Pollution Risk Research Articles

Assessment of the water quality pollution index and ecological risk of microplastic pollution along the Tambakoso River in Surabaya, Indonesia

Increasing human activities and improper waste disposal will cause microplastic pollution in surface water. This study analyzed the abundance and characteristics of microplastics, pollution index based on water quality and its relationship with microplastic pollution, and the potential ecological risk of microplastics along the Tambakoso River which is influenced by various land uses of housing, industry, agriculture, and ponds from 16 sampling points. The average abundance of microplastics in the river was 91.80 particles/L. The Kruskal Wallis test showed that there were significant differences between microplastic pollution at each sampling location (Pvalue <0.05). In general, microplastics were mostly found in the form of fragments (48.36 %), transparent color (73.81 %), SMP size (<1 mm) (81.6 %), and dominated by PVC and nylon polymers. However, the characteristics of microplastics at each sampling location varied. The water quality pollution index value showed a slightly polluted category at most points. Redundancy analysis (RDA) showed that the characteristics of the shape and color of microplastics correlated with water quality parameters. The potential ecological risk based on microplastic pollution showed minor, moderate, and high categories at points with industrial land use. This indicates that the distribution of microplastics is closely related to human activities in the area. The level of ecological risk from microplastics depends on the percentage of each plastic polymer, along with its abundance in the environment. This study offers an important basis for designing efficient countermeasures to reduce microplastic pollution and improve water quality in surface waters.

Extraction and analysis of microplastics in wastewater sludges of a multi-product pulp and paper mill

Pulp and paper wastewater sludges are waste streams produced in major quantities across the world. The recycling of these organic sludges, for example to soil amendments, is desired in the circular economy but carries the risk of potential pollutants to be also introduced into the environment. Pulp and paper wastewater sludges have been scarcely studied matrices in the microplastic research due to their complex composition. In this study, we optimized an extraction process for microplastics from pulp and paper wastewater sludges, and quantified and characterized microplastics down to 20 μm in primary sludge and biosludge generated at the wastewater treatment plant of a multi-product pulp and paper mill in Finland. The occurrence of microplastics was high in primary sludge, 900–1600 microplastics g-1 dry weight, while the maximum number of detected microplastics in biosludge samples remained at 210 g-1 dry weight. Biosludge samples suffered from larger amounts of remaining solids after the extraction process, thus compromising the detection of smaller microplastics (<100 μm) and increasing the uncertainty related to the interpretation of the results. The most prevalent microplastic shape in all samples was fragment, and the most recurring polymer types were polyethylene and polypropylene, while a polystyrene-based copolymer represented approximately 10% of identified microplastics in primary sludge. The present study advances the development of microplastic analysis of the challenging pulp and paper wastewater sludges and brings novel information to the progressing discussion of their circulation potential.

Risk-oriented source apportionment and implications for mitigation strategies of VOCs in industrial parks: Insights from odor pollution and health risks

A typical industrial park in the upper reaches of the Yangtze River Economic Belt, which is 70 km from the Chongqing urban center, was used to investigate the occurrence and exposure of harmful volatile organic compounds (VOCs). An exposure risk method and a risk-oriented source apportionment approach were performed to assess the inhalation risks and apportion VOC sources, respectively. The quantitative relationships between risk factors and pollution sources were established, identifying key pathogenic and odorous VOCs. The quantitative emission reduction strategies were developed based on risk thresholds. Residents within the industrial parks face potential health risks due to pathogenic VOCs and nuisance odors, and workers in specific sectors experience two to six times higher risks than those in residential areas. Six risk sources were identified in the industrial park, ranked according to their contribution to VOC concentrations as follows: industrial sewage treatment (IST) (32.59 %), natural gas chemical industry (NGCI) (27.77 %), diesel vehicle exhaust (DVE) (12.04 %), pharmaceutical manufacturing industry (PMI) (11.14 %), chemical raw materials manufacturing (CRMM) (9.96 %), and iron and steel industry (ISI) (6.5 %). Among these, NGCI, IST, and CRMM were the top contributors to pathogenic risks, with contributions of 32.13 %, 29.71 %, and 21.71 % to non-carcinogenic risks, and 18.15 %, 19.87 %, and 27.99 % to carcinogenic risks, respectively. DVE produced significantly higher odor pollution compared to other sources, with intensities that were 3 to 10 times greater. The key pathogenic and odorous VOCs differ by source, resulting in varying control priorities for different VOC species. Reducing emissions from these six sources for 20 high-risk species (e.g., acrolein, 2-chlorotoluene, 1,2-dibromoethane, dichloromethane, and p-diethylbenzene) will simultaneously lower pathogenic and odor risks, with cumulative reduction rates ranging from 4.11 % to 93.75 %. This study provides quantitative control targets for VOCs from a health risk perspective, offering valuable guidance for developing risk management policies in industrial parks.

