Understanding the dynamics of heavy metals in a freshwater ecosystem through their toxicity and bioavailability assay

The current study investigates on correlating the heavy metal contamination, its distribution, and the human health risk associated with all three components of an aquatic ecosystem. For this purpose, water, sediment, and fish samples (three species, notably Notopterus notopterus, Clarias batrachus, and Channa striata) from Deepor Beel were considered, and their heavy metal contamination and distribution were determined. The corresponding health risks were then evaluated for six different heavy metals; Cr, Cd, Fe, Mn, Cu, and Pb. Pb and Mn were found to significantly impact the non-carcinogenic human health risks for the water column. Simultaneously, Cd was considered to possess the highest potential for both carcinogenic and non-carcinogenic health effects in the sediment column. Cd also played a critical role in the fish samples' bioaccumulation factor, with the liver showing the maximum bioaccumulation potential. Furthermore, children were found to have considerably higher effects (both carcinogenic and non-carcinogenic) than adults. Finally, the sediment column was found to substantially contribute to the bioaccumulation factor in the fish biota, compared to the water column. The results of this investigation will thus prove consequential in designing, monitoring and restoring aquatic ecosystems.

     

Evaluation of genotoxic and non-genotoxic effects of organic air pollution using in vitro bioassays

In this study, organic extracts of total suspended particles (TSP) and the particulate matter (PM) with the size below 2.5 microm (PM(2.5)) combined with organic extracts of the gas phase (GP) collected at two urban and two background localities were analyzed with a bacterial genotoxicity test, SOS chromotest, and an in vitro test for the dioxin toxicity determination, using a modified cell-line of rat hepatoma H4IIE.luc. In addition, the samples of TSP and GP were analyzed for PAHs contents. The PAHs concentrations and both of the toxic activities at the urban localities were much higher than ones at the background localities. Predominantly, traffic was a source of the urban air pollution there which was also confirmed by the evaluation of portions of certain PAHs (BaP/BPE, PYR/BaP) at the localities. On the other hand, the background localities were apparently affected by a long-distance transport of the pollutants from urban and industrial centers. The results of the bioassays indicated potential health risks for the population exposed to the organic air pollutants, especially at the urban localities. Based on the collected samples, distribution of the organic pollutants with the toxic effects in the air was evaluated. The significant portion of the direct genotoxins was bound to the particles larger than 2.5 microm. On the contrary, the indirect genotoxins were bound predominantly to the particles with the size below 2.5 microm. However, in the urban air they may be also bound to the larger particles, as well. While the direct genotoxicity may be related with the presence of PAH-derivatives as well as some polar organic pollutants, the indirect genotoxicity is related with the detected carcinogenic PAHs. But besides the above specified pollutants it is also necessary to consider the presence of other toxic components of the complex organic air pollution mixture that may also show potential health risks. This study demonstrates application of the combination of the screening bioassays for the evaluation of organic air pollution and identification of its health risks.     

Health effects for the population living near a cement plant: An epidemiological assessment

Epidemiological studies have shown the association between the exposure to air pollution and several adverse health effects. To evaluate the possible acute health effects of air pollution due to the emissions of a cement plant in two small municipalities in Italy (Mazzano and Rezzato), a case–control study design was used. The risks of hospital admission for cardiovascular or respiratory diseases for increasing levels of exposure to cement plant emissions were estimated, separately for adults (age > 34 years) and children (0–14 years). Odds ratios (OR) were estimated using unconditional regression models. Attributable risks were also calculated.Statistically significant risks were found mainly for respiratory diseases among children: OR 1.67 (95% CI 1.08–2.58) for the moderately exposed category (E1), OR 1.88 (95% CI 1.19–2.97) for the highly exposed category (E2), with an attributable risk of 38% of hospital admissions due to the exposure to cement plant exhausts. Adults had a weaker risk: OR 1.38 (95% CI 1.18–1.61) for group E1, OR 1.31 (95% CI 1.10–1.56) for group E2; the attributable risk was 23%. Risks were higher for females and for the age group 35–64. These results showed an association between the exposure to plant emissions and the risk of hospital admission for cardiovascular or respiratory causes; this association was particularly strong for children.     

