Concentrations of nitrates in drinking water and incidence of gastric carcinomas: first descriptive study of the Piemonte Region, Italy

Spatial variation in groundwater quality and health risk assessment for fluoride and nitrate in Chhotanagpur Plateau, India

The evaluation of groundwater quality is vital to assess the risk to human health. The present study assesses groundwater quality for drinking purposes and human health risks due to ingestion of fluoride and nitrate through drinking water in Chhotanagpur Plateau, India, using geoinformation techniques. For drinking water quality assessment, analyzed parameters were compared with World Health Organization (WHO) standards, and water quality index (WQI) was used. Results reveal that most of the samples come within the desired limit suggested by WHO. In a few samples, conductivity, hardness, chloride, sulfate, and calcium are higher than the desirable limit, whereas fluoride and nitrate are beyond the permissible limit in 70% and 27% of the samples, respectively. WQI highlights that poor to very poor water is present in 25% of the samples. Anthropogenic activities have played a critical role in deteriorating groundwater quality, resulting in harmful impacts on human health. To assess non-carcinogenic health risks, the hazard quotient (HQ) and total hazard index (THI) were computed. THI ranges from 0.01 to 7.46, 0.01 to 7.05, and 0.01 to 9.05 for males, females, and children, respectively. THI is greater than the allowable limit in 84%, 78%, and 89% of the samples for males, females, and children, respectively, indicating high risk to human health, particularly children. The study advocates proper water management strategies. Knowledge of spatial variation and anomalous concentration is vital for groundwater management as well as health risk assessment. The findings of this study will be helpful to government officials, policy planners, and local communities.

Seasonal Dynamic of Physicochemical Parameters of Berach River System in Udaipur District, Rajasthan

Surface and ground water have been contaminated is a result of the improper disposal of industrial and municipal waste. Seasonal variations in human interference and natural processes particularly rainfall and temperature have an impact on the water quality of aquatic ecosystems. During the study, Sarjana tank showed the lowest average value of water temperature, 25.31ºC, whereas Gadwa pond had the maximum average value of water temperature (28.25ºC). The highest depth of visibility observed in Bada Madar tank (104cm) in winter 2019 and lowest depth of visibility observed in downstream pond (9.2cm) in monsoon 2019. Industrial pollution was responsible for comparatively low pH in the ponds of Berach river viz Upstream, Downstream, Gadwa, Daroli pond and Sarjana tank. The maximum average dissolved oxygen was found in Fatehsagar lake and minimum average dissolved oxygen found in Daroli pond. Udaisagar lake had highest alkalinity of 324.00 mg/l during winter 2018 and the lowest value of 68mg/l was observed in Down-stream pond in winter 2019. Chhota Madar tank had the lowest average hardness value of 136.61 mg/L. The highest mean conductivity (3.1018 m.mhos.) value was observed in the Down-stream pond and the lowest mean conductivity (0.3178 m.mhos.) in Chota Madar pond. Lowest TDS value (151.8 ppm) was in Bada Madar tank during the monsoon of 2018 and highest (4999.2 ppm) was in the downstream pond during winter 2018. Lowest mean chloride was found in Fatehsagar lake while highest mean chloride was found in downstream pond. Chhota Madar tank was found to be most rich in phosphates (0.4856 mg/l).

Groundwater Quality and Suitability for Different Uses in the Saloum Area of Senegal

Hydrogeochemical analyses were conducted on groundwater sampled from the Saloum aquifer, in southern Senegal. The objective was to identify the chemical processes that control hydrochemistry and to assess the quality of groundwater for determining its suitability for drinking and agricultural purposes. Water samples were collected from 79 wells during the dry season in May 2012, and were subjected to analysis for chemical characteristics (major ions), pH, electrical conductivity (EC) and total dissolved solid (TDS). The dominant hydrochemical facies observed for the groundwater samples are NaCl and CaHCO3. Gibbs plot depicts predominance of rock water interaction and evaporation processes controlling the water chemistry. Percentage of Na+, Residual Sodium Carbonate (RSC), Total Hardness (TH) and Sodium Adsorption Ratio (SAR) values were calculated. The results were compared with the standard guideline values recommended by the World Health Organization and agricultural water standards. The TDS in groundwater is less than 1200 mg/L and SAR values are less than 10. RSC values overall are less than 1.25 meq/L. Results show that the groundwater in the area has generally a low hardness and is fresh (95%) to brackish. The majority of groundwater samples are appropriate for domestic uses. The indexes for water irrigation compared with standard limits revealed that most of the Saloum groundwater samples fall in the suitable range for irrigation.

