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Cadmium, lead and mercury exposure in non smoking pregnant women

Recent literature suggests that exposure to low concentrations of heavy metals may affect both maternal and child health. This study aimed to determine the biological heavy metals concentrations of pregnant women as well as environmental and dietary factors that may influence exposure concentrations. One hundred and seventy three pregnant women were recruited from Western Australia, each providing a sample of blood, first morning void urine, residential soil, dust and drinking water samples. Participants also completed a questionnaire which included a food frequency component. All biological and environmental samples were analysed for heavy metals using ICP-MS. Biological and environmental concentrations of lead and mercury were generally low (Median Pb Drinking Water (DW) 0.04 µg/L; Pb soil <3.0 µg/g; Pb dust 16.5 µg/g; Pb blood 3.67 µg/L; Pb urine 0.55; µg/L Hg DW <0.03; Hg soil <1.0 µg/g; Hg dust <1.0 µg/g; Hg blood 0.46 µg/L; Hg urine <0.40 µg/L). Cadmium concentrations were low in environmental samples (Median CdDW 0.02 µg/L; Cdsoil <0.30 ug/g; Cddust <0.30) but elevated in urine samples (Median 0.55 µg/L, creatinine corrected 0.70 µg/g (range <0.2–7.06 µg/g creatinine) compared with other studies of pregnant women. Predictors of increased biological metals concentrations in regression models for blood cadmium were residing in the Great Southern region of Western Australia and not using iron/folic acid supplements and for urinary cadmium was having lower household annual income. However, these factors explained little of the variation in respective biological metals concentrations. The importance of establishing factors that influence low human exposure concentrations is becoming critical in efforts to reduce exposures and hence the potential for adverse health effects. -- Highlights: • Biological heavy metals concentrations in women in their 3rd trimester of pregnancy. • Exposure assessment including environmental, lifestyle and activity data. • Urinary cadmium concentrations were elevated in this group of pregnant women. • Blood lead and mercury concentrations were below recommended biological guideline values.

60 APPLIED LIFE SCIENCES↗

Heavy metals in fish from the Aleutians: Interspecific and locational differences

The objectives of this study were to examine levels of arsenic, cadmium, lead, mercury and selenium in edible tissue of seven species of marine fish collected from several Aleutian islands (in 2004) to determine: (1) interspecific differences, (2) locational differences (among Aleutian Islands), (3) size-related differences in any metal levels within a species, and (4) potential risk to the fish or to predators on the fish, including humans. We also compared metals levels to those of three other fish species previously examined in detail, as well as examining metals in the edible tissue of octopus (Octopus dofleini). Octopus did not have the highest levels of any metal. There were significant interspecific differences in all metal levels among the fish species, although the differences were less than an order of magnitude, except for arsenic (mean of 19,500 ppb in Flathead sole, Hippoglossoides elassodon). Significant intraisland variation occurred among the four sites on Amchitka, but there was not a consistent pattern. There were significant interisland differences for some metals and species. Mercury levels increased significantly with size for several species; lead increased significantly for only one fish species; and cadmium and selenium decreased significantly with size for halibut (Hippoglossus stenolepis). The Alaskan Department of Health and Social Services supports unrestricted consumption of most Alaskan fish species for all people, including pregnant women. Most mean metal concentrations were well below the levels known to adversely affect the fish themselves, or predators that consume them (including humans), except for mercury in three fish species (mean levels just below 0.3 ppm), and arsenic in two fish species. However, even at low mercury levels, people who consume fish almost daily will exceed guideline values from the Centers for Disease Control and the Environmental Protection Agency. - Highlights: • Cadmium, lead, mercury and selenium levels differed among 10 fish species from the Aleutians. • Mean Arsenic was as high as 19,500 ppb (flathead sole, Hippoglossoides elassodon). • Mercury levels increased significantly with fish size for several species. • Metal levels were generally below adverse effects levels for fish and their predators. • Mercury and arsenic might pose a risk to human consumers, and require further examination.

