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Afzal W, Habib SS, Ujan JA, Mohany M, Bibi H. Assessment of pesticide residues: a comprehensive analysis of seasonal trends and health implications. JOURNAL OF ENVIRONMENTAL SCIENCE AND HEALTH. PART. B, PESTICIDES, FOOD CONTAMINANTS, AND AGRICULTURAL WASTES 2024; 59:642-653. [PMID: 39305033 DOI: 10.1080/03601234.2024.2406131] [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: 07/08/2024] [Accepted: 09/15/2024] [Indexed: 10/05/2024]
Abstract
This study assessed the presence of eight pesticide residues in the Indus River, Mianwali, Pakistan, focusing on three sampling sites (S1, S2, and S3) in water, sediment, and the fish species Cyprinus carpio during both dry and wet seasons. Analysis was conducted using gas chromatography with an electron capture detector. Results indicated elevated pesticide concentrations in both seasons, with levels of 0.84 and 0.62 μg/L in water, 12.47 and 9.21 μg/g/dw in sediment, and 17.33 and 12.17 μg/g/ww in fish, with higher concentrations observed during the dry season. Cypermethrin and carbofuran were the primary pesticides detected in water, while endosulfan and cypermethrin were dominant in sediment and fish tissue, often exceeding standard safety thresholds. Principal Component Analysis (PCA) and cluster analysis revealed stronger correlations between sediment and fish muscle, with varying associations among pesticides across seasons. The Hazard Index (HI) surpassed 1 in both seasons, signaling potential health risks to humans. These findings underscore the substantial risk agricultural pesticides pose to the aquatic ecosystem and food chain, highlighting the urgent need for sustainable agricultural practices and stricter regulations to minimize pesticide use and encourage eco-friendly pest management strategies.
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Affiliation(s)
- Wajeeha Afzal
- Department of Zoology, University of the Punjab Lahore, Lahore, Pakistan
| | | | - Javed Ahmed Ujan
- Department of Zoology, Shah Abdul Latif University, Khairpur, Pakistan
- Department of Animal Sciences, University of Florida, Gainesville, FL, USA
| | - Mohamed Mohany
- Department of Pharmacology and Toxicology, College of Pharmacy, King Saud University, Riyadh, Saudi Arabia
| | - Hakim Bibi
- Department of Zoology, University of Sargodha, Sargodha, Pakistan
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Habib SS, Fazio F, Masud S, Ujan JA, Saeed MQ, Ullah M, Khan K, Khayyam K, Mohany M, Milošević M, Al-Rejaie SS, Cravana C. Analyzing the impact of pesticides on the indus river: contamination levels in water, sediment, fish, and associated human health risks. ENVIRONMENTAL GEOCHEMISTRY AND HEALTH 2024; 46:191. [PMID: 38696024 DOI: 10.1007/s10653-024-01975-8] [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: 01/02/2024] [Accepted: 04/02/2024] [Indexed: 06/17/2024]
Abstract
Pesticides are frequently used to protect crop yields and manage malaria vectors; however, their inadvertent transport into aquatic habitats poses a significant concern. Various anthropogenic activities influence the Indus River in Pakistan. This study aimed to assess the presence of eight pesticide residues at three different sites (Kalabagh, Kundian, and Chashma) in water, sediment, and the fish species (Labeo rohita) during both dry and wet seasons to measure the intensity of this pressure. Pesticide analysis was carried out using gas chromatography equipped with an electron capture detector. The results revealed the highest concentrations of pesticides during both dry and wet seasons at all sites, measuring 0.83 and 0.62 μg/l (water), 12.37 and 9.20 μg/g/dw (sediment), and 14.27 and 11.29 μg/g/ww (L. rohita), respectively. Overall, pesticide concentrations were higher in the dry season than in the wet season across all study sites. Based on detection frequency and concentration in both seasons at all sites, dominant pesticides included cypermethrin and carbofuran (in water), as well as endosulfan and cypermethrin (in sediment and fish tissue). Levels of endosulfan and cypermethrin exceeded standard limits. Moreover, principal component analysis (PCA) indicated no correlation among pesticides in fish tissue, sediment, and water. However, pesticides exhibited different behavior in different seasons. Furthermore, endosulfan and triazophos impose great human health risk, as indicated by the THQ value (> 1). The overall HI value was greater for site 1 in the dry season (8.378). The study concluded that the presence of agricultural pesticides in the Indus River poses a risk to aquatic life and has the potential to disrupt the entire food chain. This highlights the importance of sustainable practices for the study area and Pakistan overall agricultural and environmental sustainability. It is further recommended to strengthen regulations for reduced pesticide use and promote eco-friendly pest management.
