Arsenic and mercury contamination and complex aquatic bioindicator responses to historical gold mining and modern watershed stressors in urban Nova Scotia, Canada

Beginning in the late-1800s, gold mining activities throughout Nova Scotia, eastern Canada, released contaminants, notably geogenic arsenic from milled ore and anthropogenic mercury from amalgamation, to local environments via surface water flows through tailings fields. We investigated recovery from and legacy effects of the tailings field at the Montague Gold District (~1863-1940) on nearby urban lake ecosystems using geochemical measures and zooplankton remains archived in dated sediment cores from an impact (Lake Charles) and a reference (Loon Lake) lake. Sedimentary levels of total arsenic and total mercury were used to assess mining-related inputs. Arsenic concentrations remain elevated at nearly 300 times above sediment guidelines in Lake Charles surface sediments, due to its upward mobilization from enriched sediment intervals and sequestration by iron oxyhydroxides in surficial sediments. Peak mercury concentrations at Lake Charles were eight times above sediment guidelines during the mining period, and since ~1990 have recovered to levels observed before mining began. Legacy mining impacts at Lake Charles and non-mining related environmental changes in the post-1950 sediments at both lakes have thus combined to structure assemblage compositions of primary consumers. At both lakes, assemblages of pelagic-dominated Cladocera differed (p ≤ 0.05) during the mining period compared to periods before and after mining. Taxon richness differed (p ≤ 0.01) only between the pre- and post-mining periods at mining-impacted Lake Charles and reflects long-term declines of substrate-dwelling littoral taxa. Geochemical and biological recovery have not completely occurred at Lake Charles despite the mine district's closure ~80 years ago. Our findings demonstrate that impacts of ore processing and amalgamation from historical gold mining, combined with recent watershed stressors, continue to affect sedimentary arsenic geochemistry and intermediate trophic levels of nearby, downstream aquatic habitats.

Evaluation of a nanoscale zero-valent iron amendment as a potential tool to reduce mobility, toxicity, and bioaccumulation of arsenic and mercury from wetland sediments

Gold mining in the 1800s has led to the contamination of wetlands with introduced mercury (Hg) and geogenic arsenic (As). In situ risk management tools to reduce mobility and toxicity of Hg and As are needed to support natural restoration of impacted ecosystems. Here, we explored whether a nanoscale zero-valent iron (nZVI) slurry injected into two different contaminated wetland sediments can reduce Hg and As mobility to the overlaying water and toxicity to two aquatic invertebrates, burrowing mayflies (Hexagenia spp.) and Chinese mystery snails (Cipangopaludina chinensis). Total water Hg and As concentrations overlying both contaminated sediments were reduced by at least 75% and 88% respectively when treated with nZVI slurry. In the first sediment, juvenile snail survival increased from 75% in the untreated sediment to 100% in all nZVI treatments. The 2% nZVI treatment level was the only one with surviving mayflies (33%) and growth of juvenile snails. No snails or mayflies survived in the second sediment, regardless of nZVI treatment level. However, snails survived longer in this sediment with 4% and 8% nZVI. To improve reactivity of nZVI without increasing nZVI dose, future studies should investigate matrix-supported nZVI for reducing mobility and toxicity of As and Hg in wetland sediments.

Toward Sustainable Environmental Quality: Priority Research Questions for North America

Anticipating, identifying, and prioritizing strategic needs represent essential activities by research organizations. Decided benefits emerge when these pursuits engage globally important environment and health goals, including the United Nations Sustainable Development Goals. To this end, horizon scanning efforts can facilitate identification of specific research needs to address grand challenges. We report and discuss 40 priority research questions following engagement of scientists and engineers in North America. These timely questions identify the importance of stimulating innovation and developing new methods, tools, and concepts in environmental chemistry and toxicology to improve assessment and management of chemical contaminants and other diverse environmental stressors. Grand challenges to achieving sustainable management of the environment are becoming increasingly complex and structured by global megatrends, which collectively challenge existing sustainable environmental quality efforts. Transdisciplinary, systems-based approaches will be required to define and avoid adverse biological effects across temporal and spatial gradients. Similarly, coordinated research activities among organizations within and among countries are necessary to address the priority research needs reported here. Acquiring answers to these 40 research questions will not be trivial, but doing so promises to advance sustainable environmental quality in the 21st century. Environ Toxicol Chem 2019;38:1606-1624. © 2019 The Authors. Environmental Toxicology and Chemistry published by Wiley Periodicals, Inc. on behalf of SETAC.

Interspecific differences in the bioaccumulation of arsenic of three Patagonian top predator fish: Organ distribution and arsenic speciation

Interspecific differences in arsenic bioaccumulation and organ distribution (muscle, liver, kidney and gills) in three predator fish (creole perch, rainbow trout and brown trout) from a Patagonian lake impacted by volcanic eruptions were studied. Arsenic in fish organs were compared analyzing: 1) temporal (before and after volcanic eruption) and spatial (near and far from the volcano) influence of Puyehue-Cordón Caulle volcanic complex activity on arsenic concentrations; 2) the influence of growth (as total length), organ type and their interactions over arsenic accumulation; and 3) arsenic speciation and total arsenic relationship with carbon to nitrogen ratios (C:N), as a proxy of lipid presence, in fish muscle. In general, total arsenic concentrations in creole perch organs were 2-7 times higher than those recorded in the corresponding organs of salmonids. Arsenic was preferentially accumulated in liver and kidney in the three fish species. The influence of the volcanic activity over arsenic concentrations was more evident in creole perch: organs from creole perch captured closest to the volcano exhibited higher arsenic concentrations. Temporal variations were not so consistent. No clear relationship between arsenic and fish length was observed. Positive and linear relationship between arsenic in all pair of organs was found in creole perch, while rainbow trout showed a quadratic relationship between muscle and the remaining organs, indicating different arsenic assimilation-elimination relationships between organs and fish. The arsenic liver:muscle ratio in the three fish species was greater than 1, suggesting some level of arsenic stress. Arsenobetaine (AB) and dimethylarsinic acid (DMA) were the dominant arsenic species in muscle of these fish, having creole perch 3-4 times higher AB than rainbow trout. A positive relationship between C:N ratio and total arsenic concentrations was found, with higher C:N in creole perchs near the volcano. In terms of food safety, no inorganic arsenic compound were detected, therefore arsenic levels in fish from Lake Nahuel Huapi does not represent any health risk to consumers.

Surgery in ovarian cancer - Brazilian Society of Surgical Oncology consensus

Surgical management in epithelial ovarian cancer (EOC) has a significant impact in overall survival and progression-free survival. The Brazilian Society of Surgical Oncology (BSSO) supported a taskforce of experts to reach a consensus: experienced and specialised trained surgeons, in cancer centres, provide the best EOC surgery. Laparoscopic and/or radiological staging prognosticates the possibility of complete cytoreduction (CC0) and helps to reduce unnecessary laparotomies. Surgical techniques were reviewed. Multidisciplinary input is essential for treatment planning. Quality assurance criteria are proposed and require national consensus. Genetic testing is mandatory. This consensus states the final recommendations from BSSO for management of EOC.

TWEETABLE ABSTRACT

Brazilian Society of Surgical Oncology consensus for surgery in epithelial ovarian cancer patients.

Mercury Concentrations in Double-Crested Cormorant Chicks Across Canada

Mercury (Hg) biomagnifies in aquatic food chains and can reach high concentrations in fish-eating birds. Spatial patterns of Hg have been found in freshwater ecosystems across Canada for many taxa, including fish and birds. However, it often is challenging to sample a representative population size of adult birds to monitor concentrations of contaminants over a large spatial scale. Moreover, adult birds can migrate and can show a contaminant profile that may not be representative of local resources. The goals of this study were (1) to determine if there was a spatial pattern of Hg concentrations in piscivorous birds, (2) to develop a model to estimate Hg concentrations in breeding adults using chicks as proxy, and (3) to develop predictive equations among non-lethal tissues that are representative of local resources in adults (blood and growing feathers). Double-crested Cormorant (Phalacrocorax auritus) chick growing feathers were sampled at 19 sites across Canada. Adult tissues (freshly grown feathers and blood) were sampled at five of those locations to establish correlations between age classes and between adult tissues. We found an increase in Hg concentrations with latitude up to 50°N followed by a decrease. There was a decrease in Hg concentrations from west to east, which contradicts previous studies. We found a good correlation of Hg concentrations between adults and chicks and among adult tissues. Our study shows that chicks are representative of adults and can be a suitable proxy for monitoring local mercury concentrations across Canada.

