我国部分城市和地区居民尿氟含量与饮用水氟含量的相关性

对中国22个城市、2个直辖市和饮水氟含量极高的河北省霸州地区4个村庄的饮用水氟含量与当地18岁左右居民尿氟含量进行相关性分析。结果表明,全国大部分城市饮用水氟含量处于低水平。而包括氟中毒地区在内的全国部分城市和地区饮用水氟含量与尿氟含量存在正相关关系,表明相对其它摄取氟元素渠道来说,饮用水仍然是中国居民氟的主要摄入来源。     

Arsenic-induced health crisis in peri-urban Moyna and Ardebok villages, West Bengal, India: an exposure assessment study

Drinking of arsenic (As)-contaminated groundwater has adverse effects on health of millions of people worldwide. This study aimed to determine the degree of severity of As exposure from drinking water in peri-urban Moyna and Ardebok villages, West Bengal, India. Arsenic concentrations in hair, nail and urine samp les of the individuals were determined. Arsenical dermatosis, keratosis and melanosis were investigated through medical evaluation. We have evaluated the association between As exposure from drinking water, and keratosis and melanosis outcomes. The results showed that 82.7?% of the sampled tube wells contain As concentrations above 10?μg/L, while 57.7?% contain As concentrations above 50?μg/L. The hair, nail and urine As concentrations were positively correlated with As concentrations in drinking water. In our study population, we observed a strong association between As concentrations ranging 51-99?μg/L and keratosis and melanosis outcomes, although the probability decreases at higher concentration ranges perhaps due to switching away from the use of As-contaminated tube wells for drinking and cooking purposes. High As concentrations in hair, nail and urine were observed to be associated with the age of the study population. The level of As concentrations in hair, nail and urine samples of the study population indicated the degree of severity of As exposure in the study region.     

Urinary arsenic methylation profile in children exposed to low arsenic levels through drinking water

There is a lack of information on arsenic metabolism in children exposed chronically to low levels of arsenic (<50 µg L^?1). The objective of this study was to determine the methylation profile of urinary arsenic metabolites in children exposed to low-level concentrations of arsenic via their drinking water. A cross-sectional study was undertaken in 50 children from four towns in the Yaqui Valley, Sonora, with total arsenic values of 39.9, 16.8, 7.3, and 5.5 µg L^?1 in their drinking water, respectively. First morning void samples were analyzed for inorganic-As (InAs), mono and dimethyl arsenic (MMA and DMA). The total arsenic excreted in urine ranged from 23.1 to 99.1 µg L^?1 and these levels did not vary by sex. Children with the highest level of total arsenic in their drinking water excreted the highest amount in urine and the length of residence and age also had significant contribution. Children with a lower range of arsenic exposure (16.8–5.5 µg L^?1) had similar amounts of arsenic in urine with values of 23.1, 28.2, and 32.6 µg L^?1, respectively. DMA had the highest proportion in urine (52.1–74.7%), followed by InAs (16.3–34.9%) and MMA (4.4–8.4%). Compared to other reports, these children excreted a low %MMA (6.1%), and children from the towns with the lowest levels of arsenic had the highest %InAs and the lowest %DMA. This variability in arsenic methylation was partially explained by arsenic concentration in drinking water, years of residence and age, and may reflect genetic differences or more contribution from different exposure routes. In conclusion, our results show that at low levels of exposure the children's ability to metabolize InAs did not have a linear association with the levels of arsenic, and overall children from the Yaqui Valley excrete a lower %MMA than expected.     

Effect of fluoride content in drinking water in Tricity on its concentration in urine of pre‐school children

Fluorides were analysed in drinking water and in urine of pre‐school children from different districts of Tricity (Gdańsk, Gdynia and Sopot). Concentration of fluorides in urine was found to depend on their content in drinking water. The two years (1997–98) study was made for 15 preschool children populations; each numbering in 10–20 individuals. The fluorides were determined by flouroselective electrode potentiometry.     

