Changes in polybrominated diphenyl ether (PBDE) levels in cooked food

Food surveys for levels of toxic chemicals frequently report the levels on an uncooked basis. It is known that cooking may in some conditions decrease the amount of dioxins and related chemicals in food. Surveys of polybrominated diphenyl ether (PBDE) levels in food to date show data from uncooked food only. In this article, it was shown that broiling, with fat dripped from the foods reported here, ground beef, ground lamb, catfish, trout, and salmon, reduces the amount of PBDEs in these foods. This suggests that calculations of food intake need to take into consideration levels in the cooked food rather than in the uncooked food.     

Indoor and outdoor air PBDE levels in a Southwestern US city

Levels of polybrominated diphenyl ether (PBDE) flame retardants have been increasing in humans and the environment for the past few decades. Human levels are markedly higher in the US than Europe. Although food appears to be a significant route of intake, food PBDE levels are not substantially higher in the US than Europe. House and office dust appear to be major routes of exposure with air believed to usually provide a lesser route of intake. Because there are very few measurements of airborne PBDE that have been performed in relevant microenvironments in the US, increased efforts to assess airborne PBDE in the US as sources of exposure are needed. This study reports, for the first time from a Southwestern US city in Texas, the results of measurements of airborne PBDE in multiple locations, two outdoor and six indoor (residential and office) from active air sampling with collection of a combination of both vapor- and particulate-phase PBDE. Higher PBDE levels were measured in indoor than outdoor air, which confirms previous findings. Of 11 measured congeners including BDE 209, total PBDE levels in two outdoor air samples were 112 and 125 pg m^?3 and the indoor air levels ranged from 175 to 1232 pg m^?3 with a median of 572 pg m^?3. These findings suggest that sources of air contamination with PBDE may be similar in Texas as elsewhere in North America. However, more sampling is required to (1) better determine if this is the case and (2) attempt to characterize potential sources of PBDE contamination in both indoor and outdoor air by analysis of congener patterns.     

Levels and congener distributions of PCDDs,PCDFs and dioxin-like PCBs in environmental and human samples: a review

The term “dioxins” is often used in a confusing way. In toxicological considerations—and also in the present report—the term is used to designate the PCDDs, the PCDFs and the coplanar (“dioxin-like”) PCBs, since these classes of compounds show the same type of toxicity. Because of the large number of congeners, relevant individual congeners are assigned with a toxic equivalency factor (TEF) that relate their toxicity to that of tetrachlorodibenzo-p-dioxin (TCDD) (2,3,7,8-TCDD) and are to be evaluated as dioxins. Each concentration of an individual congener in a mixture is multiplied with its TEF, and the resulting TCDD equivalents are added up and expressed as WHO-endorsed toxic equivalents (WHO-TEQ). Polychlorinated dibenzo-p-dioxins (PCDDs) and polychlorinated dibenzofurans (PCDFs) are mainly the by-products of industrial processes (such as metallurgical processing, bleaching of paper pulp, and the manufacturing of some herbicides and pesticides) but they can also result from natural processes like volcanic eruptions and forest fires. Waste incineration, particularly if combustion is incomplete, is among the largest contributors to the release of PCDDs and PCDFs into the environment. Due to their persistence, PCDDs, PCDFs and PCBs are part of the so-called persistent organic pollutants group of compounds that also include some chlorinated pesticides. Since they have a high lipophilicity and resist transformation, they bio-accumulate in animal and human adipose tissues. Consumption of food is considered as the major source of non-occupational human exposure to PCDD/Fs with foodstuffs from animal origin accounting for more than 90% of the human body burden. With meat, dairy, and fish products being the main contributors. The aim of the present review was to summarize experimental data regarding dioxin emissions from contaminated and uncontaminated biological and environmental samples, from the available literature. The information will be presented chronologically with respect to distribution in human milk, serum; food, water, air, soils and sediments.     

