Exposure to heavy metals in blood and risk perception of the population living in the vicinity of municipal waste incinerators in Korea

Risk perceptions of a population living near a municipal waste incinerator and associated factors with the prevalence of environmental disease

Background

This study investigated the risk perceptions, prevalence of environmental diseases (EDs) and associated factors with the prevalence of environmental disease among the population living near an incinerator.

Methods

Study area were divided into 3 local areas near the incinerator by distance (A, B, C) and control area (D) by distance and geographic isolation. A Questionnaire was conducted with 1,380 in local residents (A, B, C) and 390 in control area (D), gathered information of demographic characteristics, lifestyle, perception of damage by incinerators, experience of EDs (atopic dermatitis, allergic rhinitis, asthma) diagnosed by physician. Analysis of variance, χ² test, and Kruskal Wallis test was applied to determine the difference by area. Logistic regression analysis was performed to identify factors associated with the prevalence of allergic rhinitis.

Results

Residents residing closer to the incinerator had negative perception in most items in questionnaire compared with control. The prevalence of allergic rhinitis was higher as they lived nearby the incinerator (p = 0.008). The associated factors with the prevalence of allergic rhinitis were carpet (odds ratio [OR]: 1.79, p = 0.001), residential area (marginally significant), duration of residence (OR: 1.09, p < 0.001). The perception of environmental pollution around the residential area was inversely associated with the prevalence of allergic rhinitis: perceived as very dissatisfied (OR: 4.21, p = 0.02) compared with very satisfied.

Conclusions

As closer to the incinerator, the risk perception tend to negative and prevalence of EDs were increased. Carpet, residential area, duration of residence and perception of environmental air pollution around the residential area were associated with prevalence of allergic rhinitis. These results may be useful for the communication with residents to discuss the environmental problems caused by the incinerator.

Relationship between heavy metals and alpha emission rates in breast milk and blood of women

BACKGROUND

The current study determines the relationship between heavy metals and alpha particles emission rates in milk and blood of lactating women in Diwanyah, Iraq.

METHODS

Heavy metals and alpha particle emission rates have been measured using an Atomic Absorption Spectrophotometer and a Nuclear Track Detector.

RESULTS

The results show that Pb, Cd, and Cu in milk are 0.2239 ± 0.0007 ppm, 0.0156 ± 0.0001 ppm, and 0.1811 ± 0.0006 ppm, respectively. Pb, Cd, and Cu in the blood were 0.0898 ± 0.0008 ppm, 0.0432 ± 0.0010 ppm, and 0.1729 ± 0.0004 ppm, respectively. The highest alpha particle emission rate was found to be in age interval from 23 y to 28 y in milk, while the highest alpha particle emission rate was found to be in the age interval from 35 y to 40 y.

CONCLUSIONS

This study concludes that no statistical significance between Pb, Cd, Cu and Eα in milk and blood at level 0.01. The following order of bioavailability was found with heavy metals Cu < Pb < Cd.

Trace elements in toenails in a population living near a modern municipal solid waste incinerator in Modena (Italy)

BACKGROUND AND OBJECTIVES

A cross-sectional biomonitoring study was performed in Modena (Italy) to assess trace element levels in toenails in a population living near a municipal solid waste incinerator (SWI), and investigate potential differences in their concentrations according to SWI emission exposure and other environmental and behavioral factors.

METHODS

During the winter 2013/14 eligible subjects, aged 18-69 yrs, living within 4 km from SWI, were randomly selected from the population register. Toxic and essential element concentrations (As, Cd, Cr, Cu, Mn, Ni, Pb, Se, Zn) were analyzed in 489 toenail samples. Individual exposure to SWI emissions was estimated by using, as a tracer, fall-out maps of emitted particulate matter. Information on anthropometric parameters, lifestyles, diet, and road traffic, residential and work exposures were collected by questionnaires and objective measurements. Multivariate logistic regression analyses were carried out, separately for females and males.

RESULTS

Excluding As, toxic elements were found, usually at low levels, in many samples, while essential elements, especially Cu and Zn, showed higher levels. Overall, no clear relationships between element levels and SWI exposure were observed, whereas associations with other environmental and lifestyle factors were found, including local food consumption, smoking and occupation.

CONCLUSIONS

The low pollutant concentrations measured in SWI emissions could explain the absence of clear patterns in toenail levels across SWI exposure levels. The associations observed with other factors suggest that, at least in this specific population, other environmental exposures and personal behaviors could act as more important predictors of trace element uptake.

