Health Risk Assessment Method Research Articles

A Monitoring System for Air Quality and Soil Environment in Mining Areas Based on the Internet of Things

In order to solve the intensifying problem of heavy metal pollution of soil in mining areas, a method for monitoring air quality and soil environment in mining areas based on the Internet of Things is proposed. Using meta-analysis method and health risk assessment method, the impact of mining on soil heavy metal content in Southwest China was quantitatively analyzed, and the relationship between soil heavy metal value and its potential influencing factors was discussed, as well as the heavy metal pollution, ecological risk, and health caused by soil mining activities. Risks were assessed. The results showed that artificial and oral intake were the main modes of soil heavy metal exposure, with the highest daily intakes for noncarcinogenic risk children and the highest daily intakes for carcinogenic risk adult females. The noncarcinogenic risk (HQ>1) of soil As and Pb exposure to children was 3.74 and 1.44, respectively. The carcinogenic risk values of As, Cd, Cr, and Ni in soil were all higher than 10-6, indicating that the carcinogenic risk was within the tolerance range of human body. Children were exposed to the combined noncarcinogenic risk ( HI = 3.83 ), and the risk values of the three types of recipients were 1.19 × 10 − 4 , 1.21 × 10 − 4 , and 1.06 × 10 − 4 , respectively. The correlation between heavy metal content and environmental factors was obtained. It is verified that the system in this paper can effectively monitor the meteorological environment and soil environment, and at the same time, it reveals the pollution law of heavy metals in the soil of the mining area, which provides supporting conditions for future mining and heavy metal pollution management.

Heavy Metal Pollution and Health Risk Assessment of Mine Soil in Yangtze River Economic Belt

The study of heavy metal pollution in mine soil of the Yangtze River Economic Belt is important for promoting the ecological restoration of mines and the construction of green mines in the Yangtze River Economic Belt. For this study, we collected the relevant research on the pollution of heavy metals in the mine soil of the Yangtze River Economic Belt from 2006 to 2020 and studied the pollution status, distribution law, and health risk of heavy metals by using the land accumulation index method, Kriging interpolation method, and health risk assessment method. The results showed that the average contents of Pb, Cd, Cr, Hg, As, Zn, Ni, and Cu in mine soil far exceeded the background value in China, and the accumulation degree of Cd and Hg was significant. The pollution evaluation results showed that the pollution degree of the eight heavy metals was Cd>Hg>Pb>Zn>Cu>As>Ni>Cr, the pollution degree of Cd and Hg was the highest, and more than 60% of the sample points were at medium pollution. The pollution evaluation showed that the soil pollution of tin and lead-zinc mines was more prominent than that of other minerals. The health risk assessment indicated that oral intake was the main intake route for non-carcinogenic and carcinogenic risks, the total non-carcinogenic and carcinogenic risk index was within the unacceptable range, and the non-carcinogenic and carcinogenic risk of mine soil in the middle and upper reaches of the Yangtze River Economic Belt was significantly higher than that in the lower reaches.

Species, tissue and gender-related metal and element accumulation in fish species in a large reservoir (Turkey) and health risks and nutritional benefits for consumers

Concentrations of 18 metals and elements (MEs) in the gills, skin, muscle and liver of Carasobarbus luteus and Cyprinus carpio from the Atatürk Reservoir in Turkey were investigated. The results revealed that variations in the ME contents between fish species can be attributed to different diets. The highest contents of most MEs were recorded in the gills. Gender had no significant effect on the contents of most MEs in the tissues of fish species investigated. The relations between MEs in tissues and fish size were not clear and consistent. Health risk assessment methods indicated that consumption of the studied fish species is safe. It was estimated that daily consumption of 140 g of C. carpio or 170 g of C. luteus would not be expected to cause any health risks. Furthermore, it was found that fish species would provide significant benefits in terms of intake of essential MEs.