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Affiliation(s)
- Syed Sikandar Habib
- Department of Zoology, University of Sargodha, Sargodha, Punjab, 40100, Pakistan
| | - Francesco Fazio
- Department of Veterinary Sciences, University of Messina, Via Palatucci, N. 13, 98168, Messina, Italy.
| | - Samrah Masud
- Institute of Zoology, Bahauddin Zakariya University, Multan, Punjab, 60800, Pakistan
| | - Javed Ahmed Ujan
- Department of Animal Sciences, University of Florida, Gainesville, FL, 32608, USA
| | - Muhammad Qamar Saeed
- Department of Microbiology and Molecular Genetics, Bahauddin Zakariya University, Multan, Punjab, 60800, Pakistan
| | - Mujeeb Ullah
- Department of Zoology, Islamia College University Peshawar, Peshawar, Khyber Pakhtunkhwa, 25120, Pakistan
| | - Khalid Khan
- Department of Zoology, Islamia College University Peshawar, Peshawar, Khyber Pakhtunkhwa, 25120, Pakistan
| | - Khayyam Khayyam
- Department of Zoology, Islamia College University Peshawar, Peshawar, Khyber Pakhtunkhwa, 25120, Pakistan
| | - Mohamed Mohany
- Department of Pharmacology and Toxicology, College of Pharmacy, King Saud University, P.O. Box 55760, 11451, Riyadh, Saudi Arabia
| | - Marija Milošević
- Department of Biology and Ecology, Faculty of Science, University of Kragujevac, Kragujevac, 34000, Serbia
| | - Salim S Al-Rejaie
- Department of Pharmacology and Toxicology, College of Pharmacy, King Saud University, P.O. Box 55760, 11451, Riyadh, Saudi Arabia
| | - Cristina Cravana
- Department of Veterinary Sciences, University of Messina, Via Palatucci, N. 13, 98168, Messina, Italy
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Shehu Z, Nyakairu GWA, Tebandeke E, Odume ON. Overview of African water resources contamination by contaminants of emerging concern. THE SCIENCE OF THE TOTAL ENVIRONMENT 2022; 852:158303. [PMID: 36030854 DOI: 10.1016/j.scitotenv.2022.158303] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/04/2022] [Revised: 08/21/2022] [Accepted: 08/22/2022] [Indexed: 06/15/2023]
Abstract
This review look at several classes of contaminants of emerging concern (CECs) in conventional and non-conventional water resources across the African continent's five regions. According to the review, pharmaceuticals, endocrine-disrupting chemicals, personal care products, pesticides, per- and polyfluoroalkyl compounds, and microplastics were found in conventional and non-conventional water resources. Most conventional water resources, such as rivers, streams, lakes, wells, and boreholes, are used as drinking water sources. Non-conventional water sources, such as treated wastewater (effluents), are used for domestic and agricultural purposes. However, CECs remain part of the treated wastewater, which is being discharged to surface water or used for agriculture. Thus, wastewater (effluent) is the main contributor to the pollution of other water resources. For African countries, the prevalence of rising emerging pollutants in water poses a severe environmental threat. There are different adverse effects of CECs, including the development of antibiotic-resistant bacteria, ecotoxicological effects, and several endocrine disorders. Therefore, this needs the urgent attention of the African Union, policymakers, Non-Governmental Organizations, and researchers to come together and tackle the problem.
