An approach to comparative assessments of potential health risks from exposure to radionuclides and hazardous chemicals

The need to compare potential health risks to the public associated with different activities that can result in releases of hazardous substances to the environment is becoming increasingly important in decision-making. In making such comparisons, it is desirable to use equivalent indicators of potential health risks for radionuclides, chemical carcinogens, and noncarcinogenic hazardous chemicals. Current approaches to risk assessment that were developed for purposes of protecting human health do not provide equivalent indicators of potential risks from exposure to radionuclides and hazardous chemicals. Comparisons of environmental concentrations or calculated exposures or risks with standards for protection of public health also do not provide equivalent indicators of potential risks. We propose a simple approach to comparative risk assessments in which calculated exposures to any hazardous substances are expressed relative to no-observed-effect levels (NOELs) or, preferably, lower confidence limits of benchmark doses (BMDLs) in humans. This approach provides an equivalent, science-based indicator of the relative risks posed by different exposures to any hazardous substances.     

Radon releases from Australian uranium mining and milling projects: assessing the UNSCEAR approach

The release of radon gas and progeny from the mining and milling of uranium-bearing ores has long been recognised as a potential radiological health hazard. The standards for exposure to radon and progeny have decreased over time as the understanding of their health risk has improved. In recent years there has been debate on the long-term releases (10,000 years) of radon from uranium mining and milling sites, focusing on abandoned, operational and rehabilitated sites. The primary purpose has been estimates of the radiation exposure of both local and global populations. Although there has been an increasing number of radon release studies over recent years in the USA, Australia, Canada and elsewhere, a systematic evaluation of this work has yet to be published in the international literature. This paper presents a detailed compilation and analysis of Australian studies. In order to quantify radon sources, a review of data on uranium mining and milling wastes in Australia, as they influence radon releases, is presented. An extensive compilation of the available radon release data is then assembled for the various projects, including a comparison to predictions of radon behaviour where available. An analysis of cumulative radon releases is then developed and compared to the UNSCEAR approach. The implications for the various assessments of long-term releases of radon are discussed, including aspects such as the need for ongoing monitoring of rehabilitation at uranium mining and milling sites and life-cycle accounting.     

Effects of geothermal effluents on aquatic ecosystems

The use of geothermal energy for electrical generation and a variety of other purposes requires the handling and disposal of large volumes of geothermal fluids. These fluids contain constituents such as dissolved ammonia, hydrogen sulfide gas, and trace elements. Facilities in the United States are not expected to routinely discharge large volumes of toxic geothermal fluids. However, chronic effects on aquatic ecosystems are possible at concentrations where acute toxicity would be neither expected nor observed. Also, some trace elements may accumulate to hazardous levels in ecosystems, even when released at nontoxic concentrations.     

Global and local cancer risks after the Fukushima Nuclear Power Plant accident as seen from Chernobyl: A modeling study for radiocaesium (134Cs & 137Cs)

The accident at the Fukushima Daiichi Nuclear Power Plant (NPP) in Japan resulted in the release of a large number of fission products that were transported worldwide. We study the effects of two of the most dangerous radionuclides emitted, ¹³⁷Cs (half-life: 30.2 years) and ¹³⁴Cs (half-life: 2.06 years), which were transported across the world constituting the global fallout (together with iodine isotopes and noble gasses) after nuclear releases. The main purpose is to provide preliminary cancer risk estimates after the Fukushima NPP accident, in terms of excess lifetime incident and death risks, prior to epidemiology, and compare them with those occurred after the Chernobyl accident. Moreover, cancer risks are presented for the local population in the form of high-resolution risk maps for 3 population classes and for both sexes. The atmospheric transport model LMDZORINCA was used to simulate the global dispersion of radiocaesium after the accident. Air and ground activity concentrations have been incorporated with monitoring data as input to the LNT-model (Linear Non-Threshold) frequently used in risk assessments of all solid cancers. Cancer risks were estimated to be small for the global population in regions outside Japan. Women are more sensitive to radiation than men, although the largest risks were recorded for infants; the risk is not depended on the sex at the age-at-exposure. Radiation risks from Fukushima were more enhanced near the plant, while the evacuation measures were crucial for its reduction. According to our estimations, 730–1700 excess cancer incidents are expected of which around 65% may be fatal, which are very close to what has been already published (see references therein). Finally, we applied the same calculations using the DDREF (Dose and Dose Rate Effectiveness Factor), which is recommended by the ICRP, UNSCEAR and EPA as an alternative reduction factor instead of using a threshold value (which is still unknown). Excess lifetime cancer incidents were estimated to be between 360 and 850, whereas 220–520 of them will be fatal. Nevertheless, these numbers are expected to be even smaller, as the response of the Japanese official authorities to the accident was rapid. The projected cancer incidents are much lower than the casualties occurred from the earthquake itself (> 20,000) and also smaller than the accident of Chernobyl.     

