健康风险评估方法在中国重金属污染中的应用及暴露评估模型的研究进展

经济的快速发展导致中国环境质量日趋恶化.随着健康意识的增强,人们越来越重视污染物暴露人群的健康风险评估.与其他污染物相比,重金属污染区域广,重金属暴露人群多且集中.为了研究重金属暴露条件下人群的健康风险,USEPA 模型、统计模型、地理信息系统、可给性研究的方法已被中国不同学者应用.暴露评估模型作为污染物暴露人群健康风险评估的主要环节,国外的研究已经比较成熟,但相关研究在中国还处于空白阶段.对中国近年来在城市表层土壤（灰尘）、矿区土壤、膳食、地下水和饮用水、大气颗粒物进行重金属风险评估中应用的健康风险评估方法,进行了归纳和评述,并对欧美常用暴露评估模型：环境暴露评估模型、膳食暴露评估模型进行了介绍.中国健康风险评估工作起步晚,在评估的各环节均存在很大缺陷.随着新技术的发展以及人群对环境健康风险认识的深化,健康风险评估将成为中国热门研究领域之一.污染的环境行为、剂量一效应关系、模型、风险信息等方面,将是未来中国健康风险评估研究的重点.     

Health risk assessment maps for arsenic groundwater content: application of national geochemical databases

This investigation assesses the feasibility of calculating and visualizing health risk estimates from exposure to groundwater contaminated with arsenic (As) using data from national geochemical databases. The potential health risk associated with As-contaminated groundwater was assessed based on an elaboration of existing geochemical data in accordance with accepted methodological procedures established for human health risk assessment (U.S. Environmental Protection Agency methodology). A screening analysis approach was used for estimating the contribution of As to the total chronic health risk from exposure to groundwater contaminated with potentially toxic elements, including As, Ba, Cd, Cu, Hg, Pb, Sb, Se and Zn, and the results indicate that As contributes significantly (>50%) to this total health chronic risk in about 10% of Slovak territory. Based on the calculation of the potential risk level by exposure modelling, increased chronic as well as carcinogenic risk levels (medium to high) were documented in approximately 0.2 and 11% of the total Slovak area, respectively. The areas characterized by high health risk levels are mainly those geogenically contaminated. High and very high carcinogenic risk was determined in 34 of 79 districts and in 528 of 2924 municipalities.     

An effective dietary survey framework for the assessment of total dietary arsenic intake in Bangladesh: Part-A—FFQ design

Groundwater contaminated with arsenic (As), when extensively used for irrigation, causes potentially long term detrimental effects to the landscape. Such contamination can also directly affect human health when irrigated crops are primarily used for human consumption. Therefore, a large number of humans are potentially at risk worldwide due to daily As exposure. Numerous previous studies have been severely limited by small sample sizes which are not reliably extrapolated to large populations or landscapes. Human As exposure and risk assessment are no longer simple assessments limited to a few food samples from a small area. The focus of more recent studies has been to perform risk assessment at the landscape level involving the use of biomarkers to identify and quantify appropriate health problems and large surveys of human dietary patterns, supported by analytical testing of food, to quantify exposure. This approach generates large amounts of data from a wide variety of sources and geographic information system (GIS) techniques have been used widely to integrate the various spatial, demographic, social, field, and laboratory measured datasets. With the current worldwide shift in emphasis from qualitative to quantitative risk assessment, it is likely that future research efforts will be directed towards the integration of GIS, statistics, chemistry, and other dynamic models within a common platform to quantify human health risk at the landscape level. In this paper we review the present and likely future trends of human As exposure and GIS application in risk assessment at the landscape level.     

