A systematic review on polycyclic aromatic hydrocarbon contamination in elasmobranchs and associated human health risks

Polycyclic aromatic hydrocarbon (PAH) contamination is ubiquitous and comprises a significant worldwide concern in ecological and Public Health frameworks. Many aquatic biota representatives have been reported as contaminated by these toxic compounds, including one of the most threatened vertebrate groups, elasmobranchs (sharks and rays). Although elasmobranchs play important ecological roles and provide significant ecosystem services, they are highly consumed and comprise a cheap source of protein for humans globally. Studies concerning elasmobranch PAH contamination are, however, notably lacking. A systematic review was, thus, conducted herein to assess PAH elasmobranch contamination and discuss potential human health risks following the Preferred Reporting Item Statement Guidelines for Systematic Reviews and Meta-analyses (PRISMA) guidelines applying the Population (P), Intervention (I), Comparison I, and Outcome (O) (PICO) strategy. A total of 86 published papers were retrieved by this method and analyzed. Only nine studies of this total concerned PAH elasmobranch contamination, assessed in 10 shark species and one ray species, with only one study calculating human health risks. A significant knowledge gap is, thus, noted for this subject, indicating the need to monitor PAH elasmobranch contamination in consumed shark and ray species worldwide.

Heavy metals in wild and cultured shrimp, supplied feeds, and their habitats: Assessing public health risk

The contamination and risk assessment of heavy metals (HMs) in highly priced tiger shrimp and its associated ecosystems and farming conditions (hatcheries and commercial grow-out ponds) were scarcely investigated in South Asian countries. In this study, we determined the five HMs (Cu, Zn, Pb, Cd, and Cr) concentrations in PL14 (fourteen days of Post-Larva) of Penaeus monodon, commercial diets, surface water, and sediments from hatcheries, farms, rivers using ICP-MS for two years. The results revealed that surface sediments of rivers and hatcheries had the highest amounts of Cr (65.85 ± 0.82 and 72.50 ± 0.42 mg/kg), Cu (18.82 ± 3.96 and 19.26 ± 4.61 mg/kg), and Zn (63.74 ± 11.14 and 87.42 ± 17.96 mg/kg), whereas commercial farms had the greatest levels of Cd (0.09 ± 0.05 mg/kg). Pb was significantly higher in sediment of hatcheries and farms than in other sites. Except for Zn in surface waters, all metals were found above the recommended limit. In case of supplied feed, all values were in the safe limit excepting Cr (3.39 ± 1.45 to 108.92 ± 3.49 mg/kg). On the other hand, among the metals, only Cr (VI) ranging from 1.75 ± 1.39 mg/kg in P. monodon samples exceeded the suggested international guidelines. The Igeo values of all the metals were Igeo <0, indicating that the study areas were practically unpolluted. PLI values in every station were found to be below 1 which indicates the perfection of the sediment. The Potential Risk Index (PERI) values were less than 150 suggesting low risk of metals in sediments. The public health risk assessment estimated through the calculated daily intake (EDI), target hazard quotient (THQ) and hazard index (HI) has shown that the shrimp was safe for consumers except for Cd and Cr. The THQ for Cd and Cr were higher than the threshold (>1) indicating potential health hazards. The low CR values for Cd, Cr Pb were 3.1 × 10-4, 3.7 × 10-4 and 1.6 × 10-4, respectively indicates no cancer risks upon consuming P. monodon.

Prevalence of integrons in multidrug-resistant Escherichia coli isolates from waters and vegetables in Nsukka and Enugu, Southeast Nigeria

Irrigation of fresh produce with poorly treated wastewater or contaminated freshwater sources can lead to produce contamination and foodborne illnesses, as well as the dissemination of antimicrobial resistance determinants. In this study, we assessed the presence of integrons in multidrug-resistant Escherichia coli isolated from the University of Nigeria, Nsukka Wastewater Treatment Plant effluent, tap water, vegetables from irrigated gardens and vegetables sold in selected markets from Nsukka and Enugu cities. E. coli was isolated following standard laboratory procedure and confirmed through beta-glucuronidase (uidA)-targeted polymerase chain reaction (PCR). The antibiotic resistance of the isolates was determined using Bauer-Kirby disk diffusion assay, and multiplex PCR was used to determine the presence of class 1 and 2 integrons. Our result revealed a total of 188 E. coli isolates from WWTP effluent (n = 41), tap water (n = 10) and vegetables from greenhouse (n = 46), farms (n = 55) and market (n = 36). Multidrug resistance was detected in all the isolates, ranging from three-drug resistance in a single isolate to 7-drug resistance patterns in two different isolates. Of the total isolates, class 1 integrons were abundantly detected in 175 (93.1%) and class 2 in 5 (2.7%). All the class 2 integrons were found in isolates that were positive for class 1. The abundance of multidrug-resistant E. coli harbouring class 1 integrons in the effluent and vegetable samples is a potential public health risk. Therefore, the appropriate measures for the safe use of poorly treated wastewater for vegetable farm irrigation are required to be put in place to reduce the microbial load of the discharged effluent. Also, education of farmers and the community on the dangers of wastewater effluent-grown plants and proper methods for cleaning harvested vegetable is recommended.