Halogenated phenolic compounds in wild fish from Canadian Areas of Concern

Concentrations of halogenated phenolic compounds were measured in the plasma of brown bullhead (Ameiurus nebulosus) from 4 Canadian Areas of Concern (AOCs), to assess exposure to suspected thyroid-disrupting chemicals. Hydroxylated polychlorinated biphenyls (OH-PCBs) were detected in every sample collected in 3 of the AOCs; the detection frequency was lower in samples from the Detroit River AOC. The OH-PCBs most frequently detected were pentachloro, hexachloro, and heptachloro congeners, which are structurally similar to thyroid hormones. Pentachlorophenol (PCP) was detected at highest concentrations (1.8 ng/g) in fish from Prince Edward Bay, the Bay of Quinte Lake reference site, and Hillman Marsh (the Wheatley Harbour reference site), suggesting local sources of contamination. Elevated PCP concentrations were also detected in the plasma of brown bullhead from exposed sites in the Toronto and Region AOC (0.4-0.6 ng/g). Triclosan was consistently detected in the Toronto and Region AOC (0.05-0.9 ng/g), consistent with wastewater emission. Greater concentrations were occasionally detected in the plasma of brown bullhead from the Bay of Quinte AOC. Concentrations of polybrominated diphenyl ethers were highest in the Toronto and Region AOC, and at 2 of the Bay of Quinte AOC exposed sites near Trenton and Belleville. Distribution patterns reflected the properties and usage of the compounds under investigation and the characteristics of each AOC. Environ Toxicol Chem 2017;36:2266-2273. © 2017 SETAC.

Mercury and selenium in the food web of Lake Nahuel Huapi, Patagonia, Argentina

Despite located far from point sources of Hg pollution, high concentrations were recorded in plankton from the deep oligotrophic Lake Nahuel Huapi, located in North Patagonia. Native and introduced top predator fish with differing feeding habits are a valuable economic resource to the region. Hence, Hg and Se trophic interactions and pathways to these fish were assessed in the food web of this lake at three sites, using stable nitrogen and carbon isotopes. As expected based on the high THg in plankton, mercury did not biomagnify in the food web of Lake Nahuel Huapi, as most of the THg in plankton is in the inorganic form. As was observed in other aquatic systems, Se did not biomagnify either. When trophic pathways to top predator fish were analyzed, they showed that THg biomagnified in the food chains of native fish but biodiluted in the food chains of introduced salmonids. A more benthic diet, typical of native fish, resulted in higher [THg] bioaccumulation than a more pelagic or mixed diet, as in the case of introduced fish. Se:THg molar ratios were higher than 1 in all the fish species, indicating that Se might be offering a natural protection against Hg toxicity.

Distribution of mercury in archived fur from little brown bats across Atlantic Canada

Total mercury (Hg) concentrations were measured in archived fur from adult female little brown bats sampled at maternity roosts across Atlantic Canada. Mercury concentrations varied significantly among regions and roosts. Bats from Nova Scotia and Newfoundland had the highest median Hg concentrations (9.67 μg/g and 9.51 μg/g) among regions, and individuals from Kejimkujik National Park had the highest Hg (median: 28.38 μg/g) among roosts. Over one third of individuals sampled had fur Hg concentrations exceeding thresholds associated with neurochemical responses. Within-roost examinations of stable carbon and nitrogen isotopes in fur showed inconsistent associations with Hg concentrations. Therefore, the hypothesis that within-roost variation in Hg is driven by variation in diet is not supported by this data, and it is recommended that key prey items be included in future mercury bioaccumulation studies for bats. The elevated mercury fur concentrations for bats from southern Nova Scotia remains an anomaly of concern even when placed in the larger context of Atlantic Canada.

Lake and watershed influences on the distribution of elemental contaminants in the Rideau Canal System, a UNESCO world heritage site

Watershed-specific variables such as sediment particle size distribution, water depth, sedimentation rate, focusing factors, and catchment area to lake area ratio can affect the distribution of trace element contaminants to lakes. The aim of this study was to investigate sources of metals to three headwater lakes and to quantify effects of watershed-specific variables on spatial and temporal trends of trace elements (As, Cd, Co, Cr, Cu, Hg, K, Ni, Pb, Rb, and Zn) in sediments and mercury (Hg) concentrations in fish. Surface sediment and water samples were used to characterize spatial patterns, while sediment cores were collected to portray temporal trends. Historical trends of Hg in northern pike (Esox lucius) were assessed in relation to paleolimnological trends of sediment Hg concentrations. Similarity in timing of sediment peak trace element concentrations for the lakes suggests large-scale, atmospheric sources. The lake with highest catchment area-to-lake area ratio was consistently associated with highest sediment elemental concentrations and displayed significant correlations between increased sediment Hg concentrations and decreased pike tissue concentrations over time. This suggests that catchment area-to-lake area ratio is an important factor influencing the concentration of atmospherically derived contaminants within lake sediments and their transfer through the food web.

Mercury in little brown bat (Myotis lucifugus) maternity colonies and its correlation with freshwater acidity in Nova Scotia, Canada

Insectivorous little brown bats are exposed to elevated concentrations of mercury (Hg) through their preference for aquatic-based prey. Here we investigated spatial patterns of total Hg (THg) in fur from 10 little brown bat maternity colonies across Nova Scotia, and assessed relationships with the acidity of nearby lakes and rivers. Total Hg concentrations were measured in fur samples from 149 adult female little brown bats. Values showed significant variation among colonies (mean range 3.76-27.38 μg/g, dry weight), and 48% of individuals had Hg concentrations in excess of the 10 μg/g threshold associated with neurochemical changes in Chiroptera conspecifics (n = 26) from Virginia. Average surface water acidity parameters (pH and acid neutralization capacity) within an 8 km radius of each maternity roost showed strong negative associations with average colony fur THg concentrations. This suggests that freshwater acidity in foraging grounds explains much of the variation in average fur THg concentrations in little brown bat colonies. These findings highlight the significant role that water quality may have on Hg bioaccumulation within terrestrial species that feed on aquatic prey.

Tracking overwintering areas of fish-eating birds to identify mercury exposure

Migration patterns are believed to greatly influence concentrations of contaminants in birds due to accumulation in spatially and temporally distinct ecosystems. Two species of fish-eating birds, the Double-crested Cormorant (Phalacrocorax auritus) and the Caspian Tern (Hydroprogne caspia) breeding in Lake Ontario were chosen to measure the impact of overwintering location on mercury concentrations ([Hg]). We characterized (1) overwintering areas using stable isotopes of hydrogen (δ(2)H) and band recoveries, and (2) overwintering habitats by combining information from stable isotopes of sulfur (δ(34)S), carbon (δ(13)C), nitrogen (δ(15)N), and δ(2)H in feathers grown during the winter. Overall, overwintering location had a significant effect on [Hg]. Both species showed high [Hg] in (13)C-rich habitats. In situ production of Hg (e.g., through sulfate reducing bacteria in sediments) and allochthonous import could explain high [Hg] in birds visiting (13)C-rich habitats. Higher [Hg] were found in birds with high δ(2)H, suggesting that Hg is more bioavailable in southern overwintering locations. Hotspot maps informed that higher [Hg] in birds were found at the limit of their southeastern overwintering range. Mercury concentrations in winter feathers were positively related to predicted spatial pattern of [Hg] in fish using the National Descriptive Model of Mercury in Fish (NDMMF) based on bird spatial assignment (using δ(2)H). This study indicates that the overwintering location greatly influences [Hg].