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Affiliation(s)
- Zaccheus Shehu
- Department of Chemistry, Makerere University, P.O. Box 7062, Kampala, Uganda; Department of Chemistry, Gombe State University, P.M. B. 127, Gombe, Nigeria
| | | | - Emmanuel Tebandeke
- Department of Chemistry, Makerere University, P.O. Box 7062, Kampala, Uganda
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Talan A, Kaur R, Tyagi RD, Drogui P. Bioconversion of oily waste to polyhydroxyalkanoates: Sustainable technology with circular bioeconomy approach and multidimensional impacts. ACTA ACUST UNITED AC 2020. [DOI: 10.1016/j.biteb.2020.100496] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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Ogbeide O, Uhunamure G, Okundaye F, Ejeomo C. First report on probabilistic risk assessment of pesticide residues in a riverine ecosystem in South-South Nigeria. CHEMOSPHERE 2019; 231:546-561. [PMID: 31151015 DOI: 10.1016/j.chemosphere.2019.05.105] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/25/2019] [Revised: 05/14/2019] [Accepted: 05/14/2019] [Indexed: 06/09/2023]
Abstract
The present study evaluated the ecological and human health risk associated with concentrations of legacy organochlorine pesticide residues in Ikpoba River, a major River in the heart of Benin City, a Nigerian urban town located in Edo State. Standard methods were used to collect, extract and analyze samples, while risk assessment was carried out using standard models and indices. Results showed varying pesticide concentrations in both sediment and water samples with α-HCH (0.24 ± 0.11 μg L-l), predominant in water, whereas dieldrin (0.99 ± 0.33 μg kg-l) was the highest concentration in sediment. Compared to the Sediment Quality Guidelines (SQGs), this study concentrations of pesticides in sediments were below the values of effect range medium, effect range low, probable effect level and threshold effects level, suggesting low environmental hazard to benthic organisms. However, on exposure to contaminated sediments, probabilistic ecological risk assessment using Monte Carlo techniques showed potential risk to algae, daphnid and fish. Human health risk estimates using dermal and ingestion exposure deterministic and probabilistic routes revealed a potential risk to adults and children exposed to contaminated water and sediment. Estimates for detected pesticides exceeded the threshold level, indicating potential cancer effects for both children and adults who rely on the resources of the river. This study highlights the need for concerted efforts to curb the threat of pesticides and other contaminants in the aquatic environment by all relevant stakeholders in Nigeria and Africa as a whole.
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Affiliation(s)
- Ozekeke Ogbeide
- Department of Zoology and Entomology, University of the Free State. (Qwa Qwa campus), Free State, South Africa; Afromountane Research Unit (ARU) University of the Free State. (Qwa Qwa campus), Free State, South Africa; Department of Environmental Management and Toxicology. Faculty of Life Sciences. University of Benin. Benin City, Nigeria.
