Comprehensive Health Risk Assessment Research Articles

Comprehensive evaluation of antibiotics pollution the Yangtze River basin, China: Emission, multimedia fate and risk assessment

Antibiotics have attracted global attention because of their potential ecological and health risks. The emission, multimedia fate and risk of 18 selected antibiotics in the entire Yangtze River basin were evaluated by using a level Ⅳ fugacity model. High antibiotic emissions were found in the middle and lower reaches of the Yangtze River basin. The total antibiotic emissions in the Yangtze River basin exceeded 1600 tons per year between 2013 and 2021. The spatial distribution of antibiotics concentration was the upper Yangtze River > middle Yangtze River > lower Yangtze River, which is positively correlated with animal husbandry size in the basin. Temperature and precipitation increases may decrease the antibiotic concentrations in the environment. Transfer fluxes showed that source emission inputs, advection processes, and degradation fluxes contributed more to the total input and output. High ecological risks in the water environment were found in 2018, 2019, 2020, and 2021. The comprehensive health risk assessment through drinking water and fish consumption routes showed that a small part of the Yangtze River basin is at medium risk, and children have a relatively high degree of health risk. This study provides a scientific basis for the pollution control of antibiotics at the basin scale.

Comprehensive human health risk assessment of heavy metal contamination in urban soils: insights from selected metropolitan zones

Introduction: This study aims to assess the extent of heavy metal contamination in urban soils in sixteen selected cities of Pakistan, encompassing the elements cadmium (Cd), lead (Pb), cobalt (Co), zinc (Zn), chromium (Cr), nickel (Ni), manganese (Mn), iron (Fe), and copper (Cu).Methods: The data utilized for this study was collected from online literature during the period 2005 to 2019. This study investigated potential threats to human health through a comprehensive analysis, considering standards such as Enrichment Factors (EF), Geo-accumulation Indices (Igeo), and Human Health Risk Assessment (HHRA).Results: Geo-accumulation Index results indicated varied risk intensities, with Cu, Pb, Co, Mn, and Fe exhibiting “no pollution” levels, while other elements show “moderate to extremely contaminated” values. EF analysis provided evidence of heavy metal presence, revealing a spectrum from “no pollution” to “moderate to extremely high pollution” for Cd, Zn, Cr, Ni, and Cu. The health risk assessment identified both carcinogenic and non-carcinogenic dangers for adults and children.Discussion: These findings highlighted the substantial contribution of identified sources such as industrial processes, vehicular emissions, sewage sludge, urban flooding, and the production and use of metallic materials that have elevated heavy metal levels in the urban soils. This established the link between urban industrial zones, human health, and long-term economic sustainability. This study provides essential guidance for decision makers to develop effective strategies for soil remediation, enhanced industrial practices, and regulatory measures to address heavy metal contamination in urban areas, ensuring the wellbeing and sustainable environmental quality management in cities.

An Integrated Workflow Assisted by In Silico Predictions To Expand the List of Priority Polycyclic Aromatic Compounds.

The limited information in existing mass spectral libraries hinders an accurate understanding of the composition, behavior, and toxicity of organic pollutants. In this study, a total of 350 polycyclic aromatic compounds (PACs) in 9 categories were successfully identified in fine particulate matter by gas chromatography high resolution mass spectrometry. Using mass spectra and retention indexes predicted by in silico tools as complementary information, the scope of chemical identification was efficiently expanded by 27%. In addition, quantitative structure-activity relationship models provided toxicity data for over 70% of PACs, facilitating a comprehensive health risk assessment. On the basis of extensive identification, the cumulative noncarcinogenic risk of PACs warranted attention. Meanwhile, the carcinogenic risk of 53 individual analogues was noteworthy. These findings suggest that there is a pressing need for an updated list of priority PACs for routine monitoring and toxicological research since legacy polycyclic aromatic hydrocarbons (PAHs) contributed modestly to the overall abundance (18%) and carcinogenic risk (8%). A toxicological priority index approach was applied for relative chemical ranking considering the environmental occurrence, fate, toxicity, and analytical availability. A list of 39 priority analogues was compiled, which predominantly consisted of high-molecular-weight PAHs and alkyl derivatives. These priority PACs further enhanced source interpretation, and the highest carcinogenic risk was attributed to coal combustion.

