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Vaillant V, Roumiguié M, Lévy S, Pradère B, Peyromaure M, Duquesne I, De La Taille A, Lebâcle C, Panis A, Traxer O, Leon P, Hulin M, Xylinas E, Audenet F, Seisen T, Rouprêt M, Loriot Y, Allory Y, Neuzillet Y, Masson-Lecomte A. Oncological outcomes of distal ureterectomy for high risk urothelial carcinoma: A multicenter study. Eur Urol 2023. [DOI: 10.1016/s0302-2838(23)00963-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Oleko A, Pecheux M, Saoudi A, Zeghnoun A, Hulin M, Le Barbier M, Menard C, Denys S, Fillol C. Estimation of blood lead levels in the French population using two complementary approaches: Esteban (2014-2016) as part of the human biomonitoring program and the national surveillance system for childhood lead poisoning (2015-2018). Environ Res 2022; 213:113630. [PMID: 35679905 DOI: 10.1016/j.envres.2022.113630] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/08/2022] [Revised: 06/02/2022] [Accepted: 06/04/2022] [Indexed: 06/15/2023]
Abstract
BACKGROUND Used widely for centuries, lead is a common environmental pollutant. As a cumulative toxic, its presence in the body is always evidence of exposure, and health effects occur without threshold. Though regulated by European directives, lead requires close monitoring due to its environmental persistence and toxicity. METHODS The first data source was the French surveillance system for monitoring childhood lead poisoning, which records the screening results of children (-18 years), providing data on their temporal and geographical distribution, characteristics, and risk factors. The second data source was Esteban, a cross-sectional study conducted in 2014-2016 on a random sample of the French population as part of the human biomonitoring program. The Esteban lead study concerns 904 children (6-17 years) and 999 adults (18-74 years), providing data on biological samples, sociodemographic characteristics, occupational exposure, environmental and dietary factors. RESULTS The surveillance system highlighted that lead poisoning affected 10% of children screened between 2015 and 2018. The main risk factor remains housing. Esteban confirmed this observation, finding a general mean of blood lead level (BLL) at 9.9 and 18.5 μg/L for children and adults, respectively. In children, parents' occupation increased BLLs. In adults, the greatest exposure factors were smoking, age, place of residence, alcohol, bread-based products, and homegrown livestock products. In both, drinking tap water and year of housing construction increased BLLs. CONCLUSIONS The surveillance system showed a high number of children with lead poisoning despite the implementation of prevention measures, which mainly concern lead paints in old and degraded homes. To help identify children at risk, healthcare providers need to know about exposure from housing and the emerging sources identified in the Esteban survey. Despite lower BLLs, the well-known risk factors of lead exposure persist, meaning prevention efforts must continue in order to limit their impact on the population.
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Affiliation(s)
- Amivi Oleko
- Santé Publique France, French Public Health Agency, 12 Rue du Val d'Osne, 94415, Saint Maurice Cedex, France.
| | - Marie Pecheux
- Santé Publique France, French Public Health Agency, 12 Rue du Val d'Osne, 94415, Saint Maurice Cedex, France
| | - Abdesattar Saoudi
- Santé Publique France, French Public Health Agency, 12 Rue du Val d'Osne, 94415, Saint Maurice Cedex, France
| | - Abdelkrim Zeghnoun
- Santé Publique France, French Public Health Agency, 12 Rue du Val d'Osne, 94415, Saint Maurice Cedex, France
| | - Marion Hulin
- Santé Publique France, French Public Health Agency, 12 Rue du Val d'Osne, 94415, Saint Maurice Cedex, France
| | - Mélina Le Barbier
- Santé Publique France, French Public Health Agency, 12 Rue du Val d'Osne, 94415, Saint Maurice Cedex, France
| | - Céline Menard
- Santé Publique France, French Public Health Agency, 12 Rue du Val d'Osne, 94415, Saint Maurice Cedex, France
| | - Sébastien Denys
- Santé Publique France, French Public Health Agency, 12 Rue du Val d'Osne, 94415, Saint Maurice Cedex, France
| | - Clémence Fillol
- Santé Publique France, French Public Health Agency, 12 Rue du Val d'Osne, 94415, Saint Maurice Cedex, France
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Dereumeaux C, Mercier F, Soulard P, Hulin M, Oleko A, Pecheux M, Fillol C, Denys S, Quenel P. Identification of pesticides exposure biomarkers for residents living close to vineyards in France. Environ Int 2022; 159:107013. [PMID: 34890902 DOI: 10.1016/j.envint.2021.107013] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/24/2021] [Revised: 11/29/2021] [Accepted: 11/29/2021] [Indexed: 05/12/2023]
Abstract
Biomonitoring can be relevant for assessing pesticides exposure of residents living close to vineyards (LCTV). However, because xenobiotics are generally present at low levels in human biological matrices and the sources of pesticide exposure are multiple, several challenges need to be overcome to reliably assess exposure in residents LCTV. This includes particularly identifying the most appropriate exposure biomarkers, the biological matrices in which they should be measured, and analytical methods that are sufficiently sensitive and specific to quantify them. The aim of the present study was to develop a tiered approach to identify relevant biomarkers and matrices for assessing pesticide exposure in residents LCTV. We used samples from a biobank for 121 adults and children included in a national prevalence study conducted between 2014 and 2016 who lived near or far from vineyards. We analyzed five priority pesticides (folpet, mancozeb, tebuconazole, glyphosate, and copper) and their metabolites in urine and hair samples. We identified relevant biomarkers according to three criteria related to: i) the detection frequency of those pesticides and metabolites in urine and hair, ii) the difference in concentrations depending on residence proximity to vineyards and, iii) the influence of other environmental and occupational exposure sources on pesticide levels. This tiered approach helped us to identify three relevant metabolites (two metabolites of folpet and one of tebuconazole) that were quantified in urine, tended to be higher in residents LCTV than in controls, and were not significantly influenced by occupational, dietary, or household sources of pesticide exposure. Our approach also helped us to identify the most appropriate measurement strategies (biological matrices, analytical methods) to assess pesticide exposure in residents LCTV. The approach developed here was a prerequisite step for guiding a large-scale epidemiological study aimed at comprehensively measuring pesticides exposures in French residents LCTV with a view to developing appropriate prevention strategies.
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Affiliation(s)
- Clémentine Dereumeaux
- Direction of Environmental and Occupational Health, Santé Publique France, Saint Maurice Cedex, France.
| | - Fabien Mercier
- Univ Rennes, Inserm, EHESP, Irset (Institut de recherche en santé, environnement et travail) - UMR_S1085, F-35000 Rennes, France
| | - Pauline Soulard
- Univ Rennes, Inserm, EHESP, Irset (Institut de recherche en santé, environnement et travail) - UMR_S1085, F-35000 Rennes, France
| | - Marion Hulin
- French Agency for Food, Environmental and Occupational Health & Safety (ANSES), 14 rue Pierre et Marie Curie, 94701 Maisons-Alfort, France
| | - Amivi Oleko
- Direction of Environmental and Occupational Health, Santé Publique France, Saint Maurice Cedex, France
| | - Marie Pecheux
- Direction of Environmental and Occupational Health, Santé Publique France, Saint Maurice Cedex, France
| | - Clémence Fillol
- Direction of Environmental and Occupational Health, Santé Publique France, Saint Maurice Cedex, France
| | - Sébastien Denys
- Direction of Environmental and Occupational Health, Santé Publique France, Saint Maurice Cedex, France
| | - Philippe Quenel
- Univ Rennes, Inserm, EHESP, Irset (Institut de recherche en santé, environnement et travail) - UMR_S1085, F-35000 Rennes, France
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Devault DA, Guillemin JP, Millet M, Eymery F, Hulin M, Merlo M. Prosulfocarb at center stage! Environ Sci Pollut Res Int 2022; 29:61-67. [PMID: 31760619 DOI: 10.1007/s11356-019-06928-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/20/2019] [Accepted: 10/31/2019] [Indexed: 06/10/2023]
Abstract
Prosulfocarb is a thiocarbamate herbicide that is rapidly growing in use due to the progressive bioresistance of weeds to certain pesticides and the ban and/or limitation of others. However, the use of prosulfocarb is only recent, and the relevant literature is scarce. The environmental and food impact of prosulfocarb has already been observed, and its transfer mode from targeted crops to untargeted parcels has been investigated. This expertise highlights the volatilization effect to explain the pollution of lone parcels and hedge inefficiency against residue spreads.
