Health-based Guidelines Research Articles

Dietary exposure to metals/metalloids and persistent organic pollutants in Spanish preschool and primary school children

Diet is a primary source of pollutant exposure. Given children's vulnerability to their effects, this study assessed dietary intake of metals/metalloids and different persistent organic pollutants in children in Tarragona (Spain), compared it with the health-based guideline values (HBGV), and identified the main dietary sources. The analysis included 533 preschoolers and 443 primary school children from the EPINED and ECLIPSES studies. Dietary intake of cadmium (Cd), methylmercury (MeHg), lead (Pb), inorganic arsenic (inAs), polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/Fs), dioxin-like polychlorinated biphenyls (DL-PCBs), and non-dioxin-like polychlorinated biphenyls (NDL-PCBs) was estimated using validated food frequency questionnaires and a database from the Catalan Agency for Food Safety. Preschoolers and primary school children exceeded the relevant reference value for InAs and DL-PCBs. Only preschoolers exceeded the limit for MeHg and PCDD/Fs. Cd, Pb, and NDL-PCBs intakes did not exceed the limits in either age group. Salted cereals/potatoes were the main source of InAs; fish for MeHg and DL-PCBs; and milk/yogurt for PCDD/Fs, followed by white fish in preschoolers and fatty fish in primary school children. The findings highlight that dietary exposure to some pollutants poses a significant risk to these children, emphasizing the need for public health policies to reduce pollutants in their diets.

Health impact assessment of exposure to road traffic noise and air pollution according to pre- and post-densification scenarios in Helsingborg, Sweden

A prevalent solution to accommodate population growth due to urbanization is densification. However, this often pushes new residential housing closer to roads, increasing exposure to both noise and air pollution. The present study’s aim was to estimate the health impacts of road traffic-related noise and air pollution for a low-income area (Drottninghög) in Helsingborg, Sweden, according to pre-densification (2012) and post-densification (2030) scenarios.Road traffic noise was simulated at the façade of residential buildings using the Nordic prediction method, and exposure was assessed using SoundPLAN. Exposure-response functions (ERF) from the WHO were utilized for the following health outcomes associated with noise: annoyance, adverse sleep disturbance, ischemic heart disease (IHD) incidence and IHD mortality. Air pollution (nitrogen dioxide, NO2) was assessed using a Gaussian dispersion model (AERMODE). Health outcomes associated with NO2 included natural cause mortality, pediatric asthma, respiratory hospitalizations and low birth weight (LBW). ERFs were derived from meta-analyses. Health impact assessments were then performed for both scenarios.Densifying Drottninghög according to the municipality’s planned strategy would lead to a 15 % unit increase in the proportion of residents exposed to road traffic noise above the WHO’s health-based guideline value (53 dB(A) Lden). This was estimated to markedly increase the proportion of residents highly annoyed by traffic noise (7.4–13.9 %) as well as those highly sleep disturbed (3.0–4.9 %). IHD incidence and IHD mortality attributed to noise would increase by an estimated 49 % and 44 %, respectively, post-densification. NO2 exposure was estimated to increase slightly (0.7 µg/m3) post-densification, which would contribute to an estimated 4–6 % increase in natural cause mortality, pediatric asthma, respiratory hospitalization and LBW.Urban planning initiatives need to consider these prevalent urban environmental exposures and integrate a public health perspective into densification strategies. Doing so can create synergies in the built environment that promote healthy, sustainable cities.

Dietary exposure assessment to mycotoxins from traditional meat products in Croatia