Dental fluorosis associated with drinking water from hot springs in Choma district in southern province,Zambia

This study was conducted to investigate the high incidence of mottled teeth among residents of an area with hot springs in the Choma District of the Southern Province of Zambia. A survey involving 128 pupils was conducted at a Basic School to collect data on pupil’s backgrounds and their main sources of drinking water between birth and age 7. A dental specialist examined the pupils’ teeth and samples of drinking water were collected from locations where the majority of the pupils lived. It was analysed for fluorides and other drinking water quality parameters. Results of the survey showed a highly significant (P < 0.001) association between pupils’ main sources of drinking water between birth and age 7 and the incidence of discoloured teeth. All (100%) pupils who drank water from hot springs before age 7 had moderate to severe fluorosis, while the majority (96.7%) of the pupils who drank water from other sources had no dental fluorosis. Fluoride concentrations ranged from 5.95 to 10.09 mg/l in water from hot springs, and from 0.03 to 0.6 mg/l in water from other sources. Fluoride levels in water from hot spring water samples exceeded the 1.5 mg/l WHO guideline value for drinking water, while those in water from other sources were significantly (P < 0.05) lower than this. We conclude that the high prevalence of mottled teeth among residents of the study area is a case of endemic dental fluorosis associated with drinking water from hot springs containing high concentrations of fluoride.     

Health risk assessment of groundwater arsenic pollution in southern Taiwan

Residents of the Pingtung Plain, Taiwan, use groundwater for drinking. However, monitoring results showed that a considerable portion of groundwater has an As concentration higher than the safe drinking water regulation of 10 μg/L. Considering residents of the Pingtung Plain continue to use groundwater for drinking, this study attempted to evaluate the exposure and health risk from drinking groundwater. The health risk from drinking groundwater was evaluated based on the hazard quotient (HQ) and target risk (TR) established by the US Environmental Protection Agency. The results showed that the 95th percentile of HQ exceeded 1 and TR was above the safe value of threshold value of 10^?6. To illustrate significant variability of the drinking water consumption rate and body weight of each individual, health risk assessments were also performed using a spectrum of daily water intake rate and body weight to reasonably and conservatively assess the exposure and health risk for the specific subgroups of population of the Pingtung Plain. The assessment results showed that 0.01–7.50 % of the population’s HQ levels are higher than 1 and as much as 77.7–93.3 % of the population being in high cancer risk category and having a TR value >10^?6. The TR estimation results implied that groundwater use for drinking purpose places people at risk of As exposure. The government must make great efforts to provide safe drinking water for residents of the Pingtung Plain.     

Correlation between lead levels in drinking water and mothers’ breast milk: Dakahlia, Egypt

This study was performed on fifty-two drinking tap water samples (surface and groundwater) collected from different districts of Dakahlia Governorate and fifty-two breast milk samples from lactating mothers hosted in Dakahlia Governorate hospitals. All these samples were subjected to lead analysis. Lead level in drinking groundwater showed higher levels than in drinking surface water. Also, an elevation of lead levels in breast milk of mothers drinking groundwater was noticed when compared with that of mothers drinking surface water. The comparison between mean lead levels in drinking water and mothers’ breast milk samples showed positive relationship. Lead concentrations in breast milk of the studied samples were elevated by exposure to smoking. We conclude that prolonged contact with lead plumbing can increase the lead content in tap water with subsequent increase in lead burden in infant fed formula and infant blood. Also, we recommend that chemical analyses must be carried out periodically for the surface and groundwater to ensure the water suitability for drinking purposes. Passive exposure to smoking during lactation should be avoided. Capsule: Prolonged contact with lead plumbing can increase the lead content in tap water with subsequent increase in lead burden in infant fed formula and infant blood.     