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Affiliation(s)
- Damien A Devault
- Département des Sciences et Technologies, Centre Universitaire de Formation et de Recherche de Mayotte, RN3, BP53, 97660, Dembeni, Mayotte, France.
| | | | - Maurice Millet
- Institute of Chemistry and Processes for Energy, Environment and Health (ICPEES UMR 7515 CNRS), Physico-Chemistry Group of the Atmosphere, University of Strasbourg, 25 rue Becquerel, 67087, Strasbourg, Cedex 3, France
- LTSER France, Urban Environmental Workshop Zone, 3 Rue de l'Argonne, 67000, Strasbourg, France
| | - Franck Eymery
- ANSES - Direction de l'évaluation des risques, 14 Rue Pierre et Marie Curie, 94700, Maisons-Alfort, France
| | - Marion Hulin
- ANSES - Direction de l'évaluation des risques, 14 Rue Pierre et Marie Curie, 94700, Maisons-Alfort, France
| | - Mathilde Merlo
- ANSES - Direction de l'évaluation des risques, 14 Rue Pierre et Marie Curie, 94700, Maisons-Alfort, France
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Ali Benali N, Pradère B, Lannes F, Thi Dang V, Mauger de Varennes A, Gaillard C, Berchiche W, Margue G, Bardet F, Manuguerra A, Pinar U, Duquesne I, Plassais C, Wandoren W, Hulin M, Khene ZE, Vallée M, Michiels C, Chabenes M, Gaillard V, Felber M, Kaulanjan K, Dominique I, Sbizerra M, Seizilles de Mazancourt E, Freton L, Gondran-Tellier B, Matillon X. TORSAFUF - Surgical exploration for torsion of spermatic cord suspicion and risk factors for unnecessary surgery: Results of a French nationwide retrospective study on 2940 patients. Prog Urol 2021; 32:92-100. [PMID: 34920923 DOI: 10.1016/j.purol.2021.10.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2021] [Revised: 10/10/2021] [Accepted: 10/31/2021] [Indexed: 11/25/2022]
Abstract
BACKGROUNDS Spermatic cord torsion is a frequent urological emergency that mostly concerns teenagers and young adults. This study aimed to determine the clinical and surgical characteristics of young adults who had scrotal exploration for suspected spermatic cord torsion and to identify clinical risk factors associated with needless scrotal exploration. METHODS We retrospectively collected national data from patients aged 12years and older who underwent a surgical exploration for suspicion of torsion of the spermatic cord between 2005 and 2019 in 17 hospitals. We analyzed demographics, surgical and postoperative characteristics in our population. We compared the cohort according to the intraoperative diagnosis of torsion or not. RESULTS In total, 2940 had surgical exploration: 1802 (61.3%) patients had torsion of the spermatic cord and 1138 (38.7%) had another diagnosis. In multivariate analysis, age (OR: 1.04; 95% CI: 1.01-1.06; P=0.005), medical history of cryptorchism (OR: 4.14; 95% CI: 1.05-16.31; P=0.042) and VAS pain score (OR: 0.91; 95% CI: 0.83-0.98; P=0.018) were risk factors significantly associated with unnecessary surgical exploration. The rate of complications in the 90days after surgery was 11% in the "torsion" group, and 9.7% in the "non-torsion" group (P=0.28). CONCLUSION Scrotal exploration without intraoperative diagnosis of torsion was performed in 40% of our cohort. VAS pain score and cryptorchism history can help for the diagnosis but scrotal exploration remains the way to diagnose spermatic cord torsion and should be performed on the slightest suspicion, even after 24hours of symptoms, as the chances for testicular salvage remains around 50%.
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Affiliation(s)
- N Ali Benali
- Department of Urology, Poitiers University Hospital, Poitiers, France.
| | - B Pradère
- Department of Urology, Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria
| | - F Lannes
- Department of Urology, Nord University Hospital, Marseille, France
| | - V Thi Dang
- Department of Urology, Toulouse University Hospital, Toulouse, France
| | | | - C Gaillard
- Department of Urology, Tours University Hospital, Tours, France
| | - W Berchiche
- Department of Urology, Nord University Hospital, Marseille, France
| | - G Margue
- Department of Urology, Bordeaux University Hospital, Bordeaux, France
| | - F Bardet
- Department of Urology, Dijon University Hospital, Dijon, France
| | - A Manuguerra
- Department of Urology, Nancy University Hospital, Nancy, France
| | - U Pinar
- Department of Urology, Hôpitaux Universitaire Pitié-Salpêtrière, AP-HP, Paris, France
| | - I Duquesne
- Department of Urology, Hôpitaux Universitaire Pitié-Salpêtrière, AP-HP, Paris, France
| | - C Plassais
- Department of Urology, Hôpitaux Universitaire Pitié-Salpêtrière, AP-HP, Paris, France
| | - W Wandoren
- Department of Urology, Pointe-à-Pitre University Hospital, Pointe-à-Pitre, Guadeloupe
| | - M Hulin
- Department of Urology, Reims University Hospital, Reims, France
| | - Z-E Khene
- Department of Urology, Rennes University Hospital, Rennes, France
| | - M Vallée
- Department of Urology, Poitiers University Hospital, Poitiers, France; Poitiers University, INSERM U1070, "Pharmacologie des Anti-Infectieux", UFR Médecine-Pharmacie, Pôle Biologie Santé, Poitiers, France
| | | | - C Michiels
- Department of Urology, Bordeaux University Hospital, Bordeaux, France
| | - M Chabenes
- Department of Urology, Grenoble University Hospital, Grenoble, France
| | - V Gaillard
- Department of Urology, Strasbourg University Hospital, Strasbourg, France
| | - M Felber
- Department of Urology, Nancy University Hospital, Nancy, France
| | - K Kaulanjan
- Department of Urology, Pointe-à-Pitre University Hospital, Pointe-à-Pitre, Guadeloupe
| | - I Dominique
- Department of Urology, Lyon Sud University Hospital, Lyon, France
| | - M Sbizerra
- Department of Urology, Lyon Sud University Hospital, Lyon, France
| | | | - L Freton
- Department of Urology, Rennes University Hospital, Rennes, France
| | | | - X Matillon
- Department of Urology, Lyon Sud University Hospital, Lyon, France
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Berchiche W, Sbizzera M, Lannes F, Pinar U, Duquesne I, Felber M, Plassais C, Dang V, Ali Benali N, Gaillard C, Mauger De Varennes A, Margue G, Bardet F, Hulin M, Manuguerra A, Wandoren W, Chabennes M, Gaillard V, Matillon X, Khene Z, Pradere B. Impact of testicular torsion on fertility and erectile dysfunction: A multicenter national retrospective studyTORSAFUF. Eur Urol 2021. [DOI: 10.1016/s0302-2838(21)00899-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Tambwe Kayombo R, Léon P, Lasserre T, Fournier R, Branchu B, Hulin M, Durlach A, Larré S. [Impact of positive surgical margins on prostate cancer prognosis]. Prog Urol 2021; 31:709-715. [PMID: 33941458 DOI: 10.1016/j.purol.2020.11.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2020] [Revised: 11/15/2020] [Accepted: 11/16/2020] [Indexed: 10/21/2022]
Abstract
OBJECTIVE To examine the impact of positive surgical margins (PSM) after radical prostatectomy (RP) for prostate cancer on oncological results. PATIENTS AND METHODS We performed a study where all patients who underwent radical prostatectomy between January 2004 and December 2018 for prostate cancer were included. The preoperative, postoperative data and the carcinological results collected were analyzed. Data were analysed using Kaplan-Meier survival analysis and proportional hazards models. RESULTS A total of 319 patients with a median age of 65 years (IQR : 62-69) were included. The median follow-up was 43.6 months (IQR: 19.4-79.3). The overall rate of PSM was 33.5%. PSM was associated with biochemical recurrence (P<0.001). Overall mortality was not associated with positive margins. A clinical stage> T1c was an independent predictor of PSM on multivariate analysis (P=0.01). CONCLUSION PSM would increase the risk of biochemical recurrence with no impact on survival. Clinical stage>T1c was an adverse predictor for PSM. LEVEL OF EVIDENCE 3.