Probabilistic health risk assessment of toxic metals in chickens from the largest production areas of Dhaka, Bangladesh

Chicken is one of the major protein sources and more affordable for the population of Bangladesh. Its quality monitoring is of high priority for food safety and public health risk assessment. This study determined metals (Fe, Cu, Zn, As, Ni, Cr, Sr, Hg, and Pb) in chickens from different farms of a high production area of Dhaka, Bangladesh, using an energy-dispersive X-ray fluorescence spectrometer to calculate the health risk through chickens consumption. In most cases, the toxic metals (As, Ni, Cr, Hg, and Pb) showed very high concentrations in different parts of chickens, especially livers that contained several times higher concentrations than the maximum allowable concentration (MAC). Analytical results showed some feed and water contain high concentrations of As and Cr that might be bioaccumulated in chicken. The estimated daily intake (EDI) for all metals was below the provisional tolerable daily intake (PTDI) values except As and Fe in few farms. Target hazard quotients (THQs) for most metals were less than 1 but THQs of As and Cr of few farms were higher than 1, indicating that the consumer would possess As- and Cr-based health hazards. Total target hazard quotient (TTHQ) of 42% for composite and 36% for body parts samples were > 1, suggesting potential health risk. The probabilistic risk and individual samples cancer risk (TR) were exceeded the acceptable level (10^-4) for As and 75% of composite and 58% of body parts of chicken showed acceptable limit (10^-6 to 10^-4) for Pb, indicating that the peoples might be exposed to lifetime cancer risk in the long run.

Harmful algal blooms and shellfish in the marine environment: an overview of the main molluscan responses, toxin dynamics, and risks for human health

Besides human health risks, phycotoxins may cause physiological injuries on molluscan shellfish and, consequently, damages to marine ecosystems and global fisheries production. In this way, this review aimed to present an overview of HABs impacts on marine shellfish by evaluating the effects of cultivated molluscs exposure to microalgae and cyanobacteria that form blooms and/or synthesize toxins. More specifically, it was assessed the main molluscan shellfish responses to harmful algae, trophic transfer and dynamics of phycotoxins, and the risks for human health. Of the 2420 results obtained from literature search, 150 scientific publications were selected after thorough inspections for subject adherence. In total, 70 molluscan species and 37 taxa of harmful algae were assessed from retrieved scientific publications. A significant positive correlation was found between the marine production of molluscs and the number of available studies by molluscan category. Molluscan responses to HABs and phycotoxins were categorized and discussed in three sub-sections: effects on grazing and behavior, metabolic and physiological reactions, and fitness consequences. The main histopathological injuries and toxin concentrations in molluscan tissues were also compiled and discussed. Bivalves often accumulate more toxins than gastropods and cephalopods, occasionally exceeding recommended levels for safe consumption, representing a risk for human health. Harmful algae impact on molluscan shellfish are complex to trace and predict; however, considering the perspective of increase in the occurrence and intensity of HABs, the intensification of efforts to expand the knowledge about HABs impacts on marine molluscs is crucial to mitigate the damages on economy and human health.

Mercury contamination in the recently described Brazilian white-tail dogfish Squalus albicaudus (Squalidae, Chondrichthyes)

The recently described Squalus albicaudus is a mesopredator shark and, as such, exposed to mercury biomagnification processes. Therefore, this study aimed to assess total Hg (THg) concentrations in S. albicaudus, a deep-water species, sampled off Southeastern Brazil and discuss ecological, reproductive, human consumption and conservation implications. Thirty-two individuals were sampled off the coast of Rio de Janeiro, including 13 gravid females carrying 34 embryos. Muscle THg concentrations were higher in all sex classes compared to liver, gonads and brain. The last three, in turn, presented THg concentrations above toxic biota thresholds. Significant correlations were observed between muscle and brain and liver, indicating systemic Hg contamination and inter-organ transport and distribution. In addition, correlations observed between organs strongly support efficient Hg blood-brain barrier crossing and maternal transfer. Maternal THg transfer was observed, with embryo THg also above toxic thresholds for fish. THg levels in muscle and liver, as well as embryos, were higher compared to other Squalus species worldwide. Hg contamination off the coast of Rio de Janeiro is of significant concern and should be further assessed. Potential human consumption risks are noted, as muscle THg concentrations were above maximum permissible levels set by regulatory agencies.