ENHANCING ENVIRONMENTAL TRANSPARENCY IN UZBEKISTAN: LEGAL PERSPECTIVES FROM THE AARHUS CONVENTION FRAMEWORK

This article examines the potential of the Aarhus Convention as a framework for enhancing transparency and upholding human rights in Uzbekistan. As Uzbekistan faces pressing environmental challenges, including pollution and climate-related risks, transparency in environmental governance is critical. Through policy analysis and legal review, this study assesses how Uzbekistan’s current legislation aligns with the Convention’s requirements on information access, with Kazakhstan’s experience serving as a comparative example. Findings reveal significant gaps in Uzbekistan’s transparency framework, particularly in timely access to data, public engagement, and legal accountability, underscoring the importance of adopting the Aarhus Convention. The study provides recommendations for Uzbekistan to bridge these gaps, aiming to strengthen transparency, enhance environmental data availability, and foster public trust in environmental decision-making.

Exposure to household air pollution and childhood multimorbidity risk in Jimma, Ethiopia

BackgroundChildhood multimorbidity, characterized by the simultaneous occurrence of multiple medical conditions in children, is a global concern. Notably, exposure to household air pollution has been linked to various health issues, particularly affecting vulnerable segments of the population residing in poorly ventilated homes. However, evidence regarding the impact of household air pollution on the risk of multimorbidity in low-income settings remains scarce. Therefore, this study aims to investigate the association between household air pollution and childhood multimorbidity in Jimma, Ethiopia.MethodsA comparative cross-sectional study was conducted to collect data from 280 children under the age of five who lived in households using solid fuel (n = 140) and clean fuel (n = 140). The Demographic Health Survey morbidity questionnaire was used to collect information from mothers about common childhood illnesses. Multiple logistic regression analysis was employed to explore the relationship between the use of solid fuel for cooking in households and the likelihood of childhood multimorbidity. In addition, Poisson regression estimation was used to determine if exposure to solid fuel could increase the number of morbidities.ResultsThe overall prevalence of childhood multimorbidity was 34.3% [95% CI: 0.29–0.40]. Among these cases, 23.9% were among children from solid fuel user households, whereas about 10.4% were from clean fuel user households. Adjusted for all possible socioeconomic, demographic, water, sanitation, hygiene, and health care covariates, children living in solid fuel user households had more than three times the odds of childhood multimorbidity compared to children living in clean fuel user households (AOR = 3.14, 95% CI [1.42–6.95], p &amp;lt; 0.001). Moreover, household air pollution from solid fuel use was positively associated with an increased number of individual morbidity conditions, with an adjusted β coefficient of 0.46 (IRR = 1.58, 95% CI [1.17–2.13], p = 0.003).ConclusionSolid fuel use was an independent predictor of childhood morbidity risk. Efficient policies and strategies, such as the integration of environmental regulation policies into the healthcare system aimed at the reduction of harmful air pollutants and their adverse health effects on children, need to be implemented.

Appraisal of pollution, ecological and health risks assessment of trace metals in soils of Logbadjeck quarrying area, Nyong Series, Cameroon

Appraisal of pollution, ecological and health risks assessment of trace metals in soils of Logbadjeck quarrying area, Nyong Series, Cameroon

Efficient resource recovery from food waste digestate via hydrothermal treatment and its application as organic fertilizer

With the continuous recognition of green, organic and non-polluting products, organic fertilizers play an increasingly vital role in agricultural production. Among them, hydrochar-based organic fertilizer has attracted widespread attention recently. The present study evaluated the potential of digestate from anaerobic digestion of food waste for the preparation of hydrochar-based organic fertilizer by straw-based, FeCl3-catalyzed hydrothermal carbonization (HTC). Under the optimal conditions, a hydrochar-based organic fertilizer with > 25 wt% humus content and limited pollution risk was successfully prepared. The pot experiment demonstrated the feasibility of improving the physicochemical properties of red soil and promoting crop growth after adding hydrochar in place of commercial fertilizer. In addition, the function of zeolite on nutrient recovery in hydrothermal liquid (HTL) was analyzed, and preparing the slow-release organic fertilizer by mixing the nutrient-rich zeolite with hydrochar in a mass ratio of 1:4 was proposed. This work has significant implications for achieving the efficient resource recovery of digestate.

