Human health risk assessment related to contaminated land: state of the art

Effects of mixed metal exposures on MRI diffusion features in the medial temporal lobe

BACKGROUND

Environmental exposure to metal mixtures is common and may be associated with increased risk for neurodegenerative disorders including Alzheimer's disease. This study examined associations of mixed metal exposures with medial temporal lobe (MTL) MRI structural metrics and neuropsychological performance.

METHODS

Metal exposure history, whole blood metal, MRI R1 (1/T1) and R2* (1/T2*) metrics (estimates of brain Mn and Fe, respectively), and neuropsychological tests were obtained from subjects with/without a history of mixed metal exposure from welding fumes (42 exposed subjects; 31 controls). MTL structures (hippocampus, entorhinal and parahippocampal cortices) were assessed by morphologic (volume or cortical thickness) and diffusion tensor imaging [mean (MD), axial (AxD), radial diffusivity (RD), and fractional anisotropy (FA)] metrics. In exposed subjects, effects of mixed metal exposure on MTL structural and neuropsychological metrics were examined.

RESULTS

Compared to controls, exposed subjects displayed higher MD, AxD, and RD throughout all MTL ROIs (p's<0.001) with no morphological differences. They also had poorer performance in processing/psychomotor speed, executive, and visuospatial domains (p's<0.046). Long-term mixed metal exposure history indirectly predicted lower processing speed performance via lower parahippocampal FA (p's<0.023). Higher entorhinal R1 and whole blood Mn and Cu levels predicted higher entorhinal diffusivity (p's<0.043) and lower Delayed Story Recall performance (p=0.007).

DISCUSSION

Mixed metal exposure predicted certain MTL structural and neuropsychological features that are similar to those detected in Alzheimer's disease at-risk populations. These data warrant follow-up as they may illuminate a potential path for environmental exposure to brain changes associated with Alzheimer's disease-related health outcomes.

Effects of mixed metal exposures on MRI diffusion features in the medial temporal lobe

Background

Environmental exposure to metal mixtures is common and may be associated with increased risk for neurodegenerative disorders including Alzheimer's disease.

Objective

This study examined associations of mixed metal exposures with medial temporal lobe (MTL) MRI structural metrics and neuropsychological performance.

Methods

Metal exposure history, whole blood metal, and neuropsychological tests were obtained from subjects with/without a history of mixed metal exposure from welding fumes (42 exposed subjects; 31 controls). MTL structures (hippocampus, entorhinal and parahippocampal cortices) were assessed by morphologic (volume, cortical thickness) and diffusion tensor imaging [mean (MD), axial (AD), radial diffusivity (RD), and fractional anisotropy (FA)] metrics. In exposed subjects, correlation, multiple linear, Bayesian kernel machine regression, and mediation analyses were employed to examine effects of single- or mixed-metal predictor(s) and their interactions on MTL structural and neuropsychological metrics; and on the path from metal exposure to neuropsychological consequences.

Results

Compared to controls, exposed subjects had higher blood Cu, Fe, K, Mn, Pb, Se, and Zn levels (p's<0.026) and poorer performance in processing/psychomotor speed, executive, and visuospatial domains (p's<0.046). Exposed subjects displayed higher MD, AD, and RD in all MTL ROIs (p's<0.040) and lower FA in entorhinal and parahippocampal cortices (p's<0.033), but not morphological differences. Long-term mixed-metal exposure history indirectly predicted lower processing speed performance via lower parahippocampal FA (p=0.023). Higher whole blood Mn and Cu predicted higher entorhinal diffusivity (p's<0.043) and lower Delayed Story Recall performance (p=0.007) without overall metal mixture or interaction effects.

Discussion

Mixed metal exposure predicted MTL structural and neuropsychological features that are similar to Alzheimer's disease at-risk populations. These data warrant follow-up as they may illuminate the path for environmental exposure to Alzheimer's disease-related health outcomes.