Domestic waste composting facilities: a review of human health risks

In the management of municipal solid waste (MSW), the sorting-composting approach presents many advantages. However, since MSW contains a number of chemical and biological agents, the compost should not be necessarily a harmless product. These contaminants may expose different populations to health hazards, ranging from the composting plant workers to the consumers of vegetable products grown in soils treated with compost. Recent information concerning health risks derived from occupational exposure to organic dusts, bioaerosols and microorganisms in MSW composting plants is here reviewed. An evaluation of the potential health risks of volatile organic compounds (VOCs) released during composting is also included. Taking into account the potential biological and chemical risks, an exhaustive control of the workers employed in MSW composting facilities is clearly recommendable. Moreover, because the compost derived from the organic fraction of MSW can contain a number of metals and persistent organic pollutants, as well as microbial and fungi toxins, any compost that may mean a health risk for the population should not be commercialized.     

华东某铀矿区稻米中放射性核素铀污染特征及健康风险评价

为查明华东某铀矿区稻米中放射性核素铀污染现状及健康风险问题,测定铀矿区和对照区共136件稻米样品中放射性核素U含量,采用单因子污染指数法评价放射性铀污染,并开展U元素健康风险评价。结果表明:(1)研究区稻米中U含量平均值为1.46 ng·g~(–1),各亚区稻米中U含量平均值从大到小顺序为:开采矿井区水冶场区含矿未采区废弃矿井区江西省背景值对照区;(2)稻米单因子污染指数为1.25,属于轻度污染。其中,开采矿井区和水冶厂区为轻度污染,废弃矿井区和对照区未受污染;(3)首次计算提出江西省大米U元素致癌风险最大斜率系数为1.04×10~3(d·kg)·mg~(–1)。各亚区稻米中成人和儿童致癌风险指数高低顺序均为:开采矿井区水冶厂区含矿未采区废弃矿井区对照区。儿童直接饮食稻米具有一定的致癌风险;开采矿井区和水冶厂区的成人存在一定致癌风险,含矿未采区和废弃矿井区以及对照区均无致癌风险。     

Analysis of soil characteristics of different land uses and metal bioaccumulation in wheat grown around rivers: possible human health risk assessment

The present study was conducted to determine the physico-chemical properties and heavy metal contents in soils under three land uses (agricultural, riverbank and roadside) from areas situated around rivers (Beas and Sutlej) in Punjab, India. Heavy metal contents in wheat samples (grain and fodder) growing in the area were also analyzed in order to find out potential human health risk through wheat consumption. The studied soils under the three land uses were found to be basic in nature with sandy texture, low soil organic matter and other soil nutrients. Comparatively higher amounts of soil nutrients were observed in soils under agricultural land use as compared to riverbank and roadside land uses. The amounts of heavy metals (Cr, Cu, Co and Pb) analyzed in soils were lower than the various national and international maximum permissible limits, but heavy metal contents observed in wheat fodder samples exceeded the maximum permissible limits for fodder. The soil-to-plant metal bioaccumulation factor was found to be highest for Cu (3.812 for soil–wheat grain and 1.874 for soil–wheat fodder), which showed the bioaccumulation of heavy metals from soils to crops, and the wheat straw-to-grain translocation factor was found to be highest for Co (4.375). The hazard index calculated to assess non-carcinogenic health risks was found above 1 for children, meaning that the wheat grains can pose health risks to children.     

Chronic risk assessment of exposure to volatile organic compounds in the atmosphere near the largest Mediterranean industrial site