海底可燃冰开发环境风险多元共治之论证与路径展开

有效规制海底可燃冰开发伴生的多种类型生态环境风险,是保障可燃冰产业健康发展的内在需求。本文的主要目的即在中国现行法律体系规定的多元共治的环境法治理念和制度框架下,研究海底可燃冰开发环境风险多元共治的理论基础、现实必要性及其制度路径。文章主要运用类型化方法来梳理与归纳海底可燃冰开发引致环境风险的具体类型;运用理论分析与价值分析方法,论证海底可燃冰开发环境风险多元共治的必要性;运用法教义学分析、比较分析与系统分析方法,检视与剖析我国传统行政管制模式下的制度体系在规制海底可燃冰开发环境风险中的绩效与利弊,归纳与展开海底可燃冰开发环境风险多元共治的制度路径。本文的基本结论是,传统环境管制模式难以有效治理海底可燃冰开发引致的新型环境风险,当前我国所创新的环境多元共治模式,可以矫正政府单维管制海底可燃冰开发环境风险中的缺陷、弥补"监管之法"在规制海底可燃冰开发环境风险中的疏漏、克服单一行政命令方式在规制海底可燃冰开发环境风险中的困境,系统构建海底可燃冰开发环境风险多元治理体系。在完善行政监管和推进私人治理两个层面对海底可燃冰开发环境风险多元共治的基础上提出具体建议。在完善行政监管层面,我国《环境保护法》《海洋环境保护法》等法律规范经过拓展解释适用,仍然因为规制路径的间接性、零散性而产生内生弊端,亟待专门立法;在推进私人治理层面,多元共治机制分为多元主体参与机制与诉讼机制,应重视通过鼓励环保公益组织、可燃冰行业协会与私人等多元主体采取多元参与和私益诉讼方式,以发挥其在规制海底可燃冰开发环境风险中的综合效用。     

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.     

Impact of climate change on the domestic indoor environment and associated health risks in the UK

There is growing evidence that projected climate change has the potential to significantly affect public health. In the UK, much of this impact is likely to arise by amplifying existing risks related to heat exposure, flooding, and chemical and biological contamination in buildings. Identifying the health effects of climate change on the indoor environment, and risks and opportunities related to climate change adaptation and mitigation, can help protect public health.We explored a range of health risks in the domestic indoor environment related to climate change, as well as the potential health benefits and unintended harmful effects of climate change mitigation and adaptation policies in the UK housing sector. We reviewed relevant scientific literature, focusing on housing-related health effects in the UK likely to arise through either direct or indirect mechanisms of climate change or mitigation and adaptation measures in the built environment. We considered the following categories of effect: (i) indoor temperatures, (ii) indoor air quality, (iii) indoor allergens and infections, and (iv) flood damage and water contamination.Climate change may exacerbate health risks and inequalities across these categories and in a variety of ways, if adequate adaptation measures are not taken. Certain changes to the indoor environment can affect indoor air quality or promote the growth and propagation of pathogenic organisms. Measures aimed at reducing greenhouse gas emissions have the potential for ancillary public health benefits including reductions in health burdens related heat and cold, indoor exposure to air pollution derived from outdoor sources, and mould growth. However, increasing airtightness of dwellings in pursuit of energy efficiency could also have negative effects by increasing concentrations of pollutants (such as PM_2.5, CO and radon) derived from indoor or ground sources, and biological contamination. These effects can largely be ameliorated by mechanical ventilation with heat recovery (MVHR) and air filtration, where such solution is feasible and when the system is properly installed, operated and maintained. Groups at high risk of these adverse health effects include the elderly (especially those living on their own), individuals with pre-existing illnesses, people living in overcrowded accommodation, and the socioeconomically deprived.A better understanding of how current and emerging building infrastructure design, construction, and materials may affect health in the context of climate change and mitigation and adaptation measures is needed in the UK and other high income countries. Long-term, energy efficient building design interventions, ensuring adequate ventilation, need to be promoted.     