54 ENVIRONMENTAL SCIENCES↗

Perception, attitude and behavior in relation to climate change: A survey among CDC health professionals in Shanxi province, China

Background: A better understanding of public perceptions, attitude and behavior in relation to climate change will provide an important foundation for government's policy-making, service provider's guideline development and the engagement of local communities. The purpose of this study was to assess the perception towards climate change, behavior change, mitigation and adaptation measures issued by the central government among the health professionals in the Centres for Disease Control and Prevention (CDC) in China. Methods: In 2013, a cross-sectional questionnaire survey was undertaken among 314 CDC health professionals in various levels of CDC in Shanxi Province, China. Descriptive analyses were performed. Results: More than two thirds of the respondents believed that climate change has happened at both global and local levels, and climate change would lead to adverse impacts to human beings. Most respondents (74.8%) indicated the emission of greenhouse gases was the cause of climate change, however there was a lack of knowledge about greenhouse gases and their sources. Media was the main source from which respondents obtained the information about climate change. A majority of respondents showed that they were willing to change behavior, but their actions were limited. In terms of mitigation and adaptation measures issued by the Chinese Government, respondents' perception showed inconsistency between strategies and relevant actions. Moreover, although the majority of respondents believed some strategies and measures were extremely important to address climate change, they were still concerned about economic development, energy security, and local environmental protection. Conclusion: There are gaps between perceptions and actions towards climate change among these health professionals. Further efforts need to be made to raise the awareness of climate change among health professionals, and to promote relevant actions to address climate change in the context of the proposed policies with local sustainable development. - Highlights: • Global climate change has significant impacts on human wellbeing and health. • Health professionals play a significant role in improving the health of local citizens in China. • Perceptions of CDC staff on climate change are useful for policy making. • There are gaps between perceptions and actions among these health professionals in China. • Further efforts need to raise awareness of climate change and promote relevant actions.

54 ENVIRONMENTAL SCIENCES↗

Environmental arsenic, cadmium and lead dust emissions from metal mine operations: Implications for environmental management, monitoring and human health

Although blood lead values in children are predominantly falling globally, there are locations where lead exposure remains a persistent problem. One such location is Broken Hill, Australia, where the percentage of blood lead values >10 μg/dL in children aged 1–4 years has risen from 12.6% (2010), to 13% (2011) to 21% (2012). The purpose of this study was to determine the extent of metal contamination in places accessible to children. This study examines contemporary exposure risks from arsenic, cadmium, lead, silver and zinc in surface soil and dust, and in pre- and post-play hand wipes at six playgrounds across Broken Hill over a 5-day period in September 2013. Soil lead (mean 2,450 mg/kg) and zinc (mean 3,710 mg/kg) were the most elevated metals in playgrounds. Surface dust lead concentrations were consistently elevated (mean 27,500 μg/m{sup 2}) with the highest lead in surface dust (59,900 μg/m{sup 2}) and post-play hand wipes (60,900 μg/m{sup 2}) recorded close to existing mining operations. Surface and post-play hand wipe dust values exceeded national guidelines for lead and international benchmarks for arsenic, cadmium and lead. Lead isotopic compositions ({sup 206}Pb/{sup 207}Pb, {sup 208}Pb/{sup 207}Pb) of surface dust wipes from the playgrounds revealed the source of lead contamination to be indistinct from the local Broken Hill ore body. The data suggest frequent, cumulative and ongoing mine-derived dust metal contamination poses a serious risk of harm to children. - Highlights: 1.Playground soils and surface dust in a mining town have high metal concentrations. 2.Elevated levels of As, Cd, Pb and Zn dust are found on playground users′ hands. 3.Pb isotope analysis shows that the source of playground dust is ore body Pb. 4.Surface mine operations must be contained to reduce childhood lead exposure risks. 5.Mine environmental licences need to set trigger values for As, Cd, Pb and Zn dust.

