Evaluation Of Human Health Risks Research Articles

Environmental concerns on the use of the electrospinning technique for the production of polymeric micro/nanofibers

The production of micro and nanofibers through the electrospinning technique is a well assessed technology that finds application in a variety of fields. Indeed, the specific features of electrospun fibers, as well as the possibility to be modelled and functionalized, ensure their great versatility. In the last decades, the widespread use of electrospun fibers promoted studies related to the evaluation of both human health and environmental risks associated to their handling and exposure. However, to date, the environmental impact strictly related to the use of the manufacturing process has been barely considered. Therefore, the present work aims to assess the environmental impacts of the electrospinning technology used to produce micro and nanofibers. To this purpose, a model polymer was systematically electrospun, varying the main system, process and external parameters, that control the electrospinning technique. A simplified life cycle assessment analysis was finally used to evaluate how the fibrous morphology, closely linked to the choice of the technological parameters, intrinsically affected the environmental impacts.

Toxicity of REEs, Th, and U: A Biodisponibility, Cytotoxicity, and Bioaccumulation Assessment in Marine Sediment.

In this work, bioaccessibility tests for rare earth elements (REEs), Th, and U in marine sediment were carried out, in addition to complementary tests for cytotoxicity and bioaccumulation for the elements La, Ce, Eu, and Gd. The evaluation of human health risk through dermal absorption and oral ingestion was performed using the hazard quotient (HQ). According to the gastric digestion simulation (SBET), it was observed that the elements Ce and Nd exhibited higher absorption capacities in the human body (> 2µgg-1). La and Sc presented intermediate concentrations (close to 1µgg-1), while the remaining elements displayed concentrations below 0.5µgg-1. In the gastrointestinal digestion extraction stage (PBET), all the elements maintained a similar absorption capacity to that observed in SBET, except for the absorption of Y which increased. The results of the bioaccumulation test conducted with fibroblast cells (L929) indicated that La and Eu had a 25% probability of intracellular accumulation. The cell viability test, with exposure to a standard REEs, Th, and U solution in 2% v v-1 HNO3 medium (until 100μgmL-1) and an aqueous solution of La2O3, Gd(NO3)3, Ce(NO3)3, and Eu2O3 (until 1000μgmL-1), did not demonstrate cytotoxic effects on fibroblast cells. Considering the ingestion hazard quotient (HQing) and dermal hazard quotient (HQderm) obtained, it was suggested that there is no significant risk of non-carcinogenic effects (< 1). However, they had higher HQing values compared to HQderm, indicating that REEs pose more significant risk to human health through oral ingestion absorption than dermal absorption.

Water quality assessment and evaluation of human health risks in the Pusur River, Klaten Regency, Central Java, Indonesia.

This research examines the condition of the water characteristics of the Pusur River to provide data regarding water quality status and risks to human health. In determining the water quality use the NSF-WQI, or National Sanitation Foundation-Water Quality Index based on the main water quality parameters, including temperature, fecal coliform, turbidity, pH, DO, COD, and nitrate. The WQI at the Sudimoro Village location is 37.50, Cokro is 43.54, Wangen is 39.51, Delanggu is 35.45, Juwiring is 38.05, and Taji Village is 34.92. From these six locations, the WQI values are all included in the bad criteria (scores of 26-50). The low WQI values at the six locations were influenced by the low values of the DO, nitrate, temperature, and fecal coliform sub-indices. This low value is related to anthropogenic activities in the region. Furthermore, the data were subjected to applications of the Chronic Daily Index (CDI) Hazard Quotient (HQ), and Hazard Index (HI) to reveal possible non-carcinogenic health risks from nitrate and cadmium contaminants. The hazard quotient through exposure to ingestion from each sampling point includes low risk, namely the value range of 0.1 < HI < 1 for adults and children. Water from rivers must be adequately treated before being used for domestic purposes.

