Children's exposure to metals: a community-initiated study

Urinary Mercury Levels and Predictors of Exposure among a Group of Italian Children

Urinary mercury (Hg) levels are suitable to assess long-term exposure to both elemental and inorganic Hg. In this study, the urinary Hg levels of 250 children (aged 6–11 years) from three areas with different anthropogenic impacts in the Rieti province, central Italy, were assessed. The Hg concentrations were in the range of 0.04–2.18 µg L⁻¹ with a geometric mean equal to 0.18 µg L⁻¹ [95% confidence interval (CI), 0.17–0.20 µg L⁻¹] or 0.21 µg g⁻¹ creatinine (95% CI, 0.19–0.23 µg g⁻¹ creatinine), and a reference value calculated as 95th percentile of 0.53 µg L⁻¹ (95% CI, 0.44–0.73 µg L⁻¹) or 0.55 µg g⁻¹ creatinine (95% CI, 0.50–0.83 µg g⁻¹ creatinine). In all cases, urinary Hg data were below the HBM-I values (7 µg L⁻¹ or 5 µg g⁻¹ creatinine) established for urine, while the 95th percentile was above the German Human Biomonitoring Commission’s RV95 (0.4 µg L⁻¹) set for children without amalgam fillings. A significant correlation (p < 0.05) was found between creatinine-corrected results and residence area, with higher urinary Hg levels in children living in the industrial area. Multiple linear regression analysis showed that creatinine was the main predictor of urinary Hg.

Element Levels and Predictors of Exposure in the Hair of Ethiopian Children

Children's development and health may be affected by toxic heavy metal exposure or suboptimal essential element intake. This study aimed to provide updated information regarding the concentrations of 41 elements in children's hair (aged under 18) living in a rural area of the Benishangul-Gumuz region, Ethiopia. The highest average levels (as a geometric mean) for toxic heavy metals were obtained for Al (1 mg kg^-1), Pb (3.1 mg kg^-1), and Ni (1.2 mg kg^-1), while the lowest concentrations among the essential elements were found for Co (0.32 mg kg^-1), Mo (0.07 mg kg^-1), Se (0.19 mg kg^-1), and V (0.8 mg kg^-1). Hair analysis was combined with a survey to evaluate relationships and variations among subgroups and potential metal exposure predictors. Females showed significantly higher concentrations for most hair elements, excluding Zn, than males, and the 6-11 years age group reported the highest levels for Be, Ce, Co, Fe, La, Li, Mo, and Na. The main predictors of exposure to toxic elements were fish consumption for Hg and drinking water for Ba, Be, Cs, Li, Ni, Tl, and U. The data from this study can be used to develop prevention strategies for children's health and protection in developing countries.

Investigation into the utility of flying foxes as bioindicators for environmental metal pollution reveals evidence of diminished lead but significant cadmium exposure

Due to their large range across diverse habitats, flying-foxes are potential bioindicator species for environmental metal exposure. To test this hypothesis, blood spots, urine, fur, liver and kidney samples were collected from grey-headed flying-foxes (Pteropus poliocephalus) and black flying-foxes (P. alecto) from the Sydney basin, Australia. Concentrations of arsenic, cadmium, copper, lead, mercury and zinc and 11 other trace metals were determined using inductively coupled plasma mass spectrometry. As predicted, kidney and fur lead concentrations were lower compared to concentrations found in flying-foxes in the early 1990's, due to reduced environmental lead emissions. Tissue cadmium concentrations in flying-foxes were higher compared to previous studies of flying-foxes and other bat species, suggesting that flying-foxes were exposed to unrecognized cadmium sources. Identification of these sources should be a focus of future research. Urine concentrations of arsenic, cadmium, mercury, and lead were proportional to kidney concentrations. Given that urine can be collected from flying-foxes without handling, this demonstrates that many flying-foxes can be assessed for metal exposure with relative ease. The analysis of blood spots was not viable because of variable metal concentrations in the filter paper used. Fur concentrations of metals correlated poorly with tissue concentrations at the low levels of metals found in this study, but fur could still be a useful sample if flying-foxes are exposed to high levels of metals. Lastly, heat inactivation had minimal impact on metal concentrations in kidney and liver samples and should be considered as a tool to protect personnel working with biohazardous samples.

