Organochlorine pesticide residues in mother's milk: a source of toxic chemicals in suckling infants

ExHuMId: A curated resource and analysis of Exposome of Human Milk across India

Human milk is a vital source of nourishment for infants. However, numerous environmental contaminants also find their way into human milk, making up the major part of a newborn's external exposome. While there are chemical regulations in India and scientific literature on environmental contaminants is available, the systematic compilation, monitoring, and risk management of human milk contaminants are inadequate. We have harnessed the potential of this large body of literature to develop the Exposome of Human Milk across India (ExHuMId) version 1.0 containing detailed information on 101 environmental contaminants detected in human milk samples across 13 Indian states, compiled from 36 research articles. ExHuMId also compiles the detected concentrations of the contaminants, structural and physicochemical properties, and factors associated with the donor of the sample. We also present findings from a three-pronged analysis of ExHuMId and two other resources on human milk contaminants, with a focus on the Indian scenario. Through a comparative analysis with global chemical regulations and guidelines, we identify human milk contaminants of high concern, such as potential carcinogens, endocrine disruptors and neurotoxins. We then study the physicochemical properties of the contaminants to gain insights on their propensity to transfer into human milk. Lastly, we employ a systems biology approach to shed light on potential effects of human milk contaminants on maternal and infant health, by identifying contaminant-gene interactions associated with lactation, cytokine signalling and production, and protein-mediated transport. ExHuMId 1.0 is accessible online at: https://cb.imsc.res.in/exhumid/.

Human exposure to organochlorine, pyrethroid and neonicotinoid pesticides: Comparison between urban and semi-urban regions of India

In developing countries, urban areas may be at greater risk of pesticide exposure compared to semi-urban agricultural regions. To investigate this, concentrations of selected pesticides were measured in 81 human milk samples collected in urban Kolkata and semi-urban Nadia in West Bengal, India. Three classes of pesticides were investigated - legacy organochlorines and emerging pyrethroids and neonicotinoids. The average concentration of the majority of the chemicals (DDT, its metabolites, HCH isomers, bifenthrin, endosulfan), showed a clear urban > semi-urban trend. Compared with previous measurements in other Indian cities and developing nations, current HCH and DDT concentrations in urban Kolkata were high. These chemicals were detected in 100% of the samples in both the urban and the semi-urban region. Also in both regions, the Estimated Daily Intake of DDTs, HCHs, aldrin, dieldrin and the pyrethroid bifenthrin for breastfed infants exceeded the Tolerable Daily Intake in a number of samples. Three pyrethroids were detected in human milk samples in India for the first time. This indicates a shift in the usage pattern of pesticides in India from organochlorines to pyrethroids. These findings may be used to drive targeted regulation of pesticides in developing countries with similar histories of pesticide use.

Persistent organochlorines in human breast milk from major metropolitan cities in India

The present study was carried out to understand the current contamination status of organochlorine compounds (OCs) in human breast milk from three metropolitan cities in India (New Delhi, Mumbai and Kolkata). Among the OCs analyzed, DDTs were predominant followed by HCHs and PCBs. CHLs and HCB levels were much lower. Contamination patterns were different in human milk found in our previous study in Chennai, a metropolitan city in southern India, indicating region specific exposure routes and variable sources. In comparison with previous data, levels of DDTs and HCHs generally declined with time, implying the effect of various bans and restrictions on their usage. No association between concentrations of OCs and demographic characteristics such as parity and age of mothers was observed which might be due to narrow range of mother's age. Estimated daily intake shows that some infants are exposed to OCs to a greater extent, particularly HCHs than the guideline standard.

Organochlorine pesticides BHC and DDE in human blood in and around Madurai, India

In this study blood samples are taken from two groups of people, one that has direct exposure to pesticides (agriculturists & public health workers) the second group, which has indirect exposure to pesticides through food chain. The objective of our investigation is to analyze the blood of the patients with minimum health complaints and skin diseases for the residue of the banned organochlorine pesticides DDE and BHC using Gas Chromatography. High concentrations of both BHC&DDE were observed in the serum samples of the people who had direct exposure to the pesticides, namely agriculturalists and public health workers with few exceptions. The pesticide residue concentration in serum ranges from 0.006 to 0.130 ppm for BHC and 0.002 to 0.033 ppm for DDE. Significance of this study reveals that the presence of these banned pesticides in human serum.

