Scalp hair analysis as a tool in assessing human exposure to heavy metals (S. Domingos mine, Portugal)

Application of nail analysis in human biomonitoring of toxic pollutants: A review

Nail tissue, as a keratinized biomatrix, serves as a valuable indicator of chronic human exposure to toxic pollutants. The analysis of nail samples has emerged as a prominent method for human exposure assessment, primarily due to its non-invasive sampling procedure and ease of sample storage and transportation. This review examines recent applications of nail analysis in human biomonitoring of toxic organic compounds and heavy metals, along with the various pretreatment methods that have been developed. Studies of human nail samples have revealed distinctive patterns in toxic pollutant accumulation. Brominated flame retardants exhibit significant occupational exposure differences, with concentrations reaching 2.20 × 106 ng/g in manufacturing workers compared to 67 ng/g in the general population. Organophosphate esters demonstrate notable regional variations, as evidenced by Triphenyl phosphate concentrations of 19.6 ng/g in China versus 770 ng/g in the United States. Additionally, the detection of organic pollutant metabolites in nails provides direct evidence of internal exposure. The 5-14 months detection window characteristic of nail samples enables retrospective exposure analysis, highlighting the promising potential of nail analysis in human biomonitoring. Recent developments include the implementation of in situ analytical methods for rapid heavy metal detection in nail samples. However, a significant challenge remains in differentiating between internal and external sources of most compounds in nails, although the identification of metabolic biomarkers for certain pollutants can minimize external interference and better reflect actual body burden. Further research is required to elucidate the relationships between nail pollutant levels, environmental exposure, and health effects. While existing studies demonstrate the considerable potential of nail analysis in human biomonitoring of toxic pollutants, additional research is necessary to validate and fully realize its practical applications.

Chemical elemental composition and human taphonomy: A comparative analysis between skeletonised and preserved individuals from six Portuguese public cemeteries

INTRODUCTION

In Portugal, it is common practice to reuse burial graves in cemeteries with exhumations occurring after a minimum period of three years after entombment. However, if the human remains still retain soft tissues when the grave is opened, inhumations must continue for successive periods of two years until complete skeletonization is achieved. For the past decade, several Portuguese public cemeteries have been struggling with the lack of burial space mainly due to a slow cadaveric decomposition. As such, this work aims to understand if the chemical elemental concentrations found in the depositional environment of deceased individuals is influencing human taphonomy.

METHODS

A total of 112 soil samples were collected from graves of five Portuguese public cemeteries and the concentration of 28 chemical elements was measured by inductively coupled plasma mass spectrometry (ICP-MS). A total of 56 head hair samples and 19 fingernail samples were also collected from cadaveric remains and analysed for the same purpose.

RESULTS

Overall, all matrices showed statistically significant differences (p < 0.05) between skeletonised and preserved individuals. Although it was considered that the preserved bodies would display higher elemental concentrations than the skeletonised ones, this hypothesis was not confirmed.

CONCLUSIONS

The authors believe that changes in the burial conditions over time may have enable the disintegration of soft tissues even if they were initially preserved due to the presence of chemical elements. Similar studies on a global scale should be considered as they could bring together distinct perspectives and lead to more comprehensive and innovative solutions for cemetery management.

Evaluate the Work-Related Exposure of Vanadium on Scalp Hair Samples of Outdoor and Administrative Workers of Oil Drilling Field: Related Health Risks

Petrochemical facilities, including oil well drilling, are discharging resources of extensive noxious waste into the environment. The workers in different sections might be exposed to vanadium (V) through different routes (groundwater and soil), which is linked with extensive physiological disorders, hypertension, respiratory disorders, anemia, skin, and gastrointestinal disorders. This study determined the contents of V in a biological sample (scalp hair) of workers of different categories (outdoor and office workers) in an oil drilling field in Sindh, Pakistan. The environmental samples, groundwater, bottled mineral water, and soil samples were also analyzed for V. For comparative purposes, the scalp hair of age-matched male subjects residing in domestic areas of Hyderabad city, Pakistan, was also analyzed. Generally, the concentrations of V in groundwater near the oil drilling field and drilled soil illustrated significant variations. The results show that the vanadium concentration in the scalp hair of non-exposed referents (controls) and office workers (exposed referents) was 62% and 45% lower than those observed for outdoor drilling and cleaning mud workers. It was observed that high exposure to V in outdoor workers might be linked with different physiological disorders such as anemia, eye problems, and bronchial disorders.

Landscape degradation drives metal bioaccumulation in bats from Atlantic Forest cacao region, Brazil

Agricultural landscapes worldwide are heavily sprayed with agrochemicals to increase crop productivity. These agrochemicals release bio-accumulative pollutants such as heavy metals that often persist in the environment with harmful impacts on biota. In a prime endangered Atlantic Forest biome, in Bahia, Brazil, agroforestry of cacao (Theobroma cacao) provides a livelihood for small farmers and suitable habitats for forest species. However, landscape transformation to pasture and monoculture expose vulnerable communities to scarcely evaluated pollutants with unknown effects on the health of humans and animals. We assessed the bioaccumulation of manganese (Mn), lead (Pb), and copper (Cu) by analyzing hair samples of 326 bats representing 28 species across 15 cacao agroforestry and 2 forest remnants. Bats from regions heavily disturbed by pastures and monocultures showed higher levels of Pb (41.20 µg/g) and Mn (0.44 µg/g) compared to those from areas where forest or cacao agroforestry dominates the landscape. Local grassland covers increased Pb bioaccumulation, while forest cover reduced it. Cacao agroforestry appeared to increase Cu exposure, likely due to fungicide use. This study pioneers the evaluation of heavy metal accumulation in bats inhabiting cacao agroforestry and Atlantic Forest remnants, highlighting the need for sustainable agricultural practices to protect wildlife and ecosystem health.

Human biomonitoring of trace metals from different altitudinal settings of Pakistan

Human biomonitoring of toxic trace elements is of critical importance for public health protection. The current study aims to assess the levels of selected trace metals (Cd, Co, Cr, Cu, Mn, Ni, Pb, and Zn) into paired human nail and hair samples (n = 180 each) from different altitudinal setting along the Indus River, and which were measured by using inductively coupled plasma mass spectrometry (ICP-MS). The human samples (hair and nail) were collected from four different ecological zones of Pakistan which include frozen mountain zone (FMZ), wet mountain zone (WMZ), riverine delta zone (RDZ), and low-lying southern areas (LLZ). Our results showed the following occurrence trends into studied hair samples: higher values (ppm) of Zn (281), Co (0.136), and Mn (5.65) at FMZ; Cr (1.37), Mn (7.83), and Ni (1.22) at WMZ; Co (0.15), Mn (11.89), and Ni (0.99) at RDZ; and Mn (8.99) and Ni (0.90) at LLZ. While in the case of nails, the levels (ppm) of Mn (9.91) at FMZ and Mn (9.38, 24.1, and 12.5), Cr (1.84, 3.87, and 2.33), and Ni (10.69, 8.89, and 12.6) at WMZ, RDZ and LLZ, respectively, showed higher concentration. In general, among the studied trace elements, Mn and Ni in hair/nail samples were consistently higher and exceeded the WHO threshold/published reference values in most of the studied samples (> 50-60%) throughout the Indus basin. Similarly, hair/nail Pb values were also higher in few cases (2-10%) at all studied zones and exceeded the WHO threshold/published reference values. Our area-wise comparisons of studied metals exhibited altitudinal trends for Cd, Cr, Zn, and Mn (p < 0.05), and surprisingly, the values were increasing from south to north (at higher altitudes) and indicative of geogenic sources of the studied toxic elements, except Mn, which was higher at lower floodplain areas. Estimated daily intake (EDI) values showed that food and drinking water had the highest contribution towards Zn, Cu, Mn, and Ni and accumulation at all studied zones. Whereas, dust also acts as the main exposure route for Mn, Co, Cr, and Cd followed by the food, and water.

