karachi 75270, Pakistan
| | - Farid Ahmed
- International Center for Chemical and Biological Sciences, H.E.J. Research Institute of Chemistry, University of Karachi, Karachi 75270, Pakistan
| | - Itrat Anis
- Department of Chemistry, University of Karachi, Karachi 75270, Pakistan
| | - Muhammad Rabnawaz
- School of Packaging, Michigan State University, 448 Wilson Road, East Lansing, MI 48824-1223, United States of America (USA)
| | - Muhammad Raza Shah
- International Center for Chemical and Biological Sciences, H.E.J. Research Institute of Chemistry, University of Karachi, Karachi 75270, Pakistan.
| |
Collapse
|
23
|
Brack W, Dulio V, Ågerstrand M, Allan I, Altenburger R, Brinkmann M, Bunke D, Burgess RM, Cousins I, Escher BI, Hernández FJ, Hewitt LM, Hilscherová K, Hollender J, Hollert H, Kase R, Klauer B, Lindim C, Herráez DL, Miège C, Munthe J, O'Toole S, Posthuma L, Rüdel H, Schäfer RB, Sengl M, Smedes F, van de Meent D, van den Brink PJ, van Gils J, van Wezel AP, Vethaak AD, Vermeirssen E, von der Ohe PC, Vrana B. Towards the review of the European Union Water Framework Directive: Recommendations for more efficient assessment and management of chemical contamination in European surface water resources. THE SCIENCE OF THE TOTAL ENVIRONMENT 2017; 576:720-737. [PMID: 27810758 PMCID: PMC8281610 DOI: 10.1016/j.scitotenv.2016.10.104] [Citation(s) in RCA: 168] [Impact Index Per Article: 24.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/16/2016] [Revised: 10/14/2016] [Accepted: 10/15/2016] [Indexed: 05/21/2023]
Abstract
Water is a vital resource for natural ecosystems and human life, and assuring a high quality of water and protecting it from chemical contamination is a major societal goal in the European Union. The Water Framework Directive (WFD) and its daughter directives are the major body of legislation for the protection and sustainable use of European freshwater resources. The practical implementation of the WFD with regard to chemical pollution has faced some challenges. In support of the upcoming WFD review in 2019 the research project SOLUTIONS and the European monitoring network NORMAN has analyzed these challenges, evaluated the state-of-the-art of the science and suggested possible solutions. We give 10 recommendations to improve monitoring and to strengthen comprehensive prioritization, to foster consistent assessment and to support solution-oriented management of surface waters. The integration of effect-based tools, the application of passive sampling for bioaccumulative chemicals and an integrated strategy for prioritization of contaminants, accounting for knowledge gaps, are seen as important approaches to advance monitoring. Including all relevant chemical contaminants in more holistic "chemical status" assessment, using effect-based trigger values to address priority mixtures of chemicals, to better consider historical burdens accumulated in sediments and to use models to fill data gaps are recommended for a consistent assessment of contamination. Solution-oriented management should apply a tiered approach in investigative monitoring to identify toxicity drivers, strengthen consistent legislative frameworks and apply solutions-oriented approaches that explore risk reduction scenarios before and along with risk assessment.
Collapse
Affiliation(s)
- Werner Brack
- Helmholtz Centre for Environmental Research UFZ, Leipzig, Germany; RWTH Aachen University, Aachen, Germany.
