Exploration of different methods for measuring DDT exposure among malaria vector-control workers in Limpopo Province, South Africa

The Role of Environmental Toxicant-Induced Oxidative Stress in Male Infertility

Infertility is a serious public health issue affecting around 15% of couples globally. Of the 60-80 million people of reproductive age affected by infertility, 40-50% are due to male factor while 30-40% of cases are still idiopathic. The recent global deterioration in sperm quality raises apprehensions regarding the toxic effects of environmental pollutants on reproductive health of males. Environmental toxicants have shown strong evidences for inducing oxidative stress affecting spermatogenesis severely, thereby leading to reduced sperm motility, count, and DNA damage. Reactive oxygen species (ROS) influences the spermatozoa development and transit process both internally and externally. Low level of ROS is indispensable for critical physiological sperm processes like sperm capacitation, motility, acrosome reaction, hyper-activation, sperm-oocyte interaction, etc., while excessive ROS disrupt antioxidant molecules which is detrimental to normal functioning of the sperm. Hence, identification of potential environmental toxicant may have clinical relevance for early screening and diagnosis of male infertility.

Interspecies comparison of the residue levels and profiles of persistent organic pollutants in terrestrial top predators

Serum samples from three species of living terrestrial top predators were analysed for six groups of persistent organic pollutants (POPs), such as polychlorinated biphenyls (PCBs), dichlorodiphenyltrichloroethane and its metabolites (DDTs), chlordane compounds (CHLs), hexachlorocyclohexane isomers (HCHs), hexachlorobenzene (HCB) and polybrominated diphenyl ethers (PBDEs). The study included three carnivore species: lion (Panthera leo), hyena (Hyena brunnea) and cheetah (Acinonyx jubatus). All samples were collected from healthy living animals between 2004 and 2005. Most of the samples (wild lions (n = 50) and hyenas (n = 11)) were collected from various locations within the Kruger National Park and Addo National Park (South Africa), while captive lions (n = 6) and cheetahs (n = 3) were collected from the Antwerp Zoo (Belgium). In general, relatively low levels of POPs were found in the studied species, varying widely within species and locations. Median concentrations of POPs were higher in captive lions (PCBs: 505 pg/mL; DDTs: 270 pg/mL; HCHs: 72 pg/mL; HCB: 34 pg/mL; CHLs: 24 pg/mL; PBDEs: 8 pg/mL) compared to wild lions (DDTs: 274 pg/mL; HCHs: 44 pg/mL; CHLs: 7.9 pg/mL; PCBs: 2.1 pg/mL; HCB: < LOQ; PBDEs: < LOQ). In the wild animals, POPs accumulated in the following order: DDTs > HCHs > CHLs > HCB > PCBs > PBDEs, while in the captive animals, the order was: PCBs > DDTs > CHLs > HCHs > HCB > PBDEs, suggesting differences in the diet of these animals. Furthermore, wild hyena contained significantly higher (p < 0.05) median levels of POPs compared to wild lions, possibly reflecting differences in metabolic capacity and/or feeding habits, together with an uneven distribution of POPs in the area where the animals lived. No previous data are available to compare for similar terrestrial top predators, such as lion, hyena and cheetah. To our knowledge, this is first study on POPs in these three species. The low POP levels found in this study were several orders of magnitude lower than those for other carnivore species, such as polar bears, grizzly bears, brown bears and wolves worldwide. The present study has revealed the need for expanding research and monitoring on occurrence, levels and disposition of POPs in the top predators of the terrestrial environment.

