Long-term study of environmental levels of dioxins and furans in the vicinity of a municipal solid waste incinerator

From 1975 to 2004, a municipal solid waste incinerator (MSWI) was operating in Montcada (Barcelona, Catalonia, Spain). Because of the potential health risks derived from emission of pollutants by the facility, especially polychlorinated dibenzo-p-dioxins (PCDDs) and dibenzofurans (PCDFs), a long-term monitoring program focused on measuring the environmental levels of PCDD/Fs near the facility, and to assess the health risks for the population living in the neighborhood, was established between 1996 and 2002. A total number of 111 soil and 121 herbage samples were analyzed for PCDD/Fs during this period. Human health risks for the individuals living near the MSWI (500 and 1,000 m) were also assessed before (1998) and after modernization (2000) of the facility. It included PCDD/F inhalation, dermal contact, soil and dust ingestion, and food intake. All these data are here summarized. The environmental levels of PCDD/Fs showed that the MSWI was not the main responsible of the atmospheric pollution by these compounds. In turn, human health risks for the population living in the vicinity of the facility after introduction of a modern technology were negligible in comparison with the dietary PCDD/F exposure.     

Health risk assessment of PCDD/F emissions from a hazardous and medical waste incinerator in Turkey

A multimedia risk assessment procedure was conducted to determine the fate and transport of polychlorinated dibenzo-p-dioxin and polychlorinated dibenzofuran (PCDD/F) emissions from the Izmit Hazardous and Medical Waste Incinerator (IZAYDAS) in Turkey and their potential health risks. Congener concentrations in ambient air and their deposition rates were determined by an air dispersion model (ISCST3). Their transfer to some plant groups and animal tissues was predicted by food chain modeling. Exposure scenarios were produced based on three receptor groups (urban, semiurban, and rural) and five subgroups determined according to ages. Daily intakes of PCDD/Fs via exposure pathways were determined based on three different emission scenarios for each group and subgroup. Estimated incremental PCDD/F doses caused by the incinerator emissions in central-tendency scenario were computed as between 2.31 x 10(-6) and 0.008 pg TEQ kg(-1) bodyweight (bw) day(-1) on average for all the receptors other than infants in all the settings, while the range was 3.01 x 10(-5)-0.081 pg TEQ kg(-1) bw day(-1) for infants. Sensitivity analysis showed that the consumption of vegetal products and their locally grown fractions are the most significant parameters in the exposure to PCDD/Fs in the area.     

Increased risk of non-Hodgkin lymphoma and serum organochlorine concentrations among neighbors of a municipal solid waste incinerator

Organochlorine chemicals may contribute to an increased risk of non-Hodgkin lymphoma (NHL) within non-occupationally exposed populations. Among these chemicals, dioxins and furans were mainly released by municipal solid waste incinerators (MSWIs) until a recent past in France, a source of exposure that is of public concern. We investigated organochlorines and the risk of NHL among neighbors of a French MSWI with high levels of dioxin emissions (Besan?on, France), using serum concentrations to assess exposure. The study area consisted of three electoral wards, containing or surrounding the MSWI. Pesticides, dioxins, furans, and polychlorinated biphenyls (PCBs) were measured in the serum of 34 newly diagnosed NHL cases (2003-2005) and 34 controls. Risks of NHL associated with each lipid-corrected serum concentration were estimated using exact logistic regression. The pesticides β-hexachlorocyclohexane (odds ratio [OR]=1.05, 95% confidence interval [CI]=1.00-1.12, per 10 ng/g lipid) and p,p' dichloro-diphenyl-trichloroethane (DDT) (OR=1.20, 95% CI=1.01-1.45, per 10 ng/g lipid) were associated with NHL risk. Evidence indicated an increased NHL risk associated with cumulative WHO(1998)-toxic equivalency factor (TEQ) concentrations (dioxins, OR=1.12, 95% CI=1.03-1.26; furans, OR=1.16, 95% CI=1.03-1.35; dioxin-like PCBs, OR=1.04, 95% CI=1.00-1.07; and total TEQ, OR=1.04, 95% CI=1.01-1.05), as well as with non dioxin-like PCBs (OR=1.02, 95% CI=1.01-1.05, per 10 ng/g lipid). Most congener-specific associations were statistically significant. This study provides strong and consistent support for an association between serum cumulative WHO(1998)-TEQ concentrations, at levels experienced by people residing in the vicinity of a polluting MSWI, and risk of NHL.     

