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Cao W, Yu P, Yang K, Cao D. Aflatoxin B1: metabolism, toxicology, and its involvement in oxidative stress and cancer development. Toxicol Mech Methods 2021; 32:395-419. [PMID: 34930097 DOI: 10.1080/15376516.2021.2021339] [Citation(s) in RCA: 61] [Impact Index Per Article: 20.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
Aflatoxins are a class of carcinogenic mycotoxins produced by Aspergillus fungi, which are widely distributed in nature. Aflatoxin B1 (AFB1) is the most toxic of these compounds and its metabolites have a variety of biological activities, including acute toxicity, teratogenicity, mutagenicity and carcinogenicity, which has been well-characterized to lead to the development of hepatocellular carcinoma (HCC) in humans and animals. This review focuses on the metabolism of AFB1, including epoxidation and DNA adduction, as it concerns the initiation of cancer and the underlying mechanisms. In addition to DNA adduction, inflammation and oxidative stress caused by AFB1 can also participate in the occurrence of cancer. Therefore, the main carcinogenic mechanism of AFB1 related ROS is summarized. This review also describes recent reports of AFB1 exposures in occupational settings. It is hoped that people will pay more attention to occupational health, in order to reduce the incidence of cancer caused by occupational exposure.
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Affiliation(s)
- Weiya Cao
- Medical school, Anhui University of Science & Technology, Huainan 232001, China
| | - Pan Yu
- Medical school, Anhui University of Science & Technology, Huainan 232001, China
| | - KePeng Yang
- Medical school, Anhui University of Science & Technology, Huainan 232001, China
| | - Dongli Cao
- Medical school, Anhui University of Science & Technology, Huainan 232001, China
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2
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Ndaw S, Jargot D, Antoine G, Denis F, Melin S, Robert A. Investigating Multi-Mycotoxin Exposure in Occupational Settings: A Biomonitoring and Airborne Measurement Approach. Toxins (Basel) 2021; 13:54. [PMID: 33450876 PMCID: PMC7828332 DOI: 10.3390/toxins13010054] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2020] [Revised: 01/08/2021] [Accepted: 01/10/2021] [Indexed: 12/29/2022] Open
Abstract
Investigating workplace exposure to mycotoxins is of the utmost importance in supporting the implementation of preventive measures for workers. The aim of this study was to provide tools for measuring mycotoxins in urine and airborne samples. A multi-class mycotoxin method was developed in urine for the determination of aflatoxin B1, aflatoxin M1, ochratoxin A, ochratoxin α, deoxynivalenol, zearalenone, α-zearalenol, β-zearalenol, fumonisin B1, HT2-toxin and T2-toxin. Analysis was based on liquid chromatography-high resolution mass spectrometry. Sample pre-treatments included enzymatic digestion and an online or offline sample clean-up step. The method was validated according to the European Medicines Agency guidance procedures. In order to estimate external exposure, air samples collected with a CIP 10 (Capteur Individuel de Particules 10) personal dust sampler were analyzed for the quantification of up to ten mycotoxins, including aflatoxins, ochratoxin A, deoxynivalenol, zearalenone, fumonisin B1 and HT-2 toxin and T-2 toxin. The method was validated according to standards for workplace exposure to chemical and biological agents EN 482. Both methods, biomonitoring and airborne mycotoxin measurement, showed good analytical performances. They were successfully applied in a small pilot study to assess mycotoxin contamination in workers during cleaning of a grain elevator. We demonstrated that this approach was suitable for investigating occupational exposure to mycotoxins.
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Affiliation(s)
- Sophie Ndaw
- Toxicology and Biomonitoring Department, INRS—French National Research and Safety Institute for the Prevention of Occupational Accidents and Diseases, 54500 Vandoeuvre-Lés-Nancy, France; (G.A.); (F.D.); (A.R.)
| | - Daniele Jargot
- Pollutant Metrology Department, INRS—French National Research and Safety Institute for the Prevention of Occupational Accidents and Diseases, 54500 Vandoeuvre-Lés-Nancy, France; (D.J.); (S.M.)
| | - Guillaume Antoine
- Toxicology and Biomonitoring Department, INRS—French National Research and Safety Institute for the Prevention of Occupational Accidents and Diseases, 54500 Vandoeuvre-Lés-Nancy, France; (G.A.); (F.D.); (A.R.)
| | - Flavien Denis
- Toxicology and Biomonitoring Department, INRS—French National Research and Safety Institute for the Prevention of Occupational Accidents and Diseases, 54500 Vandoeuvre-Lés-Nancy, France; (G.A.); (F.D.); (A.R.)
| | - Sandrine Melin
- Pollutant Metrology Department, INRS—French National Research and Safety Institute for the Prevention of Occupational Accidents and Diseases, 54500 Vandoeuvre-Lés-Nancy, France; (D.J.); (S.M.)
| | - Alain Robert
- Toxicology and Biomonitoring Department, INRS—French National Research and Safety Institute for the Prevention of Occupational Accidents and Diseases, 54500 Vandoeuvre-Lés-Nancy, France; (G.A.); (F.D.); (A.R.)