This study focuses on characterising the risk of exposure to volatile organic compounds (VOCs) by means of inhalation in people living in the vicinity of the largest chemical production site in the Mediterranean area. Eighty-six VOCs were initially selected for this study based on their adverse environmental and health effects. The monitoring campaign was conducted for 276 days in three different locations around the chemical site. The analytical method used for the characterisation was based on European standard method EN-14662-2, which consists of the active sampling of air for 24 h in charcoal tubes, followed by extraction with carbon disulphide and GC-MS analysis. Forty-four VOCs with toxicological data available concerning their carcinogenic and non-carcinogenic health effects were quantified during the monitoring campaign. None of the quantified VOCs showed average concentrations exceeding their chronic reference concentrations and, therefore, no non-carcinogenic health effects are expected as a result of this exposure. However, the global average cancer risk due to VOC exposure in the area (3.3 × 10^− 4) was found to be above the values recommended by the WHO and USEPA.The influence of the analytical method was also evaluated by comparing cancer risk estimates using a thermal desorption (TD) method based on method EN-14662-1. The results of the 24-h samples for the solvent extraction method were compared with the average of 12 daily samples of 2-h for the TD method for 24 sampling days. Although the global estimated lifetime cancer risk was statistically comparable for both methods, some differences were found in individual VOC risks.To our knowledge, this is the first study that estimates the carcinogenic and non-carcinogenic risks posed by the inhalation of VOCs in people living near a chemical site of this size, and compares the estimated cancer risk obtained using two different standard analytical methods.     

PCDD/Fs and DL-PCBs intake from fish caught in Polish fishing grounds in the Baltic Sea — Characterizing the risk for consumers

Fish and fishery products are among the primary sources of dietary exposure to dioxins. It is known that some fish species caught in the Baltic Sea contain elevated level of those compounds. Levels of dioxins and DL-PCBs in 236 Baltic fish samples (including 65 salmon, 14 sea trout, 63 sprat, 63 herring, 31 cod), and 20 cod liver samples from the Polish fishing grounds (the ICES zones 24–27), collected in the time frame of 2006–2011 as part of Polish monitoring survey have been used for risk assessment. To characterize potential health risk associated with dioxins intake, doses ingested in a single portion of fish and cod liver by adults (200 g for fish, 125 g for cod liver), and children (100 g for fish, 25 g for cod liver) were expressed as percent of Tolerable Weekly Intake (TWI) and Provisional Tolerable Monthly Intake (PTMI).Average dioxins intake estimated for fatty fish species was about 250% TWI for children, and about 170% TWI for adults, with maximum values of 436.3 and 288.0% TWI, respectively. Maximum exposure expressed as percent of PTMI was below 90% for children and below 60% in adults. For sprat and herring, mean dioxins intakes were lower, but still not at “safe” level: 100–150% TWI for children and about 70–100% for adults, with the maximum values of about 250 and 180%, respectively. Maximum exposure expressed as percent of PTMI was approximately 50% for children and 35% for adults.Intakes values calculated for practically “dioxin-free” cod are just theoretical because in calculating toxic equivalents (TEQs) an upperbound approach was applied, and vast majority of TEQs originates from the limit of quantification (LOQ) values of all non-quantified congeners.Frequent consumption of cod liver seems to be a health risk as, according to assumed scenario, dioxins intake of 100% PTMI for adults would be achieved by the 65th percentile, while for children by approximately 90th percentile of results.Serving sizes of salmonids, cod liver, and even sprat, and herring that lead to total dioxins intake equal to TWI, and PTMI were relatively small. Thus, one can easily exceed those toxicological reference values consuming above Baltic fish species available on the Polish market.Taking into account low fish consumption in Poland and, additionally, low share of Baltic fish in total consumption of marine fish, potential risk of high dioxins intake does not apply to general population. Occasionally elevated dioxins intake above TWI or PTMI is not necessarily related to health risk, because of uncertainty factors embedded in these toxicological reference values. However, some sub-populations in Poland that habitually consume fatty fish originating from the Baltic Sea or Baltic cod liver may be at an elevated health risk of potential consequences of chronic exposure to dioxins. Dietary recommendations based on risk-benefit analysis for consumers of such fish and fishery products from the Baltic Sea would be the most effective tool for risk management.     