Toxic atmospheric pollutants from crematoria ovens: characterization, emission factors, and modeling

Human remains and corpses' cremation is an increasing practice worldwide alternative to burials, which have increased their cost and reduced spaces in cemeteries. Alike to other combustion processes, cremation produces pollutant emissions that contribute to worsen air quality in modern cities. A 6-month sampling campaign was performed in order to characterize emissions from corpse cremation in three different crematorium ovens and develop emission factors which were used to determine the population exposure to those pollutants during cremation activities applying a dispersion model. The main difference among crematoria was the inclusion or non-inclusion of controlled air supply devices. Using isokinetic samplings in the chimneys crematoria, emissions were measured and characterized with different chemical analyses. No significant differences were found in arsenic and metal concentrations among different crematories, although carbon monoxide, particles, elemental carbon, organic carbon, and polycyclic aromatic hydrocarbon concentrations in facilities without controlled air supply were up to seven times higher than those with controlled air supply. Nevertheless, these pollutants exceeded standards in all crematoria. Except for elemental and organic carbon concentration that correlated with corpse weight, other recorded cadaver characteristics bear no relation with pollutant emissions. Emission factors among different ovens did not present significant differences; then, they were used for dispersion modeling of particles and mercury emissions over Mexico City when 35 crematoria operate simultaneously through an hour showing that PM_2.5 and Hg increase 0.01-1 μg m^-3 and 0.01-0.1 ng m^-3, respectively, in that scenario.

Trace Elements in Blood of the Population Living near a Hazardous Waste Incinerator in Catalonia, Spain

In 2012, the concentrations of trace elements (As, Be, Cd, Cr, Hg, Mn, Ni, Pb, Sn, Tl, and V) were measured in blood samples of the population living in the vicinity of a hazardous waste incinerator (HWI) located in Tarragona County (Catalonia, Spain). This study is part of a wide surveillance program aimed at assessing the impact of the facility on the public health conducted since 1998, before the HWI started operating. Lead was the metal occurring with the highest concentration (21.7 μg kg^-1), followed by Mn (19.7 μg kg^-1) and Hg (4.62 μg kg^-1). Arsenic (6.99 μg kg^-1) showed a low detection rate (49%), while the rest of the analyzed trace elements were not detected. In 2017, a new sampling campaign was conducted, and three new trace elements (Co, Cu, and Sb) were added. In the most recent survey, Cu reached a mean concentration of 931 μg kg^-1, up to 60-fold higher than that corresponding to the remaining trace elements. Relatively high levels were also found for Sb (16.0 μg kg^-1), Mn (13.9 μg kg^-1), and Pb (13.0 μg kg^-1). In comparison with the baseline study (1998), Hg, Mn, and Pb significantly decreased over time. Some trace elements showed significant differences according to sex, age, and area of residence. In general, the concentrations of trace elements in blood were similar to, or even lower than, those reported in the scientific literature. Hence, the exposure to trace elements does not mean any additional health risk for the population living near the HWI. This conclusion is in agreement with other studies carried out in the framework of this surveillance program, in which trace elements have been measured in different biological matrices, such as hair and autopsy tissues (brain, bone, kidney, liver, and lungs).

Biomonitoring of Metals in Children Living in an Urban Area and Close to Waste Incinerators

The impact of waste incinerators is usually examined by measuring environmental pollutants. Biomonitoring has been limited, until now, to few metals and to adults. We explored accumulation of a comprehensive panel of metals in children free-living in an urban area hosting two waste incinerators. Children were divided by georeferentiation in exposed and control groups, and toenail concentrations of 23 metals were thereafter assessed. The percentage of children having toenail metal concentrations above the limit of detection was higher in exposed children than in controls for Al, Ba, Mn, Cu, and V. Exposed children had higher absolute concentrations of Ba, Mn, Cu, and V, as compared with those living in the reference area. The Tobit regression identified living in the exposed area as a significant predictor of Ba, Ni, Cu, Mn, and V concentrations, after adjusting for covariates. The concentrations of Ba, Mn, Ni, and Cu correlated with each other, suggesting a possible common source of emission. Exposure to emissions derived from waste incinerators in an urban setting can lead to body accumulation of specific metals in children. Toenail metal concentration should be considered a noninvasive and adequate biomonitoring tool and an early warning indicator which should integrate the environmental monitoring of pollutants.