Levels of metals and elements in tissues of fish species in the Kızılırmak River (Turkey) and assessment of health risks and nutritional benefits

Although the Kızılırmak River, the longest river in Turkey, is home to many fish species, there are a few studies reporting metal levels in fish in the river. The contents of 17 metals and elements (MEs) in various tissues of three fish species and surface water from the river were investigated. Significant differences in the ME levels among tissues were recorded, and the highest levels of most MEs were recorded in the gills and liver. The results revealed that correlations between MEs in tissues and fish size were not clear and consistent. Among the MEs, P (6058–109489) and Zn (933–47556) had the highest bioconcentration factor values. The levels of As and Cd in the river water exceeded water quality criteria. Health risk assessment methods (Target Hazard Quotient, Estimated Daily Intake and Lifetime Carcinogenic Risk) indicated that consumption of the studied fish species is safe. It was estimated that a weekly consumption of 490 g of C. gibelio, or 350 g of C. carpio or 280 g of T. tinca would not cause any health risks. Furthermore, it was found that fish species would provide significant benefits in terms of intake of nutrients such as P, K, Ca, Mg, Cu, Zn, Fe and Mn. These findings revealed that nutritional benefits from consumption of fish species outweigh the health risks posed by metals in fish.

Development of a Comprehensive Approach to Assessing the Content of Elemental Contaminants in Native Herbal Medicinal Products, Using Pumpkin Seeds as a Case Study

Native herbal medicinal products (NHMPs) are medicinal products derived from plant raw materials. NHMPs are characterised by a complete transfer of contaminants from raw materials to finished products and comparability of therapeutic doses to daily consumption of many foods. The aim of the study was to develop an approach to assessing the content of elemental contaminants in NHMPs, based on public health risk assessment methods, and exemplify its use by applying it to pumpkin seeds. Materials and methods : the study analysed national and international regulatory documents governing the control of elemental contaminants in medicinal products and food, as well as literature on the ability of pumpkin seeds to accumulate such contaminants. In order to determine permitted concentrations, hazard quotients and cancer slope factors, the authors used internationally accepted risk assessment criteria. Results : the study identified the elemental contaminants to be controlled during risk assessment of NHMPs (i.e., As, Cd, Co, Cr, Pb, Hg, Ni, and V). The authors calculated permitted concentrations of the elements for a therapeutic dose of pumpkin seeds; hazard quotients for the essential (Co, Cr, Cu, Fe, Mn, Mo, Se, Zn), probably essential (As, Ni, V) and toxic (Al, Cd, Hg, Pb, Sr, Tl) elements consumed with the dose; and individual cancer risks associated with As, Cd, Cr, Pb. Conclusions : the total health impact of the studied elements in a therapeutic dose of pumpkin seeds is permissible, and there is no risk of non-carcinogenic effects. The content of each carcinogenic element in pumpkin seeds corresponds to the acceptable level of maximum individual cancer risk. These risk levels are to be controlled at all times. The results of this study may support the development of a compendial monograph on pumpkin seeds.

Environmental health risk assessment of sulfur dioxide (SO2) at workers around in combined cycle power plant (CCPP)

State electricity company is an Indonesian government-owned corporation with a monopoly on Indonesia's electricity distribution. Sulfur dioxide (SO2) pollution is produced by burning fossil fuels with coal and oil-fired power plants. At the combined cycle power plant (CCPP), the state electricity company has the largest role in SO2 production. In addition, SO2 can cause respiratory tract dysfunction, decreased lung function, eye irritation, throat irritation, and coughing at certain concentrations. This study aims to assess the magnitude of SO2 exposure to workers health at CCPP Indralaya unit, Indonesia. The research is a quantitative study using the environmental health risk assessment (EHRA) method. Purposive sampling was used to obtain 32 respondents. The results revealed that the average SO2 concentration was 0.085 mg/m3. The non-carcinogenic intake was 0.0025 mg/kg/day for real-time exposure and 0.0069 mg/kg/day for lifetime exposure. The Risk Quotient (RQ) for real-time exposure obtained is 0.0959, and RQ for lifetime exposure is 0.2668, indicating an RQ = 1. The study concluded that the CCPP Indralaya unit is not at-risk cause non-carcinogenic due to SO2 exposure. Regardless, precautions must ensure that workers' exposure to SO2 or other emissions gases produced by CCPP activities does not endanger their health.