Air quality in post-mining towns: tracking potentially toxic elements using tree leaves

In this study, leaves of the evergreen holm oak Quercus ilex were used to assess airborne contamination of potentially toxic elements (PTEs) at five towns located on the slopes of the Mt. Amiata (central Italy), an area with a long history of mining and, more recently, an important district for the industrial exploitation of geothermal energy. PTE composition and covariance of washed and unwashed Q. ilex leaves of three different ages (6, 12 and 24 month-old) were used to identify atmospheric inputs of PTEs at residential areas, evaluate long-term adsorption and retention of PTEs by the leaves, thus providing an indication of potential human exposure. Moreover, the determination of foliar concentrations of major elements (C, N, S and P) allowed an assessment of the nutritional status of the investigated urban tree stands which excluded the existence of stress condition caused by air pollution or other disturbances. Results indicated that overall Pb, Cu, and Cd concentration were low in the investigated urban sites, if compared with similar studies conducted in larger Italian cities, denoting a low contribution of vehicular traffic to the atmospheric pathway. The five urban settlements were characterized by a specific profile of elements (Al, Ba, Hg and Sb) enriched in unwashed leaves, resulting from the distinct geochemical characteristics of the area and from diffuse (i.e., urban activity) and point sources of PTEs emission (i.e., brownfields, geothermal power plants). The latter sources primarily govern the distribution of Hg, whose contamination was found to be very localized close to a major abandoned mining area. Our data provided quantitative evidence of the spectrum of PTEs potentially impacting resident population and may prove useful in support of follow-up instrumental monitoring campaigns of air quality, as well as for human health and ecological risk assessments.

Human health risk assessment for contaminated sites: A retrospective review

Soil contamination is a serious global hazard as contaminants can migrate to the human body through the soil, water, air, and food, threatening human health. Human Health Risk Assessment (HHRA) is a commonly used method for estimating the magnitude and probability of adverse health effects in humans that may be exposed to contaminants in contaminated environmental media in the present or future. Such estimations have improved for decades with various risk assessment frameworks and well-established models. However, the existing literature does not provide a comprehensive overview of the methods and models of HHRA that are needed to grasp the current status of HHRA and future research directions. Thus, this paper aims to systematically review the HHRA approaches and models, particularly those related to contaminated sites from peer-reviewed literature and guidelines. The approaches and models focus on methods used in hazard identification, toxicity databases in dose-response assessment, approaches and fate and transport models in exposure assessment, risk characterization, and uncertainty characterization. The features and applicability of the most commonly used HHRA tools are also described. The future research trend for HHRA for contaminated sites is also forecasted. The transition from animal experiments to new methods in risk identification, the integration and update and sharing of existing toxicity databases, the integration of human biomonitoring into the risk assessment process, and the integration of migration and transformation models and risk assessment are the way forward for risk assessment in the future. This review provides readers with an overall understanding of HHRA and a grasp of its developmental direction.

Forecasting health effects potentially associated with the relocation of a major air pollution source

Epidemiological studies often focus on risk assessments associated with exposures to specific air pollutants or proximity to different air pollution sources. Although this information is essential for devising informed health policies, it is not always helpful when it comes to the estimation of potential health effects associated with the introduction or relocation of local health hazards. In this paper, we suggest a novel approach to forecasting the morbidity-reduction impact of hypothetical removal of a major air pollution source from a densely populated urban area. The proposed approach is implemented in three stages. First, we identify and measure the strength of association of individual environmental factors with local morbidity patterns. Next, we use the estimated models to simulate the impact of removal of the pollution source under analysis and its replacement by green areas. Using this assessment, we then estimate potential changes in the local morbidity rates by mutually comparing the observed risk surface of disease with the risk surface simulated by modelling. To validate the proposed approach empirically, we use childhood asthma morbidity data available for a major metropolitan area in Israel, which hosts a large petrochemical complex. According to our estimates, relocation of the petrochemical complex in question is expected to result in about 70% drop in the childhood asthma morbidity rate area-wide. To the best of our knowledge, the present study is the first that suggests an operational approach to incorporating epidemiological assessments as an input for urban development plans related to local sources of air pollution.