Effect of Butyl Paraben on Oxidative Stress in the Liver of Mauremys sinensis.

Butyl paraben (BuP) has been widely used as a preservative in the cosmetics, food, and medicine industries. Recently, it has become a new pollutant and has attracted much attention. In order to evaluate the toxic effect of BuP on aquatic animals, Chinese striped-neck turtles (Mauremys sinensis) were exposed to BuP solutions with different concentrations of 0, 5, 50, 500, and 5000 µg/L for 20 weeks. The results showed that with an increase in BuP concentration, the activity of antioxidant enzymes (SOD, CAT and GSH-PX) in liver decreased. The expression of key genes in the Nrf2-Keap1 signal pathways first increased and then decreased, while the expression of the HSP70 and HSP90 genes increased. In addition, the liver had an inflammatory reaction. The expression of the BAFF and IL-6 genes increased and then decreased with an increase in BuP concentration, while the expression of P50 and P65 increased significantly. Oxidative stress induced apoptosis, and the expression of pro-apoptosis genes (BAX, cytc, Caspase3 and Caspase9) increased, while the expression of the anti-apoptosis gene Bcl2 decreased. The results provide an important reference for the comprehensive ecological and health risk assessment of environmental BuP.

Comprehensive Environmental and Health Risk Assessment of Soil Heavy Metal(loid)s Considering Uncertainties: The Case of a Typical Metal Mining Area in Daye City, China

Heavy metal(loid)s (HMs) in soils near mining sites often cause serious environmental and health issues. Accurately assessing soil HM risks and identifying priority pollutants are crucial for improving risk control efficiency with limited management costs and resources. Traditional deterministic assessments may yield biased results due to the imprecision and ambiguity of environmental data and assessment processes. To compensate for the deficiencies of deterministic assessment, a comprehensive probabilistic-fuzzy model was developed based on fuzzy theory, probability methods, the soil contamination risk (SCR) index, and a human health risk (HR) assessment framework. According to this model, the soil HM risk status in a typical mining area in China was evaluated. The results indicated that Cd and Cu significantly violated the relevant environmental guidelines and were considered priority metals for environmental risk (ER). Notably, Cd’s hazard predominantly manifested in a solid potential ecological risk (PER), whereas Cu’s environmental impact primarily manifested as a soil contamination risk (SCR). From the perspective of HR, soil HMs already pose a considerable threat to human health, with children facing greater HRs than adults. As was identified as a priority element for HRs, with carcinogenic and non-carcinogenic risks reaching unacceptable levels. Regarding general risk (GR), Cd and Cu ranked in the first gradient and As in the second gradient. Overall, the accumulation of soil HMs—especially Cd, Cu, and As—in the study area has posed a significant threat to the ecosystem and human health. The risks of other HMs (Pb, Zn, Cr, and Ni) are relatively low, but the superimposed risks of multiple HMs should not be ignored. The probabilistic–fuzzy model reduces the uncertainty of risk assessment, and the model integrates the environmental and health risks of HMs, providing more comprehensive risk information. The assessment results can serve as a reference for managers to develop targeted control strategies.

Evaluating Multidisciplinary Approaches within an Integrated Framework for Human Health Risk Assessment

This study explores the multifaceted realm of human health risk assessment, emphasizing the pivotal role of integrated frameworks and multidisciplinary approaches. As environmental challenges and their associated health risks become increasingly complex, traditional, single-discipline methods are often inadequate. A holistic perspective that integrates knowledge and methodologies from various disciplines is essential for comprehensive human health risk assessment. It serves as the initial phase in multicomponent health promotion initiatives. The Human Health Risk Assessment (HHRA) encompasses five crucial components: hazard identification, risk assessment, risk control, documentation of findings, and control review. Ultimately, scientific risk assessment provides valuable insights to guide decisionmaking related to risk. Establishing comprehensive and robust principles is essential to underpin the risk management framework. These guiding principles provide an ethical foundation for evaluating various factors relevant to risk management decisions. Nevertheless, their practical application requires both flexibility and practical judgment. The study is based on a thorough review of existing global literature.

