Two Decades of Environmental Surveillance in the Vicinity of a Waste Incinerator: Human Health Risks Associated with Metals and PCDD/Fs

Characterization of PCDD/F and dl-PCB levels in air in Gipuzkoa (Basque Country, Spain)

This research examines the levels and trends of pollutants, specifically 17 congeners of PCDD/Fs and 12 dl-PCBs, in the air measured in the province of Gipuzkoa (Basque Country, Spain). The study used PCDD/Fs, dl-PCB, and the sum of dioxin-like compounds as separate response variables. A total of 113 air samples were collected and analyzed using the method described in the European Standard (EN-1948:2006) from two industrial areas. The results were analyzed using non-parametric test to assess the variability of these pollutants based on different factors (year, season and day of the week) and General Linear Models to assess the weight of each factor. The study found that the toxic equivalents (TEQs) for PCDD/Fs were 12.29 fg TEQm^-3 and for dl-PCBs were 1.63 fg TEQm^-3, which were in a similar range or lower than those observed in other national and international studies in industrial areas. The results showed temporal variations, with higher levels of PCDD/Fs in autumn-winter than in spring-summer and higher levels of PCDD/Fs and dl-PCBs during weekdays than on weekends. The industrial area where the energy recovery plant (ERP) will be located had higher levels of air pollutants due to the presence of two PCDD/Fs emitting industries nearby, as indicated by the Spanish Registry of Polluting Emission Sources. Both industrial areas showed similar profiles of PCDD/Fs and dl-PCBs, with the PCDD/F profiles dominated by OCDD, 1,2,3,4,6,7,8-HpCDD, and 1,2,3,4,6,7,8-HpCDF in terms of concentrations and 1,2,3,7,8-PeCDD, 2,3,4,7,8-PeCDF, and 2,3,7,8-TCDD in terms of TEQs. The dl-PCB profiles were dominated by PCB 118, PCB 105, and PCB 77 in terms of concentrations and PCB 126 in terms of TEQs. The findings of this study can serve as an indicator of the potential impact of ERP on the health of the resident population and the environment.

Mobility, bioaccessibility, pollution assessment and risk characterization of potentially toxic metals in the urban soil of Lahore, Pakistan

The present study is based on the measurement of potentially toxic metal contents employing various extraction methodologies aimed at the evaluation of their mobility, bioaccessibility and bioavailability in the urban soil (n = 56) of Lahore, Pakistan. Selected metal levels in the soil were quantified using flame atomic absorption spectrometry. On the average basis, aqua regia and glycine extracts revealed comparatively higher contents for most of the metals; average concentrations of Fe, Mn, Zn, Pb, Cu, Cr, Co and Cd were found at 1566, 451.1, 114.8, 52.84, 39.15, 24.82, 12.59 and 3.953 mg/kg in aqua regia extract, while in glycine extract the metal levels were found at 579.6, 174.2, 74.72, 49.74, 19.28, 7.103, 4.692 and 3.357 mg/kg, respectively. However, Cd, Pb, Cu and Zn showed significantly higher mobility and bioavailability in the soil, while Co, Fe and Mn were least mobile/bioavailable. The pollution index was assessed in terms of enrichment factor and modified degree of contamination which revealed severe to significant contamination and anthropogenic enrichment of Cd, Pb, Cu and Zn. Multivariate analysis showed mostly anthropogenic contributions for Zn-Cu-Cr-Pb-Cd. Health risk assessment revealed relatively higher exposure of the metals through ingestion, while only minor contributions were noted for inhalation and dermal contact. Hazard quotient index was within the safe limit (< 1.0) in all soil extractions, thereby indicating no significant non-carcinogenic health risks. The incremental lifetime cancer risk for Cr (4.1E-06) through ingestion was comparatively higher than the safe limit which showed significant lifetime cancer risk to the local population.

Environmental and health impacts assessment of long-term naturally-weathered municipal solid waste incineration ashes deposited in soil-old burden in Bratislava city, Slovakia

Municipal solid waste incineration (MSWI) is an effective method for reducing the volume/mass of waste. However, MSWI ashes contain high concentrations of many substances, including trace metal (loid)s, that could be released into the environment and contaminate soils and groundwater. In this study, attention was focused on the site near the municipal solid waste incinerator where MSWI ashes are deposited on the surface without any control. Here, combined results (chemical and mineralogical analyses, leaching tests, speciation modelling, groundwater chemistry and human health risk assessment) are presented to assess the impact of MSWI ash on the surrounding environment. The mineralogy of ∼forty years old MSWI ash was diverse, and quartz, calcite, mullite, apatite, hematite, goethite, amorphous glasses and several Cu-bearing minerals (e.g. malachite, brochantite) were commonly detected. In general, the total concentrations of metal (loid)s in MSWI ashes were high, following the order: Zn (6731 mg/kg) > Ba (1969 mg/kg) ≈ Mn (1824 mg/kg) > Cu (1697 mg/kg) > Pb (1453 mg/kg) > Cr (247 mg/kg) > Ni (132 mg/kg) > Sb (59.4 mg/kg) > As (22.9 mg/kg) ≈ Cd (20.6 mg/kg). Cadmium, Cr, Cu, Pb, Sb and Zn exceeded the indication or even intervention criteria for industrial soils defined by the Slovak legislation. Batch leaching experiments with diluted citric and oxalic acids that simulate the leaching of chemical elements under rhizosphere conditions documented low dissolved fractions of metals (0.00-2.48%) in MSWI ash samples, showing their high geochemical stability. Non-carcinogenic and carcinogenic risks were below the threshold values of 1.0 and 1 × 10^-6, respectively, with soil ingestion being the most important exposure route for workers. The groundwater chemistry was unaffected by deposited MSWI ashes. This study may be useful in determining the environmental risks of trace metal (loid)s in weathered MSWI ashes that are loosely deposited on the soil surface.