| | - Valeria Dulio
- Institut National de l'Environnement Industriel et des Risques INERIS, Verneuil-en-Halatte, France
| | - Marlene Ågerstrand
- ACES - Department of Environmental Science and Analytical Chemistry, Stockholm University, Stockholm, Sweden
| | - Ian Allan
- Norwegian Institute for Water Research (NIVA), Oslo, Norway
| | - Rolf Altenburger
- Helmholtz Centre for Environmental Research UFZ, Leipzig, Germany; RWTH Aachen University, Aachen, Germany
| | | | - Dirk Bunke
- Oeko-Institut e.V. - Institute for Applied Ecology, Freiburg, Germany
| | - Robert M Burgess
- U.S. Environmental Protection Agency, ORD, NHEERL, Atlantic Ecology Division, Narrangansett, RI, USA
| | - Ian Cousins
- ACES - Department of Environmental Science and Analytical Chemistry, Stockholm University, Stockholm, Sweden
| | - Beate I Escher
- Helmholtz Centre for Environmental Research UFZ, Leipzig, Germany; Eberhard Karls University of Tübingen, Tübingen, Germany
| | | | - L Mark Hewitt
- Aquatic Ecosystem Protection Research Division, Environment Canada, Burlington, Ontario, Canada
| | - Klára Hilscherová
- Masaryk University, Research Centre for Toxic Compounds in the Environment (RECETOX), Brno, Czech Republic
| | - Juliane Hollender
- EAWAG, Swiss Federal Institute of Aquatic Science and Technology, Dübendorf, Switzerland
| | | | - Robert Kase
- Swiss Centre for Applied Ecotoxicology, Eawag-EPFL, Dübendorf, Switzerland
| | - Bernd Klauer
- Helmholtz Centre for Environmental Research UFZ, Leipzig, Germany
| | - Claudia Lindim
- ACES - Department of Environmental Science and Analytical Chemistry, Stockholm University, Stockholm, Sweden
| | | | - Cécil Miège
- IRSTEA - UR MALY, Villeurbanne Cedex, France
| | - John Munthe
- IVL Swedish Environmental Research Institute, Gothenburg, Sweden
| | | | - Leo Posthuma
- National Institute for Public Health and the Environment RIVM, Bilthoven, The Netherlands; Department of Environmental Science, Institute for Water and Wetland Research, Radboud University Nijmegen, The Netherlands
| | - Heinz Rüdel
- Fraunhofer Inst Mol Biol & Appl Ecol IME, Aberg 1, D-57392 Schmallenberg, Germany
| | | | - Manfred Sengl
- Bavarian Environmental Agency, D-86179 Augsburg, Germany
| | - Foppe Smedes
- Masaryk University, Research Centre for Toxic Compounds in the Environment (RECETOX), Brno, Czech Republic
| | | | - Paul J van den Brink
- Alterra, Wageningen University and Research Centre, P.O. Box 47, 6700 AA Wageningen, The Netherlands; Department of Aquatic Ecology and Water Quality Management, Wageningen University and Research Centre, P.O. Box 47, 6700 AA Wageningen, The Netherlands
| | | | - Annemarie P van Wezel
- KWR Watercycle Research Institute, Nieuwegein, The Netherlands; Copernicus Institute, Utrecht University, Utrecht, The Netherlands
| | - A Dick Vethaak
- Deltares, Delft, The Netherlands; VU University Amsterdam, Institute for Environmental Studies, Amsterdam, The Netherlands
| | - Etienne Vermeirssen
- EAWAG, Swiss Federal Institute of Aquatic Science and Technology, Dübendorf, Switzerland
| | | | - Branislav Vrana
- Masaryk University, Research Centre for Toxic Compounds in the Environment (RECETOX), Brno, Czech Republic
| |
Collapse
|
24
|
Brodin T, Nordling J, Lagesson A, Klaminder J, Hellström G, Christensen B, Fick J. Environmental relevant levels of a benzodiazepine (oxazepam) alters important behavioral traits in a common planktivorous fish, (Rutilus rutilus). JOURNAL OF TOXICOLOGY AND ENVIRONMENTAL HEALTH. PART A 2017; 80:963-970. [PMID: 28829722 DOI: 10.1080/15287394.2017.1352214] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/02/2023]
Abstract
Environmental pollution by pharmaceuticals is increasingly recognized as a major threat to aquatic ecosystems worldwide. A complex mix of pharmaceuticals enters waterways via treated wastewater effluent and many remain biochemically active after the drugs reach aquatic systems. However, to date little is known regarding the ecological effects that might arise following pharmaceutical contamination of aquatic environments. One group of particular concern is behaviorally modifying pharmaceuticals as seemingly minor changes in behavior may initiate marked ecological consequences. The aim of this study was to examine the influence of a benzodiazepine anxiolytic drug (oxazepam) on key behavioral traits in wild roach (Rutilus rutilus) at concentrations similar to those encountered in effluent surface waters. Roach exposed to water with high concentrations of oxazepam (280 µg/L) exhibited increased boldness, while roach at low treatment (0.84 µg/L) became bolder and more active compared to control fish. Our results reinforce the notion that anxiolytic drugs may be affecting fish behavior in natural systems, emphasizing the need for further research on ecological impacts of pharmaceuticals in aquatic systems and development of new tools to incorporate ecologically relevant behavioral endpoints into ecotoxicological risk assessment.