Water quality assessment and evaluation of human health risk of drinking water in Ranchi District of Jharkhand

The primary cause of water-borne disease epidemics, particularly in underdeveloped nations, is the consumption of drinking water tainted with dangerous bacteria that originated in excrement. Water bodies have been essential to the development of civilizations throughout history, and they are still important for the modern economic expansion of all modern cultures. Microbes can get into water sources through agricultural inputs and rainfall runoff, which can combine with sewage effluents. The coliform group of bacteria, which signals the possible presence of harmful organisms, is the organism that is typically searched for during the standard water analysis technique. Microbes that cause disease in humans multiply and spread through the medium of water. For this reason, one of the most crucial criteria for public health is the drinking of safe water. Water samples were collected from various sources (surface water and groundwater sources) throughout March to May 2023. Ten water samples were taken from the surface and groundwater in and around Ranchi Municipality Nagra Toli and Karamtoli areas The MPN index, fungal tests, colony count, and other biochemical test parameters were all analyzed. Comparing surface water to groundwater, it was discovered that the MPN index of the former was higher. Up to 140 MPN/100 mL of total coliform count were found. Samples of surface and groundwater revealed the presence of two distinct bacterial species. It becomes clear that Escherichia coli and Bacillus Enterococcus faecalis bacterial isolates were common. The current study's objectives were to identify the various microbial groups and perform several microbiological studies. To maintain the hygienic quality of the water supply, it is strongly advised to do bacteriological examinations on both the water entering the distribution system and the water already in the system on a frequent and regular basis. Regular inspections are necessary for both sanitary management and testing portable water.

Analysis of Heavy Metal Pollution Evaluation and Correlation of Farmland Soil and Vegetables in Zhaotong City

A farmland area in Zhaotong City was taken as the research object， and the method of point-to-point collaborative sampling was used to collect farmland soil and vegetables in Zhaotong and test the content of six heavy metals， namely As， Pb， Cu， Zn， Cd， and Cr. The geo-accumulation index and potential ecological risk index were used to evaluate the heavy metal pollution of soil. The health risk model was used to evaluate the risk to the human body imposed by vegetables. The results showed that Cu， Zn， Pb， Cd， and Cr pollution existed in the research area. Compared with the risk screening value of farmland， the over-standard rates were 34.35%， 6.87%， 2.29%， 80.15%， and 6.11%， respectively； Pb， Cd， and Cr were found in vegetables. Compared with the pollutant limit in food， the over-standard rates were 6.87%， 15.27%， and 36.64%， respectively. According to the soil pollution evaluation， Cd in the soil showed a strong ecological risk， and other heavy metals in the soil showed a mild ecological risk. The human health risk evaluation model showed that both non-carcinogenic risk and carcinogenic risk were out of the acceptable range and had a greater influence on children. Correlation analysis showed that As in the soil had an antagonistic effect on Cu and Zn absorption by vegetables， whereas Cr in the soil could promote Cu and Zn absorption by vegetables.

Characterization of soil trace metal pollution, source identification, and health risk assessment in the middle reaches of the Guihe River Basin.

The natural environment, as well as human production and survival, is intrinsically dependent on soil. This study comprehensively assessed the pollution status, health risks, and sources of trace metals in the middle reaches of the River Gui Basin (MRGB) utilizing the geoaccumulation index, potential ecological risk index (PERI), and human health risk evaluation method. The findings of this study provide the following key insights: (1) only Cu and Pb levels in the MRGB soils did not exceed the background values established for soils in Weifang City (WFC). (2) The geoaccumulation status in most areas of the MRGB ranged from non-polluted to mildly polluted, with the overall ecological risk classification ranging from mild to moderate. (3) The cumulative non-carcinogenic risk for humans in the MRGB remained within acceptable limits, whereas the carcinogenic risk indices fell within tolerable levels. Oral ingestion emerged as the primary exposure pathway for both non-carcinogenic and carcinogenic health risks. (4) Cu, Zn, Ni, and Cr concentrations in MRGB soils primarily stemmed from natural sources associated with parent rocks, with Zn exhibiting additional influence from anthropogenic factors. In contrast, Pb, Cd, Hg, and As concentrations were predominantly driven by anthropogenic sources. Although the soils in the MRGB typically exhibited mild-to-moderate contamination levels, the contamination levels of Hg and Cd were notably more severe. As and Cr were significant health hazards. Most soil contamination sources are attributed to anthropogenic factors, warranting heightened attention from the relevant authorities.

