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Gopal V, Krishnamurthy RR, Indhumathi A, Sharon BTX, Priya TSD, Rathinavel K, Bharath KM, Magesh NS, Ayyamperumal R. Geochemical evaluation, ecological and human health risk assessment of potentially toxic elements in urban soil, Southern India. ENVIRONMENTAL RESEARCH 2024; 248:118413. [PMID: 38316388 DOI: 10.1016/j.envres.2024.118413] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/06/2023] [Revised: 01/26/2024] [Accepted: 02/02/2024] [Indexed: 02/07/2024]
Abstract
Roadside soil contamination is mostly caused by human-caused pollutant deposition. PTEs are among the many substances that are harmful for both humans and the environment. PTE concentrations in roadside soil in Chennai, southern India, have been determined in this study. To evaluate the seriousness of the threats, more environmental and geochemical indices have been applied. 83 soil samples have been obtained from the study regions and focusing on important roads. Elemental analysis has been analyzed with ED-XRF and sieve-filtered samples focused on PTEs such as arsenic, barium, cobalt, chromium, copper, iron, potassium, nickel, lead, thorium, titanium, zinc, and uranium. Significant metallic variations have been found in soil samples around roads by the investigation. The elements this study examined section ascending in the following sequence: Fe > Ti > Zn > Cr > Pb > Cu > Ni > Th > As > U > K. In the research area, the CD classification denotes high contamination, whereas the CF indices show mild to significant pollution. PLI indicates moderate to high pollution, whereas EF suggests excessive enrichment. Igeo demonstrates a range from uncontaminated to highly contaminated. PERI showed high levels in the northern study region, whereas GUFI shows several hot spots indicating moderate to severe pollution. The Hazard Index (HI) values for all metals were less than one, demonstrating the absence of non-carcinogenic risks for both adults and children. Multivariate data show natural and anthropogenic PTEs in roadside soil. In addition, a soil quality monitoring system is needed to mitigate continual contamination risks.
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Affiliation(s)
- V Gopal
- Centre for Earth and Atmospheric Sciences (CEAS), Sathyabama Institute of Science and Technology Deemed to Be University, Chennai, 600 119, Tamil Nadu, India.
| | - R R Krishnamurthy
- Department of Applied Geology, University of Madras, Guindy Campus, Chennai, 600 025, Tamil Nadu, India
| | - A Indhumathi
- Department of Applied Geology, University of Madras, Guindy Campus, Chennai, 600 025, Tamil Nadu, India
| | - Beenu T X Sharon
- Department of Applied Geology, University of Madras, Guindy Campus, Chennai, 600 025, Tamil Nadu, India
| | - T S Derlin Priya
- Department of Applied Geology, University of Madras, Guindy Campus, Chennai, 600 025, Tamil Nadu, India
| | - K Rathinavel
- Department of Applied Geology, University of Madras, Guindy Campus, Chennai, 600 025, Tamil Nadu, India
| | - K Manikanda Bharath
- Department of Civil & Environmental Engineering, National Institute of Technical Teachers Training and Research (NITTTR), (Ministry of Education, Govt. of India), Anna University, Chennai, 600 025, Tamil Nadu, India
| | - N S Magesh
- Centre for Water Resources Development and Management, Kozhikode, 673 571, Kerala, India
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Han I, Whitworth KW, Christensen B, Afshar M, An Han H, Rammah A, Oluwadairo T, Symanski E. Heavy metal pollution of soils and risk assessment in Houston, Texas following Hurricane Harvey. ENVIRONMENTAL POLLUTION (BARKING, ESSEX : 1987) 2022; 296:118717. [PMID: 34933061 PMCID: PMC8883480 DOI: 10.1016/j.envpol.2021.118717] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/11/2021] [Revised: 11/30/2021] [Accepted: 12/17/2021] [Indexed: 05/02/2023]
Abstract
In August 2017, after Hurricane Harvey made landfall, almost 52 inches of rain fell during a three-day period along the Gulf Coast Region of Texas, including Harris County, where Houston is located. Harris County was heavily impacted with over 177,000 homes and buildings (approximately 12 percent of all buildings in the county) experiencing flooding. The objective of this study was to measure 13 heavy metals in soil in residential areas and to assess cancer and non-cancer risk for children and adults after floodwaters receded. Between September and November 2017, we collected 174 surface soil samples in 10 communities, which were classified as "High Environmental Impact" or "Low Environmental Impact" communities, based on a composite metric of six environmental parameters. A second campaign was conducted between May 2019 and July 2019 when additional 204 soil samples were collected. Concentrations of metals at both sampling campaigns were higher in High Environmental Impact communities than in Low Environmental Impact communities and there was little change in metal levels between the two sampling periods. The Pollution Indices of lead (Pb), zinc, copper, nickel, and manganese in High Environmental Impact communities were significantly higher than those in Low Environmental Impact communities. Further, cancer risk estimates in three communities for arsenic through soil ingestion were greater than 1 in 1,000,000. Although average soil Pb was lower than the benchmark of the United States Environmental Protection Agency, the hazard indices for non-cancer outcomes in three communities, mostly attributed to Pb, were greater than 1. Health risk estimates for children living in these communities were greater than those for adults.
