Levels of brominated flame retardants and other pesistent organic pollutants in breast milk samples from Limpopo Province, South Africa

Has Regulatory Action Reduced Human Exposure to Flame Retardants?

Flame retardant (FR) exposure has been linked to several environmental and human health effects. Because of this, the production and use of several FRs are regulated globally. We reviewed the available records of polybrominated diphenyl ethers (PBDEs) and hexabromocyclododecanes (HBCDDs) in human breast milk from literature to evaluate the efficacy of regulation to reduce the exposure of FRs to humans. Two-hundred and seven studies were used for analyses to determine the spatial and temporal trends of FR exposure. North America consistently had the highest concentrations of PBDEs, while Asia and Oceania dominated HBCDD exposure. BDE-49 and -99 indicated decreasing temporal trends in most regions. BDE-153, with a longer half-life than the aforementioned isomers, typically exhibited a plateau in breast milk levels. No conclusive trend could be established for HBCDD, and insufficient information was available to determine a temporal trend for BDE-209. Breakpoint analyses indicated a significant decrease in BDE-47 and -99 in Europe around the time that regulation has been implemented, suggesting a positive effect of regulation on FR exposure. However, very few studies have been conducted globally (specifically in North America) after 2013, during the time when the most recent regulations have been implemented. This meta-analysis provides insight into global trends in human exposure to PBDEs and HBCDD, but the remaining uncertainty highlights the need for ongoing evaluation and monitoring, even after a compound group is regulated.

Brominated flame retardants in breast milk from the United States: First detection of bromophenols in U.S. breast milk

Brominated flame retardants (BFRs) are a class of compounds with many persistent, toxic, and bioaccumulative members. BFRs have been widely detected in breast milk, posing health risks for breastfeeding infants. Ten years after the phaseout of polybrominated diphenyl ethers (PBDEs) in the United States, we analyzed breast milk from 50 U.S. mothers for a suite of BFRs to assess current exposures to BFRs and the impact of changing use patterns on levels of PBDEs and current-use compounds in breast milk. Compounds analyzed included 37 PBDEs, 18 bromophenols, and 11 other BFRs. A total of 25 BFRs were detected, including 9 PBDEs, 8 bromophenols, and 8 other BFRs. PBDEs were found in every sample but at concentrations considerably lower than in previous North American samples, with a median ∑PBDE concentration (sum of 9 detected PBDEs) of 15.0 ng/g lipid (range 1.46-1170 ng/g lipid). Analysis of time trends in PBDE concentrations in North American breast milk indicated a significant decline since 2002, with a halving time for ∑PBDE concentrations of 12.2 years; comparison with previous samples from the northwest U.S region showed a 70% decline in median levels. Bromophenols were detected in 88% of samples with a median ∑12bromophenol concentration (sum of 12 detected bromophenols) of 0.996 ng/g lipid and reaching up to 71.1 ng/g lipid. Other BFRs were infrequently detected but concentrations reached up to 278 ng/g lipid. These results represent the first measurement of bromophenols and other replacement flame retardants in breast milk from U.S. mothers. In addition, these results provide data on current PBDE contamination in human milk, as PBDEs were last measured in U.S. breast milk ten years ago. The presence of phased-out PBDEs, bromophenols, and other current-use flame retardants in breast milk reflects ongoing prenatal exposure and increased risk for adverse impacts on infant development.

Persistent Organic Pollutants in Human Milk: Exposure Levels and Determinants among Lactating Mothers in Lebanon

ABSTRACT

Exposure of newborns to persistent organic pollutants (POPs) is a public health concern. The objective of this study was to assess the prevalence of POPs in human milk collected from lactating mothers in Lebanon and to investigate the sociodemographic, nutritional, and other lifestyle determinants. Fifty-four breast milk samples were collected as per World Health Organization guidelines. A survey was used to assess the anthropometric and demographic characteristics of participants. Dietary habits were evaluated based on a semiquantitative food frequency questionnaire. Organochlorine pesticides and polychlorinated biphenyls were measured in milk samples with liquid-liquid extraction and gas chromatography. Among the screened POPs, dichlorodiphenyldichloroethylene (DDE) was the only POP detected in breast milk samples and was found in only 17.9% of the samples, with a mean (SD) of 11.6 (5.0) μg/L and a range of 5.7 to 21.4 μg/L. Prepregnancy body mass index and age were positively associated with DDE contamination in breast milk. Women who consumed cereals at least two times per week had detectable DDE contamination in their breast milk. Consumption of potatoes and beans at least once per week was also associated with DDE contamination. Our study is the first to assess the presence of POPs in breast milk in Lebanon. The benefits of breastfeeding compensate for the low prevalence of DDE in the breast milk. Our findings highlight the high need to implement monitoring policies, good agricultural practices, and education programs for breastfeeding mothers.

HIGHLIGHTS

Organohalogens: A persisting burden in Slovenia?

Persistent organic pollutants (POPs) represent a concern for the environment and human health due to their persistence and toxicity. Exposure in Slovenia is geographically differentiated because the country, as part of former Yugoslavia, has a history of industry and regional contamination and is - at the same time - known for its clean nature. The PCB pollution of the Krupa River drew the public's attention to the chemical burden of Slovenians, and the demand for studies has been rising since. We assessed the exposure of men (n = 548) and primiparous women (n = 536) to POPs in 12 regions of Slovenia as well as exposure pathways via questionnaires. Most PCDD/Fs, PCBs, and PBDEs could be determined in pooled samples of maternal milk at low concentrations (1.57 pg/gTEQ, 1.47 pg/gTEQ, and 1076 pg/g fat, respectively), but a much lower number of compounds could be measured above the LOQ in pooled men's plasma samples (PCDD/Fs 0.08 pg/gTEQ, PCBs 0.007 pg/gTEQ, ΣPBDE 920 pg/g), and only HCB, p,p'-DDE, ΣDDT, and the non-dioxin-like PCB congeners 138, 153, and 180 could be determined in individual samples of milk (concentration range 5-60 ng/g fat). In individual samples of men's serum, only p,p'-DDE and ΣPCB were detected at concentrations of 0.25 ng/g and 0.3 ng/g, respectively. Nonetheless, we were able to differentiate between polluted and unpolluted areas on a national level, with higher exposure levels in the PCB polluted region of Bela Krajina, the industrial region Zasavje, and the capital, Ljubljana. Despite low concentrations, determinants of exposure, such as age, proximity to roads, old building materials, private water supplies, and consumption of alcohol, fish, meat, and eggs that have previously been observed only at higher levels could still be identified. Furthermore, levels of PCBs and PBDEs were highly correlated suggesting common exposure sources and pathways, whereas PCDD/Fs were correlated to a lesser extent. The calculated ratio between DDT and DDE in maternal milk samples was decreasing with the year of sampling, suggesting no ongoing exposure to DDT. The study findings suggest low exposure of men and lactating women to legacy pollutants in Slovenia, which gave rise to the hypothesis that Slovenia's geographical location might provide shelter from the long-range transport of POPs via Westerly winds. This hypothesis remains to be confirmed within future studies.

Multiple persistent organic pollutants in mothers' breastmilk: Implications for infant dietary exposure and maternal thyroid hormone homeostasis in Uganda, East Africa

Persistent organic pollutants (POPs) are ubiquitous contaminants with adverse health effects in the ecosystem. One of such effects is endocrine disruption in humans and wildlife even at background exposure concentrations. This study assessed maternal breastmilk concentrations of POPs; brominated flame retardants (BFRs), polychlorinated biphenyls (PCBs) and polychlorinated dibenzo-p-dioxins/furans (PCDD/Fs), and the potential health risks posed to the nursing infants. We also evaluated the association of these POPs with total 3,3',5-triiodo-L-thyronine (T₃), L-thyroxine (T₄), and 3,3',5'-triiodo-L-thyronine (rT₃) levels measured in human breast milk. Thirty breastmilk samples were collected from Kampala, Uganda between August and December 2018. Hexabromobenzene was not detected while the maximum level of 2,2',4,4',5,5'-hexabrombiphenyl was 64.7 pg/g lw. The median levels of total indicator PCBs, PBDEs, dioxin-like PCBs, and PCDD/Fs in the samples were 159 pg/g lw, 511 pg/g lw, 1.16 pg TEQ/g lw, and 0.4 pg TEQ/g lw, respectively. These levels were lower than those reported in other countries. Owing to their bio accumulative nature, PCBs -81, -169, and ∑PCDD/Fs increased with increase in maternal age. Estimated dietary intakes for dioxin-like PCBs and PCDD/Fs were lower than those reported elsewhere but were higher than the WHO tolerable daily intakes suggesting potential health risks to nursing infants. In adjusted single pollutant models, PCB-126, PCB-169, and ∑PCB_TEQ were negatively associated with T₃, while 1,2,3,4,5,7,8-HpCDF was positively associated with rT₃. Although these associations did not persist in multipollutant models, our findings suggest potential thyroid hormone disruption by POPs in mothers. This may reduce the levels of thyroid hormones transferred from the mother to the neonates and, hence, adversely influence infant growth. A temporal study with a bigger sample size is required to corroborate these findings.