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Affiliation(s)
| | - P Léon
- Service d'urologie, Clinique Pasteur, 17200 Royan, France
| | - T Lasserre
- Service d'Urologie, CMC Les Cèdres, 19100 Brive, France
| | - R Fournier
- Service d'Urologie, Centre d'Urologie Trénel, 69560 Sainte-Colombe, France
| | - B Branchu
- Service d'urologie, CHU de Reims, 51100 Reims, France
| | - M Hulin
- Service d'urologie, CHU de Reims, 51100 Reims, France
| | - A Durlach
- Laboratoire d'anatomopathologie, CHU de Reims, 51100 Reims, France
| | - S Larré
- Service d'urologie, CHU de Reims, 51100 Reims, France
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Sirot V, Rivière G, Leconte S, Leblanc JC, Kolf-Clauw M, Vasseur P, Cravedi JP, Hulin M. Infant total diet study in France: Exposure to substances migrating from food contact materials. Environ Int 2021; 149:106393. [PMID: 33529853 DOI: 10.1016/j.envint.2021.106393] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/13/2020] [Revised: 12/28/2020] [Accepted: 01/09/2021] [Indexed: 06/12/2023]
Abstract
A total diet study (TDS) was conducted in France to assess the health risks related to the chemicals in food of non-breastfed children under three years of age (Infant TDS). For the first time, substances coming from food contact materials, such as bisphenol A (BPA), bisphenol A diglycidyl ether (BADGE) and its derivatives, some phthalates, and some ink photoinitiators, were targeted because of growing interest in these substances. Food samples were collected to be representative of the whole diet of non-breastfed children aged 1-36 months, and prepared as consumed prior to analysis. Dietary exposure was assessed for 705 representative children under three years of age. Generally, the substances from food contact materials were detected in few samples: 38% for BPA, 0% for BADGE and its derivatives, 0-35% for phthalates, 1.9% for benzophenone, and 0% for the other ink photoinitiators. Regarding exposure levels, the situation was deemed tolerable for BADGE and its hydrolysis products, di-isodecyl phthalate, dibutyl phthalate, butyl benzyl phthalate, bis(2-ethylhexyl) phthalate, and di-isononyl phthalate, benzophenone, and 4-methylbenzophenone. Only for BPA, the exposure levels of some children exceeded the lowest toxicological value established by the French Agency for Food, Environmental and Occupational Health & Safety at 0.083 µg.kg bw-1.d-1. The temporary tolerable daily intake of the European Food Safety Authority (EFSA), set at 4 µg.kg bw-1.d-1, was never exceeded. However, actual exposure to BPA was probably overestimated, as well as the associated risk, because the foods were sampled prior to the recent regulations banning BPA in food packaging. This study is the first worldwide to provide an estimate of infant food contamination levels and exposures of children under 3 years of age, based on a TDS approach. It therefore provides key data on the exposure of this particularly sensitive population to substances released from food contact materials, and presents useful data for studies evaluating exposure to mixtures or aggregated exposure.
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Affiliation(s)
| | - Gilles Rivière
- ANSES, Risk Assessment Department, Maisons-Alfort, France
| | | | | | - Martine Kolf-Clauw
- CREFRE, Toulouse University, INSERM, Toulouse Veterinary School, 23 Chemin des Capelles, BP 87614, 310176 Toulouse Cedex 3, France
| | - Paule Vasseur
- University of Lorraine, CNRS, LIEC, 57070 Metz, France
| | - Jean-Pierre Cravedi
- Toxalim (Research Center in Food Toxicology), University of Toulouse, INRAE, ENVT, INP-Purpan, UPS, Toulouse, France
| | - Marion Hulin
- ANSES, Risk Assessment Department, Maisons-Alfort, France
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Hulin M, Leroux C, Mathieu A, Gouzy A, Berthet A, Boivin A, Bonicelli B, Chubilleau C, Hulin A, Leoz Garziandia E, Mamy L, Millet M, Pernot P, Quivet E, Scelo AL, Merlo M, Ruelle B, Bedos C. Monitoring of pesticides in ambient air: Prioritization of substances. Sci Total Environ 2021; 753:141722. [PMID: 33207457 DOI: 10.1016/j.scitotenv.2020.141722] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/15/2020] [Revised: 08/14/2020] [Accepted: 08/14/2020] [Indexed: 06/11/2023]
Abstract
Despite the richness of data collected on pesticide concentrations in ambient air in France, knowledge on this topic remains partial and heterogeneous in the absence of specific regulations. The population exposure remains thus difficult to estimate; therefore it was necessary to define modalities for implementing national monitoring of pesticides in ambient air in metropolitan France and in the overseas territories. The objective of this work was to identify which active substances (a.s.) have to be monitored in priority. As part of a collective expertise, a group of multidisciplinary experts has developed a method to rank active substances authorised as plant protection products, biocides and antiparasitic agents, which were available on the French market in 2015. A 3-steps approach has been developed. The first step consisted of a theoretical approach based on a hierarchy of substances according to four criteria: (a) national uses, (b) emission potential to the air, (c) persistence in the air, and (d) chronic toxicity. The three first criteria give information on their potential to be present in the atmosphere, and the fourth criterion allows to consider their potential of hazard. The second step was an observational approach based on existing database on pesticide air measurements in France. In the third step, both approaches were combined using decision trees to select priority pesticides. Among the 1316 a.s. first identified from the EU Pesticides database, 90 were selected, among which 43 required metrological and/or analytical development. The experts recommended confirming the relevance of performing a longer term monitoring of these a. s. after a one-year exploratory campaign. The proposed method is reproduceable, transparent, easy to update (e.g. in the light of a change in product authorization), and can be adapted to other agricultural and geographical conditions, and objectives (e.g. monitoring of the ecotoxicological effects of pesticides).