54 ENVIRONMENTAL SCIENCES↗

Outdoor characterization of radio frequency electromagnetic fields in a Spanish birth cohort

There is considerable public concern in many countries about the possible adverse effects of exposure to non-ionizing radiation electromagnetic fields, especially in vulnerable populations such as children. The aim of this study was to characterize environmental exposure profiles within the frequency range 100 kHz–6 GHz in the immediate surrounds of the dwellings of 123 families from the INMA-Granada birth cohort in Southern Spain, using spot measurements. The arithmetic mean root mean-square electric field (E{sub RMS}) and power density (S{sub RMS}) values were, respectively, 195.79 mV/m (42.3% of data were above this mean) and 799.01 µW/m{sup 2} (30% of values were above this mean); median values were 148.80 mV/m and 285.94 µW/m{sup 2}, respectively. Exposure levels below the quantification limit were assigned a value of 0.01 V/m. Incident field strength levels varied widely among different areas or towns/villages, demonstrating spatial variability in the distribution of exposure values related to the surface area population size and also among seasons. Although recorded values were well below International Commission for Non-Ionizing Radiation Protection reference levels, there is a particular need to characterize incident field strength levels in vulnerable populations (e.g., children) because of their chronic and ever-increasing exposure. The effects of incident field strength have not been fully elucidated; however, it may be appropriate to apply the precautionary principle in order to reduce exposure in susceptible groups. - Highlights: • Spot measurements were performed in the immediate surrounds of children's dwellings. • Mean root mean-square electric field and power density values were calculated. • Most recorded values were far below international standard guideline limits. • Data demonstrate spatial variability in the distribution of exposure levels. • While adverse effects are proven, application of the precautionary principle may be appropriate.

54 ENVIRONMENTAL SCIENCES↗

Metal uptake by homegrown vegetables – The relative importance in human health risk assessments at contaminated sites

Risk assessments of contaminated land often involve the use of generic bioconcentration factors (BCFs), which express contaminant concentrations in edible plant parts as a function of the concentration in soil, in order to assess the risks associated with consumption of homegrown vegetables. This study aimed to quantify variability in BCFs and evaluate the implications of this variability for human exposure assessments, focusing on cadmium (Cd) and lead (Pb) in lettuce and potatoes sampled around 22 contaminated glassworks sites. In addition, risks associated with measured Cd and Pb concentrations in soil and vegetable samples were characterized and a probabilistic exposure assessment was conducted to estimate the likelihood of local residents exceeding tolerable daily intakes. The results show that concentrations in vegetables were only moderately elevated despite high concentrations in soil, and most samples complied with applicable foodstuff legislation. Still, the daily intake of Cd (but not Pb) was assessed to exceed toxicological thresholds for about a fifth of the study population. Bioconcentration factors were found to vary more than indicated by previous studies, but decreasing BCFs with increasing metal concentrations in the soil can explain why the calculated exposure is only moderately affected by the choice of BCF value when generic soil guideline values are exceeded and the risk may be unacceptable. - Highlights: • Uptake of Cd and Pb by lettuce and potatoes increased with soil contamination. • Consumption of homegrown vegetables may lead to a daily Cd intake above TDIs. • The variability in the calculated BCFs is high when compared to previous studies. • Exposure assessments are most sensitive to the choice of BCFs at low contamination.