First report on polybrominated diphenyl ethers in the Iranian Coral Islands: Concentrations, profiles, source apportionment, and ecological risk assessment

Coral reefs are challenged by multiple stressors due to the growing industrialization. Despite that, data on their environment are still scarce, and no research is yet performed on polybrominated diphenyl ethers in the Persian Gulf area. Seeking to fill in this gap, the present study aims to determine spatio-vertical distributions, source apportionment and ecological risk of polybrominated diphenyl ethers in the sediment cores and seawater samples from ten coral reef Islands in the Persian Gulf, Iran. Σ₁₂PBDEs concentrations ranged from 0.42 ± 0.04 to 47.14 ± 1.35 ng g^-1 dw in sediments, and from 1.17 ± 0.06 to 7.21 ± 1.13 ng L^-1 in seawater. The vertical polybrominated diphenyl ethers distribution varied significantly among the sampling stations and different depths with a decreasing trend towards the surface and peaks around 12-20 cm. Both in the seawater and sediment samples, elevated polybrominated diphenyl ethers loadings were observed in highly industrialized areas. Deca-bromodiphenyl ether-209 was the predominant congener along the sediment cores, whereas Tetra-bromodiphenyl ether-47 and Penta-bromodiphenyl ether-100 dominated in seawater samples. Commercial Deca-bromodiphenyl ether mixture was found to be the major source of polybrominated diphenyl ethers. Penta-bromodiphenyl ether was revealed to be the major ecological risk driver in the study area: it posed medium to high-risk quotient to sediment dwelling organisms. This study indicated that coral reefs are playing an important role in retaining polybrominated diphenyl ethers and highlighted the need to manage polybrominated diphenyl ethers contamination in the coral reef environment.

Levels of persistent organic pollutants (POPs) in foods from the first regional Sub-Saharan Africa Total Diet Study

For the first time, a multi-centre Total Diet Study was carried out in Benin, Cameroon, Mali and Nigeria. We collected and prepared as consumed 528 typical fatty foods from those areas and pooled these subsamples into 44 composites samples. These core foods were tested for a wide spectrum of POPs, including polychlorinated dibenzo-p-dioxins (PCDDs), polychlorinated dibenzofurans (PCDFs), polychlorinated biphenyls (PCBs), brominated flame-retardants (BFRs), organochlorine compounds (OCs), perfluoro alkyl substances (PFAS) and chlorinated flame retardants (CFRs). The POPs contamination levels were similar or lower than those reported in total diet studies previously conducted worldwide. In most cases, core foods belonging to fish food group presented higher POPs concentrations than the other food groups. Interestingly, we observed a difference in both contamination profile and concentration for smoked fish compared to non-smoked fish. Such finding suggests that the smoking process itself might account for a large proportion of the contamination. Further investigation would require the assessment of combustion materials used to smoke fish as a potential vehicle, which may contribute to the dietary exposure of the studied populations to POPs.

Polybrominated diphenyl ethers in mothers' breast milk and associated health risk to nursing infants in Uganda

The aim of this study was to investigate levels of polybrominated diphenyl ethers (PBDEs) in breast milk samples from healthy primiparous mothers who had lived in Kampala capital city (urban area) and Nakaseke district (a rural area) for the last five years. Fifty samples were collected between March and June 2018 and were extracted by dispersive solid-phase extraction (SPE). Clean-up was performed on an SPE column and analysis was done using gas chromatography-mass spectrometry. Total (∑) PBDEs (BDE 28, 47, 49, 66, 77, 99, 100,138,153, 154, 183 and 209) ranged from 0.59 to 8.11 ng/g lipid weight (lw). The levels of PBDEs in samples from Kampala capital city were significantly higher than those from Nakaseke (p < 0.01, Mann-Whitney U test). The most dominant congeners were BDE-209 and -47 (contributed 37.1% and 20.2%, respectively to ∑PBDEs), suggesting recent exposure of mothers to deca-and penta-BDE formulations. Fish and egg consumption, plastics/e-waste recycling and paint fumes were associated with higher levels of BDE-47, -153 and -99, respectively, implying that diet and occupation were possible sources of the pollutants. Estimated dietary intakes (ng kg^-1 body weight day^-1) for BDE-47, -99 and -153 were below the US EPA reference doses for neurodevelopmental toxicity, suggesting minimal health risks to nursing infants who feed on the milk. Generally, the risk quotients for BDE-47, -99 and -153 were <1 in majority (96%) samples, indicating that the breast milk of mothers in Uganda was fit for human consumption.

Serum measures of hexabromocyclododecane (HBCDD) and polybrominated diphenyl ethers (PBDEs) in reproductive-aged women in the United Kingdom

We investigated the serum concentrations of two brominated flame retardants (BFRs) - polybrominated diphenyl ethers (PBDEs) and hexabromocyclododecane (HBCDD) -in 59 women aged between 23 and 42 from the United Kingdom. We also collected demographic data, including age, bodyweight and height in order to test for associations with BFR levels. Temporal and global differences were also assessed using previously published data. HBCDD was detected in 68% of samples with a mean concentration of 2.2 ng/g lipid (range = <0.3-13 ng/g lipid). The dominant stereoisomer was α-HBCDD with an average contribution of 82% (0-100%) towards ΣHBCDD, was followed by γ-HBCDD (average contribution = 17%). PBDEs were detected in 95% of samples with a mean ∑PBDE (sum of BDEs -28, -47, -99, -100, -153, -154 and -183) concentration of 2.4 ng/g lipid (range = <0.4-15 ng/g lipid). BDEs -153 and -47 were the dominant congeners, contributing an average of 40% and 37% respectively, to the average ΣPBDE congener profile. Data from this study suggests that HBCDD levels decrease with age, it also suggests a positive association between bodyweight and HBCDD levels, which likewise requires a large-scale study to confirm this. The data also show that 10 years after their European ban, PBDE body burden has begun to decrease in the UK. Whilst it is too early to draw any firm conclusions for HBCDDs, they appear to be following a similar pattern to PBDEs, with levels decreasing by a factor of >2.5 since 2010. Whilst the human body burden appear to be decreasing, both PBDEs and HBCDD are still consistently detected in human serum, despite legislative action limiting their production and use. This highlights the need to continuously assess human exposure and the effectiveness of policy aimed at reducing exposure.

Background levels of dioxin-like polychlorinated biphenyls (dlPCBs), polychlorinated, polybrominated and mixed halogenated dibenzo-p-dioxins and dibenzofurans (PCDD/Fs, PBDD/Fs & PXDD/Fs) in sera of pregnant women in Accra, Ghana

Human exposure data on dioxins and dioxin-like compounds (DLCs) in Ghana are limited. Based on health risks associated with dioxins and DLCs, the impact of maternal body burdens on foetal exposure is significant. This is the first study that assesses polychlorinated, polybrominated and mixed halogenated dibenzo-p-dioxins and dibenzofurans (PCDD/Fs, PBDD/Fs and PXDD/Fs), and dioxin-like polychlorinated biphenyls (dlPCBs) in sera of primiparous Ghanaians. Our sample selection includes 34 participants from two municipalities (Accra and Tema), and explores contributions from environmental and dietary exposures using questionnaire data. Sample preparation involved C₁₈ solid phase extraction, purification with acidified silica and lipid removal cartridges, and detection with gas chromatography-atmospheric pressure chemical ionization-tandem mass spectrometry. The calculated average toxic equivalent concentration was 5.3 pg TEQ/g lw, with contributions from dlPCBs (1.25 pg TEQ/g lw), PCDD/Fs (3.10 pg TEQ/g lw), PBDD/Fs (0.49 pg TEQ/g lw) and PXDD/Fs (0.50 pg TEQ/g lw). The calculated total TEQ concentration was lower than background TEQ concentrations reported in sera of pregnant women globally. Positive correlations were obtained for total dioxins and DLC concentrations with age and Body Mass Index (BMI). Dietary intake of seafood and dairy products had a strong influence on PCDD/F and dlPCB concentrations. Statistically significant differences were observed for dioxins and DLCs in participants from Accra (in close proximity to Agbogbloshie e-waste site) and Tema. Given the significant TEQ contribution of PBDD/Fs and PXDD/Fs (~20%), it is essential to explore these classes of dioxins and DLCs in future biomonitoring studies as they may pose health risks, and add extra diagnostic information in source exposure investigations.