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Affiliation(s)
- Marion Hulin
- ANSES, Risk Assessment Department, 14 rue Pierre et Marie Curie, F-94701 Maisons-Alfort, France.
| | - Carole Leroux
- ANSES, Risk Assessment Department, 14 rue Pierre et Marie Curie, F-94701 Maisons-Alfort, France
| | - Aurélie Mathieu
- ANSES, Risk Assessment Department, 14 rue Pierre et Marie Curie, F-94701 Maisons-Alfort, France
| | - Aurélien Gouzy
- INERIS, Parc technologique ALATA BP2, 60550 Verneuil-en-Halatte, France
| | - Aurélie Berthet
- Center for Primary Care and Public Health (Unisanté), University of Lausanne, Switzerland
| | - Arnaud Boivin
- ANSES, Regulated Products Assessment Department, 14 rue Pierre et Marie Curie, F-94701 Maisons-Alfort, France
| | - Bernard Bonicelli
- INRAE UMR ITAP, 361 Rue Jean François Breton, 34196 Montpellier, France
| | - Catherine Chubilleau
- Service d'hygiène hospitalière, Centre hospitalier de Niort, 79000 Niort, France
| | - Agnès Hulin
- ATMO Nouvelle Aquitaine, ZI Périgny, La Rochelle, 17180, Perigny, France
| | - Eva Leoz Garziandia
- INERIS, Parc technologique ALATA BP2, 60550 Verneuil-en-Halatte, France; LCSQA, 60550 Verneuil-en-Halatte, France
| | - Laure Mamy
- Université Paris-Saclay, INRAE, AgroParisTech, UMR ECOSYS, 78850 Thiverval-Grignon, France
| | - Maurice Millet
- ICPEES (UMR 7515 CNRS), Université de Strasbourg, 25 rue Becquerel, 67087 Strasbourg Cedex 2, France
| | | | | | - Anne-Laure Scelo
- ANSES, Regulated Products Assessment Department, 14 rue Pierre et Marie Curie, F-94701 Maisons-Alfort, France
| | - Mathilde Merlo
- ANSES, Risk Assessment Department, 14 rue Pierre et Marie Curie, F-94701 Maisons-Alfort, France
| | - Bernadette Ruelle
- INRAE UMR ITAP, 361 Rue Jean François Breton, 34196 Montpellier, France
| | - Carole Bedos
- Université Paris-Saclay, INRAE, AgroParisTech, UMR ECOSYS, 78850 Thiverval-Grignon, France
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Seizilles de Mazancourt E, Pradere B, Duquesne I, Pinar U, Felber M, Plassais C, Dang V, Ali Benali N, Berchiche W, Gaillard C, Mauger de Varennes A, Margue G, Bardet F, Hulin M, Manuguerra A, Wandoren W, Chabenes M, Sbizzera M, Khene Z, Matillon X. Heure limite de prise en charge opératoire pour torsion du cordon spermatique : résultats d’une série rétrospective multicentrique de 2986 patients sur 15 ans. Prog Urol 2020. [DOI: 10.1016/j.purol.2020.07.206] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Mauger de Varennes A, Khene Z, Pradere B, Lannes F, Freton L, Dang V, Berchiche W, Ortier E, Michiels C, Margue G, Gaillard C, Ali Benali N, Bardet F, Hulin M, Gaillard V, Manuguerra A, Pinar U, Duquesne I, Felber M, Plassais C. Marqueurs biologiques préopératoires prédictifs de la viabilité testiculaire suite à une torsion du cordon spermatique. Prog Urol 2020. [DOI: 10.1016/j.purol.2020.07.058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Joncour C, Branchu B, Leon P, Tambwe R, Schirmann A, Taha F, Hulin M, Larré S. Impact périopératoire des anticoagulants et antiagrégants plaquettaires dans la chirurgie par HoLEP de l’hypertrophie bénigne prostatique. Prog Urol 2020. [DOI: 10.1016/j.purol.2020.07.127] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Vin K, Rivière G, Leconte S, Cravedi JP, Fremy JM, Oswald IP, Roudot AC, Vasseur P, Jean J, Hulin M, Sirot V. Dietary exposure to mycotoxins in the French infant total diet study. Food Chem Toxicol 2020; 140:111301. [DOI: 10.1016/j.fct.2020.111301] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2019] [Revised: 03/19/2020] [Accepted: 03/21/2020] [Indexed: 11/15/2022]
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Hulin M, Sirot V, Vasseur P, Mahe A, Leblanc JC, Jean J, Marchand P, Venisseau A, Le Bizec B, Rivière G. Health risk assessment to dioxins, furans and PCBs in young children: The first French evaluation. Food Chem Toxicol 2020; 139:111292. [DOI: 10.1016/j.fct.2020.111292] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2019] [Revised: 03/16/2020] [Accepted: 03/17/2020] [Indexed: 01/19/2023]
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Nougadère A, Sirot V, Cravedi JP, Vasseur P, Feidt C, Fussell RJ, Hu R, Leblanc JC, Jean J, Rivière G, Sarda X, Merlo M, Hulin M. Dietary exposure to pesticide residues and associated health risks in infants and young children - Results of the French infant total diet study. Environ Int 2020; 137:105529. [PMID: 32045778 DOI: 10.1016/j.envint.2020.105529] [Citation(s) in RCA: 51] [Impact Index Per Article: 12.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/23/2019] [Revised: 12/24/2019] [Accepted: 01/25/2020] [Indexed: 05/25/2023]
Abstract
A total diet study (TDS) was undertaken to estimate the chronic dietary exposure to pesticide residues and health risks for the French infants and young children below 3 years old. As a whole, 516 pesticides and metabolites were analysed in 309 food composite samples including 219 manufactured baby foods and 90 common foods, which cover 97% of infants and young children's diet. These composite samples were prepared using 5,484 food products purchased during all seasons from 2011 to 2012 and processed as consumed. Pesticide residues were detected in 67% of the samples and quantified in 27% of the baby food samples and in 60% of the common foods. Seventy-eight different pesticides were detected and 37 of these quantified at levels ranging from 0.02 to 594 µg/kg. The most frequently detected pesticides (greater than 5% samples) were (1) the fungicides 2-phenylphenol, azoxystrobin, boscalid, captan and its metabolite tetrahydrophthalimide, carbendazim, cyprodinil, difenoconazole, dodine, imazalil, metalaxyl, tebuconazole, thiabendazole, (2) the insecticides acetamiprid, pirimiphos-methyl and thiacloprid, (3) the herbicide metribuzin and (4) the synergist piperonyl butoxide. Dietary intakes were estimated for each of the 705 individuals studied and for 431 pesticides incl. 281 with a toxicological reference value (TRV). In the lower-bound scenario, which tends to underestimate the exposure, the TRV were never exceeded. In the upper-bound scenario that overestimates exposure, the estimated intakes exceeded the TRV for dieldrin and lindane (two persistent organic pollutants) and propylene thiourea, a metabolite of propineb. For these three substances, more sensitive analyses are needed to refine the assessment. For 17 other detected and/or prioritised pesticides, the risk could not be characterised due to the lack of a valid TRV, of certain food analyses or the absence of analytical standards for their metabolites.
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Affiliation(s)
- Alexandre Nougadère
- European Food Safety Authority (EFSA), Via Carlo Magno 1A, 43126 Parma, Italy; ANSES, Risk Assessment Department, 14 Rue Pierre et Marie Curie, F-94701 Maisons-Alfort, France.