Contamination of mercury during the wintering period influences concentrations at breeding sites in two migratory piscivorous birds

Many aquatic fish-eating birds migrate long distances and are exposed to different mercury concentrations ([Hg]) during their annual cycle. Here we examined the importance of migration on [Hg] in two colonial migratory fish-eating bird species. We determined temporal trends of [Hg] and stable isotopes of carbon (δ(13)C) and nitrogen (δ(15)N) during the annual cycle in Double-crested Cormorants (Phalacrocorax auritus) and Caspian Terns (Hydroprogne caspia) breeding in Lake Ontario by a repeated sampling of breast feathers and blood from recaptured individuals. We found an effect of previous winter [Hg], species, sex, and location to explain variations of Hg at breeding sites. This suggests Hg carryover from winter to summer periods and that variations of [Hg] in the summer are partially explained by [Hg] in the winter. Carryover of Hg among seasons and slow changes in [Hg] over time were found especially for individuals in high winter exposure groups, suggesting a slow depuration rate and a fast uptake rate for both species. In contrast, stable isotope values rapidly switched to reach equilibrium at a similar midpoint regardless of winter habitat or diet suggesting minimal carryover of isotopic signatures. The potential of Hg carryover from wintering sites indicates that Hg concentrations in birds at a given time may be influenced by previous exposure from distant locations.

Effect of eutrophication on mercury, selenium, and essential fatty acids in bighead carp (Hypophthalmichthys nobilis) from reservoirs of eastern China

Analyses of the risks and benefits of consuming fish assess the content of beneficial fatty acids found in fish relative to harmful pollutants such as methylmercury (MeHg). Quantifying the effect of eutrophication on mercury (Hg), selenium (Se) and essential fatty acids (EFAs) in fish is necessary to determine how measures of risk vary with productivity. Total Hg and MeHg, Se and fatty acids, including the EFA eicosapentaenoic acid (EPA, 20:5n-3) and docosahexaenoic acid (DHA, 22:6n-3), were analyzed in Bighead Carp (Hypophthalmichthys nobilis) dorsal muscle tissue from seven subtropical reservoirs of eastern China. Individual elements and fatty acids, as well as derived measures of risk (Se:Hg and hazard quotient, HQ(EFA)) were regressed against indicators of eutrophication, including total phosphorous (TP), chlorophyll-a (chl-a) and phytoplankton species composition. We found low MeHg concentrations (range=0.018-0.13 μg/g ww) and Se concentrations (range=0.12-0.28 μg/g ww), and Se:Hg molar ratios that were well above 1.0, indicating a low risk of Hg toxicity. Bighead Carp had a high content of total polyunsaturated fatty acids (∑PUFAs=44.2-53.6%), which included both EPA (6.9-12.5%) and DHA (16.1-23.2%). However, fish had significantly lower Se:Hg molar ratios in reservoirs with high TP, and lower EPA content with increasing plankton density (i.e. higher chl-a). Phytoplankton species composition predicted Se concentrations, but not Hg concentrations or EFA content. Overall, Hg concentrations in Bighead Carp were very low relative to consumption guidelines, and Se concentrations were adequate to confer protective benefits against MeHg toxicity. Our findings suggest that changes to plankton species composition and density with eutrophication may result in fish of lower nutritional value and thus increase risks to fish consumers by changing the availability of Se and EPA relative to MeHg.

Mercury concentrations in amphipods and fish of the Saint Lawrence River (Canada) are unrelated to concentrations of legacy mercury in sediments

Past industrial activity at Cornwall, Ontario, Canada has contaminated Lake Saint Francis, a fluvial lake on the Saint Lawrence River, with mercury (Hg). A spatial survey of Hg concentrations in sediments, amphipods, and yellow perch (Perca flavescens) in 2008 inferred current sources of Hg to the lake and spatial variations in risks to human consumers. Patterns of total and methyl Hg concentrations in sediment reflected upstream inputs, declining concentrations downstream, and highest concentrations at north shore sites near industrial sources; concentrations were lowest on the south shore because river currents limit north-south advective exchange. Surprisingly, concentrations of total or methyl Hg in sediments and pore water were unrelated to concentrations in amphipods and yellow perch. Concentrations in biota, and risks to consumers of fish, were highest at north shore sites near tributaries, and not at the most contaminated industrial sites. These results suggest that 'legacy' Hg in surficial sediments is not bioavailable to aquatic biota; tributaries and atmospheric deposition are possible sources of bioavailable Hg; and that sediment remediation would not resolve issues of Hg in fish. Fish consumption advisories for the entire lake based on single samples of fish could over- or under-protect consumers, depending on sampling location. To understand the actual risk to fish consumers for a large and complex lake system with multiple sources of Hg, more intensive sampling is needed to assess the spatial distribution of risk.

A positive correlation between mercury and oxidative stress-related gene expression (GPX3 and GSTM3) is measured in female Double-crested Cormorant blood

Mercury (Hg) is a widespread contaminant that has been shown to induce a wide range of adverse health effects in birds including reproductive, physiological and neurological impairments. Here we explored the relationship between blood total Hg concentrations ([THg]) and oxidative stress gene induction in the aquatic piscivorous Double-crested Cormorants (Phalacrocorax auritus) using a non-lethal technique, i.e., blood gene expression analysis. P. auritus blood was sampled at five sites across the Great Lakes basin, Ontario, Canada and was analyzed for [THg]. To assess cellular stress, the expression of glutathione peroxidases 1 and 3 (GPX1, GPX3), superoxide dismutase 1 (SOD1), heat-shock protein 70 kd-8 (HSP70-8) and glutathione S-transferase µ3 (GSTM3) were measured in whole blood samples using real-time RT-PCR. Results showed a significantly positive correlation between female blood [THg] and both GPX3 and GSTM3 expression. Different levels of oxidative stress experienced by males and females during the breeding season may be influencing the differential oxidative stress responses to blood [THg] observed in this study. Overall, these results suggest that Hg may lead to oxidative stress as some of the cellular stress-related genes were altered in the blood of female P. auritus and that blood gene expression analysis is a successful approach to assess bird health condition.

A qualitative study: potential benefits and challenges of traditional healers in providing aspects of palliative care in rural South Africa

INTRODUCTION

This article draws on selected palliative care providers' views and experiences to reflect on the potential benefits and possible challenges of involving traditional healers in palliative care in rural areas of South Africa. There is increasing consensus that palliative care should be offered by a range of professional and non-professional healthcare givers. Including non-professionals such as traditional healers in a palliative care team may strengthen care provisioning as they have intimate knowledge of patients' local culture and spiritual beliefs.

METHODS

Employing the qualitative method of photo-elicitation, one-on-one discussions about the photographs taken by participants were conducted. The participants - 4 palliative care nurses and 17 home-based care workers - were purposively selected to provide in-depth information about their experiences as palliative caregivers in rural homes.

RESULTS

Healthcare workers' experiences revealed that the patients they cared for valued traditional rituals connected to illness, dying, death and bereavement. Participants suggested that traditional healers should be included in palliative care training programs as they could offer appropriate psychological, cultural and spiritual care. A challenge identified by participants was the potential of traditional healers to foster a false sense of longevity in patients facing death.

DISCUSSION

The importance of recognising the value of traditional practices in palliative care should not be underrated in rural South Africa. Traditional healers could enhance palliative care services as they have deep, insider knowledge of patients' spiritual needs and awareness of cultural practices relating to illness, death, dying and bereavement. Incorporating traditional healers into healthcare services where there are differences in the worldviews of healthcare providers and patients, and a sensitivity to mediate cultural differences between caregivers and patients, could have the benefit of providing appropriate care in rural spaces.

CONCLUSIONS

Considering the influences of cultural and spiritual beliefs on the wellbeing of patients living in rural areas, the inclusion of traditional healers in a palliative care team is a sensible move. It is, nevertheless, important to note that unanticipated challenges may arise with respect to power differentials within the palliative care team and to beliefs that contradict medical prognosis.

Mercury biomagnification in subtropical reservoir fishes of eastern China

Little is known about mercury (Hg) biomagnification in the subtropics, aquatic systems with high species diversity resulting in complex food webs. High atmospheric Hg emissions and ubiquitous reservoir fisheries may lead to elevated Hg bioaccumulation in Chinese freshwater fishes. However, stocking practices using fast-growing species can result in low fish total Hg (THg) concentrations. Here, we describe Hg transfer within the fish food web of a large subtropical reservoir, Qiandao Hu (Xin'anjiang reservoir) situated in eastern China. We measured food web Hg biomagnification and THg concentrations in 33 species of stocked and wild fishes. Mercury concentrations in most fishes were low, though we also found high Hg concentrations in wild top predators. The food web structure, assessed using stable isotopes of carbon (δ(13)C) and nitrogen (δ(15)N), demonstrated a high degree of omnivory and a long food chain. THg concentrations were highly correlated with fish δ(15)N values. The regression of log10THg against δ(15)N revealed the overall Hg biomagnification rate was low. This study shows that where long food chains exist in subtropical reservoirs, elevated Hg accumulation in top predators can occur despite a low Hg biomagnification rate.