Dioxin and dioxin-like PCB profiles in the serum of industrial and municipal waste incinerator workers in Korea

To assess occupational exposure, we determined the concentrations of PCDD/Fs and PCBs in human serum samples from 26 incinerator workers (10 industrial waste and 16 municipal solid waste incinerator workers), 38 residents near the facilities and 7 inhabitants (as control subjects) living over 10 km away from any incinerator facilities in Korea. The mean TEQ_WHO levels of PCDD/Fs in the industrial and MSWI workers were 41.57 and 9.86 pg TEQ_WHO g^? 1 lipid, respectively. For the residents, the mean TEQ_WHO was 13.47 pg TEQ_WHO g^? 1 lipid (residents near IWI, MSWI, and control subjects: 17.64, 13.31, and 6.91 pg TEQ_WHO g^? 1 lipid). Higher levels of certain PCDD/F congeners, mainly PCDFs, were detected in the serum of industrial incinerator workers in comparison to the levels measured in the residents. Significant differences were observed for PCDFs, the major compounds were OCDF, 1,2,3,4,6,7,8-HpCDF, and the minor components 1,2,3,4,7,8-HxCDF, 1,2,3,6,7,8-HxCDF, and 2,3,4,6,7,8-HxCDF (p < 0.01). The PCDD/F congener patterns and concentrations measured in the 71 serum samples examined suggest that the industrial incinerator workers were exposed to PCDD/Fs in the workplace, possibly through inhalation and/or skin contact. In contrast, the levels and congener patterns of PCBs measured were similar in all subjects, indicating that workers from the incinerator facilities examined were not subjected to additional exposure to these compounds.     

Goal-based waste management strategy to reduce persistence of contaminants in leachate at municipal solid waste landfills

The required minimum 30-year post-closure care period for municipal solid waste (MSW) landfills can be shortened by reducing or eliminating of MSW components with long-terms effect in gas and leachate. The objectives of this study were to evaluate the relative persistence of landfill gas, leachate quantity, and selected leachate parameters using post-closure monitoring data from a case study landfill in south Florida. The relative persistence of selected decomposition byproducts in leachate were evaluated by both zero order and first order models based on monitoring data from the case study landfill. The analyses show that although gas and leachate production rates diminish very quickly, some contaminants remain in leachate as the decomposition process continues at a slower rate. For the case study landfill, the parameters which have been detected consistently at high concentrations (above MCL) included chloride, TDS, iron, bicarbonate, benzene, and vinyl chloride. Among these, vinyl chloride has the fastest and TDS has the slowest rate of disappearance in the landfill environment. The effect of waste diversion on persistence times of the selected persistent leachate quality parameters was evaluated. For example, a 40% reduction in the amount of plastics deposited in the landfill could reduce the monitoring time for benzene from 59 to 39 years. Zero order model underestimates the persistence times of the contaminants in leachate due to its linear nature. Shortening the monitoring times can provide significant savings for municipalities who need to continue monitoring leachate quality until the MCL levels are reached.     

Health risk assessment of emissions of dioxins and furans from a municipal waste incinerator: comparison with other emission sources

The aim of this study was to calculate the incremental lifetime-risk to dioxins and furans (PCDD/Fs) for the population living in the surroundings of a municipal solid waste incinerator (MSWI), as well as to establish the potential reduction on human health risks as a consequence of the adaptation to the EU legislation on pollutant emissions from the MSWI stack. Analytical and modelled results were obtained. PCDD/F concentrations in environmental media were determined by means of a simple-compartment-multimedia model (air-soil-vegetation model). Predicted and measured PCDD/F concentrations in soils and vegetation were compared, and the effects of MSWI emissions in the environmental media were determined. Human health risks due to PCDD/F emissions from the MSWI were also estimated based on I-TEQ measured and modelled in various environmental media. Cancer risks due to PCDD/F emissions of the plant were 1.07E-07 and 3.08E-09, before and after installation of the clean air system, respectively. On the other hand, cancer risks due to other PCDD/F emission sources in the area were 5.54E-06 and 1.86E-06. Total PCDD/F cancer risks (including those from diet) for the population living in the vicinity of the MSWI were 1.3E-04 and 4.25E-05, respectively (67.6% of reduction). Hazard ratio for total PCDD/F exposure (including diet) decreased during the last 5 years from 1.16 to 0.38. The above data show that other emission sources of PCDD/Fs also have a notable environmental impact on the area under direct influence of the MSWI.     