Neurotoxicity by mercury is not associated with autism spectrum disorders in Spanish children

Background

The pathophysiological etiologies related with the development of Autism Spectrum Disorders (ASD) remain controversial. Different authors have studied neurotoxins such as mercury (Hg) and their relationship with ADS. The objective of this study was to assess the levels of Hg in hair in a group of ASD children (chronic exposure) and in urinary excretion (acute exposure), in comparison to a healthy group.

Methods

A case-control study was conducted in Spanish children. We compared 54 ASD children (aged 2–6) with no other associated pathology to a normally-developing control group (54 subjects).

Results

There were no differences in urine (p:0.631) and hair (p:1.000) samples percentages below the limits of detection between the control and the ASD groups, and also between patients in the regression ASD subgroup (AMR) (p:0.08) and the non-regression ASD subgroup (ANMR) (p:0.705). When the analysis was adjusted for age and sex, the differences between Hg levels maintained not significant. There were no correlations between Hg concentrations in the ASD group as a whole (p: 0.739), or when they were subdivided into ASD-AMR (p: 0.739) and ASD-ANMR (p: 0.363).

Conclusions

The present study shows no evidence in our geographical area to support an association between mercury neurotoxicity and the etiopathogenesis of ASD.

An integrated study of health, environmental and socioeconomic indicators in a mining-impacted community exposed to metal enrichment

The occurrence of toxic metals and metalloids associated with mine tailings is a serious public health concern for communities living in mining areas. This work explores the relationship between metal occurrence (e.g., spatial distribution in street dusts), human health indicators (e.g., metals in urine samples, lifestyle and self-reported diseases) and socioeconomic status (SES) using Chañaral city (in northern Chile) as study site, where a copper mine tailing was disposed in the periurban area. This study model may shed light on the development of environmental and health surveillance plans on arid cities where legacy mining is a sustainability challenge. High concentrations of metals were found in street dust, with arsenic and copper concentrations of 24 ± 13 and 607 ± 911 mg/kg, respectively. The arsenic concentration in street dust correlated with distance to the mine tailing (r = - 0.32, p-value = 0.009), suggesting that arsenic is dispersed from this source toward the city. Despite these high environmental concentrations, urinary levels of metals were low, while 90% of the population had concentrations of inorganic arsenic and its metabolites in urine below 33.2 µg/L, copper was detected in few urine samples (< 6%). Our results detected statistically significant differences in environmental exposures across SES, but, surprisingly, there was no significant correlation between urinary levels of metals and SES. Despite this, future assessment and control strategies in follow-up research or surveillance programs should consider environmental and urinary concentrations and SES as indicators of environmental exposure to metals in mining communities.

Heterogeneity of Multimedia Exposures to Neurotoxic Elements (Al, As, Cd, Pb, Mn, and Hg) in Breastfed Infants from Porto Velho, Brazil