Air Pollutant Emission Inventory of Waste-to-Energy Plants in China and Prediction by the Artificial Neural Network Approach

The waste-to-energy (WTE) plant has been deployed in 205 cities in China. However, it always faces public resistance to be built because of the great concerns on flue gas pollutants (FGPs). There are limited studies on the socioeconomic heterogeneity analysis and prediction models of WTE capacity/ FGP emission inventories (EIs) based on big data. In this study, the incinerator level emission factors (EFs) in 2020 of PM, SO₂, NO_x, CO, HCl, dioxins, Hg, Cd + Tl, and Sb + As+ Pb + Cr + Co + Cu + Mn + Ni were calculated based on 322,926 monitoring values of all the 481 WTE plants (1140 processing lines) operating in China, with uncertainties in the range of ±34.70%. The EFs were significantly 45-96% lower than the national standard (GB18485-2014) and had negative relationships with local socioeconomic elements, while WTE capacity and FGP EIs had significantly positive correlations. Gross domestic product, area of built district, and municipal solid waste generation were the main driving forces of WTE capacity. The WTE capacity increased by 150% from 2015 to 2020, while the total emission of PM, SO₂, CO, dioxins, Hg, and Sb + As + Pb + Cr + Co + Cu + Mn + Ni decreased by 42.46-88.24%. The artificial neural network models were established to predict WTE capacity and FGP EIs in the city level, with the mean square errors ranging from 0.003 to 0.19 within the model validation limits. This study provides data and model support for the formulation of appropriate WTE plans and a pollutant emission control scheme in different economic regions.

Exposure to polycyclic aromatic hydrocarbons and the associations with oxidative stress in waste incineration plant workers from South China

Waste incineration is one of the most common emission sources of polycyclic aromatic hydrocarbons (PAHs), causing potential occupational exposure in waste incineration workers. However, relative investigations among waste incineration plant workers are still very limited, particularly in China. Therefore, we collected urine specimens from 77 workers in a waste incineration plant as the exposed group, and 101 residents as the control group in Shenzhen, China. Nine mono-hydroxylated PAH metabolites (OH-PAHs) and 8-hydroxy-2'-deoxyguanosine (8-OHdG) were measured, and their internal relationships were explored. The urinary levels of most OH-PAHs and 8-OHdG in the exposed group exhibited high levels versus another group (p < 0.05). We found negative associations between OH-PAHs and 8-OHdG in the control group (p < 0.05), while most of OH-PAHs were not associated with 8-OHdG in the exposed group, which indicated that the exposure to waste incineration could enlarge the level of individual oxidative stress damage. Nevertheless, PAHs were less likely to trigger obvious health risks in exposed workers through estimation of human intake and exposure risks. This study provides a reference for occupational PAH exposure and strengthen the need of health monitoring among incineration workers.

Polybrominated dibenzo-p-dioxins/furans (PBDD/Fs) in soil around municipal solid waste incinerator: A comparison with polychlorinated dibenzo-p-dioxins/furans (PCDD/Fs)

Polybrominated dibenzo-p-dioxins/furans (PBDD/Fs) and polychlorinated dibenzo-p-dioxins/furans (PCDD/Fs) share similar toxicities and thermal origins, e.g., municipal solid waste incinerator (MSWI). Recently, PBDD/Fs from MSWI attracted rising concern because their important precursors, i.e., brominated flame retardants (BFRs), were frequently found in various wastes for landfill or MSWI feedstock. So far, however, little is known about PBDD/Fs and their associated risks in the vicinal environments of MSWI. Here we analyzed PBDD/Fs and PCDD/Fs in 29 soil samples collected around a multiyear large-scale MSWI, and compared their spatial distributions, sources and risks. PBDD/Fs demonstrated comparable concentrations and toxic equivalent quantities (TEQs) to PCDD/Fs in these samples. Spatially, both the concentrations of PBDD/Fs and PCDD/Fs decreased outwards from the MSWI, and exhibited significant linear correlations with the distances from the MSWI in the southeast downwind soil, suggesting the influence of the MSWI on its vicinal soil environment. However, the existence of other dioxin sources concealed its influence beyond 6 km. PBDD/Fs in the soils were characterized by highly-brominated PBDFs, especially Octa-BDF, and their sources were diagnosed as the MSWI and diesel exhaust; PCDD/Fs, however, were dominated by highly-chlorinated PCDDs, particularly Octa-CDD, and were contributed individually or jointly by the MSWI, automobile exhaust and pentachlorophenol (PCP)/Na-PCP. The non-carcinogenic risks of dioxins in all the soil samples were acceptable, but their carcinogenic risks in 17% of the samples were unacceptable. These samples were all located close to the MSWI and highways, therefore, the land use of these two high-risk zones should be cautiously planed.

A cross-sectional survey of preschool children: Exploring heavy metal exposure, neurotransmitters, and neurobehavioural relationships and mediation effects

BACKGROUND

Exposure to heavy metals has been considered harmful and can cause cognitive deficits in preschool children.

OBJECTIVE

To investigate the possible mediation effect of neurotransmitters on the relationship of heavy metal exposure with neurobehaviour.

METHODS

The levels of blood heavy metals and neurotransmitters, along with the neurobehavioural scores, were determined in preschool children. Multiple linear regression was used to assess the relationship between heavy metals, neurotransmitters, and neurobehavioural scores. Furthermore, the mediating role of neurotransmitters was investigated.

RESULTS

An interquartile range (IQR) increase in lead (6.10 μg/L) was associated with a decrease of 8.52%, 30.06%, and 20.10% for Glutamic acid (Glu), Glycine (Gly), and gamma-aminobutyric acid (GABA), respectively. An IQR increase in arsenic (19.37 μg/L) was associated with an increase of 6.32% and 2.09% for Gly and GABA, respectively. Further, an IQR increase in zinc (15.58 μg/L) was associated with an increase of 1.44% for Ser, whereas the IQR increase was associated with a decrease of 2.14%, 2.24%, and 1.89% for Glu, Gly, and GABA, respectively. An IQR increase in selenium (38.75 μg/L) was associated with an increase of 1.88% for GABA. Moreover, both Glu and Gly decreased by 2.87% for an IQR increase in manganese (16.92 μg/L). An IQR increase in mercury (15.22 μg/L) was associated with a decrease of 2.43% for Ser, but the IQR increase was associated with an increase of 4.99% and 3.09% for Gly and GABA, respectively. It was found that Glu and Serine (Ser) have a significant linear relationship with conduct score and impulsivity-hyperactivity index, and that there was a significant linear relationship between Ser and the learning disability index. GABA and conduct score and attention-deficit hyperactivity disorder (ADHD) index have a significant linear relationship. There is a significant linear relationship between Gly and conduct, anxiety, ADHD, and impulsivity-hyperactivity index. The results of the mediating effect analysis indicated that Ser, Glu, Gly, and GABA have a specific mediating effect between blood heavy metals and neurobehaviour.