A cross-sectional study on school-age children living near a municipal waste incinerator: Urinary metal levels and renal impairment assessment

To take an insight into the long-term accumulation of chromium (Cr) and cadmium (Cd) in school-age children living near an MWI and to assess their early renal impairment, we conducted a cross-sectional study in 2015. A total of 116 children from the exposure area and 122 from the control area were recruited. We measured the urinary levels of Cr (U-Cr) and Cd (U-Cd) by inductively coupled plasma mass spectrometry (ICP-MS), and detected three classic renal tubule indicators, including N-acetyl-β-_d-glucosaminidase (NAG), β2-microglobulin (BMG), and retinol binding protein (RBP). The U-Cd and U-Cr levels in children living near the MWI were 0.11 and 1.57 μg/g creatinine, respectively. Both the U-Cd and U-Cr levels in the exposure group were lower than those in the control group, although only U-Cd showed a statistical difference (p < 0.01). The U-NAG and U-RBP levels in the exposure group were also statistically lower than those in the control group (0.80 vs. 1.74 IU/g creatinine, 0.26 vs. 0.48 mg/g creatinine, respectively). The U-Cd level in this study was positively correlated with the U-NAG level (r = 0.26, p < 0.01), as the U-Cr level was also positively correlated with the levels of U-NAG, U-RBP, and U-BMG (r = 0.21, 0.33, 0.18, p < 0.01, respectively). This study indicates that children living close to this particular MWI may not suffer considerable long-term accumulation of Cd or Cr, nor early renal impairment.

Environmental and health risks related to waste incineration

The article presents a mini review of the published research focused on understanding environmental and human health impacts nearby waste incineration plants. We found no studies indicating that modern-technology waste incineration plants, which comply with the legislation on emissions, are a cancer risk factor or have adverse effects on reproduction or development. There are several factors in favor of this affirmation: (a) the emission levels of the plants currently built in the developed countries are several orders of magnitude lower than those of the plants in whose environments epidemiological studies have been carried out and which have found some kind of negative association in terms of health; (b) risk assessment studies indicate that most of the exposure is produced through the diet and not by a direct route; and (c) monitoring dioxin level studies in the population resident in the environment of incineration plants did not reveal increases of these levels when compared with a population living in reference areas. A necessary condition for the development of a waste incineration plant is to generate the conditions to prevent any impact that activates or potentially carries damage or risks to the environment and, in particular, to health. This makes it imperative to use a preventive strategy through the implementation of a previous environmental impact assessment and the establishment of emissions standards and an emissions monitoring program in order to ensure the prevention of environmental damage.

The health impacts of waste incineration: a systematic review

INTRODUCTION

Waste incineration is increasingly used to reduce waste volume and produce electricity. Several incinerators have recently been proposed in Australia and community groups are concerned about health impacts. An overview of the evidence on health effects has been needed.

METHOD

A systematic review of English language literature for waste incinerators and health using PRISMA methodology.

RESULTS

A range of adverse health effects were identified, including significant associations with some neoplasia, congenital anomalies, infant deaths and miscarriage, but not for other diseases. Ingestion was the dominant exposure pathway for the public. Newer incinerator technologies may reduce exposure.

DISCUSSION

Despite these findings, diverse chemicals, poor study methodologies and inconsistent reporting of incinerator technology specifications precludes firmer conclusions about safety.

CONCLUSION

Older incinerator technology and infrequent maintenance schedules have been strongly linked with adverse health effects. More recent incinerators have fewer reported ill effects, perhaps because of inadequate time for adverse effects to emerge. A precautionary approach is required. Waste minimisation is essential. Implications for public health: Public health practitioners can offer clearer advice about adverse health effects from incinerators. We suggest improved research design and methods to make future studies more robust and comparable. We offer ideas for better policy and regulation.

Body burdens of heavy metals associated with epigenetic damage in children living in the vicinity of a municipal waste incinerator

To evaluate the body burdens of heavy metals correlated with health impact on school-age children living around a waste incinerator. A total of 81 children from the exposure area and 95 from the control area were recruited in our study. We measured the blood levels of chromium (Cr), cadmium (Cd) and lead (Pb) by an inductively coupled plasma mass spectrometer (ICP-MS), conducted comet assays, calculated the percentage of 5-methylcytosine (5 mC) and 5-hydroxymethylcytosine (5hmC) by MethylFlash methylated and a hydroxymethylated DNA quantification kit, and performed the flow cytometry to detect the expressions of surface antigens (including CD3⁺, CD19⁺, CD3⁺CD4⁺, CD3⁺CD8⁺, and CD3^-CD16⁺ and/or CD56⁺) in peripheral lymphocytes. Besides, we measured hormonal levels, including triiodothyronine (T3), thyroxine (T4), free triiodothyronine (FT3), free thyroxine (FT4), and thyroid-stimulating hormone (TSH), and analyzed several regular hematological parameters. In addition, concentrations of heavy metals in environmental samples including rice, soils, vegetables, and drinking water were detected by ICP-MS. The mean blood levels of Cr, Cd, and Pb in the exposure group were all statistically higher than in the control group (2.57 vs. 0.79 μg/L; 1.83 vs. 1.81 μg/L; 44.00 vs. 32.31 μg/L, p < 0.01). The 5 mC and 5hmC levels in the exposure group were statistically lower (1.15% vs. 4.14%; 0.22% vs. 0.30%, p < 0.01), whereas the mean level of % tail DNA was statistically higher (10.10% vs. 8.62%, p < 0.01). Furthermore, the mean blood level of Cr and Pb was negatively correlated with the level of 5 mC (r = -0.279, r = -0.190, P < 0.05) in total population. In conclusion, children living in the vicinity of the municipal waste incinerator suffered increased body burdens of heavy metals (Cr, Cd, and Pb) associated with genotoxicity and epigenetic modifications.