Loss of life expectancy from air pollution compared to other risk factors: a worldwide perspective

AIMS

Long-term exposure of humans to air pollution enhances the risk of cardiovascular and respiratory diseases. A novel Global Exposure Mortality Model (GEMM) has been derived from many cohort studies, providing much-improved coverage of the exposure to fine particulate matter (PM2.5). We applied the GEMM to assess excess mortality attributable to ambient air pollution on a global scale and compare to other risk factors.

METHODS AND RESULTS

We used a data-informed atmospheric model to calculate worldwide exposure to PM2.5 and ozone pollution, which was combined with the GEMM to estimate disease-specific excess mortality and loss of life expectancy (LLE) in 2015. Using this model, we investigated the effects of different pollution sources, distinguishing between natural (wildfires, aeolian dust) and anthropogenic emissions, including fossil fuel use. Global excess mortality from all ambient air pollution is estimated at 8.8 (7.11-10.41) million/year, with an LLE of 2.9 (2.3-3.5) years, being a factor of two higher than earlier estimates, and exceeding that of tobacco smoking. The global mean mortality rate of about 120 per 100 000 people/year is much exceeded in East Asia (196 per 100 000/year) and Europe (133 per 100 000/year). Without fossil fuel emissions, the global mean life expectancy would increase by 1.1 (0.9-1.2) years and 1.7 (1.4-2.0) years by removing all potentially controllable anthropogenic emissions. Because aeolian dust and wildfire emission control is impracticable, significant LLE is unavoidable.

CONCLUSION

Ambient air pollution is one of the main global health risks, causing significant excess mortality and LLE, especially through cardiovascular diseases. It causes an LLE that rivals that of tobacco smoking. The global mean LLE from air pollution strongly exceeds that by violence (all forms together), i.e. by an order of magnitude (LLE being 2.9 and 0.3 years, respectively).

Seasonal influences on swimming crab mercury levels in an eutrophic estuary located in southeastern Brazil

Although significantly impacted, Guanabara Bay (GB), located in southeastern Brazil, is still an important fishery source for the state of Rio de Janeiro. Hg contamination, in particular, is of concern in the area and should be regularly monitored, as Hg bioaccumulation and biomagnification processes may lead public health risks to the local human population due to the consumption of contaminated food items, such as crabs. In this context, the aim of the present study was to determine total Hg (THg) concentrations in swimming crabs from three GB areas and investigate the influence of biotic and abiotic factors on Hg concentrations at the beginning and the end of the rainy season. Crabs and water samples were obtained from three areas, inside the bay, at the mouth of the bay and outside the bay. A clear rainfall effect on the investigated abiotic variables was observed, with increased rainfall and temperatures noted at the end of the study period. Significant statistical correlations were observed between THg concentrations and the assessed abiotic variables at the three study points at the beginning and end of the rainy season. The rainy season was noted as directly affecting THg concentrations at Guanabara Bay and, consequently, swimming crab THg contents. THg concentrations in swimming crabs at Urca and at the Cagarras Islands were higher at the beginning of the rainy season compared to the end, while the opposite was observed for the sampling point outside the bay. Higher Hg concentrations were detected at the outermost point of the bay in relation to the Cagarras Islands, probably due to the local upwelling event. THg values in Callinectes sp. were higher than concentrations reported for other areas in Brazil but lower than other reports worldwide. Calculated THg intakes surpassed the maximum National Research Council permissible limits of 0.049 mg/week at all sampling stations during both seasons, raising public health concerns. Further research for longer monitoring periods during different seasons are essential to ascertain which climatic period is most critical regarding Hg availability at this anthropogenically-impacted estuary.

Public health risks related to food safety issues in the food market: a systematic literature review

Background

Food safety in the food market is one of the key areas of focus in public health, because it affects people of every age, race, gender, and income level around the world. The local and international food marketing continues to have significant impacts on food safety and health of the public. Food supply chains now cross multiple national borders which increase the internationalization of health risks. This systematic review of literature was, therefore, conducted to identify common public health risks related to food safety issues in the food market.