CONCLUSION

We showed the mediating effect of neurotransmitters. The current study may provide valuable information regarding the prevention and management of metal-related neurological disorders in preschool children.

Challenges and actions to the environmental management of Bio-Medical Waste during COVID-19 pandemic in India

The outbreak of COVID-19 has engendered a global health crisis along with diverse impacts on economy, society and environment. Efforts to combat this pandemic have also significantly shot-up the quantity of Bio-medical Waste (BMW) generation. Safe disposal of large quantity of BMW has been gradually posing a major challenge. BMW management is mostly implemented at municipal level following regulatory guidelines defined by respective states and the Union. This article is a narrative of the status of BMW generation, management and regulation in India in the context of COVID-19 crisis. The article is based on comparative analysis of data on BMW generation and management from authentic sources, a systematic literature review and review of news reports. In the current pandemic situation where media has been playing a significant role in highlighting all the concerns related to COVID-19 spread and management. Assessing the ground situation regarding effectiveness of prevailing BMW management facilities, requirement and suggestions can provide insights to the subject with policy implications for India and countries as well. The discussion has been built on different dimensions of BMW management during the pandemic including existing infrastructures, capacity utilisation, policy guidelines, operational practices and waste-handlers aspects. The results on state-wise analysis of reported BMW quantity and active COVID-19 patients also reveal some non-linear relationship between the two variables. Delhi, the National Capital is situated at a better position in terms of BMW management as compared to other studied states. The findings are expected to provide valuable insights to the policy makers and other relevant authorities to evaluate adequateness as well as efficiency quotients of entire BMW management landscape. Some of the critical observations of this article are also expected to offer impetus for enhancing national disaster preparedness in future.

Multiple classes of chemical contaminants in soil from an e-waste disposal site in China: Occurrence and spatial distribution

E-waste recycling is well known for releasing halogenated organic compounds (HOCs) and heavy metals. This study investigated the occurrence and distribution of traditional and novel classes of contaminants, including chlorinated, brominated, and mixed halogenated dibenzo-p-dioxins/dibenzofurans (PCDD/Fs, PBDD/Fs, PXDD/Fs), polybrominated diphenyl ethers (PBDEs), polychlorinated biphenyls (PCBs) and polyhalogenated carbazoles (PHCZs), in soil from an e-waste disposal site in Hangzhou. PBDEs were the most abundant, at 343-69306 ng kg^-1, followed by PHCZs (896-41,362 ng kg^-1), PCDD/Fs (349-19,396 ng kg^-1), PCBs (51.3-1834 ng kg^-1), PBDD/Fs (2.99-524 ng kg^-1) and PXDD/Fs (0.104-21.2 ng kg^-1). The detected target compound concentrations were generally lower than those reported in the literature for informal e-waste sites. Nevertheless, they can serve as a basis of information for evaluation and subsequent control. The toxic equivalent (TEQ) contributions from these contaminants (except PBDEs) decreased as follows: PCDD/Fs > PXDD/Fs > PHCZs > PCBs > PBDD/Fs. ΣDioxins (PCDD/Fs + PBDD/Fs + PXDD/Fs) accounted for 47.7%-97.2% of the total TEQs in the soil. OCDD, 1,2,3,4,6,7,8-HpBDF and OBDF were the dominant congeners, mainly derived from combustion and transport because of their low saturated vapor pressure. PXDFs were more abundant than PXDDs, and homologue profiles suggested a similar formation mechanism for PXDFs and PBDFs involving successive Br-to-Cl exchange. PHCZs were reported in soil from an e-waste disposal area for the first time, and their concentrations were several orders of magnitude higher than those of the other contaminants. Although the risk of human exposure in this study was estimated to be lower than the values recommended by the WHO (1-4 pg TEQ/kg bw/day), health implications still exist, and further investigations are necessary.

Trends of Polychlorinated Compounds in the Surroundings of a Municipal Solid Waste Incinerator in Mataró (Catalonia, Spain): Assessing Health Risks

Since 2008, the environmental levels of polychlorinated compounds near a municipal solid waste incinerator in Mataró (Catalonia, Spain) have been periodically monitored. The present study aimed at updating the data regarding the temporal changes occurred between 2015 and 2017, when air and soil samples were collected again, and the concentrations of the same chemical pollutants (i.e., polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/Fs), and polychlorinated biphenyls (PCBs)) were analysed. Furthermore, the health risks associated with their human exposure were also evaluated. The levels of all the contaminants in soil were far below the threshold established by regional and national legislations, also being lower than those observed in previous surveys. A similar trend was also noted for PCDD/Fs in air samples, while airborne PCBs were the only group of chemicals whose levels significantly increased. In any case, the global assessment of the data regarding the different pollutants and matrices indicates that there has not been a general increase in the environmental pollution around the facility. In addition, the environmental exposure to PCDD/Fs and PCBs by the population living nearby is still clearly lower than the dietary intake of these same chemical pollutants.

Adverse health effects for populations living near waste incinerators with special attention to hazardous waste incinerators. A review of the scientific literature

Incinerators of municipal, hazardous and medical wastes are sources of emissions of toxic pollutants, being polychlorinated dibenzo-p-dioxins and dibenzofurans, as well as a number of heavy metals of special concern. Moreover, waste incineration also generates ashes that must be properly disposed. In all countries, waste management is currently being an issue of tremendous importance. While the treatment and disposal of municipal solid waste (MSW) is a problem in the entire world, in industrialized countries, the management of hazardous waste (HW) is an additional issue of important concern. While the available scientific information on the environmental impact and the health risks of MSWIs is quite considerable, that related with the potential adverse health effects for the populations living near HWIs is much more reduced. In this paper, we have reviewed the information on health effects-including the incidence of cancer and cancer mortality-for the people residing in the vicinity of HWIs. For a better understanding of the problem, some studies on cancer and other adverse health effects near MSWIs have been also reviewed. Special attention has been paid to the HWI of Constantí (Catalonia, Spain) on which the most complete information among all HWIs in the entire world is available. In our conclusions, a series of important issues/questions are raised: is really safe the limit value of 0.1 ng TEQ/Nm³ for PCDD/Fs to protect human health? Where are the evidences on this? On the other hand, to date, risk assessment studies have been only focused on certain substances; heavy metals and PCDD/Fs. Studies have not included those chemicals that are not routinely analyzed, being even some of them probably unknown right now. Moreover, what about potential interactions among chemicals in order to estimate the carcinogenic and non-carcinogenic risks for the population living near incinerators? Complete epidemiological studies are clearly necessary.