Changes over time in persistent organic pollutants (POP) concentrations in human milk in the Republic of Moldova

Persistent organic pollutants (POP) in human milk originating from various sources are used as environmental exposure markers. Further, mothersmilk is a predominant pathway for human exposure for suckling infants to POP. The aim of present study was to provide baseline and time trend information on human milk POP concentrations in the Republic of Moldova. A pooled sample of breast milk was analyzed in 2009 and 2015 and health risk evaluated by comparing reference values of humans' daily intake with estimated daily intake (EDI). Results showed decreases for concentrations of dichlorodiphenyltrichloroethane, hexachlorobenzene, dieldrin, heptachlor, α and β-hexachlorocyclohexane, polychlorinated biphenyls, dioxin-like polychlorinated biphenyls, polychlorinated dibenzo-p-dioxins and dibenzofurans between sampling periods. Regardless of the decrease, EDI was higher than reference values for dioxins toxic equivalents, polychlorinated biphenyls and β-hexachlorocyclohexane in both phases. However, increased levels were detected for polybrominated diphenyl ethers (twofold) and hexabromocyclododecane (threefold) from 2009 to 2015, but the EDI in both phases is much lower than the reference. The decline in certain POP levels may be attributed to coordinated efforts undertaken by national and international entities to regulate these compounds. The basis for the elevated levels of polybrominated diphenyl ethers and hexabromocyclododecane remains unknown but raises concerns regarding lactational exposure.     

Study on polychlorinated dibenzo‐p‐dioxins and dibenzofurans in rivers and estuaries in Osaka Bay in Japan

In order to search the source of polychlorinated dibenzo‐p‐dioxins (PCDDs) and dibenzofurans (PCDFs) in blue mussel in Osaka bay, sediments from Osaka bay and from rivers running near an urban municipal incinerator were analysed for PCDDs, PCDFs and PCBs. The river and estuary sediments were all found to be contaminated with PCDDs at average levels of 9.8 and 12ppb on the dry basis, PCDFs of 7.8 and 5.1 ppb, and PCBs of 1600 and 1300ppb, respectively. The two sediments contained similar profiles of specific isomers and congeners of PCDDs and PCDFs with each other. In addition, there was observed positive close correlations between PCDD and PCDF levels in the two specimens as well as fly ash from urban municipal incinerators. These allow the conclusion that the main source of the two chemicals in Osaka bay is fly ash from waste incineration.     

电子垃圾拆解对台州氯代/溴代二噁英浓度和组成的影响

电子垃圾拆解会导致有毒有害污染物向大气的排放,造成环境污染的产生。为了解电子垃圾拆解及废旧金属再生活动对拆解地及邻近地区空气质量的影响,对台州峰江金属再生园区附近及对照区路桥市区大气中(气态和颗粒态)氯代二噁英(PCDD/Fs)、溴代二噁英(PBDD/Fs)的含量、同系物组成及气/固分配规律进行了研究,通过相关性分析探讨了PCDD/Fs和PBDD/Fs的可能来源。结果显示,金属再生园区冬季采样期间17种2,3,7,8-PCDD/Fs和8种2,3,7,8-PBDD/Fs的平均浓度分别为212.2 pg·m-3和17.6 pg·m-3,夏季采样期间的平均浓度分别为84.5 pg·m-3和5.4 pg·m-3,均显著高于对照点。夏季采样期间对照点处于再生园区的下风向,其二噁英浓度高于冬季,说明其受到了金属再生园区的明显影响。基于相关性分析的结果,塑料焚烧是金属再生活动中氯代和溴代二噁英的主要来源。初步的暴露风险评价表明,金属再生园区附近居民每日摄入的二噁英含量远远超过世界卫生组织规定的人体每日耐受量(1~4 pg W-TEQ·kg-1·d-1)。上述研究结果为规范电子垃圾拆解活动提供了基础数据。     

Polybrominated diphenyl ethers in plastic products,indoor dust,sediment and fish from informal e-waste recycling sites in Vietnam: a comprehensive assessment of contamination,accumulation pattern,emissions, and human exposure