Application of three risk assessment methods to noise risk assessment in an automobile foundry enterprise

Objective: To explore the applicability of three different kinds of noise occupational health risk assessment methods to the occupational health risk assessment of noise exposed positions in an automobile foundry enterprise. Methods: In July 2020, the occupational-health risk assessment of noise-exposed positions was conducted by using the Guidelines for risk management of occupational noise hazard (guideline method) , the International Commission on Mining and Metals Guidelines for Occupational Health Risk Assessment (ICMM) method and the Occupational-health risk index method (index method) respectively, and the results were analyzed and compared. Results: Through the occupational health field investigation, the noise exposure level of the enterprise's main workstations was between 80.3 and 94.8 dB (A) , among which the noise of the posts of shaking-sand, cleaning and modeling was greater than 85 dB (A) ; The noise risk of each position was evaluated by the three methods, and the adjustment risk level was between 2 and 5 assessed using the guideline method, between 2 and 3 assessed using the index method, and 5 evaluated using the ICMM model. Conclusion: Each of the three risk assessment methods has its own advantages and disadvantages. The ICMM model has a large difference in value assignment, and values in the results are larger than expected. The evaluation results of the guideline method and the index method are consistent in some positions, there is certain subjectivity in the evaluation using the index method, and the guideline method is more objective.

Environmental monitoring and potential health risk assessment from Pymetrozine exposure among communities in typical rice-growing areas of China.

Pymetrozine is one of the most commonly used insecticides in China. This study was conducted to analyse Pymetrozine's potential exposures through various environmental routes beyond the treatment areas. The aim was to estimate the potential health risk for communities due to non-dietary exposures to Pymetrozine in soil and paddy water. Data on registration of pesticides in China, government reports, questionnaires, interviews and literature reviews as well as toxicological health investigations were evaluated to determine the hazard and dose-response characteristics of Pymetrozine. These were based on the US EPA exposure and human health risk assessment methods and exposure data from soil and paddy water samples collected between 10 and 20m around the resident's location. The exposure doses from dermal contact through soil and paddy water were estimated. The potential cancer risk from the following exposure routes was evaluated: ingestion through soil; dermal contact exposure through soil; dermal contact exposure through paddy water. The potential total cancer risk for residents was estimated to be less than 1 × 10-6. These were relatively low and within the acceptable risk levels. The potential hazard quotient (HQ) from acute and lifetime exposure by dermal contact through paddy water and soil and acute and lifetime exposure by soil ingestion for residents was less than 1, indicating an acceptable risk level. This study suggested that there were negligible cancer risk and non-cancer risks based on ingestion and dermal contact routes of exposure to residents.

Priority Soil Pollution Management of Contaminated Site Based on Human Health Risk Assessment: A Case Study in Southwest China

The human risk assessment model can serve as a tool for regional contaminated site comprehensive management. However, site-specific risk assessment is still seldom applied in China as a basis for making decisions on risk management actions. In this study, a total of 112 soil samples were collected from ten polluted sites in Southwest China. The human health risk assessment method was used to assess the risk of Cd, As, Cu, Pb, Cr, Zn, and Hg pollution. According to the findings, the average concentrations of As, Zn, and Pb in contaminated sites are substantially higher than those of Cu, Cd, Cr, and Hg. Further studies conclusively showed the soil at contaminated site in its present condition pose risk to human health to potential future receptors. The main contribution of non-cancer and cancer risks was through incidental soil and dust ingestion. The priority control site remediation order is Region VI > Region V > Region IV > Region III > Region VII > Region X > Region IX > Region VIII > Region I > Region II. Finally, management recommendations are made, including reducing pollutant intake, implementing a stringent monitoring scheme, utilizing bioremediation, and strengthening the implementation of relevant laws. This study provides a case for the comprehensive evaluation of soil pollution at contaminated sites in China.

Ecological and Health Risk Assessments Based on the Total Amount and Speciation of Heavy Metals in Soils Around Mining Areas