Assessment and Exposure Analysis of Trace Metals in Different Age Groups of the Male Population in Southern Punjab, Pakistan

In developing countries, like Pakistan, the pursuit of urbanization and economic development disrupts the delicate ecosystem, resulting in additional biogeochemical emissions of heavy metals into the human habitat and posing significant health risks. The levels of these trace elements in humans remain unknown in areas at higher risk of pollution in Pakistan. In this investigation, selected trace metals including Copper (Cu), Chromium (Cr), Lead (Pb) Cadmium (Cd), Cobalt (Co), Nickel (Ni), and Arsenic (As) were examined in human hair, urine, and nail samples of different age groups from three major cities (Muzaffargarh, Multan, and Vehari) in Punjab province, Pakistan. The results revealed that the mean concentrations (ppm) of Cr (1.1) and Cu (9.1) in hair was highest in Muzaffargarh. In urine samples, the mean concentrations (μg/L) of Co (93), As (79), Cu (69), Cr (56), Ni (49), Cd (45), and Pb (35) were highest in the Multan region, while As (34) and Cr (26) were highest in Vehari. The mean concentrations (ppm) of Ni (9.2), Cr (5.6), and Pb (2.8), in nail samples were highest in Vehari; however, Multan had the highest Cu (28) concentration (ppm). In urine samples, the concentrations of all the studied metals were within permissible limits except for As (34 µg/L) and Cr (26 µg/L) in Vehari. However, in nail samples, the concentrations of Ni in Multan (8.1 ppm), Muzaffargarh (9 ppm), Vehari (9.2 ppm), and Cd (3.69 ppm) in Muzaffargarh exceeded permissible limits. Overall, the concentrations of metals in urine, nail, and hair samples were higher in adults (39-45 age group). Cr, Cu, and Ni revealed significantly higher concentrations of metals in hair and water in Multan, whereas As in water was significantly (p < 0.001) correlated with urinary As in Multan, indicating that the exposure source was region-specific.

Using Mediterranean Native Plants for the Phytoremediation of Mining Sites: An Overview of the Past and Present, and Perspectives for the Future

Mining exploitation in the Mediterranean Basin has left evident scars on the environment, and poses serious risks for human health and biodiversity, especially when mine wastes are left abandoned. This review analysed the main issues of metal(loid)s pollution related to mine exploitation in the Mediterranean Basin. Here, a list of Mediterranean native plant species studied for phytoremediation is given and, considering their biological forms, vegetational types, and ecology, we categorised them into halotolerant and hydro/hygrophilous vegetation, annual and perennial meadows, garrigues and maquis, and high maquis and woods. The main conclusions of the review are as follows: (1) plant communities established on mine environments are often rich in endemic taxa which ensure a high biodiversity and landscape value, and can help in the psychophysical health of local inhabitants; (2) political and land management should take greater account of the use of native plants for the remediation of contaminated soils; (3) a multidisciplinary approach that includes, among others, studies on biochemical response to metal(loid)s as well as the application of innovative soil amendments gives better results; (4) phytoextraction applications require a detailed recovery plan that takes into consideration several issues, including the negative influence on biodiversity due to extensive use of monotypic plantations, disposal of harvested hazardous plants, and the risk of phytoextracts entering the food chain; and (5) more studies are necessary to increase knowledge and to detect suitable species-especially halophytic ones-for phytoremediation purposes.

Ecological study on household air pollution exposure and prevalent chronic disease in the elderly

Older people spend most of their time indoors. Limited evidence demonstrates that exposure to indoor air pollutants might be related to chronic complications. This study aimed to estimate the correlation between household air pollution (HAP)'s long-term exposure and the prevalence of elevated hypertension, diabetes mellitus (DM), obesity, and low-density lipoprotein (LDL) cholesterol. From the Global Burden disease dataset, we extracted HAP, hypertension, DM, body mass index, and LDL cholesterol data from Iran from 1990 to 2019 to males and females in people over 50 years. We present APC and AAPC and their confidence intervals using Joinpoint Software statistical software. R software examined the correlation between HAP and hypertension, DM2, Obesity, and high LDL cholesterol. Our finding showed a significant and positive correlation between HAP exposure and prevalence of high low-density lipoprotein cholesterol (p ≤ 0.001, r = 0.70), high systolic blood pressure (p ≤ 0.001, r = 0.63), and high body mass index (p ≤ 0.001, r = 0.57), and DM2 (p ≤ 0.001, r = 0.38). The analysis results also illustrated a positive correlation between indoor air pollution and smoking (p ≤ 0.001, r = 0.92). HAP exposure might be a risk factor for elevated blood pressure, DM, obesity, and LDL cholesterol and, consequently, more serious health problems. According to our results, smoking is one of the sources of HAP. However, ecological studies cannot fully support causal relationships, and this article deals only with Iran. Our findings should be corroborated in personal exposure and biomonitoring approach studies.

Heavy metals in paired samples of hair and nails in China: occurrence, sources and health risk assessment

The occurrence of heavy metals including chromium (Cr), nickel (Ni), copper (Cu), zinc (Zn), arsenic (As), cadmium (Cd) and lead (Pb) was investigated in paired samples of hair and nails collected from 121 volunteers in 16 cities, China. Results showed that the mean concentrations of Zn, Cu, As, Pb, Cr, Ni and Cd were 205, 18.0, 7.79, 6.18, 3.54, 2.02, 0.533 μg g^-1 in hair and 103, 8.09, 0.760, 7.27, 6.07, 8.81, 0.485 μg g^-1 in nails, respectively. The concentrations of Zn, Ni, Cr, Cd and Pb were positively correlated in paired samples of hair and nails, whereas a negative correlation was found for Cu and As between hair and nails. Higher concentrations of heavy metals were found in northern China than southern China. The multivariate analysis of variance revealed that dwelling environment was the dominant factor influencing the levels of Cd in hair (p < 0.05), while age was the dominant factor influencing the levels of Cr in nails (p < 0.05). Moreover, industrial pollution and smoking were also the important factors leading to the accumulation of heavy metals in human body. Principal component analysis (PCA) showed that industrial pollution and decoration material immersion were the main factors for the high concentrations of Cr and Ni in hair, accounting for 62.9% of the total variation; As in hair was dominantly related to groundwater pollution. The concentrations of heavy metals were within the recommended ranges in nails from this study. However, the mean levels of Cr, Ni and As in hair exceeded their recommended reference values, indicating potential health risks from heavy metals for residents in China.

Quantitative analysis of human hairs and nails

Hair and nails are human biomarkers capable of providing a continuous assessment of the concentrations of elements inside the human body to indicate the nutritional status, metabolic changes, and the pathogenesis of various human diseases. Laser-induced breakdown spectroscopy (LIBS) and X-ray fluorescence (XRF) spectrometry are robust and multi-element analytical techniques able to analyze biological samples of various kinds for disease diagnosis. The primary objective of this review article is to focus on the major developments and advances in LIBS and XRF for the elemental analysis of hair and nails over the last 10-year period. The developments in the qualitative and quantitative analyses of human hair and nail samples are discussed in detail, with special emphasis on the key aspects of elemental imaging and distribution of essential and non-essential elements within the hair and nail tissue samples. Microchemical imaging applications by LIBS and XRF (including micro-XRF and scanning electron microscopy, SEM) are also presented for healthy as well as diseased tissue hair and nail samples in the context of disease diagnosis. In addition, main challenges, prospects, and complementarities of LIBS and XRF toward analyzing human hair and nails for disease diagnosis are also thoroughly discussed here.

Survey to identify the metal accumulation pathway in humans using hair and nail as biomarkers from fisherfolk population

Human hair and nail samples from Cuddalore fisherfolk populations were used as biomarkers for assessing metal concentrations in humans. Hair samples from 80 participants (47 men and 33 women) and nail samples from 40 participants (21 men and 19 women) were collected, and the concentrations of Cd, Cu, Pb, and Zn were assessed using an atomic absorption spectrophotometer (AAS). Metal data from AAS were compared with the survey questionnaire's personal and dietary parameters. Results indicate that both personal and dietary parameters may influence metal exposure; however, majority of the sources may have originated from metal-contaminated seafood. Higher metal accumulation in communities, especially those which consume seafood on a daily basis, may increase the possibility for them to get affected by metal-related diseases. Based on environmental parameters, people who live ≤500 m from industrial zones accumulate more metals. Further extensive studies with more individuals and more questionnaire parameters are needed to identify the metal accumulation pathway in humans.

Selenium and toxic metals in human hair of the Dashan Region, China: Concentrations, sources, and antagonism effect

The Dashan Region was a Se-rich region of China. In this study, 131 residents' human hair samples were collected. The concentrations of Se and toxic metals were analyzed, and the health risk was estimated using the concentration data. Cd and As concentrations were significantly higher than in East China. Se and most toxic metal concentrations increased with age (except for the aged people). Furthermore, gender and smoking habits might have a significant impact on toxic metals and Se levels. Multivariable statistics analysis revealed that Se and toxic metals primarily originate in the environment and are then transferred to the human body via the food chain. Dietary habits had an effect on the Se and As concentrations in hair, according to the results of stable isotope analysis. To assess detoxification ability, the Se/ toxic metal molar ratio was used as an indicator. The results demonstrated that the antagonistic effect of Se and Cd, As, Cr, and Hg (molar ratio > 1) could effectively protect residents in the study area from Cd and As pollution in daily life.