Mycotoxins may be present in traditional meat products (TMPs) due to production of moulds overgrowing their surface during ripening or due to contaminated spices or meat used in their production. The aim of this study was to evaluate the human exposure to the mycotoxins, including aflatoxins (AFs) B1, B2, G1 and G2 (AFB1, AFB2, AFG1, AFG2), ochratoxin A (OTA), cyclopiazonic acid (CPA), citrinin (CIT) and sterigmatocystin (STC), which may be present in TMPs, using 288 samples available on the market in relation to the consumption data of Croatian citizens. AFs and CIT weren't detected in any sample, so the exposure to these mycotoxins in TMP can be considered negligible. The determined exposure to STC was 0.011–0.020 ng/kg bw/day far below the exposure of low health concern set by the European Food Safety Authority (EFSA). The determined exposure to CPA was up to 5.75 ng/kg bw/day, but there isn't yet a health-based guideline value (HBGV) for the consumer risk associated with CPA in food. The determined exposure to OTA was 0.043–0.121 ng/kg bw/day, and according to the margin of exposure (MoE) approach, in the case of the upper bound (UB) scenario, for neoplastic effects a low concern was identified in 0.12% of consumers, while for non-neoplastic effects a potential health concern was identified in 4.15% of consumers. Among the TMP categories, dry-fermented sausages contributed the most to consumer exposure for all three mycotoxins detected. Results indicate that mycotoxins presence should be monitored over a longer period of time where different data can be expected in order to observe the trend of human exposure.

Natural ventilation to improve indoor air quality (IAQ) in existing homes: The development of health-based and context-specific user guidelines

Acceptable indoor air quality (IAQ) is one of the most relevant aspects of a healthy home environment. Despite advances in mechanical and hybrid ventilation systems, natural ventilation still constitutes a crucial intervention to improve IAQ in existing homes; especially in older and/or vulnerable ones. The challenge, however, is optimizing natural ventilation strategies so IAQ is reached while thermal discomfort (and potentially associated energy consumption) is minimized.The complexity of identifying factors that may determine the possibilities of natural ventilation in existing homes has traditionally hindered the efforts from the scientific community to communicate straightforward answers for end-users. This work develops a methodology that, based on real case studies and through a series of simulations, provides simple, context-specific criteria and recommendations in order to reach acceptable IAQ through natural ventilation strategies in existing homes. The use of a minimum ventilation time (MVT) indicator, alongside considerations for different seasons and housing types, are translated into step-by-step guidelines aimed at helping the end-user to (i) gain knowledge regarding the opportunities and limitations for natural ventilation in the dwelling, and (ii) identify which specific actions should be carried out under different conditions to maintain minimum IAQ.The conceptual framework and methodology presented, while illustrated for the case of Barcelona, can be replicated for different cities or regions with differing housing characteristics and climatological conditions, and can easily accommodate other locally relevant factors.

Cross-shift changes in pulmonary function and occupational exposure to particulate matter among e-waste workers in Ghana.

Little is known on the association between cross-shift changes in pulmonary function and personal inhalation exposure to particulate matter (PM) among informal electronic-waste (e-waste) recovery workers who have substantial occupational exposure to airborne pollutants from burning e-waste. Using a cross-shift design, pre- and post-shift pulmonary function assessments and accompanying personal inhalation exposure to PM (sizes <1, <2.5 μm, and the coarse fraction, 2.5-10 μm in aerodynamic diameter) were measured among e-waste workers (n = 142) at the Agbogbloshie e-waste site and a comparison population (n = 65) in Accra, Ghana during 2017 and 2018. Linear mixed models estimated associations between percent changes in pulmonary function and personal PM. Declines in forced expiratory volume in one second (FEV1) and forced vital capacity (FVC) per hour were not significantly associated with increases in PM (all sizes) among either study population, despite breathing zone concentrations of PM (all sizes) that exceeded health-based guidelines in both populations. E-waste workers who worked "yesterday" did, however, have larger cross-shift declines in FVC [-2.4% (95%CI: -4.04%, -0.81%)] in comparison to those who did not work "yesterday," suggesting a possible role of cumulative exposure. Overall, short-term respiratory-related health effects related to PM exposure among e-waste workers were not seen in this sample. Selection bias due to the "healthy worker" effect, short shift duration, and inability to capture a true "pre-shift" pulmonary function test among workers who live at the worksite may explain results and suggest the need to adapt cross-shift studies for informal settings.