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Affiliation(s)
- Inkyu Han
- Department of Epidemiology and Biostatistics, Temple University College of Public Health, Philadelphia, PA, 19122, USA
| | - Kristina W Whitworth
- Center for Precision Environmental Health, Baylor College of Medicine, Houston, TX, 77030, USA; Department of Medicine, Section of Epidemiology and Population Sciences, Baylor College of Medicine, Houston, TX, 77030, USA
| | - Brian Christensen
- Department of Epidemiology, Human Genetics, and Environmental Sciences, University of Texas Health Science Center (UTHealth) at Houston School of Public Health, Houston, TX, 77030, USA; Centers for Disease Control and Prevention, National Institute of Occupational Safety and Health Cincinnati, OH, 45213, USA
| | - Masoud Afshar
- Department of Epidemiology, Human Genetics, and Environmental Sciences, University of Texas Health Science Center (UTHealth) at Houston School of Public Health, Houston, TX, 77030, USA
| | - Heyreoun An Han
- Center for Precision Environmental Health, Baylor College of Medicine, Houston, TX, 77030, USA
| | - Amal Rammah
- Center for Precision Environmental Health, Baylor College of Medicine, Houston, TX, 77030, USA
| | - Temitope Oluwadairo
- Department of Epidemiology, Human Genetics, and Environmental Sciences, University of Texas Health Science Center (UTHealth) at Houston School of Public Health, Houston, TX, 77030, USA
| | - Elaine Symanski
- Center for Precision Environmental Health, Baylor College of Medicine, Houston, TX, 77030, USA; Department of Medicine, Section of Epidemiology and Population Sciences, Baylor College of Medicine, Houston, TX, 77030, USA.
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Smith A, Laribi O. Environmental Justice in the American Public Health Context: Trends in the Scientific Literature at the Intersection Between Health, Environment, and Social Status. J Racial Ethn Health Disparities 2021; 9:247-256. [PMID: 33420608 DOI: 10.1007/s40615-020-00949-7] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2020] [Revised: 12/14/2020] [Accepted: 12/16/2020] [Indexed: 12/29/2022]
Abstract
Although various governmental entities in the USA are required to consider environmental justice (EJ) impacts of their actions during decision-making, socially vulnerable groups continue to be disproportionately exposed to environmental hazards. Tools and programs to quantify and mitigate environmental injustices are limited by existing data, which may not capture the full range of health disparities exacerbated by the complex interactions between environmental exposures and social stressors. In this study, we analyzed how the scientific literature approaches EJ issues in the USA. We searched PubMed for journal articles discussing at least one sociodemographic or environmental variable in the context of cumulative impacts and analyzed the relative frequency with which various EJ topics were studied. Our findings indicate that demographic variables are commonly used in epidemiologic studies, though some areas (e.g., age) are better studied than others. Similarly, occupational exposure and ambient air pollution were more studied than other types of exposures. Word frequency analyses revealed which toxicants and health outcomes are the most frequently studied. In addition, temporality analyses showed that the rate of occupational publications rose rapidly in the 1970-1980s and has since plateaued, while other publication rates increased two decades later and are still on the rise. Cumulative impacts are considered in a relatively small portion of journal articles across all topics; nevertheless, they have seen an exponential climb in the last decade. A more equitable distribution of scientific efforts might be needed for a better distribution of funding, policy-making efforts, and other resources to socially and environmentally vulnerable communities.