| | - Véronique Sirot
- ANSES, Risk Assessment Department, 14 Rue Pierre et Marie Curie, F-94701 Maisons-Alfort, France
| | - Jean-Pierre Cravedi
- UMR1331 Toxalim (Research Centre in Food Toxicology) INRA, ENVT, INP-Purpan, UPS, Toulouse, France
| | - Paule Vasseur
- University of Lorraine, CNRS UMR 7360 LIEC, F-57070 Metz, France
| | - Cyril Feidt
- URAFPA, Université de Lorraine, INRA, F-54500 Vandoeuvre-lès-Nancy, France
| | | | - Renwei Hu
- INOVALYS, Official Laboratory of Analysis, Le Mans, France
| | - Jean-Charles Leblanc
- ANSES, Risk Assessment Department, 14 Rue Pierre et Marie Curie, F-94701 Maisons-Alfort, France
| | - Julien Jean
- ANSES, Risk Assessment Department, 14 Rue Pierre et Marie Curie, F-94701 Maisons-Alfort, France
| | - Gilles Rivière
- ANSES, Risk Assessment Department, 14 Rue Pierre et Marie Curie, F-94701 Maisons-Alfort, France
| | - Xavier Sarda
- ANSES, Regulated Products Department, 14 Rue Pierre et Marie Curie, F-94701 Maisons-Alfort, France
| | - Mathilde Merlo
- ANSES, Risk Assessment Department, 14 Rue Pierre et Marie Curie, F-94701 Maisons-Alfort, France; French Ministry of Health, Directorate General of Health, 14 Avenue Duquesne, 75007 Paris, France
| | - Marion Hulin
- ANSES, Risk Assessment Department, 14 Rue Pierre et Marie Curie, F-94701 Maisons-Alfort, France
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Hulin M, Sirot V, Jean J, Héral V, Traore T, Mahé A, Vin K, Rivière G. Étude française de l’alimentation totale infantile: principaux résultats et recommandations. Cahiers de Nutrition et de Diététique 2019. [DOI: 10.1016/j.cnd.2019.06.003] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
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Rivière G, Jean J, Gorecki S, Hulin M, Kolf-Clauw M, Feidt C, Picard-Hagen N, Vasseur P, Le Bizec B, Sirot V. Dietary exposure to perfluoroalkyl acids, brominated flame retardants and health risk assessment in the French infant total diet study. Food Chem Toxicol 2019; 131:110561. [DOI: 10.1016/j.fct.2019.06.008] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2018] [Revised: 05/31/2019] [Accepted: 06/05/2019] [Indexed: 01/25/2023]
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Sirot V, Rivière G, Leconte S, Vin K, Traore T, Jean J, Carne G, Gorecki S, Veyrand B, Marchand P, Le Bizec B, Jean-Pierre C, Feidt C, Vasseur P, Lambert M, Inthavong C, Guérin T, Hulin M. French infant total diet study: Dietary exposure to heat-induced compounds (acrylamide, furan and polycyclic aromatic hydrocarbons) and associated health risks. Food Chem Toxicol 2019; 130:308-316. [PMID: 31102675 DOI: 10.1016/j.fct.2019.05.009] [Citation(s) in RCA: 25] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2019] [Revised: 05/04/2019] [Accepted: 05/07/2019] [Indexed: 01/26/2023]
Abstract
A total diet study (TDS) was conducted between 2010 and 2016 to assess the risk associated with chemicals in food of non-breast-fed children from 1 to 36 months living in France. Food samples were collected, prepared "as consumed", and analyzed for chemicals of public health interest. Acrylamide, furan and polycyclic aromatic hydrocarbons (PAHs) were analyzed as heat-induced compounds produced mainly during thermal processing of foods. Dietary exposure was assessed for 705 representative children using food consumptions recorded through a 3-consecutive-days record. As all calculated margins of exposure (MOE) for PAHs exceeded 10 000, dietary exposure of the infant and toddler population was deemed tolerable with regard to the carcinogenic risk. Conversely, the exposure levels to acrylamide and furan were considered as of concern, requiring management measures to reduce the exposure essentially by reducing the formation of heat-induced compounds during food production or preparation processes. Efforts should mainly focus on major contributors to the exposure, i.e. sweet and savoury biscuits and bars, and potatoes and potato products for acrylamide, baby jars of vegetables, with or without meat or fish for acrylamide and furan.
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Affiliation(s)
- Véronique Sirot
- Risk Assessment Department (DER), French Agency for Food, Environmental and Occupational Health & Safety (ANSES), 14 Rue Pierre et Marie Curie, F-94701, Maisons-Alfort, France.
| | - Gilles Rivière
- Risk Assessment Department (DER), French Agency for Food, Environmental and Occupational Health & Safety (ANSES), 14 Rue Pierre et Marie Curie, F-94701, Maisons-Alfort, France
| | - Stéphane Leconte
- Risk Assessment Department (DER), French Agency for Food, Environmental and Occupational Health & Safety (ANSES), 14 Rue Pierre et Marie Curie, F-94701, Maisons-Alfort, France
| | - Karine Vin
- Risk Assessment Department (DER), French Agency for Food, Environmental and Occupational Health & Safety (ANSES), 14 Rue Pierre et Marie Curie, F-94701, Maisons-Alfort, France
| | - Thiema Traore
- Risk Assessment Department (DER), French Agency for Food, Environmental and Occupational Health & Safety (ANSES), 14 Rue Pierre et Marie Curie, F-94701, Maisons-Alfort, France
| | - Julien Jean
- Risk Assessment Department (DER), French Agency for Food, Environmental and Occupational Health & Safety (ANSES), 14 Rue Pierre et Marie Curie, F-94701, Maisons-Alfort, France
| | - Géraldine Carne
- Risk Assessment Department (DER), French Agency for Food, Environmental and Occupational Health & Safety (ANSES), 14 Rue Pierre et Marie Curie, F-94701, Maisons-Alfort, France
| | - Sébastien Gorecki
- Risk Assessment Department (DER), French Agency for Food, Environmental and Occupational Health & Safety (ANSES), 14 Rue Pierre et Marie Curie, F-94701, Maisons-Alfort, France
| | | | | | | | - Cravedi Jean-Pierre
- Toxalim, Université de Toulouse, INRA, INP-ENVT, INP-EI-Purpan, Université de Toulouse Paul Sabatier, Toulouse, France
| | - Cyril Feidt
- URAFPA, Université de Lorraine, INRA, 2 avenue de la forêt de Haye, F-54500, Vandoeuvre, France
| | - Paule Vasseur
- University of Lorraine, CNRS UMR, 7360, Metz, France
| | - Marine Lambert
- Université Paris-Est, Anses, Laboratory for Food Safety, F-94701, Maisons-Alfort, France
| | - Chanthadary Inthavong
- Université Paris-Est, Anses, Laboratory for Food Safety, F-94701, Maisons-Alfort, France
| | - Thierry Guérin
- Université Paris-Est, Anses, Laboratory for Food Safety, F-94701, Maisons-Alfort, France
| | - Marion Hulin
- Risk Assessment Department (DER), French Agency for Food, Environmental and Occupational Health & Safety (ANSES), 14 Rue Pierre et Marie Curie, F-94701, Maisons-Alfort, France
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Chekri R, Le Calvez E, Zinck J, Leblanc JC, Sirot V, Hulin M, Noël L, Guérin T. Trace element contents in foods from the first French total diet study on infants and toddlers. J Food Compost Anal 2019. [DOI: 10.1016/j.jfca.2019.02.002] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Lambert M, Inthavong C, Desbourdes C, Hommet F, Sirot V, Leblanc JC, Hulin M, Guérin T. Levels of furan in foods from the first French Total Diet Study on infants and toddlers. Food Chem 2018; 266:381-388. [DOI: 10.1016/j.foodchem.2018.05.119] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2017] [Revised: 05/02/2018] [Accepted: 05/26/2018] [Indexed: 10/14/2022]
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Lambert M, Inthavong C, Hommet F, Leblanc JC, Hulin M, Guérin T. Levels of acrylamide in foods included in ‘the first French total diet study on infants and toddlers’. Food Chem 2018; 240:997-1004. [DOI: 10.1016/j.foodchem.2017.08.035] [Citation(s) in RCA: 26] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2017] [Revised: 07/07/2017] [Accepted: 08/10/2017] [Indexed: 10/19/2022]
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Guérin T, Chekri R, Chafey C, Testu C, Hulin M, Noël L. Mercury in foods from the first French total diet study on infants and toddlers. Food Chem 2018; 239:920-925. [DOI: 10.1016/j.foodchem.2017.07.039] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2017] [Revised: 06/09/2017] [Accepted: 07/10/2017] [Indexed: 11/15/2022]