Evaluation of single particle morphological characteristics and human health risks in different functional areas

Purpose This study aims to better understand the morphological characteristics of single particle and the health risk characteristics of heavy metals in PM2.5 in different functional areas of Handan City. Design/methodology/approach High resolution transmission electron microscopy was used to observe the aerosol samples collected from different functional areas of Handan City. The morphology and size distribution of the particles collected on hazy and clear days were compared. The health risk evaluation model was applied to evaluate the hazardous effects of particles on human health in different functional areas on hazy days. Findings The results show that the particulate matter in different functional areas is dominated by spherical particles in different weather conditions. In particular, the proportion of spherical particles exceeds 70% on the haze day, and the percentage of soot aggregates increases significantly on the clear day. The percentage of each type of particle in the teaching and living areas varied less under different weather conditions. Except for the industrial area, the size distribution of each type of particle in haze samples is larger than that on the clear day. Spherical particles contribute more to the small particle size segment. Soot aggregate and other shaped particles contribute more to the large size segment. The mass concentrations of hazardous elements (HEs) in PM2.5 in different functional areas on consecutive haze pollution days were illustrated as industrial area &gt; traffic area &gt; living area &gt; teaching area. Compared with the other functional areas, the teaching area had the lowest noncarcinogenic risk of HEs. The lifetime carcinogenic risk values of Cr and As elements in each functional area have exceeded residents’ threshold levels and are at high risk of carcinogenicity. Among the four functional areas, the industrial area has the highest carcinogenic and noncarcinogenic risks. But the effects of HEs on human health in the other functional areas should also be taken seriously and continuously controlled. Originality/value The significance of the study is to further understand the morphological characteristics of single particles and the health risks of heavy metals in different functional areas of Handan City. the authors hope to provide a reference for other coal-burning industrial cities to develop plans to improve air quality and human respiratory health.

Contamination, ecological, and human health risks of heavy metals in water from a Pb-Zn-F mining area, North Eastern Nigeria.

In Nigeria, artisanal mining has become a serious issue. In the Nigerian mining region of Arufu Pb-Zn-F, this study assessed the level of pollution, ecological hazards, and health risks related to the presence of metals in the water. In the dry and rainy seasons, 36 water samples (20 from the ground, 10 from the surface, and six from the mine) were gathered. Samples were examined for the presence of heavy metals such as Cr, Co, Ni, Cu, Zn, As, Cd, and Pb. Other than Cu, Zn, As, Cd, Sb, and Cd (surface water, dry season), which were below the acceptable norm, all water samples had metals over the suggested limits. Heavy metals from nearby mining activities polluted the water, according to contamination evaluations utilizing the contamination factor (CF). Metals in the water may pose very significant ecological dangers, according to ecological risk assessments. The evaluation of human health risks revealed that both adults and children in the region are susceptible to carcinogenic and non-carcinogenic health hazards since the hazard index (HI) values for both indices were above 1 × 10-5 and above 1, respectively. This report emphasizes the need for monitoring mining operations in the nation to safeguard public health.

Source Analysis Based on the Positive Matrix Factorization Models and Risk Assessment of Heavy Metals in Agricultural Soil

Soil heavy metal pollution is a severe and growing problem, and it is crucial to assess the level of soil heavy metal contamination and determine the origins of pollutants. However, there is limited research on soil heavy metal source apportionment and its carcinogenic and non-carcinogenic hazards. Positive Matrix Factorization (PMF) is a powerful technique for source apportionment of pollutants in environmental matrices such as atmospheric particulate matter and soil, as it can handle missing and imprecise data to ensure data reliability, among other benefits. In order to explore the distribution characteristics and main sources of heavy metals in agricultural land, the contents of Cd, Cr, Cu, Pb, and Ni were collected and determined. The positive matrix factorization (PMF) model was used to analyze the source of heavy metals in the soil in the study area, and the human health risk evaluation was carried out. The results showed that (1) the coefficient of variation of Cd in the four areas was much higher than that of the other four heavy metals, which showed strong variability; (2) the content and distribution of heavy metals in different regions were different under the influence of different environments; (3) the PMF model analysis showed that the heavy metal pollution sources in the four areas were divided into two types: the soil parent material, which had industrial pollution, traffic pollution, and agricultural pollution; and the contribution rate of each pollution source; (4) the non-carcinogenic risks of heavy metals in children at all points in the study area were greater than those of adults, and the carcinogenic risks were the opposite of the carcinogenic risk in the study area. And the most serious carcinogenic risk in the study area was the harm caused by oral ingestion of heavy metal Cr into the adults’ bodies.