Effects of Copper or Zinc Organometallics on Cytotoxicity, DNA Damage and Epigenetic Changes in the HC-04 Human Liver Cell Line.

Copper and zinc organometallics have multiple applications and many are considered "data-poor" because the available toxicological information is insufficient for comprehensive health risk assessments. To gain insight into the chemical prioritization and potential structure activity relationship, the current work compares the in vitro toxicity of nine "data-poor" chemicals to five structurally related chemicals and to positive DNA damage inducers (4-nitroquinoline-oxide, aflatoxin-B1). The HC-04 non-cancer human liver cell line was used to investigate the concentration-response effects (24 h and 72 h exposure) on cell proliferation, DNA damage (γH2AX and DNA unwinding assays), and epigenetic effects (global genome changes in DNA methylation and histone modifications using flow cytometry). The 24 h exposure screening data (DNA abundance and damage) suggest a toxicity hierarchy, starting with copper dimethyldithiocarbamate (CDMDC, CAS#137-29-1) > zinc diethyldithiocarbamate (ZDEDC, CAS#14324-55-1) > benzenediazonium, 4-chloro-2-nitro-, and tetrachlorozincate(2-) (2:1) (BDCN4CZ, CAS#14263-89-9); the other chemicals were less toxic and had alternate ranking positions depending on assays. The potency of CDMDC for inducing DNA damage was close to that of the human hepatocarcinogen aflatoxin-B1. Further investigation using sodium-DMDC (SDMDC, CAS#128-04-1), CDMDC and copper demonstrated the role of the interactions between copper and the DMDC organic moiety in generating a high level of CDMDC toxicity. In contrast, additive interactions were not observed with respect to the DNA methylation flow cytometry data in 72 h exposure experiments. They revealed chemical-specific effects, with hypo and hypermethylation induced by copper chloride (CuCl2, CAS#10125-13-0) and zinc-DMDC (ZDMDC, CAS#137-30-4), respectively, but did not show any significant effect of CDMDC or SDMDC. Histone-3 hypoacetylation was a sensitive flow cytometry marker of 24 h exposure to CDMDC. This study can provide insights regarding the prioritization of chemicals for future study, with the aim being to mitigate chemical hazards.

Arsenic and fluoride exposure in drinking water caused human health risk in coastal groundwater aquifers

Groundwater (GW) is a precious resource for human beings as we depend on it as a source of fresh drinking water, agricultural practices, industrial and domestic uses, etc. Extreme exposure of arsenic (As) and fluoride (F-) concentrations along the coastal GW aquifers of “South 24 Parganas and East Medinipur” diluted the quality of GW and created serious health issues. Various chronic health disorders such as – black foot disease, fluorosis skin cancer, cardiac problems, and other water borne diseases have been noticed in these two coastal districts. The comprehensive entropy-weighted water quality index (EWQI) and health risk assessment (HRA) were applied to evaluate the quality of GW and probable health risks in the coastal districts. Monte Carlo simulation and sensitivity analysis methods were simultaneously adopted to identify the non-carcinogenic health risk assessment due to regular ingestion of contaminated GW. As the study region is densely populated and part of the Sundarbans Ramsar site, it has greater importance at the international level along with regional importance to address the GWQ of this region. The major findings of the present study highlight that almost 55% of the study area is confronting serious GW quality issues and associated probable health risk (HR) due to the intense accumulation of As and F- in the GW aquifers of the study area. Children's health is more vulnerable due to the consumption of As containing GW, and adults are highly affected due to the intake of F- bearing GW in the coastal districts. The findings of the current study will draw the attention of hydrologists, groundwater management authorities, government bodies, and NGOs to regulate and monitor the GW aquifers routinely, enhance GW quality, minimizing the health hazards and sustainable water management in a more scientific and sustainable way which must be advantageous for coastal people.