Environmental availability and oral bioaccessibility of Cd and Pb in anthroposols from dredged river sediments

Dredging and disposal of sediments onto land sites is a common practice in urban and industrial areas that can present environmental and health risks when the sediments contain metallic elements. The aim of this study was to characterise and study the environmental and toxicological availability of Cd and Pb in anthroposols from dredged river sediments. To do this, 67 surface samples spread over 12 sediment disposal sites in northern France were studied. The results showed substantial heterogeneity for this matrix in terms of physicochemical parameters and contamination degree; however, ascending hierarchical clustering made it possible to classify the samples into eight groups. For each group, the mobile fraction of Cd and Pb was studied using single EDTA extraction, solid-phase distribution was analysed with sequential extractions and toxicological availability was assessed with the oral bioaccessibility test. The results showed that (i) Cd had a higher environmental and toxicological availability than Pb; (ii) this availability depends on the physicochemical characteristics of the matrix; and (iii) it is necessary to take into account the environmental and toxicological availability of contaminants when requalifying these sites in order to propose appropriate management measures. In the first years after sediment disposal, it would appear that the environmental and toxicological availability of Cd and Pb increased (from 52.5 to 71.8% and from 28.9 to 48.9%, respectively, by using EDTA and from 50.2 to 68.5% for Cd with the bioaccessibility test). Further studies would therefore be required to confirm this trend and understand the mechanisms involved.

Evaluation on the risk controlling value of urban soil organic pollutants based on land-use planning in China

Land left after urban industrial enterprises relocate is usually planned for various land-use types that can influence human health risks. In China, urban development consists of at least eight land uses: urban residential (UR), public administration/service (PA/S), commercial/service (C/S), industrial, logistics storage, transportation (TR), public utility, and park green space. The (PA/S) type has two classes: PA/S1 includes administrative, cultural relics and historic, foreign affairs, and religious facility lands, with adults the sensitive recipients. Class PA/S2 includes lands related to cultural facilities, education and scientific research, sports, medical, and social welfare facilities, in which children are the sensitive recipients. The UR type has UR 1 and UR 2 classes with and without underground space, respectively. The C/S type has C/S1 and C/S2 classes with and without underground space, respectively. The TR type has TR1, TR2, and TR3 classes which indicate urban road, subway, and traffic hub land, respectively. To the above, we applied conceptual models and exposure pathways of volatile organic compounds and semi-volatile organic compounds. Exposure parameters were investigated for six regions and above eight land uses featuring different soil, climate, and population behavior characteristics: north, east, south, northwest, northeast, and southwest (covering China entirely). Risk controlling values (RCVs) corresponding to a lifetime cancer risk of 10^-6 in this paper were calculated using the C-GAC model introduced by 'Chinese Technical Guidelines for Risk Assessment of Contaminated Sites' with above exposure parameters to determine whether it has potentially significant levels of contamination that may warrant further investigation. Our results revealed two main patterns: (1) our soil risk controlling values for the six regions-north, east, south, northwest, northeast, and southwest-revealed some between-region variability (up to 28%). Hence, for urban contaminated sites in different regions of China, different RCVs should be considered when evaluating possible health risks. (2) The results for the organic pollutants tested across the eight types of land use showed maximum values up to 90 times the minimum value. The greater the risk controlling value of the same pollutant, the less sensitive the site is to that pollutant. Urban road land, traffic hub land, and park green space land are not sensitive to volatile organic pollutants.

Exploring the associations of serum concentrations of PCBs, PCDDs, and PCDFs with walking speed in the U.S. general population: Beyond standard linear models