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Traoré T, Forhan A, Sirot V, Kadawathagedara M, Heude B, Hulin M, de Lauzon-Guillain B, Botton J, Charles M, Crépet A. To which mixtures are French pregnant women mainly exposed? A combination of the second French total diet study with the EDEN and ELFE cohort studies. Food Chem Toxicol 2018; 111:310-328. [DOI: 10.1016/j.fct.2017.11.016] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2017] [Revised: 11/02/2017] [Accepted: 11/11/2017] [Indexed: 11/15/2022]
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Guérin T, Le Calvez E, Zinck J, Bemrah N, Sirot V, Leblanc JC, Chekri R, Hulin M, Noël L. Levels of lead in foods from the first French total diet study on infants and toddlers. Food Chem 2017; 237:849-856. [DOI: 10.1016/j.foodchem.2017.06.043] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2017] [Revised: 06/02/2017] [Accepted: 06/06/2017] [Indexed: 11/17/2022]
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Vacchina V, Séby F, Chekri R, Verdeil J, Dumont J, Hulin M, Sirot V, Volatier JL, Serreau R, Rousseau A, Simon T, Guérin T. Optimization and validation of the methods for the total mercury and methylmercury determination in breast milk. Talanta 2017; 167:404-410. [DOI: 10.1016/j.talanta.2017.02.046] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2016] [Revised: 02/13/2017] [Accepted: 02/19/2017] [Indexed: 10/20/2022]
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de Gavelle E, de Lauzon-Guillain B, Charles MA, Chevrier C, Hulin M, Sirot V, Merlo M, Nougadère A. Chronic dietary exposure to pesticide residues and associated risk in the French ELFE cohort of pregnant women. Environ Int 2016; 92-93:533-42. [PMID: 27187793 DOI: 10.1016/j.envint.2016.04.007] [Citation(s) in RCA: 36] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/28/2016] [Revised: 04/05/2016] [Accepted: 04/06/2016] [Indexed: 05/14/2023]
Abstract
Dietary exposure to pesticide residues may present a risk to public health, especially for sensitive populations such as pregnant women. To characterize this risk, this study assessed chronic dietary exposure to pesticide residues based on the French ELFE cohort. A self-administered food frequency questionnaire (FFQ) about the last three months of pregnancy filled in by pregnant women in 2011 was used in combination with occurrence data from French Total Diet Studies completed by the results of national monitoring programs on pesticide residues in food. The dietary intake of pesticides (μg/kg of body weight/day) was estimated for 14,099 pregnant women with a complete FFQ, for 317 substances under two occurrence scenarios to handle left-censored data: a lower-bound scenario (LB), where undetected results were set to zero, and an upper-bound scenario (UB), where undetected results were set to the detection limit if the substance was expected to be found in food and zero if it was not. The risk was assessed for 284 substances with a toxicological reference value (TRV) and a good coverage level of the diet potentially contributing to pesticide intake. The cumulative risk was also assessed for seven effects on nervous and thyroid systems using the hazard index and the Cumulative Assessment Groups defined by EFSA. Substances with the highest exposure levels under the LB scenario were, in decreasing order, imazalil, piperonyl butoxide, chlorpropham, thiabendazole, iprodione and propargite. Under the LB scenario, only for lindane did women have a statistically significant probability of exceeding the TRV (2.4%). Under the UB scenario, risk could not be excluded for nine other substances. A better management of left-censored data and more sensitive analyses of the main food contributors might help to refine the UB exposure and risk assessments. A statistically significant cumulative risk was found for neurochemical effects related to high intake levels of three organophosphate insecticides (chlorpyrifos, pirimiphos-methyl and dimethoate) mainly detected in fruits and cereals.
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Affiliation(s)
- Erwan de Gavelle
- ANSES - French Agency for Food, Environmental and Occupational Health & Safety, Risk Assessment Department, 14 rue Pierre et Marie Curie, F-94701, Maisons-Alfort Cedex, France.
| | - Blandine de Lauzon-Guillain
- INSERM, UMR 1153 Epidemiology and Biostatistics, Sorbonne Paris City Center (CRESS), ORCHAD Team, Paris, F-75014 France; Paris Descartes University, France
| | - Marie-Aline Charles
- INSERM, UMR 1153 Epidemiology and Biostatistics, Sorbonne Paris City Center (CRESS), ORCHAD Team, Paris, F-75014 France; Paris Descartes University, France
| | - Cécile Chevrier
- INSERM, UMR 1085 IRSET Research Institute in Health, Environment and Occupation, F-35043, Rennes, France
| | - Marion Hulin
- ANSES - French Agency for Food, Environmental and Occupational Health & Safety, Risk Assessment Department, 14 rue Pierre et Marie Curie, F-94701, Maisons-Alfort Cedex, France
| | - Véronique Sirot
- ANSES - French Agency for Food, Environmental and Occupational Health & Safety, Risk Assessment Department, 14 rue Pierre et Marie Curie, F-94701, Maisons-Alfort Cedex, France
| | - Mathilde Merlo
- ANSES - French Agency for Food, Environmental and Occupational Health & Safety, Risk Assessment Department, 14 rue Pierre et Marie Curie, F-94701, Maisons-Alfort Cedex, France
| | - Alexandre Nougadère
- ANSES - French Agency for Food, Environmental and Occupational Health & Safety, Risk Assessment Department, 14 rue Pierre et Marie Curie, F-94701, Maisons-Alfort Cedex, France
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Mancini FR, Sirot V, Busani L, Volatier JL, Hulin M. Use and impact of usual intake models on dietary exposure estimate and risk assessment of chemical substances: a practical example for cadmium, acrylamide and sulphites. Food Addit Contam Part A Chem Anal Control Expo Risk Assess 2015; 32:1065-74. [DOI: 10.1080/19440049.2015.1041428] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Mancini FR, Paul D, Gauvreau J, Volatier JL, Vin K, Hulin M. Dietary exposure to benzoates (E210-E213), parabens (E214-E219), nitrites (E249-E250), nitrates (E251-E252), BHA (E320), BHT (E321) and aspartame (E951) in children less than 3 years old in France. Food Addit Contam Part A Chem Anal Control Expo Risk Assess 2015; 32:293-306. [PMID: 25686474 DOI: 10.1080/19440049.2015.1007535] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
Abstract
This study aimed to estimate the exposure to seven additives (benzoates, parabens, nitrites, nitrates, BHA, BHT and aspartame) in children aged less than 3 years old in France. A conservative approach, combining individual consumption data with maximum permitted levels, was carried out for all the additives. More refined estimates using occurrence data obtained from products' labels (collected by the French Observatory of Food Quality) were conducted for those additives that exceeded the acceptable daily intake (ADI). Information on additives' occurrence was obtained from the food labels. When the ADI was still exceeded, the exposure estimate was further refined using measured concentration data, if available. When using the maximum permitted level (MPL), the ADI was exceeded for benzoates (1.94 mg kg(-1) bw day(-1)), nitrites (0.09 mg kg(-1) bw day(-1)) and BHA (0.39 mg kg(-1) bw day(-1)) in 25%, 54% and 20% of the entire study population respectively. The main food contributors identified with this approach were current foods as these additives are not authorised in specific infant food: vegetable soups and broths for both benzoates and BHA, delicatessen and meat for nitrites. The exposure estimate was significantly reduced when using occurrence data, but in the upper-bound scenario the ADI was still exceeded significantly by the age group 13-36 months for benzoates (2%) and BHA (1%), and by the age group 7-12 months (16%) and 13-36 months (58%) for nitrites. Measured concentration data were available exclusively for nitrites and the results obtained using these data showed that the nitrites' intake was below the ADI for all the population considered in this study. These results suggest that refinement of exposure, based on the assessment of food levels, is needed to estimate the exposure of children to BHA and benzoates for which the risk of exceeding the ADI cannot be excluded when using occurrence data.