A comprehensive health risk assessment associated with bioaccumulation of heavy metals and nutrients in selected macrophytes of Loktak Lake, Manipur, India.

The Loktak Lake, a Ramsar site in Northeast India, is known for its rich biodiversity that includes a variety of macrophyte species, most of which have not been studied for their phytoremediation capacities and potential toxicity via consumption of the edible species. Therefore, a comprehensive assessment was conducted to evaluate the accumulation of selected heavy metals and nutrients in 10 dominant macrophyte species growing in Loktak Lake and to assess the potential health risks associated with consumption of the edible plants. The concentrations of nutrients such as total phosphorus (TP), total nitrogen (TN), potassium (K), calcium (Ca), magnesium (Mg), and heavy metals such as copper (Cu), manganese (Mn), zinc (Zn), and iron (Fe) were found to be in the order of plant > sediment > water. The bioaccumulation factors (BAFs) revealed high efficiency of most plants to accumulate heavy metals and nutrients in their tissues from the lake water and sediments, indicating their potential to be used as phytoremediators. Translocation factors (TFs) were also estimated to determine the efficiency of the plants to translocate elements from root to shoot. Colocasia esculenta and Polygonum perfoliatum exhibited the highest BAF values, whereas Colocasia esculenta, Hedychium flavum, Phragmites karka, and Oenanthe javanica exhibited the highest TF values for most elements. Target hazard quotients (THQs) revealed potential health risks associated with one or more heavy metals in the plants, except for Zn, whose THQ values were below the level of concern in all the edible plant species. The hazard index (HI) signifying potential non-carcinogenic health risk from the combined effects of all the heavy metals was highest for Polygonum perfoliatum, indicating a potentially higher risk to health if this edible macrophyte is regularly consumed in higher quantities and may pose long-term health effects to the exposed population.

Analysis of compound health impacts of heatwave and COVID-19 in Korea from May to September in 2020

The number of non-accidental deaths and heat-related illnesses due to the co-occurrence of heatwaves and COVID-19 has been identified to estimate compound health impacts between two risks. We have analyzed data from historical years (2013–2019) to calculate the baseline values of the number of non-accidental deaths and heat-related illness patients from May to September using a quasi-Poisson generalized linear model and compared them to data from 2020 in Korea. We also assessed the relative risk and absolute cumulative number of non-accidental deaths and heat-related illnesses in the summer of 2020 in Seoul, Daegu, and Gyeongnam region of Korea. In the Summer of 2020, Korea experienced 0.8% of non-accidental excess deaths, with the highest in August, and 46% of reduction was observed in heat-related throughout the study period, except in Daegu, where excess of heat-related illness occurred in August. The relative risk (RR) of non-accidental deaths at 33.1 °C, was 1.00 (CI 0.99–1.01) and 1.04 (CI 1.02–1.07) in 2013–2019 and 2020, respectively. The RR of heat-related illness at 33.1 °C, was 1.44 (CI 1.42–1.45) and 1.59 (CI 1.54–1.64) in 2013–2019 and 2020, respectively. The absolute cumulative trends of non-accidental deaths and heat-related illnesses were similar in the three regions, indicating increased non-accidental deaths and decreased heat-related illnesses at similar temperatures in 2020. During the COVID-19 pandemic, the fear of infection by the virus and the limited access to healthcare services led to changes in health-seeking behaviors. These results indicate social distancing could have had adverse impacts on other health conditions. A comprehensive health risk assessment is important when facing simultaneous risks, such as heatwaves and pandemics, in the implementation of effective countermeasures.