Environmental Exposure-Associated Human Health Risk of Dioxin Compounds in the Vicinity of a Municipal Solid Waste Incinerator in Shanghai, China

In order to assess environmental exposure-associated human health risk of dioxin compounds for the population in the vicinity of a municipal solid waste incinerator (MSWI) in Shanghai, the atmospheric samples (n = 24) and soils samples (n = 96) were collected and analyzed to obtain the concentration level, pollution characteristics and seasonal changes of dioxin compounds in environmental medias. The toxicity equivalent concentration range of 2,3,7,8-substituted polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/Fs) was 30.9-409 fg WHO-TEQ·m^-3 in atmosphere and 0.362-8.55 ng WHO-TEQ·kg^-1 in soil. The non-carcinogenic health risk and carcinogenic health risk from PCDD/Fs environmental exposure of people living in the vicinity of the MSWI in Shanghai were all within the allowable range of the US Environmental Protection Agency, which implied that the MSWI in Shanghai did not produce additional risk for the population living in its vicinity.

A follow-up study on the characterization and health risk assessment of heavy metals in ambient air particles emitted from a municipal waste incinerator in Zhejiang, China

To confirm our hypothesis that inhalation might be the primary exposure route of heavy metals for children living in proximity to a municipal waste incinerator (MWI), we conducted a one-year follow up study to characterize the distributions of heavy metals featured in different types of ambient air particles, including PM₁, PM_2.5 and PM₁₀, at two exposure sites near the MWI (E1 and E2) and one control site (C) in Zhejiang, China. Particle samples were collected by a mid-volume sampler and heavy metals were determined by the inductively coupled plasma mass spectrometry method. The mass concentrations of PM₁, PM_2.5 and PM₁₀ were 52.0, 85.8 and 100.3 μg/m³ at E1 site, while the concentrations were 40.2, 92.1 and 106.6 μg/m³ at E2 site and 33.4, 55.6 and 66.1 μg/m³ at C site, respectively. Both E1 and E2 had higher PM₁, PM_2.5 and PM₁₀ levels than C site. The levels of pollution were season dependent, with autumn having the highest levels of PM₁, PM_2.5 and PM₁₀ across all three sampling sites. Regarding the distributions of heavy metals, Pb accounted for the majority of the seven metals in all groups, ranging from 43.2% to 51.3%, followed by Mn that ranged from 22.0% to 32.0%. The Pb levels of PM₁, PM_2.5 and PM₁₀ in the MWI area were 22.6, 34.2 and 36.2 ng/m³, respectively, while Mn levels were 10.1, 20.0 and 23.5 ng/m³, respectively. The health risk assessment results suggested that residents were suffering high non-carcinogenic risk posed by MWI-emitted particle-bound toxic metals, as well as the high lifetime carcinogenic risk. This study revealed that ambient air, no matter whether near or far away from an MWI, bore more PM₁, PM_2.5 and PM₁₀ particles than general, non-polluted ambient air, especially in autumn.

Human exposure to trace elements and PCDD/Fs around a hazardous waste landfill in Catalonia (Spain)

Hazardous waste landfills (HWLs) usually mean the end of non-reusable, non-recyclable and non-recoverable wastes derived from industrial activities. A number of hazardous compounds and toxic elements, such as PCDD/Fs, Cd, Cr, Hg, Pb and As, is associated to these wastes. The HWL of Castellolí (Catalonia, Spain) treats a variety of hazardous wastes, which include bottom ashes from waste incinerators and asbestos potentially containing those toxicants. In 2007, our group began a surveillance program inside the HWL and in nearby villages focused on assessing the environmental levels of PCDD/Fs and toxic elements. Here we summarize the most updated results, corresponding to data from samples collected between 2015 and 2018. The levels of most trace elements (As, Cd, Cr, Ni and Pb) in soils, as well as those of Cd and Pb in air, were significantly higher (p < 0.01) inside the HWL than outside. However, no relevant differences were noted in the concentrations of trace elements when comparing the results of villages near the HWL with those located farther. With respect to PCDD/Fs, a progressive decrease was observed between the first (2007) and most recent (2018) surveys. The human health risks associated with the exposure to trace elements and PCDD/Fs exposure were within acceptable ranges according to national and international legislations (HQ < 1 and Cancer risk < 10^-5).

Biomedical waste management in India: Critical appraisal

The safe and sustainable management of biomedical waste (BMW) is social and legal responsibility of all people supporting and financing health-care activities. Effective BMW management (BMWM) is mandatory for healthy humans and cleaner environment. This article reviews the recent 2016 BMWM rules, practical problems for its effective implementation, the major drawback of conventional techniques, and the latest eco-friendly methods for BMW disposal. The new rules are meant to improve the segregation, transportation, and disposal methods, to decrease environmental pollution so as to change the dynamic of BMW disposal and treatment in India. For effective disposal of BMWM, there should be a collective teamwork with committed government support in terms of finance and infrastructure development, dedicated health-care workers and health-care facilities, continuous monitoring of BMW practices, tough legislature, and strong regulatory bodies. The basic principle of BMWM is segregation at source and waste reduction. Besides, a lot of research and development need to be in the field of developing environmental friendly medical devices and BMW disposal systems for a greener and cleaner environment.

