ARSENIC CONSUMPTION AND HEALTH RISK PERCEPTIONS IN A RURAL WESTERN U.S. AREA1

ABSTRACT: Churchill County, Nevada, has approximately 23,000 residents, among whom an estimated 13,500 relied on private wells for water supply in 2002. This study examined exposure to arsenic in water supplies among residents with private domestic wells and factors related to householder choice to consume tap water. It compared opinions and concerns about water quality with consumption habits and observed concentrations from tap water samples. The results from 351 households indicated that a majority (75 percent) of respondents consumed tap water and that a minority (38 percent) applied treatment. Approximately 66 percent of those who consumed tap water were exposed to concentrations of arsenic that exceeded 10 ppb. Water consumption was related to application of treatment. Among 98 respondents who were not at all concerned about the health effects of aqueous arsenic, 59 (60 percent) reported consuming tap water with concentrations of arsenic exceeding 10 ppb. Conversely, among 86 respondents who were highly concerned about arsenic, 33 (37 percent) consumed tap water with concentrations of arsenic exceeding 10 ppb. Results from a national sampling effort showed that 620 of 5,304 private wells sampled (11.7 percent) had arsenic concentrations above 10 ppb. The paradox of awareness of arsenic in water supplies coupled with consumption of aqueous arsenic in concentrations greater than 10 ppb may be common in other parts of the nation. Enhanced educational efforts, especially related to tap water sampling and explanations of efficacy of available treatment, may be useful means of reducing exposure through private water supplies.     

Sustainability: a Dissent

Abstract:  Broadly conceived and considered in its many usages, sustainability has grave defects as a planning goal, particularly when used by conservationists: it confuses means and ends; it is vague about what is being sustained and who or what is doing the sustaining; it is uninspiring; it is little more than Pinchot-era conservation (and thus ignores the many lessons learned since then); it need not be linked to land, to the land's functioning, or to any ecological science; it need not include a moral component; it is consistent with the view of humans as all-powerful manipulators of the planet; and, in general, it is such a malleable term that its popularity provides only a facade of consensus. When sustainability is defined broadly to include the full range of economic and social aspirations, it poses the particular risk that ecological and biodiversity concerns will be cast aside in favor of more pressing human wants. Given these many defects, the conservation movement should discard the term in favor of a more alluring goal, attentive to nature and its ecological functioning. A sound goal would incorporate and distill the considerable ecological and moral wisdom accumulated since Pinchot's day while giving conservationists the rhetorical tools needed to defend the land against competing pressures. In our view, conservation would be well served by an updated variant of "land health," Aldo Leopold's ecologically grounded goal from the 1940s. Land health as an independent understanding should set the essential terms of how we live and enjoy the earth, providing the framework within which we pursue our many social and economic aims.     

Training refugees as primary health care workers: Past imperfect, future conditional

Many problems have been encountered in the planning and implementation of health care in refugee camps, and more specifically in the training of refugees as primary health care workers. A review of the published literature and a "survey" of the opinions and experiences of refugee, national and international health personnel regarding training has therefore been undertaken to provide an overview of what has been done and to make recommendations for future work.
The review highlights the need to reallocate resources away from high visibility emergency aid to development activities, such as training, that will create an infrastructure for primary health care and promote self-reliance.     

临沂市区主要大气污染物的污染特征及其对居民健康的影响

大气污染是全球性的公共环境健康问题.本研究基于临沂市区2015年6种大气污染物（PM_2.5、PM₁₀、SO₂、NO₂、CO、O₃）的逐日监测数据,分析了污染物的污染特征及其与气象因子的相关性,通过构建广义相加模型,模拟分析了单个污染物与居民呼吸、循环系统疾病门诊人次的暴露-反应关系.结果表明,PM_2.5和PM₁₀是临沂市区首要大气污染物,NO₂和SO₂次之,O₃和CO浓度较低;除O₃外,其它5种污染物之间呈显著正相关,与风速、温度、相对湿度3个气象因子呈负相关,浓度水平冬季高、夏季低;O₃与温度呈显著正相关.对于呼吸系统疾病,单个污染物每增加10 μg·m^-3（CO每增加0.1 mg·m^-3）的最大效应情况是：PM₁₀、SO₂、NO₂、CO均在当天（lag0）使得门诊人次分别增加0.36%、1.77%、1.29%、0.69%,PM_2.5和O₃分别在累积滞后6 d（lag05）和单日滞后3 d（lag3）使得门诊人次分别增加0.6%和1.07%;对于循环系统疾病,单个污染物每增加10 μg·m^-3（CO每增加0.1 mg·m^-3）的最大效应是：PM_2.5、PM₁₀均在累积滞后5 d（lag04）使得门诊人次分别增加0.72%、0.80%,SO₂、NO₂均在累积滞后6 d使得门诊人次分别增加3.55%、3.54%,CO和O₃则分别在当天和单日滞后3 d使得门诊人次分别增加0.77%、1.39%.对于呼吸、循环系统疾病,PM_2.5、PM₁₀、CO、O₃对男性的影响均大于女性,SO₂则反之;NO₂对男性呼吸系统和女性循环系统影响较大.大气污染物对少年（7~17岁）呼吸系统和对中年（41~65岁）循环系统影响较大.临沂市区6种大气污染物存在不同程度的污染,对居民呼吸、循环系统疾病均有不同程度的影响,且存在性别和年龄的差异.     