Plastic Roads in Asia: Current Implementations and Should It Be Considered?

The rapid economic and industrial growth experienced in the Asian region has significantly increased waste production, particularly single-use plastic. This surge in waste poses a significant challenge for these countries' municipal solid waste management systems. Consequently, there is a pressing need for progressive and effective solutions to address the plastic waste issue. One promising initiative involves utilizing used plastic to produce components for asphalt pavement. The concept of plastic road technology has gained traction in Asia, with 32 countries displaying varying levels of interest, ranging from small-scale laboratory experiments to large-scale construction projects. However, as a relatively new technology, plastic road implementation requires continuous and comprehensive environmental and health risk assessments to ascertain its viability as a reliable green technology. This review paper presents the current findings and potential implementation of plastic-modified asphalt in Asian countries, with particular attention given to its environmental and human health impacts. While plastic asphalt roads hold promise in waste reduction, improved asphalt properties, and cost savings, it is imperative to thoroughly consider the environmental and health impacts, quality control measures, recycling limitations, and long-term performance of this road construction material. Further research and evaluation are needed to fully understand the viability and sustainability of plastic asphalt roads. This will enable a comprehensive assessment of its potential benefits and drawbacks, aiding in developing robust guidelines and standards for its implementation. By addressing these considerations, it will be possible to optimize the utilization of plastic waste in road construction and contribute to a greener and more sustainable future.

Health-integrated heat risk assessment in Australian cities

Extreme heat, also known as the silent killer that conceal its lethal effect behind heat-related deaths, has become one of the deadliest natural hazards globally. However, the evaluation of heat risks in many countries remains incomplete, overlooking an important component on population health conditions in the evaluation framework. Drawing on the IPCC's risk assessment framework, this study presents, for the first time, a comprehensive heat health risk assessment in Australian capital cities, consisting of three individual indexes—the heat exposure index, heat hazard index and heat vulnerability index—at the finest census unit, and an overall heat health risk index (HHRI). By involving health-related indicators in heat risk assessment, our evaluation takes into account people's sensitivity to heat in developing the heat health risk indexes. Using the HHRI, we identify high heat risk areas appearing primarily in higher density residential areas with some distances away from the inner cities. We also find that the inequity of demographic and socioeconomic characteristics, housing features, and built environment features exists in areas with different levels of heat risks. Our findings contribute not only to profiling heat risks in Australian cities, but also empirically advance our understanding of place-based risk reduction in the Southern Hemisphere by linking climate science with health and spatial science research.

Health risks and sources of trace elements and black carbon in PM2.5 from 2019 to 2021 in Beijing

A comprehensive health risk assessment of PM2.5 is meaningful to understand the current status and directions regarding further improving air quality from the perspective of human health. In this study, we evaluated the health risks of PM2.5 as well as highly toxic inorganic components, including heavy metals (HMs) and black carbon (BC) based on long-term observations in Beijing from 2019 to 2021. Our results showed that the relative risks of chronic obstructive pulmonary disease, lung cancer, acute lower respiratory tract infection, ischemic heart disease, and stroke decreased by 4.07%-9.30% in 2020 and 2.12%-6.70% in 2021 compared with 2019. However, they were still at high levels ranging from 1.26 to 1.77, in particular, stroke showed the highest value in 2021. Mn had the highest hazard quotient (HQ, from 2.18 to 2.56) for adults from 2019 to 2021, while Ni, Cr, Pb, As, and BC showed high carcinogenic risks (CR > 1.0×10−6) for adults. The HQ values of Mn and As and the CR values of Pb and As showed constant or slight upwards trends during our observations, which is in contrast to the downward trends of other HMs and PM2.5. Mn, Cr, and BC are crucial toxicants in PM2.5. A significant shrink of southern region sourcesof HMs and BCshrank suggests the increased importance of local sources. Industry, dust, and biomass burning are the major contributors to the non-carcinogenic risks, while traffic emissions and industry are the dominant contributors to the carcinogenic risks in Beijing.