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Affiliation(s)
- F R Mancini
- a Department of Veterinary Public Health and Food Safety , Istituto Superiore di Sanità , Rome , Italy
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Hulin M, Harrison E, Stratford M, Wheals AE. Rapid identification of the genus Dekkera/Brettanomyces, the Dekkera subgroup and all individual species. Int J Food Microbiol 2014; 187:7-14. [PMID: 25025214 DOI: 10.1016/j.ijfoodmicro.2014.06.028] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2014] [Revised: 06/26/2014] [Accepted: 06/29/2014] [Indexed: 11/29/2022]
Abstract
The genus Dekkera/Brettanomyces comprises five described species: Dekkera bruxellensis, D. anomala, Brettanomyces custersianus, B. naardenensis and B. nanus. Some of them, especially D. bruxellensis, are important spoilage organisms, particularly in the wine and beverage industries. Because of their economic importance many different methods have been developed to identify members of the genus in general and D. bruxellensis in particular. These methods vary in their rapidity, complexity and cost but, partly because of confidentiality issues, it is unclear which methods are used, or how widely, in the relevant industries. Building on previous work with the genera Saccharomyces and Zygosaccharomyces, a suite of eight PCR primer pairs has been designed either on the D1-D2 region of the 26S rRNA gene or translation elongation factor TEF1-α. These primers can specifically identify the genus as a whole, only Dekkera species, each one of the five recognised species as well as a significant subgroup of D. bruxellensis represented by NCYC 3426. Multiplexing has also been tried and it has been shown to be possible with some combinations of genus or Dekkera-level and species-specific primers. Using direct colony PCR amplification followed by gel electrophoresis, a clear positive result can be obtained in less than 3h, thus providing a quick, reliable and inexpensive way to identify target species.
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Affiliation(s)
- M Hulin
- Department of Biology and Biochemistry, University of Bath, Bath BA2 7AY, UK.
| | - E Harrison
- Department of Biology and Biochemistry, University of Bath, Bath BA2 7AY, UK.
| | - M Stratford
- School of Life Sciences, University of Nottingham, University Park, Nottingham NG7 2RD, UK.
| | - A E Wheals
- Department of Biology and Biochemistry, University of Bath, Bath BA2 7AY, UK.
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Hulin M, Bemrah N, Nougadère A, Volatier JL, Sirot V, Leblanc JC. Assessment of infant exposure to food chemicals: the French Total Diet Study design. Food Addit Contam Part A Chem Anal Control Expo Risk Assess 2014; 31:1226-39. [PMID: 24827474 DOI: 10.1080/19440049.2014.921937] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
As part of the previous French Total Diet Studies (TDS) focusing on exposure to food chemicals in the population aged 3 years and older, the French Agency for Food, Environmental and Occupational Health & Safety (ANSES) launched a specific TDS on infants to complete its overall chemical food safety programme for the general population. More than 500 chemical substances were analysed in food products consumed by children under 3 years old, including nutrients, several endocrine disruptors resulting from human activities (polychlorinated biphenyls, dioxins and furans, brominated flame retardants, perfluoroalkyl acids, pesticide residues, etc.) or migrating from food contact materials such as bisphenol A or phthalates, but also natural substances such as mycotoxins, phytoestrogens and steroids. To obtain a representative and general view of infant food consumption, food items were selected based on results of a national consumption survey conducted specifically on this population. Moreover, a specific study on food was conducted on 429 households to determine which home-cooking practices are employed to prepare food consumed by infants. Overall, the targeted chemical substances were analysed in more than 450 food samples, representing the purchase and home-cooking practices of over 5500 food products. Foods included common foods such as vegetables, fruit or cakes as well as specific infant foods such as infant formula or jarred baby food. The sampling plan covered over 80% of the total diet. Specificities in infant food consumption and habits were therefore considered to define this first infant TDS. This study, conducted on a large scale and focusing on a particularly sensitive population, will provide accurate information on the dietary exposure of children under 3 years to food chemicals, especially endocrine disruptors, and will be particularly useful for risk assessment analysis under the remit of ANSES' expert committees.
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Affiliation(s)
- M Hulin
- a Risk Assessment Department , ANSES , Maisons-Alfort Cedex , France
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Rive S, Hulin M, Baiz N, Hassani Y, Kigninlman H, Toloba Y, Caillaud D, Annesi-Maesano I. Urinary S-PMA related to indoor benzene and asthma in children. Inhal Toxicol 2014; 25:373-82. [PMID: 23796016 DOI: 10.3109/08958378.2013.790522] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
INTRODUCTION Benzene is a ubiquitous pollutant of both indoor and outdoor environments which impacts on respiratory health. Our aim was to relate urinary S-phenylmercapturic acid (S-PMA), a biomarker of benzene exposure, to benzene concentrations and related sources at home and asthma in a population-based sample of children. METHODS Exposure to benzene was assessed in the dwellings of 63 children (32 asthmatics and 31 controls) through the identification of sources of benzene and in situ assessments with passive samplers. The determination of urinary S-PMA was obtained by liquid chromatography-mass spectrometry. RESULTS At home, asthmatics were significantly more polluted by benzene levels from ambient sampling than controls (p ≤ 0.05). Benzene exposure significantly aggravated asthma symptoms overall in non-atopic children (OR = 10.10; 95% confidence interval: 10.10). Urinary S-PMA was significantly associated with benzene concentrations in the entire population (regression coefficient = 0.28, 95% CI: 0.07-0.49; p < 0.05) and asthma (OR = 7.69; 95% CI: 1.37-42.52 for an increase of 1 µg/g creatinine of urinary S-PMA). However, after adjustment for environmental tobacco smoking exposure, familial allergy, age and sex, the latter relationship was no more significant (OR = 4.95; 95% CI: 0.91-27.4, p < 0.10). Both benzene concentrations and urinary S-PMA concentrations were higher in dwelling built after 1948 and in flats. CONCLUSIONS Our study suggests a relationship between childhood asthma and benzene concentrations at home, even at low levels of this pollutant. This was confirmed when considering urinary S-PMA, which was related to both benzene concentrations and asthma. Further epidemiological and toxicological studies are needed to confirm our results.
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Affiliation(s)
- S Rive
- EPAR, U707, INSERM, Paris, France
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Hulin M, Simoni M, Viegi G, Annesi-Maesano I. Respiratory health and indoor air pollutants based on quantitative exposure assessments. Eur Respir J 2012; 40:1033-45. [PMID: 22790916 DOI: 10.1183/09031936.00159011] [Citation(s) in RCA: 116] [Impact Index Per Article: 9.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
We reviewed the main epidemiological studies that evaluate the respiratory effects of indoor air pollutants quantitatively in industrialised countries. Consistent results support short-term (aggravation) and, although more rarely, long-term (prevalence augmentation) effects on asthma, chronic bronchitis and chronic obstructive pulmonary disease (COPD) in indoor settings with poor air quality. Environmental tobacco smoke is one of the most important risks for respiratory symptoms and diseases worldwide. The evidence is also reliable for indoor nitrogen dioxide and particulate matter, which have been associated with asthma, bronchitis and COPD. Whereas formaldehyde and volatile organic compounds seem to be the main pollutants in indoor settings, relevant papers on their respiratory effects are still scarce, and limited to asthma and bronchitis. Moulds have been associated with an increased risk of asthma and COPD. Contradictory results have been found between endotoxins and asthma. The role of phthalates, persistent organic pollutants and flame retardants in respiratory diseases remains to be established. Results from rural areas of industrialised countries indicate that exposure to some indoor bio-contaminants might be protective in early life, while it is associated with adverse respiratory adverse effects in adulthood. Studies focusing on indoor air pollutants should be developed to better understand their involvement in the inception and aggravation of respiratory diseases.