The administration of Glycyrrhiza polysaccharides mitigates liver injury in mice caused by mancozeb via the Keap1-Nrf2/NF-κB pathway

The extensive utilization of mancozeb (MCZ) poses environmental pollution risks, threatens human health, particularly hepatotoxicity. Glycyrrhiza polysaccharides (GP) exhibit antioxidant, anti-inflammatory and other biological activities. The aim of this study is to explore the mechanism of liver injury in mice exposed to MCZ and the protective effect of GP on alleviating MCZ induced liver injury. Initially, 70 female mice were divided into 7 groups, and the optimal dose of MCZ induced liver injury in mice was screened by oral administration different doses of MCZ (0, 50, 100, 150, 200, 250 and 300 mg/kg MCZ). The results demonstrated that, compared to the blank control group, as the concentration of MCZ increased, several physiological and biochemical parameters were significantly affected. Specifically, body weight and liver index significantly decreased, while the activities of SOD and CAT also decreased. Additionally, the content of ROS increased, the levels of Keap1 and Nrf2 proteins increased, the mRNA levels of Gpx2 and HO-1decreased, and the mRNA levels of Gstt2, GcLc and NQO1 were upregulated. Based on the test data, select 100mg/kg MCZ as the optimal modeling dose for experimental animals. Sixty female mice were divided into six groups and orally administered: control group A (0.2mL deionized water), model group B (100mg/kg MCZ), positive control group F (100mg/kg MCZ+100mg/kg VC), the high-dose GP group C (100mg/kgMCZ+200mg/kgGP), the medium-dose GP group D (100mg/kg MCZ+150mg/kgGP) and the low-dose GP group E (100mg/kg MCZ+100mg/kgGP). The results showed that compared to the model group, adding GP alleviated the effects of MCZ on body weight, liver index, CAT and SOD activity, MDA content, HO-1, TNF-α, and IL-1β. Additionally, the addition of GP decreased the expression of Keap1, Nrf2, NF-kB, and NQO1, GcLc, and Gstt2 mRNA. GP ameliorated liver vacuolar degeneration, steatosis and nuclear pyknosis ameliorate by MCZ. The results show that MCZ triggers hepatotoxicity via the activation of the Keap1/Nrf2 signaling pathway, whereas GP has the potential to mitigate liver damage caused by MCZ exposure by inhibiting this pathway.

IoT-enabled smart cities towards green energy systems: a review

&lt;span&gt;Integration of internet of things (IoT) in smart city management to improve various functions and living standards due to increasing population growth has dramatically evolved ubiquitous and essential services at various stages of urbanization. Hence, smart cities need to be eco-friendly by improving various sectors like education, health, and transport to provide an urban and sustainable quality of life through solving complicated green energy networks, controlling toxic pollution risks, and public safety. Linking optimized green energy systems with the production and automation of advanced applications is crucial to compose implementation strategies for smart city services. This paper aims to conduct a review on eco-friendly plans and infrastructure of IoT-enabled smart cities by exploiting green energy approaches. This study performs critical observations, ideas, and analyses of recent research in the context of our mentioned research theme. This paper points out the technical and functional challenges of an optimal performance-based green IoT-enabled smart city infrastructure. In this sense, this study organizes observations of relevant initiatives, technologies, and experiences in IoT-enabled smart cities, as well as how to embed it with green energy. Moreover, it can provide significant directions to intellectuals and authorities to develop IoT-enabled smart city applications for prospective research.&lt;/span&gt;

EAP statement: Communicating air pollution risks to children and families: European Academy of Paediatrics Strategic Advisory Group on Ethics on behalf of the European Academy of Paediatrics, EAP, Brussels, Belgium.

EAP statement: Communicating air pollution risks to children and families: European Academy of Paediatrics Strategic Advisory Group on Ethics on behalf of the European Academy of Paediatrics, EAP, Brussels, Belgium.