Determining the factors controlling the chemical composition of groundwater using geochemical methods and groundwater health assessment in Qixing Town, southwest China

Abstract Studies on groundwater quality and possible hazards to human health are important for improved groundwater utilization. This study explored the chemistry of groundwater in Qixing Town and the influencing factors. Statistical evaluation, ion correlation, Entropy-Weighted Water Quality Index (EWQI) assessment, and human health risk evaluation were conducted on data derived from 25 groundwater samples. The main groundwater chemistry types were HCO3–Na and HCO3–Ca. The results of ion and geological modeling analysis indicated that major ion concentrations were mainly determined by cation exchange. The study on the variation of heavy metal concentration in groundwater with depth shows that the heavy metal content in groundwater decreases first and then increases with the increase of depth, and the EWQI suggested that groundwater was suitable for drinking. The total carcinogenic health risks for Cr and As for both adults and children were higher than the highest permissible hazard value suggested by the United States Environmental Protection Agency (USEPA). The categorization of hazardous ingestion (HI) by the USEPA indicated a negligible non-carcinogenic hazard to human health by toxic metals. The results suggest the need to increase Cr and As contamination monitoring in shallow groundwater. This study can facilitate the rational development of groundwater resources.

Extending Multi-Pathway Human Health Risk Assessment from Regional to Country-Wide—A Case Study on Kuwait

Air pollution has emerged as a pressing global issue in recent decades. While criteria pollutants and greenhouse gases contribute to the problem, this article explicitly addresses hazardous air pollutants (HAPs). This work estimates the country-wide cumulative human health impacts from exposure to HAPs. Kuwait is used as the case study due to data availability and non-fragmentation of data. At present, the evaluation of multi-pathway human health risks arising from exposure to HAPs is incomplete, as indirect pathways have not been considered. Furthermore, only a few HAPs, such as benzene, have established ambient air quality standards specifically intended to safeguard human health, leaving many HAPs unregulated. This study considers several pathways (both direct and indirect) and various environmental media (air, water, plants, soil, and animal tissue). The findings indicate that cumulative health risks in the coastal air quality zone are within acceptable limits but are notably higher when compared to the other air quality zones. For cancer risks, only the Ahmadi Hospital, with a cancer risk of 1.09 × 10−5 for the resident adult exposure scenario, slightly exceeds the acceptable risk level of 1 × 10−5. The proposed methodology integrates the results from a country-wide emissions inventory composed of different air quality zones, air dispersion and deposition modeling, multi-pathway transport-and-fate analysis, exposure quantification, and health risk and hazard characterization. It also extends and adapts EPA methodologies initially designed for hazardous waste combustion facilities to additional emission sources and provides a case study for a region seldom subjected to such human health risk assessments.

Levels and health risk assessments of Phthalate acid esters in indoor dust of some microenvironments within Ikeja and Ota, Nigeria

The levels, profiles of Phthalate acid esters (PAEs) and their associated health risk in children and adults using indoor dust samples were assessed from nine (9) microenvironments in Nigeria. Six PAEs congeners were determined using Gas Chromatography–Mass Spectrometry and the human health risk assessments of PAEs exposure to children and adults were computed using the United States Environmental Protection Agency (USEPA) exposure model. The mean concentrations of the total PAEs (Σ6PAEs) in indoor dust across the study locations ranged from 1.61 ± 0.12 to 53.3 ± 5.27 μg/g with 72.0% of di-n-octyl phthalate (DnOP) as the most predominant contributor of PAEs in sample locations B, C, D, E, F and G. PAEs estimated daily intake results exceeded the USEPA value of 20 and 50 kg/bw/day for children and adults respectively in some locations. Non-carcinogenic risk exposure indicated no risk (HI < 1), while the carcinogenic risk was within the recommended threshold of 1.00 × 10–4 to 1.00 × 10–6 for benzyl butyl phthalate and bis-2-ethylhexyl phthalate. From our findings, lower levels of PAEs were observed in locations with good ventilation system. Also, the human health risk evaluation indicated indoor dust ingestion as the dominant exposure route of PAEs for both children and adults, while the children were at a higher risk of PAEs exposure. To protect children susceptible to these endocrine-disrupting pollutants, soft vinyl children’s toys and teething rings should be avoided. Appropriate policies and procedures on the reduction of PAEs exposure to humans should be enacted by all stakeholders, including government regulatory agencies, industries, school administrators and the entire community.