Topsoil and supporting crop samples around a mining area were collected in Longyan City, and the total amounts and speciation of Pb, Cd, and As in the samples were determined. The ecological risk and human health risk assessment of soil heavy metals Pb, Cd, and As were carried out using the Hakanson potential ecological risk assessment method, the ecological risk classification method based on the principle of geochemical statistics, and the health risk assessment method in accordance with the characteristics of human exposure parameters in China. The results indicated that the heavy metal elements in the soil in the study area exceeded the environmental quality standards for Pb and Cd, and the heavy metal contents in cereal grains exceeded the food limit value mainly for Pb. The proportion of the four bioavailable forms except the residue state followed the order of Pb>Cd>As. The ecological risk assessment results based on the total amount of heavy metals and bioavailable forms showed that Cd was the most important ecological risk factor. The single potential ecological risk of Cd and the comprehensive ecological risk of Pb, Cd, and As in the soil based on bioavailable forms were significantly reduced compared with that based on the total amount. The proportion of medium and superior samples decreased from 100% and 50.0% to 17.2% and 7.81%, respectively, and the divided risk zone basically contained all the warning points of exceeding the standard of crops. Oral ingestion was the main carcinogenic and non-carcinogenic exposure route of heavy metals. In terms of carcinogenic risk, the risk of human carcinogenic health exposure to Cd and As was within the acceptable range, regardless of whether bioavailability was considered. Among the non-carcinogenic risks, the non-carcinogenic risk of the heavy metal Cd was negligible. When only the total amount of heavy metals was considered, the non-carcinogenic risk index of Pb and As under the three exposure pathways ranged from 0.14 to 8.65 and from 0.04 to 2.85, respectively. After considering the adjustment of bioavailability, the non-carcinogenic risk of As was greatly reduced and could be considered to no longer have non-carcinogenic risk. Although the non-carcinogenic exposure risk index of Pb was reduced by 84.7%, the maximum value still reached 1.69, which would cause non-carcinogenic harm to the population and was the key to soil remediation in mining areas.

Concentration, Source, and Health Risk Assessment of PM1 Heavy Metals in Typical Pollution Processes in Zhengzhou

Heavy metal elements in particulate matter can cause adverse effects on human health, and the smaller the particle size, the greater the harm. A total of 16 heavy metal elements (Al, Si, K, Ca, V, Cr, Mn, Fe, Ni, Cu, Zn, As, Se, Ba, Pb, and Cd) in PM1 were continuously determined by an online heavy metal observation instrument in Zhengzhou city from January 7 to 25, 2021. The results showed that ρ(K) concentration was the highest during the observation period (0.62 μg·m-3). According to pollutant concentration and meteorological characteristics, the observation period was divided into clean days, dust days, and haze days. The contribution of heavy metal pollution characteristics and health risk assessment in atmospheric PM1 was different under different pollution processes. The US EPA health risk assessment method was used to assess the health risks of heavy metals, and the enrichment factor method and positive matrix factorization (PMF) were used to analyze the sources of heavy metals. The influence of the transmission was evaluated by using the concentration-weighted trajectory (CWT) method and the backward trajectory method. The results show that the enrichment factors of Zn, As, Se, Pb, and Cd were more than 100 under different pollution processes, which were greatly affected by human activities. During the sampling period, the main sources of heavy metals were industrial sources, coal/biomass sources, motor vehicle sources, and dust sources. The results of the health risk assessment were substituted into PMF analysis, and it was found that industrial sources were the main contributing sources of carcinogenic and non-carcinogenic health risks during cleaning days, dust days, and haze days, and the carcinogenic risk of heavy metal elements in PM1 in this region for adults exceeded that for children. CWT and backward trajectory methods revealed that regional transmission was one of the main factors affecting local health risks.

Effects of Agriculture and Animal Husbandry on Heavy Metal Contamination in the Aquatic Environment and Human Health in Huangshui River Basin

Huangshui River (HSR) is the mother river of Qinghai province. Croplands and grasslands cover more than 76% of the total area, and highland agriculture and animal husbandry are the dominant industries. The use of pesticides, fertilizers, and feed additives increases the risk of heavy metal (HM) contamination. In this study, the concentration of HMs in the main stream and tributaries of HSR were investigated. The Positive Matrix Factorization model was used for source apportionment, and Health Risk Assessment method was used to assess the human health risks. To further analyze the effect of agriculture and animal husbandry on aquatic environment and human health, we considered agriculture and animal husbandry as two factors in the source apportionment process, defined the effect of the factors, established the calculation formula, and quantified the effects. The results show that the overall situation of aquatic environment in HSR is good; natural processes, traffic tail gas and atmospheric deposition, agricultural planting, industrial wastewater discharge, and animal husbandry are the main sources of HMs in the water. These HMs present noncarcinogenic and carcinogenic risks for infants. A total effect of agricultural and animal husbandry on HMs or HI in HSRB is approximately 20%, while on TCR is 40%. However, the effects of agriculture on the hazard quotient of arsenic, carcinogenic risk of nickel and lead, and that of animal husbandry on carcinogenic risk of cadmium were significant. This study can provide a theoretical basis for local managers of agriculture and animal husbandry to perform their work effectively.