Long-term exposure and health risk assessment from air pollution: impact of regional scale mobility

BackgroundThe negative effect of air pollution on human health is widely reported in recent literature. It typically involves urbanized areas where the population is concentrated and where most primary air pollutants are produced. A comprehensive health risk assessment is therefore of strategic importance for health authorities.MethodsIn this study we propose a methodology to perform an indirect and retrospective health risk assessment of all-cause mortality associated with long-term exposure to particulate matter less than 2.5 microns (PM2.5), nitrogen dioxide (NO2) and ozone (O3) in a typical Monday to Friday working week. A combination of satellite-based settlement data, model-based air pollution data, land use, demographics and regional scale mobility, allowed to examine the effect of population mobility and pollutants daily variations on the health risk. A Health Risk Increase (HRI) metric was derived on the basis of three components: hazard, exposure and vulnerability, utilizing the relative risk values from the World Health Organization. An additional metric, the Health Burden (HB) was formulated, which accounts for the total number of people exposed to a certain risk level.ResultsThe effect of regional mobility patterns on the HRI metric was assessed, resulting in an increased HRI associated with all three stressors when considering a dynamic population compared to a static one. The effect of diurnal variation of pollutants was only observed for NO2 and O3. For both, the HRI metric resulted in significantly higher values during night. Concerning the HB parameter, we identified the commuting flows of the population as the main driver in the resulting metric.ConclusionsThis indirect exposure assessment methodology provides tools to support policy makers and health authorities in planning intervention and mitigation measures. The study was carried out in Lombardy, Italy, one of the most polluted regions in Europe, but the incorporation of satellite data makes our approach valuable for studying global health.

A novel regional-scale human health risk assessment model for soil heavy metal(loid) pollution based on empirical Bayesian kriging

Soil heavy metal(loid)s contamination caused by rapid urbanization and industrialization seriously affects human health and hinders the global sustainable development goals (SDGs). Currently, there is a lack of comprehensive human health risk assessment (HHRA) studies for multiple land use types at the regional scale. We propose a practical risk assessment framework that integrates empirical Bayesian kriging (EBK), pollution level analyses, and modified HHRA modeling. The concentrations of copper industry-related metals (Cu, Ni, Cd, As, and Hg) in 332 topsoil samples from the south bank of the Yangtze River in Tongling were investigated. Obvious enrichment of Cu, Cd, As, and Hg was detected, and the average concentration of Cu was 5.24 times higher than the background values. The distribution of heavy metal(loid) pollution was typically high in the south and east, and low in the north and west. The mean errors of interpolation for Cu, Ni, and Hg were 0.84, 1.29, and 0, respectively, and the root mean square errors of interpolation for Cd and As were 1.29 and 0.86, respectively. Non-carcinogenic risks of soil heavy metal(loid)s were assessed as acceptable throughout the studied area. The hazard index decreased in the order As (0.448) > Ni (0.0729) > Cd (0.0136) > Hg (9.04 ×10−4) > Cu (6.41 ×10−4). Nevertheless, the carcinogenic risks of Ni, Cd, and As in 70–80% of the administrative units (AUs) were between 10−6 to 10−4, considered an unacceptable level. Exposure through the oral ingestion route accounted for 88.0–99.2% of the total three exposure routes. It is worth noting that four AUs were considered to be the priority control units, and Ni and As were identified as the priority control soil heavy metal(loid)s. This case demonstrates the feasibility and scientific validity of the new EBK-HHRA framework, which confirms that EBK can effectively predict the spatial distribution patterns of soil heavy metal(loid)s and that modified HHRA models are conducive to risk integration at the regional scale. The EBK-HHRA approach is generic and provides substantial support for risk source identification and risk management of soil heavy metal(loid)s contamination at the regional scale.