Infant exposure to neurotoxic elements is a public health issue that needs monitoring with regard to breast milk composition. We studied six neurotoxic elements in breast milk samples at different stages of lactation in mothers from Porto Velho, Brazil. We used a flow-injection mercury system (FIMS) to determine total Hg concentrations and an inductively coupled plasma optical emission spectrometer (ICP-OES) to determine the concentrations of Al, As, Cd, Pb, and Mn in 106 donors of a human milk bank. Association rules analyses were applied to determine the pattern of binary and ternary mixtures of the measured exposants. The metal concentration was mostly below the limit of detection (LOD) for Cd (99%), Pb (84%), and Hg (72%), and it was above the LOD for As (53%), Mn (60%), and Al (82%), respectively. Median concentrations (dry weight) of Al, As, Hg, Mn, and Pb were 1.81 μg/g, 13.8 ng/g, 7.1 ng/g, 51.1 ng/g, and 0.43 μg/g, respectively. Al is singly the most frequent element to which infants are exposed. Occurring binary combination (> LOD) was 56% for Al-Mn, 41% for Al-As, 22% for Al-Hg, and 13% for Al-Pb. In 100% of neonates, exposure to Al-ethylmercury (EtHg) occurred through immunization with thimerosal-containing vaccines (TCV). Association rules analysis revealed that Al was present in all of the multilevel combinations and hierarchical levels and that it showed a strong link with other neurotoxic elements (especially with Mn, As, and Hg). (a) Nursing infants are exposed to combinations of neurotoxicants by different routes, dosages, and at different stages of development; (b) In breastfed infants, the binary exposures to Al and total Hg can occur through breast milk and additionally through TCV (EtHg and Al);

Effects of sex on the levels of metals and metalloids in the hair of a group of healthy Spanish adolescents (13 to 16 years old)

Human biomonitoring can be a reliable tool to protect the health of the citizens of major urban environments. Human hair may be an invaluable specimen to determine chronic exposure to any environmental contaminant in an individual, especially in the young population. However, different factors including a lack of studies that have established reference values for metals and metalloids (trace elements) in human scalp hair make the use of this matrix controversial. A monitoring study was performed to establish possible normal or tentative reference values of Al, As, Be, Cd, Cr, Cu, Hg, Mn, Pb, Sn, Ti, Tl and Zn in adolescents' (aged 13-16) hair who have lived since birth in Alcalá de Henares, Madrid region (Spain). Strict inclusion criteria were followed to study the effect of sex on the hair metal content, and the levels of the above contaminants were also studied in park topsoils from Alcalá de Henares. Scalp hair samples were collected from 96 healthy adolescents (28 boys and 68 girls), and reference values were calculated following the recommendations of the International Union of Pure and Applied Chemistry. The levels of Cd, Cu, Pb, Sn and Zn in hair of adolescents from Alcalá de Henares show a sex dependency, being significantly higher in female participants. Sex should be a factor taken into account when developing future reference values and hair metal content. Soil metal contamination was not correlated with the levels found in hair. To conclude, the values of metals and metalloids here analysed and discussed could be considered as tentative reference values for Spanish adolescents aged 13-16 years living in the Madrid region, and may be used to identify the level of exposure of adolescents in this Spanish region to the various metals and metalloids.

Evaluating the effect of age and area of residence in the metal and metalloid contents in human hair and urban topsoils

Monitoring the levels of trace elements in hair can allow estimating the effects of the geographical location and also can provide a notion of the metal body burden. However, the use of human hair is controversial due to the different confounding factors that could affect the presence of trace elements in hair. As a result, a comprehensive monitoring study was performed in Alcalá de Henares, one of the major cities in the Madrid region, Spain. Trace elements have been monitored in urban topsoils and in human hair of two well-defined and healthy groups of population: children (6-9 years) and adolescents (13-16 years). The city was divided into four areas or zones with different characteristics to assess the possible effect of area of residence and age in the presence of Al, As, Be, Cd, Cr, Cu, Hg, Mn, Pb, Sn, Ti, Tl and Zn in soils and hair. There is no current hypothesis that explains the possible effect of the area of monitoring in the distribution of Be, Cr, Ni, Sn and Ti found in these urban soils, maybe because urban soils receive high disturbance, and there are many factors involved. The presence of most of the trace elements monitored was significantly higher in the hair of the children population, except for Sn and Zn. This could be attributed mainly to dietary habits. Other factors influencing metal content in hair such as environmental factors would have had a minimal effect in the population groups here studied. Finally, none of the levels of trace elements studied in hair were significantly correlated with levels measured in the topsoils of public parks in Alcalá de Henares, with the exception of Pb in adolescent participants.

