Approaches to cancer assessment in EPA's Integrated Risk Information System

Comprehensive evaluation and prediction of groundwater quality and risk indices using quantitative approaches, multivariate analysis, and machine learning models: An exploratory study

Assessing and predicting quality of groundwater is crucial in managing groundwater availability effectively. In the current study, groundwater quality was thoroughly appraised using various indexing methods, including the drinking water quality index (DWQI), pollution index of heavy metals (HPI), pollution index (PI), metal index (MI), degree of contamination (Cd), and risk indicators, like hazard quotient (HQ) and total hazard indicator (HI). The assessments were augmented through multivariate analytical techniques, models based on recurrent neural networks (RNNs), and integration of geographic information system (GIS) technology. The analysis measured physicochemical parameters across 48 groundwater wells from El-Menoufia region, revealing distinct water types influenced by ion exchange, rock-water interactions, and silicate weathering. Notably, the groundwater showed elevated levels of certain metals, particularly manganese (Mn) and lead (Pb), exceeding the drinking water limits. The DWQI deemed the bulk of the tested samples suitable for consumption, assigning them to the "good" category, whereas a small number were considered inferior quality. The HPI, MI, and Cd indices indicated significant pollution in the central study region. The PI revealed that Pb, Mn, and Fe were significant contributors to water pollution, falling between classes IV (strongly affected) and V (seriously affected). HQ and HI analyses identified the central area of the study as particularly prone to metal contamination, signifying a high risk to children via oral and dermal routes and to adults through oral exposure alone (non-carcinogenic risk). The adults had no health risks due to dermal contact. Finally, the RNN simulation model effectively predicted the health and water quality indices in training and testing series. For instance, the RNN model excelled in predicting the DWQI, with three key parameters being crucial. The model demonstrated an excellent fit on the training set, achieving an R2 of 1.00 with a very low root mean of squared error (RMSE) of 0.01. However, on the testing set, the model's performance slightly decreased, showing an R2 of 0.96 and an RMSE of 2.73. Regarding HPI, the RNN model performed exceptionally well as the primary predictor, with R2 values of 1.00 (RMSE = 0.01) and 0.93 (RMSE = 27.35) for the training and testing sets, respectively. This study provides a unique perspective for improving the integration of various techniques to gain a more comprehensive understanding of groundwater quality and its associated health risks, with a strong focus on feature selection strategies to enhance model accuracy and interpretability.

Visualization of the infection risk assessment of SARS-CoV-2 through aerosol and surface transmission in a negative-pressure ward

Since December 2019, coronavirus disease (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has become a great challenge to the world's public health system. Nosocomial infections have occurred frequently in medical institutions worldwide during this pandemic. Thus, there is an urgent need to construct an effective surveillance and early warning system for pathogen exposure and infection to prevent nosocomial infections in negative-pressure wards. In this study, visualization and construction of an infection risk assessment of SARS-CoV-2 through aerosol and surface transmission in a negative-pressure ward were performed to describe the distribution regularity and infection risk of SARS-CoV-2, the critical factors of infection, the air changes per hour (ACHs) and the viral variation that affect infection risk. The SARS-CoV-2 distribution data from this model were verified by field test data from the Wuhan Huoshenshan Hospital ICU ward. ACHs have a great impact on the infection risk from airborne exposure, while they have little effect on the infection risk from surface exposure. The variant strains demonstrated significantly increased viral loads and risks of infection. The level of protection for nurses and surgeons should be increased when treating patients infected with variant strains, and new disinfection methods, electrostatic adsorption and other air purification methods should be used in all human environments. The results of this study may provide a theoretical reference and technical support for reducing the occurrence of nosocomial infections.

Effectiveness of road dust suppressants: insights from particulate matter-related health damage

Although dust suppressants are widely applied to control road dust pollution, a consensus on their effectiveness has not been reached. To evaluate the effectiveness of dust suppressants (a calcium-magnesium complex) from health risks and health damage, spraying and sampling activities were conducted at four sites in Beijing. Using inhalation risk model and health damage assessment, health risks of PM_x for three sensitive occupational groups were calculated and converted to life and economic loss. Results revealed that dust suppressants can indeed mitigate PM pollution and its accompanying health risks and health damage in road dust, but at a limited efficiency. By spraying dust suppressants, the total PM-related life loss reduced by 1.60E-02 years and 2.50E-04 years in urban and suburban areas on average, and the total willingness to pay (WTP) values decreased by 120 and 50 US$ for PM_2.5 and PM₁₀, indicating a more considerable environmental gain if dust suppressants were sprayed in additional regions when necessary. Overall, our study demonstrated that the effectiveness of dust suppressants cannot be pictured only by the variations of pollutant concentrations, and indicators with practice and economic value should be more useful for traffic-related pollution management.