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Affiliation(s)
| | - Ouahiba Laribi
- Office of Environmental Health Hazard Assessment, California Environmental Protection Agency, Oakland, CA, USA.
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Kim SS, Meeker JD, Aung MT, Yu Y, Mukherjee B, Cantonwine DE, McElrath TF, Ferguson KK. Urinary trace metals in association with fetal ultrasound measures during pregnancy. Environ Epidemiol 2020; 4:e075. [PMID: 32201854 PMCID: PMC7083213 DOI: 10.1097/ee9.0000000000000075] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2019] [Accepted: 10/01/2019] [Indexed: 11/25/2022] Open
Abstract
Toxic metals have been associated with lower birth weight while essential metals have been associated with higher birth weight. Evidence for other metals is either inconsistent or limited in terms of number of studies. This study analyzed 17 urinary metals, individually and as a mixture, and their association with measures of fetal growth in the LIFECODES birth cohort. Ultrasound was used to measure abdominal circumference, head circumference, and femur length and measures were used to calculate estimated fetal weight at ~26 and ~35 weeks. We calculated the z-score based on gestational age at scan, and estimated fetal weight (EFW) was combined with birth weight for longitudinal analyses. Metals were measured in samples collected at ~26 weeks. We used linear mixed effects models to examine associations between metals and repeated measures of each outcome, controlling for covariates. Principal components analysis reduced the biomarkers to predictors that may share some commonality. We found that an interquartile range increase in selenium was inversely associated with femur length z-score as well as other growth outcomes. Other essential metals, however, were associated with an increase in growth. Finally, the PCA component comprised of arsenic, mercury, and tin was associated with decreased head circumference z-score (-0.14 [95% CI: -0.23, -0.05]).
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Affiliation(s)
- Stephani S. Kim
- Epidemiology Branch, National Institute of Environmental Health Sciences, Research Triangle Park, North Carolina
| | - John D. Meeker
- Department of Environmental Health Sciences, University of Michigan School of Public Health, Ann Arbor, Michigan
| | - Max T. Aung
- Department of Environmental Health Sciences, University of Michigan School of Public Health, Ann Arbor, Michigan
| | - Youfei Yu
- Department of Biostatistics, University of Michigan School of Public Health, Ann Arbor, Michigan
| | - Bhramar Mukherjee
- Department of Biostatistics, University of Michigan School of Public Health, Ann Arbor, Michigan
| | - David E. Cantonwine
- Division of Maternal-Fetal Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts
| | - Thomas F. McElrath
- Division of Maternal-Fetal Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts
| | - Kelly K. Ferguson
- Epidemiology Branch, National Institute of Environmental Health Sciences, Research Triangle Park, North Carolina
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Aelion CM, Davis HT. Blood lead levels in children in urban and rural areas: Using multilevel modeling to investigate impacts of gender, race, poverty, and the environment. THE SCIENCE OF THE TOTAL ENVIRONMENT 2019; 694:133783. [PMID: 31756823 DOI: 10.1016/j.scitotenv.2019.133783] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/23/2019] [Revised: 08/02/2019] [Accepted: 08/04/2019] [Indexed: 05/27/2023]
Abstract
Many studies of children's exposure to lead (Pb) are carried out in urban and industrialized environments. This study analyzed blood lead level (BLL) data collected from 2011 to 2016 from approximately 140,000 children ages <1 to 6 years across South Carolina (SC), including urban and rural areas. Individual-level characteristics included children's age, and race/ethnicity. Block group variables examined included population by race and ethnicity, households below the poverty level, median year homes built, urban/rural classification, and percent road coverage. BLL were higher in urban compared to rural children but increased to a greater extent in rural children from age < 1 year to 2 years. Road coverage was strongly associated with higher BLL in urban areas, and with home age more weakly, but neither road coverage nor home age was associated with BLL in rural areas. Young urban children may receive greater exposure to Pb from house dust and outdoor legacy Pb contamination, and young rural children through diet and drinking water. Black children had higher BLL in urban areas than white children, and the converse was true in rural areas. Population data indicated that rural areas had more poverty than urban areas, but strong associations between increased children's BLL and either ethnicity or socio-economic status (SES) at the block group level was not observed, likely due to distinct characteristics of poverty and geographic distribution by ethnicity in urban as compared to rural areas of SC. Individual demographics and environmental characteristics may be more closely associated with BLL than geographically aggregated SES and race/ethnicity characteristics. Interventions to reduce children's exposure to Pb should occur at as early an age as possible, and differences between rural and urban areas should be considered as interventions are developed to reduce children's BLL.