Levels of Toxic and Essential Elements and Associated Factors in the Hair of Japanese Young Children

There is growing concern regarding the effects of toxic element exposure on the development of children. However, little is known about the level of toxic elements exposure in Japanese children. The purpose of this study was to assess the concentrations of multiple elements (aluminum, cadmium, lead, calcium, copper, iron, magnesium, sodium, zinc) in the hair of 118 Japanese young children and to explore the factors associated with their element levels. The element concentration was analyzed by ICP-MS, and children's food and water intake were assessed by the questionnaire. Results showed that there were no large differences between the level of elements in the hair of Japanese children and those of children in other developed countries. Girls had significantly higher levels of aluminum, copper, and iron (p = 0.000, 0.014, and 0.013, respectively), and boys had a higher level of sodium (p = 0.006). The levels of calcium, iron, magnesium, and sodium in nursery school children were significantly higher than those in kindergarten children (p = 0.024, 0.001, 0.046, and 0.029, respectively). Multiple regression analyses with controlling the confounding variables showed significant negative associations of frequency of yogurt intake with aluminum and lead levels (p = 0.015 and 0.037, respectively). When the children were divided into three groups based on the frequency of yoghurt consumption, viz. L (≤once a week), M (2 or 3 times a week), and H (≥4 to 6 times a week) group, the mean aluminum concentration (µg/g) in the L, M, and H groups was 11.06, 10.13, and 6.85, while the mean lead concentration (µg/g) was 1.76, 1.70, and 0.87, respectively. Our results suggested the validity of hair element concentrations as an exposure measure of essential elements and frequent yogurt intake as a viable measure for protecting children from toxic elements. However, these findings will need to be confirmed in more detailed studies with larger sample sizes in the future.

Neonatal heavy metals levels are associated with the severity of neonatal respiratory distress syndrome: a case–control study

Background

This case–control study aimed to compare lead (Pb), cadmium (Cd), and arsenic (As) levels in neonates with respiratory distress syndrome (NRDS) with those levels in normal neonates and tested their associations with the severity of NRDS indicated by the levels of serum surfactant protein D (SP-D) and cord blood cardiac troponin I (CTnI), and high-sensitive C-reactive protein (hs-CRP).

Methods

The study included two groups: G1 (60 healthy neonates) and G2 (100 cases with NRDS). Cord blood Pb, erythrocytic Cd (E-Cd), neonatal scalp hair As (N-As), maternal urinary Cd (U-Cd), and arsenic (U-As) were measured by a Thermo Scientific iCAP 6200, while CTnI, hs-CRP, and SP-D by their corresponding ELISA kits.

Results

The levels of cord blood Pb, E-Cd, N-As, U-Cd, U-As, SP-D, CTnI, and hs-CRP were significantly higher in G2 than G1 (p = 0.019, 0.040, 0.003, 0.010, 0.011, < 0.001, 0.004, < 0.001, respectively). While the birth weight, and APGAR score at 1, 5 and 10 min were significantly lower in G2 than G1 (p = 0.002, < 0.001, < 0.001, < 0.001, respectively). The levels of the studied heavy metals correlated positively with the levels of SP-D, CTnI, and hs-CRP.

Conclusion

Heavy metals toxicity may be accused to be one of the causes of NRDS especially if other apparent causes are not there. Measuring and follow-up of heavy metal levels should be considered during pregnancy.

High manganese and nickel concentrations in human hair and well water and low calcium concentration in blood serum in a pristine area with sulphide-rich bedrock

We report the trace element status of residents living in areas with naturally sulphide-rich bedrock and soil in two municipalities in Finland, Sotkamo and Kaavi. Altogether, 225 people from these sparsely populated regions participated voluntarily by providing hair and blood samples. The concentrations of calcium, zinc and copper in serum as well as selenium and cadmium in whole blood did not show correlation with those concentrations in hair samples. Calcium concentration in serum was slightly lower in the sulphide-rich areas (median value 91.4 mg/l, n = 103) than in the areas with adjacent sulphur-poor bedrock (median value 93.6 mg/l, n = 82). The concentrations of Ni and Mn in hair correlated with those in drinking water. The highest Mn and Ni concentrations in the water samples from private wells were 1620 µg/l and 51 µg/l and the highest concentrations in human hair samples 36.44 mg/kg and 12.3 mg/kg, respectively. The challenge with elevated trace element concentrations in some well waters is well documented. In northern countries (Finland, Sweden, Norway and Canada), only 10% of the population depend on private well water, and 90% have access to monitored municipal water supplies. Compared with data available from sulphide mine sites globally, the nickel and manganese concentrations in human hair samples were high in our sulphide-rich study area at Sotkamo representing the trace element status of residents under natural conditions.

An assessment of mercury and its dietary drivers in fur of Arctic wolves from Greenland and High Arctic Canada

Mercury has become a ubiquitous hazardous element even ending up in pristine areas such as the Arctic, where it biomagnifies and leaves especially top predators vulnerable to potential health effects. Here we investigate total mercury (THg) concentrations and dietary proxies for trophic position and habitat foraging (δ¹⁵N and δ¹³C, respectively) in fur of 30 Arctic wolves collected during 1869-1998 in the Canadian High Arctic and Greenland. Fur THg concentrations (mean ± SD) of 1.46 ± 1.39 μg g ^-1 dry weight are within the range of earlier reported values for other Arctic terrestrial species. Based on putative thresholds for Hg-mediated toxic health effects, the studied Arctic wolves have most likely not been at compromised health. Dietary proxies show high dietary plasticity among Arctic wolves deriving nutrition from both marine and terrestrial food sources at various trophic positions. Variability in THg concentrations seem to be related to the wolves' trophic position rather than to different carbon sources or regional differences (East Greenland, the Foxe Basin and Baffin Bay area, respectively). Although the present study remains limited due to the scarce, yet unique historic study material and small sample size, it provides novel information on temporal and spatial variation in Hg pollution of remote Arctic species.

Human Biomonitoring of Selected Hazardous Compounds in Portugal: Part I-Lessons Learned on Polycyclic Aromatic Hydrocarbons, Metals, Metalloids, and Pesticides

Human biomonitoring (HBM) data provide information on total exposure regardless of the route and sources of exposure. HBM studies have been applied to quantify human exposure to contaminants and environmental/occupational pollutants by determining the parent compounds, their metabolites or even their reaction products in biological matrices. HBM studies performed among the Portuguese population are disperse and limited. To overcome this knowledge gap, this review gathers, for the first time, the published Portuguese HBM information concerning polycyclic aromatic hydrocarbons (PAHs), metals, metalloids, and pesticides concentrations detected in the urine, serum, milk, hair, and nails of different groups of the Portuguese population. This integrative insight of available HBM data allows the analysis of the main determinants and patterns of exposure of the Portuguese population to these selected hazardous compounds, as well as assessment of the potential health risks. Identification of the main difficulties and challenges of HBM through analysis of the enrolled studies was also an aim. Ultimately, this study aimed to support national and European policies promoting human health and summarizes the most important outcomes and lessons learned through the HBM studies carried out in Portugal.

Levels, Spatial Distribution, and Impact Factors of Heavy Metals in the Hair of Metropolitan Residents in China and Human Health Implications

Chronic exposure to low levels of heavy metals threatens human health. However, few studies evaluated the health effects and spatial distributions of chronic exposure to heavy metals in metropolitan residents throughout mainland China using unified sampling methods and evaluation indicators at the national level. Here, the concentrations and spatial distributions of heavy metals (As, Cd, Cr, Sb, Pb, and Hg) in the hair of 1202 metropolitan residents from mainland China were analyzed, and differences in age and sex were evaluated. Most target metals exhibited higher concentrations in the hair of residents from South Central China. Generally, male hair had higher As and Se concentrations, whereas female hair had higher Cd and Pb levels (p < 0.05). A significant pairwise correlation existed between most metals in hair, especially Cd-Pb (r = 0.638, p < 0.05). The Se/heavy metal molar ratio is used as an indicator to assess the detoxification ability. The results demonstrated that protecting metropolitan residents in South Central China from heavy metals in their daily life is crucial, particularly for Hg, Pb, and Cr with Se/(Hg, Pb, or Cr) molar ratios < 1. This is the first study to comprehensively consider the antagonistic effects of Se and heavy metals using the molar ratio of Se/heavy metals to evaluate health implications and propose health management policies for metropolitan residents in China.