Studies have shown that persistent organic pollutants (POPs) can have various health effects. However, little is known about the effects of multiple chemicals with possible common sources of exposure on walking speed, a proxy index reflecting lower limb neuromuscular function and physical function. We simultaneously applied multiple linear and nonlinear statistical models to explore the complex exposure-response relationship between a mixture of 22 selected POPs and walking speed. A total of 14 polychlorinated biphenyls (PCBs), 3 polychlorinated dibenzo-p-dioxins (PCDDs), and 5 polychlorinated dibenzofurans (PCDFs) were measured in the serum of participants in the National Health and Nutrition Examination Survey (NHANES) from 1999 to 2002. Walking speed was measured during a physical examination. Linear regression (LR), least absolute shrinkage and selection operator (LASSO), and group LASSO were used to evaluate the linearity of mixtures, while restricted cubic spline (RCS) regression, random forest (RF), and Bayesian kernel machine regression (BKMR) models were used to evaluate the nonlinearity of mixtures. Potential confounders were adjusted in the above models. A total of 436 subjects were included in our final analysis. The results of the LR model did not identify any POP exposure that was significantly associated with walking speed. The LASSO results revealed an inverse association of one PCDD congener and two PCDF congeners with walking speed, while the group LASSO analysis identified PCDFs at the exposure level and at the group level. In the RCS analysis, two PCB congeners presented significant overall associations with walking speed. The PCB congener PCB194 showed statistically significant effects on the outcome (P = 0.01) when a permutation-based RF was used. The BKMR analysis suggested that PCBs and PCDFs (probabilities = 0.887 and 0.909, respectively) are potentially associated with walking speed. Complex statistical models, such as RCS regression, RF and BKMR models, can detect the nonlinear and nonadditive relationships between PCBs and walking speed, while LASSO and group LASSO can identify only the linear relationships between PCDFs and walking speed. Fully considering the influence of collinearity in each method during modelling can increase the comprehensiveness and reliability of conclusions in studies of multiple chemicals.

Environmental exposure and health effects in a highly polluted area of Northern Italy: a narrative review

Human health and well-being are strongly linked to the state of the environment. The high industrial pressure present in the Province of Brescia, located in Northern Italy, produced strong environmental and health concerns. This narrative review of the literature aims at identifying the studies focused on the association between exposure to environmental pollutants and health effects in the population living in this area. Thirteen papers fitted the inclusion criteria: five were focused on the connection among pollutants present in air matrix and health effects, seven on both air and soil, and one on soil. No study investigated the relationship with water pollution. The great variability in the analyzed end-points made it difficult to draw precise conclusions, but the fact that, in almost all the studies, the investigated health effects have a positive association with the exposure to different kinds of pollutants, allows us to hypothesize that the considered population is living in an area where the "environmental pressure" could produce significant health effects in the future.

Applying the Rayleigh Approach for Stable Isotope-Based Analysis of VOC Biodegradation in Diffusion-Dominated Systems

Compound-specific stable isotope analysis (CSIA) has become an established tool for assessing biodegradation in the subsurface. Diffusion-dominated vapor phase transport thereby is often excluded from quantitative assessments due to the problem of diffusive mixing of concentrations with different isotopic signatures for CSIA interpretation. In soils and other unsaturated porous media volatile organic compounds (VOCs) however, are mainly transported via gas-phase diffusion and may thus prohibit a CSIA-based quantitative assessment of the fate of VOCs. The present study presents and verifies a concept for the assessment of biodegradation-induced stable isotope fractionation along a diffusive transport path of VOCs in unsaturated porous media. For this purpose data from batch and column toluene biodegradation experiments in unsaturated porous media were combined with numerical reactive transport simulations; both addressing changes of concentration and stable isotope fractionation of toluene. The numerical simulations are in good agreement with the experiment data, and our results show that the presented analytically derived assessment concept allows using the slope of the Rayleigh plot to obtain reasonable estimates of effective in situ fractionation factors in spite of diffusion-dominated transport. This enlarges the application range of CSIA and provides a mean for a better understanding of VOC fate in the unsaturated subsurface.

Indicators to support healthy urban gardening in urban management

Urban gardening is part of a trend towards more parks and green areas in cities, consumption of organic, locally grown products, and a closer relationship with one's own living environment. Our literature review shows that urban gardens provide opportunities for physical activity and allow people to consume homegrown fruit and vegetables. Urban gardens may also reduce stress levels of gardeners and improve social cohesion. In this way, they can help to prevent health problems. Good quality of urban soil and the functioning of soil ecosystems are indispensable prerequisites for these. We developed a framework that shows how ecosystem health and human health are interconnected in urban gardening, by placing it in the context of urban green space management and valuation. This study yields a set of indicators, which can be used to assess soil ecosystem services and health impacts. They may provide a basis for the evolving dialogue in decision-making processes and partnership activities in urban management. Recognizing the potential effects and discussing what is important to whom, might be enough to find synergies. Importantly, the initiators of urban gardens are often citizens, who seek support from other stakeholders. The social network established by gardens may contribute to health-enabling, cohesive communities involved with their living environment. To maximize health benefits, it is useful to make the urban gardens accessible to many people. This study suggests that urban gardens deserve a position in urban green space management as they may help to address societal challenges like urbanization, health and well-being in aging populations and climate adaptation.