Seasonal variations of potentially toxic elements (PTEs) in drinking water and health risk assessment via Monte Carlo simulation and Sobol sensitivity analysis in southern Iran's largest city

The escalating concern over the presence and health implications of potentially toxic elements (PTEs) in drinking water has underscored the need for rigorous risk assessments. Our study aimed to quantify both the non-carcinogenic and carcinogenic health risks associated with exposure to selected PTEs—namely arsenic (As), chromium (Cr), and cadmium (Cd). Also, we evaluated ingestion and skin contact exposures to risks during summer and winter using metrics such as the hazard quotient (HQ), hazard index (HI), and cancer risk (CR) for children, adult males, and adult females. For all demographic groups and exposure pathways, the HQ values remain below the established safety threshold (HQ < 1). Notably, As consistently had the highest average HI value across children, male adults, and female adults. Seasonal variations were statistically significant (p < 0.05) for As and Cr, but not Cd. During the summer, the average total carcinogenic risks (TCR) from drinking water exposure were 7.61 × 10–6, 8.94 × 10–6, and 1.12 × 10–5 for children, male adults, and female adults, respectively. In the winter, these values were 1.18 × 10–5, 1.40 × 10–5, and 1.75 × 10–5, respectively. The fuzzy C-means clustering analysis provided insights into our dataset's Cr, Cd, and As distribution patterns. Results indicate that As, Cr, and Cd mean concentrations were below the World Health Organization health-based guidelines. The CR values for children and adults from drinking water exposure were slightly above or below the US Environmental Protection Agency’s standards. These findings can inform research and policy-making regarding the risk of PTEs in drinking water and highlight the need to monitor Shiraz water regularly.

Use of physiologically based pharmacokinetic modeling to support development of an acute (24-hour) health-based inhalation guideline for manganese

The toxicokinetics of manganese (Mn) are controlled through homeostasis because Mn is an essential element. However, at elevated doses, Mn is also neurotoxic and has been associated with respiratory, reproductive, and developmental effects. While health-based criteria have been developed for chronic inhalation exposure to ambient Mn, guidelines for short-term (24-h) environmental exposure are also needed. We reviewed US state, federal, and international health-based inhalation toxicity criteria, and conducted a literature search of recent publications. The studies deemed most appropriate to derive a 24-h guideline have a LOAEL of 1500 μg/m3 for inflammatory airway changes and biochemical measures of oxidative stress in the brain following 90 total hours of exposure in monkeys. We applied a cumulative uncertainty factor of 300 to this point of departure, resulting in a 24-h guideline of 5 μg/m3. To address uncertainty regarding potential neurotoxicity, we used a previously published physiologically based pharmacokinetic model for Mn to predict levels of Mn in the brain target tissue (i.e., globus pallidus) for exposure at 5 μg/m3 for two short-term human exposure scenarios. The PBPK model predictions support a short-term guideline of 5 μg/m3 as protective of both respiratory effects and neurotoxicity, including exposures of infants and children.

Derivation and application of indoor air screening values for inhalation exposure to semi-volatile organic compounds

Semi-volatile organic compounds (SVOCs) are being increasingly studied in indoor air. The absence of health-based inhalation exposure guidelines for most SVOCs impedes the interpretation of indoor air concentrations from a health risk context. To accelerate the derivation of screening values for a large number of SVOCs, a tiered framework was developed to evaluate and adjust published hazard assessments for SVOCs to calculate benchmarks relevant for evaluation of inhalation risk. Inhalation screening values were derived for 43 SVOCs considered in this study, most of which required extrapolation from oral exposure guidelines. The screening values were compared to published SVOC concentrations in homes in Canada to evaluate the potential health risks of chronic exposure to SVOCs in indoor residential environments. SVOCs that could be prioritized for further evaluation were dibutyl phthalates (DBP), di(2-ethylhexyl) phthalate (DEHP) and polybrominated diphenyl ethers (PBDEs). The framework could be applied more broadly in the future to derive screening values for other non-traditional indoor air contaminants with limited inhalation hazard data or assessments.

