三峡水库135 m蓄水前后水体重金属环境健康风险评价

三峡水库135 m蓄水后,水体中各重金属的单因子污染指数和Nemerow综合污染指数均有不同程度的增大,特别是Pb污染应该引起重视.健康风险评价结果表明,成库前后非致癌有毒化学物质(Hg、Pb和Cu)所引起的健康危害的个人年风险为Pb＞Cu＞Hg,致癌物质对人体健康危害的个人年风险均大于非致癌物.各类污染物所致个人平均健康危害成库前后均低于国际辐射防护委员会(ICRP)推荐的标准,为可接受水平.     

园林树木保健问题的探讨

本文论述了影响树木健康的原因和园林树木保健措施。     

铁路职工健康维护工作初探

从健康意识逐渐提高、健康知识不断增加、健康生活方式逐步建立及健康状况有所改善等方面阐述铁路实施健康行动计划后取得的成效,分析健康维护中存在的主要问题,即专业人员不足、服务方式较单一及高血压控制率有待提高,进而提出加强专业队伍建设、引进研发新设备、强化铁路健康教育及深化“四高”联防联控等进一步开展健康维护工作的建议。     

Characteristics of ride share services for older adults in the United States

Introduction: Safe and accessible transportation options are important for older adults’ health, safety, mobility, and independence. Ride share services may promote older adult health and well-being. This is the first study that describes ride share services available to older adults (65+ years) in the United States, including factors that may affect use of services. Methods: We analyzed secondary data from two research and administrative databases provided by ITNAmerica, a national non-profit transportation service for older adults: ITNRides, which tracks information on older adults who used ITN in 29 locations across the United States from 1996 to 2019, and Rides in Sight, the largest national data source on ride share services for older adults. We conducted a literature review, and telephone interviews with nine key informants representing ride share services, referral services, and other organizations. We offer a conceptual framework describing factors that may affect older adults’ use of ride share services. Results: This study identified 917 non-profit ride share services and eleven for-profit ride share services available for older adults in the United States as of August 2018. Services varied by corporate structure, location, use of technology, and business model. The majority of non-profit services served primarily older adults, while the for-profit services served primarily younger adults. Riders from one multi-site non-profit service had a median age of 82. Use of ride share services is affected by individual needs and preferences; social conditions; and business and policy factors. Conclusion: Ride share services may offer a promising alternative to driving for older adults and may help to address negative health consequences associated with driving cessation. Practical applications: These findings may help policy makers, practitioners, and other stakeholders understand older adults’ needs related to use of ride share services in order to offer solutions that prioritize public health and safety.     

Utilization of MSWI fly ash as partial cement or sand substitute with focus on cementing efficiency and health risk assessment

• Washed MSWI fly ash was used as partial cement or sand substitute. • Sand replacing is beneficial for strength, while cement replacement reduces strength. • Cementing efficiency factor and mortar pore structure explain the strength results. • Health risk assessment was conducted for MSWI fly ash blended cement mortar. • CR and HI contributed by different exposures and heavy metals were analyzed. The strength of cement substituted mortar decreases with the increase in fly ash amount, whereas the strength increases when the fly ash is blended as sand substitute. A mortar with highest strength (compressive strength= 30.2 Mpa; flexural strength= 7.0 Mpa) was obtained when the sand replacement ratio was 0.75%. The k value (cementing efficiency) of fly ash varied between 0.36 and 0.15 for the fly ash fraction in binder between 5% and 25%. The k values of fly ash used for sand replacement were all significantly above that used for cement substitution. The macropores assigned to the gaps between particles decreased when the fly ash was used as sand replacement, providing an explanation for the strength enhancement. The waste-extraction procedure (toxicity-sulphuric acid and nitric acid method (HJ/T 299-2007)) was used to evaluate metal leaching, indicating the reuse possibility of fly ash blended mortar. For the mortar with the mass ratio of fly ash to binder of 0.5%, the carcinogenic risks (CR) and non-carcinogenic hazard quotient (HQ) in sensitive scenario for blended mortar utilization were 9.66 × 10^-7 and 0.06, respectively; these results were both lower than the threshold values, showing an acceptable health risk. The CR (9.89 × 10^-5) and HQ (3.89) of the non-sensitive scenario for fly ash treatment exceeded the acceptable threshold values, indicating health risks to onsite workers. The main contributor to the carcinogenic and non-carcinogenic risk is Cr and Cd, respectively. The CR and HQ from inhalation was the main route of heavy metal exposure.     