Residue concentrations of polybrominated diphenyl ethers (PBDEs) in different kinds of samples including consumer products, indoor dust, sediment and fish collected from two e-waste recycling sites, and some industrial, urban and suburban areas in Vietnam were determined to provide a comprehensive assessment of the contamination levels, accumulation pattern, emission potential and human exposure through dust ingestion and fish consumption. There was a large variation of PBDE levels in plastic parts of obsolete electronic equipment (from 1730 to 97,300 ng/g), which is a common result observed in consumer plastic products reported elsewhere. PBDE levels in indoor dust samples collected from e-waste recycling sites ranged from 250 to 8740 ng/g, which were markedly higher than those in industrial areas and household offices. Emission rate of PBDEs from plastic parts of disposed electronic equipment to dust was estimated to be in a range from 3.4 × 10^?7 to 1.2 × 10^?5 (year^?1) for total PBDEs and from 2.9 × 10^?7 to 7.2 × 10^?6 (year^?1) for BDE-209. Some fish species collected from ponds in e-waste recycling villages contained elevated levels of PBDEs, especially BDE-209, which were markedly higher than those in fish previously reported. Overall, levels and patterns of PBDE accumulation in different kinds of samples suggest significant emission from e-waste sites and that these areas are potential sources of PBDE contamination. Intakes of PBDEs via fish consumption were generally higher than those estimated through dust ingestion. Intake of BDE-99 and BDE-209 through dust ingestion contributes a large proportion due to higher concentrations in dust and fish. Body weight normalized daily intake through dust ingestion estimated for the e-waste recycling sites (0.10–3.46 ng/day/kg body wt.) were in a high range as compared to those reported in other countries. Our results highlight the potential releases of PBDEs from informal recycling activities and the high degree of human exposure and suggest the need for continuous investigations on environmental pollution and toxic impacts of e-waste-related hazardous chemicals.     

Temporal limitations in the use of potassium dichromate as a blood preservative for the analysis of organohalogenated contaminants including polybrominated diphenyl ethers,dioxins and PCBs

Previous studies described the use of potassium dichromate (K₂Cr₂O₇) to successfully preserve whole blood for up to 34 days at room temperature (20–22°C) for analysis of chlorinated dioxins, dibenzofurans and PCBs. Potassium dichromate has been successfully employed as a preservative for cows’ milk and in a World Health Organization study of human milk. The use of two 100?mg tablets in 40 to 100?mL of whole blood in anticoagulant was found to provide almost identical levels of dioxins, dibenzofurans, PCBs and lipids as found in frozen comparison blood at??70°C which is generally regarded as the gold standard for blood preservation. Potassium dichromate was found to be preferable to 20 and 40% ethyl alcohol for this preservation. This finding opens opportunities for preservation under field conditions in developing countries where neither electricity nor dry ice is available. Not having to use dry ice for shipping also allows more flexibility in the choice of commercial carriers for transporting blood to an analytical laboratory. It is recommended considering a number of compounds in addition to those studied in our first report and extending the time beyond 34 days in order to determine if longer storage might also be feasible. Data on polybrominated diphenyl ethers (PBDEs), as well as polychlorinated dibenzo-p-dioxins (PCDDs), polychlorinated dibenzofurans (PCDFs), and selected polychlorinated biphenyls (PCBs) are reported. For the present study 3 and 6 months were chosen in potassium dichromate at room temperature compared to freezing at ?70°C. Data indicate that these times exceed the limits of efficacy of potassium dichromate for whole blood preservation. This was attributed to degradation of the lipid component of the blood. Since dioxins and closely related structural analogues are traditionally reported as lipid normalized blood levels, this degradation of lipids provides erroneous results. Therefore, potassium dichromate is not recommended for long-term storage beyond 34 days at room temperature. It is planned to study the time period between one and three months and higher temperature preservation for shorter time periods, simulating conditions in tropical countries, to attempt to extend further the ease and convenience of chemical preservation of blood.     

Partitioning of polybrominated diphenyl ether (PBDE) congeners in human blood and milk

Polybrominated diphenyl ethers (PBDEs) are brominated flame retardants (BFRs) which have recently been detected in human blood and milk in the USA, and presently these PBDE levels are found to be the highest globally. On a population basis, individual blood and individual milk analyses show similar congener patterns and levels. Until now, there has not been a study comparing PBDE levels in milk and blood of the same individuals. This study is the first to report these levels for PBDEs, though partitioning between blood and milk has been done previously for dioxins and polychlorinated biphenyls (PCBs). Twelve congeners in 11 nursing mothers’ blood and milk were found and the data describe partitioning ratios between blood and milk. The data suggest it may be easier for smaller, less brominated congeners to move from blood to milk.     