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Viegas S, Viegas C, Martins C, Assunção R. Occupational Exposure to Mycotoxins-Different Sampling Strategies Telling a Common Story Regarding Occupational Studies Performed in Portugal (2012-2020). Toxins (Basel) 2020; 12:E513. [PMID: 32796626 PMCID: PMC7472215 DOI: 10.3390/toxins12080513] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2020] [Revised: 08/06/2020] [Accepted: 08/07/2020] [Indexed: 12/19/2022] Open
Abstract
In occupational settings where exposure to organic dust occurs (e.g., intensive animal production, waste management, farming and many others) workers can also be exposed to mycotoxins. However, recognizing exposure to mycotoxins in workplace environments does not happen commonly and, consequently, remains as a not identified occupational risk factor. In the last decade, work developed in different occupational settings, using different sampling approaches reported that occupational exposure to mycotoxins occurs and it's of upmost importance to be seen as an occupational concern that needs to be tackled. This paper intends to discuss the several possibilities available for assessing and characterizing the occupational exposure to mycotoxins through the description of the advantages and limitations of the different sampling strategies. Overviewing the approaches and the main achievements used in several field campaigns developed in Portugal, the knowledge obtained will be used to support the identification of the main aspects to consider when designing new occupational studies. The need for additional research work will also be discussed where new directions to follow will be debated.
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Affiliation(s)
- Susana Viegas
- NOVA National School of Public Health, Public Health Research Centre, Universidade NOVA de Lisboa, 1600-560 Lisboa, Portugal; (C.V.); (C.M.); (R.A.)
- Comprehensive Health Research Center (CHRC), NOVA Medical School, Faculty of Medical Sciences, Universidade NOVA de Lisboa, 1169-056 Lisboa, Portugal
- H&TRC—Health & Technology Research Center, ESTeSL—Escola Superior de Tecnologia da Saúde, Instituto Politécnico de Lisboa, 1990-096 Lisboa, Portugal
| | - Carla Viegas
- NOVA National School of Public Health, Public Health Research Centre, Universidade NOVA de Lisboa, 1600-560 Lisboa, Portugal; (C.V.); (C.M.); (R.A.)
- Comprehensive Health Research Center (CHRC), NOVA Medical School, Faculty of Medical Sciences, Universidade NOVA de Lisboa, 1169-056 Lisboa, Portugal
- H&TRC—Health & Technology Research Center, ESTeSL—Escola Superior de Tecnologia da Saúde, Instituto Politécnico de Lisboa, 1990-096 Lisboa, Portugal
| | - Carla Martins
- NOVA National School of Public Health, Public Health Research Centre, Universidade NOVA de Lisboa, 1600-560 Lisboa, Portugal; (C.V.); (C.M.); (R.A.)
- Comprehensive Health Research Center (CHRC), NOVA Medical School, Faculty of Medical Sciences, Universidade NOVA de Lisboa, 1169-056 Lisboa, Portugal
- Food and Nutrition Department, National Institute of Health Dr. Ricardo Jorge, 1600-560 Lisboa, Portugal
- CESAM, Centre for Environmental and Marine Studies, University of Aveiro, 3810-193 Aveiro, Portugal
| | - Ricardo Assunção
- NOVA National School of Public Health, Public Health Research Centre, Universidade NOVA de Lisboa, 1600-560 Lisboa, Portugal; (C.V.); (C.M.); (R.A.)