A study on the characteristics of pollutant release and transfer registers (PRTRs) and cancer incidence rates in Korea

This study aims to identify the past decade's trend of harmful chemical emissions, which have been disclosed on the website as open information. During the past 10 years, the number of places of business, examined for their harmful chemical emissions, increased about 1.3× and their emissions went up 1.1×. More than 50% of total emissions have occurred in the top three areas, and the largest emissions were from xylene and toluene for the past 10 years. Among the total emissions, the group 1 carcinogen decreased from 5.3 to 2.1%, and among group 1 in particular, trichloroethylene and benzene accounted for more than 80%. Although it was impossible to find out any relationship between major cancers' development and the results of carcinogen emissions, considering the features of carcinogens emitted in specific areas, more research is needed to find out relationship. And, it is necessary to come up with proactive policies to reduce harmful chemical substances which can affect human health through environmental pollution.

Relative importance of different exposure routes of heavy metals for humans living near a municipal solid waste incinerator

The potential health effects of toxic chemicals (e.g. heavy metals) emitted by municipal solid waste incinerators (MSWIs) are of great concern to local residents, however there have been few studies on the contributions of different exposure pathways and their subsequent effects on the body burden of residents living near MSWIs. In this study, multiple exposure routes of heavy metals including Pb, Cr, Cd and Mn were assessed by investigating the metals in foods (such as vegetables, crops, meats and fruits etc.), drinking water, ambient air and soil collected surrounding an MSWI in Shenzhen, south China. Vegetable ingestion played the most important role in the total average daily dose of Pb and Cr, and cereals were the key exposure routes for Mn and Cd. Compound-specific contaminations were observed in the investigated areas, with Pb and Cr present in the surrounding environment, having accumulated to relatively high levels in the local vegetables, and the intake of contaminated vegetable foods greatly influencing the body burden of Pb and Cr. Consistently, significantly high blood concentrations of Pb and Cr were detected in the local residents compared to a referenced population, and a lack of significant differences was found for Cd and Mn. The results possibly suggested that emission of MSWI influenced the external exposure doses of the major pathways of Pb and Cr in this study, and resulted in the different body burden of metals in humans living near a MSWI. MSWI-local food-humans is an important exposure pathway for residents living near MSWI, and thus should not be neglected in developing future strategies and policies to prevent the high risks suffered by residents living near MSWIs.

Blood cadmium by race/hispanic origin: The role of smoking

BACKGROUND

There have been increasing concerns over health effects of low level exposure to cadmium, especially those on bones and kidneys.

OBJECTIVE

To explore how age-adjusted geometric means of blood cadmium in adults varied by race/Hispanic origin, sex, and smoking status among U.S. adults and the extent to which the difference in blood cadmium by race/Hispanic origin and sex may be explained by intensity of smoking, a known major source of cadmium exposure.

METHODS

Our sample included 7,368 adults from National Health and Nutrition Examination Survey (NHANES) 2011-2014. With direct age adjustment, geometric means of blood cadmium and number of cigarettes smoked per day were estimated for subgroups defined by race/Hispanic origin, smoking status, and sex using interval regression, which allows mean estimation in the presence of left- and right-censoring.

RESULTS

Among never and former smoking men and women, blood cadmium tended to be higher for non-Hispanic Asian adults than adults of other race/Hispanic origin. Among current smokers, who generally had higher blood cadmium than never and former smokers, non-Hispanic white, black, and Asian adults had similarly elevated blood cadmium compared to Hispanic adults. A separate analysis revealed that non-Hispanic white adults tended to have the highest smoking intensity regardless of sex, than adults of the other race/Hispanic origin groups.