Spatiotemporal distribution and probabilistic health risk assessment of arsenic in drinking water and wheat in Northwest China

Drinking water arsenic poisoning has been a health concern, however the importance of dietary arsenic exposure to health also needs to be taken into account. The aim of this study was to conduct a comprehensive health risk assessment of arsenic-contaminated substances in drinking water and wheat-based food intake in the Guanzhong Plain, China. 87 samples of wheat and 150 samples of water were randomly selected from the research region and examined. The level of arsenic in 89.33% of the water samples in the region exceeded the limit for drinking water (10 μg/L), with an average concentration of 29.98 μg/L. The arsenic in 2.13% of the wheat samples exceeded the food limit (0.5 mg/kg) with an average concentration of 0.24 mg/kg. Under the situation of different exposure pathways, two scenarios of deterministic and probabilistic health risk assessments were compared and analyzed. By contrast, the probabilistic health risk assessment can ensure a certain degree of confidence in the assessment results. The findings of this study indicated that the total cancer risk value faced by the population aged 3–79 years, except for those aged 4–6 years, was 1.03E-4–1.21E-3, which exceeded the 10E-6–10E-4 range of thresholds usually used by USEPA as guidance recommendations for determination. And the non-cancer risk experienced by the population aged 6 months to 79 years was higher than the acceptable threshold (1), with children aged 9 months to 1 year having the highest total non-cancer risk of 7.25. The potential health risks of the exposed population were mainly due to the drinking water route, and consumption of arsenic-containing wheat increased both carcinogenic and non-carcinogenic risks. Finally, the sensitivity analysis revealed that the assessment findings were most significantly influenced by exposure time. The amount of intake was the second influencing factor in the health risk assessment from drinking water and dietary intakes of arsenic, and arsenic concentration was the second influencing factor in the health risk assessment due to dermal exposure to arsenic. The findings of this study can aid in understanding the negative health consequences of arsenic pollution to local residents and in adopting focused remediation strategies to alleviate environmental concerns.

Particle Size Matters: Distribution, Source, and Seasonality Characteristics of Airborne and Pathogenic Bacteria in Wastewater Treatment Plants

Wastewater treatment plants (WWTPs) are a crucial source of bioaerosols, which account for both environmental and health hazards. Although various culture-based studies on bioaerosols have been reported, little knowledge remains about distribution and potential risks for more omnipresent non-culturable bacterial aerosols. Here, in summer, an eight-stage Andersen air sampler was applied to capture particles of various sizes from the atmospheric environment of eight treatment units from two WWTPs in northeastern China. Particles of various sizes in aeration tank (AT) were sampled in autumn and winter. The abundance and community composition of the bacterial aerosols were investigated using 16S rRNA gene sequencing. In order to explore the importance of particle size on community composition of bacterial aerosols, this study investigated the particle size distribution of bacterial aerosols in different treatment units. The results indicated that the sludge dewatering room was the major source of bacterial aerosols in both WWTPs, with the abundance of stage VII (0.65–1.1 μm) demonstrating a 4-fold to 9-fold increase when compared to any other treatment unit. The highest relative abundance of bacterial aerosols was in autumn, while the lowest was found in winter. However, most particles detected in autumn were larger than 4.7 µm in diameter, while submicron particles (less than 1.1 µm, over 40%) were detected primarily in winter. The most 15 dominant bacterial aerosol genera in were observed at submicron level, and about half of the genera (6 and 8) were detected as human pathogens, suggesting their easier penetration to human respiratory tracts. This study demonstrates that size distribution characteristics should be crucial information for the comprehensive assessment of the potential health risks of bacterial aerosols from WWTPs.