Collapse
Affiliation(s)
- Tomas Brodin
- a Department of Ecology and Environmental Science , Umeå University , Umeå , Sweden
| | - Johanna Nordling
- a Department of Ecology and Environmental Science , Umeå University , Umeå , Sweden
| | - Annelie Lagesson
- a Department of Ecology and Environmental Science , Umeå University , Umeå , Sweden
| | - Jonatan Klaminder
- a Department of Ecology and Environmental Science , Umeå University , Umeå , Sweden
| | - Gustav Hellström
- b Department of Wildlife , Fish, and Environmental Studies, Swedish University of Agricultural Sciences , Umeå , Sweden
| | - Bent Christensen
- a Department of Ecology and Environmental Science , Umeå University , Umeå , Sweden
| | - Jerker Fick
- c Department of Chemistry , Umeå University , Umeå , Sweden
| |
Collapse
|
25
|
Thomas F, Depledge M. Medicine ‘misuse’: Implications for health and environmental sustainability. Soc Sci Med 2015; 143:81-7. [DOI: 10.1016/j.socscimed.2015.08.028] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2015] [Revised: 08/12/2015] [Accepted: 08/14/2015] [Indexed: 01/20/2023]
|
26
|
Schmidt W, Redshaw CH. Evaluation of biological endpoints in crop plants after exposure to non-steroidal anti-inflammatory drugs (NSAIDs): implications for phytotoxicological assessment of novel contaminants. ECOTOXICOLOGY AND ENVIRONMENTAL SAFETY 2015; 112:212-22. [PMID: 25463873 DOI: 10.1016/j.ecoenv.2014.11.008] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/11/2014] [Revised: 11/06/2014] [Accepted: 11/11/2014] [Indexed: 06/04/2023]
Abstract
Human pharmaceuticals have been detected in the terrestrial environment at µg to mg kg(-1) concentrations. Repeated application of sewage sludge (biosolids) and increasing reclaimed wastewater use for irrigation could lead to accumulation of these novel contaminants in soil systems. Despite this, potential phytotoxicological effects on higher plants have rarely been evaluated. These studies aimed to test effects upon germination, development, growth and physiology of two crop plants, namely radish (Raphanus sativus Spakler 3) and lettuce (Lactuca sativa All Year Around), after exposure to different, but structurally related non-steroidal anti-inflammatory drugs (NSAIDs) at environmentally relevant concentrations. A range of biological endpoints comprising biomass, length, water content, specific root and shoot length, root to shoot ratio, daily progress of stages of cell elongation and organ emergence (primary root, hypocotyl elongation, cotyledon emergence, cotyledon opening, and no change), as well as photosynthetic measurements were evaluated. Compounds from the fenamic acid class were found to affect R. sativus root endpoints (root length and water content), while ibuprofen affected early root development of L. sativa. In general, phytotoxicological effects on root endpoints demonstrated that impacts upon higher plants are not only compound specific, but also differ between plant species. It was found that the usage of a wide range of biological endpoints (all simple, cost-effective and ecologically relevant) were beneficial in detecting differences in plant responses to NSAID exposure. Due to paucity and discrepancy within the few previously available phytotoxicological studies with pharmaceuticals, it is now essential to allocate time and resources to consider development of suitable chronic toxicity tests, and some suggestions regarding this are presented.