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Affiliation(s)
- C M Aelion
- University of Massachusetts Amherst, School of Public Health and Health Sciences, Department of Environmental Health Sciences, Amherst, MA, USA
| | - H T Davis
- South Carolina Department of Health and Environmental Control, Bureau of Health Improvement and Equity, Columbia, SC, USA.
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Meng Y, Cave M, Zhang C. Comparison of methods for addressing the point-to-area data transformation to make data suitable for environmental, health and socio-economic studies. THE SCIENCE OF THE TOTAL ENVIRONMENT 2019; 689:797-807. [PMID: 31280162 DOI: 10.1016/j.scitotenv.2019.06.452] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/14/2019] [Revised: 06/24/2019] [Accepted: 06/26/2019] [Indexed: 06/09/2023]
Abstract
Soil lead (Pb) provides an important exposure pathway to the human body through soil ingestion and dust inhalation and is closely associated with human health as well as social behaviour. The challenge of transforming different spatial supports arises when linking point data (Pb concentration) to areal data (health status or social behaviour). A detailed review of methodologies for integrating point and areal data has been carried out. Among a number of methodologies, eight methods: (1) average, (2) median, (3) centroids inverse distance weighted (IDW), (4) average block IDW, (5) median block IDW, (6) centroids ordinary kriging (OK), (7) average block OK and (8) median block OK, have been compared using Pb data set in the Greater London Authority (GLA) area. The results indicated that the method of median block IDW was recommended for further investigation of the relationship between Pb concentration and socio-economic factors in the ward-level of the GLA area. The reasons were (i) spatial interpolations were useful for predicting unobserved values when simple average and median could not work in the locations where there were no samples collected in some areal units; (ii) the median value was more suitable than the average value for a skewed data set; (iii) the block method reduced estimation error and provided more representative values of areal units than the centroid method; (iv) IDW reserved more spatial variation than OK, containing more local maxima (hotspot) and local minima. Despite that it is still hard to decide the optimal method, this study has highlighted the point-to-area transformation issue and provided valuable examples to compare the different methods.
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Affiliation(s)
- Yuting Meng
- International Network for Environment and Health, School of Geography and Archaeology, Ryan Institute, National University of Ireland, Galway, Ireland
| | - Mark Cave
- British Geological Survey, Environmental Science Centre, Nottingham, United Kingdom
| | - Chaosheng Zhang
- International Network for Environment and Health, School of Geography and Archaeology, Ryan Institute, National University of Ireland, Galway, Ireland.
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Manzoor SA, Griffiths G, Iizuka K, Lukac M. Land Cover and Climate Change May Limit Invasiveness of Rhododendron ponticum in Wales. FRONTIERS IN PLANT SCIENCE 2018; 9:664. [PMID: 29868106 PMCID: PMC5968121 DOI: 10.3389/fpls.2018.00664] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/31/2017] [Accepted: 04/30/2018] [Indexed: 05/22/2023]
Abstract
Invasive plant species represent a serious threat to biodiversity precipitating a sustained global effort to eradicate or at least control the spread of this phenomenon. Current distribution ranges of many invasive species are likely to be modified in the future by land cover and climate change. Thus, invasion management can be made more effective by forecasting the potential spread of invasive species. Rhododendron ponticum (L.) is an aggressive invasive species which appears well suited to western areas of the UK. We made use of MAXENT modeling environment to develop a current distribution model and to assess the likely effects of land cover and climatic conditions (LCCs) on the future distribution of this species in the Snowdonia National park in Wales. Six global circulation models (GCMs) and two representative concentration pathways (RCPs), together with a land cover simulation for 2050 were used to investigate species' response to future environmental conditions. Having considered a range of environmental variables as predictors and carried out the AICc-based model selection, we find that under all LCCs considered in this study, the range of R. ponticum in Wales is likely to contract in the future. Land cover and topographic variables were found to be the most important predictors of the distribution of R. ponticum. This information, together with maps indicating future distribution trends will aid the development of mitigation practices to control R. ponticum.