Multi-year lactation and its consequences in Bornean orangutans (Pongo pygmaeus wurmbii)

In most mammals, females pay for reproduction by dramatically increasing net energy intake from conception to mid- or late lactation. To do this, they time their reproductive events in relation to environmental cycles so that periods of peak food availability coincide with peak demand or are used to build energy stores. This timing is not possible in species with slow development in which lactation is prolonged over a multi-year period with fluctuating food availability. Here, mothers are expected to sustain a stable but generally lower level of nutrient transfer. In a sample of over 1,050 complete follow days of eight mother–infant pairs collected over 7 years, we document maternal effort for wild Bornean orangutans (Pongo pygmaeus wurmbii) over their average 6.5-year lactation period. As predicted, maternal feeding time was independent of the age of her growing offspring, indicating a stable sustained “plateau” effort of ≤ 25 % above baseline level, instead of a short peak lactation as seen in seasonal breeders. Infant orangutans started to regularly supplement milk with self-harvested food when they were 1–1.5 years old, indicating milk intake was insufficient from this age onwards, even though maternal effort did not decrease. We expect the same regulation of sustained maternal effort in other large and large-brained mammals with slow infant development. We also predict that mother–infant conflict over suckling may show another peak at the onset of the milk?+?solid food phase, in addition to the well-known conflict around the endpoint of lactation (weaning), which is reached after a long and gradual increase in solid food intake by the infant.     

A mathematical model of PCB bioaccumulation in plankton

In batch experiments exposing individual plankton constituents to Aroclor 1254 PCB, the rate at which the organism approaches partitioning equilibrium appears to be partly size-dependent while the extent of PCB accumulation is species-specific. The sorptive desorptive kinetics of PCB in these experiments can be described mathematically by a first-order expression. Employing this expression in a model plankton food web permits examination of the role of feeding and sorptive processes in determining PCB body burden under various environmental conditions. When ingestion rates exceed desorption and excretion rates, a consuming organism accumulates PCB above levels predicted by equilibrium partitioning relationships. Feeding-induced oscillations in PCB body burden could thus obscure the reduction of soluble PCB concentration which determine a “baseline” PCB body burden. Unless referenced to a specific set of biological and environmental conditions, the importance of direct partitioning from water vs. food uptake appears to be a moot topic.     

Mechanistic aspects of the thermal formation of halogenated organic compounds including polychlorinated dibenzo‐p‐dioxins. Part V†: Hypotheses and summary

The hypotheses on the de novo syntheses of polychlorinated dibenzofurans (PCDFs) and polychlorinated dibenzo‐p‐dioxins (PCDDs), based on known literature, are presented. Polychlorinated benzenes and polychlorinated phenols are probably key intermediates.

In the present article, hypotheses that may account for the presence of polychlorinated dibenzofurans (PCDFs) and dibenzo‐p‐dioxins (PCDDs) in the effluents from municipal and industrial incinerators are put forward. These hypotheses are based on the previously surveyed literature (Ref. 203–206) and experimental results on laboratory scale and thermodynamic calculations are considered. The interconnections of various reaction steps are speculative and no technological information was added to account for conditions in real incinerators. Conclusion of the discussions on the related subject matter, presented in the Parts I‐IV (Ref. 203–206), are also described in this paper.     