CONCLUSIONS

The observed pattern provided evidence for smoking as a major source of cadmium exposure, yet factors other than smoking also appeared to contribute to higher blood cadmium of non-Hispanic Asian adults.

Mercury risk assessment combining internal and external exposure methods for a population living near a municipal solid waste incinerator

Risk assessments for human health have been conducted for municipal solid waste incinerators (MSWIs) in many western countries, whereas only a few risk assessments have been performed for MSWIs in developing countries such as China where the use of waste incineration is increasing rapidly. To assess the mercury exposure risks of a population living near the largest MSWI in South China, we combined internal exposure and external exposure assessment with an individual-specific questionnaire. The mercury concentrations in air, soil, and locally collected food around the MSWI were assessed. The total mercury (T-Hg) and methylmercury (MeHg) of 447 blood samples from a control group, residential exposure group, and MSWI workers were measured. The internal and external exposures of the subject population were analyzed. Significant difference in MeHg concentrations was observed between the control group and the exposed group, between the control group and the MSWI workers, and between the exposed group and the MSWI workers (median levels: 0.70 μg/L, 0.81 μg/L, and 1.02 μg/L for the control group, exposed group, and MSWI workers, respectively). The MeHg/T-Hg ratio was 0.51 ± 0.19, 0.59 ± 0.17 and 0.58 ± 0.25, respectively. Multiple linear regression analysis indicated that MeHg concentrations were positively correlated with the gaseous mercury in the air. Combining internal and external exposure assessment showed that the direct contribution of MSWI emissions was minor compared with the dietary contribution. The external and internal exposures were well matched with each other. This study also suggested that an integrated method combining internal and external exposure assessment with an individual-specific questionnaire is feasible to assess the risks for a population living near a MSWI.

Assessment of exposure to cadmium, lead, manganese, and nickel in workers from foundries

Objectives:

In this study, biological exposure indicators were used to assess the exposure of workers to cadmium (Cd), lead (Pb), manganese (Mn), and nickel (Ni) in nonferrous metal smelters.

Methods:

A total of 273 male participants (178 exposed and 95 nonexposed control group), working in nonferrous metal foundries located in southern Brazil, were evaluated based on biological indicators, environmental levels, and different types of work performed by the participants. Blood Pb (BPb), urinary Cd (UCd), urinary Mn (UMn), and urinary Ni (UNi) levels were quantified by graphite furnace atomic absorption spectrometry with Zeeman background correction.

Results:

Significant differences between the exposed and nonexposed groups were observed for all of the analyzed elements. The average levels of BPb were higher than the recommended occupational exposure level. Relatively low concentrations were found for UCd, UMn, and UNi.

Conclusions:

Although metal production is an important segment of the Brazilian economy, information related to employee health in this sector is scarce. The environmental levels are determinant in occupational exposure in foundries. In companies where air levels of Pb, Cd, and Mn were above the established limits, the different types of activity did not represent an important influence on the biological levels found among workers. In situations with low air levels of these metals, the workers from the “melting” sector were actually more vulnerable.

Biomonitoring of cadmium, chromium, nickel and arsenic in general population living near mining and active industrial areas in Southern Tunisia

The human health impact of the historic and current mining and industrial activities in Tunisia is not known. This study assessed the exposure to metals in the population of Southern Tunisia, using biomonitoring. The aim of this pilot study was to evaluate metal exposure on 350 participants living near mining and active industrial areas in the South of Tunisia. Blood specimens were analyzed for metals (Cd, Cr, As, and Ni) by Atomic Absorption Spectrometer equipped with Zeeman background correction and AS-800 auto sampler by graphite furnace and graphite tubes with integrated L'vov platform. The sample population was classified according to different age groups, sex, smoking habit, sea food and water drinking consumption, occupational exposure, amalgam fillings and place of residence. The blood As, Cd, Cr and Ni values expressed as mean ± SD were 1.56 ± 2.49, 0.74 ± 1.15, 35.04 ± 26.02 and 30.56 ± 29.96 μg/l, respectively. Blood Cd and Ni levels in smokers were 2 and 1.2 times, respectively, higher than in non-smokers. Blood Cd levels increase significantly with age (p = 0.002). As, Cd and Ni were significantly correlated with gender and age (p < 0.05). Cd level in blood samples of subjects occupationally exposed was 1.3 times higher than that of non-exposed. Blood metals were not significantly affected by amalgam fillings, place of living and sea food and drinking water consumption. This first biomonitoring study of metal exposure in the South of Tunisia reveals a substantial exposure to several metals. The pathways of exposure and health significance of these findings need to be further investigated.