The Health Impacts of Hazardous Chemical Exposures among Child Labourers in Low- and Middle-Income Countries

Of 218 million working children worldwide, many are suspected to be exposed to hazardous chemicals. This review aims to synthesize reported evidence over the last two decades on chemical exposure and adverse health consequences in children labourers in low- and middle-income Countries (LMIC). Included studies investigated health outcomes related to chemical exposures among child labourers aged 5-18 in LMIC. Twenty-three papers were selected for review, focusing on pesticides (n = 5), solvents (n = 3), metals (n = 13) and persistent organic pollutants (POPs) (n = 2). Adverse health effects identified among child labourers included abnormal biomarkers, for example elevated blood and urine chemical concentrations, neurobehavioural deficits and neurological symptoms, mental health issues, oxidative stress and DNA damage, poor growth, asthma, and hypothyroidism. Workplace exposure to chemicals has pernicious health effects on child labourers. Large research gaps exist, in particular for long-term health impacts through chronic conditions and diseases with long latencies. A sizeable disease burden in later life is likely to be directly attributable to chemicals exposures. We urge national and international agencies concerned with child labour and occupational health, to prioritize research and interventions aiming to reduce noxious chemical exposures in workplaces where children are likely to be present.

Quantifying the Deposition of Airborne Particulate Matter Pollution on Skin Using Elemental Markers

Airborne particulate matter (PM) pollution is an environmental and health concern. The health impact of PM pollution has typically focused on the respiratory system. The impact of PM pollution on skin has been largely understudied due to the lack of a quantitative method to measure the deposition on skin. This manuscript presents a method to quantify PM pollution on skin using elemental markers as a proxy for PM. Skin tape strips were collected from forehead and buttock of 100 outdoor workers in Beijing, China. Skin samples were analyzed for 19 elemental markers using inductively coupled plasma mass spectrometry. To determine the specific elemental signature of PM for the region, air samples were collected over 7 days for PM < 2.5 μm (PM_2.5) and analyzed for the same 19 elements as the skin samples. An enrichment factor was calculated for each element and the potential source was evaluated. Using the elemental markers unique to PM pollution for the region, the PM concentration deposited on skin was determined to be 0.621-2.53 μg PM_2.5 /cm². This method can be re-applied in different regions and the PM concentration on skin can inform future studies on the health impact of air pollution on skin.

Element Levels and Predictors of Exposure in the Hair of Ethiopian Children

Children's development and health may be affected by toxic heavy metal exposure or suboptimal essential element intake. This study aimed to provide updated information regarding the concentrations of 41 elements in children's hair (aged under 18) living in a rural area of the Benishangul-Gumuz region, Ethiopia. The highest average levels (as a geometric mean) for toxic heavy metals were obtained for Al (1 mg kg^-1), Pb (3.1 mg kg^-1), and Ni (1.2 mg kg^-1), while the lowest concentrations among the essential elements were found for Co (0.32 mg kg^-1), Mo (0.07 mg kg^-1), Se (0.19 mg kg^-1), and V (0.8 mg kg^-1). Hair analysis was combined with a survey to evaluate relationships and variations among subgroups and potential metal exposure predictors. Females showed significantly higher concentrations for most hair elements, excluding Zn, than males, and the 6-11 years age group reported the highest levels for Be, Ce, Co, Fe, La, Li, Mo, and Na. The main predictors of exposure to toxic elements were fish consumption for Hg and drinking water for Ba, Be, Cs, Li, Ni, Tl, and U. The data from this study can be used to develop prevention strategies for children's health and protection in developing countries.

Arsenic and chromium levels in hair correlate with actinic keratosis/non-melanoma skin cancer: results of an observational controlled study

BACKGROUND

The role of heavy metals in carcinogenetic process has been widely established; however, information on the most common environmental metals that serve as major risk factors for actinic keratosis (AK)/non-melanoma skin cancer (NMSC) are still lacking. The aim of this study was to evaluate levels of the most common environmental heavy metals in hair of patients with AK/NMSC as compared to healthy controls.

METHODS

Thirty-one patients diagnosed with AK/NMSC and 34 healthy controls were enrolled. Patients were interviewed for heavy metals exposure and underwent hair analysis for detection of arsenic (As), cadmium (Cd), chromium (Cr), nickel (Ni) and lead (Pb). Continuous variables were analyzed using Wilcoxon Non-Parametric Rank Test and proportions were compared by Fisher's Exact Test. Statistical significance was determined by P<0.05.

RESULTS

In our cohort we observed 48.4% patients had AKs, 16.1% basal cell carcinoma (BCC), 9.7% squamous cell carcinoma (SCC) and 25.9% of patients presented with a combination of these lesions. There were significantly elevated levels of As and Cr in AK-NMSC group as compared to controls.

CONCLUSIONS

We identified a strong positive correlation between As and Cr concentration and AK/NMSC adding new clues to the scenery of NMSC risk factors that should be taken under consideration in exposed populations.

Occupational exposure of lead and cadmium on adolescent and adult workers of battery recycling and welding workshops: Adverse impact on health

The occupational exposure of toxic metals is an important concern, because of its potential accumulation in living organisms, leading to long term toxic effects. The occupational and environmental contacts of toxic metals, cadmium (Cd) and lead (Pb) have been evaluated by determination of them in biological samples (blood and scalp hair) of adolescent and adults, workers of battery recycling and welding workshops. The age matched adolescent and adult residing in nonindustrial areas were also selected, termed as referent/control subjects. The blood and scalp hair samples of workers and controls were analyzed for Cd and Pb using graphite furnace atomic absorption spectrometry previously decomposed the matrices using acid mixture. The biochemical parameters of workers of both age groups were also evaluated. The average concentrations of Cd and Pb in blood and scalp hair samples of adolescent workers were three fold higher as compared with control subjects. The drinking water in containers of both workshops contained Pb and Cd in two to four and five to thirteen folds, respectively, higher than recommended permissible limits of WHO. The significant correlations between the blood lead levels and hemoglobin (%) in adolescent (r = -0.78). The positive correlation was observed among incidence of blood pressure with Pb and Cd concentrations in biological samples of workers (adults) (r = 0.65 to 0.83). These findings suggest that occupational exposure of toxic metals might be created adverse impacts on workers due to ill management of workshops.

External interference from ambient air pollution on using hair metal(loid)s for biomarker-based exposure assessment

Hair metal(loid)s are often measured as biomarkers to evaluate population internal exposure, however, hair samples could be easily contaminated by ambient particulate matter (PM) pollution. Here, we evaluated the potential external interference from ambient PM pollution on using hair metal(loid)s for population biomarker-based exposure assessment. The raw hair samples were strictly washed and placed under various indoor and outdoor scenarios for ~6 months at sites with high PM pollution. The contaminated hair was then washed using the same method. A total of 33 hair elements were quantified by inductively coupled plasma-mass spectrometry. The surface residual PM on hair after washing was observed by scanning electron microscopy. In addition, we chose a practical exposure scenario including 77 housewives in Shanxi Province, China for validation. The results for the hair exposure experiment revealed that external contamination of some elements that had relatively high concentrations in hair was generally mild in both indoor and outdoor exposure scenarios (i.e., Zn, Mg, Se, Fe, Sr, Ti, Mn, Sn, Ge, U, Co, Mo, and As). A relatively higher external contamination of other elements (e.g., Al, Cr, Pb, Cd, Li, and most rare earth elements (REEs)) was observed, especially for those elements with relatively low hair concentrations (e.g., Cd, and REEs) in the outdoor environment. This finding was due mainly to some small ambient PM not being fully removed by the current washing strategy when the hair sample was heavily contaminated. However, results from practical exposure scenario of the housewives showed that there were overall no significant differences of hair metal(loid)s between the housewives using coal and clean energy for cooking. We concluded that the external interference on hair internal metal(loid) analysis could be negligible when hair was efficiently washed, especially for population with relatively longer indoor activities. It is therefore promising to use hair analysis for their population exposure assessment.

Associations of exposure to metals with the risk of hypertension among an older population aged 40-75 years in rural southwest China

Metal exposure has recently been related to the risk of hypertension. However, the association remains unclear and relevant epidemiologic studies are limited. The present study aimed to assess the associations between exposure to metals and the odds of hypertension, as well as blood pressure (BP) levels. A total of 816 participants were enrolled in southwestern China. Hypertension was defined as a systolic BP (SBP) of ≥140 mmHg or diastolic BP (DBP) of ≥90 mmHg, a self-reported physician diagnosis, or current use of antihypertensive medication. Blood samples were used to detect the levels of exposure to metals, ie, magnesium (Mg), calcium (Ca), iron (Fe), zinc (Zn), arsenic (As), cadmium (Cd), copper (Cu) and lead (Pb). Logistic and linear regression models were used to assess the potential associations. The results show that positive trends for elevated odds of hypertension with increasing quartiles of Fe in a polluted area; and of Mg, Ca and Cu in an unpolluted area. Compared with those in the lowest quartiles, participants in the highest quartiles of Fe, Mg and Ca had 2.7-, 9.0- and 5.1-fold increased odds of hypertension, respectively. High blood Fe and Pb levels in the Cd-polluted area, and Mg and Fe in the unpolluted area were found to be related to increasing SBP and DBP levels. Our findings suggest that exposure to Fe and/or Pb in the polluted area; and Mg, Ca and Fe in the unpolluted area might increase the risk of hypertension or elevate BP levels.