| | - Grace Uhunamure
- Department of Environmental Management and Toxicology. Faculty of Life Sciences. University of Benin. Benin City, Nigeria
| | - Fabulous Okundaye
- Department of Environmental Management and Toxicology. Faculty of Life Sciences. University of Benin. Benin City, Nigeria
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Tongo I, Ezemonye L, Akpeh K. Distribution, characterization, and human health risk assessment of polycyclic aromatic hydrocarbons (PAHs) in Ovia River, Southern Nigeria. ENVIRONMENTAL MONITORING AND ASSESSMENT 2017; 189:247. [PMID: 28466449 DOI: 10.1007/s10661-017-5931-5] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/12/2016] [Accepted: 04/07/2017] [Indexed: 06/07/2023]
Abstract
The levels and distribution of polycyclic aromatic hydrocarbons (PAHs) in surface water, sediment, and fish (Clarias gariepinus) samples from Ovia River, Southern Nigeria, were evaluated, to assess the contamination profile, dietary intake, and human health risks associated with exposure. Results showed that naphthalene, acenaphthylene, and fluoranthene were the most dominant contaminant in water, sediment, and fish, respectively, with mean concentrations (μg/L) of 3.08, 45.4, and 90.7. Spatial distribution showed high occurrence of PAHs in Ekenwan, the downstream station, for all the matrices. Source identification using multivariate analysis revealed mixed patterns of pyrogenic and petrogenic origins. Estimated daily intake (EDI) of PAHs through fish consumption ranged from 2.18 × 10-7 to 5.23 × 10-5 mg/kg/day; values were however lower than the reference dose (RfD) indicating low risk. Estimated values for hazard quotients (HQs) and hazard index (HI) for both non-carcinogenic and carcinogenic risks were below 1 indicating low risk through dietary and non-dietary exposure to water, sediment, and fish from Ovia River. However, estimated HI values for direct ingestion of sediment were above 1, indicating the possibility of non-carcinogenic health risk from exposure. Carcinogenic risk indices also indicated low risk from fish consumption. In spite of the assessed low risk from exposure, continuous monitoring of PAH levels in this water body is imperative to prevent future human health effects.
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Affiliation(s)
- Isioma Tongo
- Laboratory of Ecotoxicology and Environmental Forensics, Department of Animal and Environmental Biology, Faculty of Life Sciences, University of Benin, Benin, Nigeria.
| | - Lawrence Ezemonye
- Laboratory of Ecotoxicology and Environmental Forensics, Department of Animal and Environmental Biology, Faculty of Life Sciences, University of Benin, Benin, Nigeria
| | - Kingsley Akpeh
- Laboratory of Ecotoxicology and Environmental Forensics, Department of Animal and Environmental Biology, Faculty of Life Sciences, University of Benin, Benin, Nigeria
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Olutona GO, Olatunji SO, Obisanya JF. Downstream assessment of chlorinated organic compounds in the bed-sediment of Aiba Stream, Iwo, South-Western, Nigeria. SPRINGERPLUS 2016; 5:67. [PMID: 26839760 PMCID: PMC4723371 DOI: 10.1186/s40064-016-1664-0] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/30/2015] [Accepted: 01/04/2016] [Indexed: 11/10/2022]
Abstract
This study investigated levels and distribution pattern of chlorinated organic compounds (COCs) otherwise known as organochlorine pesticides in sediment samples at downstream of Aiba watercourse in Iwo, South-western Nigeria. Soxhlet extraction method followed by GC-ECD analysis were used to ascertain levels of COCs in the sediment samples collected from four different locations along the stream. Eighteen COCs were detected with trans permethrin and endosulfan sulfate having highest and lowest concentrations of 375.70 ± 689.41 and 0.03 ± 0.05 µg/g, respectively. The varying levels of COCs as obtained in this study were attributed to organochlorine pesticides contamination emanated from different agricultural practices and domestic sewage loads of the study area.