The costs and benefits of radon remediation programmes in existing homes: case study of action level selection

Radon gas can be present within buildings at sufficiently high levels that it becomes a health risk. Such levels can be reduced, and so radon remediation programmes in the home in UK Affected Areas should result in reduced risks to the population. This paper considers the benefits and costs of the domestic radon remediation programme in Northamptonshire, UK, and considers the implications of the choice of Action Level, in view of the adoption of different levels in many countries. A programme with a higher Action Level will cost less, and target those most at risk, but will be less cost effective. In addition, a higher Action Level leaves a higher residual dose and risk to the remaining population. Such doses are higher than and inconsistent with the radiation dose limits for the general public in the EU Basic Standards Directive.     

Analysis of the individual health benefits accruing from a domestic radon remediation programme

Although radon can be present within buildings at sufficient levels to pose a health risk, levels can be reduced relatively easily. Recent studies on a group of radon-remediated homes, based on assessment of collective population-average risk coefficients, have estimated the benefits and cost effectiveness accruing from remediation and have confirmed that domestic remediation in UK radon Affected Areas would result in significantly reduced cancer risks to the population in those areas. Although the population-average approach used hitherto has applied occupancy and lung-cancer risk factors, these are potentially misleading in assessing discrete populations. The study reported here uses the recently developed European Community Radon Software (ECRS) to quantify individual risks in a sample of householders who remediated their homes following indications that radon levels exceeded the action level. The study proceeds from population-averaged to 'individual risk' evaluation, successfully comparing individual and collective risk assessments, and demonstrates that those who remediate are not representative of the general population. Health benefits accruing from remediation are three times lower than expected, largely because remediators are older, live in smaller households, and smoke less than the population average, leading to the conclusion that the current strategy employed in the UK is failing to target those most at risk.     

Effects of brine injection wells, dry holes, and plugged oil/gas wells on chloride, bromide, and barium concentrations in the Gulf Coast Aquifer, southeast Texas, USA

Data from 1,122 brine injection wells, 24,515 dry holes, 20,877 plugged oil/gas wells, and 256 water wells were mapped with a geographic information system (GIS) and statistically analyzed. There were 9, 107, and 58 water wells within 750 m of a brine injection well, dry hole, or plugged oil/gas well, respectively. Computed median concentrations were 157 mg/l for chloride, 0.8 mg/l for bromide, and 169 microg/l for barium. The maximum chloride concentration was 2,384 mg/l, close to 10 times the secondary drinking water standard. Shallow water wells and water wells near plugged oil/gas wells had significantly higher chloride and bromide levels.     

Potential release scenarios for carbon nanotubes used in composites

The expected widespread use of carbon nanotube (CNT)-composites in consumer products calls for an assessment of the possible release and exposure to workers, consumers and the environment. Release of CNTs may occur at all steps in the life cycle of products, but to date only limited information is available about release of CNTs from actual products and articles. As a starting point for exposure assessment, exploring sources and pathways of release helps to identify relevant applications and situations where the environment and especially humans may encounter releases of CNTs. It is the aim of this review to identify various potential release scenarios for CNTs used in polymers and identify the greatest likelihood of release at the various stages throughout the life-cycle of the product. The available information on release of CNTs from products and articles is reviewed in a first part. In a second part nine relevant release scenarios are described in detail: injection molding, manufacturing, sports equipment, electronics, windmill blades, fuel system components, tires, textiles, incineration, and landfills. Release from products can potentially occur by two pathways; (a) where free CNTs are released directly, or more frequently (b) where the initial release is a particle with CNTs embedded in the matrix, potentially followed by the subsequent release of CNTs from the matrix.The potential for release during manufacturing exists for all scenarios, however, this is also the situation when exposure can be best controlled. For most of the other life cycle stages and their corresponding release scenarios, potential release of CNTs can be considered to be low, but it cannot be excluded totally. Direct release to the environment is also considered to be very low for most scenarios except for the use of CNTs in tires where significant abrasion during use and release into the environment would occur. Also the possible future use of CNTs in textiles could result in consumer exposure. A possibility for significant release also exists during recycling operations when the polymers containing CNTs are handled together with other polymers and mainly occupational users would be exposed.It can be concluded that in general, significant release of CNTs from products and articles is unlikely except in manufacturing and subsequent processing, tires, recycling, and potentially in textiles. However except for high energy machining processes, most likely the resulting exposure for these scenarios will be low and to a non-pristine form of CNTs. Actual exposure studies, which quantify the amount of material released should be conducted to provide further evidence for this conclusion.     