Comparison of sample preparation procedures of inductively coupled plasma to measure elements in dog's hair

The pre-treatment condition affects on the element analysis of inductively coupled plasma (ICP). In this study the pre-treatment condition of ICP has been studied to quantify elements in dog’s hair. The hair samples were collected from twelve female Beagles by clipping them into 1 or 2 cm at the back neck. The qualitative and quantitative analysis of elements in hairs were performed by using ICP. By ICP nine elements were qualitatively detected and quantitatively analyzed (Ca, Cu, Fe, K, Mg, Na, P, Se, Zn). The measured amounts of elements were compared between 3 step and 2 step procedures which were with and without the acetone based washing step. The quantitative analysis showed that the concentrations of K, Na, P, and Se were significantly decreased in hair samples with acetone-based washing (p < 0.005 or 0.001) unlike those without the acetone-based washing. It implied that some minerals are lost by the acetone based washing during the sample preparation step. Therefore, the acetone based washing process is not suitable for quantifying elements in dog’s hair. In addition, the results of qualitative and quantitative analysis were compared. Although there was a difference in absolute values of elemental contents in hair, the results of qualitative and quantitative analysis were significantly correlated each other. This finding suggested that the results of qualitative analysis can be used to monitor elemental contents in dog’s hair.

Lead smelting effects heavy metal concentrations in soils, wheat, and potentially humans

Cadmium, Cu, Pb and Zn concentrations and distribution in soil, wheat, and the potential for human heavy metal accumulation near a Pb smelting affected area were investigated. Farm land soil, wheat grain and scalp hair samples were collected from three villages (named QD, GF and BS) with increasing distance from a large Pb smelter in China. Soil Cd and Pb concentrations exceeded national standards 46-100% of the time, depending on location. Soil and wheat grain Cd, Cu, Pb and Zn concentrations increased as distance to the smelter decreased. Similarly, greater Cd, Cu and Pb concentrations were present in human scalp hair for those residents living closest to the smelter. Decreasing trends existed for hair-to-wheat grain ratios for Cd and Pb as distance to the smelter increased. Results suggest that as distance to the smelter decreases, human heavy metal absorption via the consumption of metal-contaminated food products (e.g., wheat) increases.

Leaching of heavy metals from abandoned mine tailings brought by precipitation and the associated environmental impact

Abandoned tailings are one of the most important sources of heavy metal pollution in the areas surrounding mining districts, and significant leaching of heavy metals could be brought by precipitation. This study investigated the leaching of heavy metals from the tailings of a small-scale abandoned polymetallic mine in south China by rainwater with batch and column tests and evaluated the associated environmental impact. The mean contents of Cr, Ni, Cu, Zn, As, Cd, and Pb in the un-weathered mine tailings were 1.46×10², 3.11×10², 4.10×10³, 2.18×10⁴, 2.82×10², 5.65×10², and 8.74×10³mg/kg, respectively, and appreciable fractions of Cd, Zn, Cu, and Cr in the tailings were present in the acid soluble form. Batch and column leaching tests consistently showed that significant quantities of heavy metals could be released from the mine tailings. Based on the results of column leaching tests, it was estimated that the average fluxes of Cr, Ni, Cu, Zn, As, Cd, and Pb from the mine tailings at the studied mining district leached by precipitation were 3.20, 38.3, 12.5, 1.52×10⁴, 104, 1.08, and 9.26g/ha/yr, respectively. The metal-rich tailing leachate would impact the quality of surface water and soils downhill of the mining district, and pose significant potential ecological risk to the farmland soils, which are irrigated by local surface water. These findings indicate the importance of tailings as a source of heavy metals in the mining districts of south China with heavy precipitation, as well as the need for mitigating the releases of heavy metals and the associated environmental impact from abandoned mine tailings.

Urinary and hair concentrations of trace metals in pregnant women from Northeastern British Columbia, Canada: a pilot study

BACKGROUND

Northeastern British Columbia (Canada) is an area of intense natural gas exploitation by hydraulic fracturing. Hydraulic fracturing can release contaminants, including trace metals, many of which are known developmental toxicants. To date, there is limited data on human exposure to contaminants in this region.

OBJECTIVE

We aimed to examine trace metals in urine and hair samples from 29 Indigenous and non-Indigenous pregnant women from two communities (Chetwynd and Dawson Creek) in Northeastern British Columbia.

METHODS

We recruited 29 pregnant women who provided spot urine samples over five consecutive days and one hair sample. We measured 19 trace metals in pooled urine samples from each participant and in the first 2 cm of hair closest to the scalp. We compared urinary and hair concentrations to those measured in women from the general population using data from the Canadian Health Measure Survey (CHMS), or reference values found in the literature for trace metals not measured in the CHMS.

RESULTS

Median urinary (0.49 μg/L) and hair (0.16 μg/g) concentrations of manganese were higher in our participants than in the CHMS (<0.05 µg/L in urine) or reference population (0.067 μg/g in hair). In hair, median values for barium (4.48 μg/g), aluminum (4.37 μg/g) and strontium (4.47 μg/g) were respectively 16, 3, and 6 times higher compared with median values in a reference population. Concentrations of barium and strontium in hair were higher in self-identified Indigenous participants (5.9 and 5.46 μg/g, respectively) compared to non-Indigenous participants (3.88 and 2.60 μg/g) (p-values = 0.02 and 0.03).

CONCLUSION

Our results suggest higher gestational exposure to certain trace metals in our study population compared to reference populations.

Distribution characteristics and influencing factors of heavy metals in scalp hair of Huainan urban residents

In order to explore the level of heavy metal pollution in human hair of residents in Huainan City and provide theoretical guidance for prevention and control of heavy metal pollution, human hair samples from 174 residents in Huainan City were collected so that heavy metal (Cr, Cu, Pb, Zn, As, and Fe) concentrations in scalp hair could be tested, and meanwhile their relationship with sex, age, and spatial distribution characteristics could be explored as well. According to the final analysis, the average concentration of Cr, Pb, Cu, Fe, Zn, and As in human hair amounted to 1.56, 6.41, 14.96, 31.13, 166.54, and 1.07 mg/kg. The highest average of Cr and Pb contents in human hair occurred in the area of Xiejiaji District; Fe, Zn, and Hg were in Datong District; and Cu and As were in Panji District respectively. Overall, the lowest risk of heavy metal exposure existed in Tianjia'an District. Heavy metal content in hair varied across sexes and ages. Pb concentration in hair would decrease as age increased. The highest Pb concentration appeared in children between ages 0 and 10, the amount of which was significantly different from that in other age groups; hence, children appear to be more susceptible to Pb pollution than other ages. Contents of Cr, Fe, Zn, and As in hair would also increase with age; Fe content in hair was particularly correlated with age. The contents of Cr, Pb, Fe, and As in men's hair were higher than those in women's, whereas the case of Cu and Zn was just the opposite. There were significant differences between sexes concerning the contents of Cr, Cu, and As, and a highly significant difference about Zn between sexes as well. These results indicated that the contents of heavy metal in residents' hair would be closely related to the features of the local environment and population.

Radon emanation from human hair

Bio-indicator of long time exposure to pollutants, human hair is studied in contaminated areas. The number of studies on background environments remains small, and factors impacting human hair radioactivity in contaminated and background areas remain poorly known. Radon-222, a radioactive noble gas of half-life 3.8 days, is the alpha decay daughter of radium-226 in the uranium-238 chain. Radon emission depends on radium concentration (C_Ra) and probability of decaying radium to liberate radon (i.e., the emanation coefficient E). The radon-222 emanating power (i.e., radon emanation or effective radium-226 concentration, EC_Ra) is measured in the laboratory from human hair of a cohort of 93 individuals living in uranium non-contaminated areas using a high-sensitivity method based on 371 long accumulation sessions. E of human hair is also determined. EC_Ra values from human hair are heterogeneous, ranging from 0.059 ± 0.008 to 3.7 ± 0.1 Bq kg^-1 (mean: 0.484 ± 0.006 Bq kg^-1). We find 2.6 ± 0.1 and 2.5 ± 0.1 times larger values for females than males and for color-treated than natural hair, respectively. By contrast, E is homogeneous (mean: 0.33 ± 0.11; n = 9). Our data suggest a different behavior of accumulation/elimination processes of heavy elements in females and non-negligible radium concentration in hair dye products. Our results demonstrate ²²⁶Ra-²³⁸U disequilibrium in human hair, indicating secondary radium intake, and that EC_Ra mainly depends on C_Ra. Other factors such as age and sampling time are also studied. The impact of factors on EC_Ra from human hair in uranium non-contaminated areas is ordered as follows: (body site?) > sex > hair dyeing > dietary/drinking habits > natural color > time period > geographical location > age. Any human hair-based study should take into consideration these factors. Our method, cost-effective and easy to implement, may be applied to large numbers of samples for large-scale epidemiological studies, and may also be useful for criminal investigations.