- Comprehensive Health Research Center (CHRC), NOVA Medical School, Faculty of Medical Sciences, Universidade NOVA de Lisboa, 1169-056 Lisboa, Portugal
- Food and Nutrition Department, National Institute of Health Dr. Ricardo Jorge, 1600-560 Lisboa, Portugal
- CESAM, Centre for Environmental and Marine Studies, University of Aveiro, 3810-193 Aveiro, Portugal
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Franco LT, Ismail A, Amjad A, Oliveira CAFD. Occurrence of toxigenic fungi and mycotoxins in workplaces and human biomonitoring of mycotoxins in exposed workers: a systematic review. TOXIN REV 2020. [DOI: 10.1080/15569543.2020.1795685] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Affiliation(s)
- Larissa Tuanny Franco
- Department of Food Engineering, School of Animal Science and Food Engineering, University of São Paulo, Pirassununga, Brazil
| | - Amir Ismail
- Institute of Food Science and Nutrition, Bahauddin Zakariya University, Multan, Pakistan
| | - Adnan Amjad
- Institute of Food Science and Nutrition, Bahauddin Zakariya University, Multan, Pakistan
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Viegas S, Viegas C, Oppliger A. Occupational Exposure to Mycotoxins: Current Knowledge and Prospects. Ann Work Expo Health 2019; 62:923-941. [PMID: 30099513 DOI: 10.1093/annweh/wxy070] [Citation(s) in RCA: 35] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2018] [Accepted: 07/12/2018] [Indexed: 01/18/2023] Open
Abstract
Occupational exposure to mycotoxins is supposedly very frequent, but it is rarely reported in the scientific literature. Several recent studies described occupational exposure to the aflatoxin B1 (AFB1) mycotoxin in different occupational settings. Previously, exposure to other mycotoxins was shown in the animal husbandry and food processing sectors, confirming that occupational exposure cannot be negligible. However, no guidelines or standard methodologies are available for helping occupational hygienists to consider mycotoxin exposure in their interventions. This article reviews the literature on this problem and recommends some actions for the better management of this risk factor in occupational settings, especially where environmental conditions are favorable to fungal presence.
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Affiliation(s)
- Susana Viegas
- H&TRC- Health & Technology Research Center, ESTeSL- Escola Superior de Tecnologia da Saúde, Instituto Politécnico de Lisboa, Lisbon, Portugal.,Centro de Investigação em Saúde Pública, Escola Nacional de Saúde Pública, New University of Lisbon, Lisbon, Portugal
| | - Carla Viegas
- H&TRC- Health & Technology Research Center, ESTeSL- Escola Superior de Tecnologia da Saúde, Instituto Politécnico de Lisboa, Lisbon, Portugal.,Centro de Investigação em Saúde Pública, Escola Nacional de Saúde Pública, New University of Lisbon, Lisbon, Portugal
| | - Anne Oppliger
- Institute for Work and Health, University of Lausanne, Lausanne, Switzerland
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Wangia RN, Tang L, Wang JS. Occupational exposure to aflatoxins and health outcomes: a review. JOURNAL OF ENVIRONMENTAL SCIENCE AND HEALTH. PART C, ENVIRONMENTAL CARCINOGENESIS & ECOTOXICOLOGY REVIEWS 2019; 37:215-234. [PMID: 31512547 DOI: 10.1080/10590501.2019.1664836] [Citation(s) in RCA: 25] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Aflatoxins [AFs] are secondary metabolites of the fungus species Aspergillus spp. Both animal and epidemiological studies provided sufficient evidence on the carcinogenic, immunotoxic, mutagenic, and genotoxic potential of AFs. While ingestion is the main route of exposure for AFs through consumption of contaminated food products, agricultural workers and personnel who handle AF-contaminated grains are also at higher risk of exposure via inhalation. The main objective of the review is to provide a comprehensive overview of past scientific studies on occupational exposure to AFs, high-risk occupations, and disease outcomes. A search of peer-reviewed articles was done on PubMed and Web of Science Databases. A total of 164 papers was identified and 61 journal articles were selected for further review. High risk occupations include animal husbandry and processing of grain cereals and/or animal feed. Primary liver cancer and respiratory cancers were the most reported as a result of occupational exposure to AFs. For future studies, improved study designs, better characterization of AFs exposure in an occupational setting, and use of biomarkers are recommended in order to promote better understanding of occupational exposure to AFs and the resulting disease burden among workers.