Mutagenic properties of PM2.5 air pollution in the Padana Plain (Italy) before and in the course of XX Winter Olympic Games of "Torino 2006"

PM2.5 is one of the most important aspects of environmental health. This air pollutant is breathable and it is implicated in several chronic adverse health effects such as the decrease of respiratory functionality and cancer. Several in vitro bioassays are able to predict the mutagenic/carcinogenic activity of the environmental pollutants and mixtures of them. In this study PM2.5 air pollution was daily monitored in three cities located in the Northern part of Italy and the mutagenic properties of the PM2.5 organic extracts were also assessed. Samplings lasted 14 months and cover the period of the Winter Olympic Games of "Torino 2006". In this work, the levels of PM2.5, its mutagenic properties (detected with Salmonella typhimurium assay), the role of the Olympic Games as environmental factor and some meteorological data are discussed. The mean concentration of PM2.5 measured in Torino was 45.4 (+/-30.6) microg/m(3), in Pavia 37.6 (+/-25.6) microg/m(3), in Verona 43.1 (+/-28.5) microg/m(3). Findings of the monthly pool bioassay were in Torino 107 (+/-104) net revertans/m(3), in Pavia 108 (+/-89) net revertans/m(3), in Verona 128 (+/-109) net revertans/m(3). The Olympic Games period data show that PM2.5 pollution and its load of mutagenic potential are different and partially independent phenomena. The Olympic Games had not a great impact on the PM2.5 pollution. The exclusive PM2.5 gravimetric analysis shows a potential human risk if compared with the latest international guide values but it does not describe exhaustively the human health risk associated to the presence of this particular air pollutant. Moreover, the chemical and biological activity qualification of the PM organic extracts as a whole, can instead improve the knowledge.     

Levels of metals in soils of Alcalá de Henares,Spain: human health risks

The concentrations of aluminium (Al), arsenic (As), beryllium (Be), cadmium (Cd), chromium (Cr), mercury (Hg), manganese (Mn), nickel (Ni), lead (Pb), tin (Sn), thallium (Tl), vanadium (V), and zinc (Zn) were determined in soil samples collected in Alcalá de Henares (Madrid, Spain). Human health risks derived from metal inhalation and ingestion of soils were also assessed. For noncarcinogenic risks, the current levels of metals were usually lower than those considered as safe for the general population. With respect to the potentially carcinogenic elements As, Be, Cd, and Cr, the concentrations of Be, Cd, and Cr were lower than the reference values, while the average As concentration (3.4 microg/g) was higher than the safety limit for risk cancer. In general terms, the potential human health impact of ingestion/inhalation through soils of the analyzed elements seems to be rather small.     

青藏高原NPP时空演变格局及其驱动机制分析

青藏高原植被生态系统对全球变化的响应较为敏感。该研究引入重心模型等方法分析和探讨了2000～2015年青藏高原NPP时空变化格局及其驱动机理,并定量区分了NPP变化过程中气候变化和人类活动的相对作用。结果发现:(1)2000～2015年,青藏高原NPP年均值总体上呈现从东南向西北递减的趋势。在年际变化方面,近16年青藏高原不同生态子区的NPP均呈现不同程度的增加趋势。(2)近16年青藏高原NPP重心总体向西南方向移动,表明西南部NPP在增量和增速上大于东北部。(3)NPP与降水显著相关的区域主要位于青藏高原中部、青藏高原东南部及雅鲁藏布江流域中下游,而NPP与气温显著相关的区域主要位于藏南地区、横断山区北部、青藏高原中部和北部。(4)气候变化和人类活动在青藏高原NPP变化过程中的相对作用存在显著的时空差异性,在空间上呈现"四线-五区"的格局。研究成果可为揭示青藏高原区域生态系统对全球变化的响应机制提供理论和方法支撑。     

Mineralogical,chemical and toxicological characterization of urban air particles

Systematic characterization of morphological, mineralogical, chemical and toxicological properties of various size fractions of the atmospheric particulate matter was a main focus of this study together with an assessment of the human health risks they pose. Even though near-ground atmospheric aerosols have been a subject of intensive research in recent years, data integrating chemical composition of particles and health risks are still scarce and the particle size aspect has not been properly addressed yet. Filling this gap, however, is necessary for reliable risk assessment. A high volume ambient air sampler equipped with a multi-stage cascade impactor was used for size specific particle collection, and all 6 fractions were a subject of detailed characterization of chemical (PAHs) and mineralogical composition of the particles, their mass size distribution and genotoxic potential of organic extracts. Finally, the risk level for inhalation exposure associated to the carcinogenic character of the studied PAHs has been assessed. The finest fraction (< 0.45 μm) exhibited the highest mass, highest active surface, highest amount of associated PAHs and also highest direct and indirect genotoxic potentials in our model air sample. Risk assessment of inhalation scenario indicates the significant cancer risk values in PM 1.5 size fraction. This presented new approach proved to be a useful tool for human health risk assessment in the areas with significant levels of air dust concentration.     