Health risk assessment of an abandoned herbicide factory site for transportation use in Dalian, China

An abandoned herbicide factory site was used as an example of how planning should be considered for development of the site for transportation use in Dalian, China. Exposure pathways and parameters for three types of transportation use (land for a traffic hub, land for an urban road, and land for a subway) were developed. Twenty-five sampling sites were selected and 38 soil samples were collected in March 2015. Hexachlorobenzene and benzo(a)pyrene which were extracted by Soxhlet extraction and detected by gas chromatography mass spectrometry were the most significant pollutants detected. The maximum concentration of the two pollutants in the surface layer (0-0.5 m) were 0.57 and 3.10 mg/kg, and in the bottom layer (1.0 m) were 2.57 and 3.72 mg/kg, respectively. In this study, risk assessment results based on the established exposure scenario and parameters showed that there was a significant difference in traffic hub land use under specific exposure pathway and common insensitive land use exposure pathways (direct ingestion of soil, dermal contact with soil, and inhalation of soil-derived dust). Commonly considered hexachlorobenzene and benzo(a)pyrene carcinogenic risk values exceeded the maximum acceptable level (10^-6) and were found to be 23.9-fold and 189-fold higher than the carcinogenic risk values, respectively. Parameter sensitivity analysis data showed that for transportation use, the two parameters "EFOa" and "OSIRa" were the most significant factors associated with variation of the carcinogenic risk value. For traffic hub land use, urban road land use, and subway land use, the main exposure pathways were through "inhalation of soil vapors outdoors (from surface soil)," "direct ingestion of soil," and "inhalation of soil vapors indoors (from bottom soil)," which contributed 84.75, 73.00, and 100.00% to the total risk value, respectively.

A novel concept in ground water quality management: Towards function specific screening values

This paper is meant to initiate and feed the discussion on a more sophisticated procedure for the derivation and use of groundwater screening values (GSVs). To this purpose, the possibilities and tools for the derivation of function specific GSVs, i.e., GSVs that depend on the actual contact of humans and ecosystems with groundwater and groundwater-related mediums, are elaborated in this study. Application of GSVs geared to the specific use and function of specific groundwater volumes could result in a more effective and cost-efficient groundwater quality management, without compromising the protection of human health and the ecosystem. Therefore, a procedure to derive function specific GSVs was developed. For illustrative purposes, risk limits have been derived for human health and ecological protection targets, for arsenic, benzene, methyl tert-butyl ether (MTBE) and vinylchloride. Agriculture and Nature reserves (combined), Residential and Industrial land uses have been considered and two different groundwater management purposes, i.e., curative and sustainable groundwater management. For each of the four contaminants, this results in a series of risks limits for each function and land use combination. It is shown that for all four contaminants higher groundwater screening values are considered appropriate for less sensitive combinations of function and land use. In the process towards (policy) implementation of these function specific GSV, it is recommended to evaluate the selection of protection targets, the scientific basis of the risk assessment procedures applied and the methodology to assess the time factor for groundwater quality assessment, given the fact that groundwater is a dynamic medium. Moreover, protection levels must be harmonized with national or regional groundwater quality standards and correspond with the requirements of the Groundwater Daughter Directive of the European Union Water Framework Directive. Groundwater plumes that are judged as 'no need for remediation' are not compatible with the Water Framework Directive requirement to take actions to prevent or limit inputs of contaminants, even when no receptor is present. However, the European Commission formulated a series of exemptions, to avoid that the "prevent" requirement would imply an onerous and sometimes unfeasible task. The function specific GSVs derived in this study could be used to identify the groundwater volumes that do not result in an unacceptable risk.