Spatial patterns of methylmercury risks to common loons and piscivorous fish in Canada

Deposition of inorganic mercury (Hg) from the atmosphere remains the principle source of Hg contamination for most aquatic ecosystems. Inorganic Hg is readily converted to toxic methylmercury (MeHg) that bioaccumulates in aquatic food webs and may pose a risk to piscivorous fish and wildlife. We conducted a screening-level risk assessment to evaluate the extent of risk to top aquatic piscivores: the common loon (Gavia immer), walleye (Sander vitreus), and northern pike (Esox lucius). Risk quotients (RQs) were calculated on the basis of a dietary Hg exposure indicator (HgPREY) modeled from over 230,000 observations of fish Hg concentrations at over 1900 locations across Canada and dietary Hg exposure screening benchmarks derived specifically for this assessment. HgPREY exceeded benchmark thresholds related to impaired productivity and behavior in adult loons at 10% and 36% of sites, respectively, and exceeded benchmark thresholds for impaired reproduction and health in fishes at 82% and 73% of sites, respectively. The ecozones of southeastern Canada characterized by extensive forest cover, elevated Hg deposition, and poorly buffered soils had the greatest proportion of RQs > 1.0. Results of this assessment suggest that common loons and piscivorous fishes would likely benefit from reductions in Hg deposition, especially in southeastern Canada.

Modelling mercury concentrations in prey fish: derivation of a national-scale common indicator of dietary mercury exposure for piscivorous fish and wildlife

The National Descriptive Model for Mercury in Fish (NDMMF) was applied to a Canada - wide dataset of fish mercury (Hg) concentrations to derive a common indicator of dietary methylmercury (MeHg) exposure (HgPREY) to piscivorous fish and wildlife. The NDMMF provided unbiased parameter estimates and strong spatial biases in prediction error were not apparent. Prediction error was comparatively higher when sample sizes were small and events with high Hg concentrations. Estimates of HgPREY from 1936 locations between 1990 and 2010 averaged 0.09 ± 0.07 μg g(-1) (wet wt) and increased from west to east in a manner consistent with independent measures of MeHg exposure in piscivorous wildlife and conceptual models of aquatic ecosystem sensitivity to Hg methylation and bioaccumulation. The HgPREY dataset offers an approach to evaluate the risk of MeHg exposure to piscivorous fish and wildlife on a continental scale.

Ebullition rates and mercury concentrations in St. Lawrence river sediments and a benthic invertebrate

Ebullition, the release of gas from anaerobic decomposition in sediments, was recorded in a mercury-contaminated depositional zone (Zone 1) of the St. Lawrence River Area of Concern in Cornwall, Ontario, Canada. The aim of the present study was to test if this disturbance affected the bioavailability of total mercury (THg) and methylmercury (MeHg) in surficial sediments to a benthic invertebrate (Echinogammarus ischnus). Ebullition rates ranged from <1 to 2,800 ml/m(2) daily, with methane gas comprising 29 to 84% of the total. No direct effects of ebullition were found on either abiotic (sediment or pore water THg or MeHg concentrations) or biotic (amphipod THg or MeHg concentrations) variables measured. Instead, amphipod MeHg concentrations were best predicted by pore water THg and MeHg concentrations, organic matter of surficial sediments, and water depth and location. Trend surface analyses demonstrated that a shallow, southwestern part of Zone 1 was most contaminated with pore water mercury, which decreased in a gradient toward the northeast. Further study is needed to determine if the amount of sediment resuspended by ebullition affects the spatial distribution of mercury.

Biomagnification of mercury in aquatic food webs: a worldwide meta-analysis

The slope of the simple linear regression between log10 transformed mercury (Hg) concentration and stable nitrogen isotope values (δ(15)N), hereafter called trophic magnification slope (TMS), from several trophic levels in a food web can represent the overall degree of Hg biomagnification. We compiled data from 69 studies that determined total Hg (THg) or methyl Hg (MeHg) TMS values in 205 aquatic food webs worldwide. Hg TMS values were compared against physicochemical and biological factors hypothesized to affect Hg biomagnification in aquatic systems. Food webs ranged across 1.7 ± 0.7 (mean ± SD) and 1.8 ± 0.8 trophic levels (calculated using δ(15)N from baseline to top predator) for THg and MeHg, respectively. The average trophic level (based on δ(15)N) of the upper-trophic-level organisms in the food web was 3.7 ± 0.8 and 3.8 ± 0.8 for THg and MeHg food webs, respectively. For MeHg, the mean TMS value was 0.24 ± 0.08 but varied from 0.08 to 0.53 and was, on average, 1.5 times higher than that for THg with a mean of 0.16 ± 0.11 (range: -0.19 to 0.48). Both THg and MeHg TMS values were significantly and positively correlated with latitude. TMS values in freshwater sites increased with dissolved organic carbon and decreased with total phosphorus and atmospheric Hg deposition. Results suggest that Hg biomagnification through food webs is highest in cold and low productivity systems; however, much of the among-system variability in TMS values remains unexplained. We identify critical data gaps and provide recommendations for future studies that would improve our understanding of global Hg biomagnification.

Polychlorinated biphenyls and their hydroxylated metabolites in wild fish from Wheatley Harbour Area of Concern, Ontario, Canada

Whole-body polychlorinated biphenyls (ΣPCBs) and plasma hydroxylated PCBs (OH-PCBs) concentrations were determined in brown bullhead (Ameiurus nebulosus) from Wheatley Harbour, Ontario, Canada. Elevated ΣPCBs in Wheatley Harbour are suspected to have originated from industrial waste disposal and/or discharges from nearby fish processing through discarding of fish remains. Mean ΣPCB concentrations in brown bullhead from Wheatley Harbour were approximately 250 ng/g wet weight compared with approximately 40 ng/g wet weight for brown bullhead from the reference sites, Hillman Marsh and Turkey Creek (both in Ontario, Canada). A significant relationship was found between the concentrations of non-ortho and mono-ortho PCB concentrations (toxic equivalents) and liver mixed-function oxygenase in brown bullhead (r = 0.74, p < 0.001). Plasma OH-PCB concentrations were greater in Wheatley Harbour brown bullhead than in those from Hillman Marsh (3.6 vs 1.5 ng/g wet wt, p < 0.01), and were detected infrequently in those from Turkey Creek (0.1 ng/g wet wt, n = 2). The OH-PCB congeners most frequently detected were 4'-OH-CB172, 3'-OH-CB180, 4-OH-CB187, 4-OH-CB146, 3-OH-CB138, and 4-OH-CB130, which are structurally similar to the thyroid hormones. To test the hypothesis of fish waste as the cause of the observed PCB contamination of Wheatley Harbour brown bullhead, a principal component analysis (PCA) was used to compare the brown bullhead PCB congener data with equivalent data for Lake Erie walleye, Lake Erie sediment, and industrial Aroclor mixtures. The relative proportions of each Aroclor mixture were estimated using the conjugated gradient method. The high similarity between the congener signatures for Lake Erie walleye and Wheatley Harbour brown bullhead supports the hypothesis of contamination from the fish processing industry.

Derivation of screening benchmarks for dietary methylmercury exposure for the common loon (Gavia immer): rationale for use in ecological risk assessment

The current understanding of methylmercury (MeHg) toxicity to avian species has improved considerably in recent years and indicates that exposure to environmentally relevant concentrations of MeHg through the diet can adversely affect various aspects of avian health, reproduction, and survival. Because fish-eating birds are at particular risk for elevated MeHg exposure, the authors surveyed the available primary and secondary literature to summarize the effects of dietary MeHg on the common loon (Gavia immer) and to derive ecologically relevant toxic thresholds for dietary exposure to MeHg in fish prey. After considering the available data, the authors propose three screening benchmarks of 0.1, 0.18, and 0.4 µg g(-1) wet weight MeHg in prey fish. The lowest benchmark (0.1 µg g(-1) wet wt) is the threshold for adverse behavioral impacts in adult loons and is close to the empirically determined no observed adverse effects level for subclinical effects observed in captive loon chicks. The remaining benchmarks (0.18 and 0.4 µg g(-1) wet wt) correspond to MeHg levels in prey fish associated with significant reproductive impairment and reproductive failure in wild adult loons. Overall, these benchmarks incorporate recent findings and reviews of MeHg toxicity in aquatic fish-eating birds and provide the basis for a national ecological risk assessment for Hg and loons in Canada.