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Affiliation(s)
- Godwin O. Olutona
- />Department of Chemistry and Industrial Chemistry, Bowen University, P. M. B. 284, Iwo, Nigeria
| | - Stephen O. Olatunji
- />Department of Chemistry, Cape Peninsula University of Technology, Cape Town, South Africa
| | - Joshua F. Obisanya
- />Institute for Entrepreneurship and Development Studies, Obafemi Awolowo University, Ile-Ife, Nigeria
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Ogbeide O, Tongo I, Ezemonye L. Risk assessment of agricultural pesticides in water, sediment, and fish from Owan River, Edo State, Nigeria. ENVIRONMENTAL MONITORING AND ASSESSMENT 2015; 187:654. [PMID: 26423632 DOI: 10.1007/s10661-015-4840-8] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/25/2015] [Accepted: 09/02/2015] [Indexed: 06/05/2023]
Abstract
The distribution of pesticides in water, sediments, Clarias gariepinus, and Tilapia zilli from the Owan River was investigated to evaluate the pollution status and potential hazard in the river system. A total of 16 pesticides were analyzed using gas chromatography (GC) equipped with electron capture detector (ECD). The concentration of pesticide residues ranged from ND to 0.43 μg/l for water samples, 0.82 to 2.14 μg/kg/dw for sediment, 0.04 to 2.34 μg/kg/ww for C. gariepinus, and 0.02 to 1.73 μg/kg/ww for T. zilli. High concentrations of organochlorine pesticides, specifically benzenehexachloride (α-BHC, γ-BHC, and β-BHC) observed in all environmental media, are an indication of the current illegal use of banned pesticides for agricultural activities in the region. Analysis of data showed a strong correlation (r (2) = 0.7) between total organic carbon (TOC) and total pesticide residues in sediment samples. Meanwhile, risk quotient estimates for heptachlor epoxide, dieldrin, endrin, dichlorodiphenyltrichloroethane (4,4'-DDT), endosulfan I, endosulfan II, endosulfan aldehyde, and phosphomethylglycine showed potential risk to aquatic organism under observed mean concentrations (risk quotient (RQ) ≥ 1). Estimated average daily intake (EADI) for organochlorine pesticides (γ-BHC, heptachlor epoxide, aldrin, dieldrin, and endrin) was above their respective acceptable average daily intake (ADI), while hazard quotient for each of these pesticides was above the unity value (1). This indicates that there is a potential cancer risk for the local residents with life time consumption of pesticide-contaminated fish.
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Affiliation(s)
- Ozekeke Ogbeide
- Ecotoxicology and Environmental Forensics Laboratory, University of Benin, Benin City, Nigeria.
- Department of Environmental Management and Toxicology, University of Benin, Benin City, Nigeria.
| | - Isioma Tongo
- Ecotoxicology and Environmental Forensics Laboratory, University of Benin, Benin City, Nigeria.
- Department of Animal and Environmental Biology, University of Benin, Benin City, Nigeria.
| | - Lawrence Ezemonye
- Ecotoxicology and Environmental Forensics Laboratory, University of Benin, Benin City, Nigeria.
- Department of Animal and Environmental Biology, University of Benin, Benin City, Nigeria.
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Derbalah A, El-Safty SA, Shenashen MA, Abdel Ghany NA. Mesoporous Alumina Nanoparticles as Host Tunnel-like Pores for Removal and Recovery of Insecticides from Environmental Samples. Chempluschem 2015; 80:1119-1126. [DOI: 10.1002/cplu.201500098] [Citation(s) in RCA: 37] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2015] [Indexed: 11/07/2022]
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Ezemonye LI, Ogbeide OS, Tongo I, Enuneku AA, Ogbomida E. Pesticide contaminants in Clarias gariepinus and Tilapia zilli from three rivers in Edo State, Nigeria; implications for human exposure. INTERNATIONAL JOURNAL OF FOOD CONTAMINATION 2015. [DOI: 10.1186/s40550-015-0009-z] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Abstract
Abstract
The concentrations of 16 pesticides residues (alpha BHC, gamma BHC (lindane), beta BHC, Heptachlor, Aldrin, Heptachlor Epoxide, Endosulfan I, Dieldrin, Endrin, Endosulfan II, 4, 4 DDT, Endosulfan Aldehyde, Endosulfan sulfate, Atrazine, Phosphomethylglycine and Carbofuran) in two fish species (Tilapia zilli and Clarias gariepinus) from selected rivers (Illushi, Owan and Ogbesse) in Edo State, Nigeria was investigated and the associated human health risks from the consumption of contaminated fishes was also determined. Fish species were collected for a period of 18 months, and pesticides analyses was carried out using Gas Chromatography (GC) equipped with Electron Capture Detector (GC-ECD). The distribution of pesticide residues was more in the tissues of Clarias gariepinus (5.53-9.98 μg/g wet weight) than Tilapia zilli (3.49- 4.98 μg/g wet weight), while the most dominant pesticide in all the stations and all fish species was the persistent organochlorine; ∑BHC. Furthermore, the estimated dose for alpha BHC, beta BHC, Endosulfan Aldehyde, DDT, Endosulfan I, Endosulfan II, gamma BHC, Heptachlor, Endosulfan sulfate, Atrazine, Phosphomethylglycine and Carbofuran, do not pose direct hazard to human health since values were lower than the reference dose and Hazard quotient (HQ) were lower than toxic threshold of 1. However, estimated dose for, Heptachlor epoxide, Dieldrin, Endrin and Aldrin exceeded the reference dose and were higher than toxic threshold indicating a potential toxicity in humans.