Air quality, health impacts and burden of disease due to air pollution (PM10, PM2.5, NO2 and O3): Application of AirQ+ model to the Camp de Tarragona County (Catalonia, Spain)

The purpose of this study was to assess the impact to human health of air pollutants, through the integration of different technics: data statistics (spatial and temporal trends), population attributable fraction using AIRQ+ model developed by the WHO, and burden of disease using Disability-Adjusted Life Years (DALYs). The levels of SO₂, NO, NO₂, O₃, H₂S, benzene, PM₁₀, PM_2.5, CO, benzo(a)pyrene and metals, obtained between 2005 and 2017 from the air quality monitoring network across Camp de Tarragona County, were temporally and spatially determined. Health impacts were evaluated using the AIRQ+ model. Finally, the burden of disease was assessed through the calculation of Years of Lost life (YLL) and Years Lost due to Disability (YLD). In general terms, air quality was good according to European quality standards, but it did not fulfil the WHO guidelines, especially for O₃, PM₁₀ and PM_2.5. Several decreasing (NO, NO₂, SO₂, PM₁₀ and benzene) and an increasing (O₃) temporal trend were found. Correlation between unemployment rate and air pollutant levels was found, pointing that the economic crisis (2008-2014) was a factor influencing the air pollutant levels. Reduction of air pollutant levels (PM_2.5) to WHO guidelines in the Camp de Tarragona County would decrease the adult mortality between 23 and 297 cases per year, which means between 0.5 and 7% of all mortality in the area. In this County, for lung cancer, ischemic heart disease, stroke, and chronic obstructive pulmonary disease due to levels of PM_2.5 above the WHO threshold limits, DAYLs were 240 years. This means around 80 DALYs for 100,000 persons every year -between 2005 and 2017. Population attributable fraction (PAF) and burden of disease (DALYs) methodologies are suitable tools for regional and national policymakers, who must take decisions to prevent and to control air pollution and to analyse the cost-effectiveness of interventions.

Monitoring dioxins and furans in plasma of individuals living near a hazardous waste incinerator: Temporal trend after 20 years

The concentrations of polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/Fs) were analyzed in 40 plasma samples of individuals living in zones under potential influence of the emissions of a hazardous waste incinerator (HWI) (Tarragona County, Catalonia, Spain). Samples corresponded to subjects of different gender, age and specific areas of residence. The levels of PCDD/Fs were compared to those obtained in a baseline study (1998), as well as in previous surveys (2002, 2007 and 2012). The current mean concentration of PCDD/Fs in plasma was 6.79 pg I-TEQ/g lipid, which was significantly lower than the baseline concentration (27.0 pg I-TEQ/g lipid). A significant decrease was also observed in comparison to the results obtained in 2002 and 2007 (15.7 and 9.4 pg I-TEQ/g, respectively), while the current PCDD/F levels were similar to those obtained in 2012 (6.18 pg I-TEQ/g lipid). This important reduction in plasma PCDD/F levels is in accordance with the decreasing trend in the daily dietary intake of PCDD/Fs, which diminished from 210.1 pg I-TEQ (baseline) to 8.54 pg WHO-TEQ (current). OCDD was the predominant congener in plasma, while 2,3,7,8-TeCDD and 1,2,3,4,7,8,9-HpCDF showed the lowest levels. Based on the above results, as well as other recent data on the levels of PCDD/Fs in human milk, we conclude that the presence of the HWI does not mean additional and significant risks -as regards to PCDD/F exposure-for the population living in the neighborhood of the facility.

In vitro cyto-toxic assessment of heavy metals and their binary mixtures on mast cell-like, rat basophilic leukemia (RBL-2H3) cells

We investigated the cytotoxicity and mechanisms of cell death induced by salts of Cadmium (Cd²⁺), Lead (Pb²⁺), Arsenic (AsO₄^3-) and Chromium (Cr⁺⁶) on RBL-2H3 cells (a model mast cell line). In addition, cyto-toxic effect on cell viability was assessed to reveal their nature of interaction in binary mixture. The individual cytotoxic characteristics of these metals on RBL-2H3 cell viability showed a concentration-dependent reduction of cell viability. We observed that concentration-dependent cytotoxic potency on RBL-2H3 cells of these metals range in the following order Cd²⁺>Cr⁺⁶>As O₄^3-> Pb²⁺ with LC₅₀ values of 0.11 μM, 93.58 μM, 397.9 μM and 485.3 μM respectively. Additive effects were observed with Pb²⁺ + Cd²⁺, Pb²⁺ + AsO₄^3-, Pb²⁺ + Cr⁺⁶ and AsO₄^3- + Cr⁺⁶. The study revealed that Pb²⁺, Cd²⁺, AsO₄^3- and Cr⁺⁶ could induce significant (P < 0.01) cell death by apoptosis in RBL-2H3. Highly significant necrotic cell death was observed with Pb²⁺ and Cr⁺⁶ (P < 0.01) than Cd²⁺ and AsO₄^3- (P < 0.05). Overall, it can be deduced that several cell death executing pathways may be concomitantly activated on exposure to heavy metals and the predominance of one over others might depend on the type of heavy metal, concentration and the metabolic state of the cell. Eventually, binary mixtures of some of these metals showed less cytotoxicity than would be expected from their individual actions and may depend on the co-exposure of the metal ions and their modes of action.

Concentrations of dioxins and furans in breast milk of women living near a hazardous waste incinerator in Catalonia, Spain

Since 1999, a hazardous waste incinerator (HWI) is operating in Constantí (Tarragona County, Catalonia, Spain). In 1996-1998, when the facility was being built, we started a monitoring program aimed at evaluating the impact of the emissions of polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/Fs) by the HWI on the environment and the human health. This study aimed at determining the current concentrations of PCDD/Fs in breast milk samples of women living nearby the HWI and at comparing these levels and profiles with those obtained in the baseline (1996-1998) and previous surveys (2002, 2007 and 2012). Furthermore, the association between the dietary intake of PCDD/Fs and the congener profiles in breast milk was also explored. Twenty milk samples were collected from women living in Tarragona downtown and near the industrial area where the HWI is placed. The content of PCDD/Fs was analyzed by following a procedure derived from the US EPA methods 1613 and 8290A. The mean concentration of PCDD/Fs was 2.26 pg WHO-TEQ/g fat. No significant differences were found between women living in industrial and urban areas (1.67 pg vs. 2.48 pg WHO-TEQ/g fat). Interestingly, a notable significant reduction (81%) was observed with respect to the concentrations found in the baseline study. The profiles of PCDD/Fs in breast milk were similar independently on the area and period of collection, being mainly influenced by the intake of fish, meat, oils and fats. The decreasing trend of PCDD/Fs in human milk agrees with the reduction observed in the dietary intake of these pollutants. It was also concluded that the current levels of PCDD/Fs in human milk levels are not influenced by the HWI stack emissions.