Arsenic, cobalt and chromium food web biodilution in a Patagonia mountain lake

Mussels, Diplon chilensis, from Lake Moreno, a double-basined mountain lake in southern Argentina, is known to have elevated concentrations of chromium (Cr, > 25 μg g⁻¹ dry weight DW) and arsenic (As, 35 μg g⁻¹ DW), attributed to untreated sewage. To further understand the trophodynamics of Cr, As and cobalt (Co), we investigated concentrations and transfer throughout the food web in each basin of Lake Moreno. Each basin differs in morphology in that the gently-sloping Lake Moreno West has more littoral habitat than deeper Lake Moreno East with its higher proportion of pelagic habitat. Despite the morphological differences, both basins share similar water quality parameters and species assemblages. As a result, Lake Moreno provides an exceptional opportunity to compare trophodynamics of elements that enable us to hypothesize pelagic-littoral habitat coupling in response to lake morphology as the underlying factor influencing both Cr pathway and Co and As trophodynamic modeling. Using stable isotopes of nitrogen (δ¹⁵N) and carbon (δ¹³C) to characterize metals trophodynamics in each basin, biodilution of As, Cr and Co were indicated by negative regressions. This is confirmed by elevated As, Co and Cr concentrations in phytoplankton (11.3±5.7, 7.4±4.9, 44.5±40.7 μg g⁻¹ DW respectively), while zooplankton and biofilm had the next elevated concentrations. Those elevated concentrations are in contrast with lower concentrations in sport fish such as rainbow trout (0.5±0.5, 0.2±0.3, 1.8±1.2 μg g⁻¹ DW). Higher concentrations of Cr in fish were associated with higher proportion of benthic/littoral prey items in western basin, and were confirmed by significant correlation with δ¹³C values. Arsenic, Co and Cr concentrations in fish, while elevated, do not post health risks to human or wildlife consumers.

Toxicity of dietary methylmercury to fish: derivation of ecologically meaningful threshold concentrations

Threshold concentrations associated with adverse effects of dietary exposure to methylmercury (MeHg) were derived from published results of laboratory studies on a variety of fish species. Adverse effects related to mortality were uncommon, whereas adverse effects related to growth occurred only at dietary MeHg concentrations exceeding 2.5 µg g(-1) wet weight. Adverse effects on behavior of fish had a wide range of effective dietary concentrations, but generally occurred above 0.5 µg g(-1) wet weight. In contrast, effects on reproduction and other subclinical endpoints occurred at dietary concentrations that were much lower (<0.2 µg g(-1) wet wt). Field studies generally lack information on dietary MeHg exposure, yet available data indicate that comparable adverse effects have been observed in wild fish in environments corresponding to high and low MeHg contamination of food webs and are in agreement with the threshold concentrations derived here from laboratory studies. These thresholds indicate that while differences in species sensitivity to MeHg exposure appear considerable, chronic dietary exposure to low concentrations of MeHg may have significant adverse effects on wild fish populations but remain little studied compared to concentrations in mammals or birds.

Mercury biomagnification in the food web of a neotropical stream

Anthropogenic and natural mercury (Hg) contamination have been a major concern in South America since the early 1900s, but it remains unclear whether Hg levels pose a hazard to human health in regions that lack point sources. We studied Hg biomagnification patterns in the food web of Río Las Marías, an Andean piedmont stream in northern Venezuela, which supports a major subsistence fishery. Mercury concentrations and trophic positions in the food web (based on stable isotopes of nitrogen and carbon) were characterized for 24 fish species representing seven trophic guilds (piscivore, generalized carnivore, omnivore, invertivore, algivore, terrestrial herbivore, detritivore). Mercury showed significant biomagnification through the food web, but vertical trophic position explained little of the variation. Muscle Hg concentrations also increased with body mass across the food web. Trophic guild assignments offered a useful alternative to explicit analysis of vertical trophic position; piscivores showed the highest Hg concentrations and terrestrial herbivores had the lowest. There were no consistent seasonal differences in Hg concentrations within the 5 species sampled during both the wet and dry seasons, suggesting that bioavailability is unaffected by strong seasonal variation in rainfall. From a human health perspective, many medium- to large-bodied species that are commonly eaten had Hg concentrations that exceeded International Marketing Limit (IML) (0.5 μg/g) and World Health Organization (WHO) guidelines (0.2 μg/g) for consumption. We conclude that Hg concentrations may pose a health concern for local subsistence fishermen and their families. Our results suggest a need to perform risk assessment and better understand contaminant levels in subsistence and commercial fisheries even in areas that lack known Hg point sources.

Freshwater fish-consumption relations with total hair mercury and selenium among women in eastern China

Wild fish from Qiandao Hu, a reservoir in the Zhejiang Province in eastern China, have increased mercury (Hg) concentrations exceeding the World Health Organization's (WHO) recommended guidelines. Due to the importance of freshwater biota in the local cuisine, dietary exposure to increased neurotoxic Hg is a concern in this region. An environmental hair-marker study was undertaken coincident with a cross-sectional epidemiologic study with 50 women age 17-46 years living in a Qiandao Hu fishing village. Diet, occupation, and other possible sources of Hg were recorded by way of questionnaires. Total mercury (THg) and selenium (Se) concentrations were measured in human hair samples and in important market fish species. Fish THg and Se concentrations were increased, with some fish concentrations >200 ng/g THg and 500 ng/g Se (wet weight [ww]). However, the average hair THg was low at 0.76 ± 0.51 μg/g dry weight, lower than the WHO's no observable-adverse effect level (50 μg/g), whereas the average hair Se was 1.0 μg/g. Hair THg concentration was positively associated with the average mass of fish consumed weekly, indicating that fish consumption is the main contributor to hair THg in this geographic area. The age-related hair THg trend was not linear but instead demonstrated a rapid increase in THg before age 25 years, followed by consistent concentrations in all ages after age 25 years. There was a positive correlation (p < 0.001) between molar Se and Hg in the hair samples, suggesting a possible antagonistic relation. This is the first study examining the relation between dietary Hg exposure and hair THg in an eastern China community where freshwater fish, as opposed to marine fish, dominates the cuisine.

Seasonal variation in mercury and food web biomagnification in Lake Ontario, Canada

Seasonal variation in mercury (Hg) concentrations and food web structure was assessed for eastern Lake Ontario. Hg concentrations, measured in 6 species of invertebrates and 8 species of fishes, tended to be highest in the spring and lowest in the summer for most biota. Yellow perch (Perca flavescens) exhibited significant ontogenetic shifts in diet and Hg, although such patterns were not evident for other species. Food web structure, as indicated by stable isotope values (δ(15)N, δ(13)C) was not static. Log-transformed Hg data were strongly and consistently correlated with δ(15)N values for the whole food web in each of the three seasons (slopes, 0.17-0.24) and across the entire year (slope, 0.2). While significantly different between seasons, the regression slope values are still consistent with published global Hg biomagnification rates. Our results indicate that the assessment of Hg trends in Great Lakes must take into account seasonal patterns and time of sampling.

Trophodynamics and distribution of silver in a Patagonia mountain lake

Silver (Ag) ions are among the most toxic metallic ions to aquatic biota. In southern Argentina, fish from Patagonian lakes have liver Ag concentrations [Ag] among the highest ever reported globally. Silver concentration in phytoplankton from Lake Moreno (1.82±3.00μgg(-1) dry weight, DW) was found to be significantly higher than [Ag] in zooplankton (0.25±0.13μgg(-1)). Values in snails and decapods (0.60±0.28μgg(-1) and 0.47±0.03μgg(-1) respectively), were higher than in insect larvae (0.28±0.39μgg(-1) for Trichoptera). We examined trophic transfer of Ag in the biota using stable nitrogen and carbon isotopes ratios (δ(15)N and δ(13)C respectively). Silver concentrations in the biota of Lake Moreno were not associated with any particular C source, as assessed by δ(13)C. Hepatic [Ag] significantly increased with trophic position, as measured by δ(15)N, within the brook trout sample set. Biodilution of Ag was observed between primary producers and small forage fish when whole body [Ag] was analyzed. Nevertheless, when considering whole food web biomagnification and hepatic [Ag] of top predator fish, a significant positive regression was found between [Ag] and trophic position, as measured by δ(15)N. The importance of species-specific and tissue-specific considerations to obtain more information on Ag trophodynamics than that usually presented in the literature is shown. To the best of our knowledge, this is the first study in assessing Ag trophodynamics and tissue-specific biomagnification in a whole freshwater food web.