Groundwater quality characteristics and health risk assessment in the valley plain area of the western Qinghai–Tibet plateau

Accurate evaluation of groundwater chemistry, quality, and human health risk could provide detailed and robust evidence of groundwater utilization. Gaer County is an important residential area in western Tibet. A total of 52 samples were collected from the Shiquan River Basin in Gaer County in 2021. Principal component analysis, ratiometric analysis of major ions, and geochemical modeling were conducted to clarify the characteristics of hydrogeochemical compositions and the controlling factors. The groundwater chemistry type is dominated by HCO3–Ca, and its ion concentration from high to low is Ca2+ > Na+ > Mg2+ > K+ and HCO3− > SO42− > Cl− > NO3− > F−. The groundwater compositions were determined by calcite and dolomite dissolution with cation exchange reaction. The human activity causes nitrate contamination, while arsenic contamination is attributed to surface water recharge. According to the Water Quality Index, 99% of the samples meet the requirements of drinking water. Groundwater quality is affected by the arsenic, fluoride, and nitrate concentrations. According to the human health risk assessment model, the cumulative noncarcinogenic risk (HITotal) values for children and the CR values of arsenic (CRArsenic) for adults are higher than 1 and 1E-6, respectively, which are unacceptable risk values. Therefore, appropriate remedial measures are recommended to reduce nitrate and arsenic concentrations in groundwater sources for protecting against further health risks. This study can provide theoretical support and effective groundwater management experience for ensuring groundwater safety in Gaer County and other similar regions around the world.

Long-Term and Multipoint Observations of Atmospheric Heavy Metal (Cu and Cd) Deposition and Accumulation in Soil–Crop System and Human Health Risk Evaluation Around a Large Smelter

Long-Term and Multipoint Observations of Atmospheric Heavy Metal (Cu and Cd) Deposition and Accumulation in Soil–Crop System and Human Health Risk Evaluation Around a Large Smelter

Evaluation of human health and ecological risk of heavy metals in water, sediment and shellfishes in typical artisanal oil mining areas of Nigeria.

Heavy metal contamination in water and sediment is a serious concern in nations that depend heavily on natural resources such as Nigeria. In most coastal communities around oil mining areas in Nigeria, drinking water quality, staple food, and livelihoods are primarily dependent on ecological systems and marine resources (e.g., fish). Thus, humans and other receptors are exposed to heavy metal risks through ingestion and dermal contact. This research evaluated the potential ecological risks of heavy metals including Cadmium (Cd), Chromium (Cr), Nickel (Ni), and Lead (Pb) in water, sediments, and shellfishes (Callinectes amnicola, Uca tangeri, Tympanotonus fuscatus, Peneaus monodon) along the Opuroama Creek in Niger Delta, Nigeria. The concentrations of heavy metals were measured in three stations using the Atomic Absorption Spectrophotometer and their relative ecological (geo-accumulation index and contamination factor) and human health risk (hazard index and hazard quotient) analysed. The toxicity response indices of the heavy metals indicate that the sediments pose significant ecological risk particularly with Cd. None of the three exposure pathways to heavy metals in the shellfish muscles and age groups pose a non-carcinogenic risk. Total Cancer Risk values for Cd and Cr exceeded the acceptable range (10-6 to 10-4) established by USEPA in children and adults, raising concerns of potential cancer risks following exposure to these metals in the area. This established a significant possibility of heavy metal risks to public health and marine organisms. The study recommends conducting in-depth health analysis and reducing oil spills while providing sustainable livelihoods to the local population.

Spatial evolution analysis of groundwater chemistry, quality, and fluoride health risk in southern Hebei Plain, China.