Trends and Challenges Regarding the Source-Specific Health Risk of PM2.5-Bound Metals in a Chinese Megacity from 2014 to 2020.

Identifying the health risk of PM2.5 is essential for urban air pollution control. In 2013, China announced the ever-strict national Air Pollution Prevention and Control Action Plan, and its health benefit should be evaluated to provide reference for future policymaking. In this study, we conducted a seven-year (2014-2020) continuous observation of PM2.5 in Shenzhen, the third largest city in China, which has relatively good air quality. The results showed that the annual mean PM2.5 and total concentration of 21 associated metals dropped from 37.7 to 18.5 μg/m3 and from 2.4 to 1.1 μg/m3, respectively. Combining methods for source apportionment and health risk assessment, we found that the total carcinogenic risk (CR) of five hazardous metals (Cd, Cr, Ni, Co, and Pb) showed a clear decreasing trend. However, the total CR (1.8 × 10-6) in 2020 still exceeded the widely acceptable risk level (i.e., 1 × 10-6), with the primary contributor changing from industrial emissions (61%) to vehicle emissions (63%). Further analysis indicated that the CR of vehicles mainly came from Cr and Ni released by braking and tire wearing and has fluctuated in recent years, highlighting a great challenge of controlling nonexhaust emissions of vehicles (including electric cars) in the future.

Water quality evolution mechanism modeling and health risk assessment based on stochastic hybrid dynamic systems

Water quality assessment analysis is an important technical means for water pollution prevention and control. In this research area, mechanism models and real observation data of water quality evolution are always used to perform water quality assessment. However, the existing water quality evolution mechanism modeling researches commonly use a single time-invariant model to model the water quality evolution process. It is inappropriate to directly describe the complex behavior of long-term water quality evolution with the existing models, since the evolution process contain different feature states, and the water quality evolution characteristics under these states are different. In addition, the existing water quality assessment methods are mostly methods for directly processing and calculating the observation data of water quality. This makes the existing methods difficult to effectively compensate for the contingency and randomness in the water quality evolution process, which leads to deviations and errors in performing the water quality assessment. Considering these deficiencies, this paper proposes a water quality evolution mechanism modeling and health risk assessment method based on stochastic hybrid dynamic systems (SHDS). Firstly, a hybrid water quality evolution mechanism (H-WQEM) model is established based on SHDS, and a hybrid improved fruit fly optimization algorithm (H-IFFOA) is proposed to identify the unknown parameters of the H-WQEM model. Then, an improved interacting multiple model extended Kalman filter algorithm (IIMM-EKF) is employed to estimate the probability distribution of the hybrid state of the H-WQEM model, including the probability distribution of different feature states of water bodies and the probability distribution of water quality indexes under these states. Finally, the health degree of water quality is proposed as an indicator to achieve a quantitative assessment of the water health risk status. Real observation data from a monitoring station at Baiyangwan in China is used to validate the effectiveness of the proposed method. The results show that the method can effectively describe the complex water quality evolution process, and reasonably assess the water quality health risk status.

Health risk assessment of typical metalloid and heavy metals in rural drinking water in Shaanxi Province in 2020

Evaluate the health risks of metalloid and heavy metals in rural drinking water in Shaanxi Province, and provide a scientific basis for ensuring the safety of drinking water for rural residents. In 2020, the rural drinking water in Shaanxi Province were monitored, referring to the "Sanitary Standards for Drinking Water"(GB 5749-2006) for arsenic(As), cadmium(Cd), chromium(Cr~(6+)), lead(Pb), and mercury(Hg) in the water. To evaluate the concentration of five metalloid and heavy metals, the health risk assessment method recommended by United States Environmental Protection Agency was used to evaluate the health risks of adults in rural areas exposed to metalloid and heavy metals through drinking water. In 2020, a total of 6232 water samples were monitored. The concentrations of Cd, Pb and Hg in the water all met the standards, and the compliance rates of As and Cr~(6+) were 99.98% and 98.09%, respectively. The carcinogenic risk level of As was 3.53×10~(-5), and the non-carcinogenic health risk levels of the four heavy metals in descending order were Pb>Cr~(6+)>Cd>Hg, and the total risk level was 0.105. The concentration level of As and the distribution of health risk levels were all in northern Shaanxi>Guanzhong region>southern Shaanxi(P<0.05). The concentration level and health risk level distribution of As and Cr~(6+) were all groundwater>surface water(P<0.05), and the concentration level and health risk level distribution of Cd, Pb and Hg were all surface water>groundwater(P<0.05). There was a potential health risk of As exposure in rural drinking water in Shaanxi Province in 2020. The non-carcinogenic health risks of four heavy metals intake of Cd, Hg, Pb and Cr~(6+) through drinking water were still at an acceptable level. The control of arsenic pollution in drinking water should be further strengthened to ensure drinking water safety.