太原地区食物中的林丹残留与人群摄食暴露(Oral Intake of Lindane by Population in Taiyuan)

尽管我国有机氯农药已禁用多年,但环境和食物中仍有有机氯农药残留.以太原市为研究区域,采集了代表性的6类24种食物,测定了林丹残留量,分析了太原人群对林丹的口摄暴露风险.研究结果表明,24种食物中林丹残留量在未检出到1.5ng·g-(1湿重)范围内.残留量较高的为鱼、水果、蔬菜和肉类.多数食物残留浓度高于2005～2007年北京和沈阳类似调查的结果.与历史数据(1992、2000年)相比,食物中林丹残留浓度大幅度下降,动物类食物下降1～2个量级,蔬菜和水果降幅较小.目前各类食物中林丹残留量均低于国家和欧盟的相应标准.平均而言,各年龄段人群日均口摄暴露量也低于美国环保局的标准,但由于食物残留浓度、个体体重及膳食结构变异较大,导致个体暴露水平差别很大,各年龄段,特别是成年人中有少数人日均口摄暴露浓度超过美国环保局制定的0.3g·kg-1·d-1的允许标准.     

Abstracts to forthcoming papers

Food is the major source of metal exposure for the nonsmoking general population. Food samples of plant and animal origin from Ismailia, Egypt, were analyzed for the content of cadmium (Cd), lead (Pb), chromium (Cr), zinc (Zn), and copper (Cu) using AAS. The Cr, Zn, and Cu concentrations were in the range of 1.7–249?µg?kg^?1 wet weight (ww), 2–66?mg?kg^?1?ww, and 0.5–3.46?mg?kg^?1?ww, respectively. The mean daily intake of Cr, Zn, and Cu was 28.9?µg day^?1, 8.55?mg day^?1, and 1.7?mg day^?1, respectively. The intake estimates are within the range of the recommended intake established internationally. Concentrations of Cd and Pb were in the range of 10–321?µg?kg^?1?ww and 31–1200?µg?kg^?1?ww, respectively. The weekly dietary intake for Cd and Pb (4.02 and 20.4?µg?kg^?1 b.w, respectively) is lower than the FAO/WHO PTWI. Bread is the foodstuff that provided the highest rate of Pb and Cd (62 and 46% of the daily intake) to adults in Ismailia city.     

Dioxins: Sources of environmental load and human exposure

Polychlorinated dibenzo‐p‐dioxins (PCDD) and polychlorinated dibenzofurans (PCDF) represent a class of tricylic, almost planar, aromatic ethers with 1 to 8 chlorine atoms. Congeners with substituents in the positions 2, 3, 7, and 8 are of special concern due to their toxicity, stability, and persistence. These compounds have been identified in almost all environmental compartments and humans.

Dioxins are a potent carcinogen for animals and—at the moment—considered a probable carcinogen for humans. Actual toxicological risk assessment for humans are based on 2,3,7,8‐Cl4DD carcinogenicity studies on rodents. Tumorigenic effects were found for 2 strains of rats and 2 strains of mice. All dioxins and furans elicit common toxic and biological responses, starting with a specific binding to a protein receptor, but existing epidemiologic data do not provide definitive data on human health effects.

Toxicity equivalency factors (TEFs) have been developed by several agencies as a provisional method of risk assessment for complex mixtures of PCDD/PCDF.

Dioxins have never been produced intentionally and have never served any useful purpose. They are formed in trace amounts as by‐products in industrial processes; for instance within the chemical industry, of the pulp and paper industry, metallurgical processes, processes for reactivation of granular carbon, dry cleaning, and the manufacture of flame‐retarded plastics.

The main pathway for dioxins to enter the environment is via combustion processes. Incineration is of special importance since PCDD/PCDF are directly released to the atmosphere from either stationary sources, such as municipal, hazardous and hospital waste incinerators, the combustion of sewage sludge, and scrap metal recycling, or diffuse sources, e.g. automobile exhausts, private home heating with fossil fuels, forest fires, and cigarette smoking. Furthermore, fires with PCB and PVC have additionally contributed to the total dioxin load. The emission gases can undergo long‐range transport, so that dioxins have been found even in remote areas.

Besides the two primary sources (industrial processes and combustion processes) the release of dioxins from contaminated areas and waste dumps via the leachate and the application of sewage sludge for fertilization represents a third source of PCDD/PCDF.

After more than 10 years of dioxin research the most important sources of PCDD/PCDF have been identified and analytical methods have been developed for their quantification in trace levels and in complex matrices.