Odour from municipal solid waste (MSW) landfills: a study on the analysis of perception

The objective of this work was to develop a relationship between odour intensity and odour concentration by using data collected from various sensitive areas of the municipal solid waste (MSW) landfill site. A number of well-known psychophysical models (e.g., Weber-Fechner law, Steven's power law, Beidler's and Laffort's models) have been discussed that can successfully relate the perceived intensity with the odour concentration. Respective parameters for each of the models were estimated by the nonlinear Levenburg-Marquardt parameter estimation method. The overall performance of the model was tested statistically against sets of data from the olfactometry analysis. The model based on the Weber-Fechner law was ranked 1 in case of five out of nine samples and it has been found more representative of the less intense odour samples. The model based on Laffort's equation has represented the intensity-concentration relationship better with extremely low uncertainties on both parameters k1 and k2 for comparatively more intense odour samples.     

Partitioning coefficients of polycyclic aromatic hydrocarbons in stack gas from a municipal incinerator

In this study, solid-gas partitioning coefficients of PAHs on fly ash in stack gas from a municipal incinerator were determined according to elution analysis with gas-solid chromatography. The fly ash from the electrostatic precipitator was sieved and packed into a 1/4 inch (6.3 mm) pyrex column. Elution analysis with gas-solid chromatography was conducted for three PAHs, Napthalene, Anthracene, and Pyrene. The temperature for elution analysis was in the range of 100°C to 300°C. V_g, specific retention volume obtained from elution analysis, and S, specific surface area of fly ash measured by a surface area measurement instrument, were used to estimate the solid-gas partitioning coefficient, K_R. In addition, the relationships between K_R and temperature and K_R and PAH concentrations were investigated.     

Birth outcomes of infants born in areas with elevated ambient exposure to incinerator generated PCDD/Fs

The purpose of this study was to determine if elevated ambient exposure to incinerator generated polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/Fs) may affect birth outcomes of exposed infants born in Taipei metropolitan areas, Taiwan. The relationships between exposure to elevated PCDD/Fs concentration and various birth outcomes including birth weight, gestational age, and proportion of females were cross-sectionally assessed in 1991 (one year before the incinerator started to operate) and 1997 (five years later), respectively. We used the US EPA Industrial Source Complex Model-Sort Term modeling technique to determine the ambient PCDD/Fs concentrations in the study areas, in which 40 districts with annual averaged PCDD/Fs exposure of > or = 0.03 pg TEQ/m3 were considered as the exposed areas and another 40 districts with an estimated concentration of zero were randomly selected as reference areas. Information on birth outcomes was retrieved from the Taiwan's Birth Registry. A total of 6697 and 6282 neonates were included in the analysis for 1991 and 1997, respectively. After controlling for potential confounders, the results showed that the odds ratios (ORs) of low birth weight (< 2500 g) for higher exposures were 0.94 (> 0.05 pg TEQ/m3) and 091 (0.03-0.05 pg TEQ/m3) in 1991 and were 1.07 (> 0.05 pg TEQ/m3) and 1.06 (0.03-0.05 pg TEQ/m3) in 1997. The corresponding ORs were 1.05/0.86 (1991) and 1.12/1.22 (1997) for preterm (< 37 completed weeks of gestation), as well as 0.95/1.00 (1991) and 0.95/0.90 (1997) for female births. The above ORs were all close to unity and were statistically insignificant. When birth weight was analyzed as a continuous variable, the difference in mean birth weight between exposed group (> 0.03 pg TEQ/m3) and reference group decreased from 3.02 g in 1991 to -5.87 g in 1997. Analysis of continuous data also showed that the mean difference in gestational age between exposed and reference areas decreased from 0.05 weeks in 1991 to -0.09 week (p<0.05) in 1997. This study tends to conclude that the incinerator generated dioxin poses little effects on birth weight and female birth, but might pose small effects on gestational age. If the observed adverse effects turn out to be real, the measures now taken for improvement of abatement of waste gases seem to be a wise thing to do.     

Source separation,transportation, pretreatment,and valorization of municipal solid waste: a critical review

Environment, Development and Sustainability - Waste sorting is an effective means of enhancing resource or energy recovery from municipal solid waste (MSW). Waste sorting management system is not...     