Public Health Burden of E-waste in Africa

BACKGROUND

Environmental impacts from informal e-waste recycling are increasing in Africa. E-waste handling and disposal exposes people to highly toxic cocktails of heavy metals, brominated flame retardants, non-dioxin-like polychlorinated biphenyls (PCB), polycyclic aromatic hydrocarbons (PAH), polychlorinated dibenzo-p-dioxins (PCDD), polychlorinated dibenzofurans (PBDF) and dioxin-like polychlorinated biphenyls (DL-PCB). Most of these compounds are endocrine disrupters, and most are neuro- and immune-toxic as well.

OBJECTIVES

Informal e-waste recycling in African countries is a serious public health threat. The present paper reviews the extent of e-waste exposure in Africa and related impacts on people, animals and the environment.

METHODS

Four electronic databases (PubMed, Science Direct, Scopus, Google Scholar) were searched for publications related to e-waste and human health in Africa. Search terms included 'e-waste in Africa', 'e-waste in developing nations', 'public health and e-waste', 'environment and e-waste', and 'e-waste and health'.

DISCUSSION

Elevated levels of e-waste pollutants in water, air, soil, dust, fish, vegetable, and human matrices (blood, urine, breast milk) indicate that not only are e-waste workers at risk from exposure to e-waste, but the general population and future generations as well. Headache, cough and chest pain, stomach discomfort, miscarriage, abnormal thyroid and reproductive function, reduction of gonadal hormone, and cancer are common complaints of those involved with the processing of e-waste.

CONCLUSIONS

The evidence presented from the reviewed studies illustrates the extent of the human health and environmental risks posed by e-waste in Africa. There is a need for a regulatory framework including specific legislation, infrastructure and protocols to safely recycle and dispose of e-waste in sub-Saharan African countries.

COMPETING INTERESTS

The authors declare no competing financial interests.

The state of POPs in Ghana- A review on persistent organic pollutants: Environmental and human exposure

Ghana is one of the top pesticide users and highest persistent organic pollutant (POP) emitters in sub-saharan Africa. Despite recent increases in published data, there is limited information on how POP concentrations have changed, post ratification of the Stockholm Convention. As a result, this review aims to address these knowledge gaps by collating available data that reported POPs in Ghanaian environmental matrices, identify spatial and temporal trends, and establish potential health risks. It is worth noting that Ghana has not developed its own regulatory standards for POPs, but adapts United States Environmental Protection Agency (USEPA) standards. Results obtained showed concentrations in excess of USEPA regulatory standards for per- and poly-fluoroalkyl sulphonates (PFASs) and dichlorodiphenyldichloroethane (DDD) in water, polychlorinated and polybrominated dibenzo-p-dioxins and furans (PCDD/Fs and PBDD/Fs) in e-waste soils, and polybrominated diphenyl ethers in aquatic organisms and dairy products. The published studies do not cover major regions nationwide. The inconsistency in methods and analytes measured, along with data scarcity in some regions, makes it challenging to identify temporal trends. However, the data did indicate decreasing concentrations of some legacy POPs in soil/sediment and aquatic organisms, with increasing concentrations of some POPs in water, fish, fruits and vegetables. Studies that performed health risks assessments were limited although the data indicated risks to e-waste workers, some farmers and vulnerable sub-populations. This review identified potential human health risks from POPs in the Ghanaian environment and the need for more consistent and widespread monitoring program.

The occurrence of brominated flame retardants in the atmosphere of Gauteng Province, South Africa using polyurethane foam passive air samplers and assessment of human exposure

Polyurethane foam passive samplers were deployed between May 2016 and January 2017 to evaluate concentrations of polybrominated diphenyl ethers (PBDEs), selected alternative flame retardants (AFRs) and total hexabromocyclododecane (HBCDD) (sum of α-, β-, and γ-HBCDD). The PUF air samplers were deployed in semi-urban, urban, industrial and landfill sites in Gauteng Province, South Africa. The acquired results presented a clear semi urban-industrial-urban-landfill concentration gradient for all BFRs measured. Taking into account 2 sampling periods (cold and warm periods) (n = 16), the atmospheric concentrations of ∑₉PBDEs, HBCDDs and ∑AFRs were 100-2820 pg m^-3, 12-117 pg m^-3 and 41-4660 pg m^-3, respectively, for the sparsely populated residential area, densely populated residential area, industrial area and the landfill area. In all cases, BDE 47, 99, and 209 were the most dominant congeners with high detection frequencies. The highest calculated daily exposure dose in Gauteng Province atmosphere was 0.61 and 1.54 ng kg ^-1 - bw d ^-1 for adults and children respectively. The estimated total intake of PBDEs was 0.47-33.4 ng kg ^-1 - bw d ^-1, which was generally below the lowest adverse effect limit (LOAEL), suggesting that the residents of Gauteng Province may not be significantly affected as a result of their exposure to these pollutants through inhalation. However, this does not necessarily suggest that the pollutants are harmless to human health, since they have the tendency to bioaccumulate in biological systems. Incidentally, this is the first study from Africa to report on the atmospheric concentrations of PBDEs, HBCDDs and AFRs in urban, landfill and industrial areas. The findings from this study further highlight the contributory role of landfills as potential sources of BFRs into the atmosphere.

Atmospheric concentrations of hexabromocyclododecane (HBCDD) diastereomers in the Great Lakes region

The concentrations of α-, β-, and γ-hexabromocyclododecane (HBCDD) diastereomers in atmospheric particle phase samples were determined at four United States Integrated Atmospheric Deposition Network (IADN) sites located in the North American Great Lakes basin collected between 1 January and 31 December 2014. The concentrations ranged from 0.37 to 8.9 pg/m³, 0.12-4.0 pg/m³, and 0.26-22 pg/m³ for α-, β-, and γ-HBCDD, respectively among the four sampling sites. The median ΣHBCDD concentrations for the four sites were 2.0 pg/m³, 2.1 pg/m³, 1.7 pg/m³ and 5.2 pg/m³ for Chicago, Cleveland, Sturgeon Point and Sleeping Bear Dunes, respectively. Higher levels of ∑HBCDD were observed at the remote site of Sleeping Bear Dunes with comparable levels at the remaining three sites. α-HBCDD and γ-HBCDD were the dominant isomers with an average contribution of about 40% and 50% to ΣHBCDD concentrations, respectively. These HBCDD concentrations were compared with the levels of other brominated flame retardants measured in these samples, including polybrominated diphenyl ethers (PBDEs), 2,3,4,5-tetrabromoethylhexyl benzoate (EHTBB), bis(2-ethylhexyl) tetrabromophthalate (BEHTBP), and decabromodiphenylethane (DBDPE). ∑HBCDD concentrations were significantly lower than or indistinguishable from those of PBDEs, EHTBB, BEHTBP, and DBDPE at all sites except Sleeping Bear Dunes. No significant correlations were found between ΣHBCDD and ΣPBDE, EHTBB, BEHTBP, and DBDPE concentrations, suggesting a different source of HBCDD contamination. This is the first study reporting concentrations of HBCDD isomers in the Great Lakes ambient air, and our results indicate that HBCDD is ubiquitous in the Great Lakes basin, including at remote sites.

Ubiquitous Flame-Retardant Toxicants Impair Spermatogenesis in a Human Stem Cell Model

Sperm counts have rapidly declined in Western males over the past four decades. This rapid decline remains largely unexplained, but exposure to environmental toxicants provides one potential explanation for this decline. Flame retardants are highly prevalent and persistent in the environment, but many have not been assessed for their effects on human spermatogenesis. Using a human stem cell-based model of spermatogenesis, we evaluated two major flame retardants, hexabromocyclododecane (HBCDD) and tetrabromobisphenol A (TBBPA), under acute conditions simulating occupational-level exposures. Here we show that HBCDD and TBBPA are human male reproductive toxicants in vitro. Although these toxicants do not specifically affect the survival of haploid spermatids, they affect spermatogonia and primary spermatocytes through mitochondrial membrane potential perturbation and reactive oxygen species generation, ultimately causing apoptosis. Taken together, these results show that HBCDD and TBBPA affect human spermatogenesis in vitro and potentially implicate this highly prevalent class of toxicants in the decline of Western males' sperm counts.