Assessment of nitrogen and phosphorus losses due to erosion in compost-treated and non-treated vineyard soils: effect of rainfall intensity

Vineyards in Mediterranean areas suffer from significant soil degradation through erosion, due to rainfall and soil characteristics, as well as soil management practices. Previous studies pointed out the nutrient losses produced by erosion and the benefits that some management practices could have on reducing erosion. This research tried to evaluate the effect of events of different intensities and to assess whether the beneficial effect of compost amendment may pose a potential risk of nutrient loss and environmental pollution in particular under high-intensity events. The study compared soil and nutrient losses in compost-treated and non-treated vineyard soils after rainfall events of different intensities analyzed over 2 years in two vineyards. Runoff samples were collected by triplicate in treated and non-treated soils. Sediment and nitrogen and phosphorous concentrations in the runoff samples were analyzed. The results reveal a reduction in runoff rates and an increase in soil water content in compost-treated soils, which represents a benefit for rainfed vineyards. Both nitrogen and phosphorus losses depended on rainfall characteristics. Although for low intensities there were no significant differences in the amount of nutrient lost by runoff in both treated and non-treated soils, nitrogen and phosphorus losses were higher after high-intensity rainfall events in compost-treated soils. With the expected increase in high-intensity rainfall events associated with climate change in the Mediterranean region, organic amendments should be applied in several splits or incorporated into the soil to avoid increased nutrient loss to water bodies.

Spatial pattern, source apportionment, and source-oriented health risk quantifying of heavy metals in farmland soils of southern China.

The contamination of heavy metal has permeated many parts of China, especially in densely populated and industrialized southern China. This study focused on the degree of pollution in farmland soil heavy metals (HMs), and its spatial distribution characteristics and source apportionment. Meanwhile, we conducted an evaluation of the health risks attributed to soil HMs and analyzed the factors that impact them. We found that the distribution of five heavy metals is mainly concentrated in the east-central and southern parts of the study area. Specifically, Cd and Hg have high levels of pollution and present potential ecological risks. The pollution sources of five HMs were analyzed utilizing positive matrix factorization. The results revealed that the contribution of different sources keeps the following order: natural source (42.42%), agricultural activities (29.93%), industrial pollution source (20.49%), and atmospheric deposition pollution (7.16%). The non-carcinogenic risks to residents were acceptable, whereas the carcinogenic risks were relatively high. Children and the elderly are more vulnerable to the negative effects of Cr, As. Using structural equation modeling, we found soil property is a vital factor affecting soil contamination, with the soil organic matter and cation exchange capacity having a relatively greater impact on heavy metals pollution. Our study provides some data reference and guidance for soil ecological protection and restoration.

Trace Metal Elements (TMEs) in Groundwater Around the Former Industrial Gold Mine of Poura in Burkina Faso – West Africa

The objective of this study is to assess the quality of groundwater around the first industrial mine in Burkina Faso, whose activities have been closed since 1999. The diagnosis of pollution by trace metal elements of groundwater around the old Poura gold mine was carried out through the determination of the contents of Trace Metal Elements (TME) at MP-AES and the measurements of the physicochemical parameters in situ on 38 samples of borehole water. These data made it possible to calculate the pollution risk index, to establish correlations between the different physicochemical parameters on the one hand and with the trace metal elements on the other hand, from the Pearson matrix and to carry out a multivariate statistical analysis, in particular that in principal components (PCA), with a view to determining the origin of the polluting elements. The results obtained made it possible to identify four samples of groundwater with an acidic pH (GWF18 (6.44), GWF19 (6.39), GWF23 (6.1) and GWP01 (5.99)) and 34 samples of groundwater whose Cd, Al, Fe, As, Pb, or Hg contents are higher than the standards in force in Burkina Faso. The Pollution risk Index (PI) indicates that 35 groundwater samples are slightly polluted and 3 groundwater samples are very heavily polluted (GWP01 (PI = 456%), GWF06 (PI = 132.5%), GWF03 (PI = 105.1%)). The Pearson correlation matrix and the principal component analysis (PCA) show that the origin and mobilization of the trace metal elements involved (Al, As, Cd, Cr, Fe, Hg and Pb) are linked to natural mineralization and anthropogenic activities such as mining and agricultural activities, favored by the infiltration of water into the subsoil through geological structures such as fractures and faults.