Criteria for the Assessment of Health Risk from a Waste Gasification Plant

Abstract In mountainous regions, the atmospheric dispersion of air pollutants is limited by complex terrain morphology. Trentino (a province located in the Italian Alps) is characterized by a high population density, highly developed agriculture and farming, and the presence of civil and industrial activities, whose emissions tend to be trapped inside the valleys. These conditions translate into exposure levels that are potentially higher than other geographical contexts (e.g., flat or coastal regions). The academic research carried out in Trentino since 2005 has produced a series of publications on topics related to the risk for health derived from waste management and other activities. These publications has focused on: 1) the evaluation of the emissions of organic pollutants from the waste sector; 2) the monitoring of persistent organic pollutants (POPs) in various environmental matrices; 3) a methodology to carry out a comprehensive health risk assessment considering all the relevant exposure routes in an area; 4) the role of the local diet in the exposure of a population to POPs; 5) methodologies to define new regulatory limit values for dioxin and hexavalent chromium; and 6) the role of dispersion modeling in assessing the exposure to air pollutants. The present paper will review these publications and provide a reference document to evaluate new project proposals that require a health risk assessment and facilitate the work of proponents, clarifying the requirements of a health risk assessment. The paper will refer to waste gasification, but the considerations expressed in this paper may apply to other activities.

Human Health and Soil Health Risks from Heavy Metals, Micro(nano)plastics, and Antibiotic Resistant Bacteria in Agricultural Soils

Humans are exposed to agricultural soils through inhalation, dermal contact, or the consumption of food. Human health may be at risk when soils are contaminated; while some soil contaminants such as heavy metals (HMs) have been extensively studied, others such as micro(nano)plastics (MNPs) or antibiotic-resistant bacteria (ARB) pose novel threats. This paper investigates the linkages between soil contamination and human health risk by reviewing the state of knowledge on HMs, MNPs, and ARB in agricultural soils. A keyword-based search in Web of Science, Scopus, and Google Scholar was conducted, complemented with a backward snowball search. We analysed main sources of contamination for agricultural soils, risks to human health differentiated by uptake pathway (ingestion, inhalation, dermal), and interactions of contaminants with microorganism, soil fauna, and plants. Results show that the emergence and spread of ARB and antibiotic resistant genes from agricultural soils and their contribution to antibiotic resistances of human pathogens is recognized as a significant threat. Likewise, a growing body of evidence indicates that MNPs are able to enter the food chain and to have potentially harmful effects on human health. For HM, knowledge of the effects on human health is well established. Multiple agricultural practices increase HM concentrations in soils, which may lead to adverse health effects from the ingestion of contaminated products or inhalation of contaminated soil particles. Severe knowledge gaps exist about the pathways of the contaminants, their behaviour in soil, and human uptake. Little is known about long-term exposure and impacts of MNPs, antibiotics and ARB on human health or about the possible combined effects of MNPs, ARB, and HMs. Missing monitoring systems inhibit a comprehensive assessment of human health risks. Our research demonstrates the need for human health risk assessment in the context of agricultural soils, in particular to be able to assess risks related to measures reinforcing the concept of the circular economy.

Heavy metal ecological-health risk assessment under wheat–maize rotation system in a high geological background area in eastern China

A high geological background can increase the ecological and health risks associated with crop production; therefore, it is essential to assess the heavy metals and their impact. In this study, ecological and health risk impacts of heavy metal contamination, in combination with positive matrix factorization was assessed for an area with high geological background with wheat–maize cropping system, to provide a quantitative understanding of the effects of heavy metals, enabling its prevention and control. This study revealed that the comprehensive ecological risk (RIwheat–maize) is 56.21 (low), with industries being the biggest contributors (34.22%). Comprehensive health risk (non-carcinogenic) assessment showed that industrial (40.98–49.30%) and natural (23.96–37.64%) factors were the primary (particularly of Cd and Zn) and secondary (particularly of Cr and Ni) contributors, respectively in eastern China. Comprehensive health risk (HIwheat–maize) for children and adults were 0.74 and 0.42, respectively, indicating that non-carcinogenic risks were at an acceptable level. Soil ingestion was the primary pathway for health risks (62.23–73.00%), especially for children. Based on soil heavy metal sources and crop systems, source-ecological risk assessment and source-health risk assessment were used to provided valuable insights on making strategies to protect human health in high geological background areas.