Chronic renal failure among farm families in cascade irrigation systems in Sri Lanka associated with elevated dietary cadmium levels in rice and freshwater fish (Tilapia)

Chronic renal failure (CRF), in the main agricultural region under reservoir based cascade irrigation in Sri Lanka has reached crisis proportion. Over 5,000 patients in the region are under treatment for CRF. The objective of this study is to establish the etiology of the CRF. Concentrations of nine heavy metals were determined in sediments, soils of reservoir peripheries, water and Nelumbo nucifera (lotus) grown in five major reservoirs that supply irrigation water. All five reservoirs carried higher levels of dissolved cadmium (Cd), iron (Fe) and lead (Pb). Dissolved Cd in reservoir water ranged from 0.03 to 0.06 mg/l. Sediment Cd concentration was 1.78-2.45 mg/kg. No arsenic (As) was detected. Cd content in lotus rhizomes was 253.82 mg/kg. The Provisional Tolerable Weekly Intake (PTWI) of Cd based on extreme exposure of rice is 8.702-15.927 mug/kg body weight (BW) for different age groups, 5-50 years. The PTWI of Cd due to extreme exposure of fish is 6.773-12.469 mug/kg BW. The PTWI on a rice staple with fish is 15.475-28.396 mug/kg BW. The mean urinary cadmium (UCd) concentration in CRF patients of age group 40-60 years was 7.58 mug Cd/g creatinine and in asymptomatic persons UCd was 11.62 mug Cd/g creatinine, indicating a chronic exposure to Cd. The possible source of Cd in reservoir sediments and water is Cd-contaminated agrochemicals. The CRF prevalent in north central Sri Lanka is a result of chronic dietary intake of Cd, supported by high natural levels of fluoride in drinking water, coupled with neglecting of routine de-silting of reservoirs for the past 20 years.     

Utility of check dams in dilution of fluoride concentration in ground water and the resultant analysis of blood serum and urine of villagers,Anantapur District,Andhra Pradesh,India

High levels of fluoride (beyond 1.5 ppm) in ground water as source of drinking water are common in many parts of Andhra Pradesh, India, causing fluorosis. The study carried out in endemic Nalgonda District, Andhra Pradesh, has indicated that the fluoride-rich ground water present in the wells located down stream and close to the surface water bodies is getting diluted by the low-fluoride surface water. Encouraged by this result, check dams were constructed upstream of the identified marginally high fluoride bearing ground water zones in Anantapur District to reduce fluoride levels as an alternate solution for safe drinking water.In this paper, an attempt is made to study the utility and effect of these check dams in dilution of fluoride concentration in drinking water and its resultant impact on the health aspects of certain villagers of Anantapur District through the analysis of their blood serum and urine. Ground water samples from three fluoride-affected villages, blood and urine of males and females from the same villages were collected and analyzed for fluoride using ion selective electrode method. The results indicated that the fluoride levels in blood serum and urine of males in the age group of 5–11 years are found to be the highest. The concentration of fluoride in ground water is directly proportional to the concentration of fluoride in blood serum and urine. The concentration of fluoride in ground water with depth of the aquifer is a function of lithology, amount and duration of rainfall, rate of infiltration, level of ground water exploitation in the area etc. The construction of check dams upstream of the identified marginally high fluoride waters will not only cause additional recharge of ground water but also reduces the fluoride concentration eventually improving the health of the villagers.     

Health Risks Associated with Contamination of Groundwater by Abandoned Mines Near Twisp in Okanogan County, Washington, USA

Abandoned mines are known to contaminate private drinking water wells with toxic metals and arsenic (As). Little attention is given, however, to sites in rural areas with low population densities where natural, geogenic sources of contaminants might also occur. This study measured arsenic and trace element exposure among residents consuming water from wells adjacent to abandoned mines near Twisp, in Okanogan County, Washington, USA, estimated the risk of adverse health effects, and considered the degree of uncertainty associated with the assessed risk. Water samples were collected between October 1999 and June 2001. Average As concentrations ranged from <1 to 298 microg L(-1), lead (Pb) ranged from 0 to 94 microg L(-1), cadmium (Cd) 0-5 microg L(-1), and selenium (Se) 0-390 microg L(-1). Concentrations varied seasonally with maximum concentrations occurring in conjunction with snow-melt. The calculated risk of mortality from cancer following exposure to As at average concentrations as low as 8 microg L(-1) was greater than one in 10,000. Additional noncarcinogenic risks are associated with exposure to As, Cd, Pb and Se. A potentially affected population, estimated to be between 1000 and 1287 residents, live within a 6.5-km (4-mile) radius of the study site. This study emphasises the need to test drinking water wells in the vicinity of abandoned mines during times of maximum snow-melt to determine the extent of risk to human health. Residents drinking water from wells tested in this study who want to reduce the estimated carcinogenic risk and the noncarcinogenic hazard quotient should consider treating their water or find alternative sources.     