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Hulin M, Moularat S, Kirchner S, Robine E, Mandin C, Annesi-Maesano I. Positive associations between respiratory outcomes and fungal index in rural inhabitants of a representative sample of French dwellings. Int J Hyg Environ Health 2012; 216:155-62. [PMID: 22465486 DOI: 10.1016/j.ijheh.2012.02.011] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2011] [Revised: 02/08/2012] [Accepted: 02/20/2012] [Indexed: 10/28/2022]
Abstract
Our study aims at estimating exposure to molds at home, based on microbial Volatile Organic Compounds (MVOCs) assessment, and evaluating its effect on respiratory diseases in a representative sample of dwellings. In the framework of a national campaign, indoor pollution was monitored in a sample of the 24 million dwellings of metropolitan France (n=567). 727 subjects answered to a standardized questionnaire on respiratory diseases and had MVOCs sampled in their bedrooms and a fungal index (FI) defined. Among the 431 dwellings with complete data, one out of three was contaminated by molds as assessed by a positive FI: 27.0% in urban, 38.2% in periurban and 34.9% in rural dwellings respectively. Positive associations were observed between fungal index and current asthma (8.6%) and chronic bronchitis-like symptoms (8.4%), especially in rural areas (OR=2.95, 95%CI (1.10; 7.95) and 3.35, 95%CI (1.33; 8.48) respectively). Our study, based on objective assessments of fungal contamination, is in agreement with previous results suggesting mold-related respiratory effects. Moreover associations found among rural population could indicate specific pollution and impact in this environment.
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Affiliation(s)
- M Hulin
- INSERM, U 707, EPAR, Paris, France.
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Annesi-Maesano I, Hulin M, Lavaud F, Raherison C, Kopferschmitt C, de Blay F, Charpin DA, Denis C. Poor air quality in classrooms related to asthma and rhinitis in primary schoolchildren of the French 6 Cities Study. Thorax 2012; 67:682-8. [PMID: 22436169 PMCID: PMC3402758 DOI: 10.1136/thoraxjnl-2011-200391] [Citation(s) in RCA: 153] [Impact Index Per Article: 12.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Background Relationships between indoor air quality (IAQ) found in schools and the allergic and respiratory health of schoolchildren have been insufficiently explored. A survey was conducted in a large sample of classrooms of primary schools in France to provide objective assessments of IAQ to which young schoolchildren are exposed in classrooms, and to relate exposure to major air pollutants found in classrooms to asthma and allergies of schoolchildren. Methods Concentrations of fine particles with aerodynamic diameter ≤2.5 μm (PM2.5), nitrogen dioxide (NO2) and three aldehydes were objectively assessed in 401 randomly chosen classrooms in 108 primary schools attended by 6590 children (mean age 10.4 years, SD ±0.7) in the French 6 Cities Study. The survey incorporated a medical visit including skin prick testing (SPT) for common allergens, a test for screening exercise-induced asthma (EIA) and a standardised health questionnaire completed by parents. Results Children were differently exposed to poor air quality in classrooms, with almost 30% being highly exposed according to available standards. After adjusting for confounders, past year rhinoconjunctivitis was significantly associated with high levels of formaldehyde in classrooms (OR 1.19; 95% CI 1.04 to 1.36). Additionally, an increased prevalence of past year asthma was found in the classrooms with high levels of PM2.5 (OR 1.21; 95% CI 1.05 to 1.39), acrolein (OR 1.22; 95% CI 1.09 to 1.38) and NO2 (OR 1.16; 95% CI 0.95 to 1.41) compared with others. The relationship was observed mostly for allergic asthma as defined using SPT. A significant positive correlation was found between EIA and the levels of PM2.5 and acrolein in the same week. Conclusions In this random sample, air quality in classrooms was poor, varied significantly among schools and cities, and was related to an increased prevalence of clinical manifestations of asthma and rhinitis in schoolchildren. Children with a background of allergies seemed at increased risk.
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Affiliation(s)
- Isabella Annesi-Maesano
- Epidemiology of Allergic and Respiratory Diseases (EPAR), INSERM-UPMC-Paris 6, Medical School St Antoine, 27 rue Chaligny, Paris Cedex 12, France.
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Hulin M, Annesi-Maesano I, Caillaud D. Qualité de l’air intérieur dans les écoles et asthme et allergies parmi les écoliers en Auvergne. Différences entre le milieu rural et le milieu urbain. Revue Française d'Allergologie 2011. [DOI: 10.1016/j.reval.2011.01.002] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Moularat S, Hulin M, Robine E, Annesi-Maesano I, Caillaud D. Airborne fungal volatile organic compounds in rural and urban dwellings: detection of mould contamination in 94 homes determined by visual inspection and airborne fungal volatile organic compounds method. Sci Total Environ 2011; 409:2005-2009. [PMID: 21439610 DOI: 10.1016/j.scitotenv.2011.02.033] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/06/2010] [Revised: 02/03/2011] [Accepted: 02/22/2011] [Indexed: 05/30/2023]
Abstract
Moulds can both degrade the materials and structures they colonise and contribute to the appearance of symptoms and diseases in the inhabitants of contaminated dwellings. Only few data have compared the levels of contamination in urban and rural environments and the results are not consistent. The aim of this study was to use a fungal contamination index, based on the detection of specific Microbial Volatile Organic Compounds (MVOC), to determine the exposure to moulds of individuals living in urban and rural dwellings. For this purpose, 94 dwellings (47 in an urban setting in Clermont-Ferrand and 47 in rural areas of the Auvergne region, France) were studied. By demonstrating marked disparities between the proportion of visible contamination (19%) and that of active, visible and/or hidden contamination (59%) and the fact that almost all visible contamination was identified by MVOC, we were able to show that use of the index seemed relevant to confirm the actual presence of fungal contamination in a dwelling. Furthermore, it was possible to demonstrate a relationship between moulds and the presence of water on surfaces (condensation, infiltrations, water damage, etc.). A higher proportion of positive fungal contamination index in rural homes was observed compared to the proportion in urban ones (68% versus 49%; p<0.05).
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Affiliation(s)
- Stéphane Moularat
- Département Energie Santé Environnement, Division Santé, Laboratoire de Recherche et d'Innovation pour l'Hygiène des Bâtiments, 77447 Marne-la-Vallée, France.
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Abstract
UNLABELLED Health effects of indoor pollution have been investigated overall in urban areas. To compare the potential effect of home air pollutants on asthma in urban and rural houses, two case-control populations, composed of children living in the city (32 asthmatics and 31 controls) and in the countryside (24 asthmatics and 27 controls) were included. During 1 week, nitrogen dioxide, fine particles, and volatile organic compounds (formaldehyde, acetaldehyde, benzene, toluene, ethylbenzene, and xylenes) were assessed at home. Urban dwellings were found to be more polluted than rural ones, with concentrations up to two times higher. In the whole population, exposure to acetaldehyde and toluene was significantly associated with a higher risk of asthma. In the urban population, the association with toluene was significant in children studied during winter, and with toluene, xylenes, and ethylbenzene when cases were restricted to current asthmatics. In rural settings, a relationship between asthma and formaldehyde exposure was observed (OR = 10.7; 95% CI 1.69-67.61). Our findings suggest that daily continuous exposures to pollutants may be implicated in asthma, even in the case of low exposure, as those found in rural areas. Our results could also indicate a specific effect of indoor pollution in the rural environment. PRACTICAL IMPLICATIONS Everyday exposure to indoor pollution was associated with a higher risk of childhood asthma. These findings suggest that even at low concentrations, pollutants could be implicated in asthma and reinforce the importance of establishing guideline values to improve indoor air quality by limiting sources or by optimizing ventilation. Specific effects could occur in rural environments where pollution differs from urban area.
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Affiliation(s)
- M Hulin
- INSERM, U707, Epidemiology of Allergic and Respiratory Diseases (EPAR), Paris, France.
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Hulin M, Annesi-Maesano I, Moreau D, Caillaud D. Association entre pollution particulaire et inflammation des bronches : effet modulateur de l’asthme et de l’atopie. Revue Française d'Allergologie 2010. [DOI: 10.1016/j.reval.2010.01.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Hulin M, Annesi-Maesano I. Allergies et asthme chez l’enfant en milieu rural agricole. Rev Mal Respir 2010; 27:1195-220. [DOI: 10.1016/j.rmr.2010.10.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2010] [Accepted: 06/17/2010] [Indexed: 12/28/2022]
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