Probabilistic risk assessment's use of trees and distributions to reflect uncertainty and variability and to overcome the limitations of default assumptions

Probabilistic risk assessment is an emerging approach to exposure assessment and quantitative cancer and non-cancer risk characterizations. The approach is easily extended to other types of risks and outcomes. A tree, like a decision tree or probability tree, encourages the evaluation of not only the default assumptions but also alternatives to those defaults, and reflects the uncertainty in the current state of knowledge. Trees are used in both the characterization of the dose received by individuals in a potential exposure situation and the characterization of the dose-response relationship for a specified response of concern. Probability distributions are used to reflect the variability in exposure, dose, and dose-response relationships among individuals and over time within individuals. Distributions incorporating variabilities, uncertainties, subjective probabilities, and expert judgments are used to characterize the probabilities of observing an individual in a population with a specified dose from exposure, with a specified probability of a certain adverse health effect for a designated dose, and with a specified probability of a certain adverse health effect (i.e., a specified risk). Some suggestions are given on how a risk manager can incorporate a distributional risk characterization into decision making. Some discussion is included concerning sensitivity analyses and path analyses. The major finding is methodology to explicitly incorporate variability, uncertainty, and alternatives to defaults into exposure, dose-response, and risk characterizations.     

A comparative evaluation of the regulation of GM crops or products containing dsRNA and suggested improvements to risk assessments

Changing the nature, kind and quantity of particular regulatory-RNA molecules through genetic engineering can create biosafety risks. While some genetically modified organisms (GMOs) are intended to produce new regulatory-RNA molecules, these may also arise in other GMOs not intended to express them. To characterise, assess and then mitigate the potential adverse effects arising from changes to RNA requires changing current approaches to food or environmental risk assessments of GMOs. We document risk assessment advice offered to government regulators in Australia, New Zealand and Brazil during official risk evaluations of GM plants for use as human food or for release into the environment (whether for field trials or commercial release), how the regulator considered those risks, and what that experience teaches us about the GMO risk assessment framework. We also suggest improvements to the process.     

Arsenic in North Carolina: public health implications

Arsenic is a known human carcinogen and relevant environmental contaminant in drinking water systems. We set out to comprehensively examine statewide arsenic trends and identify areas of public health concern. Specifically, arsenic trends in North Carolina private wells were evaluated over an eleven-year period using the North Carolina Department of Health and Human Services database for private domestic well waters. We geocoded over 63,000 domestic well measurements by applying a novel geocoding algorithm and error validation scheme. Arsenic measurements and geographical coordinates for database entries were mapped using Geographic Information System techniques. Furthermore, we employed a Bayesian Maximum Entropy (BME) geostatistical framework, which accounts for geocoding error to better estimate arsenic values across the state and identify trends for unmonitored locations. Of the approximately 63,000 monitored wells, 7712 showed detectable arsenic concentrations that ranged between 1 and 806 μg/L. Additionally, 1436 well samples exceeded the EPA drinking water standard. We reveal counties of concern and demonstrate a historical pattern of elevated arsenic in some counties, particularly those located along the Carolina terrane (Carolina slate belt). We analyzed these data in the context of populations using private well water and identify counties for targeted monitoring, such as Stanly and Union Counties. By spatiotemporally mapping these data, our BME estimate revealed arsenic trends at unmonitored locations within counties and better predicted well concentrations when compared to the classical kriging method. This study reveals relevant information on the location of arsenic-contaminated private domestic wells in North Carolina and indicates potential areas at increased risk for adverse health outcomes.     

Cancer risk assessment of selected hazardous air pollutants in Seattle

The risk estimates calculated from the conventional risk assessment method usually are compound specific and provide limited information for source-specific air quality control. We used a risk apportionment approach, which is a combination of receptor modeling and risk assessment, to estimate source-specific lifetime excess cancer risks of selected hazardous air pollutants. We analyzed the speciated PM(2.5) and VOCs data collected at the Beacon Hill in Seattle, WA between 2000 and 2004 with the Multilinear Engine to first quantify source contributions to the mixture of hazardous air pollutants (HAPs) in terms of mass concentrations. The cancer risk from exposure to each source was then calculated as the sum of all available species' cancer risks in the source feature. We also adopted the bootstrapping technique for the uncertainty analysis. The results showed that the overall cancer risk was 6.09 x 10(-5), with the background (1.61 x 10(-5)), diesel (9.82 x 10(-6)) and wood burning (9.45 x 10(-6)) sources being the primary risk sources. The PM(2.5) mass concentration contributed 20% of the total risk. The 5th percentile of the risk estimates of all sources other than marine and soil were higher than 110(-6). It was also found that the diesel and wood burning sources presented similar cancer risks although the diesel exhaust contributed less to the PM(2.5) mass concentration than the wood burning. This highlights the additional value from such a risk apportionment approach that could be utilized for prioritizing control strategies to reduce the highest population health risks from exposure to HAPs.     