Collapse
Affiliation(s)
- Wiebke Schmidt
- European Centre for Environment and Human Health (ECEHH), University of Exeter Medical School, Cornwall, United Kingdom; School of Geography Earth and Environmental Sciences, University of Plymouth, Devon, United Kingdom.
| | - Clare H Redshaw
- European Centre for Environment and Human Health (ECEHH), University of Exeter Medical School, Cornwall, United Kingdom; School of Geography Earth and Environmental Sciences, University of Plymouth, Devon, United Kingdom
| |
Collapse
|
27
|
Pereira AMPT, Silva LJG, Meisel LM, Pena A. Fluoroquinolones and Tetracycline Antibiotics in a Portuguese Aquaculture System and Aquatic Surroundings: Occurrence and Environmental Impact. JOURNAL OF TOXICOLOGY AND ENVIRONMENTAL HEALTH. PART A 2015; 78:959-975. [PMID: 26262440 DOI: 10.1080/15287394.2015.1036185] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
The growth of aquaculture over the past few years is widely recognized as one of the main sources of antibiotics, mainly fluoroquinolones (FQ) and tetracyclines (TC), in the aquatic environment, consequently, increasing the risk of the emergence of antibiotic bacterial resistance and promoting the spread of resistant genes. This study aimed to (1) develop and validate a multiresidue method for determination and quantification of ciprofloxacin (CIP), difloxacin (DIFL), enrofloxacin (ENR), norfloxacin (NOR), sarafloxacin (SARA), and oxytetracycline (OXY) in aquaculture waters and surrounding water bodies and (2) provide the first Portuguese data to utilize in assessment of risk of adverse effects. In addition, the potential environmental impact posed by these antibiotics to aquatic organisms, belonging to different trophic levels, when exposed to the studied aquaculture waters was also assessed. The analytical strategy comprised of solid-phase extraction (SPE) through Oasis HLB cartridges, and detection and quantification by liquid chromatography with tandem mass spectrometry (LC/MS(n)). Method detection limits (MDL) and method quantification limits (MQL) were in the range of 0.7-3 ng/L and 2.4-10 ng/L, respectively. Recoveries varied between 57.4 and 122.8%. The method was applied to 31 water samples collected from an aquaculture and surrounding water bodies located in north of Portugal. Residues of all antibiotics, except SARA and DIFL, were detected at concentrations ranging from 3 to 75.1 ng/L. Norfloxacin was the antibiotic present at highest frequency and concentration. Regarding the environmental impact assessment (EIA), a risk quotient higher than 1 was observed for NOR.
Collapse
Affiliation(s)
- André M P T Pereira
- a LAQV, REQUIMTE, Group of Bromatology, Pharmacognosy and Analytical Sciences, Faculty of Pharmacy , University of Coimbra, Polo III , Coimbra , Portugal
| | | | | | | |
Collapse
|
28
|
Fleming LE, McDonough N, Austen M, Mee L, Moore M, Hess P, Depledge MH, White M, Philippart K, Bradbrook P, Smalley A. Oceans and Human Health: a rising tide of challenges and opportunities for Europe. MARINE ENVIRONMENTAL RESEARCH 2014; 99:16-9. [PMID: 25081849 DOI: 10.1016/j.marenvres.2014.05.010] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/19/2014] [Accepted: 05/25/2014] [Indexed: 05/06/2023]
Abstract
The European Marine Board recently published a position paper on linking oceans and human health as a strategic research priority for Europe. With this position paper as a reference, the March 2014 Cornwall Oceans and Human Health Workshop brought together key scientists, policy makers, funders, business, and non governmental organisations from Europe and the US to review the recent interdisciplinary and cutting edge research in oceans and human health specifically the growing evidence of the impacts of oceans and seas on human health and wellbeing (and the effects of humans on the oceans). These impacts are a complex mixture of negative influences (e.g. from climate change and extreme weather to harmful algal blooms and chemical pollution) and beneficial factors (e.g. from natural products including seafood to marine renewable energy and wellbeing from interactions with coastal environments). Integrated approaches across disciplines, institutions, and nations in science and policy are needed to protect both the oceans and human health and wellbeing now and in the future.