Methods

All published and unpublished quantitative, qualitative, and mixed method studies were searched from electronic databases using a three step searching. Analytical framework was developed using the PICo (population, phenomena of interest, and context) method. The methodological quality of the included studies was assessed using mixed methods appraisal tool (MMAT) version 2018. The included full-text articles were qualitatively analyzed using emergent thematic analysis approach to identify key concepts and coded them into related non-mutually exclusive themes. We then synthesized each theme by comparing the discussion and conclusion of the included articles. Emergent themes were identified based on meticulous and systematic reading. Coding and interpreting the data were refined during analysis.

Results

The analysis of 81 full-text articles resulted in seven common public health risks related with food safety in the food market. Microbial contamination of foods, chemical contamination of foods, food adulteration, misuse of food additives, mislabeling, genetically modified foods (GM foods), and outdated foods or foods past their use-by dates were the identified food safety–related public health risks in the food market.

Conclusion

This systematic literature review identified common food safety–related public health risks in the food market. The results imply that the local and international food marketing continues to have significant impacts on health of the public. The food market increases internationalization of health risks as the food supply chains cross multiple national borders. Therefore, effective national risk-based food control systems are essential to protect the health and safety of the public. Countries need also assure the safety and quality of their foods entering international trade and ensure that imported foods conform to national requirements.

Earlier detection of public health risks - Health policy lessons for better compliance with the International Health Regulations (IHR 2005): Insights from low-, mid- and high-income countries

The International Health Regulations (IHR 2005) require all Member States to build and maintain the capacities to prevent, detect and respond to public health emergencies. Early detection of public health risks is one of the core functions. In order to improve surveillance and detection, a better understanding of the health system conditions and their influencing factors are needed. The Israeli Ministry of Health/IHR National Focal Point held a workshop to elucidate health system conditions and their influencing factors that enable earlier detection. The workshop methodology employed a stepwise, small working group analysis approach to elucidate the conditions and their influencing factors affecting each stage of recognition, assessment, and reporting of infectious disease outbreaks, at the local, regional and national levels. In order to detect public health risks earlier, the detection process needs to be moved closer to the local communities and start with building capacity within communities. Building capacity and engaging with local and diverse communities requires significant changes in the governance approach and include information sharing, multi-sectoral communication and coordination across various levels before, during and after public health emergencies. Across the regions, low-, mid- and high-income countries seem to struggle more with governance and information sharing rather than with technical capacities and capabilities.

Contamination and risk implications of endocrine disrupting chemicals along the coastline of China: A systematic study using mussels and semipermeable membrane devices

A systematic study has been carried out to assess the contamination of endocrine disrupting chemicals (EDCs) in five highly urbanized coastal cities spanning from temperate to subtropical environments along the coastline of China. In each of these cities, species of native mussels (Mytilus galloprovincialis, M. coruscus or Perna viridis) were deployed alongside with semipermeable membrane devices (SPMDs) for one month at a reference site and a polluted site. The level of 4-nonylphenol (4-NP), bisphenol A (BPA), 17β-estradiol (E2) and 17α-ethynylestradiol (EE2) in SPMDs and transplanted mussels were determined and compared. The concentration of EDCs in mussels from polluted sites of Qingdao and Shenzhen ranged from 99.4±9.40 to 326.1±3.16ng/g dry wt. for 4-NP, Dalian and Shanghai from 170.3±4.00 to 437.2±36.8ng/g dry wt. for BPA, Dalian and Shenzhen from 82.9±3.03 to 315.6±6.50ng/g dry wt. for E2, and Shenzhen and Shanghai from 124.5±3.25 to 204.5±9.26ng/g dry wt. for EE2, respectively. These results demonstrate that concentrations of EDCs in mussels along the coastline of China are substantially higher than levels reported in mussels and seafood elsewhere. Despite high levels of EDCs and per capita seafood consumption in China, analysis indicated that 4-NP and BPA intake from mussels at polluted sites per se are still below the Tolerable Daily Intake (TDI). In contrast, the daily intake of E2 and EE2 (6.5 and 5.5μg/person/day, respectively) from mussel consumption exceeded the Acceptable Daily Intake (ADI) established by the WHO, USA and Australia by large margins, suggesting significant public health risks. A strong correlation was found between EDC concentrations in SPMDs and transplanted mussels, and the advantages of using mussels and SPMDs for monitoring EDCs in the aquatic environment are discussed.