The potential of spatial information in human biomonitoring by example of two German environmental epidemiology studies

This study aimed at statistically investigating the association between the internal exposure of children and young adults to uranium (U) and epidemiologically relevant external determinants of exposure. The investigation was performed with data from two studies within the framework of the German health-related environmental monitoring program: The German Environmental Survey for Children (GerES IV) conducted by the Federal Environment Agency (Umweltbundesamt) with data on 1,780 children 3–14 years of age and their home environment and the German Environmental Specimen Bank (ESB, section: human specimens) with data on 2,253 students 20–29 years of age. Both studies provided data on the U levels in human urine for all probands. GerES IV furthermore provided an extensive environmental and demographic database on, e.g., U levels in drinking water. The data from GerES IV and ESB were linked by GIS to spatially relevant exposure information, including background values of U in stream sediments and in upper and lower soils, U levels in mosses and particulate matter in the lower atmosphere, precipitation and elevation as well as forest density. Bivariate correlation analysis and two decision tree models showed moderate but significant associations between U in human urine and U levels in drinking water, stream sediments and upper and lower soils. Future investigations considering additional epidemiologically relevant data sets may differentiate the results. Furthermore, the sample design of future environmental epidemiology studies should take the spatial evaluation of the data into greater account.     

Distribution and Risk Assessment of Fluoride in Drinking Water in the West Plain Region of Jilin Province, China

The west plain region of Jilin province of northeast China is one of the typical endemic fluorosis areas caused by drinking water for many years. Investigations of hydrogeological and ecoenvironmental conditions as well as endemic fluorosis were conducted in 1998. Results show that the ground water, especially, the water in the unconfined aquifer is the main source of drinking water for local residents. The fluoride concentration in groundwater in the unconfined aquifers is higher than that in the confined aquifer in the west plain of Jilin province. The fluoride concentration in the unconfined aquifer can be used to classify the plain into fluoride deficient area, optimum area and excess area, which trend from west to east. High fluoride (>1.0 mg L(-1)) in drinking water resulted in dental and skeletal fluorosis in local residents (children and pregnant women). There exists a positive correlation between fluoride concentration in the drinking water and the morbidities of endemic fluorosis disease (r1 = 0.781, r2 = 0.872). Health risks associated with fluoride concentration in drinking water are assessed. It has been determined that fluoride concentration in excess of 1.0 mg L(-1) exposes residents to high health risks based on risk identification. The study area is classified into five health risk classes as shown in Figure 4. The risk indexes of this area more than 1.0 are accounted for 68% of the total west plain region.     

Groundwater fluoride and dental fluorosis in southwestern Nigeria

This study was carried out to assess the fluoride levels of groundwater from open wells, consumed by the residents of three communities located in two distinct geological terrains of southwestern Nigeria. Fluoride concentration was determined using spectrophotometric technique, while analysis of other parameters like temperature, pH and total dissolve solids followed standard methods. Results of the analysis indicated that groundwater samples from Abeokuta Metropolis (i.e., basement complex terrain) had fluoride content in the range of 0.65?±?0.21 and 1.20?±?0.14. These values were found to be lower than the fluoride contents in the groundwater samples from Ewekoro peri-urban and Lagos metropolis where the values ranged between 1.10?±?0.14-1.45?±?0.07 and 0.15?±?0.07-2.20?±?1.41?mg/l, respectively. The fluoride contents in almost all locations were generally higher than the WHO recommended 0.6?mg/l. Analysis of Duncan multiple range test indicated that there is similarity in the level of significance of fluoride contents between different locations of same geological terrain at p?≤?0.05. It was also observed that fluoride distribution of groundwater samples from the different geological terrain was more dependent on factors like pH and TDS than on temperature. The result of the analyzed social demographic characteristics of the residents indicated that the adults (between the age of 20 and >40?years) showed dental decay than the adolescent (<20?years). This signifies incidence of dental fluorosis by the high fluoride content in the drinking water of the populace. Further investigation on all sources of drinking water and other causes of tooth decay in the area is suggested.     