南京市饮用水源地抗生素污染特征及风险评估

采用固相萃取-液相色谱-串联质谱技术（SPE-HPLC-MS/MS）,对南京市饮用水源地抗生素含量及分布特征进行了分析.结果表明,17个采样点总浓度为0.56~1994.96 ng·L^-1,共检出5种大环内酯类、13种磺胺类、3种四环素类、8种喹诺酮类抗生素,平均浓度为0.30~37.07 ng·L^-1,其中检出浓度最高的抗生素为环丙沙星（CIP）,浓度为317.60 ng·L^-1,检出率最高的抗生素为克林霉素（CLI）,检出率为88.24%.与国内部分河流相比,南京市饮用水源地水体中大环内酯类、四环素类、喹诺酮类抗生素残留浓度处于较高水平.生态风险评估结果表明,点位S7具有最高的联合风险熵值（24.58）,氧氟沙星（OFX）的风险熵值最高,达到13.06;健康风险评估结果表明,9种抗生素对人体健康的风险熵Q_H为1.70×10^-3~9.47,强力霉素（DOX）、诺氟沙星（NOR）、恩诺沙星（ERX）、CIP和OFX对大部分年龄段的人体健康具有高水平风险.     

长江流域水生态环境安全主要问题、形势与对策

为进一步深化长江流域水生态环境保护的系统性、整体性科学认识,围绕长江水生态环境安全的主要问题及形势进行了剖析,提出了进一步加强长江流域水生态环境安全保障的对策建议.研究表明:在水环境质量方面,磷污染成为制约水质改善的主要影响因素,农业源排放量占比高,但工业源入河对水体的影响更直接,水库群运行带来的水沙条件变化对磷污染沿程演变有明显影响;在水生态健康方面,长江水生生物资源衰退、湖库富营养化格局发生改变、湿地生态功能退化问题突出;在水环境风险方面,化工围江、航运污染风险引起广泛关注.当前长江流域面临着源头区水资源战略储备减少、区域经济发展与生态环境保护双重压力仍较大、水环境质量仍存问题隐患、水生态系统退化态势未得到根本遏制等复杂且严峻的形势,未来长江水生态环境安全保障仍有诸多挑战.建议统筹长江全流域“一盘棋”,推进区域绿色协调发展,强化磷污染点面源综合管控,着力提升水生态健康水平,同时加快水环境风险隐患排查整治,强化科技创新有效供给.      

长江口海域生态环境状况及保护对策

为加快推进长江口海域的生态环境保护和修复工作,结合长江经济带大保护,系统总结分析了近20年长江口环境质量和生态监控区的监测结果.结果表明:①长江口海域生态系统长期处于亚健康状态.②长江径流总量呈现波动变化,年均流量无明显的变化,而长江口海域海水环境状况一直较差.③营养盐污染严重,主要污染物是无机氮和活性磷酸盐;浮游生物和底栖生物群落结构不稳定,存在生境破碎化严重、外来生物入侵、赤潮频发、低氧区等诸多生态问题.为加强长江口海域生态环境的保护与修复,建议:①加强顶层设计,推进落实陆海统筹;②科学规划临港产业布局,加强涉海产业的污染管理;③加强污染物入海排放管控,提升海洋环境保护意识;④保障海洋生态建设资金,强化海洋生态保护与建设.      

平原农区村民居住空间特征与迁居意愿——以江苏省淮安市为例

选择地处苏北平原农区的淮安市所有15510个自然村和872414户农户全样本入户调查数据为分析对象,采用占比统计法和GIS空间分析,对村民居住空间特征与迁居意愿进行研究。主要结论如下：（1）在村落层面,平均规模小,单村独户多且村落分散,多数自然村远离镇区,近一半自然村位居“九靠近一滞洪”区域内。该格局是自然地理条件和人文因素综合影响形成的。（2）在住房层面,农村老旧住房比例高,全市40%农户在城乡同时拥有住房,但在城镇拥有住房率与到城区距离呈负相关,而农村住房空关率则呈现相反的空间格局。（3）在迁居意愿方面,54.1%的农户愿意集中居住且多意向实物安置,较低补偿标准和不便务农是不愿迁居的主要原因;移居城镇是货币安置农户的主要去向,留村和入镇集中居住是实物安置农户的主要去向。在迁居意向农户中,近90%选择政府统建方式,近80%愿意有偿退出宅基地和流转承包地。（4）村民居住空间特征和迁居意愿都存在明显的空间差异,两者之间存有内在联系且均受多种因素影响。     

含菌气溶胶扩散对人群的潜在影响风险

为分析生物气溶胶释放对人群潜在影响风险的情况,利用CALPUFF模型定量模拟了2019年7月24~8月20日中牧兰州生物药厂含菌气溶胶扩散、浓度空间分布、对人群潜在健康风险,并结合公开报道的检测数据开展验证.结果显示：生物药厂的含菌气溶胶排放源附近高值区主要集中于厂区四周,影响范围主要以厂区为中心,并向四周逐渐扩散;检测结果中兰州兽研所1#,兰州大学2#地区健康风险比例41.49：1,在模拟的相对风险大小的误差区间（36.15±8.48）范围内,说明本研究含菌气溶胶对人群潜在影响风险的模拟结果可信.