Patterns of serum PCDD/Fs affected by vegetarian regime and consumption of local food for residents living near municipal waste incinerators from Taiwan

The aim of this study was to evaluate possible factors affecting serum polychlorinated dibenzo-p-dioxin (PCDD) and dibenzofuran (PCDF) levels of people living near municipal waste incinerators (MWIs). We selected 19 MWIs in Taiwan and collected 1708 serum samples from residents 18-65 years old who had lived within 5 km of one of the selected MWIs for at least 5 years. The samples were analyzed using a standardized study protocol to assure comparability of the concentrations from 17 PCDD/F congeners. The results suggested that a vegetarian regimen was a protective factor to avoid serum PCDD/F accumulation in the subjects. In addition, the current data seemed to support the hypothesis that serum PCDD/F levels of residents living near MWIs are related to they consumed the locally grown or cultivated vegetable and animal foods, such as poultry products near the MWIs. Our results can be used to create guidelines for preventing excessive PCDD/F accumulation from eating animal and vegetable foods grown near MWIs.     

Introduction of a recycling system for sustainable municipal solid waste management: a case study on the greater Banjul area of the Gambia

This research proposes for the introduction of a recycling system in the Gambia to enhance sustainable municipal solid waste management. Poor infrastructures, coupled with inadequate resources and lack of funding, work against the optimization of a MSW disposal service. In the authors’ view, authorities in charge of waste management need to change not only behaviors, but modernize their processes. Recycling technology is a key part of the solution. A model has been developed which suggest the involvement of stakeholders to achieve meaningful sustainable MSWM. This can be achieved by recognizing the role of the informal sector through community-based organizations, Non-Governmental Organizations (NGOs), and the private sector. The open dump approach is leading to severe environmental consequences as the groundwater and soil within the dump is been contaminated. In this study, an integrated municipal solid waste management approach was developed with a model to help achieve sustainable municipal solid waste management. Resource recovery, not waste disposal, must be the ultimate goal with clearly defined end user markets so that the recovery loop is complete. Mandatory sorting of waste at household level would help greatly in making recycling activity successful.     

A critical review of the bioavailability and impacts of heavy metals in municipal solid waste composts compared to sewage sludge

The content, behaviour and significance of heavy metals in composted waste materials is important from two potentially conflicting aspects of environmental legislation in terms of: (a) defining end-of-waste criteria and increasing recycling of composted residuals on land and (b) protecting soil quality by preventing contamination. This review examines the effects of heavy metals in compost and amended soil as a basis for achieving a practical and sustainable balance between these different policy objectives, with particular emphasis on agricultural application. All types of municipal solid waste (MSW) compost contain more heavy metals than the background concentrations present in soil and will increase their contents in amended soil. Total concentrations of heavy metals in source-segregated and greenwaste compost are typically below UK PAS100 limits and mechanical segregated material can also comply with the metal limits in UK PAS100, although this is likely to be more challenging. Zinc and Pb are numerically the elements present in the largest amounts in MSW-compost. Lead is the most limiting element to use of mechanically-segregated compost in domestic gardens, but concentrations are typically below risk-based thresholds that protect human health. Composted residuals derived from MSW and greenwaste have a high affinity for binding heavy metals. There is general consensus in the scientific literature that aerobic composting processes increase the complexation of heavy metals in organic waste residuals, and that metals are strongly bound to the compost matrix and organic matter, limiting their solubility and potential bioavailability in soil. Lead is the most strongly bound element and Ni the weakest, with Zn, Cu and Cd showing intermediate sorption characteristics. The strong metal sorption properties of compost produced from MSW or sewage sludge have important benefits for the remediation of metal contaminated industrial and urban soils. Compost and sewage sludge additions to agricultural and other soils, with background concentrations of heavy metals, raise the soil content and the availability of heavy metals for transfer into crop plants. The availability in soil depends on the nature of the chemical association between a metal with the organic residual and soil matrix, the pH value of the soil, the concentration of the element in the compost and the soil, and the ability of the plant to regulate the uptake of a particular element. There is no evidence of increased metal release into available forms as organic matter degrades in soil once compost applications have ceased. However, there is good experimental evidence demonstrating the reduced bioavailability and crop uptake of metals from composted biosolids compared to other types of sewage sludge. It may therefore be inferred that composting processes overall are likely to contribute to lowering the availability of metals in amended soil compared to other waste biostabilisation techniques. The total metal concentration in compost is important in controlling crop uptake of labile elements, like Zn and Cu, which increases with increasing total content of these elements in compost. Therefore, low metal materials, which include source-segregated and greenwaste composts, are likely to have inherently lower metal availabilities overall, at equivalent metal loading rates to soil, compared to composted residuals with larger metal contents. This is explained because the compost matrix modulates metal availability and materials low in metals have stronger sorption capacity compared to high metal composts. Zinc is the element in sewage sludge-treated agricultural soil identified as the main concern in relation to potential impacts on soil microbial activity and is also the most significant metal in compost with regard to soil fertility and microbial processes. However, with the exception of one study, there is no other tangible evidence demonstrating negative impacts of heavy metals applied to soil in compost on soil microbial processes and only positive effects of compost application on the microbial status and fertility of soil are reported. The negative impacts on soil microorganisms apparent in one long-term field experiment could be explained by the exceptionally high concentrations of Cd and other elements in the applied compost, and of Cd in the compost-amended soil, which are unrepresentative of current practice and compost quality. The metal contents of source-segregated MSW or greenwaste compost are smaller compared to mechanically-sorted MSW-compost and sewage sludge, and low metal materials also have the smallest potential metal availabilities. Composting processes also inherently reduce metal availability compared to other organic waste stabilisation methods. Therefore, risks to the environment, human health, crop quality and yield, and soil fertility, from heavy metals in source-segregated MSW or greenwaste-compost are minimal. Furthermore, composts produced from mechanically-segregated MSW generally contain fewer metals than sewage sludge used as an agricultural soil improver under controlled conditions. Consequently, the metal content of mechanically-segregated MSW-compost does not represent a barrier to end-use of the product. The application of appropriate preprocessing and refinement technologies is recommended to minimise the contamination of mechanically-segregated MSW-compost as far as practicable. In conclusion, the scientific evidence indicates that conservative, but pragmatic limits on heavy metals in compost may be set to encourage recycling of composted residuals and contaminant reduction measures, which at the same time, also protect the soil and environment from potentially negative impacts caused by long-term accumulation of heavy metals in soil.     