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Affiliation(s)
- Syed A. Manzoor
- School of Agriculture, Policy and Development, University of Reading, Reading, United Kingdom
- *Correspondence: Syed A. Manzoor
| | - Geoffrey Griffiths
- Department of Geography and Environmental Sciences, University of Reading, Reading, United Kingdom
| | - Kotaro Iizuka
- Center for Spatial Information Science, University of Tokyo, Tokyo, Japan
| | - Martin Lukac
- School of Agriculture, Policy and Development, University of Reading, Reading, United Kingdom
- Faculty of Forestry and Wood Sciences, Czech University of Life Sciences Prague, Prague, Czechia
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Davis HT, Aelion CM, Liu J, Burch JB, Cai B, Lawson AB, McDermott S. Potential sources and racial disparities in the residential distribution of soil arsenic and lead among pregnant women. THE SCIENCE OF THE TOTAL ENVIRONMENT 2016; 551-552:622-30. [PMID: 26897405 PMCID: PMC4808624 DOI: 10.1016/j.scitotenv.2016.02.018] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/25/2015] [Revised: 02/02/2016] [Accepted: 02/02/2016] [Indexed: 05/20/2023]
Abstract
Exposure to arsenic (As) or lead (Pb) has been associated with adverse health outcomes, and high-risk populations can be disproportionately exposed to these metals in soils. The objectives of this study were: to examine if predicted soil As and Pb concentrations at maternal residences of South Carolina (SC) low-income mothers differed based on maternal race (non-Hispanic black versus white), to examine whether differences in predicted residential soil As and Pb concentrations among black and white mothers differed by socioeconomic status (SES), and to examine whether such disparities persisted after controlling for anthropogenic sources of these metals, including direction from, and distance to industrial facilities. Kriged soil As and Pb concentrations were estimated at maternal residences in 11 locations in SC, and models with maternal race and individual and US Census block group level SES measures were examined. US Environmental Protection Agency Toxics Release Inventory (TRI) facility As and Pb releases categorized by distance and direction to block groups in which mothers resided were also identified, as were proxy measures for historic use of leaded gasoline (road density) and Pb-based paint (categories of median year home built by US Census block group). Consistent racial disparities were observed for predicted residential soil As and Pb concentrations, and the disparity was stronger for Pb than As (betas from adjusted models for black mothers were 0.12 and 2.2 for As and Pb, respectively, all p<0.006). Higher road density and older homes in block groups were more closely associated with higher predicted soil As and Pb concentrations than on-site releases of As and Pb categorized by facility location. These findings suggest that non-Hispanic black mothers in this study population had elevated residential As and Pb soil concentrations, after adjusting for SES, and that soil As and Pb concentrations were not associated with recent industrial releases.
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Affiliation(s)
- Harley T Davis
- Department of Epidemiology and Biostatistics, University of South Carolina, 915 Greene Street, Columbia, SC 29208, USA
| | - C Marjorie Aelion
- School of Public Health and Health Sciences, University of Massachusetts Amherst, 715 No. Pleasant Street, Amherst, MA 01003, USA.