54 ENVIRONMENTAL SCIENCES↗

Geochemistry and mercury contamination in receiving environments of artisanal mining wastes and identified concerns for food safety

Artisanal small-scale gold mining (ASGM) using mercury (Hg) amalgamation has been occurring on Buru Island, Indonesia since early 2012, and has caused rapid accumulation of high Hg concentrations in river, estuary and marine sediments. In this study, sediment samples were collected from several sites downstream of the Mount Botak ASGM site, as well as in the vicinity of the more recently established site at Gogrea where no sampling had previously been completed. All sediment samples had total Hg (THg) concentrations exceeding Indonesian sediment quality guidelines and were up to 82 times this limit at one estuary site. The geochemistry of sediments in receiving environments indicates the potential for Hg-methylation to form highly bioavailable Hg species. To assess the current contamination threat from consumption of local seafood, samples of fish, molluscs and crustaceans were collected from the Namlea fish market and analysed for THg concentrations. The majority of edible tissue samples had elevated THg concentrations, which raises concerns for food safety. This study shows that river, estuary and marine ecosystems downstream of ASGM operations on Buru Island are exposed to dangerously high Hg concentrations, which are impacting aquatic food chains, and fisheries resources. Considering the high dietary dependence on marine protein in the associated community and across the Mollucas Province, and the short time period since ASGM operations commenced in this region, the results warrant urgent further investigation, risk mitigation, and community education. - Highlights: • Mercury contamination of sediments and seafood due to artisanal gold mining. • Considerable risks to human and ecosystem health are identified. • Results emphasise the urgent need for risk mitigation and community education.

54 ENVIRONMENTAL SCIENCES↗

Measurements of intermediate-frequency electric and magnetic fields in households

Historically, assessment of human exposure to electric and magnetic fields has focused on the extremely-low-frequency (ELF) and radiofrequency (RF) ranges. However, research on the typically emitted fields in the intermediate-frequency (IF) range (300 Hz to 1 MHz) as well as potential effects of IF fields on the human body remains limited, although the range of household appliances with electrical components working in the IF range has grown significantly (e.g., induction cookers and compact fluorescent lighting). In this study, an extensive measurement survey was performed on the levels of electric and magnetic fields in the IF range typically present in residences as well as emitted by a wide range of household appliances under real-life circumstances. Using spot measurements, residential IF field levels were found to be generally low, while the use of certain appliances at close distance (20 cm) may result in a relatively high exposure. Overall, appliance emissions contained either harmonic signals, with fundamental frequencies between 6 kHz and 300 kHz, which were sometimes accompanied by regions in the IF spectrum of rather noisy, elevated field strengths, or much more capricious spectra, dominated by 50 Hz harmonics emanating far in the IF domain. The maximum peak field strengths recorded at 20 cm were 41.5 V/m and 2.7 A/m, both from induction cookers. Finally, none of the appliance emissions in the IF range exceeded the exposure summation rules recommended by the International Commission on Non-Ionizing Radiation Protection guidelines and the International Electrotechnical Commission (IEC 62233) standard at 20 cm and beyond (maximum exposure quotients EQ{sub E} 1.0 and {sub E}Q{sub H} 0.13). - Highlights: • Survey of residential electric and magnetic fields at intermediate frequencies (IF). • IF-EF and -MF emitted by 280 household appliances were characterised. • Strongest emitters were induction cookers, CFLs, LCD-TVs, and microwave ovens. • No emissions exceeded ICNIRP limits (highest exposure quotient was 1.00).

46 INSTRUMENTATION RELATED TO NUCLEAR SCIENCE AND ↗

Cadmium, lead, and arsenic contamination in paddy soils of a mining area and their exposure effects on human HEPG2 and keratinocyte cell-lines