Mercury and DDT exposure risk to fish-eating human populations in Amazon

In order to investigate the potential risk of mercury and DDTs exposure to fish-eating human populations in Samuel Reservoir, not affected directly by gold-mining activities, the axial muscle of Cichla monoculus was analyzed. Twenty-nine and thirty adults individuals were collected respectively on February (rainy season) and August (dry season) 2007. The specimens were sacrificed by spinal section before sex identification, body weight and total length determination. For total mercury, DDT and DDE quantifications and cholinesterase activity samples of the axial muscle were frozen at -20°C, and for histopathological studies gill and liver were fixed in ALFAC solution for 16 h. A value of 48.2% and 33% of the individuals, respectively from rainy and dry seasons, presented mercury concentrations higher than the maximum established for safe human consumption (0.5 μg g⁻¹) by World Health Organization. A positive correlation between body weight and Hg concentration was observed only in individuals from the rainy season, but no correlation was observed to DDT and DDE from both seasons. Differently from that observed to mercury, DDT levels presented a significant difference between both studied seasons, but no correlation was observed for both mercury and DDTs and sex. The levels of DDTs in muscle of C. monoculus are under the maximum established by FAO-Alimentarius CODEX and Swedish Food Regulation for human consumption. The histopathological and neurotoxic findings showed that the wild population of fish is affected by chronic exposure to mercury, meaning risk also to fish-eating populations. Finally, the results showed that C. monoculus is an important vehicle for human exposure to mercury and DDTs in Samuel Reservoir and that it is necessary a continuous biomonitoring of the levels of both pollutants in order to manage the risk of exposure to human populations.

Persistent organic pollutants (POPs) in Africa: Egyptian scenario

Persistent organic pollutants (POPs) are organic (carbon-based) compounds that include synthesized substances (pesticides and polychlorinated biphenyls [PCBs]) and other by-product substances generated as a result of human and natural activity (dioxins and furans). Extensive scientific studies have shown that POPs are some of the most dangerous pollutants released into the environment by humans. Great efforts have been made since the early 1960s to enhance chemical management and safety issues. Various conventions have been adopted for this purpose: the Stockholm Convention (SC) is one of the well-known meetings in this context. The SC on POPs (May 2001) focuses on reducing and eliminating releases of 12 POPs coined the 'Dirty Dozen' by the United Nations Environment Program (UNEP). Persistence of such chemicals in soils, air, and water, together with natural processes such as evaporation to the atmosphere and washout by rain and flood, give rise to their ubiquitous distribution in the environment and eventual penetration into food chains and bio-accumulation in humans. Public concern about contamination by POPs increased recently because several of these compounds are identified as hormone disruptors, which can alter normal function of endocrine and reproductive systems in humans and wildlife. African countries are using pesticides, such as dichlorodiphenyltrichloroethane (DDT), lindane, toxaphene, endrin, dieldrin, heptachlor, since more than 50 years for combating agricultural pests and controlling disease vectors, especially malaria. The way in which pesticides are used in Africa caused serious environmental and health problems much more than elsewhere. These problems are represented by accumulation of organochlorine pesticide (OCP) residues in different environmental samples and hosting of at least 50,000 tons of obsolete pesticides, as well as tens of thousands of tons of contaminated soil. Within the framework of the Africa Stockpiles Program (ASP), huge quantities of pesticidal POPs have been completely or partially destroyed in a number of African countries (e.g. Egypt, Namibia, Niger, Senegal, Seychelles, South Africa, Sudan, Tanzania, Uganda, Zambia). At regional level (i.e. African Countries), a strategic plan for monitoring and getting rid of POPs in the continent should be set up and implemented through coordination between all governments. Among issues of top priorities are to find alternative non-combustion technologies for disposing obsolete pesticides, and to use alternative control measures for mosquitoes' management and other vector-borne diseases.