| | - Jihong Liu
- Department of Epidemiology and Biostatistics, University of South Carolina, 915 Greene Street, Columbia, SC 29208, USA
| | - James B Burch
- Department of Epidemiology and Biostatistics, University of South Carolina, 915 Greene Street, Columbia, SC 29208, USA
| | - Bo Cai
- Department of Epidemiology and Biostatistics, University of South Carolina, 915 Greene Street, Columbia, SC 29208, USA
| | - Andrew B Lawson
- Department of Public Health Sciences, Medical University of South Carolina, 135 Cannon Street Suite 303, Charleston, SC 29401, USA
| | - Suzanne McDermott
- Department of Epidemiology and Biostatistics, University of South Carolina, 915 Greene Street, Columbia, SC 29208, USA
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Hong J, Wang Y, McDermott S, Cai B, Aelion CM, Lead J. The use of a physiologically-based extraction test to assess relationships between bioaccessible metals in urban soil and neurodevelopmental conditions in children. ENVIRONMENTAL POLLUTION (BARKING, ESSEX : 1987) 2016; 212:9-17. [PMID: 26840511 DOI: 10.1016/j.envpol.2016.01.001] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/28/2015] [Revised: 12/22/2015] [Accepted: 01/01/2016] [Indexed: 05/25/2023]
Abstract
Intellectual disability (ID) and cerebral palsy (CP) are serious neurodevelopment conditions and low birth weight (LBW) is correlated with both ID and CP. The actual causes and mechanisms for each of these child outcomes are not well understood. In this study, the relationship between bioaccessible metal concentrations in urban soil and these child conditions were investigated. A physiologically based extraction test (PBET) mimicking gastric and intestinal processes was applied to measure the bio-accessibility of four metals (cadmium (Cd), chromium (Cr), nickel (Ni), and lead (Pb)) in urban soil, and a Bayesian Kriging method was used to estimate metal concentrations in geocoded maternal residential sites. The results showed that bioaccessible metal concentrations of Cd, Ni, and Pb in the intestinal phase were statistically significantly associated with the child outcomes. Lead and nickel were associated with ID, lead and cadmium was associated with LBW, and cadmium was associated with CP. The total concentrations and stomach concentrations were not correlated to significant effects in any of the analyses. For lead, an estimated threshold value was found that was statistically significant in predicting low birth weight. The change point test was statistically significant (p value = 0.045) at an intestine threshold level of 9.2 mg/kg (95% confidence interval 8.9-9.4, p value = 0.0016), which corresponds to 130.6 mg/kg of total Pb concentration in the soil. This is a narrow confidence interval for an important relationship.
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Affiliation(s)
- Jie Hong
- Center for Environmental NanoScience and Risk, Department of Environmental Health Sciences, Arnold School of Public Health, University of South Carolina, Columbia, SC 29208, USA
| | - Yinding Wang
- Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC 29208, USA
| | - Suzanne McDermott
- Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC 29208, USA.
| | - Bo Cai
- Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC 29208, USA
| | - C Marjorie Aelion
- Department of Environmental Health Sciences, Arnold School of Public Health, University of South Carolina, Columbia, SC 29208, USA; School of Public Health and Health Sciences, University of Massachusetts Amherst, Amherst, MA 01003, USA
| | - Jamie Lead
- Center for Environmental NanoScience and Risk, Department of Environmental Health Sciences, Arnold School of Public Health, University of South Carolina, Columbia, SC 29208, USA.