A mining district in south China shows significant metal(loid) contamination in paddy fields. In the soils, average Pb, Cd and As concentrations were 460.1, 11.7 and 35.1 mg kg{sup −1} respectively, which were higher than the environmental quality standard for agricultural soils in China (GB15618-1995) and UK Clea Soil Guideline Value. The average contents of Pb, Cd and As in rice were 5.24, 1.1 and 0.7 mg kg{sup −1} respectively, which were about 25, 4.5 or 2.5 times greater than the limit values of the maximum safe contaminant concentration standard in food of China (GB 2762-2012), and about 25, 10 or 1 times greater than the limit values of FAO/WHO standard. The elevated contents of Pb, Cd and As detected in soils around the factories, indicated that their spatial distribution was influenced by anthropogenic activity, while greater concentrations of Cd in rice appeared in the northwest region of the factories, indicating that the spatial distribution of heavy metals was also affected by natural factors. As human exposure around mining districts is mainly through oral intake of food and dermal contact, the effects of these metals on the viability and MT protein of HepG2 and KERTr cells were investigated. The cell viability decreased with increasing metal concentrations. Co-exposure to heavy metals (Pb+Cd) increased the metals (Pb or Cd)-mediated MT protein induction in both human HepG2 and KERTr cells. Increased levels of MT protein will lead to greater risk of carcinogenic manifestations, and it is likely that chronic exposure to metals may increase the risk to human health. Nevertheless, when co-exposure to two or more metals occur (such as As+Pb), they may have an antagonistic effect thus reducing the toxic effects of each other. Capsule: Metal contaminations in paddy soils and rice were influenced by anthropogenic activity; metal co-exposure induced MT protein in human cells. - Highlights: • Pb, Cd and As in paddy soils and rice were higher than national and FAO standards. • Pb, Cd and As spatial distribution was mainly influenced by anthropogenic activity. • The HepG2 and KERTr cell viability decreased with increasing metal concentrations. • Co-exposure to heavy metals increased MT protein induction in HepG2 and KERTr cells. • Co-exposure to some metals (As+Pb) may have an antagonistic effect.

54 ENVIRONMENTAL SCIENCES↗

Atmospheric dust deposition on soils around an abandoned fluorite mine (Hammam Zriba, NE Tunisia)

The present study focuses on the eolian dispersion and dust deposition, of major and trace elements in soils in a semi-arid climate, around an old fluorite (CaF{sub 2}) and barite (BaSO{sub 4}) mine, located in Hammam Zriba in Northern Tunisia. Ore deposits from this site contain a high amount of metal sulphides constituting heavy metal pollution in the surrounding environment. Samples of waste from the surface of mine tailings and agricultural topsoil samples in the vicinity of the mine were collected. The soil samples and a control sample from unpolluted area, were taken in the direction of prevailing northwest and west winds. Chemical analysis of these solids was performed using both X-ray fluorescence and X-ray diffraction. To determine the transfer from mine wastes to the soils, soluble fraction was performed by inductively coupled plasma and ionic chromatography. The fine grained size fraction of the un-restored tailings, still contained significant levels of barium, strontium, sulphur, fluorine, zinc and lead with mean percentages (wt%) of 30 (calculated as BaO), 13 (as SrO), 10 (as SO{sub 3}), 4 (F), 2 (Zn) and 1.2 (Pb). Also, high concentrations of cadmium (Cd), arsenic (As) and mercury (Hg) were found with an averages of 36, 24 and 1.2 mg kg{sup −1}, respectively. As a result of the eolian erosion of the tailings and their subsequent wind transport, the concentrations of Ba, Sr, S, F, Zn and Pb were extremely high in the soils near to the tailings dumps, with 5%, 4%, 7%, 1%, 0.8% and 0.2%, respectively. Concentration of major pollutants decreases with distance, but they were high even in the farthest samples. Same spatial distribution was observed for Cd, As and Hg. While, the other elements follow different spatial patterns. The leaching test revealed that most elements in the mining wastes, except for the anions, had a low solubility despite their high bulk concentrations. According the 2003/33/CE Decision Threshold, some of these tailings samples were considered as hazardous. Furthermore, other waste samples, considered non hazardous, were not inert. In contrast, the SO{sub 4}{sup 2-}, Ba, Pb and Sb leachable contents measured in most of the soil samples were relatively high, exceeding the inert threshold for landfill disposal of wastes. - Highlights: • Tailings dumps and associated windblown materials contain high contaminants load. • Eolian dust arising from dumps dispersed pollutants and contaminated soils. • Contents of mining-related elements exceeded allowable concentrations by guideline. • The majority of harmful pollutants, except anions, have low leachable potential.