Groundwater geochemistry and identification of hydrogeochemical processes in a hard rock region, Southern India

Hydrogeochemical investigations were carried out in Chithar River basin, Tamil Nadu, India to identify the major geochemical processes that regulate groundwater chemistry. For this study, long-term (1991-1997) and recent water quality data (2001-2002) for 30 groundwater wells spread over the study area were used to understand the groundwater geochemistry and hydrogeochemical process regulating groundwater quality. Groundwater quality data obtained from more than 400 water samples were employed. Results of electrical conductivity and chloride express large variation between minimum and maximum values and high standard deviation, which suggests that the water chemistry in the study region is not homogeneous and influenced by complex contamination sources and geochemical process. Nitrate and depth to water table expose the influences of surface contamination sources, whereas dissolved silica, fluoride and alkalinity strongly suggest the effect of rock-water interaction. In the study region, weathering of carbonate and silicate minerals and ion exchange reactions predominantly regulate major ion chemistry. Besides, the concentrations of sulphate, chloride and nitrate firmly suggest the impact of agricultural activities such as irrigation return flow, fertiliser application, etc on water chemistry in the study region.

Impact des nitrates inorganiques sur l’aspect morphofonctionnel du rein chez le rat

AIM

The aim of our experimental study was to determine the effect of exogenic nitrates on certain biological parameters in relation to renal insufficiency.

RESULTS

Chronic treatment of rats for 5 months with varying nitrate concentrations (50, 100, 150 and 500 mg/L) induced a dose-dependent reduction in plasma concentrations of total proteins and a dose-dependent increase in plasma urea concentrations and creatinine.

DISCUSSION

This histological study of the kidney shows that nitrates at doses of 150 and 500 mg/L cause a deterioration in the epithelia of the renal tubules.

CONCLUSION

In conclusion, a high nitrate intake induces morphofunctional disturbances of the kidney and could thus be regarded as a causative factor in renal insufficiency.

Contribution of environmental factors to cancer risk

Environmental carcinogens, in a strict sense, include outdoor and indoor air pollutants, as well as soil and drinking water contaminants. An increased risk of mesothelioma has consistently been detected among individuals experiencing residential exposure to asbestos, whereas results for lung cancer are less consistent. At least 14 good-quality studies have investigated lung cancer risk from outdoor air pollution based on measurement of specific agents. Their results tend to show an increased risk in the categories at highest exposure, with relative risks in the range 1.5-2.0, which is not attributable to confounders. Results for other cancers are sparse. A causal association has been established between exposure to environmental tobacco smoke and lung cancer, with a relative risk in the order of 1.2. Radon is another carcinogen present in indoor air which may be responsible for 1% of all lung cancers. In several Asian populations, an increased risk of lung cancer is present in women from indoor pollution from cooking and heating. There is strong evidence of an increased risk of bladder, skin and lung cancers following consumption of water with high arsenic contamination; results for other drinking water contaminants, including chlorination by-products, are inconclusive. A precise quantification of the burden of human cancer attributable to environmental exposure is problematic. However, despite the relatively small relative risks of cancer following exposure to environmental carcinogens, the number of cases that might be caused, assuming a causal relationship, is relatively large, as a result of the high prevalence of exposure.