Concentrations of PCDD/Fs in the neighborhood of a hazardous waste incinerator: human health risks

In 1996-1998, a wide surveillance program was initiated in the vicinity of a new hazardous waste incinerator (HWI) placed in Constantí (Catalonia, Spain), which started its regular operations in 1999. The program was aimed at assessing the environmental impact of the facility on the surrounding environment, as well as to evaluate the potential risks for the population living in the neighborhood. Since then, among other measurements, the concentrations of polychlorinated dibenzo-p-dioxins and furans (PCDD/Fs) have been periodically determined in soil and herbage samples. This study shows the results, corresponding to the period 2013-2016. Data were compared with those obtained in the baseline survey (1996-1998), as well as with those of the previous survey (2011-2012). The median PCDD/F concentrations in soils were 0.44 and 0.33 ng toxic equivalent (I-TEQ)/kg in 2015 and 2016, respectively, with a significant decrease in relation to the baseline survey, and a non-significant decrease between 2015 and 2016. In turn, PCDD/F levels in vegetation showed some fluctuations over time, being the concentrations of PCDD/Fs in 2013 very similar to those found in 2012 (1.11 and 1.23 ng I-TEQ/kg, respectively). These concentrations notably decreased along the three last campaigns (0.16, 0.23, and 0.17 ng I-TEQ/kg in 2014, 2015, and 2016, respectively). These changes would be more related to a number of environmental factors rather than to a variation of PCDD/F emissions by the HWI. With respect to human health risks, exposure to PCDD/Fs in the area under potential influence of the HWI is not of concern, as the current environmental concentrations of PCDD/Fs do not mean additional carcinogenic or non-carcinogenic risks for the local population.

Concentrations of trace elements and PCDD/Fs around a municipal solid waste incinerator in Girona (Catalonia, Spain). Human health risks for the population living in the neighborhood

Previously to the modernization of the municipal solid waste incinerator (MSWI) of Campdorà (Girona, Catalonia, Spain) two sampling campaigns (2015 and 2016) were conducted. In each campaign, 8 soil and 4 air samples (PM₁₀ and total particle phase and gas phase) were collected. The levels of As, Cd, Co, Cr, Cu, Hg, Mn, Ni, Pb, Sb, Sn, Tl and V, and PCDD/Fs were analysed at different distances and wind directions around the MSWI. Environmental levels of trace elements and PCDD/Fs were used to assess exposure and health risks (carcinogenic and non-carcinogenic) for the population living around the facility. In soils, no significant differences were observed for trace elements and PCDD/Fs between both campaigns. In air, significant higher levels of As, Cd, Co, Mn, Ni, Pb, Tl and V were detected in 2016. Regarding soil levels, only Cd (distances) and As, Cu, Mn, and Ni (wind directions) showed significant differences. No differences were noted in the concentrations of trace elements and PCDD/Fs in air levels with respect to distances and directions to the MSWI. No differences were registered in air levels (elements and PCDD/Fs) between points influenced by MSWI emissions and background point. However some differences in congener profile were noted regarding from where back-trajectories come from (HYSPLIT model results), pointing some influence of Barcelona metropolitan area. The concentrations of trace elements and PCDD/Fs were similar -or even lower- than those reported around other MSWIs in Catalonia and various countries. Non-carcinogenic risks were below the safety limit (HQ<1). In turn, carcinogenic risks due to exposure to trace elements and PCDD/Fs were in acceptable ranges, according to national and international standard regulations.

Adverse pregnancy outcomes in women with changing patterns of exposure to the emissions of a municipal waste incinerator

Municipal solid waste incinerators emissions contain pollutants that, despite their low concentration, might adversely affect reproductive health. In the present study, we examined rates of miscarriage and birth defects among women who resided or were employed in the vicinity of a municipal solid waste incinerator plant from 2003 to 2013. In 2009, a progressive shutdown of the old incineration lines and operation of a new line caused considerably higher atmospheric release of polycyclic aromatic hydrocarbons, particularly of dioxins, due to these irregular operating conditions, technological renovation, and increased capacity. We used dioxin emission levels, based on a dispersion model, to define exposure status of the residing population to air pollutants emitted by the waste incinerator. In women who resided in areas characterized by higher emission exposures compared with a referent area, the relative risk (RR) of miscarriage was 1.04 (95% confidence interval (CI) 0.80-1.32) based on 62 cases overall, with little evidence of a dose-response relation. RRs were similarly null for both 2003-2008 and 2010-2013 periods (RR 1.12 (95% CI 0.80-1.53) and 0.98 (95% CI 0.63-1.48), respectively). Concerning birth defects in the offspring of women residing in the exposed area, no evidence of increased risk emerged, since the prevalence ratio at birth was 0.64 (95% CI 0.29-1.26), with comparable results in the 2003-2008 and 2010-2013 period. Corresponding analyses carried out in municipal residents who worked in the exposed area confirmed these findings. We also did not detect abnormally high rates of miscarriage and birth defects in the exposed cohorts in the single year 2009. Overall, these results do not suggest an effect of exposure to the emissions of the municipal solid waste incinerator we investigated on two indicators of reproductive health. However, the limited statistical stability of the estimates and the absence of individual-based information on some potential confounders suggest caution in the interpretation of study findings.

High cancer risks by exposure to PCDD/Fs in the neighborhood of an Integrated Waste Management Facility

In 2014, we conducted a study aimed at screening the concentrations of polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/Fs), polychlorinated biphenyls (PCBs) and various trace elements in air and soil samples collected in an urban area of Sant Adrià de Besòs (Barcelona, Spain) in the vicinity of an Integrated Waste Management Facility (IWMF). It consists of a mechanical-biological treatment plant (MBT) and an old municipal solid waste incinerator (MSWI). Human health risks for the population living in the area were also assessed. The most worrying result was the high cancer risks estimated for the area (2.5×10^-6). In March 2017, we have carried out a new survey to check if the authorities had taken the necessary and urgent measures to reduce the environmental concentrations of PCDD/Fs -and the human health risks- until acceptable levels. Although the concentrations of PCDD/Fs in soils are currently lower (mean value: 1.66 vs. 3.6ng WHO-TEQ/kg in 2014), they are still are notably higher than those found near other MSWIs of Catalonia. In turn, the levels of PCDD/Fs in air are even higher than in 2014 (mean value: 0.044 vs. 0.026pgWHO-TEQ/m³ in 2014), being also the highest detected in similar zones of Catalonia. The current cancer risk due to PCDD/F exposure for the residents in the neighborhood of the IWMF is 2.3×10^-6, a worrying fact as the 10^-6 threshold continues to be exceeded.