The present study investigated ion and fluoride concentrations in groundwater and their associated health risks to local populations in the southern Hebei Plain during 2018-2020. A total of 336 groundwater samples were collected from monitoring wells at 112 different locations. Statistical analysis, Gibbs diagram, principal ion ratio, and saturation index were carried out to clarify the chemical characteristics and control mechanism of groundwater. The results indicated that the groundwater types in the study area were mainly HCO3-Ca, Cl-Na, and SO4-Ca. The concentrations of cations and anions were Na+ > Ca2+ > Mg2+ > K+ and HCO3- > SO42- > Cl- > NO3- > F-, respectively. Based on the water chemical parameters, the pollution index of groundwater (PIG) was used to comprehensively evaluate the water quality. The results showed that during the study period, 60.41% of groundwater samples were suitable for drinking purposes, and 39.59% needed purification treatment to meet the requirements of drinking water standards. The groundwater quality in the western pre-hill plain areas was good, while the water quality in the northeastern and southeastern areas was poor and contaminated to varying degrees. Groundwater quality was mainly affected by the combined effect of total dissolved solids (TDS), Na+, Mg2+, Cl-, SO42- and HCO3- concentrations. Fluoride concentrations in the groundwater samples ranged from 0.07 to 8.51mg/L, with 44% of the samples containing fluoride below the recommended limit of 0.5mg/L, which would put the population at risk of dental caries. Also, 8% of the samples exceeded the permissible limit for fluoride in drinking water (1.5mg/L), which would expose the local population to the risk of fluorosis. The human health risk evaluation of fluoride showed significant differences in non-carcinogenic effects between two different groups of children and adults. HIin values ranged from 0.08 to 10.19 for children and 0.03 to 4.65 for adults, with hazard indices greater than 1 at 29.16% and 10.11%, respectively. This indicates that children have a greater exposure risk than adults, and the entropy of higher risk is mainly distributed in the northeast of the study area. Based on the above analysis of the spatial evolution of groundwater chemistry, water quality, and fluoride health risks in the southern Hebei Plain region, corresponding protection and management measures were proposed, which also provided reference significance for the effective use of drinking water and health risk prevention in the region.

Evaluation of Human Health Risks Associated with Groundwater Contamination and Groundwater Pollution Prediction in a Landfill and Surrounding Area in Kaifeng City, China

Landfill accumulation can cause its leachate to seep into groundwater, which can lower the quality of local groundwater. Exploring the risks of groundwater contamination to human health in the area around a landfill can offer a clear understanding of the current situation of regional groundwater and provide a theoretical basis for groundwater remediation and governance. By taking a landfill in Kaifeng City, China as the research object, this study explored the chemical types and sources of groundwater in the study area, used the entropy-weighted water quality index (EWQI) to evaluate the groundwater quality and assessed human health risks in the study area. The results show that the groundwater in the study area is neutral (7.14 ≤ pH ≤ 7.86), and the water chemical type is HCO3−—Ca·Na. The EWQI results indicated that the overall water quality in the study area ranges from 48.4 to 250.26, which is above the medium level, and that the local water quality is poor. The deterioration of groundwater quality in the study area is mainly influenced by NH4+-N, Mn, As, F− and Pb. According to the human health risk assessment model, the non-carcinogenic risk to humans through oral and dermal exposure can be assessed. In this paper, five ions, NH4+-N, Mn, As, F− and Pb in groundwater, were selected for the analysis of groundwater in the study area to assess non-carcinogenic risk to humans through oral administration. The results showed that the hazard quotient (HQ) values for NH4+-N, Mn, As, F− and Pb varied in the following ranges: 9.14 × 10−4—0.03; 0.07—0.22; 0.02–0.07; 0.16—0.23; and 0.01—0.13, respectively (all of these are less than 1, and so the potential risks to human health can be ignored). The characteristic pollutant Pb was selected as a predictor to study the influence on groundwater quality in eastern fish ponds and farmlands under continuous leakage. The leakage can be detected timeously to reduce the effects downstream by using enhanced monitoring measures.

In vitro digestion of ESC-resistant Escherichia coli from poultry meat and evaluation of human health risk.