Increasing risks for emerging infectious diseases within a rapidly changing High Asia

The cold and arid mountains and plateaus of High Asia, inhabited by a relatively sparse human population, a high density of livestock, and wildlife such as the iconic snow leopard Panthera uncia, are usually considered low risk for disease outbreaks. However, based on current knowledge about drivers of disease emergence, we show that High Asia is rapidly developing conditions that favor increased emergence of infectious diseases and zoonoses. This is because of the existing prevalence of potentially serious pathogens in the system; intensifying environmental degradation; rapid changes in local ecological, socio-ecological, and socio-economic factors; and global risk intensifiers such as climate change and globalization. To better understand and manage the risks posed by diseases to humans, livestock, and wildlife, there is an urgent need for establishing a disease surveillance system and improving human and animal health care. Public health must be integrated with conservation programs, more ecologically sustainable development efforts and long-term disease surveillance.Supplementary InformationThe online version contains supplementary material available at 10.1007/s13280-021-01599-7.     

Validation of the Polish version of the World Health Organization Disability Assessment Schedule (WHODAS 2.0) in an elderly population (60–70 years old)

Purpose. To assess the reliability and validity of the Polish version of the 36-point World Health Organization Disability Assessment Schedule (WHODAS 2.0) in an elderly population. Method. One thousand randomly selected individuals, aged 60–70 years, living in south-eastern Poland were assessed using the Polish version of the WHODAS 2.0. Results. The analysis confirmed the high reliability and validity of the tool. Cronbach’s α index was 0.89. The tool had high stability, and the correlation between test and retest results was high. The relevance of the domain selection was high or very high. A factor analysis confirmed the relevance of assigning questions to domains. High theoretical relevance was also demonstrated. Statistically significant differences between those who were and were not suffering from health problems were observed. An analysis of the internal structure of the WHODAS 2.0 revealed strong correlations between the components of each domain and the final result. Conclusion. The Polish version of the WHODAS 2.0 showed high reliability and validity; thus, it can be used to assess health, functioning and disability in the elderly population of Poland.     

江苏省太湖流域水生态健康评估的初步实践及展望

阐述了水生态健康的内涵与意义,从江苏省率先在太湖流域开展水生态环境功能分区管理的顶层设计,构建以水生态健康指标为核心的水生态健康评估技术体系,地方对照水生态环境功能区划的水生态分级管控目标开展的应用与实践结果等3个方面,回顾了江苏省太湖流域水生态健康评估工作的主要进展,提出了完善水生态健康评估技术体系和推进流域水生态健康评估工作的建议。     

Arsenic contamination and potential health risk implications at an abandoned tungsten mine, southern China

In an extensive environmental study, field samples, including soil, water, rice, vegetable, fish, human hair and urine, were collected at an abandoned tungsten mine in Shantou City, southern China. Results showed that arsenic (As) concentration in agricultural soils ranged from 3.5 to 935 mg kg⁻¹ with the mean value of 129 mg kg⁻¹. In addition, As concentration reached up to 325 μg L⁻¹ in the groundwater, and the maximum As concentration in local food were 1.09, 2.38 and 0.60 mg kg⁻¹ for brown rice, vegetable and fish samples, respectively, suggesting the local water resource and food have been severely contaminated with As. Health impact monitoring data revealed that As concentrations in hair and urine samples were up to 2.92 mg kg⁻¹ and 164 μg L⁻¹, respectively, indicating a potential health risk among the local residents. Effective measurements should be implemented to protect the local community from the As contamination in the environment.     

Policy and Science Implications of the Framing and Qualities of Uncertainty in Risks: Toxic and Beneficial Fish from the Baltic Sea

Policy and research issues in the framing and qualities of uncertainties in risks are analyzed, based on the assessments of dioxin-like compounds (DLCs) and other ingredients in Baltic Sea fish, a high-profile case of governance. Risks are framed broadly, to then focus on dioxins and beneficial fatty acids, fish consumption, human health, and science-management links. Hierarchies of uncertainty (data, model, decision rule, and epistemic) and ambiguity (of values) are used to identify issues of scientific and policy contestation and opportunities for resolving them. The associated complexity of risks is illustrated by risk–benefit analyses of fish consumption and by evaluations of guideline values, highlighting value contents and policy factors in presumably scientific decision criteria, and arguments used in multi-dimensional risk and benefit comparisons. These comparisons pose challenges to narrow assessments centered, for e.g., on toxicants or on food benefits, and to more many-sided and balanced risk communication and management. It is shown that structured and contextualized treatment of uncertainties and ambiguities in a reflexive approach can inform balances between wide and narrow focus, detail and generality, and evidence and precaution.