The chemistry of the Beavon sulfur removal process

The Beavon Sulfur Removal Process (BSRP) removes essentially all of the sulfur compounds from Claus plant tail gases. The sulfur containing compounds, such as hydrogen sulfide, sulfur dioxide, carbonyl sulfide and carbon disulfide, are converted to sulfur in over 99.9% efficiency. The BSRP consists of two stages. In the first stage the various sulfur compounds are either hydrogenated or hydrolyzed to give hydrogen sulfide while in the second stage the hydrogen sulfide is oxidized using the Stretford process to give elemental sulfur of good quality. The process is a commercial success with 29 plants operating or under construction in the United States and 4 in Japan. This process can also be utilized in Synthetic Natural Gas plants, natural gas processing, and other similar applications.     

Bisphenol A (BPA) in China: A review of sources,environmental levels,and potential human health impacts

Bisphenol A (BPA), identified as an endocrine disruptor, is an industrially important chemical that is used as a raw material in the manufacture of many products such as engineering plastics (e.g., epoxy resins/polycarbonate plastics), food cans (i.e., lacquer coatings), and dental composites/sealants. The demand and production capacity of BPA in China have grown rapidly. This trend will lead to much more BPA contamination in the environmental media and in the general population in China. This paper reviews the current literature concerning the pollution status of BPA in China (the mainland, Hong Kong, and Taiwan) and its potential impact on human health. Due to potential human health risks from long-term exposure to BPA, body burden of the contaminant should be monitored.     

A new concept of carbon dioxide accelerated ammonia release from liquid manure in pig house

Indoor air quality in animal buildings is very important to the health of agricultural workers and animals. Carbon dioxide (CO2) and ammonia (NH3) are two of the most important pollutants in pig houses. Four tests were conduced in a mechanically ventilated pig house to study release behaviors of CO2 and NH3 from liquid manure using impulse, pulse and step ventilation inputs. The CO2 and NH3 concentrations were sampled in the exhaust chimney and measured with a CO2 monitor and a NOx analyzer, respectively. The ventilation rate was measured with a ventilation rate sensor in the chimney. A new phenomenon, characterized by a delayed dynamic response of NH3 release to the high ventilation inputs as compared with the response of CO2 release, was encountered. A new CO2 factor was identified as the cause of the delayed NH3 response. An original concept of Carbon-dioxide Accelerated Ammonia Release (CAAR) was developed. It explained that, at the initial stage of gas release induced by the high ventilation, the high release of CO2 gradually raised the pH in the surface manure. The increased pH accelerated the release of NH3. The higher release of NH3 had a negative feedback to the pH. The effects of CO2 and NH3 releases on the pH finally reached a dynamic equilibrium. The NH3 release under the dynamic equilibrium was greatly accelerated compared to that under initial conditions.     

Cumulative risk assessment of chemical exposures in urban environments

We performed a cumulative risk assessment for people living in a hypothetical urban environment, called Urbania. The main aims of the study were to demonstrate how a cumulative risk assessment for a middle-sized European city can be performed and to identify the bottlenecks in terms of data availability and knowledge gaps. The assessment focused on five air pollutants (i.e., PM??, benzene, toluene, nonane and naphthalene) and six food pesticides (i.e., acetamiprid, carbendazim, chlorpyrifos, diazinon, imidacloprid and permethrin). Exposure predictions showed that PM??, benzene and naphthalene exposure frequently exceeded the standards, and that the indoor environment contributed more than the outdoor environment. Effect predictions showed that mixture and interaction effects were generally limited. However, model calculations indicated potential synergistic effects between naphthalene and benzene and between chlorpyrifos, diazinon and toluene. PM?? dominated the health impact expressed in Disability Adjusted Life Years (DALYs). We conclude that measures to reduce the health impact of environmental pollution should focus on the improvement of indoor air quality and the reduction of PM?? emissions. Cumulative risk assessment can be improved by (1) the development of person-oriented exposure models that can simulate the cumulative exposure history of individuals, (2) a better mechanistic understanding of the effects of cumulative stressors, and (3) the development of instruments to prioritize stressors for inclusion in cumulative risk assessments.     

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.