54 ENVIRONMENTAL SCIENCES↗

Measurement of the environmental broadband electromagnetic waves in a mid-size European city

In this paper, the level of exposure to broadband radiofrequency electromagnetic field in a mid-size European city was evaluated in accordance with the International Commission on Non-ionizing Radiation Protection guidelines from 1998. With the aim to analyse all the potential electromagnetic waves present in the city up to 18 GHz, a total of 271 locations distributed along Terrassa (Spain) have been measured. To show the results in an easy-to-interpret way by the citizen, the results have been represented in a set of raster maps. The measurement results obtained showed that the electromagnetic wave measured in all broadband frequency range along the city is much lower than the safety level according to the international regulations for both public and occupational sectors.

54 ENVIRONMENTAL SCIENCES↗

Spatiotemporal interpolation of air pollutants in the Greater Cairo and the Delta, Egypt

Highlights: • Data from network of monitoring stations in Egypt are used for studying SO{sub 2}, NO{sub 2}, and PM{sub 10.} • Trans-Gaussian Spatiotemporal kriging is used as a spatiotemporal interpolation method. • The whole area under study is suffering from high values of PM{sub 10} throughout 2015. • For NO{sub 2} and SO{sub 2}, the highest value is noticed in February. • Concerns must be given to the monitoring network to improve the prediction precision. This paper analyses the spatiotemporal variability of air pollutants in Egypt using monthly averages from the air quality monitoring network from 2011 to 2015. Particulate Matters (PM{sub 10}) Nitrogen Dioxide (NO{sub 2}) and Sulfur Dioxide (SO{sub 2}), measured by the monitoring stations network are studied. A log transformation is applied for the three pollutants to achieve normality. The sum-metric function is utilized for modelling the spatiotemporal variogram as it gave the smallest Mean Squared Error (MSE) compared to other forms namely separable, metric, and product sum models. Therefore, employing the gstat package in R together with the trans-Gaussian spatiotemporal kriging, the maps are generated for the interpolated surfaces for the monthly averages of 2015 and the corresponding standard error values. These maps will help the decision maker to understand and visualize the spatial and temporal variability of the measured pollutants and hence undertake the necessary policies and decisions. The results show that the down town area has the highest pollutants levels. As concerns the temporal dimension, the highest values are depicted during the month of February as compared to the rest of the year. Furthermore, Egypt is suffering from a serious PM{sub 10} problem for the area and period under study that extremely exceed the WHO and Egyptian guidelines.

54 ENVIRONMENTAL SCIENCES↗

Comprehensive multipathway risk assessment of chemicals associated with recycled ({sup c}rumb{sup )} rubber in synthetic turf fields

Highlights: • A human health risk assessment of recycled rubber in synthetic turf fields. • Youth athletes, as well as child and adult spectators, were considered. • For risk communication, a side-by-side comparison to natural soil was included. • Cancer risk and non-cancer hazard were below US EPA guidelines for soil and rubber. • For most scenarios, cancer risks were higher for natural soil fields. Thousands of synthetic turf fields in the US are regularly used by millions of individuals (particularly children and adolescents). Although many safety assessments have concluded that there are low or negligible risks related to exposure to chemicals found in the recycled rubber used to make these fields, concerns remain about the safety of this product. Existing studies of recycled rubber's potential health risks have limitations such as small sample sizes and limited evaluation of relevant exposure pathways and scenarios.