Hexabromocyclododecanes in breast milk from residents in Shenzhen, China: Implications for infant exposure

Hexabromocyclododecanes (HBCDs) are widely used as flame retardants for various products and have become ubiquitous pollutants in environmental media. However, little is known about HBCD exposure for humans, especially in China. This study aimed to investigate the levels and profiles of hexabromocyclododecanes (HBCDs) in human breast milk and to estimate the daily HBCD intake for infants in Shenzhen, China. Levels of the HBCD diastereoisomers α-, β-, and γ-HBCD in 180 breast milk samples collected from primiparas in Shenzhen were measured. The concentrations of α-, β-, and γ-HBCD (ΣHBCDs) ranged within 0.103-15.1ng/g lipid and had a median of 1.82ng/g lipid. ΣHBCDs levels in milk in the present study are comparable to those in milk from other countries and regions but are markedly higher than those for most populations in other regions of China. Among the diastereoisomers, α-HBCD was predominant, accounting for 97.6% of the concentration of ΣHBCDs. The estimated daily intake of ΣHBCDs via breast milk for infants in Shenzhen ranged from 0.481 to 100ng/kgbw/day with a median of 8.40ng/kgbw/day, however, which was unlikely to raises a health concern based on the margin of exposure (MOE) approach. The duration of residence was found to have a significant positive correlation with the HBCD levels in the human breast milk (p<0.05). To our knowledge, this is the first report on HBCD levels in breast milk from Shenzhen residents.

Legacy and emerging brominated flame retardants in China: A review on food and human milk contamination, human dietary exposure and risk assessment

Brominated flame retardants (BFRs) are a large group of widely used chemicals, which have been produced and used since 1970s. As a consequence of substantial and long-term usage, BFRs have been found to be ubiquitous in humans, wildlife, and abiotic matrices around the world. Although several reports have reviewed BFRs contamination in general, none have focused specifically on foods and human milk, and the corresponding dietary exposure. Foods (including human milk) have long been recognized as a major pathway of BFRs intake for non-occupationally exposed persons. This review summarizes most available BFRs data in foods and human milk from China in recent years, and emphasizes several specific aspects, i.e., contamination levels of legacy and emerging BFRs, dietary exposure assessment and related health concerns, comparison between various BFRs, and temporal changes in BFRs contamination.

Alterations in male reproductive hormones in relation to environmental DDT exposure

DDT [1, 1, 1-trichloro-2,2-bis (p-chlorophenyl)-ethane] compounds are used for indoor residual spraying (IRS) to control malaria mosquitoes. DDT is an endocrine disruptor chemical in experimental conditions, but little is known of adverse effects related to living conditions with continual uptake across a time span by all possible means of exposure. Based on estrogenic and/or anti-androgenic effects found in animal studies, we hypothesized that chronic DDT/DDE exposures in men may be associated with changes in male reproductive hormones. We tested this hypothesis by compared the magnitude and direction of associations between DDT and DDE (1,1-dichloro-2,2-bis(p-chlorophenyl) ethylene) concentrations and male reproductive hormones in samples collected from IRS and non-IRS areas. We sampled a cross-section of 535 men (aged 18-40 years). Men living in IRS villages had significantly higher DDT and DDE concentrations compared with men from non-IRS villages. Men with DDT or DDE uptake (as reflected in detectable plasma concentrations) had significantly higher total-, free and bio-available testosterone (T), and lower follicle stimulating hormone (FSH) concentrations; lower luteinizing hormone (LH) concentrations were only evident with DDT uptake. To establish a dose-dependent effect, four sub-categories were defined. Men with the highest DDT (74-519 μg/g) and DDE (173-997 μg/g) concentrations had significantly higher total-, free and bio-available T, and lower FSH concentrations compared with subjects with non-detectable isomer concentrations. Estradiol concentrations were significantly higher in men with DDT and DDE concentrations in both the third (DDE: 27-172 μg/g; DDT: 5-73 μg/g) and fourth (DDE: 173-997 μg/g; DDT: 74-519 μg/g) categories. Men from IRS villages were significantly more likely to have higher total and bioavailable T as well as higher estradiol concentrations OR = 2.5 (95% CI 1.2, 3.2); OR 2.5 (95% CI 1.6, 4.0) and OR = 2.3 (95% CI 1.3, 4.1) compared to men from non-IRS villages, after controlling for age, BMI, personal use of pesticides, and smoking. Men living in IRS villages with life-long exposure (17.6 (±6) years) at the current residence with multiple exposure modalities incurred the highest degree of physiological imbalance over and above circulating isomer concentrations. Further studies are needed to elucidate the health implications of these findings.

A national survey of tetrabromobisphenol-A, hexabromocyclododecane and decabrominated diphenyl ether in human milk from China: Occurrence and exposure assessment

A national survey of three currently used brominated flame retardants (BFRs), tetrabromobisphenol A (TBBPA), hexabromocyclododecane (HBCD) and decabrominated diphenyl ether (BDE-209) in human milk was conducted in 2011. Human milk from 16 provinces of China were collected, pooled and measured. The estimated daily intake (EDI) via human milk ingestion for nursing infant and the related health risks were evaluated. The median levels of TBBPA, HBCD and BDE-209 were 1.21, 6.83 and 0.556ng/g lipid weight (lw), respectively. Levels of BDE-209 were lower than those of TBBPA, indicating that the production and application of deca-BDE in China has been below that of TBBPA after the restriction of PBDEs. Moreover, contamination levels of TBBPA and HBCD in this survey were higher than those observed in last national survey conducted in 2007, indicating an increase of TBBPA and HBCD in the environment from 2007 to 2011. The mean estimated daily intakes (EDIs) of TBBPA, HBCD and BDE-209 via human milk for 1-6months old infant were 39.2, 51.7 and 3.65ng/kgbw/day, respectively. For risk assessment, margin of exposure (MOE) was calculated by comparing the BMDL₁₀ (benchmark dose lower confidence limit for a benchmark response of 10%) to the EDI of each BFR. Large MOEs indicates that the estimated dietary exposure to these three BFRs for nursing infant is unlikely to raise significant health concerns. Compared with some currently used novel BFRs which also measured in this survey, higher contamination levels were found in some non-PBDE BFRs, indicating that the consumption pattern of BFRs has shifted from PBDEs to non-PBDE BFRs in China.

Distribution of polybrominated diphenyl ethers in breast milk, cord blood and placentas: a systematic review

Polybrominated diphenyl ethers (PBDEs) have been extensively used as flame retardants in consumer products. PBDEs rapidly bioaccumulate in the environment, food, wild animals and humans. In this review, we investigated the harmful effects of PBDEs on humans, especially in early life, and summarised the levels of PBDEs in human biological samples (breast milk, cord blood and placentas). In addition, we described the spatiotemporal distribution of PBDEs in this review. PBDE levels in breast milk, cord blood and placentas were generally higher in North America than in other regions, such as Asia, Europe, Oceania and Africa. However, high levels of PBDEs in human biological samples were detected at e-waste recycling sites in South China, East China and South Korea. This finding suggests that newborns living in e-waste regions are exposed to high levels of PBDEs during prenatal and postnatal periods. The time trends of PBDE concentration differed according to the region. Few studies have investigated PBDE levels in humans from 1967 to 2000, but they increased rapidly after 2000. PBDE concentration peaked at approximately 2006 globally. Compared with other PBDE congeners, BDE-47, BDE-153 and BDE-209 were the major components, but the detection rate of BDE-209 was lower than those of others. Future studies should focus on determining the BDE-209 concentration, which requires the implementation of different analytical approaches. Additionally, the levels of PBDEs in human samples and the environment should be monitored, especially in e-waste recycling regions. Graphical abstract The figures described the spatial distribution of the lowest (Fig. a1) and highest concentration of ∑PBDE (Fig. a2) in different countries by 2006 and described the spatial distribution of the lowest (Fig. b1) and highest concentration of ∑PBDE (Fig. b2) in different countries from 2007 to 2015. All the figures indicated that the levels of PBDEs in North America were substantially higher than those in many regions of Europe, Asia, Oceania, or Africa. Comparing Fig. a1-b1 or Fig. a2-b2, increasing trends were observed in some countries, especially in some regions in China, Korea and Canada.