Biomonitoring of 20 elements in urine of children. Levels and predictors of exposure

The levels of 20 elements in the urine of one hundred twenty children (Ages 6-11) from an agricultural and an urban area of Valencia Region, Spain, were assessed. The seven essential elements analysed (Co, Cu, Mn, Mo, Se, V, Zn) presented average concentrations (geometric mean) ranging from 0.22 µg L(-1) to 63 µg L(-1) (except Zn with 525 µg L(-1)). Eight out of the 13 toxic elements determined (As, Ba, Cd, Cs, Ni, Pb, Tl, Hg) had frequencies of detection of 100%, with geometric mean concentrations from 0.17 µg L(-1) (Cd) to 33.6 µg L(-1) (As). About 18% of children revealed urinary levels of total As higher than the normal range of 100 µg L(-1) accepted by the ATSDR. The urine analysis was combined with a survey to evaluate variations between subgroups and potential predictors of metal exposure in children population. For socio-demographic variables, age was the main exposure determinant for the majority of selected elements (p < 0.05-0.001), with higher concentrations in younger children (6-8 years). Significant differences were also obtained between the rural and urban area studied for As, Co, Cs, Se, U and Hg, with higher levels in children living in the urban area. In relation to diet, statistically significant higher levels of Hg (p < 0.01, median = 1 µg g(-1) creatinine) and Se (p < 0.05, median = 60.3 µg g(-1) creatinine) were obtained for children with elevated fish consumption, and lower levels of Cd, Ni, Se and V were found (p < 0.05-0.01) in children with high consumption of dairy products.

Biomonitoring of arsenic, cadmium, lead, manganese and mercury in urine and hair of children living near mining and industrial areas

Huelva (South West Spain) and its surrounding municipalities represent one of the most polluted estuaries in the world owing to the discharge of mining and industrial related pollutants in their proximity. A biomonitoring study was conducted to assess exposure to arsenic and some trace metals (cadmium, mercury, manganese and lead) in urine and scalp hair from a representative sample of children aged 6-9 years (n=261). This is the only study simultaneously analyzing those five metal elements in children urine and hair. The potential contribution of gender, water consumption, residence area and body mass index on urinary and hair metal concentrations was also studied. Urine levels of cadmium and total mercury in a proportion (25-50%) of our children population living near industrial/mining areas might have an impact on health, likely due to environmental exposure to metal pollution. The only significant correlation between urine and hair levels was found for mercury. Children living near agriculture areas showed increased levels of cadmium and manganese (in urine) and arsenic (in hair). In contrast, decreased urine Hg concentrations were observed in children living near mining areas. Girls exhibited significantly higher trace metal concentrations in hair than boys. The greatest urine arsenic concentrations were found in children drinking well/spring water. Although human hair can be a useful tool for biomonitoring temporal changes in metal concentrations, levels are not correlated with those found in urine except for total mercury, thus providing additional information.

"Reference values" of trace elements in the hair of a sample group of Spanish children (aged 6-9 years) - are urban topsoils a source of contamination?

Human hair is used as a biomonitor to evaluate the environmental exposure to contaminants in the individual. However, the use of human hair is controversial, mainly because reference levels for pollutants in hair have not yet been set. In the case of Spain, few biomonitoring studies have involved infants and children. A biomonitoring study was conducted to investigate the possible normal values of trace elements of toxicological concern in children aged 6-9 years from the city of Alcalá de Henares, Community of Madrid (Spain), following the methodology and strict inclusion criteria previously developed by our group. Levels of Al, As, Be, Cd, Cr, Cu, Hg, Mn, Ni, Pb, Sn, Ti, Tl, V and Zn were monitored in scalp-hair from 117 healthy children (47 boys and 70 girls) between April and May of 2001. The levels of trace elements here described could be considered as possible "reference values" for children aged 6-9 years resident in the Community of Madrid. These values might also be selected as a preliminary screening tool to evaluate if a Spanish child has been exposed to any of the contaminants studied here. This study also investigated whether local urban topsoils were a source of metals for this population.