Distribution and trends of mercury in deciduous tree cores

The distribution of total mercury (THg) within common deciduous trees and the applicability of tree cores as biomonitors of historical environmental THg trends were assessed for both contaminated and reference sites around Kingston, Ontario. Samples were collected from Acer spp., Quercus spp. Populus spp. and Salix spp. Bark and wood THg concentrations were found to be highly correlated whereas soil and wood THg concentrations were not. There were no temporal relationships for THg in dated tree rings corresponding with any other known environmental Hg trends. The shoreline species, Populus and Salix spp., had the greatest bark and wood Hg concentrations reaching 18 ng/g, significantly higher than for inland trees Quercus and Acer spp. with maximum values of 7 and 1.2 ng/g for bark and wood respectively. While tree cores cannot be reliably used as temporal THg biomonitors, there is promise for tree species such as Populus spp and Salix spp as spatial indicators of local long-term Hg contamination.

Fine-scale mercury trends in temperate deciduous tree leaves from Ontario, Canada

This study focused on the value of deciduous leaves as biomonitors of total mercury (THg). Leaf samples were collected from a range of deciduous species from five sampling sites in the province of Ontario, Canada. These included a site in the northwest (the Experimental Lakes Area, ELA), two sites in central Ontario (the town of Dorset and the Centre for Atmospheric Research Experiments, CARE), and two sites in the southeast (Sandbanks Provincial Park, SBPP and the City of Kingston). The sampled species exhibited distinctive species-specific differences with red oaks consistently having lower leaf THg concentrations than all maple species, while black and white ash leaves had the highest concentrations. Spatially, leaves collected across the distance between ELA and SBPP (approximately 1500 km apart) had overlapping THg concentrations between 20 and 40 ng/g. Unexpectedly, leaves from urban parks of Kingston had considerably lower THg concentrations (<25 ng/g) than the other sites, which suggested leaves may not reflect subtle gradients of atmospheric THg found under field conditions. Leaf THg increased with the growing season, with highest THg leaf concentrations found in early autumn just before senescence. Microspatial differences within a single tree, such as position on a branch are important, since higher mercury concentrations were associated with leaves positioned deeper into the canopy relative to outer leaves more exposed to wind turbulence and sunlight. Within any single leaf, THg concentrations were highest in the leaf tissue, and consistently distributed, while the vein and petiole tissue had lower THg concentrations. There was no relationship between THg concentrations and leaf area. Using deciduous tree leaves as regional temporal monitors of bioavailable mercury may be feasible, but careful selection of leaf sampling sites on the tree itself and the timing is of utmost importance for ensuring consistent and high quality biomonitoring data.

Family-centred practice in the interface between child welfare and the alcohol and drug field

Recently publicized cases of child abuse and neglect ahve highlighted the complexity of interaction between professionals in the alcohol and drug field and those in the child welfare field. Despite exhortations to practitioners in both fields to see their clients from a "family-centred perspective", a range of psychological, ethical, conceptual, professional and organizational factors mean that this often remains an elusive goal. In this paper the obstacles to adopting a family-centred approach which cuts across different professions and fields of service are identified. These factors interact in complex ways and although workers feel the tensions, it is difficult for them to perceive the set of constraints as a whole from the vantage point of an actor in the process. By identifying and analysing these obstacles workers in both fields may be better able to collaborate in maximizing the opportunities which also exist for family-centred practice.

Spatial and temporal trends of mercury concentrations in young-of-the-year spottail shiners (Notropis hudsonius) in the St. Lawrence River at Cornwall, ON

The St. Lawrence River at Cornwall, Ontario is an "Area of Concern" because of mercury (Hg) biomagnification from bottom sediments. To assess the spatial and temporal distribution of Hg in the food web, young-of-the-year (YOY) spottail shiners (Notropis hudsonius) were collected in August 2005 from five sites along the Cornwall waterfront within a Hg-contaminated zone and two reference zones. The results were compared to analyses made between 1979 and 2000 by the Ontario Ministry of the Environment. Total Hg concentrations in spottail shiners from the contaminated zone were significantly higher than in reference zones, confirming previous observations. Within the contaminated zone, there were significant differences in Hg concentrations among three sites spaced about 500 m apart, consistent with a high degree of site fidelity of YOY fish and suggesting a possible internal source of Hg. Hg concentrations in spottail shiners are decreasing regionally, although year-to-year variability was high, particularly in the contaminated zone. Stable isotope analyses of spottail shiners did not reveal any differences in nitrogen isotope composition among zones that would indicate differences in food-web structure and Hg biomagnification. However, carbon sources at an upstream reference zone were not the same as within the Area of Concern. Differences in carbon isotope composition at two sites within the contaminated zone corresponded to differences in Hg concentrations, consistent with a unique internal source of Hg. The variation in Hg contamination of YOY spottail shiners over fine spatial and temporal scales provide important insights about the potential release of Hg from contaminated sediments and the role of climate in regional trends. Sessile YOY fish provide a precise indicator for demonstrating these differences and for assessing their cause.

Mercury and other trace elements in a pelagic Arctic marine food web (Northwater Polynya, Baffin Bay)

Total mercury (THg), methylmercury (MeHg) and 22 other trace elements were measured in ice algae, three species of zooplankton, mixed zooplankton samples, Arctic cod (Boreogadus saida), ringed seals (Phoca hispida) and eight species of seabirds to examine the trophodynamics of these metals in an Arctic marine food web. All samples were collected in 1998 in the Northwater Polynya (NOW) located between Ellesmere Island and Greenland in Baffin Bay. THg and MeHg were found to biomagnify through the NOW food web, based on significant positive relationships between log THg and log MeHg concentrations vs. delta15N muscle and liver . The slope of these relationships for muscle THg and MeHg concentrations (slope=0.197 and 0.223, respectively) were similar to those reported for other aquatic food webs. The food web behavior of THg and delta15N appears constant, regardless of trophic state (eutrophic vs. oligotrophic), latitude (Arctic vs. tropical) or salinity (marine vs. freshwater) of the ecosystem. Rb in both liver and muscle tissue and Zn in muscle tissue were also found to biomagnify through this food web, although at a rate that is approximately 25% of that of THg. A number of elements (Cd, Pb and Ni in muscle tissue and Cd and Li in seabird liver tissue) were found to decrease trophically through the food web, as indicated by significantly negative relationships with tissue-specific delta15N. A diverse group of metals (Ag, Ba, La, Li, Sb, Sr, U and V) were found to have higher concentrations in zooplankton than seabirds or marine mammals due to bioconcentration from seawater. The remaining metals (As, Co, Cu, Ga, Mn, Mo and Se in muscle tissue) showed no relationship with trophic position, as indicated by delta15N values, although As in liver tissue showed significant biomagnification in the seabird portion of the food web.