The effect of fish consumption on DDT and DDE levels in breast milk among Hispanic immigrants

A study was conducted to (1) determine the concentration of DDT/DDE in the breast milk of mothers residing in the Yakima river basin (WA, USA), (2) assess the relative impact of fish consumption on the total DDT/DDE body burden, and (3) determine if the amount of DDT/DDE received by their breastfed infants exceeds levels that could produce deleterious effects. Results indicate that fish consumption did not significantly increase DDT/DDE breast milk concentrations. Subjects born in Mexico had elevated levels of DDT/DDE in breast milk compared to levels found in US born subjects regardless of fish consumption. Infant daily intake levels for the various subject groups were determined and compared to acceptable and tolerable daily intake levels. With benefits of breast milk well understood, breastfeeding should still be strongly recommended for these mothers.

Pesticides and the Third World

Many developing countries are importing industrial processes that make use of toxic chemicals. By the same token, pesticides, which are toxic by design, are also used increasingly in agriculture and in public health programs to control pests and vector-borne diseases. Recent estimates suggest that pesticides account for more than 20,000 fatalities yearly, and that most of these will have occurred in developing countries. This may actually be a gross underreporting. Although organophosphate and carbamate insecticides are still responsible for many of those poisoning cases, herbicides such as paraquat are also increasingly being implicated in fatal poisoning cases. Newer pesticides such as the synthetic derivatives of pyrethrin, which were believed to be relatively safe to humans, now appear to be implicated in some serious cases of intoxication. Community-based pest control using locally available botanical pesticides could have severe consequences unless the toxicity of these compounds is carefully assessed relative to nontarget organisms. A high proportion of pesticide intoxications appear to be due to lack of knowledge, unsafe attitudes, and dangerous practices. The technology available to small farmers for pesticide application is often inappropriate: faulty sprayers, lack of protective equipment adapted to tropical conditions, nonexistent first-aid provisions. Agricultural extension is often not oriented to the transfer of information relative to the dangers inherent in the use of pesticides. The lack of information at all levels may be one of the most important causative factors of chemical intoxication in developing countries. Research should at this time concentrate on behaviors leading to chemical intoxication. This should be done concurrently with proper prospective and retrospective surveys of poisonings in developing country communities. More information should be sought relative to the decision processes of import, legislation, and licensing. Research and development efforts in appropriate technology and safety devices are also critically needed.

Organochlorine pesticides in human milk from different areas of Kenya 1983-1985

Residue levels of the chlorinated hydrocarbons p,p'-DDT (2,2-bis(p-chlorophenyl)-1,1,1-trichloroethane), p,p'-DDE (2,2-bis(p-chlorophenyl)-1,1-dichloroethane), hexachlorobenzene (HCB), alpha-, beta-, and gamma-hexachlorocyclohexane (HCH), aldrin, dieldrin, and polychlorinated biphenyls (PCBs) were determined in human milk of Kenyan mothers living in different areas of Kenya. The main organochlorine contaminants found in all the milk samples analyzed were p,p'-DDT and p,p'-DDE. Great regional differences were found, and mean levels of sum DDT and DDT/DDE ratio ranged from 1.1 to 18.7 mg/kg milk fat and from 0.7 to 5.7, respectively. In general, relatively low residue levels of HCB, alpha-HCH, beta-HCH, aldrin, and dieldrin were detected in 59, 37, 27, 37, and 19%, respectively, of all the milk samples analyzed. Quantifiable residue levels of PCBs and alpha-HCH were not found. The results were examined in relation to differences in living conditions with regard to agricultural activities, dietary habits, and reported use of pesticides in the various sampling areas.

Levels and trends of chlorinated hydrocarbon contaminants in the breast milk of Canadian women

A total of 210 breast milk samples from 5 different regions across Canada were analyzed for polychlorinated biphenyls (PCBs), hexachloro-1,3-butadiene, ten chlorinated benzenes, two chlorinated naphthalenes, Mirex, photomirex, alpha, beta and gamma hexachlorocyclohexane, alpha and gamma chlordane, oxychlordane, trans-nonachlor, p,p'-DDT and some analogs, heptachlor epoxide, dieldrin and octachlorostyrene. There was no evidence for the presence of hexachloro-1,3-butadiene, Mirex, octachlorostyrene, chlorinated naphthalenes or tetrachlorobenzenes in the breast milk. Residues of other compounds were found in all samples, except 1,2-dichlorobenzene, gamma hexachlorocyclohexane, alpha and gamma chlordane and p,p'-TDE, which were less frequently observed, while o,p'-DDT was only found in approximately one quarter of all samples. Since 1967, a steady decline in heptachlor epoxide, dieldrin and p,p'-DDT and related residues is apparent. At the same time however, there is an apparent increase in PCB residue levels since 1970. This apparent increase should be viewed with some caution, since much of this increase might be attributed to better sampling and analytical techniques. Residue levels of breast milk in Canada were similar to those found in other industrial nations. Regional differences in residue levels appeared to be minimal.