Collapse
Affiliation(s)
- L E Fleming
- European Centre for Environment and Human Health, The University of Exeter Medical School, Truro, Cornwall TR1 3AE, UK. http://www.ecehh.org
| | - N McDonough
- European Marine Board, 8400 Oostende, Belgium.
| | - M Austen
- Plymouth Marine Laboratory (PML), Plymouth PL1 3DH, UK.
| | - L Mee
- Scottish Association for Marine Sciences (SAMS), Oban PA37 1QA, Scotland, UK.
| | - M Moore
- European Centre for Environment and Human Health, The University of Exeter Medical School, Truro, Cornwall TR1 3AE, UK; Plymouth Marine Laboratory (PML), Plymouth PL1 3DH, UK.
| | - P Hess
- Institut Francais de Recherche Pour L'exploitation de la Mer (IFREMER), Nantes, CEDEX 03, France.
| | - M H Depledge
- European Centre for Environment and Human Health, The University of Exeter Medical School, Truro, Cornwall TR1 3AE, UK.
| | - M White
- European Centre for Environment and Human Health, The University of Exeter Medical School, Truro, Cornwall TR1 3AE, UK.
| | - K Philippart
- Royal Netherlands Institute for Sea Research, Landsdiep 4, 1797 SZ 't Horntje, Den Hoorn, Texel, The Netherlands.
| | - P Bradbrook
- European Centre for Environment and Human Health, The University of Exeter Medical School, Truro, Cornwall TR1 3AE, UK.
| | - A Smalley
- European Centre for Environment and Human Health, The University of Exeter Medical School, Truro, Cornwall TR1 3AE, UK.
| |
Collapse
|
29
|
Logan AC, Jacka FN. Nutritional psychiatry research: an emerging discipline and its intersection with global urbanization, environmental challenges and the evolutionary mismatch. J Physiol Anthropol 2014; 33:22. [PMID: 25060574 PMCID: PMC4131231 DOI: 10.1186/1880-6805-33-22] [Citation(s) in RCA: 85] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2014] [Accepted: 07/02/2014] [Indexed: 12/14/2022] Open
Abstract
In 21st-century public health, rapid urbanization and mental health disorders are a growing global concern. The relationship between diet, brain function and the risk of mental disorders has been the subject of intense research in recent years. In this review, we examine some of the potential socioeconomic and environmental challenges detracting from the traditional dietary patterns that might otherwise support positive mental health. In the context of urban expansion, climate change, cultural and technological changes and the global industrialization and ultraprocessing of food, findings related to nutrition and mental health are connected to some of the most pressing issues of our time. The research is also of relevance to matters of biophysiological anthropology. We explore some aspects of a potential evolutionary mismatch between our ancestral past (Paleolithic, Neolithic) and the contemporary nutritional environment. Changes related to dietary acid load, advanced glycation end products and microbiota (via dietary choices and cooking practices) may be of relevance to depression, anxiety and other mental disorders. In particular, the results of emerging studies demonstrate the importance of prenatal and early childhood dietary practices within the developmental origins of health and disease concept. There is still much work to be done before these population studies and their mirrored advances in bench research can provide translation to clinical medicine and public health policy. However, the clear message is that in the midst of a looming global epidemic, we ignore nutrition at our peril.
Collapse
Affiliation(s)
- Alan C Logan
- CAMNR, 23679 Calabasas Road Suite 542, Calabasas, CA 91302, USA
| | - Felice N Jacka
- School of Medicine, Deakin University, IMPACT SRC, PO Box 281, Geelong, VIC 3220, Australia
| |
Collapse
|
30
|
Data mashups: potential contribution to decision support on climate change and health. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2014; 11:1725-46. [PMID: 24499879 PMCID: PMC3945564 DOI: 10.3390/ijerph110201725] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/14/2013] [Revised: 01/16/2014] [Accepted: 01/16/2014] [Indexed: 11/18/2022]
Abstract
Linking environmental, socioeconomic and health datasets provides new insights into the potential associations between climate change and human health and wellbeing, and underpins the development of decision support tools that will promote resilience to climate change, and thus enable more effective adaptation. This paper outlines the challenges and opportunities presented by advances in data collection, storage, analysis, and access, particularly focusing on “data mashups”. These data mashups are integrations of different types and sources of data, frequently using open application programming interfaces and data sources, to produce enriched results that were not necessarily the original reason for assembling the raw source data. As an illustration of this potential, this paper describes a recently funded initiative to create such a facility in the UK for use in decision support around climate change and health, and provides examples of suitable sources of data and the purposes to which they can be directed, particularly for policy makers and public health decision makers.
Collapse
|