Stable isotope analyses and demographic responses counter prospects of planktivory by Caridina (Decapoda: Atyidae) in Lake Victoria

Caridina nilotica, a freshwater atyid prawn, is a vital component of the Lake Victoria ecosystem. Despite its important role in the food web leading to Nile perch, the diet of Caridina is not well understood. Caridina freshly collected from the inshore littoral and offshore plankton of Lake Victoria were cultured individually under laboratory conditions on (A) decomposing hydrophytes, (B) living hydrophytes, (C) planktonic algae, (D) zooplankton and (E) 35- microm filtered lake water (a 'starvation' control). Inter-moult intervals (IMI, days), size-standardized moult intervals (MI, days mm(-1)), per moult growth increments (PMI, mm) and survivorship (%) were monitored daily for up to 5 weeks. Significant effects of both food type and shrimp source on MI were revealed by ANOVA. MI increased progressively from treatment A to D, and was shorter in offshore than littoral shrimps. Food influence on IMI was confirmed by ANCOVA. PMI values were close to the limits of detection, but were generally in line with MI responses. PMI values were marginal in treatments A and B, and negligible or negative in treatments D and especially E. Survivorship values, although confounded by non-dietary factors, were generally consistent with dietary influences on MI, although values obtained for treatment E were inconsistently high for true starvation. Disparate responses between inshore and offshore shrimps hint at possible ecotypic differentiation, or perhaps the existence of cryptic species. Stable isotope analyses (SIA, delta13C and delta15N signatures) of cultured shrimps were further consistent with their utilization of food type A but not D. SIA signatures of feral shrimps maintained in situ in enclosure bags with three separate potential fresh hydrophyte food sources (Vossia cuspidata, Cyperus papyrus, and Eichhornia crassipes) reflected Caridina's probable dietary reliance on decomposed organic matter with accompanying bacterial exudates. Collections of feral shrimps from various locations yielded parallel SIA results. No support for zooplanktivory by shrimps occupying either inshore littoral/benthic or offshore planktonic habitats is provided by the delta15N signatures obtained from our data, which support Caridina's primary role as a detritivore.

Hydroxylated PCBs and other chlorinated phenolic compounds in lake trout (Salvelinus namaycush) blood plasma from the Great Lakes region

Recently, there has been an increase in studies focusing on an emerging class of organic contaminants, hydroxylated PCBs (OH-PCBs) and chlorinated phenolic compounds (CPCs) in the environment, particularly in northern regions of Europe and Canada. Since information for fish from the Great Lakes are scarce, we determined the blood plasma concentrations of OH-PCB congeners, pentachlorophenol (PCP), 2,3,4,5-tetrachlorophenol (TCP), and 4-hydroxyheptachlorostyrene (4-OH-HpCS) for lake trout (Savelinus namaycush) collected from two of the Great Lakes, Lake Ontario and Lake Superior, and two regional lakes, Lake Champlain and Lake Opeongo. PCP was the dominant CPC in lake trout (105-658 pg/g of plasma). Detectable concentrations of 2,3,4,5-TCP and 4-OH-HpCS were found in all lake trout (2.6-101 and 0.4-27 pg/g, respectively). Highest concentrations were found in trout from Lake Ontario and Lake Superior. Sixteen OH-PCBs were quantified, with 4-OH-CB187 having the highest concentration in all samples (10-173 pg/g of plasma). Unexpectedly, highly chlorinated OH-PCBs such as 4'-OH-CB199 (mean 21.4 and 74.4 pg/g), 4,4'-diOH-CB202 (18.3 and 27.7 pg/g), and 4'-OH-CB208 (24.5 and 34.7 pg/g) were found in lake trout from Lake Ontario and Lake Superior, respectively. Future studies to delineate the sources and impacts of CPCs in the Great Lakes catchment are needed.

Mercury in fish from three rift valley lakes (Turkana, Naivasha and Baringo), Kenya, East Africa

Total mercury (THg) concentrations were measured for various fish species from Lakes Turkana, Naivasha and Baringo in the rift valley of Kenya. The highest THg concentration (636 ng g(-1) wet weight) was measured for a piscivorous tigerfish Hydrocynus forskahlii from Lake Turkana. THg concentrations for the Perciformes species, the Nile perch Lates niloticus from Lake Turkana and the largemouth bass Micropterus salmoides from Lake Naivasha ranged between 4 and 95 ng g(-1). The tilapiine species in all lakes, including the Nile tilapia Oreochromis niloticus, had consistently low THg concentrations ranging between 2 and 25 ng g(-1). In Lake Naivasha, the crayfish species, Procambrus clarkii, had THg concentrations similar to those for the tilapiine species from the same lake, which is consistent with their shared detritivore diet. THg concentrations in all fish species were usually consistent with their known trophic position, with highest concentrations in piscivores and declining in omnivores, insectivores and detritivores. One exception is the detritivore Labeo cylindricus from Lake Baringo, which had surprisingly elevated THg concentrations (mean=75 ng g(-1)), which was similar to those for the top trophic species (Clarias and Protopterus) in the same lake. Except for two Hydrocynus forskahlii individuals from Lake Turkana, which had THg concentrations near or above the international marketing limit of 500 ng g(-1), THg concentrations in the fish were generally below those of World Health Organization's recommended limit of 200 ng g(-1) for at-risk groups.

Comparison of the efficacy and tolerability of topically administered azelastine, sodium cromoglycate and placebo in the treatment of seasonal allergic conjunctivitis and rhino-conjunctivitis

OBJECTIVE AND SETTING

Azelastine (AZE) in a novel, eye drop, formulation, was compared with topically applied sodium cromoglycate (SCG) and placebo (PLA) in the treatment of seasonal allergic conjunctivitis or rhino-conjunctivitis in a multicentre, parallel group study.

RESEARCH DESIGN

144 subjects ranging in age from 16 to 65 years participated. All had at least a 2-year history of seasonal allergic conjunctivitis and were symptomatic at the time of inclusion. Medications were administered topically either twice daily (AZE/PLA) or four times daily (SCG) over a 2-week treatment period. Method and outcome measures: Azelastine and placebo were compared double-blind; the comparison versus SCG was carried out in an open manner. Itching, redness, flow of tears, eyelid swelling, foreign-body sensation, photophobia, soreness and discharge were scored on a 4-point severity scale.

RESULTS

Results for the decrease of main conjunctivitis symptoms (itching, tearing and conjunctival redness) showed a marked effect for both active treatments on day 3 with a sustained improvement on days 7 and 14. A clear response to treatment (an improvement of sum scores for day 3 of >/=3 points compared to baseline) occurred in 85.4% of azelastine-treated patients, 83.0% of sodium cromoglycate patients and 56.3% of placebo patients. Response rates for both active treatments were statistically superior to those for placebo (azelastine p = 0.005; sodium cromoglycate p = 0.007). Global assessment of efficacy was at least 'satisfactory' for 90.0% of azelastine patients, 81.3% of sodium cromoglycate patients and 66.3% of placebo-treated patients. The most frequent adverse effects were transient application site reactions which tended to disappear with increasing duration of treatment, and, less frequently, taste perversion.

CONCLUSION

The results of this study indicate that the therapeutic use of azelastine eye drops in patients with seasonal allergic conjunctivitis or rhino-conjunctivitis can be recommended.

From adrenaline to formoterol: advances in beta-agonist therapy in the treatment of asthma

Long-acting beta2-agonists (formoterol and salmeterol) represent the latest advance in a series of improvements in beta-agonist asthma therapy since the introduction of isoprenaline. Traditional inhaled short-acting beta2-agonists (salbutamol and terbutaline) provide rapid as-needed symptom relief and short-term prophylactic protection against bronchoconstriction induced by exercise or other stimuli. Where symptoms are not adequately controlled by corticosteroids alone, inhaled selective long-acting beta2-agonists are used additionally for maintenance. Salmeterol and formoterol are well tolerated, provide effective long-term symptom control and reduce the incidence of exacerbations; any development of tolerance or masking of underlying inflammation with continual use does not appear to be clinically relevant. Formoterol is both rapid acting (as fast as salbutamol) and long acting (similar to salmeterol). Increasing clinical evidence suggests that inhaled formoterol is a convenient and well-tolerated treatment that is effective both for regular maintenance and as-needed relief of symptoms.

Once-daily inhaled corticosteroids in mild to moderate asthma: improving acceptance of treatment

Despite the established efficacy of inhaled corticosteroids in improving lung function in asthma, there has not been a corresponding improvement in morbidity and mortality associated with the disease, which, in part, may result from non-compliance with the prescribed regimen. The reasons for this are many and varied, but an important measure in improving the level of compliance in asthma patients is simplification of the treatment regimen, which may be achieved by reducing the dose frequency and improving the ease of administration. In clinical trials designed to determine whether a reduction in dose frequency to once daily is associated with similar efficacy to that with more frequent administration, a number of studies have shown that once-daily administration of inhaled corticosteroids in both adults and children is as effective in controlling asthma as twice-daily administration of the same dosage, both when given as initial therapy in corticosteroid-naïve patients and in patients already receiving an inhaled corticosteroid. The drug for which most evidence to support a dosage change from twice-daily to once-daily therapy currently exists is budesonide, though limited evidence with other inhaled corticosteroids such as beclomethasone dipropionate, fluticasone propionate and flunisolide also supports once-daily use. Despite the larger single dosage with once-daily budesonide therapy, there has been no evidence in clinical trials of a greater incidence of local adverse effects such as hoarseness, throat irritation or oropharyngeal candidosis, and no evidence of adrenal suppression or growth retardation. Since compliance is an important factor that can affect the success or failure of asthma therapy, a reduction in the frequency of administration to once daily offers the potential advantage of improved compliance with treatment and hence better control of asthma. In the short term clinical trials conducted to date, patient preferences have favoured the once-daily regimen over twice-daily administration. When combined with other (e.g. educational) measures to improve patient compliance, a switch from twice-daily (or more frequent) administration to once-daily inhaled corticosteroid therapy seems likely to be beneficial in improving the long term outcome of treatment.