Large-scale biomonitoring of bisphenol analogues and their metabolites in human urine from Guangzhou, China: Implications for health risk assessment

Bisphenol analogues (BPs) are ubiquitous in the environment and have gained significant attention regarding their associated health risks. However, there is a lack of comprehensive biomonitoring data on BPs and their metabolites in human urine. To address this, we conducted a study evaluate the exposure to BPs in the general population of Guangzhou, China. A total of 1440 urine samples were collected from volunteers and analyzed for the presence of BPs and their metabolites after being pooled into 36 groups based on age and gender. The findings revealed the common detection of ten free-form BPs, as well as the urinary metabolites of BPA and BPS, in the pooled urine samples. BPA was the predominant free-form compound, constituting 50% of the total BPs. The primary urinary metabolites of BPA and BPS are BPA-G and BPS-G, respectively, indicating glucuronidation as their primary metabolic pathway. The composition of urinary metabolites of BPA and BPS varied by age and sex, while the concentration of total BPs in urine was not significantly associated with age and sex. Enzymatic hydrolysis yielded a mean amplification of individual BPs concentrations in urine samples ranging from 1.8 times (BPA) to 4.6 times (BPS). Based on the outcomes, it was estimated that conjugated forms accounted for 96.9%, 96.2%, 94.7%, 94.1%, 92.6%, 89.1%, 87.3%, 87.2%, 87.1% and 85.8% of BPP, BPAF, BPZ, BPE, BPAP, BPF, BPA, BPC, BPS and BPF, respectively, in the pooled urine samples. Preliminary risk assessments indicated that the estimated daily intake of BPA was much higher than the latest proposed tolerable daily intake. Due to the unavailability of health-based guideline values for alternative BPs, some of them exhibit daily intakes comparable to BPA, implying that greater attention should be paid to health risks associated with exposure to BPs.

Uranium and lanthanum in Norwegian drinking water – Is there cause for concern?

Due to natural conditions such as geology, topography, and climate, and historical features such as resource utilization, land use, and settlement patterns, the drinking water supply in Norway is separated into many public and private water supply systems. This survey sheds light on whether the Drinking Water Regulation's limit values provide a sufficient basis for ensuring safe drinking water for the Norwegian population. Participating waterworks, both private and public, were spread throughout the country, in 21 municipalities with different geological conditions. The median value for the number of persons supplied by the participating waterworks was 155. The two largest waterworks, both of which supply >10,000 people, have water sources from unconsolidated surficial sediments of latest Quaternary age. Fourteen waterworks have water sources from bedrock aquifers. Raw and treated water were analysed for 64 elements and selected anions. The concentration of manganese, iron, arsenic, aluminium, uranium, and fluoride exceeded the respective drinking water regulations' parametric value given in Directive (EU) 2020/2184. Regarding the rare earth elements, neither WHO, EU, USA nor Canada have established any limit values. However, concentration of lanthanum in groundwater from a sedimentary well exceeded the health-based guideline value that applies in Australia. Results from this study raise the question of whether increased precipitation can have an impact on the mobility and concentration of uranium in groundwater from bedrock aquifers. Furthermore, findings of high levels of lanthanum in groundwater create uncertainty as to whether the current quality control of Norwegian drinking water is sufficient.

Small Community Water Systems Have the Highest Prevalence of Mn in Drinking Water in California, USA.

Manganese (Mn) is currently regulated as a secondary contaminant in California, USA; however, recent revisions of the World Health Organization drinking water guidelines have increased regulatory attention of Mn in drinking water due to increasing reports of neurotoxic effects in infants and children. In this study, Mn concentrations reported to California's Safe Drinking Water Information System were used to estimate the potentially exposed population within California based on system size. We estimate that between 2011 and 2021, over 525,000 users in areas with reported Mn data are potentially exposed to Mn concentrations exceeding the WHO health-based guideline (80 μg L-1), and over 34,000 users are potentially exposed to Mn concentrations exceeding the U.S. Environmental Protection Agency health-advisory limit (300 μg L-1). Water treatment significantly decreased Mn concentrations compared to intake concentrations for all system sizes. However, smaller water systems have a wider range and a higher skew of Mn concentrations in finished water than larger systems. Additionally, higher Mn concentrations were found in systems above the maximum contaminant levels for chromium and arsenic. The treatment of these primary contaminants appears to also remove Mn. Lastly, data missingness remains a barrier to accurately assess public exposure to Mn in very small, small, and medium community water system-delivered water.