Identification source and human health risk assessment of potentially toxic metal in soil samples around karst watershed of Pangkajene, Indonesia

This study focuses on the health risks caused by potentially toxic metal (Cd, Cr, Hg, Ni, and Pb) contamination in soil. Principal component analysis (PCA) and hierarchical cluster analysis (HCA) were used to identify the source of heavy metal. While non-carcinogenic and carcinogenic risks were determined using deterministic (USEPA’s human health risk assessment methods) and probabilistic methods (Monte Carlo Simulation model), respectively. The mean concentration of heavy metal increased in the order of Cd < Ni < Pb < Hg < Cr. PCA, HCA, and spatial distribution demonstrated that Pb and Ni may be derived from anthropogenic activities, whereas Cr and Hg were mostly derived from natural sources. Adults and children were relatively safe from non-carcinogenic risk except for children living near mining and cement factories (THI > 1). The total average cancer risk of adults and children was 2E-03 and 7E-04, respectively. This indicates that both adults and children were at high risk of developing cancer in the future (TCR > 1E-04). Based on the sensitivity analysis, Cr concentration, exposure frequency, and exposure duration were the most influential factors to cancer risk. Therefore, we must implement integrated risk management, which includes reducing Cr concentration in soil, and educating people to avoid soil contact, and implementing good personal hygiene. The recommended concentration of Cr in the soil was 20 mg/kg.

Trace Metal Lead Exposure in Typical Lip Cosmetics From Electronic Commercial Platform: Investigation, Health Risk Assessment and Blood Lead Level Analysis.

Lead (Pb) in lipstick products has become an increasing concern, which can cause safety problems to human body directly with diet. To investigate the Pb exposure and potential health risk level of typical popular lip cosmetics in Chinese e-commerce market, Python crawler was introduced to identify and select 34 typical popular lip cosmetics, including 12 lipsticks, 13 lip glosses, and 9 lip balms. And then this study used ICP-MS to determine the content of Pb. Furthermore, the ingestion health risk assessment method issued by United States Environmental Protection Agency (USEPA) and Monte Carlo simulation algorithm were applied to assess the probabilistic health risks of adults exposure. Finally, taking the possible exposure of children contacting with lip products, the health risk assessment of children blood Pb was carried out. The results showed that the concentration of Pb in lip products ranged from 0 to 0.5237 mg/kg, which was far lower than the limit set by various countries. The probabilistic non-carcinogenic risks and carcinogenic risks were 4.93 ×10−7~2.82 ×10−3 and 1.68 ×10−12~9.59 ×10−9, respectively, which were in an acceptable level. The results of blood Pb assessment suggested that the Pb content of lip cosmetics had no obvious influence on blood Pb concentration of children, and background Pb exposure is the main factor affecting children's blood Pb level (BLL). Overall, the samples of lip products are selected by Python crawler in this study, which are more objective and representative. This study focuses on deeper study of Pb, especially for the health risk assessment of blood Pb in children exposed to lip products. These results perhaps could provide useful information for the safety cosmetics usage for people in China and even the global world.