Pesticides in human milk of Western Australian women and their influence on infant growth outcomes: A cross-sectional study

Persistent organic pollutants in human milk (HM) at high levels are considered to be detrimental to the breastfed infant. To determine the pesticide concentration in HM, a pilot cross-sectional study of 40 Western Australian (WA) women was carried out. Gas chromatography-tandem mass spectrometry (GC-MS/MS) with a validated QuEChERS was used for the analysis of 88 pesticides in HM. p,p'-dichlorodiphenyldichloroethylene (p,p'-DDE) with a mean concentration of 62.8 ± 54.5 ng/g fat was found, whereas other organochlorines, organophosphates, carbamates and pyrethroids were not detected in HM. Overall, no association was observed between HM p,p'-DDE concentrations and maternal age, parity, body mass index and percentage fat mass. Furthermore, for the first time no significant association was found between p,p'-DDE concentrations in HM and infant growth outcomes such as weight, length, head circumference and percentage fat mass. The calculated daily intake was significantly different to the estimated daily intake of total DDTs and was well below the guideline proposed by WHO. The DDTs levels in WA have also significantly decreased by 42 - fold since the 1970s and are currently the lowest in Australia.

Demographic and temporal trends of hexabromocyclododecanes (HBCDD) in an Australian population

Hexabromocyclododecanes (HBCDD) were measured in 67 pooled serum samples collected between 2002 and 2015 in South East Queensland, Australia. These data are the first report of HBCDD in Australian human serum. Temporal and demographic (age and gender) trends were investigated. HBCDD were detected in measurable concentrations in 69% of samples. The average ∑HBCDD concentration was 3.1ng/g lipid, whilst the range was <0.5 to 36ng/g lipid. α-HBCDD was the dominant stereoisomer making up an average of 60% of ∑HBCDD. The remainder was made up by γ-HBCDD. In contrast to another group of brominated flame retardants (BFRs, (polybrominated diphenyl ethers (PBDEs)), HBCDD were found in the lowest concentrations in pools from children aged 0-4 years. This could be attributed to differences in exposure, usage, and/ or the much lower half-life of HBCDD in the human body compared to PBDEs. HBCDD concentrations appear to be significantly higher in females than in males, however the reasons for this are unclear.

Longitudinal study of pesticide residue levels in human milk from Western Australia during 12 months of lactation: Exposure assessment for infants

The presence of pesticides in human milk (HM) is of great concern due to the potential health effects for the breastfed infant. To determine the relationships between HM pesticides and infant growth and development, a longitudinal study was conducted. HM samples (n = 99) from 16 mothers were collected at 2, 5, 9 and 12 months of lactation. A validated QuEChERS method and Gas chromatography-tandem mass spectrometry (GC-MS/MS) were used for the analysis of 88 pesticides in HM. Only p,p’-DDE, p,p’-DDT and β-HCH were detected with a mean concentration (±SD) of 52.25 ± 49.88 ng/g fat, 27.67 ± 20.96 ng/g fat and 48.00 ± 22.46 ng/g fat respectively. The concentrations of the detected pesticides decreased significantly throughout the first year of lactation. No significant relationships between HM p,p’-DDE and infant growth outcomes: weight, length, head circumference and percentage fat mass were detected. The actual daily intake (ADI) of total DDTs in this cohort was 14–1000 times lower than the threshold reference and significantly lower than the estimated daily intake (EDI). Further, the ADI decreased significantly throughout the first 12 months of lactation.

Critical review of the analysis of brominated flame retardants and their environmental levels in Africa

World-wide, the prevalence of brominated flame retardants (BFRs) is well documented for routine analysis of environmental and biological matrices. There is, however, limited information on these compounds in the African environment and insufficient information on the analytical approaches used to obtain data. This paper presents a review on BFR levels in the African environment and the various analytical methodologies specifically applied in Africa for polybrominated diphenyl ethers (PBDEs), polybrominated biphenyls and alternative-BFRs. The analyses include liquid sample preparation using liquid-liquid and solid phase extraction and solid sample preparation involving Soxhlet extraction, with ultrasound-assisted extraction increasingly being applied. Instrumental detection techniques were limited to gas chromatography coupled with electron capture detector and electron impact ionisation with single quadrupole mass spectrometers. Information on congener profile prevalence in indoor dust, soil, aquatic environment (water, sediment, and aquatic organisms), eggs, wastewater treatment plant compartments, landfills (leachate and sediment) and breast milk are presented. Although PBDEs were inconsistently detected, contamination was reported for all investigated matrices in the African environment. The manifestation in remote regions indicates the ubiquitous prevalence and long-range transport of these compounds. Levels in sediment, and breast milk from some African countries were higher than reported for Asia and Europe. Due to limited data or non-detection of alternative-BFRs, it is unclear whether banned formulations were replaced in Africa. Most of the data reported for BFR levels in Africa were obtained in non-African laboratories or in South Africa and formed the basis for our discussion of reported contamination levels and related methodologies.

Assessment of polybrominated diphenyl ethers in sediment of Asunle stream of the Obafemi Awolowo University, Ile-Ife, Nigeria

Assessment of levels of polybrominated diphenyl ethers (PBDEs) from the sediment of Asunle stream, an adjourning stream of the Obafemi Awolowo University dumpsite, has been carried out. Sediment samples were collected from the stream at six locations for a period of 8 months, composed of 4 months each of wet (May-Aug) and dry (Nov-Feb) seasons. Soxhlet extraction was employed for the isolation of all the target compounds from the sediment samples. Extracts were further subjected to multi-layer column chromatography employing different forms of silica gel. The prepared samples were analyzed using GC-MS. The overall mean concentrations of the total PBDEs ranged from 1.80 to 9.46 ng/g. The results showed that the concentrations of the PBDEs were slightly higher during the wet season than those during the dry season. In all the studied locations, BDE28, BDE47, BDE99, BDE100, BDE153, and BDE154 were detected in all the sediment samples at concentrations that ranged from 0.73 to 10.43 ng/g. Results of this study indicated that BDE153 was the major pollutant of the Asunle stream sediments.

Brominated flame retardants (BFRs) in breast milk and associated health risks to nursing infants in Northern Tanzania

The main aim of this study was to assess brominated flame retardants (BFRs) in breast milk in the Northern parts of Tanzania. Ninety-five colostrum samples from healthy, primiparous mothers at Mount Meru Regional Referral Hospital (MMRRH), Arusha Tanzania, were analyzed for polybrominated diphenyl ethers (PBDEs), hexabromocyclododecane (HBCD), 1,2-bis(2,4,6-tribromophenoxy) ethane (BTBPE), hexabromobenzene (HBB), (2,3-dibromopropyl) (2,4,6-tribromophenyl) ether (DPTE), pentabromoethylbenzene (PBEB) and 2,3,4,5,6-pentabromotoluene (PBT). The Ʃ7PBDE (BDE 28, 47, 99, 100, 153, 154, 183) ranged from below level of detection (<LOD) to 785ng/g lipid weight (lw). BDE 47, 99, 100 and 153 were the dominating congeners, suggesting recent and ongoing exposure to banned, commercial PentaBDE mixture. A multiple linear regression model revealed that mothers eating clay soil/Pemba during pregnancy had significantly higher levels of BDE 47, 99, 100 and 153 in their breast milk than mothers who did not eat clay soil/Pemba. Infant birth weight and birth length were significantly correlated with the levels of BDE 47, 99, 100 and 153. The estimated daily intake (ng/kg body weight/day) of BDE 47 and 99 exceeded the US EPA Reference doses (RfD) in four and eight mothers, respectively, suggesting a potential health risk to the nursing infants.

Levels and profiles of brominated and chlorinated contaminants in human breast milk from Thessaloniki, Greece

Human breast milk samples (n=87) collected between July 2004 and July 2005 from primipara and multipara mothers from Thessaloniki, Greece were analysed for six groups of persistent organic pollutants (POPs): polybrominated diphenyl ethers (PBDEs), polychlorinated biphenyls (PCBs), dichlorodiphenyltrichloroethane and its metabolites (DDTs), chlordane compounds (CHLs), hexachlorocyclohexane isomers (HCHs) and hexachlorobenzene (HCB). DDTs [median: 410ng/g lipid weight (lw)], PCBs (median: 90ng/g lw) and HCHs (median: 40ng/g lw) were the predominantly identified compounds in all the breast milk samples. Levels of PBDEs (median: 1.5ng/g lw) in human breast milk samples from Thessaloniki, Greece were lower compared to other countries. Maternal age had a positive correlation with most compounds, but not with PBDEs. Women with a higher occupational exposure to PBDEs (i.e., working in office environments) had higher PBDE concentrations than all others and showed strong correlations, especially for BDE 47 and BDE 153. None of the analysed compounds showed any correlation with parity. Based on these levels, the daily intake of each group of POPs via human milk was calculated and compared with the tolerable daily intakes (TDI) or the reference doses (RfD). For the majority of samples (85 out of 87) a higher daily intake of PCBs than the TDI was calculated, while 11 out of 87 samples had a higher HCB intake than the TDI. The TDI and the RfD were not exceeded for DDTs and PBDEs, respectively. This is the first report of brominated flame retardants in human breast milk from Greece.