Disposal of obsolete pesticides, the case of Ethiopia

Ethiopia has accumulated obsolete pesticide stocks since pesticides were first imported in the 1960s due to prolonged storage of pesticides, inappropriate storage conditions because of poor storage facilities, the lack of trained staff and lack of national legislation for pesticide registration and monitoring system of pesticide use in the country. The first pesticide inventory conducted in 1995 led by FAO in collaboration with the government of Ethiopia had identified about 426 tonnes of obsolete pesticides mainly on state-owned agricultural farms and held by the Ministry of Health. However, these stocks have increased to over 1500 tonnes (including 200 active ingredients) as found in a detailed inventory conducted in 1999. The stocks included organochlorines (258.3 tonnes), organophosphates (155.4 tonnes), carbamates (58.5 tonnes), coumarines (14.9 tonnes), inorganics (30.2 tonnes), others (257.2 tonnes), mixed pesticides (70.4 tonnes) and unknown pesticides (307.1 tonnes) including both liquid and solid state formulations. The obsolete organochlorine pesticides stocks were mostly pesticides such as chlordane, DDT, dieldrin and lindane that are banned or restricted in most countries. The highest amount of a single active ingredient found was the organophosphate insecticide pirimiphos methyl (172.1 tonnes). All these stocks were disposed of in the first phase of disposal in Finland (during 2000-2003) by the hazardous waste management company Ekokem at a cost of about US$ 4.44 million. Another 1000 tonnes of obsolete pesticides have been identified and are currently being eliminated in a second disposal phase at a total cost of US$ 8,135,500. Along with the disposal process, a number of activities are being implemented to prevent future pesticides accumulation. These activities include the development and enforcement of pesticide policy, the implementation of Integrated Pest Management (IPM) and Integrated Vector Management (IVM), capacity building in terms of providing professional trainings, creating awareness among stakeholders on the environmental and human health hazard posed by obsolete pesticides as well as other actions to prevent their accumulation and enforcement of national legislations and policies related to pesticides use. However, pesticide use in the country is increasing. For instance, 12 years of pesticides import data (1996-2007) by the Ministry of Agriculture shows that 2973 tonnes of pesticides were imported between 1996-1998, 3670 tonnes between 1999-2001, 5079 tonnes between 2002-2004 and 8302 tonnes between 2005-2007. Moreover, 6 years of insecticide import data (1996/97-2001/02) by the Ministry of Health shows that around 919 tonnes of insecticides were imported between 1996/97-1997/98, 812 tonnes between 1998/99-1999/00 and 970 tonnes between 2000/01-2001/02 for malaria and other vector borne diseases control.

Semen Quality and Exposure to Persistent Organochlorine Pollutants

BACKGROUND

Inconsistent results have been found in previous human studies on male reproductive toxicity of persistent organochlorine pollutants. The majority of studies have been conducted among selected populations of infertility clients or among occupational cohorts including a limited number of participants.

METHODS

We conducted a cross-sectional study of semen quality and serum concentration of 2,2',4,4',5,5'-hexachlorobiphenyl (CB-153) and 1,1-dichloro-2,2-bis (p-chlorophenyl)-ethylene (p,p'-DDE) among 763 men. We included men from all regions in Greenland (n = 194), fishermen from Sweden (n = 185), inhabitants of the city of Kharkiv, Ukraine (n = 195), and inhabitants of the city of Warsaw, Poland (n = 189). Blood samples were analyzed for CB-153 and p,p'-DDE using gas chromatography-mass spectrometry and adjusted for serum lipids.

RESULTS

Sperm concentration was not impaired with increasing serum CB-153 or p,p'-DDE levels in any of the separate groups or overall. Similarly, the proportion of morphologically normal sperm was not associated with either CB-153 or p,p'-DDE blood concentration. However, sperm motility was inversely related to CB-153 concentration in Greenland and the Swedish fishermen population. Across all 4 regions, the sperm motility decreased on average by 3.6% (95% confidence interval = 1.7% to 5.6%) per one-unit increase in the log of blood CB-153 (ng/g lipid). The concentration of p,p'-DDE was negatively associated with sperm motility in the Greenlandic population and in the compiled dataset.

CONCLUSION

Adult exposure to persistent organochlorine pollutants within the ranges observed in the present study is not likely to cause reduction in sperm concentration or morphology. However, higher exposure may be associated with impaired sperm motility.

Occupational exposure and effects on the male reproductive system

A significant increase in the incidence of male infertility has been described in the international literature, raising questions about its causes. Part of this effect may result from synthetic toxic substances acting on the endocrine system (endocrine disruptors), many of which are routinely used in work processes. We provide a critical review of the specialized literature on work-related chemical substances capable of causing male infertility. Pesticides such as DDT, linuron, and others, heavy metals like mercury, lead, cadmium, and copper, and substances from various industrial uses and residues such as dioxins, polychlorinated biphenyls (PCBs), ethylene dibromide (EDB), phthalates, polyvinyl chloride (PVC), and ethanol are among the main endocrine disruptors that can cause male infertility. Based on the literature, gonadal dysfunction and congenital malformation are the main alterations caused by these substances in the male reproductive system. We conclude that despite the relative lack of studies on this issue, the relevance of such risk calls for further studies as well as measures to prevent workers' exposure to the various substances.