西方国家工业污染场地管理经验及其对中国的借鉴

近年来,随着＂退二进三＂、＂退城进园＂和＂产业转移＂等政策的实施,中国几乎所有的大中城市正面临着重污染工业企业关闭和搬迁问题,城市出现大量工业遗留和遗弃场地。这些受污染的工业场地多存在较为严重的土壤、地表水和地下水污染;另外,工业污染场地的延迟再开发,会产生生活环境变差、就业机会减少、甚至社会不稳定因素增加等社会影响。所以,城市工业污染场地严重威胁着城市人居环境安全和公众健康,阻碍着城市建设和经济发展。面对工业污染场地目前存在的问题,国家及部分地方政府已针对污染场地的管理、修复及其再开发颁布了诸多文件和技术规范标准。然而,由于工业场地类型的多样性和环境管理学科的交叉性,中国城市工业污染场地的环境管理工作仍处于起步阶段,亟需完善。美国、英国和加拿大经过20~30年的发展已经在工业污染场地管理方面积累了丰富的经验,他们不仅在环境管理中体现了人体健康风险评估的理念,而且还立足本国实际出台了相关的法律法规,明确了污染场地的责任主体,实现了＂污染者付费＂的原则,同时还建立了各自的污染场地治理优先名录,实现了污染场地管理的信息化和网络化。本文鉴于对这些经验的比较分析,结合我国实际,就城市工业污染场地的环境管理提出了现阶段亟须解决的两大问题。首先,制定工业污染场地管理的专门法律,明确污染场地的责任主体。我国现有的与污染场地有关的国家法律法规,都比较笼统地提出了污染场地的利益相关方,缺乏具有可操作性的细则和威慑力的责任追究条款。对于我国这样地域辽阔、自然地理条件差异大、经济水平不均衡的国家来说,通过地方法律法规的建立明确污染场地的责任主体是一个重要的尝试。其次,构建污染场地健康风险评估系统。我国城市工业污染场地涉及诸多工业行业、污染类型繁多复杂。因此,在全国范围内对城市工业污染场地进行排查、建立优先污染场地名录是构建污染场地风险评估系统的重要内容。此外,我国现有的土壤质量标准和场地评估规范仍存在诸多缺陷,无法满足当前国家城市工业污染场地的管理需要。所以,完善场地评估的技术规范和相关标准将为污染场地风险评估系统的构建提供基础性保障。本文的论述和观点可为我国工业企业关停或搬迁遗留地的决策管理和污染场地管理体系的建立提供有意义的参考和借鉴。     

Stabilization treatment of contaminated soil: a field-scale application in Shanghai,China

Stabilization is one of the best demonstrated available technologies for treating toxic pollutants in soils and has been used worldwide but is rarely used for treatment of contaminated sites in China despite many bench-scale studies. Here, a field-scale application of stabilization treatment in Shanghai, China was summarized to demonstrate the whole engineering process and the key technical issues regarding stabilization of contaminated soil. A site contaminated with arsenic (As) and polycyclic aromatic hydrocarbons (PAHs), formerly used as a lighting plant in Shanghai, was chosen as the demonstration site. Stabilizing measures were taken to treat the contaminated soil to reuse the site for residential purposes. The whole engineering remediation process consisted of phase I environmental site assessment (ESA) and phase II ESA, quantitative human health risk assessment, remediation alternatives evaluation, bench-scale testing, remedial design, engineering implementation, and post-remediation assessment. A third party conducted evaluation monitoring indicated desirable results were achieved via the stabilization treatment. In addition, some technical obstacles related to soil stabilization treatment were discussed, including soil quality evaluation, stabilization effectiveness validation, and soil reuse assessment.     

Origin and assessment of groundwater pollution and associated health risk: a case study in an industrial park,northwest China

Groundwater quality which relates closely to human health has become as important as its quantity due to the demand for safe water. In the present study, an entropy-weighted fuzzy water quality index (WQI) has been proposed for performing groundwater quality assessment in and around an industrial park, northwest China, where domestic water requirements are solely met by groundwater. The human health risk was assessed with the model recommended by the United States Environmental Protection Agency. In addition, the sources of major ions and main contaminants were also analyzed. The study shows that groundwater in the study area has been contaminated conjunctively by natural processes and industrial and agricultural activities. Nitrate, manganese (Mn), fluoride, total dissolved solids, total hardness and sulfate are major contaminants influencing groundwater quality. Nitrate and heavy metals such as Mn are mainly affected by human agricultural activities and industrial production, while other contaminants are mainly originated from mineral weathering and water–rock interactions. The results of water quality assessment suggest that half of the groundwater samples collected are of medium quality thus require pretreatment before human consumption. The mean health risk caused by the consumption of contaminated groundwater in the area is 8.42 × 10^?5 per year which surpasses the maximum acceptable level (5 × 10^?5 per year) recommended by the International Commission on Radiologic Protection. The entropy-weighted fuzzy WQI proposed in this study can not only assign proper weights to parameters but also treat uncertainties associated with water quality classification. This study will be of interest to international environmentalists and hydrogeologists. It will also be useful in regional groundwater management and protection.     