Persistent Organic Pollutants and Concern Over the Link with Insulin Resistance Related Metabolic Diseases

Persistent organic pollutants (POPs) are mostly halogenated compounds tending to persist in the environment, enter into the food chain, and accumulate in fat mass of mammals due to their high lipophilicity. They include some organochlorine pesticides, polychlorinated biphenyls, brominated flame retardants and polycyclic aromatic hydrocarbons. Some of these chemicals were widely used in the past so that their residues can be detected in the human body, though their usage has been banned for years. POPs have been shown to perturb the health of biological systems in different ways evidenced by carcinogenicity and disrupting effects on endocrine, immune, and reproductive systems. There are many epidemiologic and experimental studies on the association of exposure to POPs with insulin resistance and related metabolic disorders like obesity, diabetes, and metabolic syndrome. Inflammation as a known mechanism accompanying insulin resistance has also been shown to arise in insulin target tissues exposed to POPs. This review addresses the breast milk concentration of POPs in different regions of the world, synthesizes the current information on the association of POPs with insulin resistance related metabolic disorders, and discusses the inflammation as an involved mechanism. Considering high prevalence of insulin resistance related metabolic diseases and their relation with POPs, much need is felt regarding international and regional programs to not only limit their production and usage but eliminate these persistent pollutants from the environment.

Levels of polybrominated diphenyl ethers in indoor dust and human exposure estimates from Makurdi, Nigeria

Information on polybrominated diphenyl ethers (PBDEs) in the indoor environment in developing countries is still relatively scarce. In this study, house (n=10) and office (n=11) dusts samples collected from Makurdi, Benue State Nigeria were extracted and analysed for most abundant PBDEs congeners in the environment. Soxhlet extraction followed by GC-EIMS was employed for the measurement of PBDEs (BDE-47, -100, -99, -154, -153, -183 and -209). The mean concentration of ∑7 PBDEs ranged from 57ngg(-1) to 80ngg(-1) and a median value of 45ngg(-1)and 63ngg(-1) were obtained for house and office dust respectively. The daily exposure and ingestion dose estimates were calculated based on the assumption that 30mg and 60mgday(-1) dust represent the ingestion rate. In addition, the corresponding time spent indoors was assumed to be 87.5% (adult) and 69% (children) in homes and 22% in offices and day care. The average value exposure rate of ∑7PBDEs for children and adults were 2ngday(-1) and 0.84ngday(-1) respectively. The results in the present study, showed higher exposure estimates for both children and adults' in house dust from Nigeria compared to South Africa.

Polybrominated diphenyl ethers and polychlorinated biphenyls in indoor dust in Durban, South Africa

Polybrominated diphenyl ethers (PBDEs) and polychlorinated biphenyls (PCBs) were measured in indoor dust of three microenvironments in Durban, South Africa. The sum of eight PBDEs and three PCBs were quantified by gas chromatography with mass spectral detection. The mean concentrations of ∑n = 8 PBDEs and ∑n = 3 PCBs in 10 homes, 11 offices, and 13 university students' computer laboratories were 1710, 1520, and 818 ng/g, and 891, 923, and 1880 ng/g for PBDEs and PCBs, respectively. The concentration of PCBs found in homes was independent (P = 0.0625) of building construction year. Similarly, no relationship was observed between PCB concentrations and floor type. The concentrations of PBDEs correlated (r = 0.60) with PCB concentrations in homes, thus assuming similar sources. The elevated concentrations of PBDEs and PCBs may have significant implications for human exposure.

Concentration of novel brominated flame retardants and HBCD in leachates and sediments from selected municipal solid waste landfill sites in Gauteng Province, South Africa

In this study leachate and sediment samples were collected from six municipal solid waste landfill sites across Gauteng Province in South Africa to determine the levels of 2-ethylhexyl 2,3,4,5 tetrabromobenzoate (EH-TBB), 1,2-bis(2,4,6-tribromophenoxy) ethane (BTBPE), decabromodiphenyl ethane (DBDPE), bis(2-ethylhexyl)-3,4,5,6-tetrabromo-phthalate (BEH-TEBP) and hexabromocyclododecane (HBCD). Soxhlet as well as liquid-liquid extraction were employed for sediment and leachates respectively followed by GC-EIMS analysis. Concentrations of novel brominated flame retardants (NBFRs) ranged from below detection (<dl)-310ngg(-1) and <dl-142pgL(-1) for sediment and leachate samples while percentage proportions of detected NBFRs and HBCD analytes in leachate samples was observed to be approximately 64%, 22%, 9% and 5% for TBB, ∑HBCD, BTBPE and TBPH respectively. Frequency of detection was lower in sediment (<20-50%) compared to leachate (75-100%) samples. Decabromodiphenyl ethane levels in sediment and leachate samples were found below the limit of quantitation. A positive correlation with NBFRs was, however, observed with some water quality parameters except for sulphate.

An assessment of polybrominated diphenyl ethers and polychlorinated biphenyls in the indoor dust of e-waste recycling facilities in South Africa: implications for occupational exposure

Workplace exposure to persistent organic pollutants is a concern for human health. This study examined the presence of polybrominated diphenyl ethers (PBDEs) and polychlorinated biphenyls (PCBs) in the indoor dust from two major e-waste recycling sites and a university electronic equipment repair workshop in Durban, South Africa, in order to evaluate the implication of dust for occupational exposure. The mean ∑(n = 8)PBDEs and ∑(n = 3)PCBs were 20,094 and 235 ng g(-1), respectively. The levels of PBDEs and PCBs obtained in one of the recycling sites (123-27,530 and 161-593 ng g(-1)) were significantly higher than the levels obtained (91-7686 and <DL-42 ng g(-1), respectively) in the same site after site cleanup/maintenance. Occupational exposure was assessed for different exposure scenarios by using the 5th and 95th percentile, and the median and mean concentrations measured at the sites. By assuming a mean and a high dust intake rate, the average and 95th percentile daily exposure doses (∑DED/ng kg(-1) bw day(-1)) of PBDEs were 3.98, 8.52 and 7.58, 16.19, respectively, and of PCBs were 0.047, 0.094 and 0.089, 0.179, respectively. The ∑DEDs of PBDEs and PCBs were lower than the reference (RfD) values for BDE 47, BDE 99, BDE 153 and BDE 209, and Aroclor 1254 and 1016. Nevertheless, continual exposure to high levels of these pollutants is a concern; but as shown, the exposure can be significantly reduced if the e-waste facilities are cleaned thoroughly regularly.

Spatial and temporal trends of the Stockholm Convention POPs in mothers' milk -- a global review

Persistent organic pollutants (POPs) have been of environmental and health concern for more than half a century and have their own intergovernmental regulation through the Stockholm Convention, from 2001. One major concern is the nursing child's exposure to POPs, a concern that has led to a very large number of scientific studies on POPs in mothers' milk. The present review is a report on the assessment on worldwide spatial distributions of POPs and of their temporal trends. The data presented herein is a compilation based on scientific publications between 1995 and 2011. It is evident that the concentrations in mothers' milk depend on the use of pesticides and industrial chemicals defined as POPs. Polychlorinated biphenyls (PCBs) and "dioxins" are higher in the more industrialized areas, Europe and Northern America, whereas pesticides are higher in Africa and Asia and polybrominated diphenyl ethers (PBDEs) are reported in higher concentrations in the USA. POPs are consequently distributed to women in all parts of the world and are thus delivered to the nursing child. The review points out several major problems in the reporting of data, which are crucial to enable high quality comparisons. Even though the data set is large, the comparability is hampered by differences in reporting. In conclusion, much more detailed instructions are needed for reporting POPs in mothers' milk. Temporal trend data for POPs in mothers' milk is scarce and is of interest when studying longer time series. The only two countries with long temporal trend studies are Japan and Sweden. In most cases, the trends show decreasing concentrations of POPs in mothers' milk. However, hexabromocyclododecane is showing increasing temporal concentration trends in both Japan and Sweden.