Assessment of Pb and Cd contaminations in the urban waterway sediments of the Nen River (Qiqihar section), Northeastern China, and transfer along the food chain

The increasing anthropogenic inputs of Pb and Cd into China's Nen River (Qiqihar section) owing to rapid urbanization in the past 50 years may pose ecological risks to the river's aquatic system. To confirm this hypothesis, we determined the Pb and Cd concentrations in the sediments of the Nen River flowing across Qiqihar City by comparing the control group (samplings in the Nen River branch bypassing the city) and bioaccumulation along the food chain. We found significantly higher Pb concentrations in the sediments than in the control group (39.21 mg kg^-1 dry weight [dw] vs. 22.44 mg kg^-1 dw; p < 0.05). However, the difference between the Cd contents of the two groups was nonsignificant (0.33 mg kg^-1 dw vs. 0.30 mg kg^-1 dw) (p = 0.07). Accumulated Pb and Cd in the sediments pose a medium risk to the system of Nen River according to the result of risk assessment code analysis. The increased Pb and Cd levels along the food chain had adverse health effects in the species at the top level of the food chain. For example, the feathers of Corvus frugilegus and Sterna hirundo contained 0.28-2.25 mg kg^-1 dw of Cd. These values are considered potentially toxic to common avian species. The bone Pb level of C. frugilegus ranged from 4.82 to 7.41 mg kg^-1 dw within the increasing Pb range (2-15 mg kg^-1 dw) of common water birds. The inputs of Pb and Cd into the local environment should be reduced for the preservation of aquatic system health.

Biomonitoring and health risks assessment of trace elements in various age- and gender-groups exposed to road dust in habitable urban-industrial areas of Hefei, China

The current study investigates the concentration of eleven trace elements in biomaterials including hair (85) and nails (85) along with seventy five (75) road dust samples collected from a healthy population of habitable urban-industrial areas of Hefei, China. The samples were acid digested and analyzed using ICP-MS for trace elements content. The mean concentration of Elements followed descending order of Zn > Mg > Fe > Cr > Al > Sn > Sr > Ti > Cu > As > Cd and Mg > Zn > Fe > Cr > Al > Sn > Ti > Cu > Sr > As > Cd in hair and nails, respectively. Overall, the concentration of elements was found to be high in female subject as compared to male. The concentration of trace elements in hair and nail exceeded the maximum permissible limits in most cases. The corresponding mean values from dust samples were fairly high as compared to background values of trace elements. Middle age groups (21-30 years and 31-40 years) were observed to be the most vulnerable there-by posing a high health risk, as the concentration of trace elements was significantly high in these groups except for Al, which was detected high in age < 20 in case of both male and female. A significantly high correlation was found between trace elements in biomaterials and those detected in dust samples. In hair samples, a significantly positive correlation was noticed for As with Mg, Zn, Sn and Fe, Sn/Mg and Mg/Ti. In the case of nails, a significant correlation was observed for elements like Al, Mg, Zn, Cr, and Cu. The Cluster and principal component analysis revealed industrial and vehicular emissions as main sources for trace elements exposure in humans.

Biomarkers of exposure and effect in a working population exposed to lead, manganese and arsenic

Lead (Pb), manganese (Mn) and arsenic (As) are among the major toxicants in mining environments. Miners are commonly and repeatedly exposed to this toxic mixture. Some adverse effects may appear at concentrations below environmental quality guidelines for individual mixture components. Further, Pb, Mn, and As induce common adverse outcomes, such as interferences in the cholinergic system and heme synthesis. It is thus vital to monitor miners through biomarkers (BM), such that subclinical effects may be identified at an early stage. The main objectives of this study were to evaluate the exposure of a mining population to these three metals and determine alterations in cholinergic and heme synthesis parameters. Blood and urine samples of workers (n = 60) were obtained from a Portuguese mining industry and compared with a control population (n = 80). The levels of the metals were determined in biological samples, as well as urinary heme precursor levels, delta aminolevulinic acid (ALA) and porphyrins, and blood acetylcholinesterase (AChE) activity. The miners exhibited significantly higher values of Pb and As in blood and urine compared to control. In the case of Mn near or slightly higher than limit values were found. Our data show that heme precursors may be used simultaneously with metal levels as BMs for multiple metal exposures on an individual basis, resulting in 94.3% and 95.7% accuracy, respectively, in blood and urine, for subjects correctly identified with respect to occupation. This study also revealed that biological monitoring of this working population regarding metal body burden and heme precursor accumulation is advisable.

Hair geochemical composition of children from Vilnius kindergartens as an indicator of environmental conditions

The research is based on analysis data of Cr, Cu, Mn, Ni, V, Zn (metals) and S in the hair of 47 girls and 63 boys from eight Vilnius kindergartens and the distribution pattern of high metal concentrations and bioavailability in snow-cover dust, also dust samples from vents of characteristic pollution sources. The kindergartens were selected according to topsoil total contamination index and dust-related indices. Significantly higher Cu, Mn, Ni and Zn concentrations in the hair of girls (means are 1.1, 1.9, 1.3, 1.2 times higher) and the differences between hair of genders according to inter-element correlation and clustering were found. Analysis of Spearman correlation coefficients between metal concentrations in hair of each gender and dust metal concentrations or metal loading rates at their residence sites revealed that for Mn, Cu and Zn, they are insignificant, while for Cr, Ni, Pb and V, they are mainly significant positive (except V in female hair). The correlation of the contents of Cr, Ni and V in dust with respective concentrations in hair was more significant for boys (p < 0.001) than for girls. Only a few cases with a significant Cr, Ni, Cu, Pb and Zn increase were revealed in hair of children attending polluted kindergartens in comparison with control. It was concluded that relationship between metal concentrations in hair and dust-related indices is more expressed for children's residence sites than for their kindergarten sites. The gender-based grouping and site-by-site study design are recommended in the studies of reflection of environmental exposure in hair.

Investigation of Trace Elements in the Hair and Nail of Patients with Stomach Cancer

Trace metals are beneficial nutrient materials that act as essential cofactors in physiological processes. Recent evidence suggests that increase or decrease in certain trace metals may be related with risk and development of chronic diseases such as cancer. This study analyzed some trace elements level in hair and nail of patients with stomach cancer, and compared with their level in healthy controls. Trace elements (Cu, Fe, K, Li, Mg, Mn, Na, P, Se, Sr and Zn) are estimated in hair and nail of the 73 cancer patients and 83 controls by atomic absorption spectrophotometric method. The levels of Cu, K, Li, P and Se in hair and nail samples, were significantly higher in cases than controls. Levels of Mg and Sr were significantly lower in cases than controls. Fe level in hair samples was significantly higher in cases than controls. The mean concentrations of Fe, Se and P significantly increased with increasing cancer stage in the hair of patients. The average concentration of k also significantly increased with increasing cancer stage in the nail of patients. The results of our study show that there is an association between the increase in Cu, K, Li, P, Se and Fe, and stomach cancer development. Our results reveal that the increase in the trace elements could be a potential diagnostic marker to predict cancer progression and its etiology.

Exposure of cadmium via smoking and drinking water on zinc levels of biological samples of malnutrition pregnant women: A prospective cohort study

In present study, the interaction of a toxic (cadmium) and essential element (zinc) was determined in scalp hair of pregnant and non-pregnant women resident in a rural area of Thraparkar, Pakistan, where malnutrition is prevalent. In the malnourished group (pregnant and nonpregnant women), deficiency of the essential element (zinc) due to malnutrition and exposure of toxic metal (cadmium) via non-branded cigarette smoking and drinking groundwater were carried out. For comparative purposes, scalp hair samples were also collected from pregnant and non-pregnant women, residing in Hyderabad city, consuming municipal treated drinking water and smoking branded cigarette, termed as the reference group. The domestic treated and ground water, as well as the branded and non-branding cigarettes were analysed for cadmium (Cd). Whereas Zinc (Zn) and Cd were determined in scalp hair samples of malnutrioned and reference women. The groundwater indicated 5 to 12 fold higher levels of Cd than the WHO recommended value in drinking water. Whereas the content of Cd in locally made non-branded cigarettes was found to be two fold higher than branded cigarettes. These data indicate that the malnourished pregnant and non-pregnant smokers women group had three to four times higher levels of Cd in their scalp hair samples than those values obtained for reference non smokers. Whereas, the content of Zn in scalp hair samples of the reference women was ∼20% higher than the malnourished group.