Exposure to major volatile organic compounds and carbonyls in European indoor environments and associated health risk

This paper summarizes recent data on the occurrence of major organic compounds (benzene, toluene, xylenes, styrene, acetaldehyde, formaldehyde, naphthalene, limonene, α-pinene and ammonia, classified by the European Commission's INDEX strategy report as the priority pollutants to be regulated) and evaluates accordingly cancer and non-cancer risks posed by indoor exposure in dwellings and public buildings in European Union (EU) countries. The review process indicated that significant differences in indoor air quality exist within and among the countries where data were available, indicating corresponding differences in sources and emission strength of airborne chemicals, identified or not. Conservative exposure limits were not exceeded for non-carcinogenic effects, except for formaldehyde; for carcinogenic agents the estimated risks were up to three orders of magnitude higher than the one (10(-6)) proposed as acceptable by risk management bodies. However, the risk assessment evaluation process faces crucial difficulties, either due to the relative paucity of indoor air quality measurements in many EU countries, or by the lack of sampling consistency in the already existing studies, indicating the need for additional measurements of indoor air quality following a harmonized sampling and analytical protocol. Additionally, uncertainties embodied in the cancer potency factors and exposure limit values impose further difficulties in substance prioritization and risk management.     

Human biomonitoring of multiple mycotoxins in the Belgian population: Results of the BIOMYCO study

Mycotoxins are important food contaminants responsible for health effects such as cancer, nephrotoxicity, hepatotoxicity or immunosuppression. The assessment of mycotoxin exposure is often based on calculations combining mycotoxin occurrence data in food with population data on food consumption. Because of limitations inherent to that approach, the direct measurement of biomarkers of exposure in biological fluids has been proposed as a suitable alternative to perform an accurate mycotoxin exposure assessment at individual level. For this reason, the BIOMYCO study was designed to assess mycotoxin exposure in Belgian adults and children using urinary biomarkers of exposure. Morning urine was gathered in a representative part of the Belgian population according to a standardised study protocol, whereby 155 children (3–12 years old) and 239 adults (19–65 years old) were selected based on random cluster sampling. These urine samples were analysed for the presence of 33 potential biomarkers with focus on aflatoxins, citrinin (CIT), fumonisins, trichothecenes, ochratoxin A (OTA), zearalenone and their metabolites using two validated LC–MS/MS methods.Nine out of the 33 analysed mycotoxins were detected whereby deoxynivalenol (DON), OTA, CIT and their metabolites were the most frequently detected. Deoxynivalenol-15-glucuronide was the main urinary DON biomarker and was found in all urine samples in the ng/mL range. Furthermore deoxynivalenol-3-glucuronide was quantified in 91% of the urine samples collected from children and in 77% of the samples collected from adults. Deoxynivalenol was detected in 70% and 37% of the samples of children and adults respectively. For the first time deepoxy-deoxynivalenol-glucuronide was detected in children's urine (17%). In the samples collected by adults, the prevalence was 22%. Whereas all these mycotoxins contaminated the urine samples in the ng/mL range, CIT and OTA were present in much lower concentrations (pg/mL). OTA contaminated 51% and 35% of the samples collected by children and adults respectively. CIT and its metabolite were present in 72% and 6% of children's urine, whereas they contaminated 59% and 12% of adult's urine. Finally, α-zearalenol and β-zearalenol-14-glucuronide were found in respectively one and two samples from adults. The exposure to DON, OTA and CIT was compared between subgroups and urinary mycotoxin concentrations differed significantly among age and gender. Based on the urinary levels, the daily intake of DON and OTA was estimated and evaluated whereby, depending on the used method, 16–69% of the population possibly exceeded the tolerable daily intake for DON and 1% for OTA.The BIOMYCO study is the first study whereby a multi-toxin approach was applied for mycotoxin exposure assessment in adults and children on a large-scale. Moreover, it is the first study that described the exposure to an elaborated set of mycotoxins in the Belgian population. Biomarker analysis showed a clear exposure of a broad segment of the Belgian population to DON, OTA and CIT. The risk assessment based on these data indicates a potential concern for a number of individuals whereby young children need special attention because of the relatively higher food intake per kg body weight.     