Modeling phosphorus transport in soil columns amended with polyaluminum chloride and anionic polyacrylamide water treatment residuals: implications for stormwater bioretention systems

ABSTRACT Understanding phosphorus transport in soil columns amended with polyaluminum chloride and anionic polyacrylamide water treatment residuals (PAC-APAM WTRs) is crucial for the effective recycling of PAC-APAM WTRs into traditional soil-based stormwater bioretention systems. Phosphorus transport in columns containing three distinct soil types amended with PAC-APAM WTRs under saturated steady-state flow conditions was effectively modeled using three different models: the convection-dispersion equation (CDE) model with linear isotherm, the CDE model with Langmuir isotherm, and the chemical non-equilibrium two-site model (TSM). In Soils 1 and 2, amended with PAC-APAM WTRs, the primary mechanism governing phosphorus transport transitioned from instantaneous adsorption to two-site adsorption as flow rate increased. In contrast, Soil 3 amended with PAC-APAM WTRs was predominantly governed by two-site adsorption throughout the experiments. An increase in flow rate reduced the solid–liquid distribution coefficient and the fraction of equilibrium adsorption sites, resulting in decreased phosphorus adsorption and increased phosphorus mobility. This study strongly recommends the selection of soil amended with PAC-APAM WTRs that exhibits higher instantaneous phosphorus adsorption. Additionally, this study emphasizes the importance of appropriately designing the depth of the ponding layer, utilizing the TSM model, and refining modeling techniques to optimize phosphorus retention and mitigate pollution risks in stormwater management.

Development of an air quality communication strategy with underserved groups

Abstract Air quality is the greatest environmental health threat. Effective communication can support individuals to take actions to protect themselves, however, we know some groups are less likely to engage with exposure reducing behaviours than others. We aimed to explore what information individuals want to receive about raised air pollution levels, when, where and how they would like to receive it. In this qualitative study individuals participated in either semi-structured interviews (n = 6) or focus groups (n = 8) in North East England between Oct23-Feb24. We used purposive sampling underpinned by extensive community-based engagement to ensure inclusion of those who were underserved and/ or at risk of digital exclusion. The Capability Opportunity Motivation-Behaviour model was used to help guide discussions and the data thematically analysed using an inductive approach. Fifty individuals participated, many of whom were of non-white ethnicity (n = 23, 46%), spoke English as an additional language (n = 12, 24%), and had lower educational attainment levels (i.e., no-qualifications n = 7, 14%). Participants discussed four aspects that they deemed important to include in air quality communication: (1) the risk and harms of air pollution should be stated, and be tailored because “what’s a dangerous level for one person isn’t a dangerous level for another”(P41) (2) Participants felt detail about the pollutants should be included such as: “what is causing the air pollution?”(P15) to “avoid the exposure to this source”(P21). (3) Messages should also include actionable recommendations about how to protect oneself and, (4) various ways to communicate these messages (text-message-based approaches being the most popular) were suggested. Our findings indicated using a combined communication strategy including text messages and community-based approaches. This work can inform the development of inclusive future air quality information communication Key messages • Effective communication can support individuals to take actions to protect themselves from air pollution. • A combined communication strategy including text messages and community-based approaches were suggested as being effective communication strategies.

Using EEA environment and health data to communicate with the public: the European Environment and Health Atlas

Abstract The EEA European Environment and Health Atlas presents information on how pollution and other environmental risks affect the health and well-being of Europeans. It is almost exclusively built on the datasets that the EEA collects from its network, and it summarizes only environmental information of relevance to public health, as well as health impacts from key environmental risks like air pollution, noise and industrial emissions.

Breakthrough in soil remediation advancement: Nonthermal plasma powers polyvalent Ce-Mn (Hydro)oxide-enhanced nanographene to securely stabilize thallium-laden soils