Identification of production challenges and benefits using value chain mapping of egg food systems in Nairobi, Kenya

Commercial layer and indigenous chicken farming in Nairobi and associated activities in the egg value chains are a source of livelihood for urban families. A value chain mapping framework was used to describe types of inputs and outputs from chicken farms, challenges faced by producers and their disease control strategies. Commercial layer farms were defined as farms keeping exotic breeds of chicken, whereas indigenous chicken farms kept different cross breeds of indigenous chicken. Four focus group discussions were held with producers of these chickens in peri-urban area: Dagoretti, and one informal settlement: Kibera. Qualitative data were collected on interactions between farmers, sources of farm inputs and buyers of poultry products, simple ranking of production challenges, farmers' perception on diseases affecting chicken and strategies for management of sick chicken and waste products. Value chain profiles were drawn showing sources of inputs and channels for distribution of chicken products. Production challenges and chicken disease management strategies were presented as qualitative summaries. Commercial layer farms in Dagoretti kept an average of 250 chickens (range 50-500); while flock sizes in Kibera were 12 chickens (range 5-20). Farms keeping indigenous chicken had an average of 23 chickens (range 8-40) in Dagoretti, and 10 chickens (range 5-16) in Kibera. Commercial layer farms in Dagoretti obtained chicks from distributors of commercial hatcheries, but farms in Kibera obtained chicks from hawkers who in turn sourced them from distributors of commercial hatcheries. Indigenous chicken farms from Dagoretti relied on natural hatching of fertilised eggs, but indigenous chicken farms in Kibera obtained chicks from their social connection with communities living in rural areas. Outlets for eggs from commercial layer farms included local shops, brokers, restaurants and hawkers, while eggs from indigenous chicken farms were sold to neighbours and restaurants. Sieved chicken manure from Dagoretti area was fed to dairy cattle; whereas non-sieved manure was used as fertilizer on crops. Production challenges included poor feed quality, lack of space for expansion, insecurity, occurrence of diseases and lack of sources of information on chicken management. In Kibera, sick and dead chickens were slaughtered and consumed by households; this practice was not reported in Dagoretti. The chicken layer systems contribute to food security of urban households, yet they have vulnerabilities and deficiencies with regard to disease management and food safety that need to be addressed with support on research and extension.

Bacteria, viruses, and parasites in an intermittent stream protected from and exposed to pasturing cattle: prevalence, densities, and quantitative microbial risk assessment

Over 3500 individual water samples, for 131 sampling times, targeting waterborne pathogens/fecal indicator bacteria were collected during a 7-year period from 4 sites along an intermittent stream running through a small livestock pasture system with and without cattle access-to-stream restriction measures. The study assessed the impact of cattle pasturing/riparian zone protection on: pathogen (bacterial, viral, parasite) occurrence, concentrations of fecal indicators, and quantitative microbial risk assessments (QMRA) of the risk of Cryptosporidium, Giardia and Escherichia coli O157:H7 infection in humans. Methodologies were developed to compute QMRA mean risks on the basis of water samples exhibiting potentially human infectious Cryptosporidium and E. coli based on genotyping Crytosporidium, and E. coli O157:H7 presence/absence information paired with enumerated E. coli. All Giardia spp. were considered infectious. No significant pasturing treatment effects were observed among pathogens, with the exception of Campylobacter spp. and E. coli O157:H7. Campylobacter spp. prevalence significantly decreased downstream through pasture treatments and E. coli O157:H7 was observed in a few instances in the middle of the unrestricted pasture. Densities of total coliform, fecal coliform, and E. coli reduced significantly downstream in the restricted pasture system, but not in the unrestricted system. Seasonal and flow conditions were associated with greater indicator bacteria densities, especially in the summer. Norovirus GII was detected at rates of 7-22% of samples for all monitoring sites, and rotavirus in 0-7% of samples for all monitoring sites; pasture treatment trends were not evident, however. Seasonal and stream flow variables (and their interactions) were relatively more important than pasture treatments for initially stratifying pathogen occurrence and higher fecal indicator bacteria densities. Significant positive associations among fecal indicator bacteria and Campylobacter spp. detection were observed. For QMRA, adjusting for the proportion of Cryptosporidium spp. detected that are infectious for humans reduces downstream risk estimates by roughly one order of magnitude. Using QMRA in this manner provides a more refined estimate of beneficial management practice effects on pathogen exposure risks to humans.