Concentrations of polycyclic aromatic hydrocarbons and trace elements in Arctic soils: A case-study in Svalbard

A combined assessment on the levels and distribution profiles of polycyclic aromatic hydrocarbons (PAHs) and trace elements in soils from Pyramiden (Central Spitsbergen, Svalbard Archipelago) is here reported. As previously stated, long-range atmospheric transport, coal deposits and previous mining extractions, as well as the stack emissions of two operative power plants at this settlement are considered as potential sources of pollution. Eight top-layer soil samples were collected and analysed for the 16 US EPA priority PAHs and for 15 trace elements (As, Be, Cd, Co, Cr, Cu, Hg, Mn, Mo, Ni, Pb, Sn, Tl, V and Zn) during late summer of 2014. The highest levels of PAHs and trace elements were found in sampling sites located near two power plants, and at downwind from these sites. The current PAH concentrations were even higher than typical threshold values. The determination of the pyrogenic molecular diagnostic ratios (MDRs) in most samples revealed that fossil fuel burning might be heavily contributing to the PAHs levels. Two different indices, the Pollution Load Index (PLI) and the Geoaccumulation Index (Igeo), were determined for assessing soil samples with respect to trace elements pollution. Samples collected close to the power plants were found to be slightly and moderately polluted with zinc (Zn) and mercury (Hg), respectively. The Spearman correlation showed significant correlations between the concentrations of 16 PAHs and some trace elements (Pb, V, Hg, Cu, Zn, Sn, Be) with the organic matter content, indicating that soil properties play a key role for pollutant retention in the Arctic soils. Furthermore, the correlations between ∑16 PAHs and some trace elements (e.g., Hg, Pb, Zn and Cu) suggest that the main source of contamination is probably pyrogenic, although the biogenic and petrogenic origin of PAHs should not be disregarded according to the local geology.

Environmental trends of metals and PCDD/Fs around a cement plant after alternative fuel implementation: human health risk assessment

This study aimed at evaluating the potential impact of a cement plant after 4 years of the employment of alternative fuel. In June 2015, concentrations of PCDD/Fs and metals were determined in soils, vegetation and air in order to measure potential changes with respect to previous surveys before (July 2011) and after (June 2013) the employment of alternative fuel. Risks to human health were also assessed. In soils, metal levels were similar to those observed in June 2013 (p > 0.05). In comparison with July 2011, the increment was only statistically significant for As and Cd (p < 0.05). A notable increase in levels of PCDD/Fs was noted when current levels in soils (1.14 ng WHO-TEQ per kg) were compared with those observed in July 2011 (0.37 ng WHO-TEQ per kg) (p > 0.05) and June 2013 (0.41 ng WHO-TEQ per kg) (p < 0.05). This increase was mainly caused by the increase in PCDD/F levels at one sampling site, which showed the heterogeneity of PCDD/F levels in soils, possibly as a result of different point emissions over the years. On the other hand, temporal trends in levels of metals and PCDD/Fs in vegetation showed a clear decrease, which indicated that the particle fraction of these pollutants would potentially be removed from leaf surfaces by wash-off. In air, levels were similar to those found in previous surveys. The results of PCA showed that the change in fuel had not affected the environmental profiles of metals and PCDD/Fs around the cement plant. The exposure of the population living in the surroundings of the plant was measured and it was shown that diet was the major contributor for both metals and PCDD/Fs, with percentages of over 97%, the only exceptions being As and Pb, for which dietary intake accounted for 43% and 71% of the total exposure, respectively. Environmental non-cancer and cancer risks were within the limits considered as acceptable by international standards.

Exposure assessment of PCDD/Fs for the population living in the vicinity of municipal waste incinerator: Additional exposure via local vegetable consumption

While the exposure assessment of polychlorinated dibenzo-p-dioxin and polychlorinated dibenzofuran (PCDD/Fs) for people living in the vicinity of municipal solid waste incinerators (MSWI) has been investigated, indirect exposure to MSWI-emitted PCDD/Fs via consumption of local foods has not been well assessed. In this study, the PCDD/F concentration in the local vegetables grown near a MSWI located in Shenzhen, South China, was determined to be 0.92 ± 0.59 pg/g wet weight (ww), significantly higher than that (0.25 ± 0.35 pg/g ww) in commercial vegetables (p < 0.05). The PCDD/F concentrations in Banyan leaf (Ficus microcarpa) samples collected from 5 sampling sites at 1 km intervals from the MSWI were found to be significantly decreased with increasing distance, suggesting that the local plants would be impacted by emissions from the MSWI. The exposure assessment of PCDD/Fs for the population living in the vicinity of MSWI was carried out by simultaneously analyzing PCDD/Fs in other food groups that were commonly consumed by the residents. If only the local vegetables were consumed and other foods were acquired commercially, the total dietary intake for a general adult was 0.94 ± 0.41 pg TEQ/kg bw/day, of which consumption of local vegetables accounted for 52.3%. If all foods consumed including vegetables were from a commercial source, the total dietary intake was 0.56 ± 0.30 pg TEQ/kg bw/day, of which consumption of commercial vegetables accounted for 20.1%. The present study for the first time reported the additional human exposure to PCDD/Fs via consumption of local vegetables impacted by emissions from MSWI.

PCDD/F contamination on surface soil in the vicinity of a hazardous waste incinerator: is it possible a different trend?