The impact of COVID-19 public health restrictions on particulate matter pollution measured by a validated low-cost sensor network in Oxford, UK

Emergency responses to the COVID-19 pandemic led to major changes in travel behaviours and economic activities with arising impacts upon urban air quality. To date, these air quality changes associated with lockdown measures have typically been assessed using limited city-level regulatory monitoring data, however, low-cost air quality sensors provide capabilities to assess changes across multiple locations at higher spatial-temporal resolution, thereby generating insights relevant for future air quality interventions. The aim of this study was to utilise high-spatial resolution air quality information utilising data arising from a validated (using a random forest field calibration) network of 15 low-cost air quality sensors within Oxford, UK to monitor the impacts of multiple COVID-19 public heath restrictions upon particulate matter concentrations (PM10, PM2.5) from January 2020 to September 2021. Measurements of PM10 and PM2.5 particle size fractions both within and between site locations are compared to a pre-pandemic related public health restrictions baseline. While average peak concentrations of PM10 and PM2.5 were reduced by 9–10 μg/m3 below typical peak levels experienced in recent years, mean daily PM10 and PM2.5 concentrations were only ∼1 μg/m3 lower and there was marked temporal (as restrictions were added and removed) and spatial variability (across the 15-sensor network) in these observations. Across the 15-sensor network we observed a small local impact from traffic related emission sources upon particle concentrations near traffic-oriented sensors with higher average and peak concentrations as well as greater dynamic range, compared to more intermediate and background orientated sensor locations. The greater dynamic range in concentrations is indicative of exposure to more variable emission sources, such as road transport emissions. Our findings highlight the great potential for low-cost sensor technology to identify highly localised changes in pollutant concentrations as a consequence of changes in behaviour (in this case influenced by COVID-19 restrictions), generating insights into non-traffic contributions to PM emissions in this setting. It is evident that additional non-traffic related measures would be required in Oxford to reduce the PM10 and PM2.5 levels to within WHO health-based guidelines and to achieve compliance with PM2.5 targets developed under the Environment Act 2021.

Manganese relative oral bioavailability in electric arc furnace steel slag is influenced by high iron content and low bioaccessibility

Electric arc furnace (EAF) slag is a rock-like aggregate produced with carbon steel and used for construction, including residential ground cover. It is enriched with manganese (Mn) and other metals, including iron (Fe), but because metals are bound in mineral matrices, in vitro bioaccessibility (BA) is limited. We conducted a relative bioavailability (RBA) study using F344 rats to assess Mn RBA from EAF slag ingestion, compared with Mn in diet. Mn and Fe were measured in liver, and Mn in lung and striatum, the target tissue of the brain. Mn levels in each tissue were fit by dose-to-tissue concentration (D-TC) curves. The D-TC relationship was the most highly significant for the linear model using liver Mn, and the RBA was 48%. The D-TC relationship in lung showed a positive slope for chow, but that for EAF slag was slightly negative, and the RBA was 14%. In comparison, the striatum D-TC remained relatively constant, supporting that homeostasis was maintained. Increased Fe was observed in the liver of EAF slag-dosed groups, suggesting that Mn absorption was inhibited by the high Fe content of slag. Lung and striatum D-TC curves demonstrated that systemic delivery of Mn from EAF slag ingestion is limited and support an RBA of 14% for risk assessment. Although Mn levels in slag are elevated compared with health-based screening guidelines, this study supports that incidental ingestion of Mn in EAF slag is unlikely to pose a neurotoxicity hazard due to homeostatic controls, low BA, and high Fe content.

Health impact assessment of road traffic noise exposure based on different densification scenarios in Malmö, Sweden