Various efforts have been undertaken to reduce the emission of dioxins: for example, optimization of combustion processes for municipal waste incineration, use of unleaded gasoline, ban of chemicals, such as polychlorinated biphenyls (PCBs) and pentachlorophenol (PCP). More detail is provided in the pulp and paper section where changes have been initiated to significantly reduce the sources of PCDD/PCDF.

However, relatively little is known about transport and transformation processes, so only rough estimates can be made. Photodegradation has been found to be the primary process for 2,3,7,8‐Cl4DD breakdown. A half‐life of 3–4 days has been estimated for photochemical degradation under oxidative conditions. Field studies on the fate of 2,3,7,8‐Cl4DD in soil gave a half‐life of 9.1 (Seveso) and 12 years (under special conditions: sand, erosion), respectively. Biodegradation seems to be negligible. Transfer factors soil‐plants for PCDD/PCDF have been determined—with a high degree of uncertainty—to be less than 0.1.

Human exposure primarily occurs via ingestion whereas inhalation is a minor pathway. Dermal absorption can be neglected although skin contact to polluted surfaces may occur. Due to the lipophilicity of PCDD/PCDF and their potential for accumulation, foods such as meat and especially dairy products contribute most to the dioxin body burden of humans.

Both national agencies and international organizations have recognized the significance of this problem and as a result have initiated regulations, recommendations and research programmes (1) to understand where and how PCDD/PCDF are formed, (2) to reduce their impact on the environment and to humans, and (3) to start remedial action on contaminated areas.     

Gastric evacuation of different foods byNephrops norvegicus (Crustacea: Decapoda) and estimation of soft tissue ingested,maximum food intake and cannibalism in captivity

Gastric evacuation, maximum food intake and mortality during starvation were studied inNephrops norvegicus (L.) by means of simple laboratory experiments. Lobsters were collected by trawling off Barcelona (northwest Spain) at 400 m depth in winter 1986, and were held individually or in groups and fed different types of food:Nereis spp. (soft tissue, muscle), some species of Crangonidae (mostly hard tissue, carapace) andEngraulis encrassicolus (soft and hard tissues, combined muscles and bones). The digested matter was subsequently examined and analyzed from the stomach contents. Laboratory results were compared with the stomach contents of individuals collected from the field. Gastric evaluation was calculated as weight of stomach contents at Timet = stomach-content weight × 100:weight of food ration — residual weight of food, and the characteristic appearance of identifiable food items at different digestion times (0.5, 1, 2, 3, and 5 h) was recorded and illustrated, providing a basis for establishing the time of ingestion of the last meal and the underestimation of soft, compared to hard tissues. Underestimation of soft tissues may yield errors which constitute up to 10% of the soft food actually ingested. Maximum food intake was estimated at 0.25 g g^–1 body wt d^–1, and feeding did not recommence until 24 h after a previous meal. Finally, we present data on mortality resulting from cannibalism which occurred in conjunction with starvation: this ranged from 0% in isolated individuals to 36.6% in individuals held in groups.     

Predicting the transportation tendency and potential reservoirs of dioxins by compartment distribution coefficient

We assessed the transportation tendency of dioxins and predict locations at high risk for dioxin pollution. A new parameter, the compartment distribution coefficient D_C, was created to account for the tendency of dioxins to preferentially accumulate in particular compartments. It was obtained by a model using levels of polychlorinated dibenzo-p-dioxins/dibenzofurans (PCDD/Fs) in four countries: Japan, the United States, the United Kingdom, and Australia. The comparison with the temporal and spatial variation of D_C indicated whether the location release or long-range transportation caused the changes. This study showed that PCDD/Fs have the greatest tendency to remain in soil among studied media. A higher D_C value in Australia may indicate that this location is a potential future reservoir source of dioxins.     