Association Between Chronic Exposure to Tobacco Smoke and Accumulation of Toxic Metals in Hair Among Pregnant Women

Tobacco smoke contains various toxic heavy metals that individuals are exposed to when they smoke. Despite the presence of heavy metals in tobacco smoke, the relationship between smoking and the accumulation of toxic metals in pregnant women after long-term exposure remains under discussion. We examined the association between long-term exposure to tobacco smoke and the accumulation of toxic metals in the hair of female participants. Our study recruited 252 women from the Shanxi and Hebei provinces of Northern China; these participants were self-reported non-active smokers, and had previously delivered healthy babies without birth defects. Scalp hair was collected and analyzed for nicotine and cotinine and five potentially toxic metals (specifically, silver, chromium, cadmium, mercury, and lead). Our results showed significant positive correlations between cotinine and four metals, including silver (r = 0.369, p < 0.001), cadmium (r = 0.185, p < 0.01), mercury (r = 0.161, p < 0.05), and lead (r = 0.243, p < 0.001). Significant positive correlations were also found between nicotine and three metals-specifically silver (r = 0.331, p < 0.001), cadmium (r = 0.176, p < 0.01), and lead (r = 0.316, p < 0.001). A logistic regression model showed significant associations between cotinine and potentially toxic metals including mercury, silver, and lead (with or without adjusting for potential confounders). We thus conclude that long-term passive smoking could potentially increase the exposure level of toxic metals including lead, silver, and mercury in our study, which are especially harmful for pregnant women and their unborn fetus.

Copper and zinc levels in soil, water, wheat, and hair of inhabitants of three areas of the Orenburg region, Russia

The objective of the present study was to assess the level of zinc and copper in soil, water, wheat and hair of inhabitants of the western, central, and eastern areas of the Orenburg region. A total of 525 water, soil, and wheat samples, as well as 420 hair samples were assessed using atomic absorption spectrometry (water, soil, wheat) and inductively-coupled plasma mass spectrometry (hair). The highest levels of Zn and Cu in water (4.9(4.2-5.1) and 1.0(0.9-1.1) mg/l), soil (23.8(20.7-27.0) and 2.6(1.9-3.1) mg/kg), and wheat (24.7(20.5-31.0) and 4.8(4.2-5.5) mg/kg) were observed in the eastern area (p < 0.001). Hair zinc levels in inhabitants of the western (184(165-198) µg/g) and eastern (224(211-253) µg/g) areas of the region exceeded the respective values from the central area by 32% and 61% (p < 0.001). In turn, hair Cu levels in the central (16.4(14.3-17.8) µg/g) and eastern (17.9(16.4-19.0) µg/g) areas exceeded the values from the western area by 10% and 20%, respectively. Correlation analysis demonstrated that hair Zn levels were positively correlated with water and soil content, whereas wheat Zn levels were associated with soil and water content. For copper significant direct correlation was observed only between soil and water Cu content. In multiple regression models, only water zinc level was significantly associated with hair Zn content, although the general model accounted for 55% of variability of hair Zn content. Higher zinc and copper exposure in the eastern area is presumably associated with higher activity of metal-processing industry.

Indoor air pollution affects hypertension risk in rural women in Northern China by interfering with the uptake of metal elements: A preliminary cross-sectional study

Coal combustion and passive smoking are two important contributors to indoor air pollution (IAP) in rural areas of northern China. Although the association between outdoor air pollutants and hypertension risk had been widely reported, fewer studies have examined the relationship between IAP and hypertension risk. This study evaluated the association between IAP and hypertension risk in housewives in rural areas of northern China and the potential mediation pathway of metal elements. Our cross-sectional study, conducted in Shanxi Province, China, enrolled 367 subjects without taking anti-hypertensive drugs, including 142 subjects with hypertension (case group) and 225 subjects without hypertension (control group). We collected information on energy use characteristics and lifestyle using questionnaires. An IAP exposure index was developed to indicate the population exposure to coal combustion and passive smoking. Scalp hair samples were collected from the housewives and various trace and major metal elements were measured. Our results revealed that the IAP index was positively correlated with systolic and diastolic blood pressure. A significant association between the IAP index and hypertension risk was found both without [odds ratio (95% confidence interval, CI) = 2.08 (1.30-3.31)] and with [OR (95% CI) = 2.52 (1.46-4.36)] adjustment for confounders. We also observed that the IAP index was positively correlated with the arsenic, lead, and rare earth element levels in hair samples, and negatively correlated with the levels of some other trace elements (i.e., chromium, cobalt, nickel, and tin) and alkaline earth elements (i.e., calcium, magnesium, and barium) with an overall p value of <0.01. We concluded that IAP may contribute to the development of hypertension in rural housewives in northern China, possibly by interfering with the uptake of metal elements.

Interaction of Lead with Calcium, Iron, and Zinc in the Biological Samples of Malnourished Children

Interaction between toxic and essential elements is of particular interest, because the deficiency of essential element can dramatically increase the absorption rate of toxic metals inside the body. This study was conducted to evaluate the possible correlation of lead (Pb) with calcium (Ca), iron (Fe), and zinc (Zn) in biological samples (whole blood and scalp hair) of malnourished children (MNC). For comparative purposes, age-matched, well-nourished children (WNC) were selected. The concentrations of understudy elements were analyzed by atomic absorption spectrophotometry after microwave acid digestion. The accuracy of the methodology, as well as its its validity and efficiency, was checked through certified reference material of whole blood and scalp hair. The result indicates that the MNC have a twofold higher level of Pb, while the levels of essential elements (Ca, Fe, and Zn) were onefold to twofold lower as compared to the WNC (p < 0.05). Significant negative correlations of Pb with Ca, Fe, and Zn were found in the studied malnourished population at p < 0.05. Further research studies are required to elucidate the role of these metals and the mechanism of interaction inside the body.

Correlations between hair and tissue mercury concentrations in Icelandic arctic foxes (Vulpes lagopus)

Monitoring organic pollutants in wildlife is a common approach to evaluate environmental health, chemical exposure and to make hazard assessments. However, pollutant concentrations measured from different tissue types among studies impede direct comparisons of levels and toxicity benchmarks among species and regions. For example, mercury (Hg) is a metal of both natural and anthropogenic origin which poses health risks for marine and arctic biota in particular. Although hair is recognized as the least invasive sample type for Hg exposure measurement in wildlife, measurements in previous studies have used different tissues among individuals and species. This lack of tissue type consistency hinders cross study comparisons. Therefore to systematically evaluate the use of hair in ecotoxicological studies, total mercury (THg) concentrations measured from hair were compared to values obtained from liver and kidney in 35 Icelandic arctic foxes (Vulpes lagopus). THg concentrations varied considerably among tissues with hair and kidney levels generally lower than in liver. Nevertheless, significant correlations among tissue types were observed. THg values in hair were predictive for liver (R²=0.61) and kidney THg levels (R²=0.51) and liver values were a good predictor of THg in kidney (R²=0.77). We provide further evidence that non-invasively collected hair samples reflect the THg levels of internal tissues. We present equations derived from multiple linear regression models that can be used to relate THg levels among tissue types in order to extrapolate THg values from hair to soft tissues. Using these equations, we compare the results of previous studies monitoring THg levels in different tissues of arctic foxes from various regions of the Arctic. Our findings support that hair is a suitable sample matrix for ecotoxicological studies of arctic predators and may be applied in both wildlife welfare and conservation contexts for arctic vulpine species.