Evaluation of fecal mutagenicity and colorectal cancer risk

Colorectal cancer is one of the most common internal malignancies in Western society. The cause of this disease appears to be multifactorial and involves genetic as well as environmental aspects. The human colon is continuously exposed to a complex mixture of compounds, which is either of direct dietary origin or the result of digestive, microbial and excretory processes. In order to establish the mutagenic burden of the colorectal mucosa, analysis of specific compounds in feces is usually preferred. Alternatively, the mutagenic potency of fecal extracts has been determined, but the interpretation of these more integrative measurements is hampered by methodological shortcomings. In this review, we focus on exposure of the large bowel to five different classes of fecal mutagens that have previously been related to colorectal cancer risk. These include heterocyclic aromatic amines (HCA) and polycyclic aromatic hydrocarbons (PAH), two exogenous factors that are predominantly ingested as pyrolysis products present in food and (partially) excreted in the feces. Additionally, we discuss N-nitroso-compounds, fecapentaenes and bile acids, all fecal constituents (mainly) of endogenous origin. The mutagenic and carcinogenic potency of the above mentioned compounds as well as their presence in feces, proposed mode of action and potential role in the initiation and promotion of human colorectal cancer are discussed. The combined results from in vitro and in vivo research unequivocally demonstrate that these classes of compounds comprise potent mutagens that induce many different forms of genetic damage and that particularly bile acids and fecapentaenes may also affect the carcinogenic process by epigenetic mechanisms. Large inter-individual differences in levels of exposures have been reported, including those in a range where considerable genetic damage can be expected based on evidence from animal studies. Particularly, however, exposure profiles of PAH and N-nitroso compounds (NOC) have to be more accurately established to come to a risk evaluation. Moreover, lack of human studies and inconsistency between epidemiological data make it impossible to describe colorectal cancer risk as a result of specific exposures in quantitative terms, or even to indicate the relative importance of the mutagens discussed. Particularly, the polymorphisms of genes involved in the metabolism of heterocyclic amines are important determinants of carcinogenic risk. However, the present knowledge of gene-environment interactions with regard to colorectal cancer risk is rather limited. We expect that the introduction of DNA chip technology in colorectal cancer epidemiology will offer new opportunities to identify combinations of exposures and genetic polymorphisms that relate to increased cancer risk. This knowledge will enable us to improve epidemiological study design and statistical power in future research.

Intake of nitrate and nitrite and the risk of gastric cancer: a prospective cohort study

The association between the intake of nitrate or nitrite and gastric cancer risk was investigated in a prospective cohort study started in 1986 in the Netherlands, of 120,852 men and women aged 55-69 years. At baseline, data on dietary intake, smoking habits and other covariates were collected by means of a self-administered questionnaire. For data analysis, a case-cohort approach was used, in which the person-years at risk were estimated from a randomly selected subcohort (1688 men and 1812 women). After 6.3 years of follow-up, 282 microscopically confirmed incident cases of stomach cancer were detected: 219 men and 63 women. We did not find a higher risk of gastric cancer among people with a higher nitrate intake from food [rate ratio (RR) highest/lowest quintile = 0.80, 95% CI 0.47-1.37, trend-P = 0.18], a higher nitrate intake from drinking water (RR highest/lowest quintile = 0.88, 95% CI 0.59-1.32, trend-P = 0.39) or a higher intake of nitrite (RR highest/lowest quintile = 1.44, 95% CI 0.95-2.18, trend-P = 0.24). Rate ratios for gastric cancer were also computed for each tertile of nitrate intake from foods within tertiles of vitamin C intake and intake of beta-carotene, but no consistent pattern was found. Therefore, our study does not support a positive association between the intake of nitrate or nitrite and gastric cancer risk.

Calcium, magnesium, and nitrate in drinking water and gastric cancer mortality

The possible association between the risk of gastric cancer and the levels of calcium, magnesium, and nitrate in drinking water from municipal supplies was investigated in a matched case-control study in Taiwan. Records of gastric cancer deaths among eligible residents in Taiwan from 1987 through 1991 were obtained from the Bureau of Vital Statistics of the Taiwan Provincial Department of Health. Controls were deaths from other causes and were pair-matched to the cases by sex, year-of-birth, and year-of-death. Each matched control was selected randomly from the set of possible controls for each case. Data on calcium, magnesium, and nitrate levels in drinking water throughout Taiwan were obtained from the Taiwan Water Supply Corporation. The municipality of residence of the cases and controls was assumed to be the source of the subject's calcium, magnesium, and nitrate exposure via drinking water. The subjects were divided into tertiles according to the levels of calcium, magnesium, and nitrate in their drinking water. The results of the present study show that there is a significant positive association between drinking water nitrate exposure and gastric cancer mortality. The present study also suggests that there was a significant protective effect of calcium intake from drinking water on the risk of gastric cancer. Magnesium also exerts a protective effect against gastric cancer, but only for the group with the highest levels.