Influence of physicochemical and chemical parameters on polybrominated diphenyl ethers in selected landfill leachates, sediments and river sediments from Gauteng, South Africa

Polybrominated diphenyl ethers (PBDEs) are known to be persistent, endocrine disruptors and bioaccumulative and can cause adverse health effects in animals and humans. In this study, river and landfill sediment samples were collected from selected rivers and municipal solid waste landfill (MSWL) sites across Gauteng Province in South Africa to determine the levels of common PBDEs (BDE-17, BDE-47, BDE-99, BDE-100, BDE-153, BDE-154, BDE-183 and BDE-209). The mean and median concentrations of Σ8 PBDEs from river sediment samples was 2.4 and 0.4 ng g(-1), respectively, and a range of 0.8-114 ng g(-1). The highest concentration of Σ8 PBDEs (43.6 ng g(-1)) was observed at Jukskei River with more than two orders of magnitude greater than the rest. The observed total PBDE concentrations in landfill sediment and leachate samples ranged from 0.8 to 8.4 ng g(-1) and 127-3,702 pg L(-1) for the two matrices. BDE-209 was predominantly detected in most of the sediment samples. Two of the MSWLs which are lined with geomembranes gave the highest concentrations of ∑7 PBDEs (2,678 and 3,702 pg L(-1)). Correlation values for ∑7 PBDEs versus Co (r = 0.65), Cu (r = 0.52), Mn (r = 0.10), Mg (r = 0.76), Ca (r = 0.66) and Ni (r = 0.77) with a statistical significance (p < 0.05) were observed except for Na, Cr, Pb, K, Fe and Zn (p > 0.05). The observed positive correlation may suggest a possible influence of trace metals on PBDE concentrations in leachates. Furthermore, a test of relationship between major anions and PBDEs yielded positive relationship with Cl(-) (r = 0.94, p = 0.16), F(-) (r = 0.97, p = 0.21), Br(-) (r = 0.6, p = 0.29) and NO3 (2-) (r = 0.96, p = 0.08) with an insignificant statistical difference. However, evaluation of the relationship between some water quality parameters (pH, dissolved oxygen and electrical conductivity) gave negative correlation with PBDE concentrations.

Human exposure to PBDE and critical evaluation of health hazards

Polybrominated diphenyl ethers (PBDEs) are used in large quantities as flame-retardant additives in a number of commercial products. Biomonitoring data show that, in recent years, PBDE concentrations have increased rapidly in the bodies of wildlife and humans. Usually, PBDE levels in North America have been reported to be higher than those in Europe and Asia. Moreover, body burden of PBDEs is three- to ninefold higher in infants and toddlers than in adults, showing these last two age groups the highest levels of these compounds, due to exposure via maternal milk and through dust. Tetra-, Penta-, and Hexa-BDEs are the isomers most commonly found in humans. Based on studies on experimental animals, the toxicological endpoints of exposure to PBDEs are likely to be thyroid homeostasis disruption, neurodevelopmental deficits, reproductive changes, and even cancer. Experimental studies in animals and epidemiological observations in humans suggest that PBDEs may be developmental neurotoxicants. Pre- and/or postnatal exposure to PBDEs may cause long-lasting behavioral abnormalities, particularly on motor activity and cognition. This paper is focused on reviewing the current status of PBDEs in the environment, as well as the critical adverse health effects based on the recent studies on the toxic effects of PBDEs.

Dioxin, furan and PCB serum levels in a South African Tswana population: comparing the polluting effects of using different cooking and heating fuels

In South Africa, 26-50% of households use solid fuel for cooking food and heating houses. When used as fuel, wood and chlorinated waste are known sources of polychlorinated dibenzo-para-dioxins, polychlorinated dibenzofurans (PCDD/Fs), and polychlorinated biphenyls (PCBs). Here, we compare PCDD/F, dioxin-like PCB (DL-PCB), and non-DL-PCB (NDL-PCB) levels in serum of 693 Tswana individuals in the North West province, who either burn solid biofuels or have access to electricity, gas, and paraffin. This is the first South African study on dioxin levels in humans with more than 100 participants. Serum was pooled according to fuel use, as well as to confounding factors such as gender and age. Solid-phase extraction was used to remove the target analytes from serum, after which the extracts were further refined automatically using a combination of multilayer sorbents. Compound concentrations were determined by high-resolution mass spectrometry after high-resolution gas chromatography. Mean serum lipid content was determined enzymatically to be 5.91 ± 0.42 g/L. The PCDD/F and DL-PCB levels were similar to global concentrations reported for non-exposed adults. The mean of the total Toxic Equivalencies (ΣTEQ) was 6.9 ± 3.3 pg/g lipid and the mean NDL-PCB was 70.1 ± 42.8 ng/g lipid. The mean concentrations of the PCDDs, PCDFs and the corresponding World Health Organization-TEQ (WHO-TEQ) of the population using electricity, gas, and paraffin were greater than of those reliant on solid biomass (p = 0), whereas the DL-PCBs, their corresponding WHO-TEQ, and NDL-PCBs were greater for the population who use biofuels but not significantly so. The females had higher serum levels of the PCDDs (p = 0) and PCDFs (not significant) whereas the PCBs were higher for the males (p = 0). Breastfeeding women presented lower levels of all compound classes than their non-breastfeeding counterparts (p=0) and older subjects manifested greater pollutant loads than the younger generation (p = 0). For our study population, being regularly exposed to the combustion of solid biofuels caused higher serum levels of DL-PCBs and NDL-PCBs but not of PCDDs and PCDFs.

Polychlorinated biphenyls (PCBs) in Africa: a review of environmental levels

Several studies have shown an increase in PCB sources in Africa due to leakage and wrongly disposed transformers, continuing import of e-waste from countries of the North, shipwreck, and biomass burning. Techniques used in the recycling of waste such as melting and open burning to recover precious metals make PCBs contained in waste and other semivolatile organic substances prone to volatilization, which has resulted in an increase of PCB levels in air, blood, breast milk, and fish in several regions of Africa. Consequences for workers performing these activities without adequate measures of protection could result in adverse human health effects. Recent biodegradation studies in Africa have revealed the existence of exotic bacterial strains exhibiting unique and unusual PCB metabolic capability in terms of array of congeners that can serve as carbon source and diversity of congeners attacked, marking considerable progress in the development of effective bioremediation strategies for PCB-contaminated matrices such as sediments and soils in tropical regions. Action must be taken to find and deal with the major African sources of these pollutants. The precise sources of the PCB plume should be pinned down and used to complete the pollutant inventories of African countries. These nations must then be helped to safely dispose of the potentially dangerous chemicals.

Levels of PCDD/Fs, PCBs and PBDEs in breast milk of women living in the vicinity of a hazardous waste incinerator: assessment of the temporal trend

The concentrations of polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/Fs), polychlorinated biphenyls (PCBs) and polybrominated diphenyl ethers (PBDEs) were determined in breast milk from women living in the vicinity of a hazardous waste incinerator (HWI) in Catalonia, Spain. The results were compared with the levels obtained in previous surveys carried out in the same area in 1998 (baseline study), 2002 and 2007. The current total concentrations of 2,3,7,8-chlorinated PCDD/Fs in breast milk ranged from 18 to 126 pg g(-1)fat (1.1-12. 3 pg WHO2005-TEQPCDD/F), while the total levels of PCBs ranged from 27 to 405 pg g(-1)fat(0.7-5.3 pg WHO2005-TEQPCB). In turn, PBDE concentrations (sum of 15 congeners) ranged 0.3-5.1 g g(-1)fat, with a mean value of 1.3 ng g(-1)fat. A general decrease in the concentrations for PCDD/Fs, both planar and total PCBs, and PBDEs in breast milk was observed. The levels of PCDD/Fs, PCBs, and PBDEs in milk of women living in urban zones were higher than those corresponding to industrial zones (41%, 26%, and 8%, respectively). For PCDD/Fs and PCBs, the current decreases are in accordance with the reduction in the dietary intake of these pollutants that we have also observed in recent studies carried out in the same area of study.

Effects of low-level hexabromocyclododecane (HBCD) exposure on cardiac development in zebrafish embryos

Hexabromocyclododecane (HBCD) is one of the most widely used brominated flame retardants. In the present study, zebrafish embryos were exposed to HBCD at the low concentrations of 0, 2, 20 and 200 nM. The results showed HBCD exposure resulted in an increase in heart rate and cardiac arrhythmia after exposure for 72 h, though the survival rate and the whole malformation rate were not significantly affected. These results demonstrated that the heart might be a target of HBCD. Low-level HBCD exposure may not share the same mechanisms as exposure to high concentrations, since no obvious increase of apoptotic cells around the heart was observed in the HBCD-treated groups. It was observed that the expression of Tbx5 and Nkx2.5 was significantly elevated by HBCD treatment in a dose-dependent manner using real-time quantitative PCR, which may be mainly responsible for the alteration of heart rate, given that Tbx5 and Nkx2.5 are two factors regulating ventricle conduction. The mRNA expression of RyR2 and Atp2a2b (SERCA2a) was up-regulated in the exposure group, which may be one of reasons to affect the normal heart rate, since SERCA2a and RyR2 play an important role in calcium ion transport of cadiomyocytes. However, HBCD exposure did not significantly change the expression of Actc1l, Tnnt2, and Myh6, which are mainly muscle contractile genes that play key roles in the formation of cardiac structure. These results were consistent with the lack of effect seen on the other measurements of cardiac function, end diastolic volume, end-systolic volume, stroke volume, and cardiac output.