农田土壤镉生物有效性及暴露评估研究进展

随着工业化和城市化进程的发展,我国在农田土壤污染领域面临较大挑战,其中镉(Cd)为最优先控制元素之一。农田土壤Cd污染风险类型为健康风险,其主要暴露途径为经土壤-植物系统,并经膳食进入人体。在当前的土壤Cd风险评估中,一般不考虑生物有效性问题,这使得风险评价中实际暴露评估的不确定性普遍偏高。所以,近年来欧洲国家有许多研究者提出将生物有效性因素放在土壤污染物风险评价框架内。基于此,本文立足于农田系统,并从土壤、植物、污染物及环境因素等4个方面详细综述了农田土壤Cd生物有效性的影响因素及其作用机理。其次,分别综述了近年来土壤Cd生物有效性预测模型和土壤Cd膳食暴露评估模型研究进展。最后,分析了我国土壤重金属风险评价中存在的不足,并对农田土壤Cd暴露评估发展态势和研究方向进行了初步预测,以期为农田土壤Cd健康风险评估及安全基准研究提供一定参考。     

贵阳市冬季PM_(2.5)中典型重金属元素的化学形态分析与健康风险评价

为了更准确地研究重金属的生物有效性和对环境与人体的潜在生态危害,采用改进BCR法分析了贵阳市冬季PM_(2.5)中Cu、Mn、Co、Cd、Pb这5种重金属元素的化学形态,并评价了它们的生物有效性和健康风险。结果表明:不同重金属元素形态分布存在差异,Cu主要是弱酸溶态,其次是可氧化态;Mn主要是弱酸溶态,其次是残渣态;Co没有检测出可还原态,而在其他3种形态分布比较平均;Pb和Cd绝大部分都是弱酸溶态。生物有效性系数(K)分析结果表明:重金属生物有效性强弱顺序为CdPbMnCuCo,其中Cd和Pb的K0.8,属于生物可利用性元素;Mn、Cu、Co的K值在0.4~0.7之间,属于潜在生物可利用性元素。健康风险评价表明:成人的致癌风险比儿童大,尤其Cd对成年人存在潜在的致癌风险,且成年男性高于成年女性;Mn存在潜在非致癌风险,且对儿童的风险最大。     

Implementation of food frequency questionnaire for the assessment of total dietary arsenic intake in Bangladesh: Part B, preliminary findings

Dietary intake of water and food has been identified as one of the major pathways for arsenic (As) exposure in the rural population of Bangladesh. Therefore, realistic assessment and measurement of dietary intake patterns are important for the development of an accurate estimate of As exposure and human health risk assessment. One important consideration is to identify an appropriate tool for measuring dietary intake. In this study an interviewer-administered Food Frequency Questionnaire (FFQ) was implemented to determine age and gender specific dietary intake. The developed FFQ was unique because it developed a synergy between field dietary assessment and As concentration measurements in various environmental media. The resulting integrated database provided an accurate framework for the process of As exposure and human health risk assessment. The preliminary results reported here from the FFQ demonstrated that this technique could be used in rural areas as a tool to assess As exposure and the associated human health risk.     

金昌市郊农田土壤Cu,Zn,Ni形态分布特征与生物有效性评价

通过野外调查和室内测试分析,研究了金昌市郊农田土壤重金属Cu,Zn和Ni的形态特征,并以麦粒中重金属含量为重点进行了Cu,Zn和Ni的生物有效性评价.结果表明,研究区域土壤重金属Cu和Ni污染严重;Cu的主要存在形态为有机结合态,Zn的主要存在形态为残渣态,而Ni的主要存在形态为潜在可利用态;三种元素的生物有效性大小顺序为NiZnCu.对麦粒中重金属健康风险进行评价反映出麦粒中Ni含量对人体健康风险较大,而Cu和Zn对人体健康风险较小.逐步回归分析结果表明,农田土壤中Cu可交换态和碳酸盐结合态对麦粒中Cu含量贡献最大,而对麦粒吸收Zn和Ni贡献最大的形态分别为Zn的碳酸盐结合态和Ni的可交换态、碳酸盐结合态、铁锰氧化态和有机结合态.土壤重金属Cu,Zn和Ni各形态分配系数较总量和各形态含量更适合表征本研究区域土壤重金属的生物有效性.     