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Sojinu OS, Sonibare OO, Ekundayo OO, Zeng EY. Assessment of organochlorine pesticides residues in higher plants from oil exploration areas of Niger Delta, Nigeria. THE SCIENCE OF THE TOTAL ENVIRONMENT 2012; 433:169-177. [PMID: 22789817 DOI: 10.1016/j.scitotenv.2012.06.043] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/30/2012] [Revised: 05/26/2012] [Accepted: 06/11/2012] [Indexed: 06/01/2023]
Abstract
The concentrations and distributions of organochlorine pesticides (OCPs) in some higher plant samples collected from oil exploration areas of the Niger Delta, Nigeria were examined. The concentrations of Σ(25)OCP ranged from 82 to 424, 44 to 200 , 34 to 358, 33 to 106 and 16 to 75 ng/g in Olomoro, Oginni, Uzere, Irri and Calabar plants, respectively. The compositional profiles of the analysed OCPs in most of the plants showed no fresh inputs in the area. The OCPs detected in the samples could have resulted from pesticide usage for intense farming activities cum the use of pesticides to control household pests and insects in the area. Drilling fluids and corrosion inhibitors used in petroleum explorations also have chlorinated compounds as additives thereby serving as potential sources of OCPs. Among the studied plants, elephant grass showed high bioaccumulation and phytoremediation potentials of OCPs. The ΣHCH concentrations exceeded the allowable daily intake limit thereby serving as potential threat to humans.
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Affiliation(s)
- O Samuel Sojinu
- Department of Chemical Sciences, Redeemer's University, Klm 46/48 Lagos-Ibadan Express way, Nigeria.
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M S, SS SS, Y ZY. Lindane residues in cultivated cucumber and in the most consumed fish in Caspian Sea (Iran). Toxicol Ind Health 2009; 25:517-23. [DOI: 10.1177/0748233709345941] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
In this study, the concentrations of lindane residues (organochlorine pesticides) were analyzed in samples of cultivated cucumbers ( Cucumis sativus L.) and four species of most consumed fish (Sefid, Koli, Kilca and Kafal fish). Samples of cucumber were collected from five sites in Sari city (north, south, east, west and central areas) and samples of fish were caught using electric fishing from four major fishing centers (Chalous and Babolsar cities, Khazar Abad and Miankaleh regions) in Mazandaran province of Iran. Quantitative determination of the lindane content was performed by gas chromatography electron-capture detection (GC-ECD). The results showed that the concentration of lindane in cucumber samples and in the dorsal muscle of the selected fish were less than the Food and Agriculture Organization/World Health Organization (FAO/WHO) recommended intake.
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Affiliation(s)
- Shokrzadeh M
- Department of Toxicology, Faculty of Pharmacy, Mazandaran University of Medical Sciences, Sari, Iran, Department of HSE, Faculty of HSE, Shaheed Beheshti University of Medical Sciences, Tehran, Iran
| | - Saeedi Saravi SS
- Faculty of Pharmacy, Mazandaran University of Medical Sciences, Sari, Iran, Mazandaran Pharmaceutical Sciences Research Center, Iran,
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