Polybrominated diphenyl ethers (PBDEs) in breast milk of Korea in 2011: current contamination, time course variation, influencing factors and health risks

Breast milk is a valuable biological specimen to assess maternal and infant exposure to polybrominated diphenyl ethers (PBDEs). In this study, 208 breast milk samples were collected from 89 participants during lactation period, at <7, 15, 30, and 90 days postpartum, in four cities in Korea, and were determined for 19 PBDE congeners. The total PBDE concentrations (ΣPBDE) ranged from 0.23 to 68.4 (mean: 2.73) ng/g lipid weight, and were within the ranges reported for European and Asian countries. Within a month of lactation after delivery, no significant changes were found in the PBDE concentrations. The predominance of BDE 153 rather than BDE 47 was found in the most samples that BDE 153 was detected, and was likely to be associated with stepwise debromination of BDE 209. No associations were found between PBDE concentrations in breast milk and demographic parameters, except for ΣPBDE with maternal age and delivery mode. Certain types of diet such as corn, seafood and nut correlated significantly with PBDE levels in breast milk. The estimated daily intakes of ΣPBDE for breast-feeding infants were lower than the guidelines proposed by the US EPA, indicating limited health risk from PBDEs through breast feeding.

Brominated flame-retardants in Sub-Saharan Africa: burdens in inland and coastal sediments in the eThekwini metropolitan municipality, South Africa

Brominated flame-retardant (BFR) additives are present in many polymeric consumer products at percent levels. High environmental concentrations have been observed near cities and polymer, textile, and electronics manufacturing centers. Most studies have focused on European, North American, and Asian locales. Releases are likely rising most dramatically in countries with weak environmental and human health regulation and enforcement, demand for electrical and electronic equipment (EEE) is escalating, and importation of waste EEE occurs. Several African countries meet these criteria, but little data are available on burdens or sources. To better understand the extent of BFR environmental dissemination in a southern African urban community, inland and coastal sediments were collected in the eThekwini metropolitan municipality, South Africa, and analyzed for polybrominated diphenyl ethers (PBDEs), hexabromocyclododecane (HBCD), 2-ethylhexyl 2,3,4,5-tetrabromobenzoate (TBB), 2-ethylhexyl 2,3,4,5-tretabromophalate (TBPH), 1,2-bis (2,4,6-tribromophenoxy) ethane (BTBPE), and decabromodiphenyl ethane (DBDPE). BFRs were detected in all samples (n = 45). Concentration data are presented on total organic carbon (TOC) normalized basis. ΣBFR ranged from 114 to 47 100 ng g(-1). Decabromodiphenyl ether was detected in 93% of samples (mean concentration 3208 ng g(-1)) followed by TBB at 91% (mean conc. 545 ng g(-1)). Durban Bay is strongly influenced by urban runoff and tidal hydrology, and sediments therein exhibited ΣPBDE concentrations ranging from 1850 to 25 400 ng g(-1) (median conc. 3240 ng g(-1)). These levels rival those in the heavily impacted Pearl River Delta, China. BFRs likely enter the South African environment during manufacture of BFR-containing products, during and following product use (i.e., after disposal and as a result of materials recycling activities), and from nonpoint sources such as atmospheric fallout and urban runoff. These results underline the need to investigate further the environmental burdens and risks associated with BFRs in developing countries.

The fate of β-hexabromocyclododecane in female C57BL/6 mice

1,2,5,6,9,10-Hexabromocyclododecane (HBCD) is a high production volume cycloaliphatic used as an additive flame retardant primarily in polystyrene foam building materials. HBCD mixtures contain three major stereoisomers, alpha (α), beta (β), and gamma (γ), at a typical ratio of 1.2:0.6:8.2. The toxicokinetic properties of the α and γ isomers differ. For instance, α-HBCD has greater bioavailability and potential for accumulation in mice than γ-HBCD. The present study reports comparative kinetics data for β-HBCD needed to support toxicological evaluations of HBCD mixtures. Results indicated that a single oral dose of 3mg/kg of [(14)C]-labeled β-HBCD was absorbed rapidly (≥ 85% total dose) in the female C57BL/6 mouse. The C max for β-HBCD-derived radioactivity in tissues, except adipose, was observed 3h following gavage. Approximately 90% of the administered dose was excreted in urine and feces within 24h, primarily as β-HBCD-derived metabolites. A portion of the dose (circa 9%) was excreted in feces as γ-HBCD. Oral administration of 30 or 100mg/kg of β-HBCD resulted initially in slower rates of [(14)C] elimination; however, cumulative excretion data were similar across the dosing range 4 days postdosing. Residual concentrations of [(14)C] in tissues were highest in adipose and liver. β-HBCD-derived radioactivity accumulated in most tissues following four consecutive daily oral doses of 3mg/kg. The extent of metabolism and excretion of β-HBCD in female C57BL/6 mice was similar to that for γ-HBCD. The potential for accumulation of β-HBCD-derived material in most tissues appeared to be less than for α-HBCD.

Levels of tetrabromobisphenol A, hexabromocyclododecanes and polybrominated diphenyl ethers in human milk from the general population in Beijing, China

Three brominated flame retardants (BFRs), tetrabromobisphenol A (TBBPA), hexabromocyclododecane (HBCD) and polybrominated diphenyl ethers (PBDEs), were measured in 103 human milk samples collected from Beijing in 2011. The donors' personal information, such as dietary habit and socioeconomic and lifestyle factors, was obtained by questionnaires. Ultra-performance liquid chromatography-mass spectrometry (UPLC-MS/MS) analysis indicated that the levels of TBBPA ranged from <LOD to 12.46 ng g(-1) lipid weight (lw), with a median value of 0.10 ng g(-1) lw. Three HBCD diastereoisomers (α-, β- and γ-HBCD) were also measured using UPLC-MS/MS. The levels of ΣHBCDs ranged from <LOD to 78.28 ng g(-1) lw, with a median value of 2.40 ng g(-1) lw. α-HBCD was generally the most abundant of the three isomers. Eight PBDE congeners, BDE-28, 47, 99, 100, 153, 154, 183 and 209, were measured using gas chromatography coupled with a mass spectrometry (GC/MS). The concentrations of ΣPBDEs ranged from 0.22 to 135.41 ng g(-1) lw, with a median value of 3.24 ng g(-1) lw. BDE-209 dominated the PBDE profile in the majority of the human milk samples. The mean estimated daily intakes (EDIs) of TBBPA, ΣHBCDs and ΣPBDEs by breast-fed infants were 2.34, 24.89 and 71.27 ng kg(-1) bw day(-1), respectively. No significant correlation was found between the BFR levels in milk and the mother's diet, place of residence, smoking habit, nursing duration or computer use habit. In contrast, the mother's age, body mass index (BMI), education level and number of computers in the home were related to the levels of some types of BFRs. More research is needed to further investigate the major source(s) of exposure, the effect of each potential factor and the possible toxicological impact of high daily BFR intake on infants.

Background levels of polybrominated diphenyl ethers (PBDEs) in soils from Mount Meru area, Arusha district (Tanzania)

This study investigates the contamination by 13 polybrominated diphenyl ether (PBDE) congeners in an altitudinal soil transect on Mt. Meru area, Northern Tanzania. A ∑13PBDEs mean concentration of 386±200 pg/g d.w. (4900±3500 pg ∑13PBDEs/g soil organic matter - SOM) was measured, pointing out that, in a prevalently agricultural area from the southern hemisphere, PBDE contamination can be even higher than in similar semi-remote environment of industrialized country of the northern one. The Mt. Meru PBDE pattern of contamination was characterized by the prevalence of intermediate brominated congeners (tetra- and penta-BDEs). Among the detected compounds, BDE-47 was the main congener, followed by BDE-99, BDE-190 and BDE-100. The distribution of PBDEs confirmed that organic carbon had a substantial impact on their accumulation in Tanzanian soils. The altitudinal profile of PBDEs (log TOC-normalized concentrations) fitted a second order polynomial model with altitude, with an initial concentration decrease, interpreted as a dilution effect from local/regional sources, and a following consistent increase with altitude according to the cold condensation theory. Evidences of distillation effect among PBDE congeners were also observed.