Health Impact Evaluation of Boron in Drinking Water: A Geographical Risk Assessment in Northern France

Objective: To evaluate health impact of boron in drinking water. Methods: A regional scale geographical study in Northern France was conducted. Assessment of boron blood levels in a group of 180 healthy individuals and correlation with boron content in drinking water were followed by an assessment of health indicators such as birth rates, mortality rates, and sex ratios in zones of different boron content in drinking water. Results: After necessary adjustments, men living in municipalities with more than 0.30 mg/L of boron in drinking water had elevated but not significant boron blood levels compared with those living in municipalities with boron water levels of less than 0.30 mg/L (159.1 versus 123.0 ng/g; p > 0.05). The standardized birth ratio adjusted for the reference geographic zone and calendar time period was 1.07 and 1.28 in the low and high (>0.3 mg/L) boron content municipalities, respectively. The birth rate in municipalities with high boron content in drinking water was higher than that of the reference geographic zone and of the French general population (p < 10^-4). The standardized mortality ratio adjusted for the reference geographic zone and calendar time period was 0.94 and 0.92 in the low and high boron content municipalities, respectively. The mortality rate in municipalities with high boron content in drinking water was less than that of the reference geographic zone and of the French general population (p < 10^-3). No statistical difference was noted in the male–female sex ratios between the different municipality zones (p = 0.45). Conclusions: The results of this study do not support the idea of a deleterious effect of boron on human health, at the boron water level contents found in this specific region. In fact, there is a tendency toward a beneficial effect with low-dose environmental exposure (less than 1 mg/L of boron) in drinking water.     

内蒙古自治区河套平原砷中毒高发区作物中砷的检测及健康风险评价

为了研究地方性砷中毒高发区作物中砷含量及其对人体健康的威胁,在内蒙古自治区河套平原4个自然村采集了72个谷物蔬菜水果、81份人体尿样和8个自来水样品。用高效液相色谱-电感耦合等离子体质谱(HPLC-ICP-MS)分析测定采集的样品中各形态砷及其含量;用ICP-MS分析测定消解后的作物样品中砷总量。结果表明,自来水中总砷含量均小于1.0μg·L-1。尿液样品中总砷含量为4.50～319μg·L-1(平均值为56.9μg·L-1),二甲基砷(DMA)是尿砷的主要形态(>70%)。作物中砷的主要形态有无机三价砷As(III)、无机五价砷As(V)和DMA。谷物和蔬菜水果中总砷含量的最大值分别为102和335μg·kg-1。成人和儿童最大日摄入砷量分别为232和205μg。通过分析采样地人体尿砷、作物砷和地方性砷中毒发病率的相关性得出,作物中砷的含量虽未明显超过国家标准,但对人体健康有明显的潜在威胁。政府改水后(饮用水由井水变为达标的自来水),人体的健康风险主要来自作物中的砷,而不是饮用水中的砷。     