While urbanization provides many opportunities to those arriving in thriving urban areas, a greater number of residents necessitates the expansion of housing and infrastructure. This is often achieved through densification, which can lead to increased noise, particularly through increased road traffic. A key challenge of promoting healthy urban planning is to understand potential health effects, especially on the local level. The aim of the present study is, therefore, to estimate and compare the health impacts of road traffic noise exposure for various urban densification scenarios within a neighborhood (Lorensborg) in Malmö, Sweden. The three scenarios include 1) Present-day, representing the study area as it is presently organized; 2) Planned municipal strategy (the city of Malmö’s own densification plans) and 3) Health-centred, which involves major structural alterations and reflects an effort prioritize a health-centred approach. Noise was modelled using the Nordic prediction method for road traffic. Health outcomes included noise annoyance, adverse sleep disturbance, ischemic heart disease (IHD) incidence and mortality. Within all scenarios, a large proportion of the study population was exposed above the WHO’s health-based guideline value (Lden 53 dB): >80% for Present-day and Planned municipal strategy scenarios, and almost 50% in the Health-centred scenario. Still, densifying Lorensborg (population ≈9,600) according to the Health-centred scenario could prevent 549 cases of highly annoyed, 193 cases of adverse sleep disturbance, 4.7 new cases of IHD (8.9% of total cases), and 1.5 deaths due to IHD (17.8% of IHD mortality) annually. The results demonstrated that it is possible to considerably lower the health impact with a more health-centred densification strategy. Important co-benefits for public and environmental health include air pollution reduction and green space creation, although their health effects were not quantified in the present study. Urban planning initiatives must be more ambitious in order to create healthy, sustainable cities.

Spatio-temporal trends in livestock exposure to per- and polyfluoroalkyl substances (PFAS) inform risk assessment and management measures

The migration of per- and polyfluoroalkyl substances (PFAS) onto agricultural properties has resulted in the accumulation of PFAS in livestock. The environmental determinants of PFAS accumulation in livestock from the grazing environment are poorly understood, resulting in limited capacity to manage livestock exposure and subsequent transfer of PFAS through the food chain. Analytical- (n = 978 samples of soil, water, pasture, and serum matrices), farm management/practice- and livestock physiology data were collated and interrogated from environmental PFAS investigations across ten farms, from four agro-ecological regions of Victoria (Australia). Statistical analysis identified perfluorooctane sulfonate (PFOS) and perfluorohexane sulfonate (PFHxS) as key analytes of concern for livestock bioaccumulation. PFOS and PFHxS concentrations in livestock drinking water were positively correlated with serum concentrations while other intake pathways (pasture and soil) had weaker correlations. Seasonal trends in PFAS body burden (serum concentrations) were identified and suggested to be linked to seasonal grazing behaviours and physiological water requirements. The data showed for the first time that livestock exposure to PFAS is dynamic and with relatively short elimination half-lives, there is opportunity for exposure management. Meat from cattle, grazed on PFAS impacted sites, may exceed health-based guideline values for PFAS, especially for markets with low limits (like the European Commission Maximum Limits or EC MLs). This study found that sites with mean livestock drinking water concentrations as low as 0.003 μg PFOS/L may exceed the EC ML for PFOS in cattle meat. Risk assessment can be used to prioritise site cleanup and development of management plans to reduce PFAS body burden by considering timing of stock rotation and/or supplementation of primary exposure sources.

Cluster and multivariate analysis to study the diffuse contamination of emerging per- and polyfluoroalkyl substances (PFAS) in the Veneto Region plain (North-eastern Italy)

In recent years, per- and polyfluoroalkyl substances (PFAS) have emerged as major pollutants of concern. This study considered a real case of superficial and groundwater contamination caused by a set of 15 persistent, carcinogenic, and bioaccumulative compounds. The study area is the Veneto Region floodplain in Italy, where a huge contamination mainly caused by a persistent spill-over from a former chemical factory was discovered in 2013. The contamination path studied in 2013 followed mainly two directions: the first towards east, to the city of Vicenza, and the second following the course of Chiampo and Agno streams, southwards.To identify the major patterns of contamination, a Factor Analysis (PCA) in conjunction with a Cluster Analysis (CA) was performed. The reviewed dataset is composed by PFAS concentration values collected from 2013 to 2021 in groundwater, superficial waters, in natural sources, and in proximity to three industrial discharges, throughout a 3600 km2 area. The CA results were cross-referenced with the water table interpolation, yielding a match between the groundwater flow directions and the observed patterns of the two main plumes. The persistence of pollutants was finally investigated by analyzing distances between the former chemical factory, an industrial wastewater collector which lies along Chiampo and Agno valleys that host residential and industrial areas, and the other sampling points collected in the dataset. The findings confirmed the importance of assessing anthropic background levels of contamination and highlighted the necessity to include the PFAS issue in a national health-based drinking water quality guideline.