Candesartan cilexetil is not associated with cough in hypertensive patients with enalapril-induced cough. Multicentre Cough Study Group

The aim of this study was to evaluate the occurrence of dry cough during treatment with candesartan cilexetil, enalapril, or placebo in patients with hypertension and a history of angiotensin converting enzyme (ACE)-inhibitor-related cough. Patients with confirmed cough during an enalapril (10 mg) challenge period, followed by no cough during a placebo dechallenge period were randomized to 8 weeks of double-blind treatment with candesartan cilexetil (8 mg) (n = 62), enalapril (10 mg) (n = 66), or placebo (n = 26). Incidence and severity of dry cough was evaluated by the symptom assessment questionnaire, frequency of dry cough by a visual analog scale, and the possible impact on quality of life by the minor symptom evaluation (MSE) profile. The percentage of patients with cough was significantly lower with candesartan cilexetil (35.5%) than with enalapril (68.2%, P < .001), and did not differ between candesartan cilexetil and placebo (26.9%, P > .20). Patients coughed less frequently and with less severe cough with candesartan cilexetil than with enalapril, and similarly with candesartan cilexetil and placebo. Changes in the MSE profile were minor, although candesartan cilexetil had better scores for contentment than placebo (P = .03), and also tended to be associated with better sleep than enalapril (P = .08). In hypertensive patients with ACE-inhibitor-induced cough, the incidence, frequency, and severity of dry cough was significantly lower with candesartan cilexetil than with enalapril, and no different from that found with placebo.

Candesartan Cilexetil is not Associated with Cough in Patients with Enalapril-induced Cough

Treatment with angiotensin-converting enzyme (ACE) inhibitors is frequently associated with persistent dry cough. This side effect is thought to be due to the non-specific action of ACE inhibitors, which, in addition to suppressing the renin-angiotensin system (RAS), leads to the accumulation of kinins, encephalins and other biologically active peptides. Candesartan cilexetil is a new, long-acting angiotensin II type 1 (AT 1 ) receptor blocker, which offers a more specific means of suppressing the RAS than can be achieved with ACE inhibitors. In this study, we compared the incidence and severity of cough during treatment with candesartan cilexetil, enalapril and placebo in patients with hypertension and enalapril-induced cough. Men and women, aged 20-80 years, with a history of medically treated primary hypertension and ACE-inhibitor-related cough were enrolled. The presence of cough was confirmed during a 4-week challenge period with enalapril, 10 mg, which abated during a subsequent 4-week washout period with placebo. Patients with confirmed ACE-inhibitor-related cough were then randomized to double-blind treatment with candesartan cilexetil, 8 mg once daily ( n = 62), enalapril, 10 mg once daily ( n = 66), or placebo ( n = 26). Baseline blood pressure was similar in all groups. Although blood pressure was recorded during the study, this was for safety monitoring, and the measurements were not standardized in relation to study drug intake or time of day. The frequency of dry cough was recorded on a visual analogue scale (VAS). For each assessment, patients marked a cross on a straight horizontal 100 mm line, rating cough frequency from 'none of the time( at one end of the line to 'all of the time( at the other end. The impact of treatment on quality of life was also studied, using the Symptom Assessment (SA) questionnaire and the Minor Symptom Evaluation (MSE) profile. The SA questionnaire assessed the severity of nine symptoms, including dry cough, by means of a five-graded Likert scale (not at all, a little, moderately, quite a bit, extremely). Changes in the three dimensions of the MSE profile - contentment, vitality and sleep - were recorded using a VAS. Candesartan cilexetil was superior to enalapril regarding the change in frequency ( p = 0.001) and severity ( p < 0.001) of dry cough. After 8 weeks of treatment, the proportions of patients with cough were 26.9% for placebo, 35.5% for candesartan cilexetil and 68.2% for enalapril ( p < 0.001, candesartan cilexetil versus enalapril; p > 0.20, candesartan cilexetil versus placebo). Treatment with candesartan cilexetil did not compromise patients' well-being. Compared with placebo, candesartan cilexetil was superior in terms of its effect on contentment; similar trends were noted for vitality and sleep, although the differences were not significant. When all adverse events were considered, candesartan cilexetil was very well tolerated. No serious adverse events occurred in the candesartan cilexetil or placebo groups, while three patients in the enalapril group reported serious adverse events (chest pain, agranulocytosis, accidental fracture). No treatment-related changes of clinical relevance could be found with regard to laboratory variables, ECG or vital signs/physical findings, except the anticipated blood pressure reduction in the active treatment groups. In conclusion, candesartan cilexetil is not associated with cough in hypertensive patients with previous ACE-inhibitor-induced cough. The incidence of dry cough in patients treated with candesartan cilexetil was similar to that of placebo and lower than that of enalapril.

A comparison of the efficacy of long-acting beta 2-agonists: eformoterol via Turbohaler and salmeterol via pressurized metered dose inhaler or Accuhaler, in mild to moderate asthmatics. Force Research Group

Four hundred and sixty nine patients were randomized to receive either 12 micrograms bd of eformoterol (Oxis, Astra Pharmaceuticals Ltd., Kings Langley, U.K.) delivered via Turbohaler or 50 micrograms bd salmeterol (Serevent, Glaxo-Wellcome Ltd., Uxbridge, U.K.) via either the Accuhaler (Glaxo-Wellcome Ltd.) or pressurized metered dose inhaler (pMDI, Glaxo-Wellcome Ltd.) for 8 weeks. This was followed by a 4-week cross-over period when patients who had received salmeterol in the previous 8 weeks were given eformoterol and patients who had received eformoterol were given either salmeterol via the Accuhaler or pMDI to assess patient device and treatment preference. For the primary efficacy variable, the increase in peak expiratory flow (PEF) rate from run-in to 8 weeks, similar significant improvements were seen in all three treatment groups. Eformoterol Turbohaler (FT) achieved a greater increase in morning PEF than salmeterol Accuhaler (SA) from randomisation to 4 weeks; the increase shown in the eformoterol Turbohaler group was 28.9 1 min-1 compared to 19.91 min-1 for the salmeterol Accuhaler group. The addition of eformoterol Turbohaler 12 micrograms bd, to patients' existing asthma therapy was found to have a significantly more beneficial effect on the severity of patients' daytime asthma symptoms than had salmeterol Accuhaler 50 micrograms bd (P = 0.014). Eformoterol Turbohaler reduced the severity of daytime asthma symptoms by 42% after only 4 weeks of treatment. The patients in the eformoterol Turbohaler treated group experienced a higher percentage of days when they were symptom-free and did not use their short-acting bronchodilator to relieve symptoms (32.8, 24.1 and 28.0% in the FT, SA and SM groups, respectively). At 8 weeks there were no significant differences in any of these variables between the three groups. Patients in all the treatment groups gained an additional 1-1.5 nights undisturbed by asthma per week. The changes in sleep disturbance were not significantly different between the three treatment groups. In addition to the therapeutic benefits provided by eformoterol Turbohaler the device (Turbohaler) was the significant preference of patients given both Turbohaler and pMDI (P = 0.0168) and was also considered to be significantly more convenient to carry around than the Accuhaler (P < 0.0001). No other differences were found between the three devices. The results of this study demonstrate that the addition of a long-acting beta 2-agonist is an effective tool for achieving the goals of asthma treatment. Eformoterol via the Turbohaler is at least as effective as salmeterol via either the Accuhaler or the pMDI in achieving these goals.