The urgent need for remediation of thallium (Tl)-contaminated soils arises from its widespread presence as a poisonous heavy metal (HM), coupled with numerous challenges such as high costs, long durations, secondary pollution risks, and technological limitations. In the study, a novel approach has been introduced to the remediation of Tl-contaminated soils using calcium sulphoaluminate cement. This innovation involves the employment of nonthermal plasma-irradiated polyvalent Ce-Mn (hydro)oxide-modified nanographene (NTP-P-Ce-Mn-NGs) to intensify the cementation and immobilization of Tl species. The chemical speciation of Tl contaminants influenced by the dosage of NTP-P-Ce-Mn-NGs in the cementation was measured to explore the potential enhancement mechanisms brought by NTP-P-Ce-Mn-NGs in the sulphoaluminate cementation. Comprehensive strategies were adopted to explore the reaction pathways. In orthogonal (OD) experiments, compressive strengths ranging from 22.14 to 56.78 MPa in sulphoaluminate-cemented cubes were achieved. Remarkably, when NTP-P-Ce-Mn-NGs were introduced, the leached Tl concentration was reduced to 0.21–21.46 µg/L. This significant reduction was attributed to the NTP-P-Ce-Mn-NGs-induced more uniform hydration reactions and a more holistic microstructure. The presence of diverse valent Ce and Mn species within the matrix was confirmed, revealing a reliable interaction between NTP-irradiated high-valent Mn and Ce with monovalent Tl ions. This interaction induced multiple redox reactions, immobilizing Tl contaminants within the matrix and the cementation encapsulation. This study represents a significant milestone in Tl pollution control, paving the way for more efficient and cost-effective soil remediation strategies.

Appraisal of groundwater suitability for drinking and irrigation utilities in the Cooum River basin, South India: Implications from uranium, nitrate, and fluoride health risks

The study reveals that 6% of groundwater samples exceed the WHO's recommended fluoride limit of 1.5 mg/L, and 15% surpass the nitrate standard of 45 mg/L, rendering the water unsuitable for drinking. Gibbs plot analysis identifies evaporation as the dominant factor affecting groundwater chemistry, while the Piper diagram classifies the water into mixed Ca–Mg–Cl and NaCl types, indicating natural processes and potential seawater intrusion. Cation exchange processes are observed in 75.5% of samples, as shown by Schoeller's indices. The hydrochemical facies evolution suggests freshening from recharge in most samples, with signs of salinity intrusion in others. Between 2010 and 2023, land use and land cover (LULC) changes show a significant increase in built-up areas, resulting in reduced groundwater recharge and heightened pollution risks. The classification accuracy is high, with an overall accuracy of 82.20% and a Kappa coefficient of 83.06%. Water Quality Index (WQI) assessment reveals that 47% of the groundwater samples are excellent for drinking, while 20.6% are suitable. Although 80% of the groundwater remains appropriate for agriculture, the study highlights the need for targeted groundwater management to address urbanization impacts and mitigate health risks from elevated nitrate ingestion, particularly for vulnerable populations such as children.

Spatial and Temporal Variations in Heavy Metals in Lake and Reservoir Sediments in China: A Pollution Status and Risk Assessment

Spatial and Temporal Variations in Heavy Metals in Lake and Reservoir Sediments in China: A Pollution Status and Risk Assessment

Co-developing frameworks towards environmentally directed pharmaceutical prescribing in Scotland – A mixed methods study

The presence of human pharmaceuticals in the aquatic environment is recognised internationally as an important public health and environmental issue. In Scotland, healthcare sustainability targets call for improvements to medicine prescribing and use to reduce healthcare's impact on the environment. This proof-of-concept study aimed to develop a framework on the environmental impact of pharmaceuticals to use as a knowledge support tool for healthcare professionals, focussing on pharmaceutical pollution. Nominal Group Technique was applied to achieve consensus on pharmaceuticals and modelling factors for the framework, working with a panel of cross-sector stakeholders. Bayesian Belief Network modelling was applied to predict the environmental impact (calculated from hazard and exposure factors) of selected pharmaceuticals, with Scotland-wide mapping for visualisation in freshwater catchments. The model calculated the pollution risk score of the individual pharmaceuticals, using the ratio of prescribed mass vs. mass that would not exceed the predicted no-effect concentration in the freshwater environment. The pharmaceuticals exhibited different risk patterns, and spatial variation of risk was evident (generally related to population density), with the most catchments predicted to exceed the pollution risk score for clarithromycin (probability >80 % in 35 of 40 modelled catchments). Simulated risk scores were compared against observed risk calculated as the ratio of measured environmental concentrations from national regulatory and research monitoring and predicted no-effect concentrations. The model generally overpredicted risk, likely due to missing factors (e.g. solid-phase sorption, temporal variation), low spatial resolution, and low temporal resolution of the monitoring data. This work demonstrates a novel, trans-disciplinary approach to develop tools aiding collation and integration of environmental information into healthcare decision-making, through application of public health, environmental science, and health services research methods. Future work will refine the framework with additional clinical and environmental factors to improve model performance, and develop electronic interfaces to communicate environmental information to healthcare professionals.