Population health risk via dietary exposure to trace elements (Cu, Zn, Pb, Cd, Hg, and As) in Qiqihar, Northeastern China

The estimated daily intakes (EDIs) of six trace elements (Cu, Zn, Pb, Cd, Hg, and As) in vegetables (leafy vegetable, i.e., bok choy, fruit vegetables, i.e., cucumber and tomato, and other categories, i.e., mushroom, kidney bean, and potato), cereals (rice and wheat flour), and meats (pork, mutton, and beef) most commonly consumed by adult inhabitants of Qiqihar, Northeastern China, were determined to assess the health status of local people. The average EDIs of Cu, Zn, Pb, Cd, Hg, and As were with 20.77 μg (kg bw)^-1 day^-1 of Cu, 288 μg (kg bw)^-1 day^-1 of Zn, 2.01 μg (kg bw)^-1 day^-1 of Pb, 0.41 μg (kg bw)^-1 day^-1 of Cd, 0.01 μg (kg bw)^-1 day^-1 of Hg, and 0.52 μg (kg bw)^-1 day^-1 of As, respectively, which are below the daily allowance recommended by FAO/WHO. However, the maximum EDIs of Pb and Cd were 4.56 μg (kg bw)^-1 day^-1 and 1.68 μg (kg bw)^-1 day^-1, respectively, which are above the recommended levels [i.e., 3.58 μg (kg bw)^-1 day^-1 for Pb and 1.0 μg (kg bw)^-1 day^-1 for Cd] by FAO/WHO. This finding indicates that the potential health risk induced by daily ingestion of Pb and Cd for the local residents should receive a significant concern. Similarly, we detected elevated Pb and Cd concentrations, i.e., with average of 13.58 and 0.60 mg kg^-1 dw, respectively, in the adult scalp hairs. Consumption of rice, potato, bok choy, and wheat flour contributed to 75 and 82% of Pb and Cd daily intake from foodstuffs. Nevertheless, human scalp hair is inappropriate biological material for determination of the nutritional status of trace elements in this region.

Are concentrations of alkaline earth elements in maternal hair associated with risk of neural tube defects?

The relationship between maternal intake of alkaline earth elements (AEEs) during the period of neural tube closure and the risk of neural tube defects (NTDs) is still unclear. We propose that AEE deficiency during the early period of pregnancy is associated with an elevated risk of NTDs in the offspring. In this study, we recruited 191 women with NTD-affected pregnancies (cases) and 261 women who delivered healthy infants (controls). The concentrations of four AEEs (Ca, Mg, Sr, Ba) in maternal hair sections that grew during early pregnancy were analyzed. Information on the dietary habits of the mothers was also collected by questionnaire. Higher concentrations of the four AEEs in hair had protective effects against the risk of total NTDs, with odds ratios with 95% confidence interval (comparing groups separated by each median level) of 0.44 (0.28-0.68) for Mg, 0.56 (0.36-0.87) for Ca, 0.45 (0.28-0.70) for Sr, and 0.41 (0.26-0.65) for Ba. Significant negative dose-response trends were identified for the relationships between the four AEE concentrations in maternal hair and the risks of anencephaly and spina bifida, but not for encephalocele. The frequencies of maternal consumption of fresh green vegetables, fresh fruit, and meat or fish were positively correlated with the concentrations of AEEs in hair. We concluded that the maternal intake of AEEs may play an important role in preventing NTD formation in offspring, and that this intake is related to maternal dietary habits of consuming fresh green vegetables, fresh fruit, and fish or meat.

Permeability of hair to cadmium, copper and lead in five species of terrestrial mammals and implications in biomonitoring

The capacity of mammal hair to absorb toxic metals and its utility in biomonitoring has been broadly studied. Though these metal-binding properties has generally been attributed to the sulphur contained in cysteine, an amino acid that forms part of keratin, there are not many experimental studies that analyze the role of sulphur in the external deposition of potentially toxic metallic elements in order to better understand the potential of hair in biomonitoring and generate better tools for differentiating between internal and external deposition of contaminants. In this study, an experimental analysis is carried out using a scanning electron microscope on hairs of five terrestrial mammal species (Peromyscus furvus, P. maniculatus, Glossophaga soricina, Artibeus jamaicensis and Marmosa mexicana) treated with cadmium, copper and lead salts. We quantified absorbed metals as well as natural elements of the hair by energy dispersive X-ray spectroscopy (EDS) to analyze using simple statistics the role of sulphur in the absorption Cd, Cu and Pb. Given the lack of studies comparing the mechanisms of deposition of metal elements among different orders of Class Mammalia, external morphology was considered to be an important factor in the deposition of metallic particles of Cd, Cu and Pb. Bat species (Glossophaga soricina, Artibeus jamaicensis) showed a high concentration of particles in their scales, however, no between-species differences in metal absorption were observed, and during the exogenous deposition metal particles do not permeate the medulla. These results suggest that the sulphur in hair itself cannot bind metals to hair cuticle and that hair absorption capacity depends on a variety of factors such as aspects of hair morphology.

Effects of sex on the levels of metals and metalloids in the hair of a group of healthy Spanish adolescents (13 to 16 years old)

Human biomonitoring can be a reliable tool to protect the health of the citizens of major urban environments. Human hair may be an invaluable specimen to determine chronic exposure to any environmental contaminant in an individual, especially in the young population. However, different factors including a lack of studies that have established reference values for metals and metalloids (trace elements) in human scalp hair make the use of this matrix controversial. A monitoring study was performed to establish possible normal or tentative reference values of Al, As, Be, Cd, Cr, Cu, Hg, Mn, Pb, Sn, Ti, Tl and Zn in adolescents' (aged 13-16) hair who have lived since birth in Alcalá de Henares, Madrid region (Spain). Strict inclusion criteria were followed to study the effect of sex on the hair metal content, and the levels of the above contaminants were also studied in park topsoils from Alcalá de Henares. Scalp hair samples were collected from 96 healthy adolescents (28 boys and 68 girls), and reference values were calculated following the recommendations of the International Union of Pure and Applied Chemistry. The levels of Cd, Cu, Pb, Sn and Zn in hair of adolescents from Alcalá de Henares show a sex dependency, being significantly higher in female participants. Sex should be a factor taken into account when developing future reference values and hair metal content. Soil metal contamination was not correlated with the levels found in hair. To conclude, the values of metals and metalloids here analysed and discussed could be considered as tentative reference values for Spanish adolescents aged 13-16 years living in the Madrid region, and may be used to identify the level of exposure of adolescents in this Spanish region to the various metals and metalloids.

Hair biomonitoring and health status of a general population exposed to Nickel

An epidemiological cross-sectional study was conducted in a Greek population, being orally exposed to Ni via food consumption, in order to investigate possible health effects and to evaluate hair Ni concentration as a biomarker of exposure. The study population consisted of 139 men and 155 women, aged 25-69. Socio-demographics, lifestyle, dietary habits, occupational and medical history data were recorded through a personal interview. Hematological and biochemical examinations were conducted in blood specimens. Metals - Ni, Cr, Cd, Pb, Hg, Cu and Zn - were determined in hair samples. Women were characterized by higher Ni and Cu hair concentrations, while men by higher Cr and Hg. Factors affecting hair metal concentrations were identified to be dietary habits, consumption of local crops, occupation and smoking. Hair element content in the study population was comparable to the "reference ranges" reported in Europe, except for Ni, found higher in a fraction of our population. Men in the upper quartile of hair Ni distribution are at higher risk for abnormal high cholesterol, LDL, albumin and calcium, with odds ratios (OR) varying between 3.5 and 6.2. Accordingly, high hair Ni content in women is associated with abnormal glucose (OR=3.9), triglycerides (OR=3.1) and low abnormal sodium (OR=4.3). The study provides evidence of the suitability of hair analysis in assessing environmental exposure to Ni and supports the use of hair Ni content as a valuable and relatively inexpensive tool of biomonitoring, to identify people at risk for certain biochemical alterations.

Study of trace metal imbalances in the blood, scalp hair and nails of oral cancer patients from Pakistan

Oral cancer is an important cause of cancer morbidity and mortality globally and exposure to trace metals alongside tobacco, alcohol and HPV are the important etiological factors in its development. Selected essential and toxic trace metals (Cd, Cr, Cu, Fe, Mn, Ni, Pb and Zn) were measured in the blood, scalp hair and nails of oral cancer patients and counterpart controls by atomic absorption spectrometry. Mean concentrations of Cd, Ni and Pb were found to be significantly higher (p<0.05) and those of Cu, Fe and Zn were considerably lower in the blood, scalp hair and nails of the patients than the controls. Most of the metal concentrations exhibited higher dispersion and asymmetry in the blood, scalp hair and nails of the patients compared with the controls. The correlation study revealed significantly diverse relationships among the metals in blood, scalp hair and nails of both donor groups. Variations in the metal levels were also noted for various stages (I, II, III & IV) as well as the types (adenocarcinoma and squamous cell carcinoma) of oral cancer. Multivariate cluster analysis of the metal levels in the patients were also significantly dissimilar than the controls. The study evidenced considerably divergent variations in the metal levels in oral cancer patients in comparison with the controls.