Characteristics and Potential Inhalation Exposure Risks of Environmentally Persistent Free Radicals in Atmospheric Particulate Matter and Solid Fuel Combustion Particles in High Lung Cancer Incidence Area, China

Environmentally persistent free radicals (EPFRs) were previously considered an unrecognized composition of air pollutants and might help explain the long-standing medical mystery of why non-smokers develop tobacco-related diseases such as lung cancer. However, there is no investigated on EPFRs in Xuanwei rural areas, especially in high prevalence of lung cancer areas. In this study, we selected six types of coal and three types of biomass in Xuanwei, then conducted simulated combustion, and six group of atmospheric particulate matters (APMs) to explore the content and particle size distribution pattern of EPFRs and a new health risk assessment method to evaluate the risk of EPFRs in PM for adults and children. Our results show that the contribution of EPFRs for biomass combustion, coal combustion and APMs were mainly distributed in the size range of &lt;1.1 μm, which accounted for 76.15 ± 4.14%, 74.85 ± 10.76%, and 75.23 ± 8.18% of PM3.3. The mean g factors and ΔHp-p indicated that the EPFRs were mainly oxygen-centered radicals in PM in Xuanwei. The results suggest that the health risk of EPFRs is significantly increased when the particle size distribution of EPFRs is taken into account, and coal combustion particulate matter (174.70 ± 37.86 cigarettes for an adult, 66.39 ± 14.39 cigarettes per person per year for a child) is more hazardous to humans than biomass combustion particulate matter (69.41 ± 4.83 cigarettes for an adult, 26.37 ± 1.84 cigarettes per person per year for), followed by APMs (102.88 ± 39.99 cigarettes for an adult, 39.10 ±15.20 cigarettes per person per year for) in PM3.3. Our results provides a new perspective and evidence for revealing the reason for the high incidence of lung cancer in Xuanwei, China.

Healthcare waste management processes and transition towards a circular economy

Abstract The new Waste Directive 2018/851/EU strengthens the role of waste prevention and emphasizes recycling to facilitate the transition to a circular economy. So far, it has not been legislatively necessary for the Czech Republic to look at waste from a broader perspective, especially in healthcare, where the waste management is perceived as a separate process suitable for outsourcing. With the new directive and the transition to a circular economy, the waste management process becomes part of strategic management processes. These processes are partially systematically covered by the standards of the environmental management system, used mainly in the industrial sector. The optimal solution is a reassessment of the entire waste management of the medical facility and the inclusion of the principle of waste prevention in the decision to purchase a product or service. The necessary condition for the successful implementation of the circular economy is to minimize negative impacts on health and the environment while maintaining the economic sustainability of such a solution. Setting up generally sustainable management of medical facilities thus goes beyond current clinical practice. The health technology assessment model provides several domains that complement life cycle analysis and health impact assessment, including a health risk assessment method. The outputs of the above analyzes and evaluations cover the maximum scope of public interest in healthcare. A practical approach is developing a system of methodologies based on the methods mentioned above, which respect the whole chain of strategic processes of healthcare facilities and involve maximum stakeholders in the evaluation process. We test the approach on a pilot facility in the project SS01010276 ‘Sustainable healthcare waste management: economically feasible minimization of impacts on health and environment' supported by the Technology Agency of the Czech Republic within the Environment for Life Program. Key messages The approach aims to add value to traditional waste management approaches and integrate the long-term interests of key stakeholders using the overlapping outcomes of respective assessments. A sustainable approach to healthcare waste management must be developed with the involvement of all key stakeholders and concerning their interests within their position in the assessment process.

Source identification and groundwater health risk assessment of PTEs in the stormwater runoff in an abandoned mining area.

Xikuangshan antimony mine in Lengshuijiang, China, has been developed for many years, and stormwater runoff contains high levels of potentially toxic elements (PTEs). The aims were to find the sources of PTEs by statistical analysis and local spatial distribution of industrial activity and simulate transport process of PTEs in the soil to evaluate pollution extent and health risk. The PTEs in this study were antimony, cadmium, zinc, nickel, lead, and copper. The result showed antimony and a minor portion of zinc were derived from the antimony processing activities, copper derived from agricultural activities, and most of the zinc came from the zinc industry. Nickel, lead, and cadmium came from a mixed source of atmospheric transportation, vehicle transport, and other local industrial activities. Besides, antimony was the most hazardous element in this mining area. In the fourth year, the groundwater in the whole area was uncontaminated by antimony, and there was no non-carcinogenic health risk. Except for the southern area of Lianxi River and the area enclosed by South mine, Zhumushan village, and Tailing Dam, there was a non-carcinogenic risk at year 5.4. These sources of PTEs found in the stormwater runoff are useful for locals to control of PTEs pollution. And the health risk assessment method helps evaluate the risk of PTEs caused by stormwater runoff.