This study is the first to investigate the contamination of polychlorinated dibenzo-p-dioxins and polychlorinated dibenzofurans (PCDD/Fs) on surface soils in the vicinity of the first hazardous waste incinerator of Turkey. In the study, 24 soil samples were taken from a 1625-m-radius circle whose center is the stack of the incinerator. This process was repeated 1 year later. Since the acquired average PCDD/F concentrations of the two sampling campaigns (0.05 and 0.02 ng WHO-toxic equivalent (TEQ)/kg) were meaningfully low compared to the related literatures, a new sampling campaign was carried out to control this inconsistency, but this time in a foreign laboratory (0.56 ng WHO-TEQ/kg). In the same period, eight gas samples were taken from the stack under different operational conditions of the facility. According to the evaluations of the findings, the geographical-meteorological data of the study area and the specific operational conditions of the facility corroborate the concentrations of the first and the second soil samplings rather than the third one. The major underlying reason for the inconsistency of the soil concentrations may be the fact that the data analysis procedures used by the laboratories are different. The author suggests a hypothesis which argues that the soils in the vicinity of a hazardous waste incinerator may have significantly lower concentration levels than in related literatures.

Human exposure to environmental pollutants after a tire landfill fire in Spain: Health risks

In May 2016, a fire occurred in one of the largest landfills in Europe (Seseña, Toledo, Spain), where 70,000-90,000tons of tires had been illegally accumulated for >15years. Because of the proximity of population nuclei and the duration of the episode (>20days), we conducted a preliminary human health risk assessment study just after the tire fire. Samples of air and soil were collected in 3 areas surrounding the landfill (El Quiñón, at only 500m, and Seseña Nuevo and Seseña Viejo, both at 4km), as well as in background sites. In addition, samples of crops (barley, wheat, cabbage and lettuce) were also obtained from local farmers. The concentrations of polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/Fs), polychlorinated biphenyls (PCBs), polycyclic aromatic hydrocarbons (PAHs) and a number of trace elements (As, Cd, Co, Cr, Cu, Hg, Mn, Ni, Pb, Sb, Sn, Tl, and V) were analyzed in all the samples. The concentrations of all the target pollutants, excepting PAHs, were relatively similar at the different sampling zones, irrespective of the distance to the landfill. In turn, a significant increase of PAHs was noted near the tire landfill, with air levels up to 6-times higher than those found at 4km (134 vs. 19.5-22.7ng/m³). Similarly, PAH concentrations in lettuce were relatively higher than those typically found in monitoring programs of food safety. Because of the increase of airborne PAHs, cancer risks due to exposure to environmental pollutants for the population living at El Quiñón, near the landfill, were between 3- and 5-times higher than those estimated for the inhabitants of Seseña. After this preliminary study, further investigations, focused only on PAHs, but more extensive in terms of number of samples, should be conducted to assure that PAHs have been progressively degraded through time.

Heavy metals (Pb, Cd, As and MeHg) as risk factors for cognitive dysfunction: A general review of metal mixture mechanism in brain

Human exposure to toxic heavy metals is a global challenge. Concurrent exposure of heavy metals, such as lead (Pb), cadmium (Cd), arsenic (As) and methylmercury (MeHg) are particularly important due to their long lasting effects on the brain. The exact toxicological mechanisms invoked by exposure to mixtures of the metals Pb, Cd, As and MeHg are still unclear, however they share many common pathways for causing cognitive dysfunction. The combination of metals may produce additive/synergetic effects due to their common binding affinity with NMDA receptor (Pb, As, MeHg), Na⁺ - K⁺ ATP-ase pump (Cd, MeHg), biological Ca⁺² (Pb, Cd, MeHg), Glu neurotransmitter (Pb, MeHg), which can lead to imbalance between the pro-oxidant elements (ROS) and the antioxidants (reducing elements). In this process, ROS dominates the antioxidants factors such as GPx, GS, GSH, MT-III, Catalase, SOD, BDNF, and CERB, and finally leads to cognitive dysfunction. The present review illustrates an account of the current knowledge about the individual metal induced cognitive dysfunction mechanisms and analyse common Mode of Actions (MOAs) of quaternary metal mixture (Pb, Cd, As, MeHg). This review aims to help advancement in mixture toxicology and development of next generation predictive model (such as PBPK/PD) combining both kinetic and dynamic interactions of metals.

Alternative Fuel Implementation in a Cement Plant: Human Health Risks and Economical Valuation

In June 2010, the cement plant of Montcada i Reixac (MR) (Catalonia, Spain) began a gradual implementation of alternative fuel to replace fossil fuel. Between December 2010 and November 2014, we conducted three monitoring surveys to evaluate the state of the environment around the facility. Data were compared with results from three monitoring surveys performed in 2008-2009. In all these studies, samples of soil, vegetation, and air were collected, being the content of a number of trace elements and polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/Fs) in these matrices determined. In general terms, a decrease of metal and PCDD/F concentrations was found. Human health risks followed a similar temporal trend, being acceptable according to national and international standards and independent on the fuel used. The Disability-Adjusted Life Year and the costs of cancer cases were also estimated for the population living around the MR cement plant, accounting for 4 years and 31,000 €/year, respectively.

Occurrence and impact of polychlorinated dibenzo-p-dioxins/dibenzofurans in the air and soil around a municipal solid waste incinerator

To assess the influence of polychlorinated dibenzo-p-dioxins and polychlorinated dibenzofurans (PCDD/Fs) on the environment in the vicinity of municipal solid waste incinerators (MSWIs), we determined the levels of PCDD/Fs in air and soil samples collected around a MSWI, which is the largest in China. The International Toxicity Equivalency Quantity (I-TEQ) concentrations of PCDD/Fs in air samples were from 0.0300 to 1.03pgI-TEQ/m(3) (0.445-13.6pg/m(3)), with an average of 0.237pgI-TEQ/m(3), while in soil samples they ranged from 0.520 to 3.40pgI-TEQ/g (2.41-88.7pg/g) with an average of 1.49pgI-TEQ/g. The concentrations of PCDD/Fs in air and soil samples were comparable to other areas, and PeCDFs were the dominant contributors, which was different from stack gas homologue patterns. Multivariate statistical analysis showed that PCDD/Fs emission from the MSWI did not directly affect the profiles of PCDD/Fs in air and soils, so that vehicles and unidentified emission sources should be considered. The daily inhalation levels of PCDD/Fs for children (0.0110 to 0.392pgI-TEQ/(kg·day) and adults (0.00600 to 0.221pgI-TEQ/(kg·day) near the MSWI were lower than the tolerable daily intake of 1.00 to 4.00pg WHO-TEQ/(kg·day), but in winter the values were higher than in summer. These results can be used as basic data for assessing the risk of PCDD/Fs exposure in residents living around this MSWI, and more monitoring programs and studies should be carried out around MSWIs.