Bioaccumulation of arsenic and cadmium in birch and lime from the Bor region

Copper production in the Bor region (east Serbia) during the last 100 years has influenced the quality of soil, water, and air. This pollution has endangered not only the biotope but all living organisms, including humans. Contents of arsenic (As) and cadmium (Cd) were analyzed in Betula sp. (birch) and Tillia sp. (lime) within the Bor region with the aim to investigate the bioaccumulation of these highly toxic, nonessential trace elements in selected plants, which may be important for biomonitoring and bioremediation purposes. The results of statistical data analysis showed that several factors influenced the bioaccumulation of trace elements in the examined plants, of which soil pH, soil content, and mechanism of accumulation were the main factors. The greatest As and Cd concentrations were found in plant material from the Bor center sampling site in the urban/industrial zone, which is in close proximity to the pollution source, due to the greatest metal concentrations in soil and the lowest soil pH. The low values of biological accumulation coefficients (bioconcentration factor <1, mobility ratio <1) pointed to a low rate of uptake and accumulation of As and Cd in lime and birch. Trace elements showed different patterns of behavior and accumulation in the trees. Lime showed a high ability of assimilation through leaves, whereas birch showed a better potential to express a linear correlation between concentrations in plant parts and soil.

Maternal exposure to metals--concentrations and predictors of exposure

A variety of metals are important for biological function but have also been shown to impact health at elevated concentrations, whereas others have no known biological function. Pregnant women are a vulnerable population and measures to reduce exposure in this group are important. We undertook a study of maternal exposure to the metals, aluminium, arsenic, copper, cobalt, chromium, lithium, manganese, nickel, selenium, tin, uranium and zinc in 173 participants across Western Australia. Each participant provided a whole blood and urine sample, as well as drinking water, residential soil and dust samples and completed a questionnaire. In general the concentrations of metals in all samples were low with the notable exception of uranium (blood U mean 0.07 µg/L, range <0.01-0.25 µg/L; urinary U mean 0.018 µg/g creatinine, range <0.01-0.199 µg/g creatinine). Factors that influenced biological concentrations were consumption of fish which increased urinary arsenic concentrations, hobbies (including mechanics and welding) which increased blood manganese concentrations and iron/folic acid supplement use which was associated with decreased concentrations of aluminium and nickel in urine and manganese in blood. Environmental concentrations of aluminium, copper and lithium were found to influence biological concentrations, but this was not the case for other environmental metals concentrations. Further work is underway to explore the influence of diet on biological metals concentrations in more detail. The high concentrations of uranium require further investigation.

Attic dust assessment near a wood treatment plant: past air pollution and potential exposure

The wood treatment process uses substances that generate hazardous compounds that may contaminate environmental compartments. In the present study, an area under influence of a deactivated wood treatment plant was investigated to evaluate past air pollution and to try to understand local air dispersion. Attic dust samples were collected from eight residences around the plant and from two residences outside this area, as reference samples. The presence of copper, chromium, arsenic, pentachlorophenol, sixteen priority polycyclic aromatic hydrocarbons and mutagenic activity using Salmonella/microsome assay was evaluated. The residences close to the entrance to the plant were the most affected, according to potentially toxic elements analysis. The PCP concentration was 0.49 mg/kg and the total PAHs content ranged from 0.40 to 13.31 μg/g with greater dispersion than potentially toxic elements. The highest mutagenesis values were 15,905 and 10,399 revertants/g of dust in the absence and presence of S9 mix (mammalian metabolic activation), respectively. Samples in which the total PAHs concentration was less than 2 μg/g no mutagenic effects were observed, including the residences in the reference area. The contribution of PAHs to mutagenesis was 10 percent, indicating that other compounds may contribute to the mutagenic effect. These results suggest that the population was or is potentially exposed to substances with strong effects on health.