The long-term effects of DDT exposure on semen, fertility, and sexual function of malaria vector-control workers in Limpopo Province, South Africa

Hormonally active chemicals in the environment such as DDT have been associated with declining male reproductive health, especially semen quality. A cross-sectional study of 60 workers was performed near the Malaria Control Center (MCC) in Tzaneen, Limpopo Province, South Africa. Tests included a questionnaire (sexual function, fertility, and job history), a physical examination of the reproductive system, and semen analysis (produced via coitus interruptus or masturbation). Sperm count, density, and motility using the World Health Organization criteria and morphology using the strict Tygerberg criteria were determined. Serum o'p' and p'p' isomers of DDE, DDT, and DDD were measured. Forty-eight (81.0%) participants produced a semen sample, while all completed the questionnaires and physical examination. The mean sperm count was 93.8+/-130.3 million, and sperm density was 74.6+/-85.1 million/mL. The mean normal morphology score was 2.5+/-1.8% of subjects. Eighty-four percent of morphology scores were below either the WHO or the Tygerberg criteria, with the highest individual score being 6%. Self-perceived current problems with sexual function ranged between 10% and 20%. The most prevalent genital abnormality was abnormal testis disposition at 71%. There were few significant associations between DDT exposure measures (measured as years worked at MCC and serum DDT) and reproductive outcomes. p'p'-DDT was negatively associated with semen count (beta=-3.7+/-1.7; P=0.04; R2=0.05 adjusted for age, abstinence, physical abnormality, and fever in last 2 months). While the semen quality in the study was less than normal, no strong evidence for a DDT effect was found.

The hormonal effects of long-term DDT exposure on malaria vector-control workers in Limpopo Province, South Africa

DDT [1,1,1-trichloro-2,2-bis(p-chlorophenyl)ethane] compounds, used in many developing countries, including South Africa, for the control of malaria vectors, have been shown to be endocrine disruptors in vitro and in vivo. The study hypothesis was that male malaria vector-control workers highly exposed to DDT in the past should demonstrate clinically significant exposure-related anti-androgenic and/or estrogenic effects that should be reflected in abnormalities in reproductive hormone levels. A cross-sectional study of 50 workers from three camps situated near the Malaria Control Center (MCC) in Tzaneen was performed. Tests included blood sampling before and after a gonadotropin-releasing hormone (GnRH) challenge (100 microg). Serum o'p' and p'p' isomers of DDE, DDT, and DDD and basal and post-GnRH challenge hormone levels, including luteinizing hormone, follicle-stimulating hormone, testosterone, sex hormone-binding globulin, estradiol (E2), and inhibin, were measured. The mean number of years worked at the MCC was 15.8+/-7.8 years and the mean serum DDT was 94.3+/-57.1 microg/g of lipid. Mean baseline E2 levels (62.4+/-29.9 pg/mL) exceeded the laboratory reference range. Associations between DDT exposure measures (years worked at the MCC and DDT compounds) and hormonal outcomes were weak and inconsistent. The most important finding was a positive relationship of baseline E2 and baseline testosterone with DDT compounds, especially with p'p'-DDT and -DDD. The strongest association found, adjusted for age and SHBG, was between baseline estradiol and p'p'-DDT (beta=1.14+/-0.33 pg/mL/microg/ g lipid, P=0.001, R2=0.31, n=46). An overall anti-androgenic mechanism best explains the results, but with a number of inconsistencies. Associations might be due to chance, as multiple comparisons were made. The results therefore do not suggest an overt anti-androgenic or estrogenic effect of long-term DDT exposure on hormone levels, but correlations do exist in a manner that is not understood.