Omega-3 fatty acids and the benefits of fish consumption: is all that glitters gold?

In recent years, a number of studies have clearly remarked the nutritional benefits of fish consumption: proteins, vitamins, minerals, and especially omega-3 polyunsaturated fatty acids (PUFAs), which may protect against several adverse health effects, including coronary heart disease mortality and stroke. However, some concerns about potential health risks derived from the environmental contaminants found in fish have been also raised. Therefore, balancing adequately the risks and benefits of fish consumption is currently a nutritional/environmental health key issue. In this paper, the most recent available scientific information concerning this issue is reviewed. It is concluded that although it seems evident that fish must be an important part of a balanced diet, to choose the most suitable species in terms of levels of PUFAs and pollutants, the frequency of consumption, and the meal size are essential aspects to balance benefits and risks of a regular consumption.     

Which compounds contribute most to elevated airborne exposure and corresponding health risks in the Western Balkans?

A majority of ongoing monitoring of persistent organic pollutants (POPs) is currently focused on chemicals emphasized in the Stockholm Convention. Quantitative detection of other substances (especially those with numerous anthropogenic sources such as polyaromatic hydrocarbons (PAHs)) is, however, also needed since their concentrations are usually several orders of magnitude higher. A goal of this study was to determine how various groups of compounds contribute to total human health risks at the variety of sampling sites in the region of Western Balkan. Distribution of the risks between the gas and particulate phases was also addressed. Results showed that inhalation exposure to organochlorine pesticides (OCPs) does not represent a significant risk to humans, while polychlorinated biphenyls (PCBs) re-volatilized to the atmosphere from contaminated soils and buildings can pose a problem. PCB evaporation from primary sources (currently used PCB-filled transformers or non-adequate storage facilities) generally resulted in much higher atmospheric concentrations than evaporation from the secondary sources (soils at the sites of war destructions). A majority of the human health risks at the urban sites were associated with PAHs. Between 83 and 94% of the cumulative risk at such sites was assigned to chemicals sorbed to particles, and out of it, PAHs were responsible for 99%.     

Levels of PCDD/PCDFs and PCBs in edible marine species and human intake: a literature review

Polychlorinated dibenzo-p-dioxins (PCDDs), dibenzofurans (PCDFs) and biphenyls (PCBs) are lipophilic organic compounds whose origin comes from many different sources. PCDD/Fs and PCBs are ubiquitous and persistent environmental pollutants with a well known potential toxicity, which were included at the 1998 UN-EC POP protocol. Although human exposure to PCDD/Fs and PCBs can occur by various routes, food is the primary source. A number of studies have shown that the major food sources of these organic pollutants are fat-containing animal products, including fish and other seafood. Because of the frequent health recommendations concerning fish consumption, to determine the contribution to the dietary intake of chemical contaminants such as PCDD/Fs and PCBs through fish and other seafood consumption is an issue of special interest. This paper reviews the state of the science regarding recent literature on PCDD/F and PCB levels in marine species and human intake through fish and seafood consumption. The concentrations of these pollutants depend basically on the environment in which the respective species are caught. It is concluded that some groups of population frequently consuming high quantities of certain species could be significantly increasing health risks due to PCDD/F and PCB exposure.     