污染场地土壤多环芳烃(PAHs)生物可利用浓度的健康风险评价方法

随土壤不慎经口摄入是PAHs对人体健康造成危害的重要途径之一,目前该暴露途径下PAHs的健康风险计算主要基于土壤中总PAHs浓度进行计算。但是,这种计算方法并未考虑PAHs在土壤中的赋存状态及经口摄入后在人体不同器官中的毒理动力学过程,导致计算结果过于保守,修复目标过于严格,修复成本过高。针对这一问题国外相关研究人员已开展基于土壤中PAHs生物可利用性的健康风险评价研究并取得较大进展,但在国内就如何在风险评价过程中引入PAHs生物可利用性及其面临的障碍缺乏系统性报道。在对土壤中PAHs赋存形态及其随土壤经口腔摄入后在人体消化及循环系统中的动态分配最新研究成果进行综述的基础上,通过对该暴露途径下现有风险计算模型存在问题及原因进行分析,提出基于土壤中PAHs可利用浓度进行风险计算,并对相应计算模型进行推导以及模型参数的获取方法进行了简要概括,以解决目前模型计算结果过于保守的问题。同时,对于在现有分层次进行场地健康风险评价思路中如何科学地纳入基于土壤中PAHs可利用浓度进行风险计算的思路以及在实际风险评价中应用该思路还需进行的研究工作进行了简要讨论。     

废弃铅锌冶炼厂重金属污染场地的健康风险评价

通过对广西某废弃铅锌冶炼厂区进行布点采样、监测分析,选取Cu、Pb、Zn、Cd、Cr、As六种重金属元素作为评价因子,对污染场地进行健康风险评价.结果显示,指数评价法表明厂区污染状况为废渣＞＞建筑垃圾＞土壤,Cd ＞Zn ＞As ＞Pb ＞Cu＞ Cr,土壤受到中度污染,废渣和建筑垃圾受到重度污染.健康风险评价法表明土壤、废渣和建筑垃圾的危害商分别为2.032、13.891、2.975,非致癌危害废渣＞＞建筑垃圾＞土壤;Cu、Zn、Cr、Cd、As的危害商分别为0.053、0.118、0.184、7.001、11.542,非致癌危害As ＞Cd ＞Cr＞Zn ＞Cu.土壤、废渣和建筑垃圾的致癌风险分别为5.387E-04、7.954E-04、2.455E-04,致癌危害废渣＞土壤＞建筑垃圾;As、Cd、Cr的致癌风险分别为5233E-04、2.400E-05、1.032E-03,致癌危害Cr＞As ＞Cd.综上,人体健康危害废渣＞建筑垃圾＞土壤,主要危害元素为As、Cd、Cr.     

Bewertungsmaßstäbe zur Beurteilung von Schadstoffbelastungen in Böden anhand der Bioverfügbarkeit

Until now, assessment of contaminated sites is based on variable protection goals, whereby total contents and in part mobile contents are considered. Due to interactions of pollutants in soil and bound residues, total contents do not reflect the actual risk. In contrast an investigation based on availability/bioavailability of contaminants would enable a harmonization of the protection-goal-based evaluation and a closer-to-reality risk assessment for the individual location.     

污染场地土壤多环芳烃（PAHs）生物可利用浓度的健康风险评价方法

随土壤不慎经口摄入是PAHs对人体健康造成危害的重要途径之一,目前该暴露途径下PAHs的健康风险计算主要基于土壤中总PAHs浓度进行计算。但是,这种计算方法并未考虑PAHs在土壤中的赋存状态及经口摄入后在人体不同器官中的毒理动力学过程,导致计算结果过于保守,修复目标过于严格,修复成本过高。针对这一问题国外相关研究人员已开展基于土壤中PAHs生物可利用性的健康风险评价研究并取得较大进展,但在国内就如何在风险评价过程中引入PAHs生物可利用性及其面临的障碍缺乏系统性报道。在对土壤中PAHs赋存形态及其随土壤经口腔摄入后在人体消化及循环系统中的动态分配最新研究成果进行综述的基础上,通过对该暴露途径下现有风险计算模型存在问题及原因进行分析,提出基于土壤中PAHs可利用浓度进行风险计算,并对相应计算模型进行推导以及模型参数的获取方法进行了简要概括,以解决目前模型计算结果过于保守的问题。同时,对于在现有分层次进行场地健康风险评价思路中如何科学地纳入基于土壤中PAHs可利用浓度进行风险计算的思路以及在实际风险评价中应用该思路还需进行的研究工作进行了简要讨论。     