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Affiliation(s)
- Ruth Nabwire Wangia
- Department of Environmental Health Science, College of Public Health, University of Georgia, Athens, Georgia, USA
| | - Lili Tang
- Department of Environmental Health Science, College of Public Health, University of Georgia, Athens, Georgia, USA
| | - Jia-Sheng Wang
- Department of Environmental Health Science, College of Public Health, University of Georgia, Athens, Georgia, USA
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Viegas C, Faria T, Caetano LA, Carolino E, Quintal-Gomes A, Twarużek M, Kosicki R, Viegas S. Characterization of Occupational Exposure To Fungal Burden in Portuguese Bakeries. Microorganisms 2019; 7:E234. [PMID: 31382481 PMCID: PMC6723507 DOI: 10.3390/microorganisms7080234] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2019] [Revised: 07/29/2019] [Accepted: 08/01/2019] [Indexed: 01/01/2023] Open
Abstract
Several studies reported adverse respiratory health effects in workers exposed to ambient contaminants in bakeries. The aim of this study was to examine worker exposure to fungi and mycotoxins in Portuguese bakeries in order to develop new policies in occupational health. Environmental samples such as air, surfaces, settled dust and electrostatic dust collector (EDC) were collected in 13 bakeries for fungal and mycotoxins assessment. Air samples obtained by impaction were performed applying malt extract agar (MEA) supplemented with chloramphenicol (0.05%) and dichloran glycerol (DG18) agar-based media. Air samples collected through impinger method were determined as well for fungal detection by molecular tools of Aspergillus sections and mycotoxins. The highest median value for fungal load was 1053 CFU·m-3 and 65.3% (32 out of 49) of the sampling sites displayed higher fungal load than limits imposed by the World Health Organization. Aspergillus genera was found in air, surface swabs and EDC. Molecular tools were effective in measuring Aspergillus section Fumigati in 22.4% on air, 27.8% on surface swabs and in 7.4% in EDC and Aspergillus section Versicolores in one air sample. All settled dust samples showed contamination with six to eight mycotoxins in each sample. The mycotoxins detected were deoxynivalenol-3-glucoside, deoxynivalenol, zearalenone, 15-acetyldeoxynivalenol, monoacetoxyscirpenol, diacetoxyscirpenol, fumonisin B1, fumonisin B2, griseofulvin, HT2, ochratoxin A, ochratoxin B and mycophenolic acid. Industrial hygienists and exposure assessors should rely on different sampling methods (active and passive) and different assays (culture based and molecular methods) to obtain an accurate risk characterization regarding fungal burden (fungi and mycotoxins). Additionally, the awareness for the raw material as a potential mycotoxins indoor contamination source is important.
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Affiliation(s)
- Carla Viegas
- Instituto Politécnico de Lisboa, H&TRC-Health & Technology Research Center, ESTeSL-Escola Superior de Tecnologia da Saúde, 1990-096 Lisboa, Portugal
- Centro de Investigação em Saúde Pública, Escola Nacional de Saúde Pública, Universidade NOVA de Lisboa, 1600-560 Lisboa, Portugal
| | - Tiago Faria
- Centro de Ciências e Tecnologias Nucleares, Instituto Superior Técnico, Universidade de Lisboa, E.N. 10 ao km 139,7, 2695-066 Bobadela LRS, Portugal
| | - Liliana Aranha Caetano
- Instituto Politécnico de Lisboa, H&TRC-Health & Technology Research Center, ESTeSL-Escola Superior de Tecnologia da Saúde, 1990-096 Lisboa, Portugal
- Research Institute for Medicines (iMed.ULisboa), Faculty of Pharmacy, University of Lisbon, 1649-003 Lisbon, Portugal
| | - Elisabete Carolino
- Instituto Politécnico de Lisboa, H&TRC-Health & Technology Research Center, ESTeSL-Escola Superior de Tecnologia da Saúde, 1990-096 Lisboa, Portugal
| | - Anita Quintal-Gomes
- Instituto Politécnico de Lisboa, H&TRC-Health & Technology Research Center, ESTeSL-Escola Superior de Tecnologia da Saúde, 1990-096 Lisboa, Portugal
- Faculty of Medicine, Institute of Molecular Medicine, University of Lisbon, 1649-028 Lisbon, Portugal
| | - Magdalena Twarużek
- Faculty of Natural Sciences, Department of Physiology and Toxicology, Institute of Experimental BiologyKazimierz Wielki University, Chodkiewicza 30, 85-064 Bydgoszcz, Poland
| | - Robert Kosicki
- Faculty of Natural Sciences, Department of Physiology and Toxicology, Institute of Experimental BiologyKazimierz Wielki University, Chodkiewicza 30, 85-064 Bydgoszcz, Poland
| | - Susana Viegas
- Centro de Investigação em Saúde Pública, Escola Nacional de Saúde Pública, Universidade NOVA de Lisboa, 1600-560 Lisboa, Portugal
- Instituto Politécnico de Lisboa, H&TRC-Health & Technology Research Center, ESTeSL-Escola Superior de Tecnologia da Saúde, 1990-096 Lisboa, Portugal
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Abstract
There are possibly millions of mold species on earth. The vast majority of these mold spores live in harmony with humans, rarely causing disease. The rare species that does cause disease does so by triggering allergies or asthma, or may be involved in hypersensitivity diseases such as allergic bronchopulmonary aspergillosis or allergic fungal sinusitis. Other hypersensitivity diseases include those related to occupational or domiciliary exposures to certain mold species, as in the case of Pigeon Breeder's disease, Farmer's lung, or humidifier fever. The final proven category of fungal diseases is through infection, as in the case of onchomycosis or coccidiomycosis. These diseases can be treated using anti-fungal agents. Molds and fungi can also be particularly important in infections that occur in immunocompromised patients. Systemic candidiasis does not occur unless the individual is immunodeficient. Previous reports of "toxic mold syndrome" or "toxic black mold" have been shown to be no more than media hype and mass hysteria, partly stemming from the misinterpreted concept of the "sick building syndrome." There is no scientific evidence that exposure to visible black mold in apartments and buildings can lead to the vague and subjective symptoms of memory loss, inability to focus, fatigue, and headaches that were reported by people who erroneously believed that they were suffering from "mycotoxicosis." Similarly, a causal relationship between cases of infant pulmonary hemorrhage and exposure to "black mold" has never been proven. Finally, there is no evidence of a link between autoimmune disease and mold exposure.