Simultaneous determination of hexabromocyclododecanes, polybrominated diphenyl ethers, and dechlorane-related compounds in boxed sushi meals using a developed analytical method

We investigated the concentrations of halogenated flame retardants (HFRs), which include hexabromocyclododecanes (HBCDDs), polybrominated diphenyl ethers (PBDEs), and dechloranes and related compounds (DRCs), in 25 typical ready-made boxed sushi meals (each divided into seafood and non-seafood portions) using a developed simultaneous analytical method involving accelerated solvent extraction and gel permeation chromatographic separation. The developed method yielded good recoveries of surrogates (72–122 %). HBCDDs, PBDEs, and DRCs were detected in all seafood portions. While DRCs were also frequently detected in non-seafood portions, HBCDDs and PBDEs were hardly detected. The estimated dietary intakes of HBCDDs, PBDEs, and DRCs from boxed sushi meals were well below the corresponding health-based guideline values. In conclusion, our study suggests that the intake of HFRs from boxed sushi meals poses low concern for consumer health and that the developed simultaneous analytical method is highly useful for determining HFRs in seafood-based meals.

Manganese (Mn) in Drinking Water From Gravity Feed System: A Literature Review

Manganese (Mn) is an element of metals that exists in a huge number of metals in the Earth’s crust. Mn is not naturally found in its pure form; instead, it is usually forming a compound with iron. Mn is an important element that has a function in both animals and humans [1]. Mn is commonly used in the manufacture and as an ingredient in several products such as batteries, glass and fireworks. Besides, Mn compounds are also present in surface waters in dissolved and suspended forms [2]. Besides ores and rocks, Mn can also be found in groundwater and surface water due to reducing conditions in soils and rocks that contain Mn, which may erode and turn it into a soluble form that then enters the water naturally [3]. Thus, high levels of Mn are found in groundwater and some lakes as well as reservoirs due to these conditions. Mn can also be present in water in the environment through human activities such as mining and landfill leaching near the water [4]. Health Canada stated the prevalence of Mn in ground waters is higher than that of surface waters [5].&#x0D; &#x0D; Inhalation and ingestion are the main routes of exposure, with inhalation mostly happening in workers due to occupational factors, and those who consume food or drinking water that contains high amounts of Mn are exposed through ingestion [4]. However, Mn is easily absorbed into the body when consumed with drinking water as compared to ingestion with food. Mn levels in drinking water should not be more than 0.1 mg/L, based on the Drinking Water Quality Standard [6]. Many enzymes including manganese superoxide dismutase arginase and pyruvate carboxylase require Mn as a cofactor; while in combination with vitamin K, Mn can aid in blood coagulation and hemostasis [7]. In addition, Mn is involved in the metabolism of amino acids, cholesterol, glucose and carbohydrates as well as bone formation, reproduction and immune response [8]. However, problems with memory, attention and motor skills exist when children and adults alike consume high levels of Mn for extended durations including consumption of drinking water [9]. There are no strong studies that show the results of the health effects of Mn in drinking water for adults. However, many studies have shown evidence of adverse health effects of Mn exposure on children especially in term of neurobehavioral effect.&#x0D; &#x0D; A review was conducted on the literature on Mn exposure from drinking water, concentrating on the World Health Organization's health-based Mn guideline value [10]. There is no study that has determined a lethal threshold of Mn for children and newborns, although data suggest that youngsters are more susceptible to poisoning than adults. Another study reported the association between Mn and arsenic exposure in drinking water among academic achievement of children in Bangladesh. It showed a significant association between water containing more than 400µg/L and decreased mathematical scores observed after adjusting the confounders [8]. There is a significant decrease in IQ scores of children that were exposed to higher levels of Mn from the earlier study [11]. Changes in the neurotransmitter system were shown to vary with the period of exposure during Mn intoxication in mice exposed to manganese chloride (MnCl2) through lactation and drinking water containing 3 mg/L Mn for 180 days, and male rats given 1000 mg/L water for 360 days. The studies also showed that Mn exposure increased the levels of dopamine, norepinephrine and tyrosine in the corpus striatum [5].&#x0D; &#x0D; The gravity feed system (GFS) is a downstream distribution system that is powered by gravity to supply water to households without the need to use electricity [12]. It is commonly used by populations living in hilly areas. These include the Orang Asli communities which usually live in areas which cannot be supplied with centralized water supply system. GFS is suitable in areas with a continuous supply of spring water. In Malaysia, gravity feed system is a type of water delivery system that includes a secure catchment area, a weir or sluice, and a piped water supply network (Figure 1). Since the majority of the systems generate untreated but healthy water, rural residents are recommended to boil the water [13].