辽河流域高氟地区氟对人体健康的影响

研究了辽河流域高氟地区土壤、作物、饮用水中氟含量,并应用目前美国环保局推荐的健康风险评价模型对辽河流域高氟地区饮用水中氟所引起的健康风险进行初步评价。研究表明：研究区饮用水中氟质量浓度为0．70—4．51mg·L^-1;白菜根土中氟质量分数为182—484mg·kg^-1,萝卜根土质量分数为182～352mg·kg^-1,玉米根土中氟质量分数为209～1254mg·kg^-1;白菜可食部分氟质量分数为0．51～2．96mg·kg^-1,萝卜可食部分氟质量分数为0．34～0．50mg·kg^-1,玉米果实部分氟质量分数为0．88～1．04mg·kg^-1。通过饮用水、食物途径所致健康风险中,食人途径、饮用水途径非致癌物年健康风险分别为1．920×10^-9·a^-1,1．960×10^-8·a^-1,均低于国际辐射防护委员会（ICRP）推荐的通过饮水途径最大可接受风险水平（5×10^-5·a^-1）。     

粤北2座不同营养水平水库浮游植物功能类群的季节演替

于2011年1—12月对广东省韶关市白水礤水库和苍村水库这2座中型居民供水水库进行每月1次、为期1a的采样,利用营养状态指数(TSI)进行水质综合评价,将水库中的浮游植物按功能类群进行分类,并结合水库的水文、水质和浮游植物的生境特征,分析全年优势功能类群的演替特点及其主要的环境影响因子。结果表明,白水礤水库为贫营养型水库,苍村水库为低中营养型水库,全年共检出浮游植物7门45属(种),可划分为16个功能类群,其中,白水礤水库全年以适应低营养盐环境的功能类群占优势,耐富营养化的功能类群仅在丰水期有检出;而苍村水库全年都能监测到耐富营养环境的功能类群,且在丰水期明显占优势,但在枯水期和平水期因营养盐含量的降低,演变为以适应低营养盐环境的功能类群为主。营养盐含量的不同是导致2座水库浮游植物功能类群产生差异的根本原因,而因降水季节的变化所致水体环境因子的变化则是造成2座水库浮游植物功能类群演替不可忽视的因素。     

Pesticide use and health outcomes: Evidence from agricultural water pollution in China

By linking provincial pesticide usage reports from several Chinese statistical yearbooks (1998-2011) with the Chinese Longitudinal Healthy Longevity Survey (1998-2011), this study provides new evidence that pesticides adversely affect health outcomes via drinking water exposure. We follow a difference-in-difference-in-differences framework to compare health outcomes between people who drink surface water and ground water in regions with different intensities of rice pesticide use before and after 2004, when China shifted from taxing agriculture to subsidizing agricultural programs. The results indicate that a 10% increase in rice pesticide use unfavorably alters a key medical disability index (Activities of Daily Living or ADL) by 1% for rural residents 65 and older. This is equivalent to 2.13 and 0.64 million dollars in medical and family care costs, respectively. Further, we provide suggestive evidence of an intergenerational transfer of caring burden by showing pesticide use reduces out-migration of the offspring in affected households. The results are robust to a variety of robustness checks and falsification tests.     

Growth inhibition in Japanese medaka (Oryzias latipes) fish exposed to tetrachloroethylene

A recent study in our laboratory has demonstrated that tetrachloroethylene (TCE) is acutely toxic to Japanese medaka (Oryzias latipes) larvae with a 96 hr-LC50 of 18 (17-19) mg/mL (Spencer et al., 2002). In the present study we hypothesize that TCE exposure induces a developmental effect in Japanese medaka. Growth and age specific sensitivity of Japanese medaka larvae were studied with four age groups (7, 14, 21 and 28 days old) to determine tetrachloroethylene effects on these parameters. The medaka larvae were exposed for 96 hours in a single concentration (10 mg/mL) of TCE. The toxic endpoints evaluated were larvae weight, length, water content and protein concentration. The study revealed that exposure of medaka larvae to this sub-acute concentration of TCE significantly reduced length and weight in the treated group. The difference in growth between control and treated groups was more obvious in age versus length, than in age versus weight. The dry weight-fresh weight ratio (dw/fw) was shown to be higher in the control group. Water content in TCE-treated medaka was higher than in the control group, and younger fry had more water content than older ones. A higher protein concentration was also observed in TCE-treated medaka compared to the control group. These results indicate that TCE has a profound effect on the growth and development of Japanese medaka larvae.