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Viegas S, Veiga L, Almeida A, dos Santos M, Carolino E, Viegas C. Occupational Exposure to Aflatoxin B1 in a Portuguese Poultry Slaughterhouse. ANNALS OF OCCUPATIONAL HYGIENE 2015; 60:176-83. [PMID: 26568583 DOI: 10.1093/annhyg/mev077] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/02/2015] [Accepted: 10/12/2015] [Indexed: 01/09/2023]
Abstract
Aflatoxin B1 (AFB1) is a secondary metabolite produced by the fungi Aspergillus flavus and is the most potent hepatocarcinogen known in mammals and has been classified by the International Agency of Research on Cancer as Group 1 carcinogen. Although dietary exposure to AFB1 has been extensively documented, there are still few studies dedicated to the problem of occupational exposure. Considering recent findings regarding AFB1 occupational exposure in poultry production, it was considered relevant to clarify if there is also exposure in poultry slaughterhouses. Occupational exposure assessment to AFB1 was done with a biomarker of internal dose that measures AFB1 in the serum by enzyme-linked immunosorbent assay. Thirty workers from a slaughterhouse were enrolled in this study. A control group (n = 30) was also considered in order to know AFB1 background levels for Portuguese population. Fourteen workers (47.0%) showed detectable levels of AFB1 with values from 1.06 to 4.03ng ml(-1), with a mean value of 1.73ng ml(-1). No AFB1 was detected in serum of individuals used as controls. Despite uncertainties regarding the exposure route that is contributing more to exposure (inhalation or dermal) is possible to state that exposure to AFB1 is occurring in the slaughterhouse studied. It seems that reducing AFB1 contamination in poultry production can have a positive result in this occupational setting.
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Affiliation(s)
- Susana Viegas
- 1.Environment and Health RG, Lisbon School of Health Technology, Polytechnic Institute of Lisbon, Av. D. João II, lote 4.69.01, Parque das Nações, 1990-096 Lisboa, Portugal; 2.Centro de Investigação em Saúde Pública (CISP/ENSP/UNL), 1600-560 Lisbon, Portugal;
| | - Luísa Veiga
- 3.Lisbon School of Health Technology, Polytechnic Institute of Lisbon, Lisbon, Portugal
| | - Ana Almeida
- 3.Lisbon School of Health Technology, Polytechnic Institute of Lisbon, Lisbon, Portugal
| | - Mateus dos Santos
- 1.Environment and Health RG, Lisbon School of Health Technology, Polytechnic Institute of Lisbon, Av. D. João II, lote 4.69.01, Parque das Nações, 1990-096 Lisboa, Portugal
| | - Elisabete Carolino
- 1.Environment and Health RG, Lisbon School of Health Technology, Polytechnic Institute of Lisbon, Av. D. João II, lote 4.69.01, Parque das Nações, 1990-096 Lisboa, Portugal
| | - Carla Viegas
- 1.Environment and Health RG, Lisbon School of Health Technology, Polytechnic Institute of Lisbon, Av. D. João II, lote 4.69.01, Parque das Nações, 1990-096 Lisboa, Portugal; 4.Faculty of Medicine, Environmental Health Institute, Lisbon University, Lisbon, Portugal
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