Naturally occurring metals in unregulated domestic wells in Nevada, USA

The dominant source of drinking water in rural Nevada, United States, is privately-owned domestic wells. Because the water from these wells is unregulated with respect to government guidelines, it is the owner's responsibility to test their groundwater for heavy metals and other contaminants. Arsenic, lead, cadmium, and uranium have been previously measured at concentrations above Environmental Protection Agency (EPA) guidelines in Nevada groundwater. This is a public health concern because elevated levels of these metals are known to have negative health effects.We recruited individuals through a population health study, the Healthy Nevada Project, to submit drinking water samples from domestic wells for testing. Water samples were returned from 174 households with private wells. We found 22 % had arsenic concentrations exceeding the EPA maximum contaminant level (MCL) of 10 μg/L. Additionally, federal, state, or health-based guidelines were exceeded for 8 % of the households for uranium and iron, 6 % for lithium and manganese, 4 % for molybdenum, and 1 % for lead. The maximum observed concentrations of arsenic, uranium, and lead were ∼80, ∼5, and ∼1.5 times the EPA guideline values, respectively. 41 % of households had a treatment system and submitted both pre- and post-treatment water samples from their well. The household treatments were shown to reduce metal concentrations, but concentrations above guideline values were still observed. Many treatment systems cannot reduce the concentration below guideline values because of water chemistry, treatment failure, or improper treatment techniques. These results show the pressing need for continued education and outreach on regular testing of domestic well waters, proper treatment types, and health effects of metal contamination. These findings are potentially applicable to other arid areas where groundwater contamination of naturally occurring heavy metals occurs.

Characteristics of particle-bound polycyclic aromatic hydrocarbons (PAHs) in indoor PM2.5 of households in the Southwest part of Ulaanbaatar capital, Mongolia

Air pollution, including PM2.5 concentration in Ulaanbaatar (capital of Mongolia) is a serious matter of concern. As the majority of households use coal in large areas of the city, indoor air quality is also posing a serious risk to human health. This study investigated the concentration of polycyclic aromatic compounds (PAHs) in indoor particulate matter (PM2.5) in 10 non-smoker households. Sampling was conducted in winter of 2018, between 27 January and 09 February. Concentrations of PM2.5 in the indoor air of households ranged between 62.8 and 324.8 µg m−3. Total concentration of PAHs also varied in a relatively wide range, between 46.2 and 175.7 ng m−3. Five-ring PAHs represented a considerably high fraction of total PAHs between 25 and 53%, benzo[b]fluoranthene (BbF) and benzo[a]pyrene (BaP) were the two predominant compounds within five-ring PAHs. Significant correlation was found between indoor and outdoor particulate matter levels in wintertime. Considering individual characteristic PAHs, heavier PAHs homologues (4- to 5-ring and 6-ring PAHs) were detected in all households, which suggested the influence of coal combustion and traffic exhaust. Health risk of children attributed to PAHs inhalation was assessed by taking into account the lifetime-average daily dose (LADD) and corresponding lifetime cancer risk. Lifetime average daily dose for children in only one household were slightly higher than health-based guideline level (1.0 × 10−5), defined by WHO, whereas LADD for adults and children of other households were within acceptable limit. The cancer risks from the exposure of children to air pollutants in all households except HH-3 were found high. In the Vibrio fischeri bioluminescence inhibition assay, according to the toxic unit (TU) values of indoor PM2.5 from ten households, all samples were classified as toxic.