Burden of skin lesions of arsenicosis at higher exposure through groundwater of taluka Gambat district Khairpur, Pakistan: a cross-sectional survey

Prior surveys conducted have found higher proportion of arsenic-contaminated wells in villages along river Indus in Pakistan. This study aims to determine the prevalence of arsenicosis skin lesions among population exposed to higher exposure in taluka Gambat district Khairpur in Sindh. The cross-sectional survey was conducted from August 2008 to January 2009 among 610 households. A total of 707 water sources (hand pumps/wells) were tested from the villages of union councils of Agra and Jado Wahan for arsenic levels with Quick rapid arsenic field test kits. A total of 110 households exposed to arsenic levels >50 ppb were identified. Case screening for arsenic skin lesions was performed for 610 individuals residing in these 110 high-risk households. Information regarding household and socio-demographic characteristics, height and weight measurements and arsenic exposure assessment were collected. Physical examinations by trained physicians were carried out to diagnose the arsenic skin lesions. After data cleaning, 534 individuals from all age groups were included in the final analysis which had complete exposure and outcome information. Overall prevalence of arsenicosis skin lesions was 13.5 % (72 cases). Of the 534 individuals, 490 (91.8 %) were exposed to arsenic levels of ≥100 ppb in drinking water (8.2 % to >50–99 ppb, 58.6 % to 100–299 ppb, 14.6 % to 300–399 ppb and 18 % to ≥400 ppb). Prevalence rate (per 100 population) of arsenicosis was highest at arsenic levels of 100–199 ppb (15.2 cases) followed by ≥400 ppb (13.5 cases) and 300–399 (12.8 cases). Prevalence rate was higher among females (15.2) compared to males (11.3). Our study reports arsenicosis burden due to exposure to higher arsenic levels in drinking water in Pakistan. Exposure to very high levels of arsenic in drinking water calls for urgent action along river Indus. Prevalence of skin lesions increases with increasing arsenic levels in drinking groundwater. Provision of arsenic-free drinking water is essential to avoid current and future burden of arsenicosis in Pakistan.     

Influence of food quantity on the kinetics of cadmium uptake and loss via food and seawater in Mytilus edulis

The difference between the cadmium uptake via food and seawater in Mytilus edulis has been studied. This was done by labelling algae with Cd-109 and seawater with Cd-115m. Mussels were fed on six different quantities of Isochrysis galbana. Cadmium uptake via algae was more efficient at low food levels, while accumulation from seawater was linearly correlated with food quantities. Cadmium from food contributed only little to the body burden (0.2–0.5%). Half-lives for the elimination of cadmium ranged from 96–190 d and increased with decreasing availability of algae, presumably due to slowed down metabolism. Differences in elimination patterns suggest a release of both isotopes from different storage depots. A computer model shows that the food pathway can only play a significant role if algae are highly contaminated. It also demonstrates the paradox that in long-term studies the highest contribution of food-derived cadmium to the body burden must be expected near maintenance food concentrations.     

Dioxin levels in the breast milk and estradiol and androgen levels in the saliva of Vietnamese primiparae

Human exposure to polychlorinated dibenzodioxins (PCDD) and dibenzofurans (PCDF), especially 2,3,7,8 tetrachlorodibenzo-p-dioxin (TCDD), was investigated in Vietnam since initial severe adverse health effects were reported in the late 1970s. The purpose of this study was to determine the effects of dioxin exposure on steroid hormones of primiparae in an Agent Orange/dioxin hot-spot and a non-exposed area in Vietnam. Sixteen primiparae (8 at each site), all of whom were aged between 20 and 30 years with infants aged between 4 and 16 weeks, agreed to participate in this study. The mean dioxin levels in breast milk of primiparae from the hot-spot area, in terms of PCDD, PCDF, and PCDD?+?PCDF toxic equivalents (TEQ), were significantly higher than those for the non-exposed area. PCDD TEQ, PCDF TEQ, and PCDD?+?PCDF TEQ levels showed a significant correlation with dehydroepiandrosterone (DHEA), androstenedione (A-dione), and estradiol (E2) in the saliva of primiparae in a combination of hot-spot and non-exposed areas in Vietnam. The dose–response curve between salivary E2 or A-dione levels and dioxin levels was U-shaped in humans. This study provides an overview of studies regarding dioxin hot-spots and effects on human health and steroid hormone levels in particular, with a focus on the toxicity attributed to dioxins and furans. Furthermore, causal evidence regarding the effects of dioxins on endocrine disruption in humans is provided.