Exposure to bushfire smoke during prescribed burns and wildfires: firefighters' exposure risks and options

Firefighters are exposed to known health-damaging air pollutants present in bushfire smoke and poorly managed exposure can result in serious health issues. A better understanding of exposure levels and the major factors influencing exposures is crucial for the development of mitigation strategies to minimise exposure risks and adverse health impacts. This study monitored air toxics within the breathing zone of firefighters at prescribed burns and at wildfires in Australia. The results showed that exposure levels were highly variable, with higher exposures (sometimes exceeding occupational exposure standards) associated with particular work tasks (such as patrol and suppression) and with certain burn conditions. The majority of firefighter's exposures were at low and moderate levels (~60%), however considerable attention should be given to the high (~30%) and very high (6%) exposure risk situations for which acute and chronic health risks are very likely and for which control strategies should be developed and implemented to minimise health risks.     

Human health effects of residual carbon nanotubes and traditional water treatment chemicals in drinking water

The volume of industrial and domestic wastewater is increasing significantly year by year with the change in the lifestyle based on mass consumption and mass disposal brought about by the dramatic development of economies and industries. Therefore, effective advanced wastewater treatment is required because wastewater contains a variety of constituents such as particles, organic materials, and emulsion depending on the resource. However, residual chemicals that remain during the treatment of wastewaters form a variety of known and unknown by-products through reactions between the chemicals and some pollutants. Chronic exposure to these by-products or residual chemicals through the ingestion of drinking water, inhalation and dermal contact during regular indoor activities (e.g., showering, bathing, cooking) may pose cancer and non-cancer risks to human health. For example, residual aluminium salts in treated water may cause Alzheimer's disease (AD). As for carbon nanotubes (CNTs), despite their potential impacts on human health and the environment having been receiving more and more attention in the recent past, existing information on the toxicity of CNTs in drinking water is limited with many open questions. Furthermore, though general topics on the human health impacts of traditional water treatment chemicals have been studied, no comparative analysis has been done. Therefore, a qualitative comparison of the human health effects of both residual CNTs and traditional water treatment chemicals is given in this paper. In addition, it is also important to cover and compare the human health effects of CNTs to those of traditional water treatment chemicals together in one review because they are both used for water treatment and purification.     

Characterizing multi-pollutant air pollution in China: Comparison of three air quality indices

Multi-pollutant air pollution (i.e., several pollutants reaching very high concentrations simultaneously) frequently occurs in many regions across China. Air quality index (AQI) is used worldwide to inform the public about levels of air pollution and associated health risks. The current AQI approach used in China is based on the maximum value of individual pollutants, and does not consider the combined health effects of exposure to multiple pollutants. In this study, two novel alternative indices – aggregate air quality index (AAQI) and health-risk based air quality index (HAQI) – were calculated based on data collected in six megacities of China (Beijing, Shanghai, Guangzhou, Shjiazhuang, Xi'an, and Wuhan) during 2013 to 2014. Both AAQI and HAQI take into account the combined health effects of various pollutants, and the HAQI considers the exposure (or concentration)-response relationships of pollutants. AAQI and HAQI were compared to AQI to examine the effectiveness of the current AQI in characterizing multi-pollutant air pollution in China. The AAQI and HAQI values are higher than the AQI on days when two or more pollutants simultaneously exceed the Chinese Ambient Air Quality Standards (CAAQS) 24-hour Grade II standards. The results of the comparison of the classification of risk categories based on the three indices indicate that the current AQI approach underestimates the severity of health risk associated with exposure to multi-pollutant air pollution. For the AQI-based risk category of ‘unhealthy’, 96% and 80% of the days would be ‘very unhealthy’ or ‘hazardous’ if based on AAQI and HAQI, respectively; and for the AQI-based risk category of ‘very unhealthy’, 67% and 75% of the days would be ‘hazardous’ if based on AAQI and HAQI, respectively. The results suggest that the general public, especially sensitive population groups such as children and the elderly, should take more stringent actions than those currently suggested based on the AQI approach during high air pollution events. Sensitivity studies were conducted to examine the assumptions used in the AAQI and HAQI approaches. Results show that AAQI is sensitive to the choice of pollutant irrelevant constant. HAQI is sensitive to the choice of both threshold values and pollutants included in total risk calculation.