Impact of nitrates in drinking water on cancer mortality in Valencia, Spain

The concentrations of nitrates in public drinking water in the Mediterranean coastal province of Valencia are not only the highest in Spain but also in the whole of Europe. Intensive agricultural practices involve a traditional and growing use of nitrogen fertilizers. This and the terrain--poorly consolidated and porous in areas--favors the accumulation of nitrates in underground aquifers, thereby perhaps accounting for this contamination. The possible conversion of nitrates to nitrites under certain conditions of gastric achlorhydria, followed by their transformation to nitrosamines--substances known to be carcinogenic in experimental models--has led to a number of epidemiological studies of the possible relationship between high nitrate levels in public drinking water and mortality due to different cancers. The aim of the present study was to analyze the relationship between different levels of exposure to nitrates in the drinking water of the 258 municipalities in the province of Valencia and mortality due to cancer of the stomach, bladder, prostate and colon in this population. The cancer mortality rate was found to rise with increasing exposure to nitrates in the case of gastric cancer in both sexes, and in prostate cancer. These same results were obtained on calculating relative risk for the different age groups associated with the consumption of drinking water containing different levels of nitrates.(ABSTRACT TRUNCATED AT 250 WORDS)

Nitrate, nitrite and N-nitroso compounds

A risk assessment has been made on nitrate, nitrite and N-nitroso compounds encountered in the human diet. Vegetables constitute a major source of nitrate providing over 85% of the average daily human dietary intake. Nitrite and N-nitroso compounds present in the diet contribute relatively small amounts to the body burden and the major source of these biologically reactive compounds is derived from the bacterial and mammalian metabolism of ingested nitrate. Additionally, endogenous synthesis provides an important source contributing to the body burden of nitrate. Data from animal toxicological studies, human effects and epidemiological surveys have been reviewed and evaluated. It is concluded that there is no firm scientific evidence at present to recommend drastic reductions beyond the average levels of nitrate encountered in vegetables grown in keeping with good agricultural practice. Recommendations have also been made for further animal and human studies to be carried out to elucidate the potential risks to man from ingested nitrate.

Nitrate contamination of drinking water: evaluation of genotoxic risk in human populations

Nitrate contamination of drinking water implies a genotoxic risk to man due to the endogenous formation of carcinogenic N-nitroso compounds from nitrate-derived nitrite. Thus far, epidemiological studies have presented conflicting results on the relation of drinking water nitrate levels with gastric cancer incidence. This uncertainty becomes of relevance in view of the steadily increasing nitrate levels in regular drinking water supplies. In an attempt to apply genetic biomarker analysis to improve the basis for risk assessment with respect to drinking water nitrate contamination, this study evaluates peripheral lymphocyte chromosomal damage in human populations exposed to low, medium, and high drinking water nitrate levels, the latter being present in private water wells. It is shown that nitrate contamination of drinking water causes dose-dependent increases in nitrate body load as monitored by 24-hr urinary nitrate excretion in female volunteers, but this appears not to be associated with peripheral lymphocyte sister chromatid exchange frequencies.

Nitrates, nitrites and N-nitrosocompounds: a review of the occurrence in food and diet and the toxicological implications

Data on occurrence of nitrate, nitrite and N-nitrosocompounds in food and drinking water, and on total dietary intakes are reviewed. Metabolic, toxicological and epidemiological studies are surveyed and the implications with respect to safety evaluation are addressed. It is concluded that, on the basis of recent long-term animal studies and of clinical experience in man, the current Acceptable Daily Intake (ADI) allocated to nitrate by the Joint FAO/WHO Expert Committee on Food Additives of 0-5 mg/kg body weight/day (expressed as sodium nitrate) might be increased to 0-25 mg/kg body weight/day. Based on similar criteria, the ADI for nitrite would be 0-0.1 mg/kg body weight/day (expressed as sodium nitrite). In view of the known carcinogenicity of N-nitrosocompounds, exposure to these compounds in food should be minimized by appropriate technological means, such as lowering the nitrite concentration in preserved foods to the minimum required to ensure microbiological safety and use of inhibitors of nitrosation like alpha-tocopherol or ascorbic acid. Further work is needed to define the minimal levels of nitrite in foods needed to inhibit outgrowth of Clostridium botulinum and toxin production.

Nitrates, nitrites and gastric cancer in Great Britain

Nitrate and nitrite were measured in the saliva of two populations who differed in their risk of developing gastric cancer. Surprisingly, the levels of both ions were significantly higher in the low-risk group.