Conditions for the development of anaerobic digestion technologies using the organic fraction of municipal solid waste: perspectives for Poland

This article outlines problems related to the location of facilities designed to treat the organic fraction of municipal solid waste (OFMSW). Anaerobic digestion (AD) facilities are investigated as a treatment option, while taking into account the aspects of renewable energy generation. This research has been spurred on by the relationship between waste management, energy generation issues and spatial planning procedures. The analysis is focused on urban and semi-urban areas of medium and large cities. One of the most difficult issues associated with siting of waste processing plants is its integration with local infrastructures, avoiding conflicts and negative environmental impacts at the same time. This research aims to analyse possible locations for AD plants fuelled by OFMSW in Poland. Based on the experience gained from other countries and lessons learnt from the analysis of existing facilities in Europe, conditions for the location of this type of waste treatment plants have been defined, with the focus on economic, environmental and social issues. Most likely, the results of the multicriteria decision analysis for siting of municipal solid waste AD plants (M-BIST tool) could be transferred to other countries, especially those with a comparable GDP level and a similar framework for a waste management system.     

Annual variation in the levels of metals and PCDD/PCDFs in soil and herbage samples collected near a cement plant

In May 2000, the levels of a number of metals (As, Cd, Co, Cr, Cu, Hg, Mn, Ni, Pb, Sn, Tl, V and Zn) and polychlorinated dibenzo-p-dioxins (PCDDs) and polychlorinated dibenzofurans (PCDFs) were determined in soil and herbage samples collected near a cement plant from Sta. Margarida i els Monjos (Catalonia, Spain). To determine the temporal variation in the concentrations of metals and PCDD/PCDFs, in May 2001 soil and herbage samples were again collected at the same sampling points and analyzed for the levels of metals and PCDD/PCDFs. In general terms, metal concentrations in soils did not change between May 2000 and May 2001, while significant decreases in the levels of Cr, Ni and V were found in herbage. On the other hand, no significant differences in the mean I-TEQ values of PCDD/PCDFs were found in soil and herbage samples. The results of this survey show that according to the annual variation in the levels of metals and PCDD/PCDFs the environmental impact of the cement plant on the area under its direct influence is not relevant.     

