A new method for spatially moving correlation analysis in geomedicine

A method of correlation analysis within a spatially moving window was applied to two sets of epidemiological/geochemical data in Norway, (1) mortality/disability rates of multiple sclerosis (MS) versus atmospheric fallout of Mg and concentrations of Se in overbank sediment, and (2) incidence rates of malignant melanoma of the skin (MM) versus concentrations of Ca and K in overbank sediment. It appears that n = 17 observation sites within the moving window is a practical compromise between noise in the data at small values of n and a spatial resolution good enough to detect trends in the distribution patterns of the correlation coefficient. For MS versus Mg, MS versus Se and MM versus Ca the correlation coefficients are generally negative and depict systematic distribution patterns with anomalous clusters of sites with good correlation. For MS versus Se the correlation coefficients also form an additional cluster of positive coefficients. Tests with permutated data show that more than 70% of the negative correlation coefficients for MS versus Mg and for MM versus Ca are both significantly different from zero at p<0.05, while less than 15% of those for MS versus Se are significant at the same level. For MM versus K the correlation coefficients are randomly distributed and not significantly different from zero. The described correlations may be effects of confounders and do not per se indicate any causal relationships. However, further research based on these results may well lead to the identification of possible aetiological factors.     

Soils and geomedicine

Geomedicine is the science dealing with the influence of natural factors on the geographical distribution of problems in human and veterinary medicine. Discussions on potential harmful impacts on human and animal health related to soil chemistry are frequently focused on soil pollution. However, problems related to natural excess or deficiency of chemical substances may be even more important in a global perspective. Particularly problems related to trace element deficiencies in soils have been frequently reported in agricultural crops as well as in livestock. Deficiencies in plants are often observed for boron, copper, manganese, molybdenum, and zinc. In animals deficiency problems related to cobalt, copper, iodine, manganese, and selenium are well known. Toxicity problems in animals exposed to excess intake have also been reported, e.g., for copper, fluorine, and selenium. Humans are similar to mammals in their relations to trace elements and thus likely to develop corresponding problems as observed in domestic animals if their supply of food is local and dependent on soils providing trace element imbalances in food crops. In large parts of Africa, Asia, and Latin America, people depend on locally grown food, and geomedical problems are common in these parts of the world. Well-known examples are Keshan disease in China associated with selenium deficiency, large-scale arsenic poisoning in Bangladesh and adjacent parts of India, and iodine deficiency disorders in many countries. Not all essential elements are derived only from the soil minerals. Some trace elements such as boron, iodine, and selenium are supplied in significant amounts to soils by atmospheric transport from the marine environment, and deficiency problems associated with these elements are therefore generally less common in coastal areas than farther inland. For example, iodine deficiency disorders in humans are most common in areas situated far from the ocean. There is still a great need for further research on geomedical problems.     

Highlights of some environmental problems of geomedical significance in Nigeria

This paper attempts to discuss the links between the geochemical composition of rocks and minerals and the geographical distribution of diseases in human beings in Nigeria. We know that the natural composition of elements in our environment (in the bedrock, soils, water, and vegetation) may be the major cause of enrichment or depletion in these elements and may become a direct risk to human health. Similarly, anthropogenic activities such as mining and mineral processes, industrial waste disposal, agriculture, etc., could distort the natural geochemical equilibrium of the environment. Thus, the enrichment or depletion of geochemical elements in the environment are controlled either by natural and/or anthropogenic processes. The increased ingestion of toxic trace elements such as As, Cd, Hg, Pb, and F, whether directly or indirectly, adversely affects human health. Of these, Cd has most dangerous long-term effect on human health. Environmental exposure to As and Hg is a causal factor in human carcinogenesis and numerous cancer health disorders. Available information on iodine deficiency disorder (IDD) in Nigeria indicates goiter prevalence rates of between 15% and 59% in several affected areas. There have been reported cases of dental fluorosis resulting from intake of water with fluoride content >1.5 ppm. Dental caries among children shows an overall prevalence rate of 39.9%. Within the Younger Granite province in central Nigeria, cases of cancer and miscarriages in pregnant women have been linked to natural radiation These examples and a number of others from the existing literature underscore the pressing need for the development of collaborative research to increase our understanding of the relationship between the geographical distribution of human and animal diseases in Nigeria and environmental factors. We submit that such knowledge is essential for the control and management of these diseases.