The spread of antimicrobial resistance (AMR) has become a threat against human and animal health. Third and fourth generation cephalosporins have been defined as critically important antimicrobials by The World Health Organization. Exposure to Extended spectrum cephalosporin-resistant E. coli may result in consumers becoming carriers if these bacteria colonize the human gut or their resistance genes spread to other bacteria in the gut microbiota. In the case that these resistant bacteria at later occasions cause disease, their resistance characteristics may lead to failure of treatment and increased mortality. We hypothesized that ESC-resistant E. coli from poultry can survive digestion and thereby cause infections and/or spread their respective resistance traits within the gastro-intestinal tract. In this study, a selection of 31 ESC-resistant E. coli isolates from retail chicken meat was exposed to a static in vitro digestion model (INFOGEST). Their survival, alteration of colonizing characteristics in addition to conjugational abilities were investigated before and after digestion. Whole genome data from all isolates were screened through a custom-made virulence database of over 1100 genes for virulence- and colonizing factors. All isolates were able to survive digestion. Most of the isolates (24/31) were able to transfer their bla CMY2-containing plasmid to E. coli DH5-á, with a general decline in conjugation frequency of digested isolates compared to non-digested. Overall, the isolates showed a higher degree of cell adhesion than cell invasion, with a slight increase after digestion compared non-digested, except for three isolates that displayed a major increase of invasion. These isolates also harbored genes facilitating invasion. In the virulence-associated gene analysis two isolates were categorized as UPEC, and one isolate was considered a hybrid pathogen. Altogether the pathogenic potential of these isolates is highly dependent on the individual isolate and its characteristics. Poultry meat may represent a reservoir and be a vehicle for dissemination of potential human pathogens and resistance determinants, and the ESC-resistance may complicate treatment in the case of an infection.

Considerations towards the better integration of epidemiology into quantitative risk assessment.

Environmental epidemiology has proven critical to study various associations between environmental exposures and adverse human health effects. However, there is a perception that it often does not sufficiently inform quantitative risk assessment. To help address this concern, in 2017, the Health and Environmental Sciences Institute initiated a project engaging the epidemiology, exposure science, and risk assessment communities with tripartite representation from government agencies, industry, and academia, in a dialogue on the use of environmental epidemiology for quantitative risk assessment and public health decision making. As part of this project, four meetings attended by experts in epidemiology, exposure science, toxicology, statistics, and risk assessment, as well as one additional meeting engaging funding agencies, were organized to explore incentives and barriers to realizing the full potential of epidemiological data in quantitative risk assessment. A set of questions was shared with workshop participants prior to the meetings, and two case studies were used to support the discussion. Five key ideas emerged from these meetings as areas of desired improvement to ensure that human data can more consistently become an integral part of quantitative risk assessment: 1) reducing confirmation and publication bias, 2) increasing communication with funding agencies to raise awareness of research needs, 3) developing alternative funding channels targeted to support quantitative risk assessment, 4) making data available for reuse and analysis, and 5) developing cross-disciplinary and cross-sectoral interactions, collaborations, and training. We explored and integrated these themes into a roadmap illustrating the need for a multi-stakeholder effort to ensure that epidemiological data can fully contribute to the quantitative evaluation of human health risks, and to build confidence in a reliable decision-making process that leverages the totality of scientific evidence.

Lost in the woods: Finding our way back to the scientific method in systematic review.

Systematic review has become the preferred approach to addressing causality and informing regulatory and other decision-making processes, including chemical risk assessments. While advocates of systematic reviews acknowledge that they hold great potential for increasing objectivity and transparency in assessments of chemicals and human health risks, standardizing and harmonizing systematic review methods have been challenging. This review provides a brief summary of the development of systematic review methods and some of the frameworks currently in use in the US and Europe. We also provide an in-depth evaluation and comparison of two "competing" US EPA systematic review frameworks, informed by the constructively critical recommendations from the US National Academies of Science, Engineering and Medicine. We conclude with suggestions for moving forward to harmonize systematic review methods, as we believe that further criticism of individual available frameworks likely will be unproductive. Specifically, we issue a call to action for an international collaboration to work toward a blueprint that embraces the most scientifically critical elements common to most systematic review frameworks, while necessarily accommodating adaptations for specific purposes. Despite the array of available systematic review methods, it is clear that there is a shared goal and desire to promote objective assessment and synthesis of scientific evidence informing globally important issues regarding disease causality and human health risk evaluation.