54 ENVIRONMENTAL SCIENCES↗

Contaminants in tropical island streams and their biota

Highlights: • Puerto Rico is a model environment to study contaminants in tropical island streams. • Water, sediment, and native fish and shrimp species were sampled in 13 rivers. • Stream habitat and biota were not severely polluted due to frequent flushing flows and floods. • Results may inform human health and development of fish consumption guidelines for Puerto Rico. Environmental contamination is problematic for tropical islands due to their typically dense human populations and competing land and water uses. The Caribbean island of Puerto Rico (USA) has a long history of anthropogenic chemical use, and its human population density is among the highest globally, providing a model environment to study contaminant impacts on tropical island stream ecosystems. Polycyclic Aromatic Hydrocarbons, historic-use chlorinated pesticides, current-use pesticides, Polychlorinated Biphenyls (PCBs), and metals (mercury, cadmium, copper, lead, nickel, zinc, and selenium) were quantified in the habitat and biota of Puerto Rico streams and assessed in relation to land-use patterns and toxicological thresholds. Water, sediment, and native fish and shrimp species were sampled in 13 rivers spanning broad watershed land-use characteristics during 2009–2010. Contrary to expectations, freshwater stream ecosystems in Puerto Rico were not severely polluted, likely due to frequent flushing flows and reduced deposition associated with recurring flood events. Notable exceptions of contamination were nickel in sediment within three agricultural watersheds (range 123–336 ppm dry weight) and organic contaminants (PCBs, organochlorine pesticides) and mercury in urban landscapes. At an urban site, PCBs in several fish species (Mountain Mullet Agonostomus monticola [range 0.019–0.030 ppm wet weight] and American Eel Anguilla rostrata [0.019–0.031 ppm wet weight]) may pose human health hazards, with concentrations exceeding the U.S. Environmental Protection Agency (EPA) consumption limit for 1 meal/month. American Eel at the urban site also contained dieldrin (range < detection-0.024 ppm wet weight) that exceeded the EPA maximum allowable consumption limit. The Bigmouth Sleeper Gobiomorous dormitor, an important piscivorus sport fish, accumulated low levels of organic contaminants in edible muscle tissue (due to its low lipid content) and may be most suitable for human consumption island-wide; only mercury at one site (an urban location) exceeded EPA's consumption limit of 3 meals/month for this species. These results comprise the first comprehensive island-wide contaminant assessment of Puerto Rico streams and biota and provide natural resource and public health agencies here and in similar tropical islands elsewhere with information needed to guide ecosystem and fisheries conservation and management and human health risk assessment.

54 ENVIRONMENTAL SCIENCES↗

The burden of ischemic heart disease related to ambient air pollution exposure in a coastal city in South China

Highlights: • Burden of ischemic heart disease related to PM{sub 2.5}, SO{sub 2} and NO{sub 2} were estimated. • Stronger impacts of gaseous pollutants versus particulate matter were found. • SO{sub 2} exposure was positively associated with YLL in widowed group. Air pollution is considered one of the most important risk factors for ischemic heart disease (IHD), which is a major public health concern. The disease burden of IHD has continued to rise in China in the past two decades. However, epidemiological studies examining the associations between air pollution and IHD have been scarce in China, and the only studies were conducted in severe air pollution areas, where air pollution levels seriously exceed the World Health Organization Air Quality Guidelines. Whether the influence of air pollution on IHD in areas with relatively low levels of air pollution differs from the influence of high pollution levels in heavily studied areas was unknown until now. Furthermore, the estimation of the disease burden of IHD related to air pollution has been very limited.

54 ENVIRONMENTAL SCIENCES↗

Impact of informal electronic waste recycling on metal concentrations in soils and dusts