Strategies for improving human health in contaminated situations: a review of past,present and possible future approaches

Strategies for improving human health in contaminated situations have traditionally been based on restricting emissions, remedial reduction of exposure and, where appropriate and possible, medical reconnaissance of efficacy. We review these and the broader aspects of general public health approaches, including necessary understanding of epidemiology and the wider social context, before considering a specific local case study involving health issues associated with chromium-contaminated land and its remediation in an area of urban regeneration. The impact of remediation upon the common good, in its broadest environmental, health and socio-economic sense, including enhanced opportunities for members of the community to take personal responsibility for health-improving activities, should be taken into account in addition to conventional theoretical assessments and practical measurements of relief from environmental risk. Rapidly emerging toxicogenomic technologies may have a role to play in informing future risk assessment and remediation approaches in contaminated situations, although the ethical challenges of using personal genetic information could well be considerable.     

Ökotoxikologische und humantoxikologische Risikobewertung PAK-belasteter Böden vor und nach biologischer Behandlung

The goal of the present work is to assess the adverse effects of soil bound polycyclic aromatic hydrocarbons (PAH) which remain in soils after biological remediation. We focus on risk assessment for mammalian species with respect to the oral uptake of contaminated soil particles and compare the results of a biomarker test with those of an ecotoxicological assay, the bioluminescence inhibition test withVibrio fischeri. As a biomarker effect in mammals, we determined the liver microsomal cytochrome P450 enzyme CYP1A1 which is induced by PAH in exposed rats. After biological soil treatment, different amounts of PAH remain in the soil depending on the soil properties and initial pollutant composition. Particularly, higher condensated PAH resists biological treatment due to its hydrophobicity. In addition, high amounts of organic carbon in the soils affect remediation efficiency. In the bioluminescence inhibition test, eluates of all biologically treated soils studied do not reveal any or only low inhibitory effects. In contrast, the oral uptake of biologically treated contaminated soils leads to induction levels for CYP1A1 similar to those in the untreated samples. A good correlation is obtained between CYP1A1 levels and the amount of 5 and 6-ring PAH in the soil samples. The main result is that the remediation efficiency determined by the luminescence test is not reflected by the biomarker test, a finding which indicates the high bioavailability of residual PAH in soils. Consequently, new criteria for human risk assessment can be delineated.     

The Impact of the Hyperacid Ijen Crater Lake. Part I: Concentrations of Elements in Crops and Soil

In Asembagus (East Java, Indonesia) irrigation water is contaminated with effluent from the hyperacid Ijen Crater Lake resulting in a low pH and high levels of various elements. As a first step towards a risk assessment, locally produced food items (rice, maize, cassava leaf, cassava root, peanuts) were collected and concentrations of As, B, Ca, Cd, Co, Cu, Fe, Mg, Mn, Mo, Ni, Pb, V, Zn were compared to samples from a reference area and with literature values. Further, concentrations in rice were compared to total soil concentrations in paddy fields. Compared to the reference area, food items produced in the contaminated area had increased levels of Cd, Co, Ni and Mn in particular, while levels of Mo were lower. In contrast, total soil concentrations of Cd and Mn in particular have decreased whereas especially Mo was increased. In combination with the observed soil acidification, it is likely that the bioavailable concentration of most elements in the contaminated soil is higher (except for Mo) due to an increased weathering rate and/or input via the contaminated irrigation water. In terms of human health, concentrations in foods were generally within normal literature values. However, it was observed that essential elements (in particular Fe) known for their inhibitory effects on e.g. Cd and Mn toxicity did not accumulate in crops whereas Cd and Mn did.     