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King KE, Darrah TH, Money E, Meentemeyer R, Maguire RL, Nye MD, Michener L, Murtha AP, Jirtle R, Murphy SK, Mendez MA, Robarge W, Vengosh A, Hoyo C. Geographic clustering of elevated blood heavy metal levels in pregnant women. BMC Public Health 2015; 15:1035. [PMID: 26449855 PMCID: PMC4599656 DOI: 10.1186/s12889-015-2379-9] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2015] [Accepted: 10/02/2015] [Indexed: 01/06/2023] Open
Abstract
Background Cadmium (Cd), lead (Pb), mercury (Hg), and arsenic (As) exposure is ubiquitous and has been associated with higher risk of growth restriction and cardiometabolic and neurodevelopmental disorders. However, cost-efficient strategies to identify at-risk populations and potential sources of exposure to inform mitigation efforts are limited. The objective of this study was to describe the spatial distribution and identify factors associated with Cd, Pb, Hg, and As concentrations in peripheral blood of pregnant women. Methods Heavy metals were measured in whole peripheral blood of 310 pregnant women obtained at gestational age ~12 weeks. Prenatal residential addresses were geocoded and geospatial analysis (Getis-Ord Gi* statistics) was used to determine if elevated blood concentrations were geographically clustered. Logistic regression models were used to identify factors associated with elevated blood metal levels and cluster membership. Results Geospatial clusters for Cd and Pb were identified with high confidence (p-value for Gi* statistic <0.01). The Cd and Pb clusters comprised 10.5 and 9.2 % of Durham County residents, respectively. Medians and interquartile ranges of blood concentrations (μg/dL) for all participants were Cd 0.02 (0.01–0.04), Hg 0.03 (0.01–0.07), Pb 0.34 (0.16–0.83), and As 0.04 (0.04–0.05). In the Cd cluster, medians and interquartile ranges of blood concentrations (μg/dL) were Cd 0.06 (0.02–0.16), Hg 0.02 (0.00–0.05), Pb 0.54 (0.23–1.23), and As 0.05 (0.04–0.05). In the Pb cluster, medians and interquartile ranges of blood concentrations (μg/dL) were Cd 0.03 (0.02–0.15), Hg 0.01 (0.01–0.05), Pb 0.39 (0.24–0.74), and As 0.04 (0.04–0.05). Co-exposure with Pb and Cd was also clustered, the p-values for the Gi* statistic for Pb and Cd was <0.01. Cluster membership was associated with lower education levels and higher pre-pregnancy BMI. Conclusions Our data support that elevated blood concentrations of Cd and Pb are spatially clustered in this urban environment compared to the surrounding areas. Spatial analysis of metals concentrations in peripheral blood or urine obtained routinely during prenatal care can be useful in surveillance of heavy metal exposure.
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Affiliation(s)
- Katherine E King
- Biodemography of Aging Research Unit (BARU), Duke University, Room A110C, Erwin Mill Building, 2024 W. Main St, Durham, NC, 27708, USA.
| | - Thomas H Darrah
- Division of Water, Climate, and the Environment, School of Earth Sciences, The Ohio State University, 275 Mendenhall Laboratory, 125th South Oval, Columbus, OH, USA.
| | - Eric Money
- Center for Geospatial Analytics, North Carolina State University, 5125 Jordan Hall, Campus Box 7106, Raleigh, NC, USA.
| | - Ross Meentemeyer
- Center for Geospatial Analytics, North Carolina State University, 5125 Jordan Hall, Campus Box 7106, Raleigh, NC, USA.
| | - Rachel L Maguire
- Department of Biological Sciences, and Center for Human Health and the Environment, North Carolina State University, 850 Man Campus Dr, Campus Box 7633, Raleigh, NC, USA.
| | - Monica D Nye
- Biological Sciences, University of North Carolina at Charlotte, 9201 University City Blvd, Charlotte, NC, USA.
| | - Lloyd Michener
- Department of Community and Family Medicine, Duke University, 2200 Main St, Durham, NC, USA.
| | - Amy P Murtha
- Department of Obstetrics and Gynecology, Duke University, 2608 Erwin Rd, Suite 210, Durham, NC, USA.
| | - Randy Jirtle
- Department of Biological Sciences, and Center for Human Health and the Environment, North Carolina State University, 850 Man Campus Dr, Campus Box 7633, Raleigh, NC, USA.
| | - Susan K Murphy
- Department of Obstetrics and Gynecology, Duke University, 2608 Erwin Rd, Suite 210, Durham, NC, USA.
| | - Michelle A Mendez
- Department of Nutrition, University of North Carolina, 101 Manning Dr, Chapel Hill, NC, USA.
| | - Wayne Robarge
- Department of Soil Science, North Carolina State University, PO Box 7619, Raleigh, NC, USA.
| | - Avner Vengosh
- Nicholas School of the Environment, Duke University, 450 Research Dr, Durham, NC, USA.
| | - Cathrine Hoyo
- Department of Biological Sciences, and Center for Human Health and the Environment, North Carolina State University, 850 Man Campus Dr, Campus Box 7633, Raleigh, NC, USA.
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