Metal levels in sugar cane (Saccharum spp.) samples from an area under the influence of a municipal landfill and a medical waste treatment system in Brazil

In July 2003, duplicated samples of roots, stems and leaves of sugar cane (Saccharum spp.) were collected in 25 points of an area under direct influence of the municipal landfill site (MLS) and medical waste treatment system (MWTS) of Ribeirao Preto, S?o Paulo, Brazil. Cadmium (Cd), chromium (Cr), copper (Cu), mercury (Hg), manganese (Mn), lead (Pb) and zinc (Zn) were determined by atomic absorption spectrophotometry. The following concentrations (mg/kg) were found in roots: Cd, 0.22+/-0.12; Cr, 64.3+/-48.7; Cu, 140.6+/-27.7; Hg, 0.04+/-0.02; Mn, 561.6+/-283.3; Pb, 7.9+/-2.1 and Zn, 177.4+/-64.9. For some metals, these levels are higher than the concentrations previously reported for different plants, reaching, in some cases, values that might be considered toxic for vegetables. Metal levels in stems were 80-90% of those found in roots, while the concentrations detected in leaves were significantly lower than those in roots. The present results suggest that MLS and MWTS activities might have been increasing metal concentrations in edible tissues of sugar cane grown in the area under their influence. Moreover, the traditional agricultural practices in the production of sugar cane could be also another determinant factor to reach the current metal levels. The results of this study indicate that sugar cane is a crop that is able to grow in areas where metals in soils are accumulated.     

Integrated sustainability assessments: a spatial multicriteria evaluation for siting a waste incinerator plant in the Province of Torino (Italy)

The present paper proposes a spatial multicriteria approach for supporting decision makers in the siting process of a waste incinerator plant in the Province of Torino (Italy). Municipal solid waste management is an intrinsically complex problem because it involves different interconnected elements and must achieve objectives that are often in conflict. Given the spatial nature of the problem, a useful support is provided by a family of methods that are rapidly gaining traction for planning and policy-making, named multicriteria spatial decision support systems, which are based on geographical information systems and multicriteria analysis coupling. In the present study, a methodological framework is proposed for the integration of geographical information systems with a specific multicriteria analysis technique, named Analytic Network Process. The method is illustrated with reference to a case study in the Province of Torino. The purpose of the research is to generate a suitability map of the area under analysis in order to locate a municipal solid waste incinerator plant. The application allows the dependence relationships between the criteria to be assessed and the relative importance of all the elements to be evaluated. The results are obtained in the form of maps analyzed through the ILWIS 3.3 GIS software and have been further verified through a “what-if” analysis with reference to the clusters priorities in order to test the robustness of the model. The implementation of the spatial Analytic Network Process technique gives an originality value to the present research since it represents one of the first applications at both the national and international levels.     

Exposure to heavy metals and PCDD/Fs by the population living in the vicinity of a hazardous waste landfill in Catalonia, Spain: Health risk assessment

Most fly ashes produced in municipal waste incinerators of Catalonia (Spain) are deposited in a hazardous waste landfill (HWL) placed in Castellolí (Barcelona). This facility means a concern for the population living nearby. In response to this, we performed a probabilistic study focused on assessing human health risks derived from environmental exposure to heavy metals and polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/Fs) around the HWL. Concentrations of various metals and PCDD/Fs were determined in soil and air samples collected at the HWL, and in 4 locations around it. Health risks were evaluated according to the distance from the sampling locations to the HWL (near and far-sites). In general terms, metal and PCCD/F levels were relatively low in air and soil samples. However, concentrations of PCDD/Fs, as well as those of some metals, were found to be relatively higher in the HWL and Castellolí (the nearest village) samples than in those collected far away, resulting in a slight increase of exposure to those pollutants. Anyhow, the current concentrations of metals and PCDD/Fs suggest that it is highly unlikely that there are any additional non-carcinogenic and carcinogenic risks for the population living near the HWL.     

The relation between the estimated dietary intake of PCDD/Fs and levels in blood in a Flemish population (50-65 years)

Dioxin-like activity was measured in the serum of 1425 Flemish men and women via the CALUX assay. The adults, aged between 50 and 65 years, participated in a large biomonitoring program, executed by the Flemish Center of Expertise for Environment and Health between 2002 and 2006. Within the context of this biomonitoring program also dietary intake of dioxin-like contaminants was assessed through a food frequency questionnaire. The relation between the estimated dietary intake and the dioxin-like activity in serum was evaluated using multivariate analyses: a logistic model was performed on the total population, while a linear regression analysis was done on the subsample with quantifiable dioxin activity levels in serum. Region, gender, age, BMI, smoking status, as well as dietary habits were entered in the model, with dioxin level as an outcome estimate. Both the logistic and linear model confirmed the contribution of dietary intake to the dioxin activity measured in serum. Also BMI and region were found to be associated with dioxin activity levels.