太原市土壤六六六和滴滴涕的暴露格局及健康风险

为研究六六六(HCHs)和滴滴涕(DDTs)在太原市不同功能区土壤中的暴露格局、来源以及对周围人群的健康风险,在太原市化工区、灌区、矿区、生态区周边荒地土壤中进行采样,分析测定了土壤中HCHs和DDTs含量,根据太原市人群实际情况的暴露参数和USEPA的部分参数,对土壤HCHs和DDTs的健康风险进行评价。结果表明:1)太原市表层土壤中HCHs的平均含量大小依次为化工区>灌区>矿区>生态区;DDTs平均含量的大小依次为化工区>灌区>矿区>生态区,仅6%的HCHs和3%的DDTs和的平均残留水平均高于我国土壤质量标准一级标准,但均不超过二级标准值;2)土壤中HCHs残留主要源于历史上林丹的使用,DDTs残留则来源于历史和新污染源的共同影响;3)太原市表层土壤HCHs和DDTs致癌风险大小为化工园区>矿区>灌区>生态区。非致癌风险大小为化工区>矿区>灌区>生态区。3种暴露途径的在不同功能区的健康风险贡献率大小均为经口摄入>呼吸吸入>皮肤接触;综合来看太原市表层土壤中的HCHs和DDTs并未对人类造成非致癌风险,但有一定的致癌风险。本文的研究结果可为太原市土壤质量评价和环境污染防治提供科学指导,并对太原市人群的健康风险防治提供依据。     

Probabilistic framework for assessing the arsenic exposure risk from cooked fish consumption

Geogenic arsenic (As) contamination of groundwater is a major ecological and human health problem in southwestern and northeastern coastal areas of Taiwan. Here, we present a probabilistic framework for assessing the human health risks from consuming raw and cooked fish that were cultured in groundwater As-contaminated ponds in Taiwan by linking a physiologically based pharmacokinetics model and a Weibull dose–response model. Results indicate that As levels in baked, fried, and grilled fish were higher than those of raw fish. Frying resulted in the greatest increase in As concentration, followed by grilling, with baking affecting the As concentration the least. Simulation results show that, following consumption of baked As-contaminated fish, the health risk to humans is <10^?6 excess bladder cancer risk level for lifetime exposure; as the incidence ratios of liver and lung cancers are generally acceptable at risk ranging from 10^?6 to 10^?4, the consumption of baked As-contaminated fish is unlikely to pose a significant risk to human health. However, contaminated fish cooked by frying resulted in significant health risks, showing the highest cumulative incidence ratios of liver cancer. We also show that males have higher cumulative incidence ratio of liver cancer than females. We found that although cooking resulted in an increase for As levels in As-contaminated fish, the risk to human health of consuming baked fish is nevertheless acceptable. We suggest the adoption of baking as a cooking method and warn against frying As-contaminated fish. We conclude that the concentration of contaminants after cooking should be taken into consideration when assessing the risk to human health.     

In-Vitro Determination of Arsenic Bioavailability in Contaminated Soil and Mineral Beneficiation Waste from Ron Phibun, Southern Thailand: A Basis for Improved Human Risk Assessment

The post-ingestion bioavailability of arsenic (As) in alluvial soil and mineral beneficiation waste from Ron Phibun, Nakhon Si Thammarat Province, Thailand has been investigated using a physiologically-based extraction test (PBET). The method utilises synthetic leaching fluids closely analogous to those of the human stomach and small intestine, upon which the leaching duration and ambient temperature of the experimental procedure are also directly based. Replicate analyses of Ron Phibun alluvium samples holding 1406 and 2123 g As g-1 respectively indicated an average stomach absorption of 11.2% (of total soil As). Gross absorption increased to 18.9% following translocation through a simulated small-intenstine regime. Higher gross absorption (35.7%) was recorded during PBET analysis of a flotation waste sample holding c. 2% total As. Within- and between-site variations of As bioavailability can principally be ascribed to mineralogical factors, notably the relative abundances of sulphide, arsenide, arsenate and oxide hosts within the soil/flotation waste matrix. The PBET provides a potentially valuable mechanism for refining risk assessments of sites subject to natural or anthropogenic As contamination. Through the substitution of total soil As values with input data which relate specifically to bioavailable As, risk calculations derived using established models such as the US-EPA package Risk Assistant may prove more realistic, thus facilitating improved cost-benefit analysis of site remediation options. Assessment of the relative human risks associated with potable water consumption and contaminated soil ingestion at Ron Phibun has signified that the latter could constitute a more significant As exposure pathway than recognised previously. Further evaluation of the precise soil ingestion levels of inhabitants residing on the As-rich alluvium which covers much of the district is, therefore, warranted.