Highlights: • Metal concentrations at e-waste sites exceeded concentrations at control sites. • Burning as an e-waste activity has the most negative environmental impact. • The type of activity at the sites is the main factor that influences metal concentrations. • E-waste recycling is a major source of metal pollution in Nigeria. • There is need to develop strategies to enforce existing e-waste regulations. Electronic and electrical equipment contains over 1000 different substances, including metals. During informal e-waste recycling some of these substances such as metals, are released into the environment causing environmental pollution. This study assessed the impact of different informal e-waste recycling activities (burning, dismantling, and repairing) on metal concentrations in top soils and various dust. A comparative cross-sectional study design was adopted to assess metal concentrations in top soils and in various dust samples from multiple e-waste recycling sites. Metal concentrations at e-waste recycling sites were compared to the concentrations at control sites in three study locations in Nigeria (Lagos, Ibadan, and Aba). In the three study locations, mean metal concentrations at the e-waste recycling sites exceeded the concentrations at the control sites and the Nigerian standard guideline values by 100 s to 1000 s times. Burning sites showed the highest pollution level, followed by dismantling sites, then repair sites. Our findings show serious environmental and public health concerns. The metal concentrations were also higher than levels reported in other studies at the same locations in Nigeria, indicating that the situation is worsening. This study provides scientific evidence for an urgent need to develop effective strategies to strengthen enforcement of existing e-waste regulations in Nigeria.

54 ENVIRONMENTAL SCIENCES↗

Urinary phthalate metabolites and environmental phenols in university students in South China

Highlights: • University students in South China might be exposed to higher levels of phthalates than parabens or bisphenol analogues. • Concentrations of target EEDs were relatively low in university students, with higher levels in female than male students. • The usage of PCPs is an important source other than diet to affect the profiles of phthalates and parabens in students. In China, university students have unique lifestyles compared with the rest of the youth population, as they are almost entirely isolated in campuses. The number of university students is large, and since students represent the future of human reproduction, exposure to environmental endocrine disruptors (EEDs) may have a large impact on society. In this study, levels of several EEDs, including phthalate metabolites, parabens, bisphenol A (BPA) and its analogues, triclosan (TCS), and benzophenone-3, were determined in 169 urine samples collected from university students in Guangzhou, South China. In addition, to further understand the potential sources of EEDs in their daily lives, a survey of students’ lifestyles was conducted. Based on the urinary concentrations of EEDs and the survey results, daily exposure doses of target EEDs and their potential sources were investigated. Our results indicated that nine phthalate metabolites, three parabens, and BPA were ubiquitous (detection frequency > 60%) in the urine of university students. The concentrations of total phthalates (median: 99.4 µg L{sup −1}) were orders of magnitude higher than those of total parabens (7.30 µg L{sup −1}) and of other environmental phenols (0.40 µg L{sup −1}). Significantly higher concentrations of phthalates, parabens, and TCS were found in female versus male students, partly due to the higher usage of personal care products (PCPs) by female students (p < 0.05). The estimated daily intakes (EDIs) of phthalates, parabens, BPA, and TCS were 0.46–1.35, 3.29–10.3, 0.007, and 0.67 µg/kg-bw/day, respectively. The EDIs of phthalates and BPA were much lower than those suggested by the European Food Safety guidelines (10, 50, and 50 µg/kg-bw/day for dibutyl phthalate, diethylhexyl phthalate, and BPA, respectively). Our results indicated that university students were widely exposed to EEDs, but at relatively low doses. PCP usage was the main reason for differences in levels of phthalates (especially diethyl phthalate) and parabens between male and female students in South Chinese universities.

54 ENVIRONMENTAL SCIENCES↗

Metal hypersensitivity in the context of connective tissue disease – An opportunity for practice prevention

Highlights: • Metal implants are association with metal hypersensitivity reactions of the skin. • American Contact Dermatitis Society endorses nickel allergy testing. • Metal dental appliances may trigger cutaneous reactions. • Alternative include stainless steel, fiber composite, plastic, and resin-coated. • Alternatives may improve symptoms of fibromyalgia and connective tissue disease. Metal hypersensitivity reactions (MHR) are not associated with metal containing orthodontic implants unless there is a positive history of dermatitis from a high nickel-release item (piercing post, earring, watch). We wish to present this letter to highlight evidence surrounding orthodontic-related nickel hypersensitivity and to bring to the readers attention current American Contact Dermatitis Society (ACDS) guidelines that endorse the importance of addressing metal hypersensitivity reactions in the setting of implantable dental devices.

54 ENVIRONMENTAL SCIENCES↗

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