Air pollution-induced epigenetic changes: disease development and a possible link with hypersensitivity pneumonitis

Air pollution is a serious threat to our health and has become one of the major causes of many diseases including cardiovascular disease, respiratory disease, and cancer. The association between air pollution and various diseases has long been a topic of research interest. However, it remains unclear how air pollution actually impacts health by modulating several important cellular functions. Recently, some evidence has emerged about air pollution-induced epigenetic changes, which are linked with the etiology of various human diseases. Among several epigenetic modifications, DNA methylation represents the most prominent epigenetic alteration underlying the air pollution-induced pathogenic mechanism. Several other types of epigenetic changes, such as histone modifications, miRNA, and non-coding RNA expression, have also been found to have been linked with air pollution. Hypersensitivity pneumonitis (HP), one of the most prevalent forms of interstitial lung diseases (ILDs), is triggered by the inhalation of certain organic and inorganic substances. HP is characterized by inflammation in the tissues around the lungs' airways and may lead to irreversible lung scarring over time. This review, in addition to other diseases, attempts to understand whether certain pollutants influence HP development through such epigenetic modifications.

Disability adjusted life year (DALY): a useful tool for quantitative assessment of environmental pollution

Disability adjusted life year (DALY) has been widely used since 1990s for evaluating global and/or regional burden of diseases. As many environmental pollutants are hazardous to human health, DALY is also recognized as an indicator to quantify the health impact of environmental pollution related to disease burden. Based on literature reviews, this article aims to give an overview of the applicable methodologies and research directions for using DALY as a tool for quantitative assessment of environmental pollution. With an introduction of the methodological framework of DALY, the requirements on data collection and manipulation for quantifying disease burdens are summarized. Regarding environmental pollutants hazardous to human beings, health effect/risk evaluation is indispensable for transforming pollution data into disease data through exposure and dose-response analyses which need careful selection of models and determination of parameters. Following the methodological discussions, real cases are analyzed with attention paid to chemical pollutants and pathogens usually encountered in environmental pollution. It can be seen from existing studies that DALY is advantageous over conventional environmental impact assessment for quantification and comparison of the risks resulted from environmental pollution. However, further studies are still required to standardize the methods of health effect evaluation regarding varied pollutants under varied circumstances before DALY calculation.

A systematic approach for identifying and presenting mechanistic evidence in human health assessments

Clear documentation of literature search and presentation methodologies can improve transparency in chemical hazard assessments. We sought to improve clarity for the scientific support for cancer mechanisms of action using a systematic approach to literature retrieval, selection, and presentation of studies. The general question was "What are the mechanisms by which a chemical may cause carcinogenicity in the target tissue?". Di(2-ethylhexyl)phthalate was used as a case study chemical with a complex database of >3000 publications. Relevant mechanistic events were identified from published reviews. The PubMed search strategy included relevant synonyms and wildcards for DEHP and its metabolites, mechanistic events, and species of interest. Tiered exclusion/inclusion criteria for study pertinence were defined, and applied to the retrieved literature. Manual curation was conducted for mechanistic events with large literature databases. Literature trees documented identification and selection of the literature evidence. The selected studies were summarized in evidence tables accompanied by succinct narratives. Primary publications were deposited into the Health and Environmental Research Online (http://hero.epa.gov/) database and identified by pertinence criteria and key terms to permit organized retrieval. This approach contributes to human health assessment by effectively managing a large volume of literature, improving transparency, and facilitating subsequent synthesis of information across studies.

Co-operative effects of thoracic X-ray irradiation and N-nitrosobis(2-hydroxypropyl) amine administration on lung tumorigenesis in neonatal, juvenile and adult Wistar rats

Assessment of risks associated with childhood exposure to ionizing radiation when combined with chemical carcinogens is of great importance. We studied the age-dependence of the effect of combined exposure to ionizing radiation (IR) and a chemical carcinogen on lung carcinogenesis. Female 1-, 5-, and 22-week-old Wistar rats were locally irradiated on the thorax with X-rays (3.18 Gy) and/or were injected intraperitoneally with N-nitrosobis(2-hydroxypropyl)amine (BHP) (1g/kg body weight) 1 week after X-ray exposure or at 23 weeks of age. Rats were terminated at 90 weeks of age. We found that: (i) the incidence of lung tumors (adenoma and adenocarcinoma) increased slightly as a function of age at X-ray exposure, although this was not statistically significant, while the incidence induced by BHP decreased with increasing age at administration; (ii) combined exposure to X-rays at 5 or 22 weeks with BHP 1 week later enhanced the tumor incidence, and the effect at early-life stage (5 weeks irradiation) was more effective than that at late-life stage (22 weeks irradiation); (iii) combined exposure preferentially enhanced malignant transformation; (iv) although a longer interval between the X-ray and BHP treatments reduced the combined effect, risks of early-life irradiation at 1 or 5 weeks of age lasted into adulthood; (v) adenomas and adenocarcinomas induced by X-ray and/or BHP originated from surfactant apoprotein A-positive alveolar type II cells; and (vi), extracellular signal-regulated kinase pathway activation was observed in half the adenocarcinomas, regardless of the exposure schedule. In conclusion, combined exposure may enhance lung tumorigenesis more synergistically at early-life stage (5 weeks of age) than later-life stage.